The paper discusses factors impacting new medical technologies adoption in private hospitals of Saint Petersburg. I use interviews with hospitals' owners and top managers to study decision-making process of new medical technologies adoption. I outline common problems, associated with managing the introduction of new medical technologies in private sector, including: administrative barriers, medical staff, old technical requirements, price competition with public hospitals and strategic drawbacks in private healthcare policy.
Medical workers are a special subject of labour law because of specific character and conditions of their activity that determine the necessity to utilize differentiated approach to making labour contracts with them.
In this paper computer modeling in Mimics, SolidWorks, Patran and Nastran systems for an assessment of results of dentition end defect treatment by a method of dental implantation is considered. Influence of temporary implants form on durability of a temporary construction is discussed at osteointegration of permanent implants and ways of mesh generation on the accuracy of carried-out calculations.
Problems of designing of the medical hardware-software complex functioning on the basis of non-invasive spectrophotometric methods for measuring the blood microcirculation parameters, as well as the complex hardware and software structures are considered. The particular attention is paid to the description of computer models used at the different stages of the complex development.
Experimental research of the spatial ideas in the context with schizophrenic spectrum disorders in various degree of intensity is presented in the article. In addition, predisposition to the latent psychic pathology of the different genesis (including endogenous) can be defined by means of the spatial ideas' peculiarities (they are in close connection with the perception and thought peculiarities) research.
The paper presents the findings of a study of socio-professional status and professionalization of Russian homeopaths. Homeopaths are considered as a professional group, which since the late 1980s follows the path of the institutionalization within Russian healthcare system, alongside with other methods of alternative medicine. Despite the official recognition of the homeopathic method and the development of the homeopathic market, homeopaths position in medical community remains ambiguous. As a methodological framework for the study of social and professional status of homoeopaths were used resource approach and the concepts developed in studies of occupational groups. We analyzed four types of resources - economic, powerful, cultural and social. In so doing, special attention was paid to the professional autonomy as an indicator of power resource group.
The present study is aimed at investigating brain activation patterns associated with languageprocessing in patients with fluent and non-fluent aphasia withdifferent localizations of cerebral lesions. Sixteen healthy subjects and eighteen patients with different forms of aphasia participated in this study. The study was conducted using functional MRimaging method. The data obtained in the study revealed normative patterns of neural activation during language processing and specifics of brain reorganization of languagefunction after focal brain damage in patients with fluent and non-fluent aphasia.
The mass diagnosis by tuberculin is considered in system of other measures of prophylaxis of tuberculosis and estimated regarding compliance to the principle of proportionality.
This paper proposes a new method for constructing dynamic composite indices that has two important properties, such as nonnegative weights and dynamic comparability. The method is applied to construct a composite index of population health, as an example. The current method of composite indices’ construction is compared to existing approaches, namely the principal component method and the technique suggested by D. Borzykh in 2016. In contrast to the latter, the new approach meets both requirements, i.e. dynamic comparability and nonnegativity of weights. Thus, it is shown that the method suggested in this paper has the best properties.
This article is devoted to identification of a new type of legal responsibility (tubercular responsibility) and her legal treatment.
Compulsory health insurance — one of the most important elements of system of social protection of the population regarding health protection and receiving necessary medical care in a case. The purpose of article is detailed studying and the analysis of model of financing of obligatory medical insurance in connection with adoption of the Federal law upon November 29, 2010 N 326-FZ “About obligatory medical insurance in the Russian Federation”. For achievement of a goal it is necessary to consider the following aspects: the principles and essence of system of compulsory health insurance, participants of the market of obligatory medical insurance and their role in system, financial security of compulsory health insurance and its feature.
Spatial notions’ formedness rating among school age children with schizophrenic spectrum disorders research results are analyzed in the article. Spatial notions’ distortions exposed are specific for the persons with schizophrenic range disorders.
Current study present results of combined treatment with fluticasone propionate and salmeterol in 52 patients with moderate persistent asthma (11 male, 41 female), who received inhaled steroids for more than 3 month before study and/or in combination with different bronchodilators. Efficacy of the treatment (fluticasone - 250 meg, salmeterol - 50 meg) during 9 weeks was evaluated by clinical observation, peak flow and flow-volume measurement with reversibility response to bronchodilators and daily needs to short acting P2-agonists. Obtained results demonstrated that administration of combined therapy with fluticasone and salmeterol the optimal way of treatment of patients according to efficacy and security. This treatment provide stabile and long-term effect on bronchial conductance and daily variability and support its efficacy during whole treatment period. Combined administration of fluticasone and salmeterol doesn't have serious systemic and cardiotoxic side effects.