Vol 16, No 1 (2017)

The data of sample sociological survey of workers of three large enterprises of chemical industry of the Permskii kraii in 2014-2015 was used to analyze features of perception of information concerning occupational risk factors encountered by workers in the process of labor activity and evaluation of the level of awareness about risks was given. It is proved that actual systems informing about risks of health damage as a result of labor activity at enterprises are mostly formal. It is established that most of workers are unaware about results of special evaluation of labor conditions. More than a half of those who are aware can't name class and sub-class of labor conditions at one's working place. The higher level of awareness about risks of health damage is typical for those workers who suffer of diseases related to their occupation. The most popular source of information concerning health risks is medical workers of feldsher and nurse post or medical sanitary unit. The mentioned source is not effective by virtue of specific terminology and unsystematic implementation of information activities. The system of informing about health risks in conditions of enterprise can be effective only under condition of interaction of all participants of informing process responsible for dissemination of information about risks, systematic education, advanced training of specialists of industrial labor protection, development of common strategy of informing about risks following the scheme "development-implementation-control-adjustment or new development-implementation".

The social crisis of the end of XX century in Russia negatively impacted psycho-emotional condition of society and provoked increasing of drug addiction and alcoholism among population. The article applies inter-disciplinary position analyzing relationship between severe social psychological atmosphere of those years and mental, behavioral disorders in generation of children caused by alcohol abuse in generation of parents, especially mothers. The dynamics is presented concerning social mood of society, level of female alcoholism, nervous diseases morbidity of children. The mental and neurological disorders are discussed in the aspect of patterns of brain development during prenatal period. The biological sociological evaluation is given concerning impact of crisis of 1990s as a macro-social factor of mental and behavioral health of age group of persons born in 1990-2000s. The burden of crisis and negative emotional atmosphere in society, especially in the middle of 1990s, increasing of alcohol consumption and also dynamics of alcoholism and alcoholic psychosis morbidity of women during the same years, dynamics of nervous diseases morbidity of children aged 0-1 year in the Russian Federation with its surges, especially in 1994-1995, 1998 and 2009, permit to consider focused effect of social crisis on physical and mental health of newborns. During relative stabilization of 2010s, there is no such a concentration of negative factors. Also, certain positive circumstances are manifesting: learning of legal standards according which person is primarily responsible for one's own health, measures of struggle with alcoholism, development of perinatal medicine, etc.

The analysis of concepts and expectations of employers concerning level of professional competence, personal characteristics and moral attitudes of younger medical specialists was implemented. The main attention was paid to specifics of interaction between younger specialists and employers in conditions of modern labor market. The observed imbalance of demand and offer at sectoral labor market is, in particular, related to discrepancy of requirements of employers and expectations of applicants, poor channels of communication between employers and potential workers, inadequate level of interaction between universities and labor market. The expectations of younger specialists concerning future place of work is mainly related to notions about priority of availability of "good" diploma whereas employers are most of all interested in professional working experience an practical professional skills.

The article considers a mathematical cluster analysis of data obtained in medical information system "qMS" for annual period of data registration in three medical institutions. To evaluate cost, duration of treatment and scope of examination of patients with hypertension heart disease a special software was developed by A.L. Mazelis using Python interactive environment. The clustering was implemented in two directions: according number of medical examinations and procedures (Series treatment) and according time of waiting for medical examinations and procedures (Series time). Two groups of patients were established according distribution of cost and duration of hospital treatment. Also, based on analysis of data of medical information system, a description of social medical portrait of patient with hypertensive heart disease was presented. A proposal was made of implementing adjustment of treatment standards considering medical social portrait of patient according to established actual demands of patients. In analyzed sampling almost equal attention is paid to examination of heart and gastrointestinal tract that testifies wide prevalence of gastrointestinal diseases that requires increased diagnostic attention to them as concomitant ones to hypertension disease.

The prevention of medicalization and objectification of strategies of palliative care of patients with chronic diseases are one of important tasks of development of regional model of palliative care. The strategies of palliative care are considered in the context of quality of life of patients with diseases of blood circulation system. The indicator of quality of life determined according the WHO questionnaire "Life Quality-100" is a multifactorial criterion of evaluation of condition of patients in case of diseases of blood circulation system. The results of study proved that disease results in alterations of indices of quality of life in "physical" sphere and "level of independence» sphere determine tendencies in rehabilitation direction of palliative care in case of diseases of blood circulation system at non-terminal stage. The evaluation of indicator of quality of life permits to objectify strategies of palliative care of this category of patients.