Problem areas and opportunities of the "Moscow standard of the clinic"

The article deals with the study of problem areas and prospects for the implementation of the «Moscow polyclinic standard» (SME). The aim of the work was to analyze the factors on the part of medical workers that affect the effectiveness of the implementation of innovative projects in health care. The assessment of the doctor's and nurse's attitude to the changes caused by the introduction and willingness to work in a new format was studied. During the pilot study, which covered 730 medical workers, including 358 doctors and 374 nurses working in outpatient medical organizations of the capital, a sociological survey was conducted on specially designed questionnaires. It was found that the introduction of SMEs contributed to the revision of a number of responsibilities and activation of medical personnel, focusing on meeting the needs and requirements of the population in health services. Thus, the SME fits into the WHO strategy of orienting primary health care institutions to integrate into the integrated model of care delivery. At the same time, the SME has significantly freed up the time of doctors to work directly with patients. The activity of nurses was changed, they received much more independence in the work. Therefore, the scope of the received results are the health authorities of Moscow and also the management of outpatient medical organizations. In General, doctors and nurses positively assesses the changes. New working conditions are to some extent stressful factors and need to be corrected, which should be taken into account by the heads of medical organizations

Evolution of the Central Indian tectonic zone: Geochemical and isotope-geochronological data

In the framework of the Russian-Indian joint research projects geochemical and geochronological study of granitoid rocks across the Central Indian Tectonic Zone has been carried out. Geochronological data suggest that the Central Indian Tectonic Zone is composed primarily of Proterozoic rocks, formed as a result of several stages of granitoid magmatism: at 2.43, 2.34-2.31, 1.73-1.72 and 1.53-1.51 Ga. Metamorphic transformations reflected by Sm–Nd and Rb–Sr systems of rocks and minerals occurred 1.37-1.1 Ga ago that allows comparing the final processes in the Central Indian Tectonic Zone with the Grenville orogeny and it can be used for the reconstruction of Rodini