[The becoming and development of the academic subject and scientific discipline "public health and health care organization" (to the centenary of the academician Yu. P. Lisitsyn Chair of Public Health and Health Care). Report I (beginning of XX century - 1963)].

The article presents analysis of becoming of academic subject and scientific discipline "Public Health and Health Care Organization" in Russia from beginning of the 20th century to 1963. The special attention was paid to the role in their becoming and development that played the Chair of Public Health and Health Care Organization of the Pirogov Russian National Research Medical University that is celebrating its centenary in 2023-2024 academic year. The contribution into this process of its prominent scientists and heads is considered.

[The Social Hygienic Aspects of Prevention of Abortions].

The article presents results of analysis of medical social aspects of artificial abortion. It is established that women with abortion in anamnesis suffer of unsatisfactory health condition in 35.5% of all cases. In the control group number of women with such a condition was 2.1 times less (p<0.05). The women with abortions are not aware about contraceptives and assume that abortions are safer in 2.1 times more often than women in control group. To prevent occurrence of undesired pregnancy it is necessary to enhance sanitary education concerning application of contraceptives and to provide possibility of free provision of articles.

[An effect of education and health literacy on the efficacy of rehabilitation of post-stroke patients]. / Vliianie urovnia obrazovaniia i meditsinskoi gramotnosti na éffektivnost' reabilitatsionnykh meropriiatii u bol'nykh, perenesshikh insul't.

AIM: To study an effect of education, health literacy and adherence to treatment on the efficacy of rehabilitation of post-stroke patients. MATERIAL AND METHODS: The study included 1317 post-stroke patients. Information on education, health literacy and implementation of complex rehabilitation was obtained using anonymous survey. The duration of follow-up was 18 month. Patients were examined at baseline and after 6, 12 and 18 month. RESULTS: A significant correlation between adherence to rehabilitation treatment and the level of health literacy and education was shown. An analysis of the efficacy of comprehensive rehabilitation demonstrated the statistically significant prevalence of patients with positive dynamics of neurological disorders among those who had fully completed the program. CONCLUSION: Differentiated and individual personal selection of rehabilitation programs improves their efficacy.

[The Medical Social Efficiency of Rehabilitation of Patients Having Cerebral Stroke in Ambulatory Conditions].

The article substantiates efficiency of medical social rehabilitation activities in out-patient conditions on the basis of study of health conditions, life-style and medical care organization of patients with ischemic stroke. The obtained data demonstrated a higher efficiency of complex rehabilitation therapy. The efficient application of possibilities of out-patient polyclinic institution increases the level of physiological, psychological and social adaptation of patients.

[The awareness of pediatricians about ethical legal issues of medical care provision].

The implementation of rights of under-age patients in medical institutions in many ways depends on level of awareness of pediatricians about availability and mechanisms of legal guarantees provided to them by law and hence depends quality of medical care of children population. The study was carried out to analyze opinions of pediatricians about issues of implementation of rights of patients. The results are presented concerning sociological survey of 261 pediatricians of the Samarskaia oblast. The study established inadequate awareness of respondents about ethical legal issues of medicine and rate of application of knowledge about legal acts in practical activity. The awareness was higher among pediatricians of younger age with duration of professional work lesser than 10 years. This phenomenon is explained by inclusion of courses of biomedical ethics and medical law in educational programs of medical educational institutions during last decade. The direct dependence is established between awareness of pediatricians about issues of bioethics and the level of their qualification. The most of the respondents consider that the have sufficient level of knowledge about rights of children-patients and their parents related to reservation of medical secrecy, consent or refuse of parents to medical intervention and receiving full information about child's health. The overwhelming majority of pediatricians, independently of professional category and duration of service, provided this right implementing modern informational and collegiate model of interaction with parents of ill child and informed that always obtained their consent about medical care. However, such rights of children were limited by framework of child's health and ability for apprehending information about one's health and prospective medical intervention. All respondents participated in survey insisted that they never disclosed medical secrecy. The development of legal literacy of pediatricians by promoting activities of organizational methodical departments of medical organizations and self-contained studying of normative legal acts.

[The accessibility of high-tech medical care of newborns with surgical pathology in conditions of Far North].

The actual stage of development of public health rendering of specialized medical care is based on principles of generality, accessibility, addressness, qualitativeness, and effectiveness. However, the problem of rendering specialized medical care to population is one of most critical targets in district centers and requires immediate solution. The main mean of resolving this problem is re-hospitalization of patient in more large-scale medical institutions. The rendering of high-tech medical care, surgery care included, to newborns in the Republic of Sakha (Yakutia) is possible only in conditions of metropolitan health institutions i.e. medical institutions of third level. Annually, almost half of newborns with surgical pathology is transported from central district hospital. The organization of reanimation counseling center, maintenance of remote monitoring of newborns and development of telemedicine and means of sanitary aviation play main role in supporting accessibility of high-tech medical care in conditions of this region.

[The ninetieth anniversary of the Chair of Public Health and Health Care of the N.I. Pirogov Russian National Research Medical University].

The article presents the review of history of becoming, development and activities of the chair of public health and health care of The N.I. Pirogov Russian national research medical university. The role of the academician Yuri Pavlovitch Lisytsyn is emphasized in the organization of educational and research processes in the field of public health, health care and history of medicine during last 50 years.

[The organizational issues of the blood transfusion service operation].

The data on the security maintenance of blood, its components and preparations is presented. The issues of blood plasma quarantinization period are discussed. The results of plasma culling as a consequence of second donor non-attendance and second examination of fresh-frozen blood plasma are discussed. It is mentioned that it would be appropriate to expose to inactivation and to virus elimination the blood plasma which has to be a subject to destruction for one or another reason. At the same time it is preferably to apply the technology of virus inactivation of the fresh-frozen blood plasma utilizing the technique of solvent detergent agents processing of blood plasma.