Saratov JOURNAL of Medical and Scientific Research

2013, volume 9

Improving of a training system as a model for continuing education in rehabilitation

Year: 2013, volume 9 Issue: №4 Pages: 1015-1017
Heading: Health Service Organization Article type: Author's opinion
Authors: Shapovalenko Т.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The presented model of continuing education in the field of rehabilitation training system provides physicians clinicians, allows to maintain the necessary level of their professional competence. Nowadays the need to improve constantly, to develop and complement forms of advanced training is connected with the active introduction of scientific and technological progress into medical practice, leading to the improvement of medical technologies.

Keywords: training

Institutional framework and the principles of regenerative medicine centers and rehabilitation in a megapolis

Year: 2013, volume 9 Issue: №4 Pages: 1013-1015
Heading: Health Service Organization Article type: Author's opinion
Authors: Shapovalenko Т.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

A concept of development of centers for regenerative medicine and rehabilitation, organizational bases of rehabilitation centers, basic principles and approaches to the creation and activities of the rehabilitation treatment and rehabilitation in the city are presented in the study.

Keywords: center of rehabilitation treatment and rehabilitation, principles of regenerative medicine

Scientific substantiation for the analysis of medical and social aspects of a healthy lifestyle as a basis of the effectiveness of rehabilitation in the modern conditions

Year: 2013, volume 9 Issue: №4 Pages: 1009-1012
Heading: Health Service Organization Article type: Original article
Authors: Shapovalenko T.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Efficiency of performed rehabilitation events in many respects depends on a state of health of the person which, in turn, directly depends on his/her medico-social activity. Aims: analysis of medico-social aspects of a healthy lifestyle of medical workers and patients of the center of recovery medicine and rehabilitation. Material and Methods. According to specially developed anonymous questionnaires there had been the research of the personnel (410 questionnaires) and patients (300 questionnaires) of the Center of recovery medicine and rehabilitation of Federal State Budgetary Institution Medical and Rehabilitation Center of Ministry of Health of Russia (TsVMR). Results. It is shown that the majority of participants regardless of professional functions and responsibilities understand an important role of healthy food and try to observe the correct diet, however, medical workers take this component of a healthy lifestyle more seriously. Thus the most part of citizens not having a direct bearing on health system are reluctant to care abot questions of healthy food, this emphasizes insufficiency of sanitary and hygienic education. Conclusion. Results of research can be used for development of scientific bases of increase of the efficiency of rehabilitation and recovery treatment in modern conditions.

Keywords: medical and social characteristics, medico-social activity, risk factors

Monitoring of patient's opinion on the quality and availability of rehabilitation organization in modern conditions

Year: 2013, volume 9 Issue: №4 Pages: 1004-1008
Heading: Health Service Organization Article type: Original article
Authors: Shapovalenko Т.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: to study the patients opinion of the center of restorative medicine and rehabilitation of «Medical rehabilitation center» of MOH of Russia: the organization and availability of rehabilitation and restorative treatment. Material and Methods. Anonymous survey of 490 patients using the specially designed questionnaire. Results. The most of the respondents, almost 3A (76,1%) gave the «good» and «excellent» marks, 19,8% — «satisfactory», 4,1% — «unsatisfactory». Conclusion. Results of this research can be used by health care regulatory bodies when developing the administrative decisions directed on improvement of availability and quality of rendering this specialized medical care.

Keywords: accessibility and quality of medical care

Medico-social characteristics of patients treated in rehabilitation centres

Year: 2013, volume 9 Issue: №4 Pages: 1000-1004
Heading: Health Service Organization Article type: Original article
Authors: Shapovalenko T.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: analysis of the medical social characteristics of patients of rehabilitation center. Material and methods. The data that had been got by extracting from medical records of patients of the Center of restorative medicine and rehabilitation «Medical rehabilitation center» MOH of Russia on a specially developed «Patient card» were analyzed. Results. Among the majority of patients (who got treatment in the center) with diseases of the musculoskeletal system and connective tissue (44,9%), almost 1/3 (29,2%) were patients with diseases of the circulatory system, in the third place — patients with injuries (14,1 %). Conclusion. As a result of the peculiarities of a patient health condition of different age and social position had been revealed.

Keywords: medical and social characteristics

Analysis of major trends of morbidity of population as a base of necessity for organizing rehabilitationc

Year: 2013, volume 9 Issue: №4 Pages: 995-999
Heading: Health Service Organization Article type: Review
Authors: Shapovalenko Т.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The study aims the research of morbidity in Moscow and the Moscow Region in those diseases rates for which it had been required further rehabilitation and restorative treatment, against the background of the analysis of similar indicators in the whole of the Russian Federation in the dynamics for eight years. The necessity of enlargement restorative treatment and rehabilitation for citizens, including databases of major medical centers had been reasoned.

Keywords: rehabilitation

Analysis of medical institutions with various organizational forms of rehabilitation treatment and outpatient departments

Year: 2013, volume 9 Issue: №4 Pages: 990-994
Heading: Health Service Organization Article type: Original article
Authors: Shapovalenko T.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The study aimed organization of the analysis of activity of two medical institutions rendering services in rehabilitation and recovery treatment to adult population, having various organizational forms. Material and Methods. For five years there had been studied practical experience of rendering medical care on recovery treatment and rehabilitation to adult population on the basis of medico-statistical processing of reporting documentation of the Medicine Recovery Center and the rehabilitation, Ministry of Health of Russia functioning on the basis of the "Medical and Rehabilitation Center" — large versatile medical center and the interdistrict center of recovery treatment on the basis of city policlinic of St. Petersburg. Results. As a result it had been established an advisability of rendering this type of specialized medical care by medical institutions with different organizational forms. Conclusion. The interdistrict centers of rehabilitation functioning as a part of city policlinics, are undoubtedly necessary, as the closest medical setting for patients' homes, however such functions as diagnostics of a functional condition of an organism and an objective assessment of a state of health of patients with use of screening techniques; inspection of the organized collectives and groups of the population for the purpose of identification of groups of risk, establishment of extent of influence of environmental factors on a state of health, active supervision over persons with factors of the increased risk of diseases and correction of the revealed functional violations, etc. can be performed only in the centers organized on the basis of modern versatile treatment-and-prophylactic establishments, equipped with the modern diagnostic devices, allowing to supplement traditional methods of drug therapy with new effective techniques of treatment.

Keywords: center of rehabilitation treatment and rehabilitation, organization of rehabilitation treatment and rehabilitation

Perspectives of development of the compulsory medical examinatio order

Year: 2013, volume 9 Issue: №4 Pages: 987-990
Heading: Health Service Organization Article type: Author's opinion
Authors: Bushmanov A.U., Kretov A.S. Mazitova N.N.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Last modification of compulsory medical examination regulations was connected with the order of the Ministry of health and social development of Russia № 302н dated 12.04.2011. The order is been valid on the territory of the Russian Federation for almost 2 years. During the term of this document there had been established a new basic for the health system: the Federal law dated 21.11.2011 №323-Ф3. The Federal law of 21.11.2011 № 323-ФЗ and test results addressed to the Ministry of health of Russia became the reasons for the Ministry of health of Russia to organize a number of changes in existing regulations of compulsory medical examinations. The number of planned change does not allow us to perform local changes and requires a complete reissue of the order, therefore the working group of the Russian Ministry of health prepared the «new order 302н», which already includes all the planned changes.

Keywords: 302н, factors of production and work, medical examinations

Preferance of computer technology for analytical support of large database of medical information systems

Year: 2013, volume 9 Issue: №4 Pages: 983-987
Heading: Health Service Organization Article type: Original article
Authors: Biryukov А.P., Vasiliev E.V., Dumansky S.М., Tikhonova О.A., Gert Ju.A., Kapitonova N.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: to study the use of intelligent technologies for analytical support of large databases of medical information systems. Material and methods. We used the techniques of object-oriented software design and database design. Results. Based on expert review of models and algorithms for analysis of clinical and epidemiological data and principles of knowledge representation in large-scale health information systems, data mining schema were implemented in the software package of the register of Research Center n.a. A. I. Burnazyan of Russia. Identified areas for effective implementation of abstract data model of EAV and procedures Data Maning for the design of database of biomedical registers. Conclusions. Using intelligent software platform that supports different sets of APIs and object models for different operations in different software environments, allows you to build and maintain an information system through the procedures of data biomedical processing.

Keywords: information and analytical systems, Data warehouse, Business Intelligence

Methodological problems of occupational physicians training working in Federal biomedical agency of Russia (modern model of the pathologist

Year: 2013, volume 9 Issue: №4 Pages: 980-982
Heading: Pedagogics and Education Article type: Author's opinion
Authors: Bushmanov A.Y., Kretov A.S., Merzlikin L.A., Savicheva N.M.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The concept of teaching of the main sections of professional pathology and occupational medicine department of the State Scientific Research Center n.a. A. I. Burnazyan. The model of occupational physicians training at the present stage is offered.

Keywords: teaching, professional pathology, prevention of diseases, occupational medicine