[IMPROVING THE ORGANIZATION OF LABOR AND THE QUALITY OF MEDICAL CARE AT PARAMEDIC AND OBSTETRIC STATIONS].

In the provision of primary health care to the rural population, the role of paramedic and obstetric stations (FAP) is great. The purpose of the study is to develop a system of measures aimed at improving the quality of medical care provided at paramedic and obstetric stations. The study was conducted in 2019-2020 on the basis of 26 FAP of 12 central district hospitals (CRH) of the Republic of Dagestan.

[The Development of Technology of Functioning of District Physicians During Out-Patient Reception].

To develop recommendations and proposals related to amelioration of technology of of functioning of district physicians and general practitioners during out-patient reception in 2015-2016 a specialized study was carried out in three municipal polyclinics of Makhachkala of the Republic of Dagestan. The technology of functioning of 16 district physicians and general physicians during out-patient reception according information on 2685 visits in established conditions and in experiment. It is established that district physicians are insufficiently able to handle methodological issues of technology of out-patient reception.

[The dispensarization of children of early age in rural area].

The study was implemented in 2008-2010. The research base consisted of three rural areas of the Republic of Dagestan. The quality of dispensarization of children studied according the expertise of 912 records of child development.

[The development of specialized hospital care to children of early age].

The study was carried out in 2009-2010 on the basis of the Republican children clinical hospital of the Republic of Dagestan. The structure of hospitalized children aged 0-3 years was analyzed using the data from of medical records of hospital patients. The sampling consisted of 17 368 cases.

[Endogenous sex hormone testosterone and haemostatic factors in young men after myocardial infarction].

Objectives: To compare levels of haemostatic factors and sex hormones in young men after myocardial infarction, to study relationship between sex hormones and factors of hemostasis.

Methods: We studied 32 men aged 30-50 years with diagnosis of myocardial infarction. Patients were divided into 2 groups according to age: group 1 - 11 patients aged 30-39 years, group 2 - 21 patients aged of 40-50 years.

[The quality of medical nurses' caring in hospitals].

The study to provide the data for developing the recommendations enhancing the quality and effectiveness of medical nurses' activities was organized on the basis of the Republican clinical hospital of the City of Makhachkala, the Republic of Dagestan in 2007-2009. The expertise revealed that 36.9% of medical manipulations lacked needed quality, 39.

[The means to enhance quality and effectiveness of nurse personnel work in municipal polyclinics].

To develop the technical guidance for enhancement of quality and effectiveness of nurse personnel the multiset study was carried out in four polyclinics of Makhachkala in 2005-2006. The nurses give only 56.4% of their work time to the implementation of their main duties.

[The organizational aspects of the pulmonological medical care provision to urban population].

The results of the study of quality of pulmonological medical care are presented. Overall, 366 out-patient case histories with the most commonly encountered diseases of respiratory system were submitted to expert assessment. The raw material was collected in 2005-2006 in 3 cities of the Republic of Dagestan.

[The life-style of the industrial enterprise workers].

To develop the theoretically substantiated recommendations on the formation of healthy life-style and decrease of morbidity among the enterprise workers the public opinion poll on the sampling of 955 respondents was organized. The specially developed questionnaire was applied. The study was carried out in 2007 in the Republic of Dagestan, the city of Makhachkala, on the industrial enterprise "The Gadjiev Plant".

[Clinical examination of children in municipal pediatric polyclinics].

In 3 municipal polyclinics in city of Makhachkala, Republic of Dagestan, special research was carried out to elaborate technical guidelines enhancing quality of children clinical examinations. Quality of children clinical examinations had been assessed according to expert evaluation of 437 outpatient records. Expert appraisal revealed that in municipal pediatric polyclinics quality of children medical examinations didn't correspond the needed level.

[Quality and efficiency of labor of nurses at city clinics].

The case study was based on 4 clinics of the city of Makhachkala, Republic of Dagestan. Three hundred and fifty-five nurses and 352 patients were questioned as to the organization of labor of nurses at city clinics. The main activities of 55 nurses were subject to an expert evaluation.

[The conditions and mode of life of teenagers in a big city].

A total of 1646 teenagers were questioned (including students of schools, technical schools and high schools located in the city of Makhachkala, Republic of Dagestan) for the purpose of working out mixed programs for the healthy mode of life and for the prevention of drug-addiction and toxicomania among youth. According to the study results, teenagers living in incomplete families are subjected more to bad habits versus those living in normal families. Above 95% of parents said they did not spend their free time with their children; 12% of boys and 3% of girls prefer to visit discos when they have free time--a place where one can easily buy psychoactive drugs; 22% of teenagers have a history of minor offences, which means they could potentially use psychoactives and live asocial life.

[The quality of small-age children monitoring in city clinics].

A special study was undertaken in three pediatric clinics of Makhachkala (Republic of Dagestan) for the purpose of elaborating methodological recommendations targeted at promoting the quality and efficiency of children monitoring. The quality of patient-care was studied on the basis of expert evaluation of 565 outpatient's cards of small-age children. The expert evaluation showed that the monitoring of the above category of children is up to the mark.

[The quality of dentist care rendered to the rural population].

The quality of the dental health service was studied, on the basis of an experts' evaluation of 570 outpatient's cards, in 3 central district hospitals of the Republic of Daghestan. The following was demonstrated: an inferior examination in a number of cases (35.0%), unfounded diagnosis (31.

[Quality of health care of the urban population].

A study was carried out in 3 outpatient clinics in the city of Makhachkala (Daghestan Republic), aimed at working out recommendations to enhance the quality of medical aid. The latter was studied through expert inspection of clinical records of 568 outpatients. The expert inspection showed an inadequate level of therapeutic aid in municipal outpatient clinics.

[Effect of diabetic encephalopathy on fundus oculi status in diabetes].

Twenty-two diabetics with concomitant diabetic encephalopathy are examined. Control group consisted of 22 diabetics without encephalopathy. In the main group the fundus oculi was normal in 4 (18.

[Main trends in the development of postgraduate training of physicians in the Republic of Dagestan].

Analysis of continuous education of physicians in Dagestan helped the author distinguish the main trends in its development. They include development and introduction of a system of continuous professional and economic education of physicians; improving the planning and prediction of need in advanced medical training; development and introduction of a system of control of continuous education of physicians; stimulation the introduction of modern equipment and technologies in practical medicine; creation of scientific and information provision for continuous education of physicians. Special attention is paid to introduction of novel didactic systems, information technologies, forms and methods of advanced medical training.

[Role of the size and shape of the eye in the course of diabetic retinopathy].

Sixty-nine patients with diabetes mellitus were examined to elucidate the role of the size and shape of eyes in the course of diabetic retinopathy. Diabetic changes in the eyes were two times less incident in the patients whose mean size of the eyes was more than 24 mm than in those with eyes of less than 24 mm in diameter. Proliferative retinopathy was never detected in the eyes with a mean size of at least 25 mm.

[The interrelation of the antimutagenic action of mannitol to its effect on cellular metabolic processes].

The mannitol influence on mutagenesis of ionizing radiation and cyclophosphate has been studied in albino mongrel rats using the methods of genetic and biochemical analysis. N correlation is determined between antimutagenic action of this preparation and a decrease of malondialdehyde content in cells and free fractions of matrix lysosomes (beta-galactosidase; N-acetyl-beta-D-glucosaminidase) and firmly membrane-structurized microsomal (glucose-6-phosphatase) enzymes, whose level increases under the influence of mutagens. It is shown that, one of the way of antimutagenic actions of mannitol is connected with mutagenesis correction at the stage of origin of mutagenic products and their transport to chromosome DNA.

[A comparative evaluation of the importance of transesophageal electrical stimulation of the left atrium and of bicycle ergometry in the diagnosis of ischemic heart disease in patients with arterial hypertension].

To make a comparative assessment of transesophageal left atrial pacing (TLAP) and bicycle ergometry (BE) in the diagnosis of coronary heart disease (CHD) in patients with arterial hypertension (AH) of different origin, the authors examined 56 patients. The patients underwent TLAP and selective coronary angiography, of them 39 patients had BE testing. No significant differences were found in their specificity (73 and 78%) and sensitivity (92 and 81%) between TLAP and BE, respectively.

[The effect of kemantane on T-helpers and T-suppressors].

The study of Kemantan on functionally alternative humoral immunity regulator cells: T-helpers and antigen-specific T-suppressors, including their induction, accumulation and functioning, was studied. Kemantan in doses of 0.2-200 mg/kg, introduced to the donors of T-helpers 2 days before they were taken, stimulated their activity 1.