[The model and stages of social hygienic evaluation of prevalence of pathology in population].

The article presents the model of social hygienic evaluation of prevalence of pathology in population. The main information flows such as population morbidity according medical aid appealability, the results of patient examination in regional diagnostic center and self-assessment of patients of presence of disorders of organs and systems are considered. The stages of analysis of data information to be applied to evaluate prevalence of pathology, social hygienic value of diagnostic techniques and estimation of potential relevance of medical technologies are discussed.

[The characteristics of medical technologies in emergency medical care hospital].

The article analyzes the implementation of major 12 diagnostic and 17 treatment technologies applied during medical care of patients with 12 key nosology forms of diseases in departments of the emergency medical care hospital No 2 of Omsk. It is established that key groups of technologies in the implementation of diagnostic process are the laboratory clinical diagnostic analyses and common diagnostic activities at reception into hospital and corresponding departments. The percentage of this kind of activities is about 78.3% of all diagnostic technologies. During the realization of treatment process the priority technologies are common curative and rehabilitation activities, intensive therapy activities and clinical diagnostic monitoring activities. All of them consist 80.1% of all curative technologies.

[Influence of a genetic component on the propensity of dust-exposed workers to visceropathies (on the pattern of detecting polymorphisms in the transmembrane conductance regulatory protein CFTR gene)].

Obtained results of molecular genetics testing of workers' groups exposed to dust show the elimination of carriers of defective variants in the CFTR gene among workers exposed to dust. We can establish a fact that in spite of law frequency of detected major mutations of the CFTR gene in explored selections they have big importance as individual factors in the stage of preliminary medical examinations in terms of prediction of possible occupational development risk and progression of productionally mediated visceropathies and diseases, as well as a conscious choice of occupation by an individual.

[The methodic approaches to calculation of potential relevance of clinical diagnostic technologies].

The article presents the calculation of potential relevance of clinical diagnostic technologies for population of Novosibirsk oblast relating to leading nosology forms of diseases on the basis of the results of diagnostic of population pathology using different techniques in the regional diagnostic center.

[The social hygienic assessment of pathological affectedness of population].

The article considers the indicator of pathological affectedness to assess population health. This technique enables to forecast beforehand the occurrence of problematic situations in population health and development of diseases. The main elements of social hygienic evaluation of pathological affectedness of population including the results of mass diagnostics of population pathology on the basis of objective (macro-diagnostic, micro-diagnostic and functional analysis) and subjective (counseling, health self-assessment) assessments and the results of autopsy of the deceased from bureau of forensic medical examination and departments of morbid anatomy of large-size hospitals. The need in development of corresponding classifiers and prognostic criteria is declared to determine the relationship of pathological affectedness, the medical technologies demand, the optimization of organizational functional structure of public health, medical services and organizations.

[The implementation of diagnostic and curative technologies of improvement of population health in ambulatory polyclinic conditions].

The article deals with the main groups of diseases as a reason for adult population to consult a municipal polyclinics for diagnostics and ambulatory treatment. These diseases are arterial hypertension, diabetes mellitus, gastritis, duodenitis, influenza and acute respiratory disease. It is established that the leading groups of technologies on the implementation of diagnostic process are the laboratory clinical analyses and common diagnostics measures which comprise 72.7% of all diagnostic technologies. In polyclinics, the foundation of treatment process is the common treatment measures which comprise 68.6% of all treatment technologies. This fact testifies the non-significant percentage of implementation of high-technology diagnostics technique and treatment in the ambulatory polyclinic conditions.

[The development of public health strategy with the purpose to develop human capital].

The article substantiates the necessity to develop public health strategy considering the processes of demographic, social, economic progression of society. The core issue in these conditions is human capital and its component--health capital as an integral reflection of different characteristics of population. The definitions of these notions in a social hygienic aspect are presented. The main stages of development of the health strategy such as formation of strategic planning elements, human capital valuation, population health and health capital losses, evaluation of potential demand in medical technologies, medical organizational measures implementation and their input into development of human capital are considered. These positions are supported as determinants of effectiveness of health strategy.

[The morbidity of population on the territories of the Sibirsky federal okrug].

The comparative analysis of morbidity of population of the Sibirsky federal okrug was implemented on the territories with presence/absence of the regional diagnostic center The sampling of eleven statistical materials was used. It is established that higher level of the diagnostics using special examination techniques in the diagnostic centers permits to increase the detect of pathology (oncologic included) in population and to assess adequately the need in important curative rehabilitating technologies.

[The functional methods of examination and consultative care at diagnostic centers].

On the basis of working materials of the Novosibirsk regional consultative and diagnostic center, the prognostic significance of functional diagnosis methods and consultative care was demonstrated. It was found that methods of echocardiography are important in forecasting the prevalence of ischemic heart disease, arterial hypertension, congenital and acquired valvular disease. The consultative care acquires significance in detecting diseases of the thyroid gland, bronchial asthma, hypertonic disease, urolithic disease, duodenal ulcer, chronic hepatitis and cirrhosis of the liver, allergic rhinitis.

[The role of consultative diagnostic centers in detection of population pathologic affection].

The social hygienic significance of the clinical diagnostic, pathological morphological, radio immunoassay and medical genetic techniques as applied in the regional consultative diagnostic centers is discussed. It is established that to forecast the prevalence of pathological affectedness of population the most valuable in this respect are biochemical selective screening and enzimoanalysis, histological and radio immunoassay techniques to investigate metabolic disorders, affection of intestines, thyroid gland, liver and occurrence of chromosomal pathology.

[The role of radio diagnostics techniques in social hygienic forecasting of population health].

The radiologic and tomographic techniques of diagnostic sas applied to structure of revealed pathology in population are discussed. The valuation of the most important coefficients is presented. The listing of diseases and pathological states detected by these methods is presented. The prognostic significance of applied techniques of diagnostics in social hygienic perspective is demonstrated. The opportunity to evaluate the perspective of need in such various medical technologies is indicated.

[On the methodological approach to the development of the system of integrated evaluation of the prevalence of diseases].

The strategy of the development of public health and medical care is to consider studying of the prevalence of diseases and the pathological affection based both on the evaluation of the cardinal criteria (mortality, disability and morbidity) and the instable criteria. The data research in the various branches of medicine are to be integrated on the basis on the nosologic and syndromal principles of the evaluation of the pathology prevalence. The large-scale generation of such information occurs in the territorial diagnostic centers. These institutions can accumulate and systematize all information data for evaluation and forecasting.