CONTENTS

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HEALTH AND SOCIETY

Ziyatdinov K.Sh., Shamsiyarov N.N., Alyavetdinov R.I., Shigapov B.G. Medico-demographic situation and population health at the turn of XX and XXI centuries....................................................................................................... 5

Kuzmin A.G., Vishnyakov N.I., Martynova N.A. Analysis of traffic accidents in SBHI of Vologda region during 2004—2008 years.............................10

Dulskiy V.A., Mozerova E.M. Circadian fluctuations of the mortality from cardiovascular diseases among women for 13 years of supervision......15

Toshmatov J.A., Kholmatova R.S., Yunusova Z.I., Karimzoda Kh.J., Khudzhamkulov B.Yo. Eye diseases in the Republic of Tajikistan..............20

Gerasimova L.I., Denisova T.G., Gruzinova E.N., Vasilyeva E.N. Monitoring of Reproductive Health State of Teenage Girls in the Chuvash Republic......23

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PROTECTION OF MATERNITY AND CHILDHOOD

Shishovа A.V., Zhdanovа L.A. Perspective directions in the development of schoolchildren health care within the realization of the conception for health centers activity upon the pupils health formation................................................25

Zelinskaya D.I., Shiryayeva L.V. Assessment of lack of health in children with diseases of endocrine system using DALY index...........................27

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HEALTH OF ECONOMICALLY ACTIVE POPULATION

Bakirov A.B., Timasheva G.V., Karimova L.K., Badamshina G.G. Influence of various combinations of harmful substances on metabolic processes in workers of petrochemical manufacture.....................................................................33

Masyagutova L.M., Bakirov A.B., Yanbukhtina G.A., Sleptsova A.I. The impact of the air microbial dissemination on the nasal and faucial mucosa in poultry female workers....................................................................................................37

Agafonov A.A., Blashkova S.L., Dautov F.F. Prevalence of dental caries and parodentium diseases among the workers of thermal power station.....................42

HEALTH PROTECTION OF ELDERLY

Reznikova T.N., Artemuk N.I., Seliverstova N.A. Psychological health of elderly persons......................................................45

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HEALTH CARE SPECIALIZED SERVICES

Giniyatullin I.I., Gilyazeva V.V., Shaikhutdinova A.I. To the issue of stomatologic rehabilitation with dental caries and its complications.....................47

Nesterov O.V., GalimovR.A., Ksembayev S.S., Ignatyeva O.I. Factors aggravating the course of acute odontogenic pyoinflammаtory diseases at the pre-admission and hospital treatment stages.................. 50

Sapozhnikov M.Yu., Sapozhnikovа A.A., Pavlov A.F., Sapozhnikovа S.Yu., Solovyeva E.L., Sapozhnikovа E.V., Kurchina I.A. Clinical efficacy of laser reflexotherapy in exertional angina........................................................................... 54

 ORGANIZATIONAL-AND-ADMINISTRATIVE QUESTIONS OF SANITARY-AND-EPIDEMIOLOGIC SERVICE

Davletshin F.A. Malaria in the Republic of Tatarstan and its prevention........ 59

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MEDICAL INSURANCE

Kharisov I.F., Afanasieva Z.A. Legal status of Federal fund and territorial funds of obligatory medical insurance of the Russian Federation...................... 63

1 1 34 14.0 INFORMATION SUPPORT OF HEALTH CARE

Khabirov F.A., Safiullin R.S., Shakirova D.K., Khaibullin T.I., Dun O.A. The topicality of automation of pharmacoeconomic analysis concerning the use of drugs in the treatment of multiple sclerosis....................................... 68

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ORGANIZATION AND IMPROVEMENT OF PUBLIC HEALTH PROTECTION SYSTEM MANAGEMENT 

Nizamov I.G., Sabirov L.F. Complex estimation of productivity of the sanatorium-and-spa care............................................... 71

Lazarev V.N., Martusevich A.K., Bukhvalov S.A. Optimization of palliative care system organization in «megapolis — region» complex.................... 75

Dinmukhametov A.G., Kovalev M.I. Organization of medical-and-evacuation measures and ways of their improvement in accidents at the industrial objects of the Republic of Tatarstan containing accidental chemically dangerous substances............................................. 79

Tarasova Yu.G. The introduction efficiency of the algorithms of management of the patients with the inflammatory parodentium disease in the dental institutions of the Udmurt Republic..................................................................................85

Medico-demographic situation and population health at the turn of XX and XXI centuries

K.Sh. Ziyatdinov, R.I. Alyavetdinov, N.N. Shamsiyarov, B.G. Shigapov

Abstract. In the article medico-demographic processes and population health at the end of the XX and at the beginning

of XXI century in Russia as well as abroad are reflected. Objective of the work is the assessment of the condition of medicodemographic

situation and population health for last decades. The work is performed in the form of analysis of literary sоurces

concerning questions of birth rate, death rate, a natural increase of population, morbidity. It can represent a scientific interest for

practical healthcare, demographers and other experts in the field of medical demography and population health. Actuality of the

problem of studying the condition of medico-demographic situation and population health at the level of large municipal formation

in the modern socio-economic conditions is shown.

Key words: medico-demographic situation (processes), birth rate, death rate, infant mortality, morbidity, men, women.

Analysis of traffic accidents in SBHI of Vologda region during 2004—2008 years

A.G. Kuzmin, N.I. Vishnyakov, N.A. Martynova

Abstract. The dynamics of traffic accidents in Vologda region for five years is shown. Traffic accidents with fatal outcome in

municipal formations of Vologda region are analyzed, seasonal component in trends of the main indices on the number of victims

and being lost in the traffic accidents is presented.

Key words: traffic accidents, victims and being lost in traffic accidents.

Circadian fluctuations of the mortality from cardiovascular diseases among women for 13 years of supervision

V.А. Dulsk iy, E.M. Mozerova

Abstract. The aim of the work was to study circadian fluctuations of the mortality from cardiovascular diseases (CVD) among

women depending on day of week, month of a year, a season, transition into daylight saving time. The prospective study over

13 years included 5 597 women at the age of 15 years old and older. According to the data of supervision the mortality from

CVD was 176.1 per 1 000. The greatest mortality rate was observed on Sunday, the least — on Tuesday and on Thursday. The

greatest mortality from cardiovascular diseases was observed in winter; the least — in spring. Statistically significant distinctions

in mortality from cardiovascular diseases depending on a month of а year weren’t revealed. Mortality rate on Monday in winter

practically 2 times exceeded mortality rate on Monday in autumn. Dependence of the rate of mortality from cardiovascular

diseases among women on transition into daylight saving time was not revealed. The field of application of obtained data can

be epidemiology, preventive cardiology.

Key words: women, the cardiovascular mortality rate, day of a week, a season, month of a year, daylight saving time.

Eye diseases in the Republic of Tajikistan

J.A. Toshmatov, R.S. Kholmatova, Z.I. Yunusova, Kh.J. Karimzoda, B.Yo. Khudzhamkulov

Abstract. The article presents data characterizing the structure for eye diseases incidence among the population of Tajikistan

and dynamics of its changes. It is established, that the eye diseases incidence grows in thе country, including such socially

significant diseases as glaucoma and myopia. The level of registered ophthalmologic disease rate in Tajikistan is significantly

lower than in Russian Federation, besides there are also some differences between the regions of Tajikistan. It is shown that the

main reason for it is lack of ophthalmologists and unevenness of their distribution around the territory of Tajikistan.

Key words: eye and ocular system diseases, disease incidence, Tajikistan.

Monitoring of Reproductive Health State of Teenage Girls in the Chuvash Republic

L.I. Gerasimova, T.G. Denisova, E.N. Gruzinova, E.N.Vasilyeva

Abstract. The results of preventive examination of girls are presented and their complaints at the gynecologist consultation

are analyzed. The main deviations in reproductive health state of girls up to 18 year old in the Chuvash Republic are detected.

Key words: reproductive health of girls, disorders of menstrual function, delayed sexual development.

Prоspective directions in the development of schoolchildren health care within the realization of the conception for health centers activity upon the pupils health formation

A.V. Shishovа, L.A. Zhdanovа

Abstract. Schoolchildren health care has a lot of problems and it requires the new conception for its development. The

normocentric approach must be the basis of this conception. Medical workers and teachers interaction during preventive

examinations in educational institutions is necessary to reveal the child’s individual peculiarities and to create the common

program of his medical and pedagogical accompaniment in educational process. The optimization of such activity is possible with

drawing in the specialists and equipment of health centers and also with the development of the net of schools which contribute

to health strengthening.

Key words: schoolchildren health care, health centers, individual approach, medical and pedagogical interaction.

Assessment of lack of health in children with diseases of endocrine system using DALY index

D.I. Zelinskaya, L.V. Shiryayeva

Abstract. The results of studying the tendencies of primary and general morbidity, disability in endocrine system diseases and

diabetes mellitus in RF, CFO and Kaluga region are presented. Calculations of losses of years of healthy life in children population

of Kaluga region due to diabetes mellitus are made. Based on the obtained data a conclusion is made that endocrine system

diseases in children, in spite of their low share in the structure of general morbidity, make their contribution to the health loss in

children population, mainly at the expense of disability. Among endocrine pathologies maximal health losses occur because of

morbidity and disability caused by diabetes mellitus. Suggestions are made on optimization of organizing medical care to children

in diseases of endocrine systems.

Key words: endocrine system diseases, diabetes mellitus, morbidity, disability, losses of years of healthy life, DALY index.

Influence of various comb inations of harmful substances on metabolic processes in workers of petrochemical manufacture

A.B. Bakirov, G.V. Timasheva, L.K. Karimova, G.G. Badamshina

Abstract. Data of haematological, cytochemical, biochemical examination of workers of the petrochemical manufacture which

are exposed to impact of aromatic hydrocarbons oxides of olefins, a mix of aromatic hydrocarbons and oxides of olefins are

presented. In the workers who are exposed to combined impact of a mix of aromatic hydrocarbons and oxides of olefins the most

significant metabolic disorders in the form of disbalance in the system «lipid peroxidation — antioxidant defence», destabilizations

of cellular membranes and membranes of organelles, a syndrome of endogenous intoxication, disturbances of lipids exchange

processes are established. The revealed disorders of metabolic processes can be preconditions for development of initial forms

of occupational diseases in workers.

Key words: haematological, cytochemical and biochemical examinations, lipid peroxidation, antioxidant defence, petrochemical

manufacture.

The impact of the air microbial dissemination on the nasal and faucial mucosa in poultry female workers

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

Abstract. The results of evaluation of air microflora of poultry premises and the state of microbiocenosis as well as natural

protective factors of the upper respiratory mucosa in female workers of up-to-date poultry complexes under the conditions

of combined impact of occupational factors are presented. It has been shown that gram negative bacteria predominate in air

microflora of poultry premises. Among those bacteria, the number of conditional pathogenic enterobacteria is 62,4±5,91%,

non-enzyme bacteria — 33,6±3% (in all the shops). The total content of microorganisms in the poultry air ranges from 400

CFU/m3 to 8000 CFU/m3. It has been found that a group of poultry workers in charge of the parental flock and bird fattening

compared with workers of incubator shop or the administration personnel is characterized by a great variety of microbe flora

of nasal mucosa. Staphylococcus and Streptococcus make up basic microflora of the nasal mucosa. In workers exposed to

biological dust there is evidence of a marked decrease in the total number of nasal epithelial cells. Results of microbiological

studies on faucial mucosa related to detected otolaryngologic disorders have shown that with diseases of the upper respiratory

system, the incidence rates of pathogenic cocci isolation in female workers of the poultry complex is 2,5 times higher than in

the control group.

Key words: poultry, rhinocytologic indicators, microbiological investigations of fauces and nose, microbiological air

pollution.

Prevalence of dental caries and parodentium diseases among the workers

of thermal power station

A.A. Ag afonov, S.L. Blashkova, F.F. Dautov

Abstract. Impact of harmful industrial factors in the shops of thermal power station on dental diseases incidence among

137 workers is studied. It is established, that the prevalence of dental caries and parodentium diseases in the main group is

higher, than in the control group (p>0,001). The peculiarities of prevalence of dental caries and parodentium diseases depending

on age and length of service of a worker are stated. On the basis of results of the study it is developed the complex of preventive

measures aimed to improve the conditions of labour and lower the dental diseases incidence in workers.

Key words: conditions of labour, dental diseases incidence, harmful substances, preventive measures.

Psychological health of elderly persons

T.N. Reznikova, N.I. Artemuk, N.A. Seliverstova

Аbstract. Modern problems of protection of psychological health are discussed. The factors influencing psychological health

and necessary measures for preservation and maintenance of a positive mental state of elderly people are considered.

Key words: psychological health, elderly people, aging, prevention, rehabilitation.

To the issue of stomatologic rehabilitation with dental caries and its complications

I.I. Giniyatullin, V.V. Gilyazeva, A.I. Shaikhutdinova

Abstract. The review of literature on modern stomatology is presented. The purpose, principles of stomatologic rehabilitation

in the modern system of treatment-and-prophylactic measures are described, a comprehensive approach to stomatologic

rehabilitation in case of dental caries and its complications is grounded.

Key words: stomatologic rehabilitation, dental сaries and its complications, comprehensive approach.

Factors aggravating the course of acute odontogenic pyoinflammа tory diseases at the pre-admission and hospital treatment stages

O.V. Nesterov, R.A. Galimov, S.S. Ksembayev, O.V. Ig natyeva

Abstract. One of the burning issues of modern dentistry is an acute odontogenic infection. To reveal the factors adversely

affecting the course of acute odontogenic pyoinflammatory diseases, a retrospective medical histories analysis of 285 patients

with this pathology was made. The study resulted in determination of the patients’ cohort according to age and sexual identity, the

morbidity peak time, as well as in revealing a number of factors affecting unfavorably the course of the disease. An appropriate

and timely assessment of these factors can contribute to the decrease of the hospitalized patients’ level and their treatment

efficacy at the pre-admission and hospital treatment stages.

Key words: an acute odontogenic infection, acute odontogenic pyoinflammatory diseases, maxillofacial surgery.

Clinical efficacy of laser reflexotherapy in exertional angina

M.Yu. Sapozhnikov, A.A. Sapozhnikovа, A.F. Pavlov, S.Yu. Sapozhnikovа, E.L. Solovyeva, E.V. Sapozhnikovа, I.A. Kurchina

Abstract. The results of treating 251 patients with exertional angina by low-intensity laser therapy on acupuncture points are

presented. Verification of the diagnosis of exertional angina was done using the load bicycle stress test. The effect of this method

on clinical symptoms of angina is described. The method is recommended for use in the treatment of exertional angina.

Key words: exertional angina, laser therapy, clinical manifestations.

Malaria in the Republic of Tatarstan and its prevention

F.A. Davletshin

Abstract. The data on modern situation concerning malaria in the world and registration of its constant delivery to Russia from

endemic countries of CIS and other foreign countries are given. Often the consequences are severe. The data on different forms

of malaria in the region, its main carriers (complex An.maculipennis) and vector control of malaria transmitters in the Republic of

Tatarstan are presented. It is shown that the problem of malaria carriers control is first of all organizational and socio-economic

problem which has the important peculiarity: it is connected with anthropogenic transformation of the nature. The crucial role in

enhancement of possibilities in prevention of malaria extension should be played by training of the medical professionals of all

levels.

Key words: мalaria, causative agent of malaria, form of malaria, malaria carrier, phenology and season of malaria transmission,

epidemiological significance of forms, «complex» An.maculipennis, malariogenity of a territory, epidemic (epidemiological) year,

antimalarial measures, prevention of malaria.

Legal status of Federal fund and territorial funds of obligatory medical insurance

of the Russian Federation

I.F. Kharisov, Z.A. Afanasieva

Аbstract. Problems of definition of a legal status of Federal fund and territorial funds of obligatory medical insurance of the

Russian Federation have been considered. The mentioned funds, not being public authorities, implement the state functions

and actually carry out the activity within the limits of system of public authorities, and also possess a number of authoritative

powers. There is no definition concerning their organizational-legal form as noncommercial organizations. The authors thoroughly

analyze changes in the legislation on obligatory medical insurance and the project of the federal law on the state social funds.

The conclusion is drawn that acceptance of the federal law on the state social funds is a timely and logical solution of the problem

of definition of a legal status of Federal fund and territorial funds of obligatory medical insurance.

Key words: state social funds, Federal fund of obligatory medical insurance, territorial funds of obligatory medical

insurance.

The topicality of automation of pharmacoeconomic analysis concerning the use of drugs in the treatment of multiple sclerosis

F.A. Khabirov, R.S. Safiullin, D.Kh. Shakirova, T.I. Khaibullin, O.A. Dun

Abstract. The literary data on contemporary tendencies of therapy of multiple sclerosis and specific character of its drug

therapy are studied and summarized. Indices of multiple sclerosis morbidity and volumes of the financial expenses on medicines

for treatment of multiple sclerosis in the Republic of Tatarstan are analyzed. Information search of modern pharmacoeconomic

researches in the drugs use for treatment of multiple sclerosis is made. The necessity for using computer technologies for the

rationality of drugs prescription in the treatment of multiple sclerosis is identified.

Key words: multiple sclerosis, morbidity, pharmacoeconomics, rationality of drug prescription, the Republic of Tatarstan.

Complex estimation of productivity of the sanatorium-and-spa care

I.G. Nizamov, L.F. Sabirov

Аbstract. The algorithm of a complex estimation of activity of sanatorium-and-spa institutions developed by authors is presented.

The analysis of medical effectiveness of treatment of patients in sanatorium is carried out. Availability of sanatorium-and-spa

services to the population, satisfaction of patients with the quality of work of sanatorium is studied. The economic estimation

included studying the indicators characterizing economic efficiency of sanatorium-and-spa institution. The research has shown

increase of effectiveness of the sanatorium-and-spa care rendered to the population during 2005—2009.

Key words: sanatorium-and-spa institutions, algorithm, economic estimation, analysis, effectiveness.

Optimization of palliative care system organization in «megapolis — region» complex

V.N. Lazarev, A.K. Martusevich, S.A. Bukhvalov

Abstract. Aim of this paper is making of unified regional model of palliative care organization at large region, including

megapolis. This model includes a complex of organization events, directed to systematize the palliative care structure in megapolis

and region. Peculiarities of its implementation in megapolis and outside of it are taken into account. Variants of interaction between

primary and secondary (qualified and specialized care) health care institutions of palliative care in common organization structure

are shown.

Key words: hospice, palliative care, organization structure, organization model.

Organization of medical-and-evacuation measures and ways of their improvement in accidents at the industrial objects of the Republic of Tatarstan containing accidental chemically dangerous substances

A.G. Dinmukhametov, M.I. Kovalev

Abstract. The results of intensive analysis of the possibilities of the Health service of the Republic of Tatarstan in medicaland-

evacuation support on the basis of medico-sanitary forecasting of care to the victims of emergency situations of chemical

origin, of providing resources to the territorial service of disaster medicine, of the prospects of its formation and development in

the light of experience gained by the Health service in our country and abroad in liquidation of medico-sanitary consequences

of accidents and disasters for guaranteed providing medical care to the population in cases of damage by ACDS. Based on the

analysis the ways of improvement of organization of rendering medical care to the injured by ACDS have been offered.

Key words: ACDS (accidental chemically dangerous substances), CDO — chemically dangerous objects, medical-andevacuation

measures (MEM), medico-sanitary forecasting, disaster medicine service.

The introduction efficiency of the algorithms of management of the patients

with the inflamm atory parodentium disease in the dental institutions of the Udmurt Republic

Yu.G. Tarasova

Abstract. The results of the investigation showing that the introduction of the algorithms of management of the patients

with the inflammatory diseases of paradentium, proper documentation, methods and the criteria of treatment assessment into

5 treatment-and-prophylactic institutions of the Udmurt Republic, allowed to unify the organization of the patients’ reception with

this pathology, to systematize the size of the diagnostic and treatment manipulations, to objectify the indices of the parodontologic

care. All these aspects, in their turn, allowed to improve the quality of the treatment of the patients with the parodentium disease

in the treatment-and-prophylactic institutions of the different levels.

Key words: quality examination, quality criteria, the parodentium diseases, algorithms of treatment, the Udmurt Republic.

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