No 70 (2017)

Articles
FEATURES OF NEWLY DIAGNOSED PULMONARY TUBERCULOSIS IN WOMEN IS A MAJOR REGIONAL CENTRE
Velikaya O.V., Akulova A.V.
Abstract
The question of frequency of occurrence of tuberculosis in women is a major regional center, risk factors of this pathology development and structure of clinical forms. During the last five years on the background of reducing the incidence of tuberculosis in the Voronezh region the share of women among first-diagnosed pulmonary TB patients has not changed significantly: in 2011 - 28,5 %, in 2015 - 25,51%. In the regional center lived 49,73 % of women with tuberculosis. Lack of employment, contact with TB, Smoking, alcohol consumption and presence of chronic disease of the gastrointestinal tract are the main risk factors for the development of tuberculosis in women. The most common form of tuberculosis in women was infiltrative tuberculosis. The presence of discharge have 41,37 % of TB patients are women. Among women, patients with newly diagnosed tuberculosis of the respiratory system, dominated by individuals of reproductive age, which reduces labor and reproductive potential as a major regional center.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):3-7
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THE AIR POLLUTION GIVES OFF LOAD ON PUPILS OF SECONDARY SCHOOLS
Pichuzhkina N.M., Chubirko M.I.
Abstract
Studied levels of air pollution, air pollution residential areas and schools. According to the results of questioning of pupils of secondary schools, the time of stay in different microspheres. Assess the clinical burden on students of secondary schools at the expense of air pollution taking into account of their stay outdoors, in a residential area and school. Determined the proportion of the contribution of air pollution in the premises of secondary schools in total aerogenic load. Shows the priority pollutants of the air environment according to laboratory tests. The results of correlation analysis showed the relationship between the individual pollutants of the air environment and their sources. The results of these studies formed the basis of the developed conceptual model of health management pupils of secondary schools through the optimisation of air quality.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):8-10
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ANALYSIS OF THE INCIDENCE OF OBESITY IN THE VORONEZH REGION FOR THE PERIOD 2011-2016
Gabbasova N.V., Dzen N.V., Khaperskova M.A.
Abstract
Obese each year is becoming more serious medico-social problem in Russia, the problem of excess weight for every fourth inhabitant of the country, the reason lies in the violation of the imbalance between the consumed and consumed energy from food. For the period 2011-2016 the growth rate of primary obesity rate in the Voronezh region made for children 47,8%, for teenagers - 191,02% of the adult population - the 399, 2% and exceeded the national average.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):11-15
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ATTITUDE OF SOCIETY TOWARDS HIV-POSITIVE PEOPLE
Mamchik N.P., Gabbasova N.V., Kostina M.A.
Abstract
The specific attitude towards HIV-positive people in society generates their discrimination on these or those signs, complicates their development and existence as persons. Clarification of features of the attitude towards the people living with HIV among different age and sexual groups was the purpose of work. The conducted research showed that a half of respondents belongs with sympathy for HIV-positive people, considers them ordinary people with whom it is possible to be on friendly terms and which have the right to work in all branches including in education; the second half is adjusted less friendly. The age and a floor has significant effect on a position of society concerning people with the positive HIV status. People of more advanced age (36 years and more) show sympathy for HIV-positive people, however they against work of this category of people in education more often. Women show more tolerant and indulgent attitude towards HIV-positive people. Nearly a half supports their right for creation of family.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):16-21
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EPIDEMIOLOGICAL IMPORTANCE OF WATER. SYSTEM PREVENT MICROBIAL CONTAMINATION IN THE CITY OF VORONEZH AND VORONEZH REGION
Morenkova V.V., Kameneva O.V.
Abstract
Water is the most amazing, most common and the most necessary substance on Earth. Water plays a vital role in human life, to satisfy his physiological, hygienic and household needs. Special attention is paid to drinking water. Status of drinking water supply continues to be one of the urgent tasks to ensure the sanitary-epidemiological welfare of the population of the Voronezh region, because it is a determining factor in the health of the population. Water in the city of Voronezh is fed by underground sources. In the districts of Voronezh oblast uses decentralized water supply from underground water sources. In the Russian Federation there is a regulatory guidance document that provides sanitary protection of underground water sources and hygiene requirements for the protection of groundwater against pollution and Sanitary rules SR 2.1.5. 1059-01
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):22-25
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PECULIARITIES OF FORMATION OF PROSTHANCAL IMMUNITY TO VIRUS HEPATITIS B IN HAZARDS PROFESSIONS IN MODERN CONDITIONS
Kiselev S.V., Korolev I.A.
Abstract
Methods of serological studies of blood serum of vaccinated people in the ELISA test, the definition of anti-bodies for the HBs antigen of the HS virus are presented in the article. The state of collective immunity was assessed by mean geometric titers, calculated as the mean anti-log level of log-transformed titers. An analysis of the results showed that in 49% of the examined antibodies to HBsAg were detected in a concentration of less than 10 IU / L.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):26-29
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THE SIGNIFICANCE OF SELECTED CONTINGENTS IN THE PREFERENCE OF PARENTERAL VIRAL HEPATITIS IN THE VORONEZH REGION
Chemodurova Y.V., Mamchik N.P., Sitnik T.N., Mukha T.A.
Abstract
The aim of the study was to characterize the epidemiological manifestations of parenteral viral hepatitis and drug addiction in the Voronezh Region to assess the significance of people who inject drugs in the incidence of viral hepatitis B and C. The growth of incidence rates for newly diagnosed forms of hepatitis B and C and drug addiction was shown to be consistent. The results of laboratory tests on markers of viral hepatitis B and C of drug users reveal their high prevalence in the population.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):30-39
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ANALYSIS OF THE APPOINTMENT OF STUDENTS OF THE MEDICAL UNIVERSITY ON THE RELATION TO IMMUNOPROPHYLACTIC
Sitnik T.N.
Abstract
The aim of the work was to study the level of informing students of medical schools about preventive vaccinations and personal attitude towards immunization. 180 students of 4 faculties were surveyed. The total number of compulsory vaccinations of the NCVP was correctly named only 50.6% of the respondents, but when choosing as mandatory from the proposed types of vaccinations only 26.1% gave the correct answer. Influenza vaccination was the last in the ranking. In the sources of information on preventive vaccinations, a significant role is played by seminars, conferences, special medical literature, and the media, including the Internet. As a result, an ambiguous personal attitude to preventive vaccinations is formed. Taking into account voluntarily executed vaccinations of the NCVP, 52.2% and self-selection of the list of vaccinations (less than in the NCVP), 27.2% of the respondents, the immune layer is much lower than recommended. The role of future medical workers in the formation of the population's trust in immuno-prevention calls for increased attention to coverage of this topic in all courses of medical faculties.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):40-48
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NUTRITION AND MICRONUTRIENT INSUFFICIENCY OF THE POPULATION G. RYAZAN
Peshkova G.P., Kiryshin V.A., Klyuchkova N.M., Akishin S.V.
Abstract
Conducted a comprehensive assessment of the actual nutrition and nature of the prevalence of iodine-deficiency diseases among the population of the Ryazan region. The obtained results are indicative of imbalance of the intake of alimentary substances, which might promote development of nutrition-related disorders and, in particular, aggravate the course of iodine-deficiency disorders. At the same time, there was a stable level of primary incidence of diffuse (endemic) goiter and a marked increase in primary incidence of multi-node (endemic) goiter. The above factors are indicative of poor awareness among the population about rational nutrition and the effectiveness of preventive measures. Necessary to develop a model for optimizing the nutrition of children and the entire population of the Ryazan Region, including a plan for correction of the actual food, timely application of preventive complexes, which will reduce the risk of disease.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):49-53
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CARCINOGENEOUS HAZARDS OF INDUSTRIAL ENTERPRISESPASSPORTIZATION OF CARCINOGENEOUS DANGEROUS PRODUCTIONOF THE VORONEZH REGION
Kamenev B.I., Antonenko R.N.
Abstract
The questions of oncological professional morbidity are studied. The evaluation of the oncoepidemiological situation at the enterprises of the Voronezh Region over the last five-year period based on the results of certification of carcinogenic hazardous productions is given. Data are presented on the number of enterprises in the Voronezh region that have passports of carcinogenic danger. The company's passports contain general information about the organization, the sanitary and hygienic characteristics of the structural divisions and the number of working in them, technological processes, raw materials, products that are carcinogenic, characteristics of environmental contamination with carcinogens and conclusion based on the results of the organization's certification. Conducting 100% of passportization will allow creating a complete database of carcinogenic dangerous organizations and will serve as an important step towards solving the problem of cancer prevention among workers of these industries and the population living in the area where they are located.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):54-61
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HYGIENIC EVALUATION OF PSYCHOEMOTICAL STATE OF STUDENTS OF THE MEDICAL-PREVENTIVE FACULTY
Nenakhov I.G., Chernomor E.A., Zatsepina A.A.
Abstract
Student life is characterized by excessive stress on the emotional sphere, which is reflected in the style of life in which taking care of one's own health goes to the background. For successful education, students are forced, through additional stress, to mobilize the reserves of their body. The student's workload on ordinary days reaches 12 hours a day, and during the examination session - 15-16 hours. Training is also often accompanied by the emergence of stressful situations. The article makes an attempt to assess the physical and psychoemotional state of the students of the medical-preventive faculty Voronezh State Medical University with the purpose of developing preventive measures aimed at the prevention of psychoemotional stresses of students during their studies.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):62-65
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EPIDEMIOLOGICAL SITUATION ON TUBERCULOSIS WITH MULTIPLE DRUG STABILITY IN THE RUSSIAN FUTURE
Khoroshylova N.E., Yumatova O.A., Lushnikova A.B.
Abstract
In recent years, against the background of an improvement in the epidemiological situation among TB dispensaries, there has been an increase in the proportion of patients with pulmonary tuberculosis with drug resistance of the pathogen. Drug-resistant pulmonary tuberculosis is a serious and especially dangerous infectious disease with a high risk of death and a high level of epidemic danger. The article contains a review of the literature on the epidemiological situation of pulmonary tuberculosis with drug resistance in the world and in Russia. The analysis of the causes of slow regression of tuberculosis in Russia and around the world is presented, the most important of which are the multiple drug resistance of mycobacteria tuberculosis. The important practical significance of the application of modern accelerated methods for determining the drug sensitivity of mycobacteria tuberculosis, as well as the treatment of multidrug-resistant tuberculosis, is shown. Given the public significance of tuberculosis in assessing the health of the population, it is necessary to develop and widely apply modern approaches in managing patients with this pathology.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):66-70
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RISK FACTORS FOR TUBERCULOSIS IN CHILDREN AND ADOLESCENTS
Martyshova O.S.
Abstract
Tuberculous meningitis risk factors among children and adolescents (12 7 (58.33%) boys and 5 (41.67%) girls). Analyzed data of epidemiological history, factors contributing to the development of tuberculosis, especially the course of the disease, the material living conditions of the family of the patient, BCG vaccination information, results of immunological diagnosis using intradermal tests (Mantoux test with 2 tuberkulinovymi units and standard with the allergen consumptive recombinant-«Diaskintest»), clinical, radiological and laboratory tests, treatments and outcomes of disease. In our study found that factors contributing to the development of tuberculosis, were observed in 91.67% of cases. BCG vaccination is not carried out or has not been effective at 58.33% of children with TM. Nonspecific diseases which contribute to the occurrence of tuberculosis were found in 11 (91.67%) children and adolescents, adverse social factors at 11 (91.67%) patients.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):71-74
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SOME ASPECTS OF EPIDEMIOLOGY AND IDENTIFICATION OF TUBERCULOSIS IN STUDENTS IN THE CITY OF VORONEZH
Stogova N.A.
Abstract
The article presents data on the incidence of tuberculosis and students of higher educational institutions of the city of Voronezh in the period 2000-2016. in comparison with the territorial incidence of the population of the Voronezh region and the incidence of young patients. It is found that annual fluorographic examinations of the population by increasing the number of people surveyed contributed to reducing the reservoir of tuberculosis infection in the Voronezh region and to reduce the incidence of tuberculosis students by 2016, 3.8 times (from 31.9 to 8.4 per 100 000 students) and identifying the disease at earlier stages. The increase in cases of tuberculosis among students the proportion of foreign citizens from 23% in 2000-2004 to 53% in 2012-2016 (p < 0.05), requires strengthening of control over the health of students, arrived to study at universities from countries with high incidence of tuberculosis.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):75-79
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SITUATION ON THE COMBINED PATHOLOGY OF TUBERCULOSIS AND HIV INFECTION IN THE RUSSIAN FEDERATION
Horoshilova N.E., Raykova I.V., Lushnikova A.V.
Abstract
Tuberculosis and HIV infection is the burden of the 21st century, the epidemic situation leaves much to be desired. When considering many sources of literature devoted to this problem, a comparative analysis of information for the period from 2013 to 2016 was carried out. The improvement of such indicators as tuberculosis incidence and tuberculosis mortality have been revealed, but at the same time the epidemiological situation of tuberculosis and HIV infection is worsening. About increase in death rate it is possible to speak only on the data till 2015 as in 2016 all cases of death from a tuberculosis at HIV-positive patients have been registered as "HIV-infection". Recently there has been a high incidence of multidrug-resistant tuberculosis among patients with HIV infection. The likelihood of multiple drug resistance of mycobacterium tuberculosis in patients with tuberculosis with HIV infection is higher by 24%.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):80-83
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DYNAMICS OF HYGIENIC INDICATORS OF ATMOSPHERIC AIR IN THE VORONEZH REGION FOR THE PERIOD 2012-2016
Styopkin Y.I., Nenakhov I.G., Rakitina I.V.
Abstract
The work carried out a hygienic assessment of atmospheric air indicators in the Voronezh region in the period 2012-2016. Priority pollutants of the air environment are determined, their influence on the exposed population of the Voronezh region is examined, as well as the dynamics of the share of samples that do not meet the hygienic requirements for each of the priority pollutants. A set of sanitary and hygienic measures aimed at reducing air pollution is proposed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):84-88
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ANALYSIS OF HYGIENIC OF SOIL INDICATORS IN THE VORONEZH REGION FOR THE PERIOD 2011-2016
Platunin A.V., Nenakhov I.G., Yakimova I.A.
Abstract
In this paper, the data on soil contamination in Voronezh and the region over the period 2011-2016 are estimated. The main pollutants of the soil layer and their influence on the health of the population are determined. On the basis of the data obtained, an attempt was made to develop a set of proposals aimed at normalizing the sanitary, hygienic, microbiological and parasitological indices of the soil in the Voronezh Region.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):89-94
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THE EVALUATION OF EFFICIENCY OF ROSPOTREBNADZOR’S CONTROL SUPERVISION ACTIVITY BASED ON THE RISK ESTIMATION OF MEDICAL DEMOGRAPHIC LOSSES EXEMPLIFIED BY THE VORONEZH REGION
Mehantiev I.I., Masaylova L.A., Tsinker M.Y., Lastochkina K.S.
Abstract
The article presents computational strategy of practical and prevented economical losses because of mortality and morbidity of population associated with habitat factors’ negative impact. The computational strategy is the result of Rospotrebnadzor’s control supervision activity. The authors evaluated the priority habitat factors of the Voronezh region that do not meet hygienic standards. The authors analysed nationwide patterns of the modeling system “health-habitat- control supervision activity”. They reported risk realisation for population health by way of the additory death and diseases cases of the diverse population groups of the region. In addition, the authors assessed the contribution of Rospotrebnadzor’s control supervision activity in the security area of the epidemiological well-being of the population, improvement in the habitat quality and health status of the population. The authors assessed the efficiency of Rospotrebnadzor’s control supervision activity.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):95-99
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ORGANIZATION OF MONITORING OF SOIL POLLUTION LEVEL FOR RISK ASSESSMENT TO CHILD HEALTH
Kolnet I.V., Studenikina E.M.
Abstract
The aim of the work was to assess the risk to the health of preschool children, due to the likely impact of soil pollution in the residential area. The study uses the data of the regional system of socio-hygienic monitoring on the level of soil contamination in the territories of residential buildings for 2014-2016. on 22 monitoring points. The main methodology was R.2.1.10.1920-04 "Guidelines for the assessment of risk to public health when exposed to chemicals that pollute the environment." The risk was assessed for the health of children under the age of 6, the route of pollutant intake - oral (accidental ingestion of the soil when licking hands, toys). Calculations of individual carcinogenic risk from exposure to carcinogenic substances: benz (a) pyrene, cadmium, arsenic, lead, contained in the soils of the city of Voronezh, showed that the levels of individual carcinogenic risk for the child population belong to the first range of risks (equal to and less than 1 *10-6), are defined as negligibly small, not requiring measures to reduce them, subject to periodic monitoring. Hazard Indices (HI) characterizing non-carcinogenic risk with unidirectional exposure to organs and body systems below the permissible value (HI <1).
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):100-105
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ABOUT THE ASPECTS OF ALERT AND STRESS STABILITY OF STUDENTS OF THE HIGHER SCHOOL
Avraamova A.A., Gaydukova E.P.
Abstract
Modern life in society is filled with complex relationships, which is expressed in increased mental stress and a high level of psychoemotional tension. The intensity of the educational process, the large amount of incoming information, the violation of the work and rest regime, imbalance and uneven nutrition are of great importance in reducing stress resistance and increasing anxiety among students. The consequences of such stresses lead to a decrease in adaptation to the surrounding world, which generally affects the mental health of the person, and especially, the modern student. A strong psycho-traumatic factor is often an exam. The article presents an assessment of the actual situation of levels of anxiety and stress resistance of students in different educational institutions based on the results of the questionnaire, outlines the main directions for the prevention of psychoemotional stresses, and suggests recommendations.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):106-110
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COMPARATIVE ASSESSMENT OF HOUSING CONDITIONSIN THE HOSTEL OF THE UNIVERSITY OF VORONEZH
Lugovaya N.G., Gaydukova E.P., Stepkin Y.I.
Abstract
The article reveals topical issues of student life in the conditions of a hostel. The main attention is paid to the satisfaction and the possibility of students' adaptation from the family-household environment to the student environment of the hostel and from the educational environment of the school to the university educational environment. The work was carried out on the basis of the questionnaire data, revealing the subjective assessment of the dormitory living environment, the possibility of organizing and observing the principles of rational construction of educational activities, sleep, food intake, leisure activities, and psychological conditions inside the hostel and student satisfaction with living conditions. Considerable attention is paid to the sanitary and epidemiological evaluation of hostels of various types. In conclusion, taking into account the peculiarities of the formation of the residential environment, which plays a decisive role in the adaptation of students to student life, hygiene recommendations are given.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):111-116
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EPIDEMIOLOGICAL SITUATION ON INFECTIONS DISTRIBUTED BY TONGS IN VORONEZH REGION
Gaydukova E.P., Kvasov D.A., Popova T.I., Gerik E.P.
Abstract
In modern conditions, the prevention of natural focal infections are relevant and significant. Attention is paid to infections transmitted by ticks. For the territory of the Voronezh region, this problem is also significant, as for the country as a whole, since in the epidemiology of infections transmitted by ticks, the most important are Ixodid mites (the family Ixodidae), carriers of a number of infections. There is an increase in the frequency of population contact with vectors of these infections, as well as the transformation of natural foci into anthropurgic ones with a higher number of mites. The article presents the analytical material on the incidence of PID, the infection of mites, the number of cases of treatment in medical organizations for the sucking of ticks in 2012-2017, identified certain trends in the development of the epidemiological process for PKI in the region. Issues that require additional attention and joint efforts of medical organizations and public authorities ensuring sanitary and epidemiological surveillance are indicated.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):117-124
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STUDY OF THE IMPACT OF LIFE STYLE ON STATUS OF HEALTH OF SCHOOLCHILDREN 2,5,9 CLASSES
Novikova Y.I., Gaydukova E.P., Studenikina E.M., Platunin A.V.
Abstract
Issues of maintaining and promoting health are related to national security. Modern state policy is focused on the formation of a healthy nation by preserving and strengthening the health of both the younger generation and the able-bodied population. The regulatory framework is improving, in which the priority is the preventive focus of activities (federal laws, development strategies, programs). Priority of prevention is designed to ensure the formation and introduction in daily life of the principles of healthy nutrition, the rational construction of the regime of work and rest. To a large extent this is promoted by educational work, awareness of the population on healthy lifestyle issues, hygienic education and training. The article presents an analysis of the results of a survey conducted among schoolchildren of grades 2, 5 and 9 of secondary schools in Voronezh. Questions of the questionnaire made it possible to assess the level of the formation of a "healthy lifestyle", the activity of schoolchildren in relation to physical education, the use of modern means of obtaining information, and the presence of bad habits.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):125-132
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GAS CHROMATOGRAPHY-MASS SPECTROMETRIC IDENTIFICATION OF TRANS-FATTY ACIDS IN HYDROGENATED OILS AND FATS PRODUCTS
Denisov I.S., Grigoreva E.V., Zubchonoc N.V.
Abstract
The article discusses the possibility of using gas chromatography and chromato-mass-spectrometric methods for identification and determination of the content of TRANS fatty acids in oils and fats products. Experimentally confirmed the neсessity for chromato-mass-spectrometric method for the identification of CIS/TRANS isomers of CIS-9-octadecenoic acid.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):133-138
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CLINICAL AND EPIDEMIOLOGICAL ASPECTS OF TICK-BORNE INFECTIONS IN THE TERRITORY OF THE CENTRAL FEDERAL DISTRICT OF THE RUSSIAN FEDERATION
Nikiforov V.V., Pritulina Y.G., Tselikovskiy A.V., Chentsova V.V., Yankovskaya J.D., Pshenichnaya S.A.
Abstract
Lyme borreliosis is found on all continents except Antarctica, widely distributed in the temperate zone of Europe, Asia and North America. On the territory of Russia several regions are considered to be highly endemic for tick-borne borreliosis: Central, Northwestern, Volga, Ural, Siberian and Far Eastern federal districts. The incidence of Lyme borreliosis in Russia in average is 5.3 cases per 100,000 population. In Voronezh the disease is common since 2000. The article presents data on epidemiology and methods of prevention of Lyme borreliosis on the territory of Moscow and Voronezh regions, the authors describe a case of imported Crimean-Congo haemorrhagic fever. The authors also provide data on the percentage of ticks infected with Lyme disease, human granulocytic anaplasmosis and human monocytic ehrlichiosis pathogens in the study territories.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):139-145
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HEMORRHAGIC FEVER WITH RENAL SYNDROME IN THE VORONEZH REGION
Pritulina Y.G., Salomakhin G.G., Fil G.V., Pegusov S.M., Monastyrsky A.A.
Abstract
This article discusses the clinical and epidemiological features of the course of hemorrhagic fever with renal syndrome (HFRS) in the Voronezh region. It is noted that HFRS is characterized by a pronounced autumn-winter seasonality with a clear predominance in the structure of morbidity in urban residents, mainly males of working age. The peculiarities of the clinical course of HFRS in 2004-1017 are the predominance of moderate-moderate course, marked toxicosis syndrome, the presence of a moderately expressed catarrhal syndrome, hepatosplenomegaly in a quarter of patients, renal damage with the development of acute renal failure, reflected both by changes in biochemical parameters of blood and urine, and ultrasound data . Characteristic decrease in severity and a decrease in the frequency of prevalence of hemorrhagic syndrome for the period under study.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):146-150
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ASSESSMENT OF THE PSYCHO-FUNCTIONAL STATE OF THE EMPLOYEES OF THE TESTING LABORATORY CENTER
Nenakhov I.G.
Abstract
The paper presents data on the research of the psycho-functional state of the employees of the laboratory laboratory center "Center for Hygiene and Epidemiology in the Voronezh Region"; pathological psycho-functional states of anxiety and depression of the personnel were revealed; specific features of pathological conditions depending on the profile of the laboratory. On the basis of the data obtained, preventive measures aimed at optimizing the working conditions of the employees of the testing laboratory center are proposed.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):151-155
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RISK ASSESSMENT FOR HEALTH OF THE POPULATION RELATED TO EMISSIONS OF METALLURGICAL PRODUCTION
Gorlova V.I.
Abstract
Ecological risk assessment for public health in the context of the impact of emissions from the metallurgical plant was carried out. The main methodology was R.2.1.10.1920-04 "Guidelines for the assessment of risk to public health when exposed to chemicals that pollute the environment." The study uses data from stationary observation posts for the level of atmospheric air pollution in the city. Priority pollutants that contribute to the values of non-carcinogenic and carcinogenic risk are identified.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):156-160
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IMPROVEMENT OF THE MONITORING SYSTEM OF WATER QUALITY IN THE BLUE "BLUE DUNAY" AND THE RIVER DON
Kalashnikov Y.S., Oberemko V.A.
Abstract
The aim of the work was to improve the monitoring system for water quality in the Don River, taking into account the influence of conventional-clean water flow from the Right-bank treatment facilities of the city of Voronezh and the Blue Danube stream. Analysis of the obtained data on the control points-a control point downstream of the Don River (after discharge) at a distance of ~ 2.0 km and a control point upstream of the Don ~ 2.8 km (prior to discharge) showed a significant effect of runoff from the Right-bank treatment facilities on the quality of water in the river Don practically on all sanitary and chemical indices. The most significant effect of the discharge of conditionally clean sewage on the quality of water in the river Don is recorded by indicators of nitrogen content of nitrites, suspended substances, chlorides, nitrogen nitrates, nitrogen ammonium, phosphates. The proposals for improving the existing monitoring system for water quality in the Don River are justified: one-time monitoring is needed in at least 4 locations (2 - Don, 2 - the Blue Danube stream), the frequency of sampling should be increased, taking into account the flood period and low water, controlled pollutants.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):161-167
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THE STRUCTURE OF THE SYMPTOMS OF DIGESTIVE DISORDERS IN CHILDREN WITH DOWN SYNDROME
Bavykina I.A., Petrova I.V., Bavykin D.V.
Abstract
A survey among parents of children with down syndrome to establish they have complaints of gastro-intestinal tract. More than half of the children who participated in the study (54,2%, n=13) have at least 1 complaint of indigestion. The most common symptom of digestive disorders in children with down syndrome is bloating, it is observed in 83.3% of cases.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):168-170
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AUTISM SPECTRUM DISORDERS AND THE HUNTER SYNDROME. FEATURES THE DEBUT AND DIFFERENTIAL DIAGNOSIS (FOR EXAMPLE OF A CLINICAL CASE)
Bavykina I.A., Lukanina L.N., Berdnikov A.A., Kravtsova Y.S., Aizenberg V.P., V P.E.
Abstract
Тhe article considers the variant of debut orphan diseases, occurring with a clinical picture typical for the beginning of autism spectrum disorders. Differential diagnosis of diseases. Described the clinic and the patient's condition a year after diagnosis on the background of regular therapy fermantasyon drug.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):170-175
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DOWN SYNDROME, AS ASSOCIATED WITH CELIAC DISEASE PATHOLOGY
Bavykina I.A., Petrova I.V., Panina O.A.
Abstract
The diagnosis of the presence of genetic and serological markers of celiac disease among children with Down syndrome was carried out. It has been established that about one third of patients with Down syndrome (37.5%) have a genetic predisposition to celiac disease, and a quarter of the examinees (25%) have laboratory signs of the presence of sensitivity to gluten.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):176-179
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PROBLEMS OF INFLUENZA IMMUNOPROPHYLAXIS IN THE SCHOOL
Grosheva E.S., Popova O.A., Startseva S.V., Zemskova V.A., Naraeva N.Y., Shikhaliyeva K.D.
Abstract
The article contains the analysis of data on the incidence of influenza, assesses the preventive effectiveness of interventions based on data on the vaccination of students in a number of schools in Voronezh, and outlines some areas relevant to the successful implementation of the regional program of vaccine prevention.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):180-183
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EVALUATION AND COMPARATIVE ANALYSIS OF PERSONAL DEVELOPMENT OF STUDENTS 2 AND 5 OF THE COURSE OF THE MEDICAL FACULTY, AND THE SAME ORDINATORS OF 2 YEARS OF TRAINING ON THE EXAMPLE OF VSMU. N.N. BURDENKO
Chernyh A.V., Sudakov D.V., Orlova G.V.
Abstract
One of the most important sections of psychology is the psychology of personality. Among many topical aspects of personality psychology, a special place is occupied by personal development. Personal development or personal growth is a long process that lasts throughout the life of a person. Great interest for psychologists and teachers is represented by students studying in medical universities. It is sometimes important for specialists to follow the variants of the personal development of new "life-savers", analyze them and give a possible assessment of the personal qualities of future doctors.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):184-190
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PHYSIOTHERAPEUTIC METHODS OF REHABILITATION PATIENTS OF SENIOR AGE GROUPS WITH DISEASES OF THE CAR-DIAC-VASCULAR SYSTEM IN CONDITIONS OF THE STATIONARY
Moraresku T.V., Demchenko G.I., Kuznetsova T.A.
Abstract
In rehabilitation of patients of older age groups with diseases of the cardiovascular system, in addition to standard methods of treatment, pro-grams using physical methods of influence are used that are aimed at improving microcirculation, metabolic processes, vasodilating, thrombolytic, analgesic effect, sedation.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):191-194
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TYPOLOGICAL FEATURES OF DEPRESSIVE DISORDERS IN HYPOTHYROIDISM
Priputnevich D.N., Kutashov A.V., Budnevsky A.V., Ulyanova O.V.
Abstract
The complexity of the problem of mental disorders in hypofunction of the thyroid gland (TG) lies in the fact that their timely detection and adequate correction requires joint coordinated efforts not only of doctors-internists, and psychiatrists. Long been known that thyroid hormones are necessary for normal functioning of all organs and systems. When they are deficiency can develop irreversible changes and, above all, from the mental sphere. The article examines the typological features of depressive disorders in hypothyroidism.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):195-201
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DYNAMICS OF METABOLIC SYNDROME IN RESPONSE TO GRADUATED EXERCISES IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Kozhevnikova S.A., Budnevsky A.V., Tribuntseva L.V., Luev I.A.
Abstract
The data of education and movement therapy influence in patients with chronic obstructive pulmonary disease (COPD) and metabolic syndrome on metabolic syndrome components, COPD exacerbation frequency, and patient’s quality of life are presented in the article.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):202-209
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POSSIBILITIES OF PRO- AND ANTI-INFLAMMATORY, ADIPOCYTOKINES PROFILE CORRECTION IN PATIENTS WITH CHRONIC OBSTRUCTIVE PULMONARY DISEASE AND METABOLIC SYNDROME
Kozhevnikova S.A., Budnevsky A.V., Luev I.A., Tribuntseva L.V., Olysheva I.A.
Abstract
The data of education and movement therapy influence in patients with chronic obstructive pulmonary disease (COPD) and metabolic syndrome on systemic inflammation response activity, adipocytokines profile, COPD clinical course.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):210-215
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ANALYSIS OF THE PSYCHOEMOTIONAL STATE OF PATIENTS OF INFECTIOUS HIV-TREATMENT IN GYNECOLOGICAL DIVISIONS OF BUZ GKB SMP №1 AND BUZ VO VOKB №1
Sudakova O.V., Orlova G.V., Sudakov D.V.
Abstract
The study of the psychoemotional state of patients is one of the important components of medical psychology. It is believed that, in part, from the psychoemotional mood of the patient, the outcome of the disease also depends. This mostly relates to acute conditions in medicine, and does not quite fit into the picture of the patient's incurable disease. This can be attributed to the human immunodeficiency virus (HIV). The virus itself is not capable of directly killing, but over time, it suppresses the immune system of the ill, contributing to the development of concomitant pathologies (viral, bacterial or fungal nature). The study of the psychoemotional state of patients infected with HIV is of great interest, because, unfortunately, the number of infected people is growing steadily every year, despite all preventive measures, not only in Russia, but all over the world.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):216-221
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DETERMINATION OF MOTIVES OF EDUCATIONAL ACTIVITY AND "IMPORTANT" SUBJECTS FOR STUDENTS 3-4 COURSES OF PEDIATRIC FACULTY
Chernyh A.V., Sudakov D.V., Yakusheva N.V., Maleev Y.V.
Abstract
Among all the sections of pedagogy and psychology, an important place is occupied by the psychology of motivation. No wonder the very term "motivation" is translated from Latin, as a motivation for action. It is believed that this is a dynamic process of the psycho-physiological plan that controls human behavior. Motivation is the most diverse. And for each event in life or action - you can relate different options for motivation. While studying at school - one motivation, when entering the university - another motivation, while finding a job - the third. However, considering the motivation for admission to a university, although of some interest, has many pitfalls, usually associated with some "immaturity" of the applicant's personality. Motivation, however, when choosing a specialization at the end of a university, is also not always "objective", since many students of medical schools are trained on a contract basis in the direction of medical institutions and simply do not have the opportunity to choose their specialty "to their liking". That is why, the greatest interest for us is the study of motives of educational activity on the students of secondary courses of a medical university.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):222-228
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A CHANGE IN THE CONTENT OF ZINC AND COPPER ORAL FLUID IN PATIENTS WITH CHRONIC CATARRHAL GINGIVITIS
Ippolitov Y.A., Kuralesina V.P., Rusanova T.A., Garkavets S.A.
Abstract
One of the most common and complicated diseases in dentistry is periodontal disease. The content of microelements in saliva increase with increasing the degree of destruction of the periodontium. This partly explains the change in the immune status, increased susceptibility of the periodontal tissues to infection, slow reparative activity. Increase in the level of oversaturation of the saliva macro, many researchers explain accelerated the formation of plaque in periodontal disease. Due to its physico-chemical properties of copper metabolism is one of the leading places. The copper ion can serve as donor and acceptor of electrons in redox reactions. Zinc is an activator of enzymes of cellular respiration - cytochrome and succinate dehydrogenase activity in chronic inflammatory periodontal disease changes.
Medical Scientific Bulletin of Central Chernozemye (Naučno-medicinskij vestnik Centralʹnogo Černozemʹâ). 2017;(70):229-234
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