In the internal medicine wide spectrum the gastroenterology is one of the chapters, less enlightened by the scientific evidence. It does not mean that the practice of the grasntroenterology may ot be improved by the systematic use of the approaches of the evidence based medicine
Two approaches toward cadres reserve creation is analyzed. First is the creation of cadres reserve for given positions according to the norms of Russian civil service legislation norms, and second is the creation of cadres reserve for indefinite list of managerial positions, that is realized in analogy with creation of cadres reserve under President of Russia patronage. Authors amylase the difference of described approaches on the level of principles of selection of cadres for reserve, on the level of relation of aims and procedures of cadres selection. The open competition on of candidates on the base of formal and educational tests, and selection of candidates on the base of expert recommendations, is searched. The peculiarities of financing of the cadres reserve in both approaches is also discussed.
This prototype development explains the challenges encountered during the ISO/IEEE 11073 standard implementation process. The complexity of the standard and the consequent heavy requirements, which have not encouraged software engineers to adopt the standard. The developing complexity evaluation drives us to propose two possible implementation strategies that cover almost all possible use cases and eases handling the standard by non-expert users. The first one is focused on medical devices (MD) and proposes a low-memory and low-processor usage technique. It is based on message patterns that allow simple functions to generate ISO/IEEE 11073 messages and to process them easily. MD act as X73 agent. Second one is focused on more powerful device X73 manager, which do not have the MDs' memory and processor usage constraints. The protocol between Agent and Manager is point-to-point and we can distribute the functionality between devices.
Developed both implementation X73 Agent and Manager will cut developing time for applications based on ISO/EEE 11073.