Vol 25, No 2 (2019)

Currently active ageing of the population of the planet, the growth rate of the elderly population accounted for 2.6 per cent per annum. The purpose of the study is identify the satisfaction of patients of nursing care (ESG) and their relatives the terms stay in Office, as an indicator of the quality of medical care. Material and methods. Questioning 100 patients representative by sex and age had been treated in the overall composition of the OSU and 100 relatives of patients. Results. Of those surveyed 71.0% of patients were treated with three or more months, including 42% - more than six months. 15% of the relatives visited patients weekly, 25% - 2-3 once a month, 35.0% monthly, others once a month 2-3. Conclusion. The degree of satisfaction of patients and their relatives the terms stay in nursing Office high poll allows you to identify some of the defects in the Organization of medical assistance, which is not easy to identify when you use other forms of quality control of medical care.

According to research in Russia in 2016, the prevalence of diseases of the skin and subcutaneous tissue was 5871 cases per 100000 people, the incidence was 4259 cases per 100000 people. Severe chronic dermatoses significantly reduce the quality of life of patients and their families, the patients’ self-esteem suffers, their habitual lifestyle is disturbed. The purpose is to study the level dynamics and structure of the incidence of diseases of the skin and subcutaneous tissue of the population of the Republic of Bashkortostan for the period 2008-2017. The analysis of the structure and dynamics of the prevalence and the incidence of the ICD-10 class “Diseases of the skin and subcutaneous tissue” (L00-L99) in the Republic of Bashkortostan was carried out according to the FSN form No. 12 for 2008-2017, and a simulated forecast of the incidence rate up to 2022 was compiled. The study revealed a steady downward trend in the prevalence and the incidence of these diseases in the Republic of Bashkortostan for the period 2011-2017. Considering the prediction data, the trend towards a decrease in the incidence rates of skin diseases until 2022 will continue. On this background, the level of the prevalence of atopic dermatitis and psoriasis tends to increase, the incidence of atopic dermatitis tends to increase, and the incidence of psoriasis tends to decrease. The proportion of severe chronic dermatoses increased 1.5-2 times in all age groups. Thus, the analysis makes it necessary to improve the work on the organization of medical care for patients with chronic dermatoses and methods for their prevention.

Each year in the world about 15 million babies are born preterm. Goal is to explore the role of Rehabilitation centres (RC) children from 0 to 3 years old, born with very low and extremely low birth weight to improve medical care in preterm infants. Materials and methods. Studied the functioning process of RC based on large multidisciplinary Pediatric Hospital in Moscow “Z.A. Bashljaevoj Children city Clinical Hospital” during the period 2012-2018 BC. The results. Since the beginning of operation RC was fastened 12234 preterm infants, among which was dominated by children (72%), having a birth weight of 1000 g to 1500 g. structure of all of Nosological forms prevailed in pathology of central nervous system (31.7%), 2 place-Ophthalmic Pathology (27.4%). the creation of RC is very relevant and effective organizational solution in terms of improving the quality of medical help premature babies.

In the Russian Federation in recent years, there has been an increase in the incidence of colorectal cancer. The probability of the disease with colorectal cancer increases after 40 years and sharply increases after 50 years. Aim. To study the age-specific features of the prevalence of colorectal cancer in the Republic of Bashkortostan. Materials and methods. As the research materials, the form of Federal statistical observation No. 7 “Information on the incidence of malignant neoplasms” was used in the Republic of Bashkortostan for 2008-2016. The indicators of the incidence of colorectal and rectum cancer per 100 thousand of the population, depending on age and sex, are calculated. Results and discussion. The lowest incidence of colorectal cancer was observed in the age group up to 30 years, the largest - at the age of 70 years and older. For the years 2008-2016 the proportion of patients younger than 50 years with newly diagnosed colon cancer increased from 8.1% to 9.0% and rectum from 7.2% to 8.1%. In this age group there was an increase in primary incidence of colorectal cancer among men by 84.0%, among women by 50.0%, rectal cancer by 54.2% and 68.0%, respectively. The decrease in the incidence of colorectal cancer in the age group of 70 years and older. The average annual incidence rate of colorectal cancer was higher among men than among women in the age groups 50-59, 60-69 years and 70 years and older, rectal cancer in all age groups, with differences increasing with age. During the observation period, the mean age of patients with newly diagnosed colon cancer was reduced by 1.5 years, rectal by 1.3 years. Among patients with colorectal cancer living in urban areas, the average age was higher than in rural areas. The conclusion. The revealed sex-age features of the prevalence of colorectal cancer were used in the development of measures to improve medical care for patients.

Introduction. The incidence of chronic viral hepatitis C in women is determine the relevance of the infection vertical transmission to children with the outcome to chronic viral hepatitis C. It is necessary to assess the effectiveness of current measures to prevent perinatal viral hepatitis C and to develop strategy for prevention viral hepatitis C in children for future. Aim: to evaluate the organization and putting into effect the prevent of perinatal viral hepatitis C in an outpatient setting. Material and methods: authors presents the results of questionnaire survey of а-HCV-positive children’s mothers with chronic perinatal viral hepatitis C. The analysis of the results was carried out using Cohen Kappa method, Cohen Kappa consent coefficient (κ) was calculated. Results: The study established inadequate organization and implementation of measures to provide medical care for the prevention of perinatal viral hepatitis C int all stages of ambulatore care. Conclusion: it is necessary to create a multi-level system of prevention of viral hepatitis C in children.

Radiation exposure of the chest is associated with a significant risk of subsequent development of cardiovascular diseases. Associated cardiovascular injuries include pericardial disease, coronary artery disease, valvular disease, conduction disease, cardiomyopathy, and vasculopathy. This article presents the development of different variants of pericardial radiation damage, methods of diagnosis and treatment of these complications. Radiation damage to the pericardium can manifest as acute pericarditis, effusion with tamponade or without cardiac tamponade, effusion-constrictive or classic constrictive pericarditis. Algorithms for the diagnosis and treatment of patients with radiation pericarditis in connection with a long asymptomatic course in a number of patients deserve special attention. Careful history taking and identifying prior radiotherapy is important in this category of patients. Untimely diagnosis and late treatment of these complications leads to a decrease in the quality of life of patients and increases the risk of cardiovascular mortality.