No 4 (2015)

This article is devoted to the definition and evaluation of innovative potential of the organization of the health system. For assessment of innovative potential of budgetary organization it is necessary to carry out a complex assessment of the following elements: efficiency of the budgetary and non-budgetary funds, scientific and technical potential, indicators of commercialization of innovations, duration of the performed works, characteristic of innovation management system, human capital. Allocation of public funds in the health organization with medium and high innovative potential will be more effective for achieving a high level of innovations in the health sector as a whole. The analysis of external and internal factors showed that modern conditions promotes increase of efficiency of innovative potential of the organization, however in the conditions of restructuring of health care it is especially important to use most effectively resources, to increase competitive advantages, to attract the best personnel. The presence in the megalopolis positively influences the innovative potential. The studied hospital organizationally and financially-technically formed a good base level for further improvement of methods and technologies of providing high quality medical care. Cumulative assessment of the innovative potential is positive.

The article evaluates the effectiveness of summer health campaign in the Ryazan region in accordance with methodical recommendations. The results indicate a positive influence of the summer country rest on the health of children and adolescents.

Purpose: to evaluate the use of indicators of dispersion mapping for the long-term prediction of adverse cardiovascular events in patients with cardiovascular diseases (CVD). The study included data of 217 people with using short recordings in dynamics throughout the year (winter, spring, summer and autumn). The 1 st group consists of 64 patients with hypertension, the 2 nd group - 44 patients with coronary heart disease, the 3rd - 30 patients with cardiomyopathy and in the 4 th group of 28 patients with coronary artery disease and diabetes mellitus. The control group consisted of 51 healthy individuals (18 men and 33 women) ranging in age from 29 to 53 years. Cardiac output was higher in the group of survivors (54,6 ± 0,5%) compared with the group with unfavorable outcome (33,8 ± 2,2%). The average values of all the indicators of dispersion mapping were higher in the group of death with the exception of heart rate index/IMM, indicating more severe violations. Noteworthy increase in 2 times the rate of alterative T wave at tT1 (Tbig) and T2 (Tmax) points. The sensitivity and specificity of the prediction of fatal outcome during 3 years of observation for record IMM > 25% was 54% and 61%.

The article presents the results of analysis of the relevant publications and research works over the last 20 years, devoted to the value of radiation therapy in the treatment of low-grade gliomas. This literature review reflects the role and place of radiation therapy in the treatment of such patients according to the latest research data and modern standards of treatment developed by the most authoritative scientific institutes and international research groups.

For the purpose of early diagnosis of rotator cuff tears we have developed a method based on the brachial plexus nerve block (RF patent №2138196, 27.09.1999). It was used in 22 patients with soft tissue injuries of the shoulder joint with conduction anesthesia (0.5% solution of lidocaine, procaine) into supraclavicular area. After approach of the differentiated block the pain was stopped, thus possibility of physical activity in a shoulder joint remained. Restoration of active abduction testified to partial damage of the rotator cuff, absence - about full. The received data were verified by ultrasound, surgical interventions and clinical observation. Sensitivity of our method is 88.2%, specificity - 80% and accuracy - 86,3%.

The article is dedicated to the study of the influence of structural and functional changes in pharynx and primary snoring on the tube and hearing function. Threshold audiometry, tympanometry, pulse oxymetry and polysomnography were used to examine the patients. Patients with anatomical and physiological changes of the upper respiratory tract and primary snoring have the tube and hearing function impairments. The degree of the tube and hearing dysfunction depends on the duration of the primary snoring.

The article presents a clinical case of self-inflicted skin of the background of long-term anxiodepressive frustration in patient with auto-aggressive behavior.