Vol 61, No 3 (2017)

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Full Issue

SOCIAL HYGIENE AND HEALTH CARE ORGANIZATION

THE PREVENTABLE CAUSES OF DEATH IN RUSSIA AND IN THE EU COUNTRIES

Sabgayda T.P.

Abstract

To analyze functioning of health care systems in the European countries, a new listing of preventable causes of death was developed, ignoring impact of policy of population health protection. The following question is arising: does proximity of rates of more than ten-year decreasing of preventable and non-preventable mortality in Russia is conditioned by occurred necessity of adjustment of listing of preventable causes? The study was carried out to investigate applicability of the new listing of preventable causes for analyzing mortality of population of Russia. The comparative analysis was applied to dynamics of preventable mortality evaluated according two listings for Russia and EU countries up to May 2004 (Holland W., 1997; Nolte E., McKee M., 2004). In both listings the causes were assorted in three levels of mortality prevention. The information of European mortality database WHO/Europe was used. The analysis concerned males and females aged from 25 to 64 years during 1999-2013. The results of analysis of dynamics of preventable mortality in the EU counties substantially depend on listing of preventable causes whereas in Russia this dependency is observed only during analysis of female mortality. For the EU countries it is inexpediently to consider causes depending on primarily prevention of diseases as related to controllable mortality. However, in Russia these causes have a crucial impact on level and dynamics of mortality. So, in Russia the old listing of preventable causes continues to be actual and the new listing can be applied only as additional source of information to results of evaluation of functioning of health care system developed on the basis of the old listing.
Health Сare of the Russian Federation. 2017;61(3):116-122
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THE MORBIDITY OF MAMMARY GLAND CANCER OF FEMALE POPULATION OF THE SIBERIAN FEDERAL DISTRICT

Odintsova I.N., Pisareva L.F., Ananina O.A., Panferova E.V.

Abstract

The breast cancer is one of main localizations among malignant tumors in women of the Siberian Federal District. In the structure of morbidity it holds first place with such percentage as 20.4% and index of morbidity makes up to 51.2 per 100 000 of female population. The territories with increased and decreased risk are established. The features of prevalence of disease in a certain degree are conditioned by differences in demographic characteristics of populations. The indices of life-span, birth-rate in fertile age and divorce rate effect the level of morbidity of breast cancer in population.
Health Сare of the Russian Federation. 2017;61(3):123-128
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THE EVALUATION OF RISK OF DEVELOPMENT AND COURSE OF BRONCHIAL ASTHMA ON THE BASIS OF POLYMORPHISM OF GENE TNFA

Mukhammadieva G.F., Kutlina T.G., Karimov D.O., Valova Y.V., Serebryakov P.V., Melent’Ev A.V., Bakirov A.B., Shagalina A.U., Idiyatullina E.F.

Abstract

The bronchial asthma is one of the most widespread multi-factorial diseases developing in interaction of environmental and genetic factors. The purpose of this study was to analyze association of polymorphism of gene TNFA with risk of development of bronchial asthma considering clinical form of disease. The polymerase chain reaction technique was applied to analyze polymorphic locus rs1800629 of gene TNFA in patients with bronchial asthma (n=133) and control group (n=195). The analysis of rate of polymorphism of gene TNFA established reliable increasing of rate of allele A in group of patients with bronchial asthma as compared with control sample. According the coefficient of chances ratio, the risk of development of bronchial asthma if there is allele A of polymorphic locus rs1800629 of gene TNFA increases more than twice (OR=2,53; 95% CI 1,45-4,43). At that, various firms of bronchial asthma have specific features in distribution of rates of genotypes of polymorphic locus rs1800629 of gene TNFA. It is demonstrated that among agents of genotypes GA of polymorphic modification of rs1800629 of gene TNFA patients with mixed form of bronchial asthma were found more frequently than among agents of genotypes GG. The obtained results provide ground to suppose that polymorphic modification of rs1800629 of gene TNFA shows certain damaging effect under various clinical forms of bronchial asthma.
Health Сare of the Russian Federation. 2017;61(3):128-132
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PREVENTION OF INFECTIOUS DISEASES

THE CHARACTERISTICS OF MANY YEARS DYNAMICS OF MORBIDITY OF INFECTIONS RELATED TO MEDICAL CARE SUPPORT IN THE REPUBLIC OF TATARSTAN

Ziatdinov V.B., Trukhina G.M., Badamshina G.G., Krestnikova L.V.

Abstract

The retrospective epidemiological study was carried out concerning infections related to medical care support registered in population on the territory of the Republic of Tatarstan in 2002-2015. The reason of such a study was because of late identification and registration of infections related to medical care support, significant damage to population health, development of complications in significant percentage of hospitalized patients and necessity of investigation of patterns of development and outspread of nosocomial infections. The epidemiological analysis was implemented using report form of the Federal statistical observation № 2 of the Federal service of control of sector of defense of rights of consumers and human well-being “The data of infectious and parasitic infections”. The dynamics, structure of many years morbidity and main parameters of manifestation of epidemic process were investigated. The derived data was used as a basis to provide epidemiological characteristic of many years' dynamics of various classes of infections related to medical care support. The indices of morbidity are calculated with consideration for average annual population size. The priority nosologic forms of infections related to medical care support were established concerning newborns (pyodermatitis, conjunctivitis, pneumonia, omphalitis, sepsis, etc.), puerpera (pyo-septic infections, mastitis, sepsis), adult population (postoperative and post-injection complications, infections of urinary tracts, nosocomial pneumonia, viral hepatitis, etc.) which dynamics was characterized by positive and negative rate of increment of indicator. The obtained data was compared with indices represented in national and foreign publications. The implemented study testifies the necessity of development of measures epidemiological monitoring of decreasing of morbidity because of infections related to medical care support in medical organizations.
Health Сare of the Russian Federation. 2017;61(3):133-137
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THE EPIDEMIOLOGICAL ANALYSIS OF GROUP MORBIDITY OF ACUTE INTESTINAL INFECTIONS OF WATER ETIOLOGYON THE TERRITORY OF THE ARKHANGELSK REGION

Baydakova E.V., Unguryanu T.N., Tulakin A.V.

Abstract

The analysis of group morbidity of acute intestinal infections of water etiology was implemented in the Arkhangelsk region in 2000-2016. During the mentioned period, 183 ictuses were registered and 22 out of them (12%) had water way of transfer with 796 individuals as a total number of victims and 498 out them were children aged from 0 to 17 years. The ictus morbidity of acute intestinal infections realizing through water way, is characterized by high intensity of epidemiological process. The index of nidality made up to 36 victims per 1 water ictus. The cities and regions of occurrence of niduses (Arkhangelsk, Novodvinsk, Primorskiy, Plesetskiy and Holmogorskiy districts) relate to territories with surface drinking water source (Severnaya Dvina river). In etiological structure of water ictuses prevail cases of ictus morbidity of dysentery (63.7%), rotavirus infection (22.7%), ictuses of enterovirus infection (13.6%) and opportunistic flora (13.6%).
Health Сare of the Russian Federation. 2017;61(3):138-142
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CHILDREN AND ADOLESCENTS’ HEALTH

THE DETERMINANTS OF ADAPTIVE RESOURCES OF ORGANISM OF ADOLESCENTS OF VARIOUS REGIONS

Kryuchkova E.N., Istomin A.V., Saarkoppel’ L.M., Yatsyna I.V.

Abstract

The features of factual nutrition, indices of metabolism processes, immunity condition and adaptation potential of organism of adolescents of the Far North and middle zone of the Russian Federation are examined. The regional features of immunologic and biochemical indices of schoolchildren health condition. The analysis of correlation relationship between clinical laboratory indices of metabolism processes, immunity and antioxidant status of schoolchildren testifies condition of adaptive tension, more intensively expressed in schoolchildren of the Far North.
Health Сare of the Russian Federation. 2017;61(3):143-147
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PROBLEMS OF SOCIALLY SIGNIFICANT DISEASES

THE GENDER AGE AND SOCIAL ECONOMIC CHARACTERISTICS OF ALCOHOL CONSUMPTION

Maksimov S.A., Danil’Chenko Y.V., Tabakaev M.V., Mulerova T.A., Indukaeva E.V., Artamonova G.V.

Abstract

The methods. The study was implemented within the framework of epidemiological study “The epidemiology of cardio-vascular diseases in the Russian Federation” (ESSE-RF). The analysis was applied to random sampling of male and female population aged from 25 to 64 years (1628 respondents in totality) residents of the Kemerovo region. The type of consumed alcoholic beverages, rate of consumption, average volume of alcohol consumed per one intake were analyzed. The genuine technique was applied to calculate annual volume of consumed alcohol and also to convert volumes of various types of alcoholic beverages in units of “safe” dosage of ethanol. The results. The most preferred alcoholic beverage are vodka (60.6%), beer (51.7%) and vine (52.2%). The males prefer vodka and beer, the females - vine. With increasing of age the consumption of beer decreases linearly from 74.3% in age group 25-34 years to 33.2% in age group 55-64 years. The preference of vodka is typical for individuals aged from 35 to 54 years (about 65%). The volume of consumption of alcohol reaches in average in sample 1.48 ± 2.07 of mean day dosage of ethanol. With age, volumes of consumed alcohol decrease from 2,17 ± 2,04 in younger age group to 0,75 ± 1,36 in elder age group. In females decreasing is linear and in males lenear too from age of 45 years. for females lower total volumes of consumed alcohol are more characteristic in comparison with the males. The alcohol is consumed basically in “rarely/little” (59,3%) and “often/little” (21,1%) degrees. The females predominantly consume alcohol “rarely/little” (77,4%). With age, increasing is noted of percentage of consuming “rarely/little” from 44.2% among individuals of 33-44 years old to 72.5% in age group 55-64 years. Among social economic indices, positive effect on decreasing of consumption of alcohol render higher education, availability of family (males), lacking of work. The conclusion. The established patterns testify significant effect of gender and age on type, volume and rate of alcohol consumption. The social economic factors make much lesser contribution to volumes of consumed alcohol. for a number of social economic factors no effect is established.
Health Сare of the Russian Federation. 2017;61(3):148-155
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THE DYNAMICS OF EPIDEMIOLOGICAL SITUATION ON TUBERCULOSIS IN THE REPUBLIC OF DAGESTAN AND PERSPECTIVES OF ITS FURTHER AMELIORATION

Gireev T.G., Guseynov G.K., Mamaev I.A., Khanaliev V.Y., Adziev A.A., Mutalimov M.A., Pakhieva K.Y.

Abstract

During last ten years, in the Republic of Dagestan a steady decreasing of main epidemiological indices of tuberculosis (morbidity, mortality, etc.) is observed. The efficiency of treatment of patients with tuberculosis increased significantly. Besides, the new problems moved to forefront which don't fit with this trend. They are high contamination, presence of significant percentage of secondary forms of tuberculosis among children and adolescents, preservation of high morbidity of tuberculosis among individuals detected from contact with patients with BK+, annual increasing of of number of late recurrence and medication-resistant forms of tuberculosis of lungs, increasing of percentage of patients with detected mycobacterium of tuberculosis of bovine type - M.bovinus. Every one of these problems requires profound investigation for making address organizational decisions in groups of increased risk of development of tuberculosis.
Health Сare of the Russian Federation. 2017;61(3):155-160
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PROFESSION AND HEALTH

ON OCCUPATIONAL INCAPACITY OF SEAMEN

Vagin V.A.

Abstract

The article analyses effect of the order of Minzdravsotsrazvitiya of Russia N 302n on dynamics of occupational incapacity seamen. This order significantly altered procedure of organization and implementation of periodical medical check-ups by eliminating superfluous barrier and from now on employer has no need in concurrence with Rospotrebnadzor agencies. The proposals emerge to revise this order and enhance administration considering that associating to results of special evaluation of labor conditions and only to unhealthy labor conditions provide no guarantees safety of health of working in acceptable conditions. The following indices of group health were analyzed (n=9331 sailors) in 2005-2010 and 2011-2016: pathological affection, primary morbidity, occupational incapacity and its causes. It is established that after the order N 302n came into force, a significant increasing of indices of pathological affection occurred with increment of 56.6% (p<0.0001) and primary morbidity with increment of 92.2% (p<0.0001). However, occupational incapacity of sailors remained unaltered and in its structure, prevail cardio-vascular diseases as before. Thereby, application of the order № 302n had no influence on indicator of occupational incapacity and revision of its provisions with purpose of increasing state administration seems inexpedient.
Health Сare of the Russian Federation. 2017;61(3):161-165
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LETTERS TO EDITOR

THE INTER-DISCIPLINARY INTERACTION OF PHYSICIANS OF DIFFERENT SPECIALTIES IN EARLY DETECTION OF PATIENTS WITH LATE FORMS OF SYPHILIS

Syrneva T.A., Zil’Berberg N.V., Malishevskaya N.P.

Abstract

The article presents algorithm of interaction between physicians of adjacent specialties at detection of positive serological reactions in various hospital departments of medical organizations. The tactics of management of patients in case of diagnosis of syphilis are also considered.
Health Сare of the Russian Federation. 2017;61(3):166-168
pages 166-168 views