[The expertise of quality of diagnostics of bronchial asthma in ambulatory polyclinic institutions].

The article deals with the comprehensive expertise of quality of diagnostics of bronchial asthma in ambulatory polyclinic institutions of pediatric profile. The following techniques were applied: the retrospective analysis of all cases of bronchial asthma among children of City of Yugorsk of Hanti-Mansiisky autonomous okrug (n = 92), expertise of the causes of late diagnostics and possible ways of optimization of earlier diagnostics of bronchial asthma in ambulatory polyclinic institution (20 experts), testing the pediatricians working in children polyclinics (n = 95) on the knowledge of dealing with bronchial asthma. The late diagnostics is ascertained in 95% of cases and average period of diagnostics delay consisted 3 days.

[Peculiar features of diagnosing and treatment of nodular thyroid pathology in women of childbearing age].

The authors made an analysis of results of preoperative morphological diagnosis and treatment of 239 women. It was shown that a two-needle morphological exploration allowed avoidance of non-diagnostic cytological smears and had a diagnostic advantage over traditional fine-needle aspiration biopsy. The functional activity of the thyroid gland after operation depends on the volume of the organ tissue left.

[The morbidity and mortality of children living in the rural areas].

The analysis of health indicators related to children population revealed that the corresponding lower morbidity and higher mortality in rural areas as compared with urban areas is regitered due to underregistration of the nonsevere forms of pathology in children population dwelling outside the zone of the rural district pediatric services. The mentioned indicators correlated with such social and medical organizational characteristics of rural regions limiting the availability of the high-quality medical care as the poor road and transport communication with the district town, the remoteness from the oblast town, the paediatrician's provision and the level of their professional qualification, the percent of children from socially ill-being families and the density of population. The established patterns demonstrate that to enhance the quality of medical care of children living in the rural areas it is necessary to resolve professional, social and medical organizational problems simultaneously.