CONTENTS

HEALTH AND SOCIETY

Ziyatdinov K.Sh., Shamsiyarov N.N., Shigapov B.G., Alyavetdinov R.I. Regional peculiarities of medico-demographic indices and sickness rate of population in the large municipal entity in the period of socio-economic reforms........................4

Galina T.V., Mitkovskaya E.V., Oparin I.S. Abortion as a method of regulation of birth rate.......................................................7

Chernobavskiy M.V. Socio-hygienic characteristics of the distribution of adolescent suicide mortality by week days ................ 9

Gabdrakhmanov N.K., Sherputovskiy V.G., Shamatova A.F. The analysis of an index of expected life-span at a birth in the Republic of Tatarstan..................13

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PROTECTION OF MATERNITY AND CHILDHOOD

Gerasimova L.I., Denisova T.G., Gruzinova E.N., Vasilyeva E.N. Weight Deficit as a Risk Factor of Reproductive Losses....18

Yusupova N.Z., Khakimova R.F., Dautov F.F. Allergic morbidity of children of women working at agricultural industry...........21

Zainutdinova I.I., Saifullina F.R., F.F. Dautov F.F. Influence of motor vehicle emissions on vision function of schoolchildren living in the area near the major highways..........................24

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HEALTH OF ECONOMICALLY ACTIVE POPULATION

Bunakova L.K. Prognostic estimation of risks of chronic dermatoses in the employees of the bodies of internal affairs...........27

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HEALTH CARE SPECIALIZED SERVICES

Gerasimova L.I., Viktorova L.V., Shuvalova N.V. The comparative analysis of morbidity of the blood vascular system diseases on ththe regional level...................................31

Podkovyrkin N.A., Polzik E.V., Lezhnin V.L., Kazantsev V.S., Yakusheva M.Yu., Shutova I.A. Complex evaluation of breast cancer risk factors...................................................34

Gimadeyev A.M., Yusupova L.A., Gatin F.F., Minullin I.K., Ibragimova R.Z., Stolyarov A.A., Bildyuk E.V., Khasanova R.Kh. Serological resistance in patients after treatment of syphilis in the Republic and evaluation of their burdened neurotic diseases........................................................39

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

Davletshin F.A., Solovova S.O., Petruchuk O.E. Hemorrhagic fever with renal syndrome in the Republic of Tatarstan and its preventive measures...............43

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EDUCATION AND PERSONNEL

Vakhitov Sh.M. , Blokhina M.V., Bakhtiozin B.V. Human Resource Management as a problem: symptoms and ways of solution.........................46

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ORGANIZATION AND IMPROVEMENT OF PROTECTION SYSTEM MANAGEMENT OF PUBLIC HEALTH

Valeyev Z.G. On mortality in hospitals in charge of emergency cases (literature survey)...........................................................49

Allenov A.M. Multivariate analysis methods in the public health control system........................................................................ 54

Yelovikov A.M., Podluzhnaya M.Ya., Lilenko S.V. Clinical and organizational approaches to diagnostics and treatment of оtosclerosis in the Perm Territory................................................................................................................. 58

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QUALITY OF MEDICO-SOCIAL SECURITY OF THE POPULATION

Perepyolkina N.Yu., Shmatov K.V. Use of two methods for assessment of the life quality of patients after dental prosthetics........................................................................ 62

Ryabchikov I.V., Pankov I.O., Ryabchikova E.N. Research on the health-related life quality of patients with intraarticular fractures of the knee joint in the course of medical rehabilitation............................................................... 65

Pogodina V.A. Social aspects of behaviour of the doctor and the patient in the process of forming the healthy way of life...... 68

Regional peculiarities of medico-demographic indices and sickness rate of population

in the large municipal entity in the period of socio-economic reforms

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

Abstract. Brief characteristics of medico-demographic processes and morbidity of the population of Kazan within the period of

15 years (from 1995 to 2009) in comparison to the Republican and all-Russia indices are presented. Both common tendencies being

formed in Russia, and peculiarities of positive and negative character have been detected in the dynamics of medico-demographic

indices and morbidity of population. The results of the carried out analysis can be used for development of appropriate activities

for correction of medico-demographic situation and decrease of the population sickness rate in the city of Kazan.

Key words: medico-demographic processes, morbidity, population, birth rate, death rate, city, Republic.

Abortion as a method of regulation of birth rate

T.V. Galina, E.V. Mitkovsk aya, I.S. Oparin

Abstract. In the article the problems of the legal and forbidden abortion, reproductive losses in the world and in the Russian

Federation are considered. Dynamics and structure of different kinds of abortion in Russia during 2003—2010, and also its

relative proportion as a reason of death in the structure of maternal losses is traced. The question of alternative application of

contraception is considered.

Key words: artificial and illegal abortions, reproductive losses, maternal death rate, contraception.

Socio-hygienic characteristics of the distribution of suicides among adolescent by week days

M.V. Chernobavskiy

Abstract. Based on materials on suicides of Russian adolescents of 15—19 years of age in the period of 2000—2009 the

distribution of the events within a week depending on the year season is precisely defined. The data have been obtained confirming

the concentration of suicides at weekends and at the beginning of working (studying) week. Convincing statistical arguments

concerning the role of holidays and examinations in the increase of suicide risk among adolescents have been obtained.

Key words: adolescents, suicides, week days.

The analysis of an index of expected life-span at a birth in the Republic of Tatarstan

N.K. Gabdrakhmanov, V.G. Sherputovsk iy, A.F. Shamatova

Abstract. The results of the analysis of the index of expected life-span at birth, as one of the estimates of the quality of life of

the population of Tatarstan Republic are presented in the article. As a result of the study the territorial and gender differentiation

has been revealed. The authors connect this with the specificity of work, negative deviations in life-style and neglecting people’s

own health. They suggest including the given index as the indicative one in estimation of the activity of heads of municipal entities

of the Republic of Tatarstan.

Key words: quality of life, expected life-span at birth.

Weight Deficit as a Risk Factor of Reproductive Losses

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

Abstract. Retrospective studies on pregnancy, labor activity and post-labor period of women with weight deficit have been

made. High prenatal risk of reproductive losses and also decrease of individual health quality of the newborn were determined,

that prove the necessity of in-depth clinical and laboratory examination of the pregnant women with WD at the early stage of

hospitalization to correct physical and obstetrical pathology and complications prevention.

Key words: weight deficit, high prenatal risk, pregnancy complications.

Allergic morbidity of children of women working at agricultural industry

N.Z. Yusupova, R.F. Khakimova, F.F. Dautov

Abstract. The integrated study on the working conditions of women employed in agriculture was conducted. It was found

that unfavourable microclimate and pollution of air environment with harmful chemical substances in concentrations exceeding

the MAC were the main risk factors of the working environment in agriculture. Survey on allergy in children demonstrates the

significantly higher prevalence of allergic diseases among children, whose mothers are engaged in agriculture.

Key words: agriculture, workers, working conditions, children, allergic diseases.

Influence of motor vehicle emissions on vision function of schoolchildren living

in the area near the major highways

I.I. Zainutdinova, F.R. Saifullina, F.F. Dautov

Abstract. The findings of the study of organ of vision in schoolchildren living in the vicinity of the major highways, and children

living in ecologically favourable area remote from major highways are presented. A hygienic assessment of environmental conditions

in the studied areas is given. A correlation between functional disorder of the vision organ and air pollution with motor vehicle

emissions is revealed. Thus, refraction abnormalities in the polluted area have been found in (25,2±0,76)% of schoolchildren,

while in the control group in (19,2±0,78)%. Correspondingly, the total conjunctival index was 6,98±0,26 and 3,64±0,19, dilution

of pigment in the optic disc occurred in 34,7% and 24,2% (p<0,05). Thus, more functional changes in the organ of vision have

been found in the group of schoolchildren living near the location of major highways compared to the control group. A moderate

correlation was found between the nature and intensity of air pollution and functional vision organ disorders in adolescents

(rxy = 0,68±0,127). The authors made a conclusion that prenosological diagnosis is important at the level of minor functional

changes in the organ of vision.

Key words: air, motor vehicle emissions, visual function in schoolchildren.

Prognostic estimation of risks of chronic dermatoses in the employees of the bodies of internal affairs

L.K. Bunakova

Abstract. The study was carried out with the aim of evaluation of chronic dermatoses (ChD) course influence on possible

prognoses of further service of the employees of the bodies of internal affairs (BIA). Based on the analysis of regular medical

check-up the study findings have been processed using methods of mathematical statistics with the aim of revealing indices which

influenced with certainty the term of service in the Ministry of Internal Affairs. The created prognostic table allows to estimate

the risk of ChD onset. BIA employee may be subject to dismissal since according to the results of the prognostics chronic skin

disease will not allow him to carry out his duty perfectly.

Key words: regular medical check-up, patients with chronic dermatosis from among the employees of BIA, risks of chronic

dermatosis onset, prognostics of risks.

The Comparative Analysis of Morbidity of the Blood Vascular System Diseases

on the Regional Level

L.I. Gerasimova, L.V. Viktorova, N.V. Shuvalova

Abstract. The blood vascular system diseases take the first place among the causes of mortality in the world. In Russia

this indicator is higher than in the western countries. Here is the comparative analysis of morbidity of the blood vascular system

diseases in the Chuvash Republic within 10 years.

Key words: the blood vascular system diseases, morbidity, mortality, disability.

Complex evaluation of breast cancer risk factors

N.A. Podkovyrkin, E.V. Polzik, V.L. Lezhnin, V.S. Kazantsev, M.Yu. Yakusheva, I.A. Shutova

Abstract. The article presents the study results of breast cancer risk factors. With the help of methods of multifactorial analysis

the following was done: 1) strong association of breast cancer with a well-known genetic marker — character of dermatoglyphs

(finger and palm prints) was found; 2) a system of 13 genetic and non-genetic risk factors, characterized by high prognostic ability

was revealed. The pilot study showed that the breast cancer risk group among the females in an industrial town amounted to

about 16%. Application of the developed methodology will allow increasing the effectiveness of early diagnosis of breast cancer

among female population.

Key words: breast cancer, risk factors, multifactorial analysis.

Serological resistance in patients after treatment of syphilis in the Republic of Tatarstan and evaluation of their burdened neurotic diseases

A.M. Gimadeyev, L.A. Yusupova, F.F. Gatin, I.K. Minullin, R.Z. Ib ragimova, A.A. Stolyarov, E.V. Bildyuk, R.Kh. Khasanova

Abstract. Data on retrospective analysis of outpatients’ cards of 238 patients with diagnosed serum resistance after treatment

of syphilis, registered in 2010 in the city of Kazan and Tatarstan regions are shown. The greatest number of these patients were

found in the age group of 40 or more years of age (36,6%). Lack of negative classical serological reactions most commonly

was observed after the specific treatment of early latent syphilis (66,4%). In patients with serological resistance after treatment

of syphilis neurotic states with the predominance of asthenia and affective disorders were recorded. Increasing the number of

such patients after treatment of early acquired syphilis and the presence of neurotic disorders among them makes it urgent to

study this problem.

Key words: syphilis, serological resistance.

Hemorrhagic fever with renal syndrome in the Republic of Tatarstan and its preventive measures

F.A. Davletshin, S.O. Solovova, O.e. Petruchuk

Abstract. The socio-economic significance of hemorrhagic fever with renal syndrome (HFRS) and its prevalence during the

last (1997-2009) years in the Republic of Tatarstan and other entities of the Russian Federation are shown. Specific prevention

of HFRS is not worked out. For the realization of preventive arrangements for HFRS, it is important to have a positive solution

of the questions concerning deraturation resources provision in epidemic foci from the local budgets in all the cities and districts

of RT. It is also important to take active measures in hygienic education of population on HFRS preventive measures with the

involvement of mass media.

Key words: hemorrhagic fever with renal syndrome (HFRS), acute viral natural focal disease, epizootic and epidemic situation,

risk factor, medical prevention, hygienic education of population, complex of deraturation measures.

Human Resource Management as a problem: symptoms and ways of solution

Sh.M. Vakhitov , M.V. Blokhina, B.V. Bakhtiozin

Abstract. The purpose of the work was to identify the main paths of development of technologies of personnel management

in health care. The authors identified the symptoms and gave a modern formulation of the problem of improving the efficiency

of personnel management. The authors proposed the basic directions and types of work in human resources management in

health care, including both the rational use of existing technologies of personnel management in health care institutions activity

and the development of technologies of personnel management specific for medical institutions. Article materials can be used

in the educational process of training and professional retraining of managers of health care, as well as in professional activities

of managers of clinics of various types.

Key words: personnel management, problem, development of personnel management.

On mortality in hospitals in charge of emergency cases (literature surv ey)

Z.G. Valeyev

Abstract. The current situation concerning the actual problem — hospital mortality among patients who are admitted on

the basis of emergency conditions to in-patient hospital departments in charge of emergency cases — is analysed. Study of

clinical statistical peculiarities of mortality in hospitals in charge of emergency cases will allow to offer preventive measures for

reducing the level of mortality and eliminating reasons causing conditionally preventable and preventable outcomes, to develop

organizational actions in order to improve the medical diagnostic process and the qualification of the staff.

Key words: hospital mortality, emergency hospitals.

Multivariate analysis methods in the public health control system

А.М. Allenov

Abstract. Data are presented on the use of multivariate analysis methods in preparing administrative decisions aimed at

improving the epidemiological situation related to cardiovascular diseases. By the example of Sverdlovsk region, it is shown that

different incidence rates of ischemic heart disease and cerebrovascular diseases and mortality from them in municipal districts

are a result of a complex combination of medical-and-administrative, socioeconomic, and demographic factors, among which

the human and resource capacities of the local cardiology divisions and of the healthcare systems on the whole are the most

important.

Key words: cardiovascular diseases, public health control, multivariate analysis.

Clinical and organizational approaches to diagnostics and treatment of оtosclerosis in the Perm Territory

A.M. Yelovikov, M.Ya. Podluzhnaya, S.V. Lilenko

Abstract. Otosclerosis incidence in the Perm Territory is much more low, than in the world and makes 0,1±0,16 in a 1000 of

population. Patients with otosclerosis make 3,03±0,14% of the total number of hospital patients of otorhynolaryngologic department

and 12,66±0,62 of the number of patients with a pathology of middle and internal ear. 68,55±2,51 of 100 patients with otosclerosis

belonged to the age group from 31 till 50 years. The diagnostic algorithm of otosclerosis and measures on increase of the level

of diagnostics of the given disease are suggested.

Key words: otosclerosis, prevalence of otosclerosis, medical-and-demographic indicators, diagnostics of otosclerosis, the

Perm Territory.

Use of two methods for assessment of the life quality of patients after

dental prosthetics

N.Yu. Perepyolkina, K.V. Shmatov

Abstract. A scientific justification and proof of the importance of life quality study of patients with dental pathology who

addressed for the stomatological help are presented. A sociological interrogation was carried out with the use of two methods

including questioning with international russified questionnaires MOS SF 36 & OHIP-14. As a result, the life quality after prosthetics

improved in most of patients

Key words: life quality, prosthetics.

Research on the health-related life quality of patients with intraarticular fractures of the knee joint in the course of medical rehabilitation

I.V. Ryabchikov, I.O. Pankov, e.N. Ryabc hikova

Abstract. The aim of the study is the examination of health-related quality of life of 60 patients with intraarticular fractures

of the knee joint after surgical treatment in the period of rehabilitation. The research was carried out in 2010—2011 with the use

of the Medical Outcomes Study 36-Item Short Form Health Survey questionnaire. According to the collected data (p<0,05) the

general health (GH — 74,7), social functioning (SF — 45), vitality (VT — 65,6) and mental health (MH — 71,5) of patients after

surgical treatment are worse than in the control group (GH — 75,7; SF — 46,4; VT — 69,1; MH — 75,7). The expediency of

working out and introduction of a complex of the actions carried out for improvement of health-related quality of life of patients

in the postoperative period is shown.

Key words: health-related quality of life, MOS SF-36, intraarticular fracture of the knee joint, medical rehabilitation.

Social aspects of behaviour of the doctor and the patient in the process of forming the healthy way of life

V.A. Pogodina

Abstract. The social aspects of behavior of the doctor and the patient in the process of forming the healthy way of life are

studied using a questionnaire. Doctors and patients of two out-patient departments and one city hospital of Novosibirsk from 19 till

60 years of age in the number of 1 744 persons, including 1 530 patients and 214 doctors participated in the research. The data

obtained during questioning has allowed formulating a conclusion that the behavior of the doctor and the patient in realization of

a healthy way of life is determined by understanding the social value of health, social contact, social norm and role behavior in

communicating. The point of view of patients is defined by that the patient should know about diseases, and the doctors’ point

of view is defined by his high professional qualification on drawing up of individual measures on forming a healthy way of life.

The opinions of all the respondents coincided in that the patient and the doctor: 1) don't understand and don't trust each other,

2) don't know their rights, 3) consider only patients to be responsible for conducting a healthy way of life, and 4) have to develop

standards of a dialogue between them.

Key words: healthy way of life, value of health, social contact, role behavior.

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