CONTENTS

1 1 28 14.0

HEALTH AND SOCIETY

Savelyev V.N., Vinogradova T.V., Dounayev S.M. Dynamics of the basic medico-demographic indicators in the Udmurt Republic..................................................4

Sakharova O.B., Kikou P.F., Grishanov A.V., Melnikova I.P. Estimation of the physical condition of students of the initial academic year of Far East Federal University....................................................................................................... 9

Bakirov R.S. On the question of use of ecological and anthropological methodology for studying and solving health problems of population....... 11

Sergeyeva S.V. Study on iodinedeficiency states in the population of Saratov region for forming a system of iodine-related diseases risk control.......................14

Shamsoutdinov A.Kh., Gabidoullina S.N., Akhmetshin R.F., Yaroullin T.M. Satisfaction of population with rendering medical care in rural outpatient clinics....................................................................................................................................16

1 1 38 14.0

PROTECTION OF MATERNITY AND CHILDHOOD

Lisovtsоv A.A., Leschenko Ya.A. Features of infantile mortality and its factorial conditionality at present stage.....................20

Galina T.V., Mitkovskaya Ye.V. Monitoring of maternal mortality...................27

Mousina D.M., Toukhvatullina L.M., Dautov F.F. Assessment of reproductive health of female workers in thermal power stations.....31

Zhoukovskaya I.G. Assessment of some risk factors of appearance and recurrence of chronic inflammatory genital diseases in women.........................34

1 1 41 14.0

HEALTH OF ECONOMICALLY ACTIVE POPULATION

Sleptsova A.I., Masyagutova L.M., Bakirov A.B. Comparative characteristics of the hematological status of female workers of agriculture and oil industry complex......................................................................................................36

1 1 33 14.0

HEALTH CARE SPECIALIZED SERVICES

Sharafeyev A.Z., Ziyatdinov K.Sh., Akberov R.F. Long-term results of endovascular treatment of patients with multifocal atherosclerosis.................... 39

Gerasimova L.I., Tarakanov S.V., Denisova T.G. Medical and social risk factors of stomach malignant neoplasms...............44

Goubeyeva Ye.G. Current state of the laboratory service work as an important part of the forensic medical examination........46

Sakharov A.V. Basic characteristics and trends of road-traffic injuries in Krasnodar region in 2006—2010.............................. 51

INFORMATIONAL PROVIDING OF HEALTH CARE

Votyakov Ye.O., Galioullin A.N., Galeyev R.Kh. Prediction of benign hyperplasia of prostate gland by medico-social risk factors...................................................... 55

1 1 24 14.0

HISTORY OF HEALTH CARE

Akhmadov T.Z. On the matter of Shamil’s Imamate medicine in Northern Caucasus (XIX century).......................................... 59

1 1 78 14.0

ORGANIZATION AND IMPROVEMENT OF PROTECTION SYSTEM MANAGEMENT OF PUBLIC HEALTH

Kamayev I.A., Vavilychev A.S. Possibilities of perfection of prophylactic medical examination of employees of power department on the basis of use of standards of civil public health services and introduction of new information technology................................................. 62

Gapiyenko N.V., Zaigrayev A.L., Bedoreva I.Yu. Improvement of hospital-replacing types of medical care for inhabitants of big city ..................................... 69

1 1 52 14.0

QUALITY OF MEDICO-SOCIAL SECURITY OF THE POPULATION

Sabirov L.F., Spiridonov A.V. Experience of introduction of quality management system ISO 9001-2008 in clinical hospital of MSU of the Ministry of Internal Affairs of RT.......................................................................................... 73

Kamayev I.A., Soutyrina O.M., Perevezentsev Ye.A., Grib M.N. Ways to improve the system of health care and life quality of medical staff ............ 76

1 1 20 14.0

ECOLOGY AND HEALTH  

Gerasimova L.I., Tarakanov S.V., Denisova T.G. Environment state and oncological morbidity in Chuvashia........................81

Dynamics of the basic medico-demographic indicators in the Udmurt Republic

V.N. Savelyev, T.V. Vinogradova, S.M. Dounayev

Abstract. The demographic situation in the Udmurt Republic remains difficult. As a result of the previous demographic

development the depopulation has occurred and is continuing to grow. On the basis of this study the main features of the

demographic situation in the Udmurt Republic are revealed: low birth rate, the mass spreading of single-child families that doesn’t

provide the reproduction of the population; high mortality, especially mortality of men of able-bodied age as a result of accidents,

poisonings and injuries; deterioration of population’s health, low life expectancy; stable trend of population aging; reduction in

migration growth.

Key words: demography, morbidity, mortality, structure, disability.

Estimation of the physical condition of stud ents of the initial academic year

of Far East Federal University

O.B. Sakharova, P.F. Kikоu, A.V. Grishanov, I.P. Melnikova

Abstract. The estimation of a physical condition of 2 699 students of II academic year of Far East Federal University has

been carried out (851 young men and 1 848 girls). For the estimation of physical development of students the regional scales of

regress and the results of dynamometry has been used. Physical serviceability is estimated with the help of Harvard step-test and

the test of Rufie—Dickson. The research has established that there are marked disharmony of physical development due to the

reduced body weight of the each fifth student and low level of physical serviceability in more than half of students participating

in research.

Key words: physical condition, students, estimation.

On the question of use of ecological and anthropological methodology

for studying and solving health problems of population

R.S. Bakirov

Abstract. The preconditions of statement of a question about organization and technologies of caretaking of health of the

population as an ecological and anthropological methodological and practical problem are considered.

Key words: technogenic radiation accident, medico-social rehabilitation.

Study on iodinedeficiency states in the population of Saratov region for forming a system of iodine-related diseases risk control

S.V. Sergeyeva

Abstract. Saratov region is endemic by the iodine deficiency in biosphere, which is the reason of forming the risk of thyroid

diseases development. The results of studying the prevalence of iodine-deficiency diseases in children and adolescents in

Saratov region from 2004 till 2009 based on the analysis of general and primary disease incidence in children under 14 years

of age are presented in this article. The following nosologies are considered: diseases of digestive organs, pancreas, obesity,

anemia, hypothyroidism. On the example of analysis of diseases incidence in children of Saratov region and studying normalized

hygienic indicators of environment their relation is revealed depending on territories. Feeding quality of children, use of premixes

and iodine containing preparations in dietary intakes were concurrently studied. Risk diseases are revealed. A risk-detecting

system includes mechanisms of studying health state according to the schemes: pregnant women — newborns — children of

the 1st year of life — adolescents — adults. Way of life, dietary conditions, particularly of women of fertilization age, form health

of children and generation as a whole.

 Key words: micronutrients, iodine deficiency, risk, disease incidence.

Satisfaction of population with rendering medical care in rural outpatient clinics

A.Kh. Shamsoutdinov, S.N. Gabidoullina, R.F. Akhmets hin, T.M. Yaroullin

Abstract. Questioning of 917 patients in rural medical outpatient clinics of the Republic of Tatarstan aiming at the studying

the satisfaction of population with the quality of medical care was carried out. Dissatisfaction of population with medical care in

rural conditions is firstly influenced by such medical-and-organizational factors as long time of waiting for a doctor, inattention of

medical workers to patients, absence, lack and high prices of medicaments. There is a directly proportional correlative dependence

between the age of rural population and frequency of expressing dissatisfaction with the quality of medical care in rural medical

outpatient clinics.

Key words: rural medical outpatient clinic, satisfaction of patients, quality of medical care.

Features of infantile mortality and its factorial conditionality at present stage

A.A. LisovtsОv , Ya.A. Leschenko

Abstract. The structural-dynamic characteristics and the determinants of the infantile mortality have been studied in Irkutsk

region. The traditional methods of the epidemiological analysis and some new approaches have been used. The area classification

of Irkutsk region has been performed depending on the level of the infantile mortality as well as its seasonal periods have been

characterized. The structure and the dynamics of the fetoinfantile loss index have been assessed. The analysis of the reasons of

the infantile and neonatal mortality has been performed as well as the gender differences in the indices have been revealed.

Key words: infantile, neonatal mortality, fetoinfantile losses.

Monitoring of maternal mortality

T.V. Galina, Ye.V. Mitkovs kaya

Abstract. Significance and actuality of decreasing the level of maternal mortality, and also reasons, negatively influencing

on the level of maternal losses in the developed (iatrogenia) and developing countries (poverty), are presented in the article.

Registration and accepted measures (federal laws, methodical recommendations, orders and informative letters) for decreasing

this index on the territory of Russian Federation after transition to the calculations of maternal mortality index in accordance

with determination of WHO are traced. The significance of correct forming of diagnosis in the cases of maternal death rate and

observance of order of completing and delivery of medical documents by doctors on reason of death for avoidance of divergence

of index of maternal death rate according to data of Rosstat and Ministry of Health of Russia are shown. Monitoring of MM allows

to define the ways of prophylaxis and decreasing its level.

Key words: maternal mortality, monitoring, analysis of cases, statistical data, system of registration and tracing.

Assessment of reproductive health of female workers in thermal power stations

D.M. Mousina, L.M. Toukhvatullina, F.F. Dautov

Abstract. The results of the analysis of reproductive health of female workers in thermal power stations (TPS), depending on

working conditions are presented. It is found that in women — workers of TPS, having contact with harmful production factors,

more frequent irregularities of menstrual cycle, secondary infertility, spontaneous miscarriages in early pregnancy, early gestational

toxicosis and gestosis, inflammatory diseases of cervix and appendages are found, that requires preventive measures with forming

the groups of risk of disorders of reproductive health.

Key words: reproductive health, working conditions, female workers of TPS.

Assessment of some risk factors of appearance and recurrence of chronic inflammatory genital diseases in women

I.G. Zhoukovskaya

Abstract. The results of health condition investigation of 45 sexual partners of female patients with chronic inflammatory

genital diseases and 30 husbands of healthy women are presented to assess prevalence of formation and recurrences of chronic

inflammatory genital diseases risk factors in women. The most significant risk factors are leucocytosis in sexual partners ejaculate,

their tobacco smoking, lack of barrier contraception use, refusal of examination by urologist and andrologist. The data received

should be used in development of treatment and prevention programs in women with this pathology that is especially important

during pregravidar preparation.

Key words: chronic inflammatory genital diseases, risk factors, sexual partners.

Comparative characteristics of the hematological status of female workers of agriculture and oil industry complex

A.I. Sleptsova, L.M. Masyagutova, A.B.Bakirov

Abstract. This paper reviews the results of studies on hematological indicators of female workers engaged in agriculture and oil

refinery of the Republic of Bashkortostan. Working conditions in poultry and oil refinery are characterized by a high concentration

of dust in the air of work environment, the presence of microorganisms and fungi, hazardous microclimate, a great amount of

gas-like chemicals, toxic factor. Peripheral blood test has not revealed significant diversities in red blood cells. The study of the

incidence of hematological indicators deviations from the norm has shown that hemoglobin levels below current norms occur

in 14% of group I persons and in 25% of group II persons. Analysis of leukocytogramme indicators has identified significant

differences in the levels of eosinophils, basophils and monocytes in both oil refinery and poultry workers. These changes can

probably be within normal range for the given industrial sectors.

Key words: hematological indicators, poultry, oil industry.

Long-term results of endovascular treatment of patients with multifocal atherosclerosis

A.Z. Sharafeyev, K.Sh. ZIyatdinov, R.F. Akberov

Abstract. The assessment results of long-term clinical efficacy of endovascular treatment of patients with multifocal

atherosclerosis are presented. All patients (250 person) included in the study were classified as patients with severe clinical

condition. In the long-term period (24,11±4,17 months) after endovascular revascularization the clinical efficacy of treatment of

coronary arteries have remained in 77,88% of patients, renal arteries — in 69,49%, extracranial arteries — in 71,11%, lower limb

arteries — in 73,77%. Endovascular revascularization in patients with multifocal atherosclerosis is the highly effective and safe

treatment with good immediate and long-term clinical results.

Key words: multifocal atheroscerosis, stenting, revascularization.

Medical and social risk factors of stomach malignant neoplasms

L.I. Gerasimova, S.V. Tarakanov, T.G. Denisova

Abstract. The results of the sociological research of the risk factors of stomach cancer are presented. The most significant

social indicators are the factors, characterizing all the aspects of life that influence the individual health.

Key words: risk factors, education level, occupation, alcohol use, family status.

Current state of the laboratory service work as an important part

of the forensic medical examination

Ye.G. GО ubeyeva

Abstract. Current state of the problem of laboratory service of forensic medical examination is considered. Increasing

need in forensic medical service activity is caused by the need to control a quality of constantly extending medical services.

Increasing demands to evidential base of legal proceedings influence on forensic medical service. All this leads to the need to improve forensic medical service. In this article the main disadvantages in organizing the forensic medical laboratory

service activity, which influence the quality and terms of conducting the examinations, are presented. One of the deterrents

is slow and ineffective introduction of modern achievements of science and technology to the practical work. It is proposed

to develop organizational model of management of introduction of innovations in practical work.

Key words: laboratory service, forensic medicine, innovations.

Basic characteristics and trends of road-traffic injuries in Krasnodar region in 2006—2010

A.V. Sakharov

Abstract. The indicators of road traffic injuries in Krasnodar region in 2006—2010 are presented. Identified trends are

compared with the situation in Russia and Europe. Indicators of road traffic injuries in Russia and the Krasnodar region are at

the level of low and middle income countries.

Key words: road traffic injuries, mortality, economic losses.

Prediction of benign hyperplasia of prostate gland by medico-social risk factors

Ye.O. Votyakov, A.N. Galioullin, R.Kh. Galeyev

Abstract. Method of prediction of arising benign hyperplasia of prostate gland (BHPG) in an investigation with participation

of 1 115 males of 20—61 years of age and older by unfavourable medico-social risk factors is presented. 117 risk factors and

393 their gradations are studied. The main unfavourable risk factors of BHPG are: age of 60 years and older, low education

level, spicy smoked food abuse, chronic diseases, smoking and alcohol abuse, working process peculiarities. The technique of

estimation, prognostic modeling of prostate hyperplasia are given. Prognostic coefficients of BHPG arising in men are presented,

predictive materials are compiled.

Key words: risk factors, benign hyperplasia of prostate gland, prognostic modeling.

On the matter of ShamIl’s Imamate medicine in Northern Caucasus (XIX century)

T.Z. Akhmadov

Abstract. The work reflects scantily studied questions on healthcare state in Northern Caucasus Imamate in XIX century.

Significance of folk medicine in mountain-dweller’ life in the period of Caucasian war is shown. Estimates of mountain-dwellers’

medicine given by contemporaries, especially its surgical aspect, are presented.

Key words: medicine, doctors, mountain-dwellers, imamate, history.

Possibilities of perfection of prophylactic medical examination of employees of power department on the basis of use of standards of civil public health services and introduction of new information technology

I.A. Kamayev, A.S. Vavilychev

Abstract. The estimation of the factors having an influence on quality of the organization of prophylactic medical examination

in polyclinic of power department before and after carrying out actions for perfection of annual medical examination by the results

of questioning of doctors is presented. Shortcomings, for elimination of which a number of actions for perfection of system of

the organization of prophylactic medical examination depending on the period of carrying out annual medical examination have

been offered, are revealed. With a view of the further optimization of prophylactic medical examination of the military a necessity

of expansion of scopes of annual medical examination to standards of civil public health services is shown.

Key words: prophylactic medical examination of the workers of power department, annual medical examination, health

passport.

Improvement of hospital-replacing types of medical care for inhabitants of A big city

N.V. Gapiyenko, A.L. Zaigrayev, I.Yu. Bedoreva

Abstract. On the basis of the analysis of hospital-replacing types of medical care organization in Novosibirsk the authors of

this paper have calculated the territorial normative of scale of medical care rendered to patients. Taking into account population,

age groups and morbidity in the urban districts the structure of bed capacity of day hospitals of different profiles is proved.

Key words: medical care accessibility, hospital-replacing types of medical care, day hospitals.

Experience of introduction of quality management system ISO 9001-2008 in clinical hospital of MSU of the Ministry of Internal Affairs of RT

L.F.Sabirov, A.V. Spiridonov

Аbstract. In this article the organizational approaches to management of treatment-and-prophylactic institution on the basis of

introduction of quality management system of series ISO 9001 are revealed. The importance of human potential management, the

ways of planning and determining the primary goals of work are shown. Realization of main principles of quality management is

revealed. In clinical hospital of MSU of the Ministry of Internal Affairs of Tatarstan Republic the quality management system (QMS),

corresponding to the requirements of standard ISO 9001 version of 2008 is developed, introduced and certificated. Introduction

of quality management system (QMS) allows to raise considerably the productivity and efficiency of activity of clinical hospital of

MSU of the Ministry of Internal Affairs of Tatarstan Republic, quality of medical services and satisfaction of consumers.

Key words: the personnel, state standard R ISO 9001-2008, strategy, potential, motivation, management, system, consumer,

improvement.

Ways to improve the system of health care and life quality of medical staff

I.A. Kamayev, O.M. Soutyrina, ye.A. Perevezents ev, M.N. Grib

Abstract. The article presents the results of a comprehensive study of the health status of medical personnel of multifield

hospital, sets the agenda for monitoring the health status of medical staff and socio-economic development of the hospital,

describes the results of implementing the basic policy directions for the preservation and strengthening of health and quality of

life of employees of the hospital.

Key words: medical personnel, multifield hospital, condition of health, regional hospital, the monitoring program.

Environment state and oncological morbidity in Chuvashia

L.I. Gerasimova, S.V. Tarakanov, T.G. Denisova

Abstract. Ecological factors are of vital importance for the public health indicators of the population. The analytical data of

manmade pollutants influence on the health in the cities and districts of the Chuvash Republic are presented. The correlative

analysis of different ecological indicators compared with oncological mortality rate was made.

Key words: environment, health, mortality, malignant neoplasms, hygiene standards.