scholarly journals SPECIALIZED MEDICAL CARE IN A ROUND-THE-CLOCK HOSPITAL FOR CITIZENS EXPOSED TO RADIATION AS A RESULT OF THE CHERNOBYL DISASTER

2019 ◽  
pp. 5-11 ◽  
Author(s):  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
K. K. Rogalev ◽  
V. A. Tarita
Keyword(s):  
Medical Care ◽  
Inpatient Treatment ◽  
Nuclear Power ◽  
Surgical Care ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Severe Injuries ◽  
Chernobyl Disaster ◽  
Treatment Data ◽  
Somatic Diseases

Relevance. About 800 thousand citizens of the Russian Federation were affected as a result of the Chernobyl disaster, almost a quarter of them were liquidators of the consequences of the disaster at the Chernobyl nuclear power plant (LCDs). LCDs are among the most affected categories of Russian citizens. They usually have up to 12-15 somatic diseases and receive specialized inpatient treatment. Data on their morbidity structure and characteristics need to be generalized and are the basis for improving the organization of specialized medical care.Intention. To identify the characteristics of morbidity and the main classes of diseases in those suffered from the Chernobyl disaster in the remote period when providing specialized medical care in a round-the-clock hospital, from 2016 to 2018. Methodology. There were analyzed 4195 medical records of the LCDs who underwent inpatient treatment in multidisciplinary clinics of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia, in the framework of the activities of the Union State in 2016–2018.Results and Discussion. The features of the morbidity of those affected by the Chernobyl disaster (LCDs and residents of radiation-contaminated territories) are shown. The main classes of diseases are presented in the distant period when providing specialized medical care in the round-the-clock hospital. The features of the organization of specialized medical care have been identified, in particular, the need has been substantiated for the provision of not only specialized therapeutic, but also specialized, including high-tech, surgical care, as well as medical rehabilitation in the preoperative and postoperative periods, after severe injuries and somatic diseases. The need for the creation and use of unified standards for the provision of special- ized therapeutic treatment to those affected by the Chernobyl disaster was confirmed. The necessity of providing specialized medical assistance to those affected by the Chernobyl disaster as part of the Union State target programs (Russia - Belarus) in addition to the State Guarantees Program for providing Russian citizens with free medical care using targeted methods of prevention, diagnosis, treatment and rehabilitation is substantiated. The implementation of the proposals presented in this article will undoubtedly improve the availability and quality of specialized medical care for this cohort.Conclusion. The features of the morbidity rates and the main classes of diseases revealed and presented in the article for those affected by the Chernobyl disaster in the long-term period when providing specialized medical care in a round-the- clock hospital are the basis for planning the types of specialized medical care for this cohort within the framework of targeted programs and activities of the Union State.

scholarly journals High-tech medical care for Chernobyl accident survivors: features, profiles, types, amount

2020 ◽  
pp. 5-13
Author(s):  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
Yu. V. Gudz’ ◽  
G. Yu. Sokurenko ◽  
D. F. Magdanov
Keyword(s):  
Medical Care ◽  
Chernobyl Accident ◽  
Nuclear Power ◽  
Large Scale ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Preliminary Treatment ◽  
Radiation Medicine ◽  
Important Basis

Relevance. About 5 million people suffered from the large-scale Chernobyl nuclear power plant (CNPP) accident in 1986, mainly citizens of Russia and Republic of Belarus. Governments of these states and the Union State of Russia-Belarus created on December 8, 1999 have been consistently implementing for many years a set of targeted programs and measures to provide special, including high-tech, medical assistance to the Chernobyl accident survivors. Features, profiles, types and amount of high-tech medical care for the Chernobyl accident survivors need to be summarized and are the basis for improving its budgeting within the Union State. Intention. To identify, on the basis of long-term data, the features, main profiles, types and amount of high-tech medical care for survivors of the Chernobyl accident in 2014-2020.Methodology. There were analyzed 843 medical records of Chernobyl accident survivors who received high-tech medical care in the multidisciplinary clinic N 2 of the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia (St. Petersburg).Results and Discussion. High-tech medical care for Chernobyl accident survivors implies waiting lists and forecast parameters, preliminary treatment of comorbidities and medical rehabilitation afterwards. Profiles, types, amount of hightech medical care over 2014-2020 are described. Most popular high-tech care included cardiovascular, traumatology and orthopedics and ophthalmology interventions.Conclusion. Data provide an important basis for planning the types of high-tech medical care for the Chernobyl accident survivors within the framework of the targeted activities of the Union State.

scholarly journals Organizational aspects of medical rehabilitation of military personnel in sanatorium-resort organizations of the Ministry of Defense in modern conditions

2019 ◽  
Vol 21 (4) ◽  
pp. 4-7
Author(s):  
S V Dolgikh ◽  
A A Kirsanova ◽  
A E Ostroukhov ◽  
S V Didenko
Keyword(s):  
Military Personnel ◽  
Inpatient Treatment ◽  
Medical Equipment ◽  
Medical Rehabilitation ◽  
Day Hospital ◽  
Health Resort ◽  
Military Hospitals ◽  
Current State ◽  
Somatic Diseases ◽  
Further Development

The current state of medical rehabilitation of servicemen at the sanatorium and health resort stage is outlined, the main issues of rehabilitation measures are shown. To increase the effectiveness of measures aimed at strengthening and preserving the health of military personnel, the order of their referral to medical rehabilitation in a sanatorium after completion of treatment in a day hospital (previously - only from military hospitals after inpatient treatment with a round-the-clock stay) was further defined. The further development of sanatorium-resort organizations of the Ministry of Defense of the 2nd stage of medical rehabilitation (somatic diseases, pathology of the peripheral nervous system and musculoskeletal system) seems promising, which will require taking measures to form medical rehabilitation units, equip them with medical equipment, and train doctors.

scholarly journals SPECIALIZED AND HIGH-TECH MEDICAL ASSISTANCE TO THE VICTIMS OF THE ACCIDENT AT THE CHERNOBYL NPP IN THE FRAMEWORK OF THE UNION STATE

2018 ◽  
Vol 11 (4) ◽  
pp. 89-97 ◽  
Author(s):  
S. S. Aleksanin ◽  
V. Yu. Rybnikov ◽  
K. K. Rogalev ◽  
Yu. V. Gudz ◽  
S. V. Dudarenko
Keyword(s):  
Power Plant ◽  
Nuclear Power Plant ◽  
Chernobyl Accident ◽  
Nuclear Power ◽  
Chernobyl Nuclear Power Plant ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Medical Assistance ◽  
Chernobyl Npp ◽  
Radiation Medicine

This paper presents the experience and features of the organization and provision of specialized and hightech medical care to victims of the Chernobyl accident in the framework of the activities of the Union State in the Nikiforov Russian Center of Emergency and Radiation Medicine EMERCOM of Russia. It reveals the features of the morbidity, disability and mortality of the injured in the accident at the Chernobyl nuclear power plant. The paper presents the data on the types and amount of medical assistance provided to victims of the Chernobyl accident for the period from 2007 to 2018 as well as the features of the organization of rendering specialized, including hi-tech, medical assistance and medical rehabilitation to participants of liquidation of consequences of the Chernobyl accident and inhabitants of the radioactively contaminated territories.

scholarly journals Main Problems in Organization of Specialized Medical Care, Including High-Tech Traumatologic and Orthopaedic Care, to Children in Novosibirsk Region

2015 ◽  
Vol 22 (2) ◽  
pp. 60-65
Author(s):  
L. S Shalygina ◽  
T. A Myl’nikova ◽  
E. A Finchenko
Keyword(s):  
Medical Care ◽  
Rural Population ◽  
Medical Rehabilitation ◽  
High Tech ◽  
Official Statistic ◽  
Health Ministry ◽  
Low Level ◽  
Orthopaedic Care ◽  
Novosibirsk Region ◽  
Complex Evaluation

Complex evaluation of the state and organization of specialized medical care, including high-tech traumatologic and orthopaedic care, to children in Novosibirsk region is presented. Official statistic data from CITO named after N.N. Priorov, Health Ministry of Novosiborsk region and basic indices of the Health Ministry of Novosiborsk region for 2005-2012 have been used. The main problems in organization of expert traumatologic and orthopaedic care to children in Novosibirsk region were identified: poor diagnosis of osteomuscular system diseases resulting from insufficient training of trauma and orthopaedic surgeons, general and pediatric surgeons; imbalance in territorial distribution of the staff. All that condition low availability of expert medical care for rural population, including the high-tech one; imbalance in the volume of medical care; non-compliance of bedspace structure with the recommended standards (deficit of orthopaedic beds); low level of medical rehabilitation; insufficient volumes of high-tech medical care. The revealed shortcomings should be taken in consideration at elaboration of measures directed to the perfection of specialized traumatologic and orthopaedic care to children in Novosibirsk region.

scholarly journals THE THIRTY YEARS’ EXPERIENCE OF SURGICAL CARE TO FOREIGN PATIENTS IN STATE ORTHOPEDICS CLINIC

2019 ◽  
Vol 62 (1) ◽  
pp. 51-56
Author(s):  
A. V. Gubin ◽  
Valentina V. Kamysheva
Keyword(s):  
Medical Care ◽  
Medical Tourism ◽  
Surgical Care ◽  
High Tech ◽  
Mass Tourism ◽  
Orthopedic Care ◽  
History Of ◽  
Scientific Technical ◽  
Main Factor ◽  
Russian Research

The history of medical tourism counts several millennia. however, medical tourism became a wide-spread occurrence only to the end of XX century, in the age of globalization that favored drastic increasing of low budget mass tourism at the expense of development of Internet and accessibility of air flights. The purpose of study. To share experience of organization of planned medical care to foreign patients in conditions of state orthopedics clinic. During 1983-2016 in the Academician G.A. Ilizarov Russian Research Center «Restorative Traumatology and Orthopedics» 1304 foreign patients coming from 82 countries were treated. In the Ilizarov Center, to resolve all paramedical issues related to stay of foreign patients, an international department is functioning since July 14 1988, organized on the basis of a group accomplishing organization of scientific technical cooperation. The major tasks of the international department are organization and promotion of development of international relationships of the Center. The international department is a unique section having no analogues in other federal health care institutions. The experience of the Ilizarov Center in rendering orthopedic care to foreign citizen is a leading one for Russia. The main factor determining attractiveness of the Center to foreigners is a uniqueness of technology of Ilizarov transosseous osteosynthesis in combination with enormous experience in treatment of orthopedic pathology. Conclusions. The medical tourism becomes one of major sections of modern global economics. The amelioration of quality and accessibility of high-tech medical care under dedicated state policy, legislation, community and mass media support can at least to shorten withdrawal of funds from our country and support one's own centers of competence.

scholarly journals The rationale for dislocation of interregional specialized surgical care centers for children in the Russian Federation

2020 ◽  
Vol 10 (3) ◽  
pp. 263-274
Author(s):  
Vladimir M. Rozinov ◽  
Dmitriy A. Morozov ◽  
Sergey A. Rumyantsev ◽  
Nikolay N. Vaganov ◽  
Vladimir I. Petlakh ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Medical Care ◽  
Russian Federation ◽  
Current System ◽  
Surgical Care ◽  
Federal District ◽  
Urgent Care ◽  
High Tech ◽  
Universal Method ◽  
The Russian Federation

Introduction. In Russia, there is a need to reorganize the system of providing specialized surgical care to children, primarily in emergency and urgent care and in remote, sparsely populated, and hard-to-reach areas. This need is evidenced by the significant persisting disparities in the mortality rate in the countrys various regions. Purpose of the study. This study aims to provide multifactorial substantiation of the expediency, profile, and location of specialized (surgical) interregional centers (MRC), including high-tech, medical care for children, by the priority profiles of activity, about medical organizations of the federal districts (FD) of Russia. Materials and methods. The study design included a two-level (regional and federal) system of professional expertise and justification in terms of the profile, location, and area of responsibility of the MRC in the federal district of the country. At the regional level, Delphi technology was implemented with a mathematical and statistical analysis of 103 expert opinions from 85 constituent entities of Russia, the result of which activities priority profiles were substantiated (newborn surgery, neurosurgery, thoracic surgery, oncology, combustiology) and patient routing preferences. At the second stage of the work, with the involvement of federal experts, the SWOT analysis technology was implemented as a universal method of strategic planning, with the justification of the location and number of MRCs in individual FD of the country, about specific medical organizations where they are based. For an objective (quantitative) assessment of the provision of the Federal District of Russia with the MRC of specialized medical care for children according to the established profiles of activity, we have proposed a calculated indicator the regional contingency coefficient (CRC), representing the ratio of two uniformly calculated values the number of MRCs and regions in a particular Federal District, or the country as a whole. Results. The consolidated position of federal experts regarding the location of the MRC was formulated according to the established profiles of activity about FD and specific medical organizations in the Russian Federation constituent entities. The cattle in the profile of the activity of neonatal surgery was 0.14, and about neurosurgery, thoracic surgery, and oncology, respectively, 0.12, 0.11, and 0.11 for Russia as a whole. The lowest (0.09) cattle in the country characterized the situation with the combustiology profile. In the overwhelming majority (76.0%), the location of the MRC is tied to the administrative centers of the Federal District or cities of federal significance. Among the 50 MRCs of all priority profiles, 43 (86%) were potentially designated by experts based on multidisciplinary pediatric medical organizations. Discussion. The effectiveness of the MRC functioning is due to the organization of medical and evacuation support for children with diseases and injuries. The development of consultative and resuscitation centers in the primary hospital structure is promising. Its functionality, along with remote counseling, treatment, and evacuation activities, includes monitoring the condition of sick and affected children at the place of primary hospitalization. An alternative is a presence on the clinical base of the MRC of a structural unit or a branch of the regional center for emergency medical care and disaster medicine. Conclusion. Overcoming the inequality in the availability and quality of medical care for children in certain FD and regions of Russia is necessary to reorganize the current system of staged medical care. Optimal logistics of medical and evacuation support for specialized patients and injured people include the MRC as a collector for children in need of specialized care, including high-tech medical care, with the implementation of the predominant principle of evacuation of oneself.

scholarly journals Theory of hibernament ensembles and the possibility of its use to ensure life activity for extremal impacts

2020 ◽  
Vol 22 (1) ◽  
pp. 119-123
Author(s):  
I B Ushakov ◽  
V N Komarevtsev ◽  
N V Sapetsky ◽  
A O Sapetskiy ◽  
N N Timofeev
Keyword(s):  
Medical Care ◽  
Hypobaric Hypoxia ◽  
Life Support ◽  
Experimental Studies ◽  
The Body ◽  
High Tech ◽  
Extreme Conditions ◽  
Vital Activity ◽  
Acute Hypobaric Hypoxia ◽  
Severe Injuries

The possibility of efficient use of the theory of hibernation ensembles to ensure vital activity in extreme conditions is considered. Hibernation ensembles are strictly selected sets of tools, among which are special combinations of pharmacological preparations and hypostabilizers, respiratory mixtures different in gas composition, controlled hypothermia, etc., which, when coordinated, cause the formation of a special state of the body, referred to as «hypobiosis and cryobiosis» or artificial hibernation. The data of experimental studies on changes in the body’s resistance to the extreme effects of gamma radiation, to acute hypobaric hypoxia and to flight overloads under conditions of artificially induced hibernation are generalized to determine the possibility of using the theory of hibernation ensembles while ensuring vital activity under extreme influences. It is shown that under the influence of vegetotropic agents against the background of hypothermia, the metabolic processes slow down significantly and the organism of warm-blooded animals begins to acquire ambient temperature. The condition that occurs in this case is accompanied by an increase in the body’s resistance to extreme factors, such as acute hypobaric hypoxia, deep hypothermia, exposure to ionizing radiation, toxic lesions, massive blood loss, pain shock, etc. This area of research is of particular relevance for the development of methods for long-term life support person in extreme conditions, with severe injuries and in the provision of medical care in conditions of mass admission victims, since it provides a reserve of time necessary for organizing the safe transportation of victims to the places of specialized and high-tech medical care, that is, actually providing medical care at a later date.

ANALYSIS OF THE AVAILABILITY AND EFFICIENCY OF MEDICAL CARE PROVIDED TO PATIENTS IN THE PROFILE "MEDICAL REHABILITATION" IN ASTRAKHAN REGION

2021 ◽  
pp. 23-29
Author(s):  
Ermolaev D.O. ◽  
Ermolaeva Yu.N. ◽  
Mordovсev N.A.
Keyword(s):  
Medical Care ◽  
Medical Insurance ◽  
Medical Rehabilitation ◽  
Federal State ◽  
Insurance Fund ◽  
Rehabilitation Care ◽  
Rehabilitation Potential ◽  
Annual Reporting ◽  
Day Hospitals ◽  
Somatic Diseases

The relevance of the study due to the need to pay more attention to the effective planning of health care volumes under the compulsory health insurance and the creation of an accessible system of medical rehabilitation for adults in the region. The purpose of the study is to analyze the availability and effectiveness of medical care provided to adults in the "medical rehabilitation" profile within the framework of compulsory medical insurance in the Astrakhan region. Materials and methods - on the basis of data from the Federal State Statistics Service, the territorial fund of compulsory medical insurance in the Astrakhan region, annual reporting statistical forms No. 30, 14, 14-DS, the calculation and analysis of indicators of the optimal volume of medical care for the profile of medical rehabilitation was carried out, taking into account the profile of the disease (the number of hospitalizations per one inhabitant per year, funding per unit of the volume of medical care) of adult patients aged 18 years and older. Results and discussion - the article presents the results of assessing the planned and actual indicators of the volume of medical care for medical rehabilitation for adults, taking into account the profile of diseases in the conditions of round-the-clock and day hospitals of medical organizations participating in the territorial program of state guarantees of free provision of medical care to citizens in the region in 2019. It was revealed that at the expense of the compulsory medical insurance fund, the largest proportion of treated patients in rehabilitation beds is noted among those who receive medical services for neuro- and cardiac rehabilitation. However, rehabilitation care for critically ill patients with scores on the rehabilitation routing scale of 5 and 6 points, with a high rehabilitation potential, as well as for other categories of patients with somatic diseases, remains inaccessible. Conclusion. The obtained research data can be used for further organizational and methodological work to increase the availability and efficiency of medical rehabilitation care for adults, the development of available routing schemes, selection procedures, digitalization of the management of patient flows sent to medical rehabilitation within the framework of compulsory medical insurance at the regional level.

scholarly journals INTERREGIONAL CENTERS OF HIGH-TECH CHILDREN’S SURGERY – MORTGAGE OF ACCESSIBILITY AND QUALITY OF MEDICAL CARE FOR RUSSIAN CHILDREN

2018 ◽  
Vol 8 (3) ◽  
pp. 6-17 ◽  
Author(s):  
V. M. Rozinov ◽  
D. A. Morozov ◽  
S. A. Rumyantsev ◽  
N. N. Vaganov ◽  
D. R. Azovskiy ◽  
...  
Keyword(s):  
Medical Care ◽  
Information Exchange ◽  
Surgical Care ◽  
High Tech ◽  
Medical Evacuation ◽  
Medical Institutions ◽  
Quality Of Medical Care ◽  
Regional Centers ◽  
Surgical Conditions

The article starts with a summary of the international experience in making medical care both accessible and high quality for children with surgical conditions and trauma by concentrating patients in specialized trans-regional centers. The authors give results of the retrospective analysis of the reasons for failure when implementing the concept of trans-regional specialized medical care in the Russian healthcare system. The paper lists problems with legislative control over these aspects: supplying the centers with resources, medical evacuation processes, distribution of responsibility by areas, and the information exchange with local medical institutions (hospitals, clinics, etc). The article also illustrates similarities and differences on how the trans-regional centers for pediatric surgical care function inRussiaand in other countries. The authors outline high priority measures for creating trans-regional centers for specialized medical assistance for children inRussia. The systematic review includes 16 domestic and 28 foreign literature sources, 8 references to Russian laws and regulations. 

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