Men with a burdened alcohol anamnesis, convicted for repeated crimes, commit unlawful acts in penal institutions under the influence of frustration. Aim of this study is to give an assessment to the burdened alcohol anamnesis as a factor associated with commission by convicted of crime repetition wrongful acts connected with a willful behavior misconduct while serving a sentence in penal institutions. Methods: we performed a sociological survey (the author's questionnaire was used) in a strict regime correctional colony (penal institution) in a group of 433 men - prisoners who have committed high intentional crimes in virulent crimes repetition. Results: We found every second convicted person (43.4 %) regularly consumed alcohol (3-4 times a week) before committing a repeated crime, every second convicted person (40.6 %) was drunk at the moment of committing a repeated crime; every eighth convicted person (15.2 %) had signs of harmful alcohol consumption / alcohol dependence according to the Alcohol use disorders identification test's (AUDIT) results. Every third convicted person (35.6 %) intentionally violated the order of serving punishment in penal institutions (attack on other prisoners, escort, etc.). Every additional point in the AUDIT was associated with an increased probability of order violation by a convicted person in 1.061 times (p < 0,001). Conclusions: Alcohol consumption is a factor associated with a repeated crime comission. Burdened alcohol anamnesis predisposes convicted for repeated crime to commit wrongful acts in penal institutions.

Background. Patients' satisfaction with medical care as a "subjective" component of a medical organization rating can be distorted by some factors. The aim of this study was to identify factors related to the medical care process in children's polyclinics that determine the parents' satisfaction with primary health care provided to their children. Methods. The sociological study by means of questioning of 215 parents (mothers) of children patients (0-17 years old) who received medical care in children's polyclinics in Arkhangelsk was carried out. Parents' satisfaction with primary health care was assessed according to three criteria: organization of the children's polyclinics work, satisfaction with the service process, and the presence (absence) of additional financial expenses for medical drugs. Binary logistic regression analysis was used to identify factors associated with the parents' satisfaction with primary health care provided to their children. Results. A half of the respondents (55.8 %, 95 % CI: 49.4-62.0) was satisfied with primary health care provided to their children. The respondents' satisfaction with medical care was significantly influenced by factors related to their personal communication with the pediatricians and medical personnel. Long wait (more than 1 month) for laboratory and instrumental examinations, additional consultations with specialists were not statistically significantly associated with parents' satisfaction with primary health care. Conclusion. Results of the study help to understand the mechanism of the development of the "patients' satisfaction with medical care"; indicate that "the proportion of parents who are satisfied with medical care" is not an independent criterion for the quality of medical care in children's polyclinics. Parents' satisfaction with primary health care provided to their children is determined by factors related to the quality of personal contact with the pediatrician.

The results of the investigation suggest that there is inequality in the excess risk of death from leading CDs among the representatives of different social population groups in Arkhangelsk, as well as nonequivalence in their interaction with the public health system.

The purpose of the study is to use the example of the Arkhangelsk region to identify conditions affecting the organization of medical care for victims of road accidents on the federal highway in a region with a low population density, and to determine the main directions of its improvement. Materials and research methods. Using the method of comparative analysis, the following review was carried out: review of the authors’ studies, the subject of which was the features of road traffic injuries on the federal highway M-8 «Kholmogory» within the Arkhangelsk region; review of domestic and foreign scientific research, review of regulatory documents on the provision of medical assistance to victims of road accidents. Scientific literature search was performed in eLibrary, PubMed, Scopus systems by keywords. Scientific articles published in 1990–2020 were selected for analysis. Using the method of an organizational experiment, a scientific substantiation of a set of measures to improve the efficiency of the provision of medical care in prehospital and hospital periods to victims of road traffic accidents at federal highway in regions of the Russian Federation with a low population density was carried out. Applying the method of system analysis, on the basis of the results of this study, conceptual provisions for a systemic register of health consequences of road accidents in the Russian Federation have been developed and scientifically substantiated. Research results and their analysis. The article describes road traffic injuries on the federal highway M-8 «Kholmogory» in the Arkhangelsk region. The factors that determine the effectiveness of the provision of medical care in prehospital and hospital periods to victims of road traffic accidents are considered. The ways of improving the provision of medical care to victims of road traffic accidents at federal highway in a region with a low population density are formulated and substantiated.

ФГБОУ ВО «Северный государственный медицинский университет», г. Архангельск; 2 ФГБОУ ВО «Череповецкий государственный университет», г. Череповец; 3 ФГБУ «Государственный научный центр Российской Федерации -Федеральный медицинский биофизический центр имени А. И. Бурназяна» Федерального медико-биологического агентства, г. Москва Введение: Ведение медицинских регистров позволяет повысить скорость обработки данных и принятия управленческих решений в здравоохранении. Федеральный регистр медико-санитарных последствий дорожно-транспортных происшествий (ДТП) может явиться инструментом совершенствования технологии оказания медицинской помощи пострадавшим в ДТП на всех этапах и их адаптации к региональным особенностям дорожно-транспортного травматизма. Цель: Обосновать целесообразность создания федерального регистра медико-санитарных последствий ДТП. Методы: Выполнен обзор нормативных правовых документов и результатов научных исследований, предметом которых явились организационные подходы к оказанию первой, скорой медицинской и специализированной медицинской помощи пострадавшим в ДТП в догоспитальном и госпитальном периодах, процесс разработки и внедрения информационных технологий в здравоохранение. Результаты: Обоснована целесообразность организации федерального регистра медико-санитарных последствий ДТП. Обозначены его цель, задачи, объем регистрируемых данных. Определены направления использования данных регистра. Выводы: Ведение регистра медико-санитарных последствий ДТП позволит дать количественную оценку масштаба последних, обеспечит органы управления здравоохранением своевременной и обрабатываемой информацией, необходимой для разработки мероприятий по профилактике и снижению предотвратимых последствий ДТП. Ключевые слова: дорожно-транспортное происшествие, дорожно-транспортный травматизм, медико-санитарные последствия дорожно-транспортных происшествий, регистр