International cooperation in the sector of Public Health.

Structure of WHO. Criteria of WHO program "Health for all in 21st century" for Ukraine.

Examination of temporary disability. The rules of registration and prolongation of statistical forms. Functions of Doctor (medical) consulting commission DCC (MCC).

Estimation of reliability of a results difference of statistical research. Estimation of criteria.

Test

What degree of the weight variety in young men of 20 years at average weight of 71,6 kg. Standard deviation (σ) is 1,79.

Define coefficient of variation(C_v).

 

 

 

QUESTION CARD № 18

System of Mother and Child Care, social - medical significance. Parameters of maternal and infant mortality in Ukraine.

Incorporated city hospital. Indices of hospital and polyclinic activity.

Medical statistics. Confidence limits. Method of its definition.

Test

The average result of spirometry of 35-years old men who are not fond of sports is 2800 sm³ (m₁ ± 200 sm³), and of the men of the same age regularly engaged in sports - 3400 sm³ (m₂ = ± 200 sm³).

Determine reliability of the difference between average numbers (t_M).

 

 

 

QUESTION CARD № 19

Demography, its importance. Number, components, structure, mechanical movement of the population.

Organization and indices of city polyclinic activity: contents, methods and forms of work of the local physician.

Relative numbers (characteristics of parameters).

Test

In. town N in 1999 4200 children were born alive (in 1998-3800), 60 - stillborn. 100 children died before 1 year. 30 newborns have died during 0-6 days. Infant death - rate in 1998 was 18,7 %, perinatal death - rate was 16,9 %.

Calculate indices: infant mortality, perinatal mortality, give the estimation and the comparative characteristic with 1998.

 

 

QUESTION CARD № 20

Definition of family doctor and family medicine (main principles). Models of family doctors practice in Ukraine and other countries.

Physical development of population (basic attributes, methods of supervision).

System of health protection. System thinking of a manager and a technique of the system approach in management. System analysis.

Features of Public Health management.

Test

In town A the number of children appeal with active phase during one year was investigated in cardiorheumatologic dispensary. The number of appeals was 2, 3, 4, 5, 6, 7; the children number - 5, 10, 15, 10, 4, 1. n=45. Annual frequency of children appeals with active phase of rheumatism in town A. is 3,6; t = ± 1,3; σ=1,2.

Calculate M, C_v, estimate results, draw up conclusions. Compare with the results of other researches.

 

 

QUESTION CARD № 21

Way of life (categories). Forming of healthy mode of living, its components. The factors influencing on population health.

Temporary disability(its kinds), a sick leave document (registration, terms of prolongation, functions).

General concepts about automatic system of management (ASM) (system, model). Medical information systems.

Test

There are 200 knitters working in textile company. In 2000 were registered 31 cases of influenza and acute respiratory diseases at 14 patients, 4 persons had З and more cases during one year. Count morbidity with temporary disability in that group.

Number of patients per 100 workers.

Frequency rate (repeatability).

3. % of the patients having 3 and more cases for year.

 

 

 

QUESTION CARD № 22

Public Health System in developing countries (basic difficulties and problems).

Birth rate and age mortality of the population in Ukraine and Crimea, method of calculation and analysis of indices.

Reliability of statistic data (definition, calculations, estimation).

Test

In republic hospital the annual number of beds is 1000. 20 000 patients has passed during 2000, the general number of bed-days of work in hospital is 340 000. Determine use of bed, turnover of bed and average length of stay. Give their estimation.

 

 

 

 

QUESTION CARD № 23

Economics of Public Health. Subject of study and actual problems. Methods of economic study, economic parameters of Public Health.

Organization of the obstetric-gynecologic help. Maternity hospital, organization of work, the analysis of indices.

Process of medical service planning.

Test

There were examined 200 patients with rheumatoid arthritis. It was defined that disease began mainly from affection of large joints in 20 % of cases.

Determine the m_p (error of relative number).

 

QUESTION CARD № 24

Medical service, (characteristic and kinds). Licensing and accreditation of medical establishments.

Incorporated city hospital, indices of hospital activity.

Perinatal mortality, method of calculation, ways of reduction.

Test

Annual population of able-bodied age in district center С. is 30 500 persons. Primary invalidity cases are 250 persons during one year.

Account invalidity index among the population due to an initial outlet on invalidity.

 

 

 

 

QUESTION CARD № 25

Sanitary - demographic indices (birth rate, death rate, a natural growth, infant mortality etc.).

Organization and indices of activity in woman consultation.

Statistic totality (its kinds). Sample (selection totality), principle of representativity.

Test

There were registered 12 344 persons with chronic diseases. 400 persons had exacerbations.

Account the index of exacerbations frequency of chronic diseases.

 

 

 

QUESTION CARD № 26

Social and economic factors that determine health state of population.

Morbidity and methods of its study. Regional peculiarities of morbidity and death rate of population in Ukraine after Chernobyl catastrophe.

SES (Sanitary-Epidemiological Station) organization, structure, methods of work, indices.

Test

Patient K., (58 years) got the second group of invalidity on the general disease (toxic goiter of 3-rd degree), connected with accident in Chernobyl. When must he have a re-examination?

 

 

 

QUESTION CARD № 27

Stages of medico-preventive aid in Mother and Child Care system.

Oncological diseases as a social - medical problem.

Normative-legal documents in system of medical aid. A package of the basic documents of out-patient establishments.

Test

There were examined 10 000 persons in the region with the population 50 000 during preventive examinations,. The total number of sick people is 4500. Calculate % of population with prophylactic examination and pathological affection per 1 000 persons.

 

 

QUESTION CARD № 28

Infant mortality as a social - medical problem. Method of calculation, main causes.

Peculiarities of medical aid to rural population. Stages.

3. Coefficient of rank correlation. (ρ)

Test

There are 50 000 people in the region. In 1998 11 000 person was required and treated in hospitals. In out - patient establishments attendance was 400 000. Account the hospitalization level and number of visits per 1 inhabitant for one year, give a comparative estimation with parameters of 2000. In 2000 hospitalization level was 26 %, number of visits per 1 inhabitant for one year was 7,2.

 

 

 

QUESTION CARD № 29

Preventive work in a polyclinic. Dispensary method, its essence, stages, criteria of efficiency.

Workshop district is a principle of medical aid to enterprise workers. Complex plan of workers’ sanitation.

Natural movement of population in Ukraine. Indices.

Test

Among patients who was operated due to gastric ulcer, the average value of arterial pressure before injection of blood-substitute solution(M₁) was 80 mm Hg(m₁ = ± 5 mm Hg), after single injection (М₂) - 90 mm Hg (m₂ = ± 5mm Hg). Estimate reliability of the difference between average values of arterial pressure before and after injection of blood-substitute solution.

 

 

 

 

QUESTION CARD № 30

Mental diseases. Alcoholism and drug addict as a social - medical problem.

Organization and basic functions of emergency aid station.

3. Sanitary statistics. Dynamic sets. Standardization of parameters (direct method).

Test

In. the city N. for 1998 number of women of 15-49 was 30 000, 2 100 children were born alive, the number of induced abortions was 1 050. In 1999 birth rate was 72 %, frequency of induced abortions -30 %.

Account fertility and frequency of induced abortions, give the comparative characteristic with 1999.

 

 

QUESTION CARD № 31

1. Definition of term "rehabilitation". Main principles of rehabilitation.

Medical-sanitary department. A health center, its tasks in an enterprise.

Relative numbers.

Test

At the enterprise with 800 persons in 1999 was registered 480 cases of the diseases with 4 800 days of temporary disability.