scholarly journals THE LEVEL OF THE QUALITY OF EMERGENCY AND INPATIENT MEDICAL CARE FOR CHILDREN WITH ACUTE ALLERGIC PATHOLOGY

2019 ◽  
Vol 21 (1) ◽  
pp. 4-12
Author(s):  
L. S. Namazova-Baranova ◽  
E. A. Vishneva ◽  
Zharadat I. Dokhshukaeva ◽  
A. A. Alekseeva ◽  
K. E. Efendieva ◽  
...  
Keyword(s):  
Medical Care ◽  
Clinical Guidelines ◽  
Inhalation Therapy ◽  
Medical Assistance ◽  
Medical Aid ◽  
Emergency Medical ◽  
Allergic Condition ◽  
H1 Antihistamines ◽  
Emergency Medical Assistance

The acute allergic condition may carry life-threatening character and requires the provision of the immediate medical assistance, which is governed by approved standards and clinical guidelines on appropriate forms of pathology. There are presented data concerning the routing of patients with allergic forms of pathology through stages from emergency medical assistance, evacuation of the patient till the discharge from the hospital with recommendations for outpatient care, with the purpose of the analysis of correspondence of medical aid in acute allergic pathology to existing algorithms and clinical guidelines at different stages of the management of patients. There was performed an analysis of the data of 1327 children with acute allergic pathology requesting emergency medical assistance. 78% of patients were left in place with recommendations for further referral to specialists, 22% of patients were evacuated to various clinics for specialized medical care (SMC). At the stage of the rendering of SMC 69% of children received corticosteroids in 2014, 66% - in 2015. 60% of children were prescribed first-generation H1-antihistamines in 2014, 63%-in 2015; 25% of children were administered the lytic mixture. Only 4% of children received inhalation therapy. At the stationary stage in 2014, all children with broncho-pulmonary disease and laryngotracheitis received antibiotic therapy, 89% and 59% - in 2015, respectively Conclusion The quality of rendering of medical aid to children with acute allergic pathology at prehospital and hospital stages is not always consistent with clinical recommendations.

Charter of the Kazan Society of Physicians for the provision of medical care to participants in the sickness funds established by law on June 3, 1912

1913 ◽  
Vol 13 (2) ◽  
pp. 91-110
Keyword(s):  
Health Insurance ◽  
Medical Care ◽  
Insurance Fund ◽  
Health Insurance Fund ◽  
Medical Assistance ◽  
Medical Aid ◽  
Insurance Funds ◽  
The Law ◽  
Health Insurance Funds ◽  
The City

The Kazan Society of Physicians for the Provision of Medical Aid to the Participants of the Health Insurance Funds Established on the Basis of the Law of June 23, 1912 "has the goal of providing medical assistance to the participants of the Health Insurance Fund established on the basis of the Law of June 23, 1912 in the city of Kazan and its environs.

scholarly journals CONCEPT OF THE SYSTEM OF MARINE MOBILE MEDICAL COMPLEXES

2020 ◽  
Vol 6 (1) ◽  
pp. 24-32
Author(s):  
A. A. Bogdanov ◽  
A. V. Chernykh
Keyword(s):  
Medical Care ◽  
High Speed ◽  
Full Time ◽  
Medical Support ◽  
Medical Institutions ◽  
Medical Facilities ◽  
Patient Load ◽  
Hospital Ships ◽  
Emergency Medical Assistance

The modern strategy for the development of health care includes as one of the priorities maximum approach of medical services to the consumer. To solve this problem in the conditions of the Navy, it is advisable to create mobile medical complexes placed on specially equipped vessels. For the full and operational medical support of the fleet forces in specified areas of the world’s ocean at different distances from the main base sites, a system of marine mobile medical complexes should be created. In peacetime the system should include hospital ships, multipurpose vessels with a hospital on board, mobile polyclinic mobile complexes and high-speed ambulance boats. During the period of danger, the possibility should be provided for the rapid re-equipment of hospital and multifunctional vessels, as well as polyclinic complexes with an increase in evacuation capacity and an increase in the volume of medical care. For medical support of an amphibious assault operation on universal amphibious ships, a quick re-equipment of the premises specially allocated during the design process to medical facilities for emergency medical assistance and evacuation of the wounded to coastal medical institutions should be provided. In wartime, for the provision of medical care and evacuation of the wounded, vessels of various purposes must be used, the projects of which contain the capabilities and algorithms for their quick conversion into sanitary transports. Variants of the main tactical and technical characteristics of vessels of various classes intended for medical support of the fleet forces are proposed. A significant problem in the operation of medical vessels is their low patient load in the inter-transit period, which leads to the disqualification of full-time medical staff and reduces the quality of the maintenance of the vessel. When forming the operational-tactical model of operation of medical vessels, special attention should be paid to the staffing algorithms and ensuring that the courts are always ready to perform their tasks.

scholarly journals URGENT ANTICONVULSANT THERAPY FOR CHILDREN ON PREHOSPITAL PHASE

2019 ◽  
Vol 20 (1) ◽  
pp. 35-39
Author(s):  
V. M. Shaytor
Keyword(s):  
Medical Care ◽  
Clinical Guidelines ◽  
Anticonvulsant Therapy ◽  
Emergency Medical Care ◽  
Prehospital Phase ◽  
Emergency Medical

The article describes possible anticonvulsant therapy methodologies for children with respect to medication available for emergency medical care teams and used according to current clinical guidelines.

scholarly journals Fever in children: review of national and international studies and clinical guidelines

2020 ◽  
Vol 65 (3) ◽  
pp. 153-159
Author(s):  
E. E. Lokshina ◽  
O. V. Zaytseva ◽  
S. V. Zaytseva
Keyword(s):  
Quality Of Life ◽  
Medical Care ◽  
Clinical Guidelines ◽  
Professional Communities ◽  
International Studies ◽  
Pediatric Practice ◽  
Safety And Efficacy ◽  
Adequate Therapy ◽  
Efficacy Criteria

Fever in children is one of the most common reasons for seeking medical care and use of antipyretic drugs. The reasons can be various. It is extremely important for the pediatrician to find the cause of the fever and prescribe adequate therapy. Antipyretic drugs are symptomatic, they only relieve the condition of the child and improve the quality of life. The article reviews national and international studies and clinical guidelines of professional communities on fever in children. Currently, only ibuprofen and paracetamol fully meet the safety and efficacy criteria, and they are recommended for use in pediatric practice as antipyretic drugs.

scholarly journals Harmonization of European and Russian standards of evaluation of the quality of delivery of health care in educational organizations

2019 ◽  
Vol 19 (3) ◽  
pp. 157-162
Author(s):  
V. R. Kuchma ◽  
Svetlana B. Sokolova
Keyword(s):  
Health Care ◽  
Health Services ◽  
Medical Care ◽  
Health Care Workers ◽  
Health Professionals ◽  
School Health ◽  
Educational Institutions ◽  
Medical Aid ◽  
Care Workers

Harmonization of European and Russian standards of the quality of the delivery of school health services and competencies for school health professionals allowed to justify the concept of the evaluation of the quality of the delivery of medical help to students in educational institutions. The concept does not prescribe a concrete methodfor the organizing school health services, unified process of the activity of health professionals. The concept consists of 7 groups of indices of quality and competences of health care workers. Quality criteria include the presence of a regulatory framework, indices of benevolence towards children, social equity and access to health care for students, requirements for premises, equipment of medical rooms in schools, cooperation with the administration and teachers of schools, parents and children, the medical community, the requirements for health care workers, a minimum list of services, covering both population and individual needs of students, the secure storage, the management and use ofpersonal medical data of children and adolescents. The competences of the staff of medical units are determined by provided medical services and technologies of the work. Properly medical competences of workers of medical care units for the delivery of medical aid to students are contributed by willingness to ensure the rights of children in the process of health care delivery in the educational organization, skills in the field of communication, sharing of information with children, parents and teachers, cooperation with colleagues, planning and coordination of the organization of medical care, the provision of sanitary epidemiological well-being of students, informational-elucidative activity for shaping of healthy lifestyle, research activity. Concept is the basis of the algorithm of the evaluation of the quality of the delivery of medical aid to students and quality assessment technology as well by medical organizations and institutions, as in the form of an independent audit of the quality of the delivery of medical aid to students in educational institutions.

scholarly journals The Radiation Emergency Medical Assistance Team and Their Vehicles

2012 ◽  
Vol 48 (1) ◽  
pp. 57-58
Author(s):  
Masashi TAKADA ◽  
Norihiro MIYAUSHIRO ◽  
Tsuyoshi HAMANO ◽  
Takako TOMINAGA
Keyword(s):  
Medical Assistance ◽  
Emergency Medical ◽  
Radiation Emergency ◽  
Emergency Medical Assistance

scholarly journals The New Japanese Postgraduate Medical Education and Quality of Emergency Medical Care

2012 ◽  
Vol 43 (3) ◽  
pp. 494-501 ◽  
Author(s):  
Yasuharu Tokuda ◽  
Eiji Goto ◽  
Junji Otaki ◽  
Fumio Omata ◽  
Mina Shapiro ◽  
...  
Keyword(s):  
Medical Education ◽  
Medical Care ◽  
Postgraduate Medical Education ◽  
Emergency Medical Care ◽  
Emergency Medical

Emergency Medical Assistance Team Response following Taiwan Chi-Chi Earthquake

2002 ◽  
Vol 17 (1) ◽  
pp. 17-22 ◽  
Author(s):  
Edbert B. Hsu ◽  
Matthew Ma ◽  
Fang Yue Lin ◽  
Michael J. VanRooyen ◽  
Frederick M. Burkle
Keyword(s):  
Disaster Response ◽  
System Level ◽  
Local Health ◽  
Team Leaders ◽  
Medical Assistance ◽  
Medical Centers ◽  
Emergency Medical ◽  
Level I ◽  
Regional Hospitals ◽  
Emergency Medical Assistance

AbstractIntroduction:On 21 September, 1999, an earthquake measuring 7.3 on the Richter scale, struck central Taiwan near the town of Chi-Chi. The event resulted in 2,405 deaths and 11,306 injuries. Ad hoc emergency medical assistance teams (EMATs) from Taiwan assumed the responsibility for initiating early assessments and providing medical care.Objective:To determine whether the EMATs served a key role in assisting critically injured patients through the assessment of number and level of hospitals responding, training background, timeliness of response, and acuity of patient encounters.Methods:Local and national health bureaus were contacted to identify hospitals that responded to the disaster. A comprehensive questionnaire was piloted and then, sent to those major medical centers that dispatched EMATs within the first 72 hours following the quake. In-depth interviews also were conducted with team leaders.Results:A total number of 104 hospitals/clinics responded to the disaster, including nine major medical centers and 12 regional hospitals. Each of the major medical centers/regional hospitals that dispatched EMATs during the first 72 hours following the quake were surveyed. Also, 20 individual team leaders were interviewed. Seventy-nine percent of the EMATs from the hospitals responded spontaneously to the scene, while only 21% were dispatched directly by national or local health authorities. Combining the phases of the disaster response, it is estimated that only 7% of EMATs were providing on-site care within the first 12 hours following the earthquake, 17% within <18 hours, and 20% within <24 hours. Thus, 80% of these EMATs required >24 hours to respond to the site. Based on a ED I-IV triage system (Level-I, highest acuity; Level-IV, lowest acuity), the vast majority of patient encounters consisted of Level-III and Level-IV patients. Fewer than 16% of teams encountered >10 Level-I patients, and <28% of teams evaluated >10 Level-II patients.Conclusions:1. The response from EMATs was impressive, but largely uncoordinated in the absence of a pre-existing dispatching mechanism.2. Most of the EMATs required >24 hours to reach the disaster sites, and generally, did not arrive in time to affect the outcome of victims with preventable deaths. Therefore, there is an urgent need to strengthen local prehospital care.3. A central governmental body that ensures better horizontal and vertical integration, and a comprehensive emergency management system is required in order to improve future disaster response and mitigation efforts.

scholarly journals Quality of follow-up monitoring of the adult population with grade 1-3 hypertension, with the exception of resistant hypertension, by primary care physicians in different Russian regions

2021 ◽  
Vol 26 (4) ◽  
pp. 4332
Author(s):  
O. M. Drapkina ◽  
R. N. Shepel ◽  
L. Yu. Drozdova ◽  
A. M. Kalinina ◽  
E. S. Bulgakova ◽  
...  
Keyword(s):  
Primary Care ◽  
Medical Care ◽  
Resistant Hypertension ◽  
Clinical Guidelines ◽  
Primary Care Physicians ◽  
Adult Population ◽  
Russian Regions ◽  
Target Values

In view of the high prevalence of hypertension (HTN) among Russian population, it becomes extremely important to meet the criteria for the medical care quality within the periodic examinations for this group of patients.Aim.  To assess the quality of follow-up monitoring of the adult population with grade 1-3 hypertension, with the exception of resistant hypertension (RH), by primary care physicians in different Russian regions.Materials and methods. As part of working visits of the expert group from the National Medical Research Center for Therapy and Preventive Medicine in 38 Russian regions in the period from February 1, 2020 to December 15, 2020, an analysis of ambulatory records of patients with grade 1-3 hypertension was carried out. A total of 3614 ambulatory medical records (AMRs) were analyzed, of which the grade 1-3 hypertension, with the exception of RH, was revealed in 764 ones. The analysis of records was carried out using an original checklist. Statistical processing was carried out using the software package IBM SPSS Statistics 20 (USA) and Microsoft Office Excel 2016 (USA).Results. An analysis of 764 AMRs was performed. The mean age of patients was 63,9-11,2 (women, 64,7-11,3 years; men, 62,7-10,9 years). The majority (58,9%) of participants were women. Follow-up monitoring was established in a timely manner in 450 people (58,9%) of patients, of which there were 189 men (42%) and 261 women (58%). In 87,9% (n=672) of cases, the diagnosis formulation met the established clinical guidelines criteria. In 36 cases (4,7%), there was no evidence in favor of hypertension according to the current clinical guidelines. In 21,1% (n=161) of cases, the minimum recommended periodicity of visits was not observed. In last visits of 323 patients, the blood pressure did not reach the target values. AMRs did not contain information on low-density lipoprotein cholesterol (LDL-C) in 91б4% of cases (n=698). Among patients with a known level of LDL-C, the target values were achieved only in 15,2% of cases (n=10).Conclusion. Our analysis revealed the insufficient quality of outpatient medical care to hypertensive patients within the periodic examinations. Proposals are created for monitoring and measures to improve the quality of care for this category of patients.

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