2010г. №2 - журнал Общественное здоровье и здравоохранение

Role of personality in health protection

Yu.P. Lisitsin

Abstract.

The necessity of investigation of a personality’s role in protection of personal and public health, in developing

healthy lifestyle is discussed, the author’s formulation of such notions as «personality», «lifestyle», «healthy lifestyle» is presented,

interrelations between them are shown, the importance of their use in health protection is emphasized.

Key words: health protection, role of a personality, healthy lifestyle.

Modern state of public health service in the Amur Region

R.G. Tourayev

Abstract.

The main problems of modern state of public health service in the Amur region are shown. Information on the network

of health care institutions, number of physicians, doctors and nursing personnel staffing, individual kinds of care — therapeutic,

surgical, obstetric-and-gynecologic is presented. Aims and tasks of health service for the nearest time are revealed.

Key words: health care institutions, therapeutic care, surgical care, obstetrical and gynecological care, medical services

quality, national project «Health».

Influence of clinico-social factors on the development of chronic dermatoses in patients with mental disorders

D.R. Shagiyeva, F.F. Gatin, L.a. Yusupova

Abstract.

Data on prognosing the development of concomitant chronic dermatoses in patients with mental disturbances on the

basis of unfavourable clinico-social factors are presented. Calculations and tables, concluding prognostic coefficients are given.

It is recommended to psychiatrists and dermatovenerologists to use in their work the method of prognosing the development of

concomitant chronic dermatoses in patients with mental disturbances.

Key words: chronic dermatoses, mental disorder, risk factors.

Death Rate of newborns with extremely low birth body weight

V.Yu. Albitsky, Ye.N. Baybarina, Z.Kh. Sorokina, R.N.Terletskaya

Abstract.

The results of official statistics data analysis on birth and death of newborns with extremely low birth body weight

(ELBW) in Russian Federation and its regions are presented. The reduction of both absolute number of children’s births of the

given weight category, and their share among all born alive and dead is established. Perinatal death rate of newborn with ELBW

is low due to early neonatal death rate and to a lesser extent due to reduction of dead birth rate. The ways and reasons of birth

and death registrations disturbances among the children of the given group are shown. The results of expert assessment of infant

death rate level with due regard to newborns with ELBW, carried out with the use of various methods are presented.

Key words: newborns, extremely low birth body weight, death rate, dead birth rate.

Monitoring of physical growth and development of infants depending on birth body weight

E.V. Boushouyeva, L.I. Gerasimova

Abstract.

Being one of the most important and informative criteria of children’s health state the monitoring of physical growth

and development makes possible to reveal risk factors of some diseases. Rates of newborns’ body weight gain and body length

in decree period are analysed. As it was stated, during first living months the rate of newborns’ body weight gain in children with

small birth weight is higher than in the other groups. Children with small and significant birth weight in the early age suffer from

considerable tension of organism adaptive processes.

Key words: anthropometric parameters, adaptive processes, physical growth and development, birth body weight, risk

factors.

Social-hygienic aspects of influence of the lifestyle on prevalence level

of blood circulation system diseases in able-bodied population of sakha Republic (yakutia)

A.G. Yegorova, P.F. Kikou, T.V. Gorboroukova

Аbstract.

Results of social-hygienic research of health of able-bodied population living in various social-territorial areas of

Sakha Republic (Yakutia) are presented. It is determined that the prevalence level of blood circulation diseases is influenced by

the complex of social-hygienic factors: population employment, financial security, residence conditions, availability of harmful

habits, nutrition quality. Differences in answers of respondents on residence conditions, financial security, nutrition quality, medical

activity are revealed. The obtained results are used while developing the program on improvement of social and economic

condition of the Far North inhabitants.

Key words: social-hygienic factors, able-bodied population, blood circulation system diseases.

Quality of life, ophthalMologic diseases incidence in engine-dRiveRs

and Main causes of theiR disMissal

I.A. Kamayev, Ye.S. Leonova, Ye.V. Shchekotov

Abstract.

At present in connection with introduction of new progressive kinds of trains and train driving technologies into

practice the intensity of engine-drivers’ work has sharply increased, which leads to increased fatigue during work and to life quality

change and morbidity increase. The aim of investigation is studying life quality of engine-drivers and ophthalmologic diseases

incidence among them. The information is obtained by questioning and studying the primary medical documents for the period

from 2007 to 2009 (copying out final diagnoses from outpatients’ cards). During the examination 913 outpatients’ cards were

studied and 244 engine-drivers were questioned. The industrial factors, causing the ophthalmologic disease incidence, insufficient

medical-and-diagnostic activity of polyclinics were also mentioned as the reasons of their professional disability.

Key words: engine-drivers, life quality, ophthalmologic diseases incidence, causes of dismissal.

Social-hygienic dental status of Residents of Kazan

Ye.M. Silagadze, A.K. Salakhov, R.F. Baikeyev, S.S. Ksembayev

Abstract.

With the aim of revealing factors affecting the caries resistance 572 residents of Kazan, large industrial city, were

questioned. The questionnaire included 25 items, with sub-items (88 all in all) covering main aspects of man’s vital activity.

Analysis of the obtained data was performed in accordance with the ethiopathogenetic causes and methods of prevention of

caries. The investigation made possible to formulate the following conclusions: 1) social-hygienic dental status of respondents

should be considered as unsatisfactory as far as slightly enzymatic carbohydrates are concerned, due to unbalanced nutrition,

insufficiency of personal oral hygiene, inopportune visit to dentists, etc. 2) examined status of respondents in general outlines is

similar to the status of population in different regions of Russia and some foreign countries. Medico-organizational measures

are recommended for stimulating the population to caries prevention.

Key words: risk factors, caries resistance, caries prevention.

The necessity of immunologic survey during elaboration of the bases of pathogenetic

treatment protocols of chronic generalized periodontitis

I.I. Giniyatoullin, S.L. Blashkova, N.A. Makarova

Abstract.

Periodontium diseases are characterized by steady increase and high incidence not only among aged people, but

also among young able-bodied population, thereby being an important medico-social problem. This dictates the necessity of the

development of effective ways of periodontitis prevention and treatment. As a rule a special feature of periodontium lesion is the

generalized character of inflammatory-destructive changes and its persistent, progressive course in periodontal complex with

frequent exacerbations. All this points to the necessity of immunologic examinations aimed not only at finding out etiology and

pathogenesis of these diseases, but carrying out complex treatment measures as well.

Key words: chronic generalized periodontitis, immunologic survey, pathogenetic treatment protocols bases, organization of

qualified periodontologic care.

Informational-technological and organizational-managerial provision of prophylaxis

of infantile cerebral paralysis

Sh.M. Vakhitov, A.R. Parfenova

Abstract.

This article represents main risk factors, having reliable connection with origin of infantile cerebral paralysis, suggests

organizational-managerial technology of organization of works on detection and management of risk factors of development of

infantile cerebral paralysis.

Key words: Infantile cerebral paralysis, risk factors, early detection, prophylaxis, organization, management, information,

technology.

Organization of sanitary-educational work on tuberculosis prevention

L.F. Molchanova, I.V. Glazkova

Abstract.

Research data on social-economic, social-hygienic conditions and life style, hygienic literacy and medical activity

among 150 women of reproductive age are presented. It is taken for granted that only one third of that age women are well

informed concerning measures of tuberculosis prevention. Non-working women with secondary and special secondary nonmedical

education are insufficiently informed and need additional information on tuberculosis. Purposeful activity of medical

workers of antituberculous institutions and institutions of general medical network on prophylaxis gives the opportunity to reveal

tuberculous processes at early stages.

Key words: tuberculosis, prophylaxis, women of reproductive age, organization, hygienic literacy and medical activity.

Professor Moukhamet Khairoutdinovich vakhitov as the representative

of the kazan school of public health and health care

I.G. Nizamov, Sh.M. Vakhitov

International experience and problems of management decision-making

on financing Medical technologies from public sources

I.V. Samorodskaya, M.A. Gadzinskaya

abstract. Nowadays, many countries are interested in the rational use of financial resources, are forced to assess the

expediency of various medical technologies for their financing. That’s why this article is dedicated to the analysis of international

experience of management decision-making on financing medical technologies from public sources. In some economically

developed countries there are various methods for evaluating medical technologies: on the basis of systematic reviews, expert

estimates (Australia) and with the use of evidence-based medicine’s results (USA, Canada, Israel, Italy, Netherlands, Spain,

Sweden, Switzerland and England). Development of criteria and methods for assessing the quality of particular methods of treatment

allows to avoid insufficiency or excessiveness in their use, consequently, insufficiency or inexpediency in their financing.

Key words: Delphi technique, evidence-based medicine, clinical and economic analysis, Medicare, medical technologies.

Organizational and methodical approaches to reduction

of chemotherapy toxicity in oncologic patients

R.Sh. khasanov, L.N. Petrova, i.a. Gilyazoutdinov

Abstract.

While chemotherapy in oncologic patients the assessment of imunofane influence on the level of biogenic amines in

peripheral blood was carried out. Blood in 42 patients with breast cancer was taken in dynamics before and after the chemotherapy

course and chemotherapy combined with imunofane. Rate of biogenic amines in plasma, lymphocytes, leucocytes, erythrocytes

was evaluated. The conclusion was drawn that chemotherapy influences on bioamine supply of peripheral blood structures.

Increase of bioamines with suppressing effect on immune system was observed. In the group of patients with combined

therapy it was less obvious. As a result, positive effect of imunofane on bioamine supply of patients’ peripheral blood

while chemotherapy was recorded.

Key words: oncology, chemotherapy, correction of immunosupression.

Effectiveness of gastric carcinoma radiodiagnostics optimization screening program use

L.A. Voropayeva, V.N. Diomidova

Abstract.

The diagnostic program on screening and optimization of early gastric carcinoma diagnostics and decreasing its neglect

is presented. Modern potentials of radiodiagnostics (echography, magnetic resonance imaging) are used for stomach examination.

Diagnostic criteria of norm and pathology of the stomach are studied based on the use of various magnetic resonance imaging

(MRI) technologies. The features of different versions of the gastric wall thickening on MRI are described, sensitivity of MRI signal

from the infiltrated gastric wall with a view to early diagnosis of stomach cancer are estimated.

Key words: carcinoma, stomach, radiodiagnostics, screening.

Neurologic aspects of adolescents’ morbidity

Ye.A. Morozova, F.M. Zaykova, Ye.O. Karpova, A.A. Madyakina, R.R. Kalimoullina

Abstract.

Neurological disorders occupy the second place among adolescents’ chronic diseases. Investigation findings on

such urgent problems as attention deficit syndrome with hyperactivity and epilepsy, which lead to complications in studying and

socialization, are presented in the article. The role of perinatal brain pathology in pathogenesis of the given above diseases is

shown.

Key words: adolescents’ morbidity, attention deficit syndrome with hyperactivity, epilepsy, perinatal brain pathology.

New approaches to the problem of population and animals protection organization

in the focus of ammonia damage in technical disasters

Ye.G. Goubeyeva, A.V. Malanyev, R.M. Aslanov , M.Ja. Tremasov

Abstract.

The use of a new way of ammonia vapours neutralization in technogenic emergency emissions is suggested,

efficiency of which is affirmed by clinical data and pathomorphological examination. Clinical and pathomorphological manifestations

of absolutely deadly dose of ammonia varpours were studied on experimental animals (rabbits). In connection with low efficiency

of the known ways of personnell, population and animals protection, the attempt of finding ways of ammonia vapours neutralization

was made. At the laboratory of pharmacology and toxicology of virulent poisons (VP) Federal State Institution «FTSTRB» a

formulation for ammonia vapours neutralization (RIA-1) was composed. When using this formulation in the zone of ammonia

vapours absolutely deadly dose attack, there was observed survivability of all the experimental animals and absence of expressed

clinical and pathomorphological signs of poisoning in them.

Key words: technogenic accidents, emergency-dangerous chemical agents, ammonia, pathomorphology of poisonings.

Monitoring of risk factors of children birth with prenatal development delay syndrome

T.N. Sidorova, E.V. Boushouyeva, L.I. Gerasimova, E.N. Vasilyeva, T.G. Denisova

Abstract.

Anamnesis of life, pregnancy of the women who give birth to mature children with the syndrome of prenatal development

delay are analysed. Medical and biological, medical and social risk factors of birth of mature children with weight less than

3 000 g are determined. Low body weight of the mature child is a risk factor of cardiac and metabolic diseases.

Key words: prenatal development delay of fetus, body weight at birth, risk factors.

Prophylaxis strategies of sexually transmitted infections among groups of risk in Kazan

G.G. Vafina, I.K. Minoullin, A.A. Gilmanov

Abstract.

There are presented the results of scientific-practical research on determining territorial groups of risk in relation

to sexually transmitted infections in Kazan, and innovational technologies of prophylaxis organization among the given groups of

population. The method of research has been interview according to form. It is revealed that 50% of respondents want to change

their role behaviour, and it becomes the resource for organization of social and medico-social measures for readaptation of groups

of risk representatives. Establishing the specialized medico-social centers for rendering the dermatovenerologic care to homeless

children, commercial sex-workers, migrants and homeless people is also one of the measures. Work of the mentioned centers

on the “single window” will allow to bring nearer rendering the medico-social care to groups of risk, to increase its accessibility.

Key words: groups of risk, innovational technologies, prophylaxis of sexually transmitted infections.

Organization of treatment of patients with cerebrovascular pathology

in a day hospital of city polyclinic

O.N. Yefankina

Abstract.

Results of examination and treatment of 1 500 patients with cerebrovascular pathology in city polyclinic are presented.

Use of complex therapy of this pathology in a day hospital allows to provide the proper clinical effect.

Key words: day hospital, cerebrovascular pathology, chronic cerebral ischemia.

Life quality indicators of 65 years old and older people (on the example of orenbourg)

N.Yu. Perepelkina, Yu.V. Parshina

Abstract.

In order to study the quality of life of the elderly and gerontic age population living in the city of Orenbourg,

500 citizens aged 65 and older were interviewed using the general MOS SF 36 questionnaire. As a result of the study it was found

out that life quality rates of men and women were different and as a whole the rate of men was higher. The age-related dynamics of

life quality rates of elderly and gerontic age population coincide with general regularities of changes of life quality having negative

tendency with the age. The steady decline in life quality rates was recorded in the most scales of the questionnaire.

Key worlds: life quality of elderly and gerontic age population.

Influence of child’s birth with cleft lip and palate on life Quality of parents

R.R. Shakirova

Abstract.

The aim of the work has been the estimation of influence of child’s birth with cleft lip and palate on life quality of

parents, determining the criteria, which allow to estimate the efficiency of medical care. The results of questioning of 265 mothers

and fathers of children with cleft lip and palate are presented. The dependency of indicators of life quality of parents on anxiety,

apathy and decrease mood is revealed. It is concluded that all family members should be included to the system of rehabilitation

of children with congenital cleft lip and palate, in which one of the first specialists should be a psychologist.

Key words: cleft lip, cleft palate, life quality.

Dynamics of general and allergic diseases incidence in population living

in the Region of disposition of microbiologic works

I.G. Abdoulnagimov, G.G. Maximov, Yu.G. Aznabayeva

Abstract.

For the long period of time the atmospheric air of Blagoveshchensk was exposed to intensive complex influence of

discharge of chemical and biological character, sufficiently exceeding the rates of control cities. During the whole period of work of

Bashkiriya Biochemical Complex (BBC) even at 4 km distance from the source of discharge average concentration of albumen-

containing dust with antigenic property in the atmospheric air varied from 0 to 85 MPC. The general morbidity of Blagoveshchensk

population during PVC large-scale production on considerable number of diseases was reliably higher that in Davlekanovo. Due

to discharge of albumen-vitamin concentrates’ production in the dynamics of observation of Blagoveshchensk population high

allergic diseases incidence lasts out, and moreover, bronchial asthma and atopic dermatitis diseases increase, while pollen

diseases – decrease. The obtained results dictate the necessity of further dynamic monitoring of that region population health,

living conditions in which are the risk factors of development of allergic and toxico-allergic diseases even after the microbiologic

production is closed.

Key words: microbiologic production, population morbidity.

Estimation of influence of post-degree preparations’ innovative Model on life

Quality of nursing specialists

G.M. Zlobina, N.V. Yakimova

Abstract.

The results of research, which has been conducted on the basis of one of the of largest medical-and-prophylactic

institutions of Udmurt Republic are presented. Total number of respondents has been 250 persons. For estimation of efficiency

of activity of nursing staff school (school of continuous improvement of professional skills) the following parameters have been

chosen by us as indicators: education level, life quality of nurses, formation of motivation to self-education and perfection of the

vocational training. Introduction of the system of continuous improvement of professional skills creates conditions for fastening

and increasing of a professional knowledge of a nursing staff. The developed model of nurses’ training under the conditions of

hospital with the use of the structured program can be applied in a medical institution of any profile.

Key words: nursing, school, program, model, live quality, quality indicators.

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