RESUMEN
INTRODUCTION: At present, the public health in the Republic of Sakha (Yakutia) (RS(Y)) is a powerful state structure with an extensive network of prevention and treatment facilities. Since medical service density is the most generalized criterion of the medical service level, its analysis represents special interest to any regional system of public health. AIM: To analyze the dynamics of availability of doctors of all fields, of pediatricians, including pediatric surgeons, pediatric endocrinologists, and pediatric oncologists in 1995-2013. MATERIALS AND METHODS: The analysis is done to reveal the dynamics of availability of doctors: of all fields, pediatricians, including pediatric surgeons, pediatric endocrinologists, and pediatric oncologists to the population of Yakutia in 1995-2013. A statistical and comparative analysis of the data has done. RESULTS: As a whole, in the studied period, RS(Y) witnessed an increase in the availability of doctors of the pediatric profile to the child population. Both in the Russian Federation and in the RS(Y) in particular, the increased availability of pediatricians was mainly due to the reduction of the child population and, to a lesser degree, to an increase in the number of doctors. CONCLUSIONS: The survey revealed the increased availability of pediatricians in RS(Y) only in densely populated areas and the continuing lack of pediatric services in the areas with low population density.
Asunto(s)
Personal de Salud/organización & administración , Personal de Salud/estadística & datos numéricos , Hospitales Pediátricos/organización & administración , Hospitales Pediátricos/estadística & datos numéricos , Admisión y Programación de Personal/organización & administración , Admisión y Programación de Personal/estadística & datos numéricos , Adolescente , Regiones Árticas , Niño , Preescolar , Humanos , Lactante , Recién Nacido , Federación de RusiaRESUMEN
A prospective randomized study was conducted to evaluate the efficiency of two intravenous anesthesia modes in children during traumatological operations. Anesthesia induction and maintenance were carried out via intravenous injection of ketamine (2 mg/kg/hr) and propofol (4 mg/kg/hr) in Group 1 children and via that of propofol (4 mg/kg/ hr) and fentanyl (3 microg/kg/hr) in Group 2. The mean duration of operations was 43.6 +/- 27.8 and 29.6 +/- 17.8 min in Groups 1 and 2, respectively. No complications were observed in Group 1; short-term apnea was seen in 2 (7.6%) children during initial anesthesia in Group 2. The children of this group were also found to have lower respiration rate. Both drug combinations were ascertained to provide a sufficient anesthesia depth in non-intubated, spontaneously breathing children, but the use of a combination of propofol + ketamine (Group 1) produced no negative impact on hemodynamics and external respiration parameters, which allowed this combination to be recommended for short-term surgical interventions.