Can I choose? Can I choose a place to perform alternative service?

And what do the AGS and Article 37 of the Constitution have to do with it? Or you didn't study well The federal law about AGS? Since when does a conscript have the right to choose a place for the ACS?

I study at a very good university and soon I will receive a diploma in construction. Therefore, I decided to choose an alternative to gain work experience during this time.
But I don’t want to be sent to work somewhere I don’t know. I want to get a job in a good one, albeit a government one, construction company(I want to go to Moscow, there’s also a girl there).

Eat special list organizations and positions approved by the Government of the Russian Federation, where it is possible passing the AGS. From this list they will select something for you. Of course, you can appeal any decision in court, but this is a long path with an unknown end.

Article 4. Place of alternative civil service for citizens

1. Citizens undergo an alternative civil service individually, as well as as part of groups or formations:
in organizations subordinate to federal authorities executive power;
in organizations subordinate bodies executive power of the subjects Russian Federation;
in organizations of the Armed Forces of the Russian Federation, other troops, military formations and authorities as civilian personnel.
Completion of alternative civil service in organizations subordinate to the authorities local government, is determined by federal law.
2. Citizens undergo alternative civil service, as a rule, outside the territories of the constituent entities of the Russian Federation in which they permanently reside.
If it is impossible to send citizens to perform alternative civil service outside the territories of the constituent entities of the Russian Federation in which they permanently reside, citizens, in accordance with the decision of the specially authorized federal body executive authorities may be sent to perform alternative civil service in organizations located in the territories of the constituent entities of the Russian Federation in which they permanently reside.
3. Citizens belonging to indigenous peoples are sent to perform alternative civil service in the organization traditional industries management and traditional crafts.
4. Lists of types of work, professions, positions in which citizens performing alternative civil service can be employed, as well as organizations where alternative civil service is provided, are determined in the order established by the Government Russian Federation.
5. When determining the type of work, profession, position in which a citizen sent to alternative civil service can be employed, and the place of alternative civil service, education, specialty, qualifications, and experience are taken into account previous work, health status, Family status citizen, as well as the need of organizations for labor resources.
6. Labor activity citizens performing alternative civil service should not interfere with the employment of other persons, and also serve as a basis for the transfer to another place of work of persons performing work on employment contract, or for their dismissal.

Many women ask themselves the question: “Can I choose how I give birth?” A healthy birth shouldn't be painless, that's just how human nature works.

0 131831

Photo gallery: Can I choose how I give birth?

But too much suffering can do more than just “spoil the mood” to the expectant mother- often they are a real obstacle to normal delivery. Properly selected positions during contractions and pushing will help reduce the suffering of a woman in labor and speed up and facilitate the birth process. From time immemorial, women in labor different nations chose the most comfortable position for themselves in order to give birth to offspring. African women endured contractions in the forest, holding on to a pole placed between two trees, and when pushing, they squatted down. Indian women gave birth hanging from branches and vines. In some Scandinavian families, a special obstetric stool with a hole in the middle was passed down from generation to generation.

In Rus', noblewomen usually gave birth lying down. Simple peasant women - kneeling, squatting or even standing. Often the midwives forced the mother to move, walk, cross high thresholds, squat and even jump. They pushed, as a rule, on all fours or leaning on a table or bench. Our homes were often built with a strong ceiling beam - matitsa, uterus - which helped out during prolonged labor. A rope or leather straps were thrown over it, thanks to which the woman in labor was placed in a semi-hanging position. Similar measures contributed to a speedy delivery. Today, some maternity hospitals are moving away from what has already been accepted and allowing women to give birth in other positions, using the entire arsenal prepared by nature natural remedies designed to ease the course and speed up the outcome of childbirth. Despite the fact that the position of the woman in labor on her back makes it easier for doctors and obstetricians to monitor and control the situation, it, however, leads to the fact that the uterus puts pressure on the blood vessels running along the spine, normal blood flow is disrupted, and blood supply to the fetus worsens. The child moves forward only due to the “strength” of the mother herself, labor slows down, and pain increases.

Vertical childbirth is common today in Western Europe. Now this provision is increasingly being resorted to in domestic maternity hospitals, as well as in countries near abroad. This position is useful when the expectant mother cannot overexert herself for health reasons, for example, due to myopia, during weak labor, when the fetus is large or the woman in labor has a narrow pelvis. It is much easier for a woman to push; the force of gravity comes to her aid. The child moves down more smoothly and receives more oxygen, because... The uterus does not put pressure on the mother’s vessels. The woman in labor has better control over the work of the back and abdominal muscles, the pelvic floor and all skeletal muscles, and is free to take any position that is convenient for herself, which reduces the period of contractions by half. In this case, the birth canal becomes wider than in a supine position, and the baby passes through it easier and faster. The likelihood of ruptures is reduced. Doctors note that the placenta separates faster in vertical birth, reducing physiological blood loss; the baby most often takes his first breath on his own and takes the breast within 5-10 minutes. The vertical position is contraindicated for women with varicose veins, because in this position there is a strong load on the legs. Another drawback is that it is quite difficult for obstetricians to react and monitor the progress of events. In many Asian, South American and African countries There is a tradition of giving birth in a squatting position with your knees spread wide apart. This position helps well when the cervix is ​​fully dilated and the baby’s head does not fall down. pelvic floor. It is effective in case of weak labor - the birth canal expands significantly, the angle of inclination of the pelvis formed when squatting accelerates contractions, pushing becomes easier, and the baby comes out quite quickly.

But in a squatting position, women’s legs quickly get tired. Another drawback is instability, which is why maternity hospitals abroad often use special birthing chairs with a hole for the baby to exit. This device helps to relax the muscles and relieve stress from the legs and veins. Another limitation is that the position is only suitable for “correct” childbirth - when the baby comes out with his head. The disadvantage of medical personnel to provide timely assistance is reduced, the overview is limited. Since the position promotes rapid childbirth, if you act carelessly, the baby is in danger of falling out of the birth canal and getting injured, and the mother is in danger of perineal ruptures. Therefore, some doctors use the effectiveness of this position during contractions, and when pushing approaches, they transfer the woman to a different position.

Knee-elbow position

At the same time, the birth canal expands gradually, having time to stretch, and the mother is insured against unnecessary ruptures. At reverse position- the head is higher than the pelvis - the woman stands on straightened arms - labor accelerates. The position is also convenient because in between contractions the woman can “sit down to rest” by sitting on her thigh. When the expectant mother's arms get tired, she is given support from a special ball or several pillows. If the baby is born premature, has low weight, and the mother has had injuries hip joints, this position will be the most effective. The blood supply to the fetus does not stop during the entire birth, the process occurs gently. Painful sensations during contractions endured in this position are less than in a lying position. Today, the lateral position during childbirth is actively practiced in England, Australia and New Zealand. In these countries, delivery tables have a special configuration, and medical staff has the appropriate skills.

For breech presentation of the fetus, a sitting position is suitable. The main requirement here is that the surface of the seat is not hard, otherwise the progress of labor will slow down and the baby’s head may be damaged. The surface should be soft, preferably elastic. Large inflatable balls or children's swimming rings are suitable for these purposes. Sitting on the ball will relieve too painful sensations during contractions and reduce the load on the spine. In addition, contractions can be endured while sitting in pillows on the bed, again making sure that the seating surface is not hard. Relying on your arms, pillow, or headboard helps relax your back and perineal muscles. Both on the ball and on the pillow, you need to ensure that your legs are wide apart - at the same time, the uterus is fully dilated. When the period of pushing begins, the position is changed. If you have the opportunity to “try on” various positions during childbirth and choose a comfortable position for yourself, that’s good. But it should be remembered that if the slightest complication or difficulty arises during childbirth, the responsible doctor will most likely immediately ask you to take the usual lying position for obstetric practice and provide all the necessary assistance.

However, the struggle for a natural and successful birth comes down to more than just choosing the right position. A woman frozen in the permitted position may experience discomfort, fear and increased pain, which threatens to slow down the dilatation of the cervix and reduce labor activity. The period of contractions makes it easier for many mothers to move, change positions, and move from one position to another. It is not for nothing that experienced midwives in Rus' did not allow women in labor to lie down and led them around the hut, sometimes even forcing them to perform light homework until the baby's head showed. When the body moves, blood circulation improves, muscles warm up, and spasms are relieved. Therefore, it would be good to move. It is permissible to sit on the ball and make relaxing movements with your hips. Are the contractions getting stronger and the intervals between them getting shorter and shorter? A woman can stand up and lean forward, resting her hands on the headboard and couch. A good dilation of the uterus will be facilitated by squatting down during the next strong contraction and spreading your knees wide. If mom gets completely tired of experimenting with her own body, she can sit down on the pillows or lie on her side, placing a pillow between her legs, and rest. Change vertical position to the horizontal will also cause an outflow of blood from the veins of the legs, because They are the ones who often suffer during childbirth, and a woman who is carried away by stronger impressions does not always remember this. Of course, not all domestic maternity hospitals provide women in labor with such “freedom of movement.” But it is useful for the expectant mother to know that World organization Health Care (WHO) in its recommendations says: every woman has the right to independently decide what position she should take during childbirth. Therefore, if you are determined not to lie idle during the upcoming birth, you should take care of choosing a suitable maternity hospital in advance. If you are tormented by the question “Can I choose how to give birth myself?” and you don't know the correct answer, we hope we helped you.

All our lives we prescribe in ourselves, in computer language, certain scripts of behavior, or program codes. Mostly this happens unconsciously. Very few of us and at very few moments of time try to somehow work on ourselves. The person decides: yes, I started smoking as a child under the influence of bad company, and now I want to quit. This turns out to be very difficult. Or: I don’t want to swear anymore. Or: I want to accustom myself to the Jesus Prayer. That is, I can try to erase some negative scripts or, conversely, write positive ones. Like the psalmist David - “turn away from evil and do good” (Ps. 33). Most of the time we are still objects external influence(good or bad). One way or another, scripts are written into us all the time. But I may not like the way I behave and the small choices I make. For example, someone steps on my foot and I say a bad word. I would love to say “Lord, have mercy,” but it turns out that I am saying something completely different. I’m trying to fight this, but I can’t do anything. From birth, a person forms some habits. He knows how to do some things from the very beginning, such as breathing. Then he begins, completely unconsciously, under the influence of his parents and the environment that surrounds him, to acquire many different conditioned reflexes. They are becoming more and more complex. He learns to walk, react, understand something, talk. He learns to do something, brings these actions to automaticity and then doesn’t think about them anymore. For example, when I go to work for the first time, I carefully look at the road: where is the entrance to the subway, which car to sit in, listen to the names of the stations, and so on. And when I go to work for the five hundredth time, I don’t even notice how I’m doing it, it’s brought to a kind of automatism. This is how we are made biological species, How social object and so on.

Not long ago I was talking with a very jealous acquaintance, we discussed his jealousy. When he sees that his girlfriend smiled at another man, or gave her a like, he makes all sorts of scenes for her. He knows that he is acting incorrectly, that nothing good will come of it, that it will only get worse. But he can’t help himself. Then he comes to his senses, scolds himself, reproaches. For some reason, this reaction turns out to be stronger than him. He is not free to choose his own response. Moreover, this is not drug addiction, not alcohol, this is a purely mental reaction that turns out to be stronger than it.

Very few of us try to somehow work on ourselves.

If a person consciously wants to choose one thing, but chooses another (and not even in a situation of some kind of spiritual choice, but quite pragmatic behavior of a person in a relationship with another person), when a person understands that his behavior destroys his own relationships, but cannot do anything what to do about it, can’t cope with your reactions - this is a painful condition. I think everyone has had situations in their life in which they couldn’t cope with their own reactions. What should be done in this case? Some may really need treatment, others may need to work on themselves. But is it possible in this case that we are free in our reactions? All the same, we choose between behavior scripts that were prescribed to us before and new ones acquired by willful effort.

There are probably situations (one can assume, at least theoretically) for which we do not have the usual written scripts. And it is clear in advance that none of the behavior options is suitable. And then we begin to improvise or pick up scripts that we saw in the film, from our parents, from friends, or somewhere else. Perhaps this can be called freedom (in the sense that I do what I want, and I want what I want - that is, the amendment is more high level), but maybe not.

Everything depends on final number prescribed scripts. Therefore, there is no need to talk about absolute freedom at all.

Yes, some of these scripts were written by me myself, but why I decided to write this is difficult to say. I listened to a lecture about the dangers of smoking and decided that I needed to quit smoking. At the same time, maybe Coca-Cola is much more harmful to health than smoking, but I’m not going to stop drinking Coca-Cola yet, but I’m going to quit smoking, because we now have company is coming to combat smoking, not Coca-Cola. When the anti-Coca-Cola campaign starts, I will decide to quit Coca-Cola. They will explain to me that it is very harmful, that it is an American enemy product and that only traitors to Russia drink it. Again, I will do all this under the influence of some imposed informational influences on myself. It turns out that I can choose between options that are already written in me. Question: can I really choose?

In accordance with Article 29 of the Civil procedural code RF. Jurisdiction at the choice of the plaintiff

1. A claim against a defendant whose place of residence is unknown or who does not have a place of residence in the Russian Federation may be brought to court at the location of his property or at his last known place of residence in the Russian Federation.

2. A claim against an organization arising from the activities of its branch or representative office may also be filed in court at the location of its branch or representative office. 3. Claims for the collection of alimony and for establishing paternity may also be brought by the plaintiff to the court at the place of his residence. 4. Claims for divorce may also be brought to the court at the place of residence of the plaintiff in cases where there is a minor with him or, for health reasons, it is difficult for the plaintiff to travel to the place of residence of the defendant. 5. Claims for compensation for damage caused by injury, other damage to health or as a result of the death of the breadwinner may also be brought by the plaintiff to the court at the place of his residence or the place where the damage was caused. 6. Claims for restoration of labor, pension and housing rights, return of property or its value related to compensation for losses caused to a citizen illegal conviction, illegal attraction to criminal liability, illegal use as a preventive measure of detention, recognizance not to leave, or illegal imposition administrative punishment in the form of an arrest, may also be presented to the court at the place of residence of the plaintiff. 7. Claims for the protection of consumer rights may also be brought to the court at the place of residence or place of stay of the plaintiff or at the place of conclusion or place of execution of the contract. 8. Claims for compensation for losses caused by collision of ships, recovery wages and other amounts due to members of the ship's crew for work on board the ship, repatriation costs and contributions to social insurance, collection of remuneration for assistance and rescue at sea may also be brought to court at the location of the defendant’s ship or the ship’s home port. 9. Claims arising from agreements that indicate the place of their execution may also be brought to the court at the place of execution of such agreement. 10. Choice between several courts, which, according to this article the jurisdiction of the case belongs to the plaintiff. If your dispute falls under one of the paragraphs of this article, then YOU have the right to choose jurisdiction. If not, then the claim is filed in court at the defendant’s place of residence. A claim against an organization is filed in court at the location of the organization. Good luck to you! Please rate the answer.

Good afternoon. I was interested in your answer “In accordance with Article 29 of the Civil Procedure Code of the Russian Federation. Jurisdiction at the choice of the plaintiff1...” to the question http://www.. Can I discuss this answer with you?

“RG - Week” opens a new section - “Have a question.” You can ask about everything that worries you: pensions, medicines, medical care, benefits, taxes, housing payments and utilities, in a word, the most topical and pressing matters. We will try not only to prepare comprehensive answers, but will also provide a link to regulations on every topic. This will help you thoroughly understand each situation and “arm you” in dialogue with government officials.

How to get the original discounted medicine?

I have epilepsy, I am entitled to subsidized medications. I get them, but I get generics. Manager therapeutic department The clinic claims that in order to get the original of the drug I need, I must contact the main neurologist of the city. In 2016, I already had an appointment with the chief neurologist, and in his conclusion he indicated that I should receive the original drug. But I never received the original of this drug. This year I was sent for a consultation to the regional specialized scientific and practical neurological center. The doctor at this center was very surprised when she learned about my problem. And in her conclusion she confirmed that I need the original drug. At re-application At the clinic, the head of the therapeutic department said that the conclusion of this center is not an authority for them. Where should I go? A. Kuzmin, Novosibirsk

According to the Procedure for Prescribing and Prescribing Medicines, approved by Order of the Ministry of Health of Russia dated December 20, 2012 No. 1175n (Appendix No. 1), when prescribing a medicine and writing a prescription, the international nonproprietary name (INN) of the medicine must be indicated (in fact, this is the name active substance, it is the same for both original drugs and their copies - generics). If there is no INN, the generic name is indicated in the recipe. In the absence of an INN and a generic name, the medicine is prescribed and prescribed by its trade name.

In the presence of medical indications(individual intolerance, for health reasons) by decision medical commission The medical organization prescribes and prescribes medications: 1) not included in the standards medical care; 2) by trade names. The decision of the medical commission of the medical organization is recorded in medical documents patient and the medical commission journal.

An incorrect prescription established by the Procedure prescribing and prescribing medicinal products requirements are considered invalid.

Thus, according to general rule Doctors are required to write a prescription for drugs under the international nonproprietary name, and not for the original drug. If there are medical indications, the medical commission may decide to issue a prescription using the trade name of the medicine.

Meetings of such a commission are held at least once a week on the basis of schedules approved by the head of the medical organization. (See clause 14 of the Procedure for the creation and activities of a medical commission of a medical organization, approved by order of the Ministry of Health and Social Development of Russia dated May 5, 2012 No. 502n.) If necessary, by decision of the head of a medical organization, unscheduled meetings of the medical commission may be held.

Thus, to resolve the issue of issuing a prescription for medicine by trade name you can contact written statement to the head of the clinic with a request to conduct a medical commission. The application must justify medical necessity appointments medicinal product by trade name. The application is submitted in two copies (one for the medical organization, the second with the incoming number remains with the applicant).

If you disagree with the decision of the medical commission, you can contact insurance company, which issued compulsory medical insurance policy, V territorial division Roszdravnadzor, as well as to the court to challenge its decision.

How to choose a doctor in antenatal clinic?

My name is Olesya. I need to register with the antenatal clinic. I chose her according to her place of registration, but I would like to choose a different doctor there, not according to my area. But they explained to me: each doctor has his own area. Can I choose another doctor in the same consultation?

The patient has the right to choose a new attending physician once a year. You can change your attending physician more often if you move or leave for a long period of time.

To choose a new doctor, just write an application addressed to the head of the antenatal clinic. In case of refusal, the patient can contact the manager to clarify the reasons, as well as contact the insurance representative at the insurance company. medical organization, which issued him a compulsory medical insurance policy.

The procedure for selecting and replacing the attending physician was approved by order of the Ministry of Health of the Russian Federation No. 407 dated April 26, 2012.

The answers were prepared by the Ministry of Labor and social protection RF, All-Russian Union of Insurers.

Irina INNOCENT