[The condition of the mandibular bone regenerate in the remote period after compression-distraction osteosynthesis]. / Sostoyanie kostnogo regenerata nizhnei chelyusti v otdalennom periode posle kompressionno-distraktsionnogo osteosinteza.

THE STUDY OBJECTIVE: Was to assess the qualitative and quantitative characteristics of the bone regenerate in the distant period following compression-distraction osteosynthesis. MATERIAL AND METHODS: Results from the treatment of 30 patients with mandibular micrognathia, were analyzed. Compression-distraction osteosynthesis (CDO) was performed in the area of the mandibular angle. The patients were divided into two groups: group 1 consisted of 16 patients with congenital micrognathia, and group 2 comprised 14 patients with acquired (post-traumatic) micrognathia. For the assessment of qualitative and quantitative characteristics of the bone regenerate, three-dimensional modeling, morphometric measurements of the regenerate, and evaluation of bone density using the Hounsfield scale through multislice computed tomography were used. RESULTS AND DISCUSSION: The study of the bone regenerate parameters in group 1 yielded the following results: the length of the bone regenerate decreased by 2.14%; the thickness of the bone regenerate increased by 8.75%; the height of the bone regenerate increased by 1.75%. In group 2, the values were 3.14; 3 and 3.76%, correspondingly. In patients of group 1, the length of the mandibular branch increased by 4%; the length of the mandibular body increased by 5.35%. In group 2, the length of the mandibular branch increased by 1.94%; the length of the mandibular body increased by 2.2%. The density of the cortical bone of the regenerate corresponds to the density of the intact bone, while the density of the cancellous bone is slightly reduced. CONCLUSION: Qualitative and quantitative characteristics of bone regenerate in the long-term period after CDO correspond to the parameters of intact bone. CDO can be considered not only as a preparatory stage for reconstructive operations after the growth of the skull bones has completed, but also as an independent stage of treatment.

[Adequate assessment of linear function of calibration according to GOST R ISO 11095-2007 for ethanol mass concentration measurement]. / Otsenka adekvatnosti lineinoi funktsii kalibrovki po GOST R ISO 11095-2007 dlya izmereniya massovoi kontsentratsii etanola.

OBJECTIVE: To assess the adequacy of linear function of calibration according to GOST R ISO 11095-2007 for ethanol mass concentration measurement using internal reference materials (RMs). MATERIAL AND METHODS: An experiment on calibration in accordance with the GOST R ISO 11095-2007 National standard of the RF was carried out using internal RMs, namely aqueous solutions of ethanol at different concentrations. Measurements were performed for two subbands of ethanol concentrations at RMs: 0.15-1.05 and 1.0-7.0 mg/ml - according to the certified methodology. RESULTS: The graphs of the calibration's functions based on experimental data are consistent with the assumption of the calibration function's linearity, as well as the assumption of the standard deviation's constance of residues is equitable for two subbands of RMs. CONCLUSION: Proven linear models in the calibration experiment may be recommended for use in the ethanol mass concentration measurement.

[Questionnaire survey of patients of medical dental organizations in different regions of the Russian Federation on the issues of individual and professional oral hygiene]. / Anketirovanie patsientov meditsinskikh stomatologicheskikh organizatsii razlichnykh regionov RF po voprosam individual'noi i professional'noi gigieny rta.

To analyze the respondents' attitudes to oral hygiene and to assess the need for professional oral hygiene in different regions of the Russian Federation based on the data of questionnaire analysis. OBJECTIVE: To obtain comparative data on the issues of individual and professional oral hygiene of patients of medical dental organizations in a number of Russian cities. MATERIAL AND METHODS: We conducted an anonymous questionnaire survey of 624 patients (18 to 70 years old) who applied to medical dental organizations of different forms of ownership in five regions of the Russian Federation (Moscow, Omsk, Ryazan, Samara, Tambov). Patients were interviewed using a specially designed questionnaire. RESULTS: The study involved patients of medical dental organizations from 5 regions of the Russian Federation, 57.2% of them were women and 42.8% men. In all cities more than 50% of the surveyed patients received care under the MHI program. More than 50% of the surveyed patients said that they tried to brush their teeth twice a day, the rest of the respondents said that they brushed their teeth only twice a day. Up to 27% of patients are not willing to comply with individualized dental care recommendations for various reasons. CONCLUSIONS: Highly motivated patients to high-quality dental hygiene behavior are in minority; according to the results of the study, it can be stated that there is a high need for professional oral hygiene among the surveyed respondents. It is necessary to work with patients to improve hygienic knowledge, skills and motivation for quality oral hygiene.

[Correlations between clinical features of bipolar affective disorder and serum concentrations of ANKRD12 gene product, coagulation factor XIII, and cadherin 5]. / Svyaz' kontsentratsii belka-produkta gena ANKRD12, XIII faktora koagulyatsii i kadgerina 5 v syvorotke krovi s klinicheskimi osobennostyami bipolyarnogo affektivnogo rasstroistva.

OBJECTIVE: To determine the serum concentrations of some proteins identified in the blood serum of patients with bipolar affective disorder (BD) and to evaluate the relationship of their concentrations with clinical characteristics of BD. MATERIAL AND METHODS: Protein concentrations of cadherin 5, coagulation factor XIII and ANKRD12 gene product in the blood serum of patients with BD and healthy individuals were determined using commercial ELISA kits. The severity of current depression and the main clinical manifestations of BD were assessed by SIGH-SAD and CGI upon admission to the hospital before the prescription of therapy. Data analysis was carried out using the Kruskal-Wallis and Mann-Whitney tests. RESULTS: Comparison between subgroups of BD patients, selected in accordance with the current affective episode (hypomanic, manic, depressive and mixed), and control group by the Kruskal-Wallis test has shown the significant difference in ANKRD12 protein product concentration (p=0.0448). When comparing pairwise each subgroup with the control group, the significant difference in ANKRD12 product concentration was found only in the case of a subgroup of BD patients with current depressive episode (Mann-Whitney test, p=0.006). Pairwise comparison of the ANKRD12 product concentrations in subgroups of BD patients with different disease duration (<5 years, 6-10 years, and >11 years) and in the control group by the Mann-Whitney test has revealed significant differences (p=0.04, p=0.01, p=0.02, respectively), the maximum protein concentration was found in patients with disease duration >11 years. Significant negative correlation of cadherin 5 concentration with the severity of atypical depressive symptoms assessed by SIGH-SAD (r=-0.69, p=0.038) and the decrease in cadherin 5 concentration in BD patients with greater severity of the current depressive episode were revealed. Significant negative correlation was found between factor XIII concentration and CGI scores (r=-0.62, p=0.032). CONCLUSION: The results indicate a possible link of the studied proteins with BD pathogenesis. Further study of these proteins may contribute to the development of new therapeutic and diagnostic techniques.

Synthesis of a Bioactive Composition of Chitosan-Selenium Nanoparticles.

A biologically active composition of chitosan-selenium nanoparticles has been developed. Selenium nanoparticles are characterized by a clear bimodal size distribution: 2-3 and ~37 nm. The main active centers of complexation with nanoparticles are the amino and hydroxyl groups of chitosan. In experiments on culturing fibroblasts of the hTERT BJ-5ta cell line on sample films, high biocompatibility of the composition was shown. It was shown that the composition of chitosan-selenium nanoparticles has a corrective effect on the oxidative processes of the body, reducing the activity of free-radical oxidation in the blood of animals. This opens up prospects for the use of this complex in the composition of antioxidant and adaptogenic drugs.

[Clothing and footwear for the elderly and senile: recommendations for the formation of a special wardrobe.]

According to WHO, the number of elderly and senile people by 2050 will amount to more than 2 billion people. The period 2020-2030 is designated by WHO as the «Decade of Healthy Aging¼ with a program according to which healthy aging is designed to delay the dependence of this age group on outside help, to promote their long healthy life. Such a statement of the problem indicates an understanding of the relevance of the development of functionally comfortable and aesthetically designed clothing and footwear designs that provide this contingent with independence in self-service and contribute to their successful longevity. The purpose of the study is to substantiate recommendations for the development of clothing and footwear designs, the formation of a wardrobe for elderly and senile people to facilitate the process of self-service and movement. A questionnaire has been developed, with the help of which an examination by specialists and a survey of 60 patients aged 60-87 years who underwent social rehabilitation in the clinic of the 1Federal Scientific Center for Rehabilitation of Disabled People named after G.A.Albrecht. Information was obtained about the diseases of these patients, about the limitations in self-service and mobility, preferences in choosing standard designs of clothing and shoes, claims and wishes for their characteristics in the aspect of self-service. The main recommendations on the compilation of a wardrobe for the elderly and senile age have been developed and formulated, the need for the development of functionally new forms and designs of both clothes and shoes to create for the elderly and senile the convenience of using these products, hiding morphological defects and deformations (figures and feet) and at the same time meeting the aesthetic requirements of fashion and personal preferences has been substantiated the user. The rehabilitation effect of using functionally new forms and designs of these products is to provide self-management of clothing and footwear for patients with significantly pronounced diseases, functional disorders, defects and deformations of the musculoskeletal system, that is, to reduce their dependence on outside help in the process of self-service and movement.

[Health resort care of people with disabilities in the Russian Federation]. / Sanatorno-kurortnoe lechenie invalidov v Rossiiskoi Federatsii.

OBJECTIVE: To analyze the health resort care (HRC) system for people with disabilities and provide the rationale of the HRC system improvements. MATERIAL AND METHODS: A content analysis of the regulatory framework and analysis of data from the Forms of Federal Statistical Monitoring of Rosstat, the Russian Ministry of Health, and the Russian Ministry of Labor were performed. RESULTS: The 19 main legal and regulatory documents are presented, and the 16 main areas of legal regulation on the HRC organization are highlighted. For 2014-2018, a twofold decrease in the number of people with disabilities whose individual rehabilitation and habilitation program included recommendations for HRC was observed. In 2019 and 2020, an increase in this indicator was recorded. An overall decrease in the number of persons (including children) with disabilities who received HRC was demonstrated. CONCLUSION: Ways to improve the HRC system for people with disabilities was identified.

[FEATURES OF THE DEVELOPMENT OF THE REPRODUCTIVE SYSTEM BY USING GENETICALLY MODIFIED SOURCES (EXPERIMENTAL STUDY)].

The rapid development of molecular biology and genetic engineering contributes to the creation of plants with desired properties in a short time. One of the aspects of the study of genetically modified organisms (GMO) and genetically modified products (GMP) is the study of their impact on humans, animals and the environment. Subject of research - changes in the morph functional indicators of the reproductive system of mice. The relevance of the chosen topic is due to the importance of the reproductive system for the reproduction of a healthy generation, capable of developing normally and continuing its race. Purpose of the study - to identify the effect of GMOs on the reproductive system of mice. Cultivation of three groups of laboratory mice using transgenic feed (genetically modified soybean meal) and obtaining biological material for research. Determination of the presence of genetically modified sources (GMS), genetically modified organisms (GMO) in food and feed products using the polymerase chain reaction (PCR). Morphometric study of the obtained material and biometric data processing. It has been shown that the consumption of feed by animals prepared on the basis of genetically modified plants does not affect the reproductive functions of the parental generation; but at the same time there was an inhibition of the growth rate and the process of formation of the gonads of the descendants of the first and, especially, the second generation; the second generation of offspring, eating only soybean meal, had defective reproductive qualities and high mortality. Second-generation mice eating genetically modified soybean meal are at greater risk than second-generation mice eating traditional diets.

[Rehabilitation problems in Top Rated Databases]. / Problemy reabilitatsii v vysokoreitingovykh bazakh dannykh.

Development of medical rehabilitation technologies are the investments into «human capital¼. The effectiveness criterion of the scientific institutions work dealing with the problems of rehabilitation is the scientific publication activity of their employees in this subject in high-ranking international databases (DB).Purpose of the study. Analysis of the state of the scientific publication flow in the field of rehabilitation. MATERIAL AND METHODS: Data from the Web of Science and Scopus databases for November 2019, depth from 1991 to 2018 were used. RESULTS: It was revealed that the high level of the publication rating of Russia, which was noted in 1991-1992, has not yet been achieved in the Scopus database for medical rehabilitation. Measures have been identified to enhance it by increasing the growth rate of the Russian publication flow. It also noted the necessity to reduce Russia's dependence on the monopoly of foreign publishing corporations by creating domestic Russian resources and borrowing the experience of foreign colleagues. CONCLUSION: The necessary measures should be taken at the level of authors, scientific organizations, the scientific community and the State in order to increase the Russian scientific publication flow in the direction of «Rehabilitation¼ in foreign top-rated databases. Authors of interdisciplinary articles need to correctly present metadata indicating the relation of the work to the problem of rehabilitation. The necessity is substantiated not only to increase the share of Russian scientific journals in international databases, but also to create domestic high-rating databases, as well as to harmonize the existing regulatory legal acts in regards of terms and definitions in the field of rehabilitation, to bring the headings of the Universal Decimal Classification aligned with the headings of high-ranking international databases. Given the high social significance of the «Rehabilitation¼ area, it is necessary to include it in the priority list and funded areas at a level corresponding to global trends.

[The results of quantitative assessment of the level of adherence to treatment in patients of dental medical organizations]. / Rezul'taty kolichestvennoi otsenki urovnya priverzhennosti lecheniyu u patsientov stomatologicheskikh meditsinskikh organizatsii.

OBJECTIVE: To determine the level of adherence to treatment in patients applying to dental organizations of different forms of ownership. MATERIAL AND METHODS: 1.067 patients of both sexes and various ages who applied to public and private dental organizations of Moscow, Omsk, and Tyumen have been surveyed using the Questionnaire for Quantitative Assessment of Adherence to Treatment (KOP-25), which allows to obtain a quantitative evaluation of the level of adherence to drug treatment, medical support, lifestyle modification, and characterize the level of integral adherence to treatment in patients. Basing on a point rating system of assessment of the responses of the interviewed patients, integrative and structural indicators have been calculated using special formulas. The level of up to 50% has been interpreted as «low¼, from 51 to 75% as «medium¼, over 75% as «high¼. RESULTS: Patients applying to state and privately owned dental organizations have an insufficient level of adherence to treatment (50% medium and 37.4% low), 12.6% of the respondents show high adherence to treatment; adherence to treatment is higher in women, with the highest shown in the group of over 60 years old, independently of the form of ownership of the medical organizations; the interviewed men of all age groups are more inclined to apply for treatment to private medical organizations; all interviewed patients are the least ready for lifestyle modification, women are the most prone to using medication, and the least inclined to treatment are young patients interviewed when applying to public medical organizations. CONCLUSION: Individual treatment adherence assessment allows creating optimal treatment plans with treatment volume most acceptable for patients.

[Objective opportunity to achieve the goal of CHI based on the analysis of the potential of doctors in the field of dentistry]. / Ob"ektivnaya vozmozhnost' dostizheniya tseli OMS po rezul'tatam analiza potentsiala vrachei po profilyu stomatologiya.

Purpose of work is to determine the objective possibility of achieving the goal of the CHI program-the protection of the constitutional rights of citizens to receive free quality and affordable dental care based on the analysis of the potential of doctors in the field of dentistry. The study used the materials of the state statistical annual reports of the Ministry of health of the Russian Federation, forms No. 30 and No. 14-MED (CHI). The system of balanced indicators adapted by us served as a tool for effective process analysis of the personnel potential of doctors in the field of dentistry. Incorporating factor for achieving a strategic goal for the system CHI the results of analysis of practice-oriented factors of the potential of specialist doctors dentistry meets up 3.88 points, and the objective possibility of implementation of the CHI in the field of dentistry is 77.6 per cent. This indicator allows to measure the degree of success of the CHI system in the present and future and is intended for management as a decision-making tool in the process of personnel management.

[Economic model of scientific rationale for the real expenses on modernization of material resources]. / Ekonomicheskaya model' nauchnogo obosnovaniya real'nykh raskhodov na modernizatsiyu material'nykh zapasov.

The study convincingly showed the presence of negative trends in the provision of medical dental organizations with material supplies. Thus, in 2014-2018 the basic growth rate of financial resources allocate for these purposes was only 15.96%. The corresponding value for the renewal of drugs and dressing materials equaled 12.28%, for reagents and chemicals, glass, chemical glassware - 6.62%, a decrease was revealed in the costs of medical instruments and food. The real amount of expenses for updating inventory in 1 working day for 1 doctor in the profile of dentistry and dental hygienist should correspond to 2067.16 rubles, which is 3.49 times higher than the allocated financial resources. Dentistry is still not included in the priority areas of healthcare in terms of financing. Under such circumstances, medical dental organizations cannot satisfy the growing need of the population for high-quality dental care. New technologies integration in the daily dental practice dictates the need for of new standards formation and a list of expenditure of inventories in the provision of medical and diagnostic assistance in the field of «dentistry¼.

[Clothing and footwear for the persons of elderly and senile age as the problem of gerontological technologies.]

According to the World Health Organization, human life expectancy has increased significantly around the world over the past century, but this process is inevitably accompanied by aging. Therefore, persons who have reached the elderly and senile age often become infirm, especially physically. As a result, such people find it increasingly difficult to make movements related to self-service and movement when using standard clothing and shoes. In a study of 55 patients (from 60 to 87 years), conducted for the first time from the point of view of medical and social rehabilitation, data were obtained that reveal the nature of physical limitations of this group of people, which significantly complicate them use of standard clothing and shoes. The main conclusion of the work is the relevance of the development of medical and technical requirements for the design and production of clothing and footwear specifically for the elderly and senile taking into account their changed anthropometric parameters and their characteristic functional limitations.

[Medical rehabilitation: domestic scientific publication stream]. / Meditsinskaya reabilitatsiya: otechestvennyi nauchnyi publikatsionnyi potok.

The formation of a high-tech healthcare system is provided for by national projects. The expected effectiveness of the implementation of these projects is possible only with full-fledged scientific support, which is reflected in the publication scientific rating of Russia in highly rated international databases (DB). THE PURPOSE: Of this work is to analyze the Russian scientific publication stream on medical rehabilitation against the background of the world array of publications and its forecast for the near future. MATERIAL AND METHODS: The data of Web of Science and Scopus DB has investigated. Analysis of Russian scientific publications was carried out at various hierarchical levels of the DB: for Web of Science - across the entire DB (5 sections), under the section «Life Sciences and Biomedicine¼, under the subsection «Rehabilitation¼; for Scopus - in the division of knowledge «Medicine¼ (SUBJAREA (medi)), as well as in the subject area «Rehabilitation¼. The publication scientific rating of Russia was evaluated against the background of the world rating. Analysis of DB information was carried out for the period 1991-2018. RESULTS AND CONCLUSION: For the period 1991-2018, the highest quantity of domestic publications on rehabilitation in the international rating databases Web of Science and Scopus was in 1991: 5.5% (3rd place out of 53 in the world ranking) and 2.3% (6th place out of 64), respectively. The forecast of the dynamics of the quantity, taking into account the data of this period, showed that Russia has practically reached this high level in Scopus, and at the current rate of growth in the publication activity of Russian scientists, in the Web of Science, it can only reach it by 2028.

[Analysis of the amount of preventive dental care provided in terms of Compulsory Medical Insurance program]. / Analiz ob''emov stomatologicheskikh profilakticheskikh uslug, predostavliaemykh naseleniiu po programme obiazatel'nogo meditsinskogo strakhovaniia.

AIM: Based on the comprehensive socio-economic study the analysis of the amount of dental and preventive care provided in terms of Compulsory Medical Insurance program has been made. MATERIAL AND METHODS: The study was based in six dental clinics of the Central Federal District of Russia, treating children and adults with the total amount of attached and insured patients equaled 170.000 in each. RESULTS: Visits for the purpose of prophylaxis make up 24.87±0.27% in the structure of all methods. Dental care specialists have conducted 25 413.0 prophylaxis admissions of their patients. 35 563.29 conventional units of labor input are elaborated on the total cost of 4 614 812.16 rubles. In the purpose of diseases prevention it is planned to spend the average of 0.21 conventional units of labor input on each insured citizen or 2.1 minute on the cost of 27.31 rubles. It was spent 0.51 conventional units of labor input or 5.1 minutes that costs 66,06 rubles for each patient. These data indicate the lack of funding and time to conduct quality preventive care. CONCLUSION: Dental diseases prophylaxis is at the low rate which is proved by the study results - only 0.19 visits with preventive purposes per one insured person. The total share of preventive services in the structure of all services, not including specialists, is 17.51±0.06%.

[Medical and socio-economic significance of mouth sanitation]. / Meditsinskaia i sotsial'no-ékonomicheskaia znachimost' sanatsii rta.

The cost of providing dental services under the program of compulsory health insurance (CHI) in the 1 insured citizen in 2017 correspond 412.06 RUB. The proportion of patients sanitized of the number needing treatment is 57.05%, means of rehabilitation of mouth - 50.39%. Untimely treatment of the population for dental care, limiting its availability, insufficient funding of medical organizations contribute to the deterioration of the dental status of patients. Thus, the implementation of the CHI program in terms of sanitation of the mouth is very problematic. Consequently, the management of the situation requires social solutions and involves the collective responsibility of health authorities and society as a whole for the dental status of the population.

Outcomes of various types of therapy in patients with treatment-resistant acrodermatitis continua of Hallopeau.

Background: Chronic acrodermatitis continua of Hallopeau (ACH) is a rare form of pustular psoriasis predominantly affecting the distal phalanges of the fingers and toes. The disease manifests by pustular rash with marked infiltration, fissures, and often results into severe dystrophy of nail plates. ACH is refractory to most of psoriasis standard of care (SOC) therapies. Objective: The objective of this study is to assess the prospects of secukinumab therapy of ACH based on current clinical observation. Methods: We observed a female patient with ACH. Number of SOC treatments were applied in that case including local PUVA therapy, systemic retinoids, methotrexate, and biologic agents. Result: Secukinumab, a IL-17 inhibitor, demonstrated pronounced clinical effect in the case of ACH refractory to other SOC therapies. Conclusion: IL-17 inhibition provided by secukinumab was linked to clinically meaningful improvement in the heavily pretreated ACH. Further exploration and clinical studies may be important to provide more data on secukinumab effects in ACH.

Dermatitis artefacta: self-inflicted genital injury.

BACKGROUND: The term dermatitis artefacta (factitious dermatitis, pathomimia) is reserved for the most severe variant of factitious physical disorder and is characterized by exaggerated lying (pseudologia fantastica), sociopathy, geographic wandering (peregrinating) from hospital to hospital, and seeking to be in the patient role. OBJECTIVE: This report aims to give attention to the importance of accurate and detailed history, and conducting an appropriate physical examination in patients with life-threatening diseases when the underlying cause is not apparent. The diagnosis of dermatitis artefacta must always be upheld. CASE PRESENTATION: We present a unique case of a 52-year-old male who presented to clinic with skin lesions on scrotum and shaft of his penis and that were very distinct and suggestive of pyoderma gangrenosum which he developed 3 months after previous discharge from the clinic. Clinical response to treatment and the absence of laboratory findings confirmed a dermatitis artefacta. CONCLUSION: Dermatitis artefacta is a factitious disorder that involves falsification of psychological or physical signs or symptoms caused entirely by the patients themselves, in a clear state of consciousness, in order to play the role of a sick person. The correlation of anamnestic data and clinical and para-clinical exams was essential for the diagnosis of dermatitis artefacta in this case. To the best of our knowledge, pyoderma gangrenosum-like lesions have never been reported in a patient with dermatitis artefacta. Herein, we describe a rare case report of self-inflicted genital injury in a 52-year-old male.

THE INFLUENCE OF THE PHYSICAL ACTIVITY OF A MODERN STUDENT ON THE CHARACTERISTICS OF THE CARDIOVASCULAR AND RESPIRATORY SYSTEMS AND THEIR RESISTANCE TO STRESS DURING EDUCATIONAL PROCESS.

Many students in the educational process are subject to emotional, cognitive, motivational stress. A little physical activity allows them to get out of this state. One aspect of the research of adaptation of the students to the educational and physical loads is the investigation of their cardiovascular and respiratory systems state. There were investigated 100 students (educational directions: "Physical culture", "Music", "General Medicine") (age 19-24) from Kazakhstan, Russia, Turkey with different levels of physical activity in the process of their adaptation to educational process Anthropometric measurements were used to assess the parameters of physical development. The method of variational pulsometry by R.M. Baevskiy and spirometry were used to assess the functional state of the both systems. Stress resistance to learning and physical loads was determined due to assess the indices of general aerobic and speed-strength anaerobic endurance, survey among students. It was shown that students with a low level of physical activity are characterized by a pronounced predominance of the sympathoadrenal chain of heart rhythm regulation, which indicates a significant stress of adaptation mechanisms. The effectiveness of the regulation of heart rate in students of the educational direction "Physical Culture" is higher, which indirectly proves the positive impact of systematic physical activity on the functioning of the cardiovascular system and the body as a whole. It is advisable to solve the problem of the lack of physical activity of students by including various forms of physical education in their educational everyday activities that can be regulated daily by teachers. At the same time, the systemic nature of the physical impact on the student body is ensured by the interconnection of all forms of physical activity and types of motor activity, the content and direction of which is constantly updated considering the hierarchy of goals.

[Quality assessment and organization of dental care in the regions of Russian Federation]. / Otsenka kachestva organizatsii i okazaniia stomatologicheskoi meditsinskoi pomoshchi patsientam v razlichnykh sub''ektakh Rossiiskoi Federatsii.

On the basis of a survey of 732 patients of dental clinics as one of the most informative methods of assessing the quality of medical care, it was concluded that the satisfaction of the population in the conditions and quality of dental care is at a high level.