[Drug interactions in neurosurgical patients]. / Mezhlekarstvennye vzaimodeistviya u patsientov neirokhirurgicheskogo profilya.

We analyzed literature data on the most common drug interactions in neurosurgical patients. Drug interactions are a potential cause of adverse and dangerous clinical events and outcomes. Awareness of nature of drug interactions is valuable to avoid negative consequences when using combination of several drugs. Polypharmacy in neurosurgical patients is caused by treatment of intracranial lesions (hormonal therapy, antiepileptic drugs, etc.) and concomitant somatic diseases that increases the risk of drug interactions.

Working time costs of doctors-therapists of divisionals on a patient.

AIM: The aim of this article is to establish a weighted average costs of the workflow of the doctor-the therapist of the district, providing primary health care to the population in the outpatient setting to determine the costs when you visit one patient. MATERIALS AND METHODS: Held fotohronometra working process research 39 physicians in the 17th precinct pilot areas from all Federal districts. Within fotohronometra research conducted 6474 measurement. RESULTS: The average time a physician of the district while visiting a patient in a medical organization made up of 15.30±2.0 min, while visiting at home - 32.5±2.0 min the Largest proportion of the working time of the doctor-the therapist of the district while visiting a patient in the outpatient setting is necessary to work with medical records (47.31%). On core activities while visiting a patient in the practitioner, the district spends to 45.54% of the time. For other activities - 7.15%. CONCLUSION: As a result fotohronometra research workflow of doctors-therapists of district, providing primary health care in outpatient settings, set the average time a physician of the district while visiting one patient (15.30±2.0 min), while visiting at home (32.5±2.0 min).

[The main trends in primary morbidity of population in the subjects of the Russian Federation in 2008-2017].

The analysis of primary morbidity is the most important indicator of detection of population health in every single subject of the Russian Federation in whole Russia. This approach also permits to monitor impact of economic and social processes on the national level. The article presents analysis of primary morbidity in the subjects of the Russian Federation in 2008-2017. The trends are established, the rates of increase and decrease of primary morbidity in every particular subject of the Russian Federation are calculated. The subjects with significant increase of particular classes of diseases according ICD-10 were identified. During last decade, the indices of primary morbidity increased on the whole up to 0.9%. The decrease was registered only in the Central and Privolzhskiy Federal Okrugs (4.3% and -1.6% correspondingly. In the rest of Federal Okrugs increase was registered. The highest level of primary morbidity was registered in the Nenets Autonomous Okrug and the lowest level in the Kabarda-Balkar Republic. Ib 2017, the Altai Kray became a leader in registration of primary morbidity of neoplasms and diseases of endocrine system and the Pensa oblast took the lead in registration of primary morbidity of diseases of cardiovascular system. In 2017, the highest level of morbidity of diseases of respiratory system was registered in the Chukchi Autonomous Okrug and of diseases of ear and mastoid bone in the Republic of North Ossetia - Alania. The increase of morbidity in the mentioned classes of diseases in the particular subjects of the Russian Federation requires consideration of leading specialists and corresponding development of measures concerning morbidity stabilizing.

[The Medical Informatics in Health Care of Russia].

The article considers medical informatics in relationship with medical cybernetics. The necessity of its development as an independent scientific discipline is emphasized. The input into development of public organizations is evaluated. The practical implementation is demonstrated on the example of the Unified State Information System in health care and telemedicine.

[Methodology of the branch program in traumatology and orthopedics in present-day conditions]. / Metodicheskie osnovy otraslevoi programmy v travmatologii i ortopedii v sovremennykh usloviiakh.

The method of targeted programming is just entering the practice of science planning in traumatology and orthopedics as specific branch-oriented scientific and technological programmes. The essence of the methodological maintenance of Programme C.18 is presented; the Programme is aimed at elaborating the therapeutic system to manage patients with fractures of bones of the locomotor apparatus. Its result will present as the data on the structure of the general population of such patients, on the optimal methods of treatment, as well as on the issues of the emergency aid organization. Methods to estimate the future and current need in the traumatological-orthopaedic equipment will be elaborated. The programme is carried out according to the coordinated schedule, involving research institutes and departments of traumatology and orthopedics, the total number of the establishments amounting to 70. The programme implementation covers the period from 1986 to 1999.