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DOI: 10.21045/2071-5021-2018-63-5-3

Contacts: Butrina Vera, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
ZakalskyV.A., http://orcid.org/0000-003-3617-3311
Kasapov K.I., http://orcid.org/0000-0002-4631-4617
Acknowledgments. The study was supported by the Russian Federal Medical and Biological Agency.
Conflict of interests. The authors declare no conflict of interest.

Significance. Effective performance of medical organizations largely depends upon proper work organization of heads of resuscitation and anesthesiology departments in multi-specialty hospitals harmonizing activity of the entire medical organization, systematically improving personnel’s skills, monitoring quality of medical care, ensuring supportive psychological environment and introducing new diagnostic and treatment methods.

Purpose: to analyze activities of heads of resuscitation and anesthesiology departments in multi-specialty hospitals in terms of the organizational component.

Material and methods. Study period: 2012-2016. The survey involved 507 anesthesiologists-resuscitators and heads of resuscitation and anesthesiology (RA) departments. A total of 1521 questionnaires were processed (each doctor and department head filled out 3 questionnaires). Statistical processing was implemented according to a unified algorithm using computer programs including calculation of traditional statistical parameters for all indicators in the study.

Results. The structure of time spent on professional duties of such specialists according to their priorities is the following: “control” – 61.8±0.1% of all working time; “coordination” – 15.2±0.1%, “organization” - 11.6±0.2%.

It was found out that men were much interested in improving their professional skills - 92.9±3.0. Male heads of RA departments seem more interested in new professional knowledge and skills compared to their female peers: 92.9±3.0 vs 81.1±2.3 respectively, p <0.05.

Conclusions. 1. Assigning a head of the RA department top management of the organization does not take into account managerial and organizational competences of the physician to become a mid-level manager.

2. The study found out that staff are much interested in improving their competences before assignment to a position that is a positive trend.

Keywords: organization; activity; heads of departments; multi-specialty hospital; anesthesiologists-resuscitators.

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DOI: 10.21045/2071-5021-2018-63-5-7

¹Vartanian E.A., ²Gridnev O.V., ²Torubarov S.F., ²Gabrielyan A.R.
¹I.M. Sechenov First Moscow State Medical University, Moscow
²Institute of advanced training, Federal Medial and Biological Agency, Moscow, Russia

Contacts: Vartanyan Ellen, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Vartanian E. A. http://orcid.org/0000-0002-0581-5159
Gridnev O.V. http://orcid.org/0000-0002-9096-9223
Acknowledgments. The study was supported by the Russian Federal Medical and Biological Agency.
Conflict of interests. The authors declare no conflict of interest.

Significance. Miscarriage is one of the greatest challenges of the reproductive medicine taking on a greater medical and socioeconomic importance in the context of the current demographic situation in Russia. Reproductive health protection and restoration is one of the most practical and perspective directions for improving the demographic situation. The current state of reproductive health, growing number of infertile marriages, increasing share of miscarriage and noncarrying of pregnancy (spontaneous abortions) call for new solutions.

The study purpose: to form prospective follow-up groups of families with reproductive health problems (women with miscarriage) to ensure effective outpatient follow-up.

Methods. The authors used the following methods: monographic description, analytical, statistical methods, expert appraisals and comparative analysis.

Results. Feedback between gynecological hospitals and women’s health clinics (Marriage and family counseling ) (or specialized reception of patients with miscarriage from the entire catchment area of the women’s health clinic) can facilitate maximum detection and registration of spontaneous abortions with due regard to specifics of their registration in the statistical reporting forms.

Formation of groups for prospective follow-up on the outpatient basis will help to ensure timely and effective outpatient follow-up. By “timely” we assume not just starting the couple’ follow-up right after the miscarriage but, which is crucial, the time regarding to the sequence number of the miscarried pregnancy. It is necessary to note that 25% of spontaneous abortion took place in childless families and it was the first pregnancy in 20% of women.

Conclusions. 1. Obligatory medical genetic counselling and cytogenetic testing of couples with miscarriage is necessary regardless of the sequence number of the miscarried pregnancy in families without alive and healthy children. 2. Prospective follow-up and formation of the group of women with spontaneous abortion for prenatal diagnostics starting from the gynecological hospital.

Keywords: spontaneous abortion; working age; miscarriage; lifestyle; families; monitoring.

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DOI: 10.21045/2071-5021-2018-63-5-9

Marchenko E.V.
Centre of emergency psychological aid of EMERCOM of Russia, Moscow

Contacts: Marchenko Ekaterina, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about author:
Marchenko E.V., https://orcid.org/0000-0003-4656-4875
Conflict of interests. The author declares no conflict of interest.
Acknowledgments. The study had no sponsorship.

Significance. Mistakes in first aid and psychological support training reduce chances of the victims to maintain physical and psychological health. Analysis of the most common mistakes will help to improve effectiveness of the first aid and quality of training in this area.

Purpose. To analyze mistakes in first aid and psychological support training exemplified by the all-Russia competition “Human Factor”, 2016 – 2018.

Methods. 112 “Training” task cards for referee’s evaluation (including 56 on psychological support and 56 on first aid) of the teams participating in the final round of the competition “Human Factor” in 2016–2018 have been analyzed. The age of the team members varied from 16 to 26. The obtained data were statistically processed by calculating the relative frequency of every mistake and their further ranking.

Results. The analysis helped to classify most common mistakes in psychological support and first aid training. The classification includes the following four groups: 1) substantive mistakes, i.e. mistakes associated with basic theoretical knowledge; 2) practical mistakes, i.e. mistakes in first aid technique demonstration; 3) trainer’s mistakes i.e. training mistakes; and 4) reflective mistakes, i.e. feedback mistakes made by an instructor in respect of a trainee during the training.

The paper also contains recommendations to minimize the above-mentioned mistakes to improve quality of instructors’ training in first aid, and effectiveness of their further training of the population.

Scope of application. The results may be used by trainers who train instructors in first aid and psychological support to decrease mistakes, improve quality of their training and effectiveness of further training of the population.

Keywords: first aid; psychological support; training of the population in first aid; mistakes in first aid training.

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Ñåíòÿáðü 2018 ã.

Òåìà íîìåðà – Óêðåïëåíèå ìåäñåñòðèíñêîãî è àêóøåðñêîãî äåëà

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Îêòÿáðü 2018 ã.

Òåìà íîìåðà – Ïåðâè÷íàÿ ìåäèêî-ñàíèòàðíàÿ ïîìîùü – 40 ëåò Àëìà-Àòèíñêîé äåêëàðàöèè

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ÑÅÍÒßÁÐÜ 2018

Íîâûå ïîñòóïëåíèÿ â Äîêóìåíòàöèîííûé öåíòð ÂÎÇ

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