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Goltsov Sergey
I serve the art of medical doubt

The shape of the dreams

7 years ago, while on a Live Parallel expedition in East Africa, I witnessed a scene. In the middle of the Savannah, on the ground cracked by the heat of brick-red color, from which stick out, straw-yellow, as if in response to the sun killed them, rare and dry bushes with short spines, on the old, with peeling paint stool, was ... TV! But not as big as we draw imagination, and little else with a picture tube, in which the wretched plastic dirty-gray color with completely missing buttons. And this dinosaur technique, imagine, works! From him like a snake, stretching the wire, to standing nearby... the motorcycle, which is operating as a generator, provides electricity to the TV. But that's not all! Another snake-the cable is routed from the television to the nearest tree is antenna. Semicircle, about this miracle of engineering, right on the ground, on which now and then crawling scarab beetles and numerous insects, get out to the surface after sunset, sit or lie people from small to large, spellbound by the action on the screen... as you guessed it, on the screen... football!

All this is quite entertaining, but really I was surprised by one boy who was put next to the motorcycle – to pour into his tank gasoline from a plastic bottle, which he periodically did, but he, crouching, stretching on socks, occasionally jumping, trying through the live wall of his tribesmen, to see (he still could not see because of the rumbling motorcycle), but to see at least the edge of the world that shone pictures of the broadcast football match. For this boy, it was all a real embodiment of his dream of another life!

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Conceptual recovery of public health service
Conceptual recovery of public health service

The article makes it clear that the problems of public health service are strategic in nature. That is why only tactical strategic decisions on its development can significantly influence such basic indicators as the sickness rate, the life-span and the ability to work of the population. The conceptual nature of public health service, substantiating the necessity of its conceptual restructuring, is revealed. The scenario of public health service innovative upgrade based on the conceptual technologies, taking into account of the system approach and the cultural context in their inseparability is suggested.

Keywords: Public health care, conceptual restructuring, innovative scenario, system approach, the cultural context

Перед походом по ту сторону озера Титикака
Перед походом по ту сторону озера Титикака

Ещё одним важным отличием экспедиции является наличие вызова самим себе. Осознанное вопрошание, готовность встречи с явлениями, которые дадут ответ на вопросы или помогут разобраться с познавательными трудностями – всё это отразится результатами или, если хотите, итогами экспедиции. Без извлечения смыслов похода, путешествие превращается в бродяжничество.

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