No 58 (2014)

Articles
HYGIENE-RELATED DISEASES OF GREENHOUSE WORKERS
Mamchik N.P., Borisova L.S., Kameneva O.V.
Abstract
Russia's WTO accession has stimulated progress of the domestic agricultural sector, that is most pronounced in the vegetable and mushroom growing in a sheltered ground. However, despite rising production and its modernization, occupational morbidity of greenhouse workers does not change a lot and remains at a high level, which is primarily caused by a set of environmental factors that affect worker health.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):3-9
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IMPROVEMENT OF WASTE MANAGEMENT AT THE REGIONAL LEVEL
Gaydukova E.P.
Abstract
The paper presents the evaluation of the existing waste management system of production and consumption at the regional level. Given the identified deficiencies proposed leverage and measures to further improve the management of waste.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):10-14
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MATHEMATICAL MODELING OF CEREBRAL CONSEQUENCES OF RADIATION ACCIDENTS
Gundarova O.P., Fedorov V.P., Kvaratskheliya A.G., Karandeeva A.M., Sgibneva N.V.
Abstract
It is shown that the dynamics of change indicators of neurons at low radiation effects are non-linear with moderate or weak correlation coefficient with the test arguments. By the end of post-radiation period, most indicators corresponds to the age control, but some are not up to it and may affect the functional activity of neurons.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):15-22
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EXPERIENCE ORGANIZATION OF HEALTH EDUCATION ENVIRONMENT VORONEZH STATE MEDICAL ACADEMY
Esaulenko I.E., Popov V.I., Petrova T.N.
Abstract
The paper presentslong-term practicalexperience of implementingthe modelof healthyspacein the educational institutionandthe individualperformance of the VGMA N.N. Burdenko, as an innovativeplatformfor healthy lifestyleamong youth. Presents statistical andmethodological materials forthe primary preventionof disease, the implementation ofprograms designed torestructureand monitoringthe healthof students intheuniversity.The experience ofthe formationof infrastructure, organizational and managementreservesto improve the qualityof medical and preventiveworkamong the youthby creating«Academic Health Center».
Научно-медицинский вестник Центрального Черноземья. 2014;(58):23-29
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PREVENTION OF COMORBIDNOST IN STUDENTS
Esina E.Y., Zuikova A.A., Dobrinina I.S.
Abstract
Functional state of the myocardium in students has been diagnosed by the use of the device «Cardiovizor -6c» taking into account main risk factors of non-infectional diseases development. Deviation of the ECG dispersion mapping from the norm with a great number of non-infectional diseases development risk factors has been established.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):30-35
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ANALIZ REGIONAL'NOGO FARMATsEVTIChESKOGO RYNKA V SFERE VYYaVLENIYa NEKAChESTVENNOY PRODUKTsII
Zanina I.A., Shvedov G.I., Lavrova N.N.
Abstract
In the present study conducted a situational analysis of the work of the regional system of quality control of drugs circulation on the territory of the Voronezh region according to the activity of the Center of quality control and certification of medicines. Analytical and statistical data of monitoring of substandard and counterfeit medicines from 2001 to 2013 allowed to establish the general trend of defective drugs, including their maximum and minimum values. The research has found a positive trend of reducing the number of substandard and counterfeit medicines on the territory of the region for the last time. The analysis of regional pharmaceutical market demonstrates the need for improvement in the quality control of drugs circulation concerning the prevention and timely detection of substandard products until it reaches to the end consumer.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):36-41
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POSSIBLE WAYS OF REDUCING THE SYMPTOMS OF ANAPHYLAXIS
Kovalenko I.V.
Abstract
The article presents the results of studies of the effect of liquids with positive and negative redox potential for the development and severity of anaphylactic shock. The study was performed on 40 rabbits sensitized for a month horse serum. After the introduction of isotonic sodium chloride solution, the anolyte, catholyte or prednisolone animals were injected with a dose of antigen resolution. During the experiment, the following parameters were recorded: ECG, heart rate, respiratory rate, pupil response, motor activity, general behavioral responses were evaluated, and the severity of anaphylactic shock. Statistical analysis of the data revealed the following results: mortality of animals caused by myocardial infarction, the introduction of the catholyte aggravates anaphylactic shock and destroys the rhythm of the heart, the action of the anolyte similar to the action of isotonic sodium and does not cause significant changes in the development of anaphylactic shock, administration of prednisolone completely prevents mortality and contributes to a more mild course of anaphylaxis.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):42-46
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NUTRITION OF THE POPULATION IS A FACTOR TO INCREASE LIFE EXPECTANCY
Mechantev I.I., Masaylova L.A., Shukelait A.B., Usacheva L.P.
Abstract
Nutrition of the population is considered from the perspective of the main indicator of the quality of life of the population. It was the data of WHO. It was made assessment of the actual power of the Russian population and the Voronezh region. In this article it was showed the results of regional studies on the nutritional status of the population and it was showed the effectiveness of interventions that focus on reducing the risk of nutrition-related diseases.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):47-52
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FLOCK-BLOCK" AND "FETI-BLOCK" - NEW RODENTITSIDYOTECHE-GOVERNMENTAL PRODUCTION BASED ON AND FLOKUMAFENA DIFETIALONA
Ponomarenko L.M.
Abstract
The article presents the results of evaluation of the effectiveness of the application of rodentetsidnyh funds for disinfestation.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):53-59
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HEALTH OF STUDENTS, А PPROACHES TO EVALUATE AND IMPROVE
Popov V.I., Kolesnikova E.N., Petrova T.N.
Abstract
A comprehensivemedical andsocialstudy of healthand lifestyleof medical studentsVGMAN.N.Burdenko.The characteristics ofthe image andthe living conditions ofstudentsof higher medicaleducational institution, whichallowed us to determinethe main trendsin thedynamics, structureandlevelof morbidity.Formulatedan integratedassessment of the leadingmedical and socialcharacteristics of thelifestyleof students.The dependence ofthe state of theirhealth fromsocial andhealth indicators, factorsof the educational process, and determine the most importantof them.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):60-63
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THE INFLUENCE OF INDUSTRIAL CITY ECOLOGY ON THE HEALTH OF PRESCHOOL CHILDREN
Razuvaev O.A., Trushkina A.V., Kokoreva S.P.
Abstract
There were 196 children under the study where 117 of them were in the group of recurrent respiratory infection child (RRI) and the other 67 occasionally respiratory infection child (ORI). Ander this research there was held the analysis of background pathology structure. The effects of different ecological zones of the city on children’s microbiocenosis oropharynx was determined. The infection incidence with Epstein-Barr virus (EBV), chlamydia and mycoplasma among preschool children was specified according to serological testing. More frequent developing of chronic nidus ofENT, anaemia, sensibilization among RRI was indicated.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):64-68
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EVALUATION PSYCHO-EMOTIONAL STATE AMONG SPECIALISTS EXTREME SERVICES FOR THE PREVENTION OF NEGATIVE CONSEQUENCES
Sklyarova T.P., Petrova A.V., Tarasov D.A., Vorobiev I.I., Banin I.N., Koroleva S.I.
Abstract
The article deals with the problem of burnout in professionals working in extreme situations, depending on the length of service, leading psychological defense mechanisms.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):69-72
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IDENTIFICATION OF RISK FACTORS BY THE PRODUCTION OF SYNTHETIC RUBBER
Mamchik N.P., Platunin A.V., Gaydukova E.P.
Abstract
Identification of risk factors by production of synthetic rubbers is carried out, priority from which is chemical. Results of researches testify to need of continuous monitoring of exposure of chemicals on atmospheric air of the residential territory for the purpose of ensuring hygienic and ecological safety of the city.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):73-77
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OCCUPATIONAL DISEASES IN THE ENTERPRISES OF VORONEZH AND RISK FACTORS
Stёpkin Y.I., Borisov N.A.
Abstract
The paper estimated the level of occupational diseases in enterprises of the city of Voronezh, identified risk profession, risk of formation of professional pathology.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):78-82
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HEALTH PUBLIC EXPOSURE VORONEZH REGION
Stёpkin Y.I., Chubirko M.I., Voskoboev S.N.
Abstract
The article analyzes the patient doses in medical Radiology Research (Medical Exposure) for 2011-2013. in the Voronezh region.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):83-86
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THE DYNAMICS OF THE INCIDENCE OF GLAUCOMA AC-CORDING TO THE RESULTS OF UNIVERSAL SCREENING IN 2013
Urjeva M.U., Prozorova G.G., Churikov V.N., Burlachuk V.T., Tribuntceva L.V.
Abstract
In the article the analysis of screening to identify patients with glaucoma in a General clinical examination and proposed measures to optimize early diagnosis of this pathology
Научно-медицинский вестник Центрального Черноземья. 2014;(58):87-90
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REHABILITATION OF CHILDREN IN TUBERCULAR SANATORIUM OF BAKU
Alieva M.A., Velikaia O.V.
Abstract
The main directions of rehabilitation of children in antitubercular sanatorium of Baku on the basis of the analysis of the medico-social status are defined. On a sufficient statistical material it is shown that the children sick with tuberculosis, have deviations in the medical status in comparison with the healthy children infected with MBT authentically more often. They live in the worst social conditions, defectively eat, have low level of hygienic education and addictions. In antitubercular sanatoria it is necessary to use not only physiotherapeutic factors, but also a diet, treatment of accompanying pathology, to organize "health schools".
Научно-медицинский вестник Центрального Черноземья. 2014;(58):91-94
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THE DEVELOPMENT OF GEL ANTIMICROBIAL EFFECTS FOR THE LOCAL THERAPY OF URINOGENITAL VIRULENT DISEASES
Bredikhina T.A., Pankrusheva T.A., Shvedov G.I.
Abstract
A gel compound for tne local therapy of urinogenital virulent diseases containing a azithromycin - a macrolide antibiotic of wide spectrum activity as a main component is offered. As a result of biopharmaceutical and microbiological investigations a choice of concentration of medicine substance and basic components.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):95-99
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The role of nuclear acidity in the infection and in the immunity. Konception
Zemskov V.M., Zemskov A.M.
Abstract
The new principles of regulation immunological gomeostasis there are in this article in the pathology and in the standart.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):100-103
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ORGANIZATION OF CARE FOR TUBERCULOSIS PATIENTS AT OUT-PATIENT PHASE
Lelikova V.D., Choroshilova N.E., Velikaya O.V., Lushnikova A.W.
Abstract
In 2011 the Voronezh regional antitubercular clinic together with the charitable organization "partners in health" started implementation of the project "Patient-oriented accompaniment". The article analyses the effectiveness of this model of care for tuberculosis patients at risk (drug addicts, alcoholics, socially dezadaptirovannye people, etc.) on an out-patient stage in the city of Voronezh. The aim of the project is to improve adherence to treatment, improving outcomes of chemotherapy patients through maladjusted and social activities focused on patients.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):104-108
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COPD PATIENTS WITH NEWLY DIAGNOSED RESPIRATORY TUBERCULOSIS
Velikaya O.V., Lushnikova A.V., Horoshilova N.E.
Abstract
In this article study of respiratory function in 195 patients with newly diagnosed tuberculosis of the respiratory organs and the definition of "age of lungs" using vitalografa COPD-6. A diagnosis of COPD was established according to the recommendations GOLD - 2011: on the basis of clinical and research spirographic. It was established that 52% of patients have a combination of pulmonary tuberculosis and COPD, 44% of patients diagnosed with COPD is set for the first time during the examination in the hospital. In determining the "age of lungs" in 86% of patients with tuberculosis of the respiratory system have found it exceeded by more than 5 years from the real.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):109-112
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LONG-TERM RESULTS OF SURGERY IN PATIENTS WITH PULMONARY TUBERCULOSIS-NEGATIVE
Savelyev V.V., Velikaia O.V.
Abstract
The analysis of the occurrence of multidrug resistant Mycobacterium tuberculosis (MDR- ILO) in patients with pulmonary tuberculosis -negative, and the evaluation of the sensitivity and specificity of polymerase chain reaction (PCR real time) to determine the DNA Office of surgical specimens from these patients. Revealed a significantly greater efficacy of this method compared to the standard, as well as molecular genetic methods of detection of the pathogen in the sputum. The study showed the presence of more than a third of patients without bacterial isolation, the so-called latent MDR, which led to a drastic change of chemotherapy regimen, and the inability to determine in these patients DST Office, guided only by clinical and radiological data. Surgeries conducted in diagnostic patients, as well as reducing the time of chemotherapy before surgery in patients with a diagnosis of pulmonary tuberculosis approved-negative do not lead to deterioration of the prognosis of the disease compared with patients receiving long-term empirical chemotherapy, and can reduce treatment time and keep working capacity.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):113-121
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USE OF THE METHOD OF THE IMMUNOFERMENTAL ANALYSIS IN DIAGNOSTICS OF PARASITIC DISEASES
Chubirko M.I., Berezina Y.U., Azarenkova I.K.
Abstract
The article is devoted of laboratory diagnosis parasitic diseases by using the method immunoassay for detection and quantification of antibodies in the blood of surveyed.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):122-126
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IMPORTANCE OF ENVIRONMENTAL EDUCATION IN THE EDUCATIONAL ACTIVITIES STUDENTS OF THE FACULTY OF PREVENTIVE HEALTH
Alexeeva N.T., Glukhov A.A.
Abstract
For students of medical faculty, a special place in the educational process is environmental education in connection with the relevance of the definition of the relationship between man and nature and find out how creative activities impact on the environment. Currently, graduates from medical schools require not only basic training, and information and environmental readiness for the future professional activity.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):127-131
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INCREASE OF MOTIVATION OF STUDENTS BY MEANS OF APPLICATION OF COMPUTER TECHNOLOGIES
Dmitriev E.V., Kochukova M.V., Savostina I.E.
Abstract
Learning motivation is a necessary condition for improving the level of knowledge. In the article examined, as possible to estimate her and promote by means of computer technologies.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):132-135
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MUZEYNAYa PEDAGOGIKA - VAZhNAYa ChAST' KONTsEPTUAL'NOY MODELI MEDIKO-PEDAGOGIChESKOY PODGOTOVKI PO SPETsIAL'NOSTI «MEDIKO-PROFILAKTIChESKOE DELO»
Karandeeva A.M., Kvaratskheliya A.G., Gundarova O.P., Maslov N.V.
Abstract
This article discusses the importance of Museum education in the formation of the personality of the doctor-professional. The Museum of the Department of normal human anatomy is widely used in classroom and extracurricular work of students of medical faculty.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):136-140
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QUIZ AS INTERACTIVE LEARNING STUDENTS FORM
Mikhaylova E.V., Shvedov G.I., Bredihina T.A.
Abstract
The articlepresents the possibility of using an interactive method of learning and knowledge control of the students designed for the teaching of the discipline "Pharmacognosy".
Научно-медицинский вестник Центрального Черноземья. 2014;(58):141-145
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HEALTH MONITORING STUDENTS USING MODERN COMPUTER TECHNOLOGY
Petrova T.N., Zuikova A.A., Popov V.I., Natarova A.A.
Abstract
Health of young people, andespeciallyyoung students, determines the capabilities ofthe progressive development ofthe state's economyand national security. Fullmedical monitoring forchanges in thehealth of young peoplein the agedynamicsunder the influence ofdiversesocio-economic factorsprovidescomputer monitoring. This approachimplies a certainneed fordevelopment and validation ofinformation systems based oncomputer technologywith multi-levelapproach todata collection,transmission and processing ofinformation, subject to data protection.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):146-152
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THE ROLE OF INNOVATIVE PEDAGOGICAL TECHNOLOGIES IN VOCATIONAL TRAINING OF MEDICAL STUDENTS
Pochivalov A.V., Mamonova N.S., Ivannikova A.S.
Abstract
The article is devoted assessing the significance of the introduction of innovative pedagogical technologies in the educational process to improve the training of medical students on the basis of the analysis of the level of development of small groups.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):153-156
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CIRCUMSTANCES OF TEACHING DISCIPLINE «DISASTER MEDICINE» IN VORONEZH STATE MEDICAL ACADEMY
Sapronov G.I., Mechantieva L.E., Sklyarova T.P., Petrova A.V.
Abstract
The article considers the peculiarities of teaching the discipline of disaster medicine in the training of students in various specialties, the use of traditional and innovative technologies, experimental research work.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):157-161
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THE SUPPORT SYSTEM OF THE ACCEPTANCE MEDICAL DECISIONS IN ARTERIAL HYPERTENSION DIAGNJSTICS AND THERAPY
Chesnokova I.V.
Abstract
The Diagnostics arterial hypertension and undertaking antihypertensive therapy by means of program for computer "Automated system of the diagnostics and selection individual arterial hypertension pharmacotherapy" turned out to be clinical more efficient in contrast with empirical way. The computer program most reasonable use in medical institutions dispensary-policlinic of the type and in doctor's work general practical persons, where necessary operative, correctly and effectively realize the diagnostics and therapy arterial hypertension.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):162-167
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INFORMATION AND COMPUTER TECHNOLOGY AS A BASIS FOR FORMING OF HEALTHY-SAVING ENVIRONMENT OF THE UNIVERSITY
Fertikova T.Y., Druganova L.P.
Abstract
The article is defined the necessity of using the information and computer technology to maintain and improve the health of today's students. There are a number of computer programs developed in cooperation with the Faculty of Computer Science of Voronezh State University. These programs provide the possibility to fulfill the screening diagnostics of the health status of students large groups. The article contains the results of the survey of Voronezh N.N. BurdenkoState Medical Academy students on adaptive capacity, psychological stability and quality of life.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):168-174
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BY THE USE OF MODERN EDUCATIONAL TECHNOLOGY IN PROGRAMME IMPLEMENTATION OF TRAINING TEACHERS COLLEGE
Chesnokov P.E., Chaikina N.N., Sych G.V.
Abstract
The article discusses the topic of improving professional competence of the faculty of the Academy in order to improve the quality of training and implementation of training programs for teaching staff to ensure the use of modern educational technologies pedagogical process.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):175-183
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TECHNOLOGY OF ELECTROCHEMICALLY ACTIVATED SOLUTIONS
Adamenka G.V.
Abstract
Promising for the prevention and treatment of infectious diseases today are sodium hypochlorite electrochemical solutions. The aim was to study the dependence of physical and chemical parameters of electrochemical solutions of sodium hypochlorite on the preparation conditions on which we developed an electrochemical plant. Obtained antiseptic agents containing active chlorine 208,3±8,5, 405,4±10,4, 994,3±18,5 and 2580,1±15,3 mg/dm3 and a pH of respectively 8,57±0,03, 8,89±0,04, 9,12±0,04 и 9,80±0,03, may be used instead of the traditional means, or in addition to the treatment and prevention of infectious and inflammatory diseases in humans and animals.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):184-187
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ACTUAL PROBLEMS OF SCHOOL MEALS
Gridasova L.N., Desyaterik O.N.
Abstract
In this article the problem of designated school meals.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):188-191
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USE OF MODERN TECHNIQUES OF TEACHING IN POSTGRADUATE TRAINING OF DOCTORS-ORGANIZER OF PUBLIC HEALTH
Kosolapov V.P., Kosenkova T.V., Sych G.V., Kravchuk E.V., Sergeeva O.V.
Abstract
This article provides a brief overview of modern techniques that are used in the training of doctors, health care managers. Attention is paid to the role of the independent work of students in vocational training and retraining. Speaking about the prospects of application of distance education at the postgraduate training of doctors, health care managers.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):192-196
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INFLUENCE OF FOOD ON HEALTH POPULATION OF THE VORONEZH REGION FROM THE RISK ASSESSMENT POSITION
Morkovina D.A.
Abstract
In this paper provides information on contaminants in foods in the Voronezh region, contained in foods, information on the consumption of food supply population of the region, the characteristic of carcinogenic and non-cancer risks. The results of the justified taking into account one-way action on the critical organs and systems of the list of priority substances entering the human body from food, contribute most to the risk to public health.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):197-200
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USE THE GAS-LIQUID CHROMATOGRAPHIC METHODS IN THE LABORATORY UNDER THE CONTROL OF ALCOHOL PRODUCTS
Nikitin S.I., Irkhina T.N., Zyablova E.P.
Abstract
The article deals with the problem of identity and security of alcohol and gas chromatographic analysis method for the detection and quantification of toxic contaminants in the laboratory of sanitary-epidemiological surveillance in the territory Liskinskogo, Bobrovsky, Kamensky, the Kashira and Ostrogozhsk areas of the Voronezh region.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):201-204
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INFLUENCE OF ENVIRONMENTAL FACTORS ON CHILDREN'S HEALTH KALACHEEVSKIY DISTRICT OF VORONEZH REGION
Novels G.P., Yatsenko D.S., Gnezdilova L.A.
Abstract
This article reflects the possibility of the influence of environmental factors on the incidence of child population Kalacheevskogo Voronezh region.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):205-208
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REGARDING THE OBJECTIFICATION OF SURVEILLANCE ACTIVITIES COMPLY WITH LEGAL REQUIREMENTS IN THE SPHERE OF TECHNICAL REGULATION
Chubirko M.I., Platunin A.V., Popova T.A.
Abstract
This article reflects the real state of the laboratory to provide oversight in the Voronezh region of compliance with legislation in the sphere of technical regulation for 13 years of technical regulations of the Customs Union in 2013-2014.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):209-213
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DISINFECTANT SOLUTION FOR PLASTINOCHNY ARTIFICIAL LIMBS
Golubeva L.N., Golubev N.A., Calinichenko T.P., Gordeeva T.A.
Abstract
Article is devoted to an actual problem of modern orthopedic stomatology - to increase of efficiency of disinfection of demountable plastinochny artificial limbs. The compounding of the disinfectant solution containing ions of silver for processing of demountable artificial limbs is developed, its antimicrobic activity is studied, the comparative assessment of antimicrobic efficiency of disinfectant solutions with various concentration of nano silver is given, the physical and chemical assessment of influence of disinfectant solution initiated by atomic silver on a material of basis of an artificial limb is given.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):214-218
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PROSPECT OF SEWAGE DISINFECTING BY THE ELECTROCHEMICAL SOLUTIONS
Shiryakova T.A.
Abstract
The analysis of efficiency of sewage disinfecting by the electrochemical activated neutral anolyte solution is resulted in the article. It is noticed, that traditionally applied methods of sewage disinfection (chlorination, ozonization, ultra-violet disinfecting) have essential lacks. Neutral anolyte combines the positive properties of known oxidizers such as chlorine, ultraviolet and ozone and eliminates the negative moments of the listed reagents, i.e. formation of by-products of chlorination and ozonization is excluded.
Научно-медицинский вестник Центрального Черноземья. 2014;(58):219-221
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