scholarly journals ANALYSIS OF THE RESULTS OF PREVENTIVE EXAMINATIONS OF CHILDREN THE CITY OF SMOLENSK, HELD BY DENTISTS

2019 ◽  
Vol 23 (5) ◽  
pp. 222-226
Author(s):  
Olga L. Mishutina ◽  
G. V Volchenkova ◽  
A. B Shashmurina
Keyword(s):  
Dental Caries ◽  
Russian Federation ◽  
New Order ◽  
Dental Anomalies ◽  
Ministry Of Health ◽  
The Russian Federation ◽  
Medical Examinations ◽  
The City

From 01.01.2018 year came into force the new order of Ministry of health of the Russian Federation «About carrying out of preventive medical examinations of minors» No. 514н, according to which the dentist is part of the medical Commission and examines children in the following life periods: 1 month, 2 years, 3 years, and then annually until the age of 17. The aim of our study was to compare the prevalence and intensity of dental caries in children, the prevalence of dental anomalies in children aged 2 years, 4 years, 6 years and 7 years, which were carried out preventive examinations in 2016 and 2017. In children aged two years, the prevalence of caries of temporary teeth increased from 14.3% in 2016 to 20.7% in 2017, the intensity of caries also increased by 2 times from 0.3 to 0.6 (p

Morphometric and genetic studies of the mechanisms of damage to the cardiovascular system in Kuzbass miners with dust lung pathology

2021 ◽  
Vol 61 (9) ◽  
pp. 611-619
Author(s):  
Anastasiya S. Kazitskaya ◽  
Oleg I. Bondarev ◽  
Maria S. Bugaeva ◽  
Anna G. Zhukova ◽  
Tatyana K. Yadykina
Keyword(s):  
Russian Federation ◽  
Work Experience ◽  
The Body ◽  
Lung Pathology ◽  
Federal Law ◽  
Autopsy Material ◽  
Ministry Of Health ◽  
Genetic Studies ◽  
The Russian Federation ◽  
Medical Examinations

Introduction. The combined impact of unfavorable factors of the production environment in miners leads to the development of associated pathology of the bronchopulmonary and cardiovascular systems, the predisposition to which depends on the individual susceptibility of the body. In this regard, it is important to comprehensively study the pathogenetic mechanisms underlying the formation and course of occupational and work-related diseases for a personalized approach to the diagnosis, prevention and therapy of this pathology. The purpose of this study was to study the mechanisms of damage to the cardiovascular system in miners with dust lung pathology on the basis of morphological and genetic studies. Materials and methods. For genetic studies, venous blood drawing was conducted in 190 Kuzbass miners. The main group included 126 miners of the main professions with the previously proven diagnosis "dust lung pathology", the comparison group consisted of 64 workers without a proven diagnosis working in similar sanitary and hygienic conditions. Morphometric studies were carried out using autopsy material obtained during 80 forensic medical examinations of miners in the Kemerovo region. All the miners were divided into 4 groups depending on their underground work experience. The control group was formed from 20 cases of forensic medical examinations of men who died in road accidents and did not have organ pathology according to the results of autopsies. Results. The study of the autopsy material revealed the presence of morphostructural changes in the vascular walls of the miners’ hearts in the form of hypertrophy of the smooth muscle cells of the medial layers, thickening of the endothelial lining, and the development of fibroplastic changes in the perivascular zones. These changes began to form from the first years of work in the underground conditions and progressed with increasing work experience contributing to the "recalibration" of the heart vessels with the formation of the lumen "obstruction". One of the mechanisms of endothelial damage in miners was a change in the expression of the EDN1 gene, which regulates the synthesis of endothelin-1. The risk and resistance genotypes of the development of dust lung pathology for the rs5370 polymorphism of the EDN1 gene were identified. Morphostructural rearrangement of the endothelium in the combination with its pathological activation contributed to the occurrence of endothelial dysfunction in miners. Conclusions. The conducted studies of the parameters of the vascular endothelium indicate its key role in the pathogenesis of bronchopulmonary and cardiovascular pathology in miners of the main professions. Getting into the body of workers, particles of coal-rock dust lead to morphostructural rearrangement of the cells of the endothelial layer and its pathological activation. The contribution of molecular and genetic mechanisms to the development of occupational lung pathology and associated diseases of the circulatory system in miners is revealed. Ethics. The studies were carried out in compliance with the ethical standards of the Bioethical Committee of the Research Institute for Complex Problems of Hygiene and Occupational Diseases, elaborated on the basis of the Helsinki Declaration of the World Medical Association "Ethical Principles for Conducting Human Scientific Medical Research" as amended in 2013 and the "Rules of Clinical Practice in the Russian Federation" approved by the Order of the Ministry of Health of the Russian Federation No. 266 dated 19.06.2003. All workers were informed about their participation in the molecular-genetic study and gave written consent to carry it out. The research of the dead miners was based on the secondary examination of blocks and ready-made histological micro-preparations of the material of the Bureau for Forensic Medical Expert Examination of the cities of Novokuznetsk, Osinniki, and Prokopyevsk. The study of pathomorphological material was carried out in accordance with the Federal Law of 21.11.2011, No. 323-FZ "On the Fundamentals of Health Protection of Citizens in the Russian Federation", in particular, with Article 67 "Carrying out pathological and anatomical autopsies", Federal Law of 12.01.1996, No. 8-FZ "On burial and funeral business" (Article 5, paragraphs 1, 2), as well as on the basis of the Order of the Ministry of Health of April 29, 1994, No. 82 "On the procedure for conducting pathological and anatomical autopsy" (Annex to the Order of the Ministry of Health and Medical Industry of 29.04.1994 No. 82), the Order of the Ministry of Health of Russia of 24.03.2016. No. 179n "On the rules for conducting pathological and anatomical examinations".

Medical examinations for office employees

2021 ◽  
pp. 66-72
Author(s):  
Vasiliy Evgenievich Burak ◽  
Sergey Aleksandrovich Dontsov
Keyword(s):  
Nervous System ◽  
Electromagnetic Field ◽  
Social Development ◽  
Russian Federation ◽  
Ministry Of Health ◽  
The Russian Federation ◽  
Office Employees ◽  
Medical Examinations ◽  
The Impact ◽  
Broadband Frequency

The transition of the Russian Federation to new regulations in the field of labor protection in 2021 requires preliminary and periodic medical examinations of about 30–40 million office employees, which creates a number of organizational and economic problems for employers. The basis for conducting medical examinations of office personnel is the presence at the workplace of the electromagnetic field of the broadband frequency spectrum (5 Hz — 2 kHz, 2 kHz — 400 kHz), which is considered as a prerequisite for the appearance of occupational diseases associated with the influence of the electromagnetic field, leading to a disorder of the autonomic (autonomous) nervous system and with visually strenuous work, leading to the appearance of progressive myopia. The order of the Ministry of Health of the Russian Federation No. 29n of 28.01.2021 does not contain the exceptions characteristic of the latest editions of the order of the Ministry of Health and Social Development of the Russian Federation No. 302n concerning the intensity of the impact of the factor «when exceeding the maximum permissible level» or «work on reading, entering information, working in the dialog mode in the amount of at least 50 % of the working time», which means that the employer must conduct medical examinations of office employees working with a PC. The number of necessary laboratory and functional tests decreased by 1.8 times. Paradoxical is the transfer from the order of the Ministry of Health and Social Development (No. 302n) to the new order of the Ministry of Health of the Russian Federation (No. 29n) of the connection of electromagnetic fields exclusively with ophthalmological problems, ignoring no less significant problems of damage to the nervous system. The inclusion of a dermatovenerologist in the commission is completely unjustified, since the impact of the electromagnetic field of the broadband frequency spectrum does not cause significant problems of the dermatovenerological profile. Taking into account the requirements of the order of the Ministry of Health and Social Development No. 417n, it was proposed to replace a dermatovenerologist with a psychotherapist in the composition of the commission for conducting medical examinations of office employees with a psychotherapist with the inclusion in the table «Frequency and volume of mandatory preliminary and periodic medical examinations of employees» of the Appendix of the order of the Ministry of Health No. 29n of laboratory and functional studies of a psychotherapeutic profile.

scholarly journals The infectious socially significant diseases in places of imprisonment

2019 ◽  
Vol 61 (1) ◽  
pp. 29-35 ◽  
Author(s):  
Yu. V. Mikhaylova ◽  
Olga B. Nechaeva ◽  
E. A. Samarina ◽  
Yu. V. Tikhonova ◽  
I. B. Shikina
Keyword(s):  
Health Care ◽  
Hiv Infection ◽  
Russian Federation ◽  
Ministry Of Health ◽  
Number Of Patients ◽  
The Russian Federation ◽  
Executive System ◽  
Isolation Ward ◽  
Medical Examinations ◽  
Late Stages

In places of imprisonment of Russia the system of registration and monitoring ofpatients is the same as in civil health care. This system includes data on detection, diagnostic, treatment and dispensary observation of socially significant diseases. The obtained information is summarized with data concerning civil population and then is passed to Ministry of Health of the Russian Federation and profile research institutes within the framework of common federal and sectoral report forms. The systematic medical examinations, intensification of activities of infection control, support of effective treatment and coordination of measures between Ministry of Justice of Russia and Ministry of Health of the Russian Federation, international partners favored dramatic decreasing of indicator of morbidity of contingents ofpenitentiary system (up to 2.7 times during 1999-2015). Nowadays, the epidemic situation on tuberculosis in institutions of the penal executive system can be characterized as stable and controlled and having tendency to amelioration. Overall, as compared with Russian national average indices (2015), in places of imprisonment morbidity is higher: with tuberculosis 19,4 times, HIV-infection - in 26,9 times, syphilis - in 8.9 times. Among primarily registered patients of Federal penitentiary service of Russia in investigative isolation ward s in 2015 were detected 46% with tuberculosis, 84.6% with HIV-infection, 96.6% with syphilis. The number of patients infected with HIV-infection in contrast with tuberculosis has no tendency to decreasing in places of imprisonment. In 2015 percentage of infected individuals in institutions of the Federal penitentiary service of Russia began to increase in the structure of morbidity of HIV-infection in Russia in general. The cause of death of deceased with combined pathology (tuberculosis + HIV-infection) is HIV-infection mainly because almost in 90% HIV-infection has late stages. This indirectly testifies presence ofproblems related to detection of infection socially significant diseases among socially deadapted persons in civil health care.

scholarly journals PREVENTIVE MEDICAL EXAMINATION OF HEALTHY CHILDREN

2018 ◽  
Vol 17 (3) ◽  
pp. 254-258 ◽  
Author(s):  
Rita R. Kil’diyarova
Keyword(s):  
Comparative Analysis ◽  
Russian Federation ◽  
Organizational Support ◽  
Medical Examination ◽  
Healthy Children ◽  
Ministry Of Health ◽  
Child Population ◽  
Prophylactic Examination ◽  
The Russian Federation ◽  
Medical Examinations

Preventive medical examinations of healthy children or mass prophylactic examinations of minors in the Russian Federation are governed by the orders of the Ministry of Health of Russia. The data on regulatory and organizational support for the prophylactic examination of healthy children is presented. The article provides a comparative analysis on the frequency of children examinations by a district pediatrician, consultations by specialty doctors as well as additional examinations in accordance with the orders of the Ministry of Health of Russia No.1346n and No.514n entered into force on January 1, 2018. The authors give comments on the proposals of MO Revnova et al. suggested in the article “Towards the Improvement of the System of Mass Prophylactic Examinations of the Child Population”.

Recommendations of the Ministry of Health of the Russian Federation on the formation of a temporary staff table of a medical organization providing medical care to citizens with coronavirus infection COVID-19

2020 ◽  
pp. 5-12
Author(s):  
Olga Shinkareva
Keyword(s):  
Medical Care ◽  
Russian Federation ◽  
Medical Organization ◽  
Ministry Of Health ◽  
Organization Of Work ◽  
Coronavirus Infection ◽  
The Russian Federation

Article is devoted to the analysis of the Order of the Russian Ministry of Health of 19.03.2020 № 198n (an edition of 29.04.2020) “About a temporary order of the organization of work of the medical organizations for implementation of measures for prevention and reduction of risk of spread of a new koronavirusny infection of COVID19” regarding formation of the temporary staff list of the division of the medical organization providing medical care to citizens with a koronavirusny infection of COVID-19 and also the requirement with the staff of this division. The criteria recommended by the Ministry of Health of the Russian Federation for determining the number of rates of medical workers in these divisions, requirements for medical workers of the division have been considered, a practical example of calculation of rates has been given.

A clinical case of transcleral fixation of an artificial iridochrustalic diaphragm during its decentration in a patient with aniridia and aphakia

2021 ◽  
pp. 206-208
Author(s):  
D.O. Shkvorchenko ◽  
◽  
I.M. Gorshkov ◽  
S.A. Kakunina ◽  
K.S. Norman ◽  
...  
Keyword(s):  
Key Words ◽  
Russian Federation ◽  
Clinical Case ◽  
Functional Results ◽  
Successful Implementation ◽  
Ministry Of Health ◽  
Visual Functions ◽  
The Russian Federation ◽  
The Right

Purpose. To evaluate the clinical and functional results of the technique of transcleral fixation of the artificial iridochrustalic diaphragm during its decentration in a patient with aniridia and aphakia. Material and methods. Under observation was a 32-year-old patient K. with a diagnosis on the right eye: iridochrustalic diaphragm decentralization, posttraumatic aniridia, posttraumatic aphakia, who underwent a method of transcleral fixation of a displaced artificial iridochrustalic diaphragm developed at the Academician S. N. Fedorov Eye Microsurgery of the Moscow Ministry of Health of the Russian Federation. Results. Patient K. is subjectively satisfied with the visual functions obtained in the right eye. Conclusion. Thus, this clinical case demonstrates a very successful implementation of the fixation of the iridochrustalic diaphragm with its displacement to obtain satisfactory visual functions in the patient. Key words: aniridia, iridochrustalic diaphragm, transcleral fixation.

The Role of the Information Contained in School Physical Evaluation Forms in Preventing the Development of Severe Clinical Conditions in Physical Education Classes

2020 ◽  
pp. 29-36
Author(s):  
Zhanna Vladimirovna Gudinova ◽  
Galina Nikolaevna Zhernakovа ◽  
Irina Vladimirovna Gegechkori ◽  
Elena Ivanovna Tolkova ◽  
Yuliya Sergeevna Vaskovskaya
Keyword(s):  
Public Schools ◽  
Physical Education ◽  
Russian Federation ◽  
Ministry Of Health ◽  
Physical Evaluation ◽  
Conflicting Information ◽  
The Russian Federation ◽  
Definition Of ◽  
Clinical Conditions ◽  
Development Assessment

This research analyses school physical evaluation forms obtained from one of Omsk public schools’ roll books as well as the physical development assessment of 820 students of this school. The findings uncovered a violation of the requirements of SanPiN, the provisions of the Russian Federation Ministry of Health orders regarding the maintenance of physical evaluation forms, the definition of medical groups for students in physical education, and conflicting information about the children’s health, which may cause severe clinical conditions in physical education classes. The noncompliance of the regulatory framework for RPN (in terms of the Health List) and the Russian Federation Ministry of Health (in terms of physical education regulation for children with accommodations) was also uncovered.

Is it possible to build an effective program to promote the health and well-being of employees in the workplace in the Russia?

2021 ◽  
pp. 46-56
Author(s):  
Ivan Aleksandrovich Rybakov
Keyword(s):  
Risk Factors ◽  
Russian Federation ◽  
Preventive Measures ◽  
Scientific Evidence ◽  
Well Being ◽  
Ministry Of Health ◽  
Comprehensive Health ◽  
Effective Program ◽  
The Russian Federation ◽  
Health And Well Being

In 2019 The Ministry of Health of the Russian Federation together with experts of the National Research Center of Therapy and Preventive Medicine of the Ministry of Health of the Russian Federation has developed programs to strengthen the health of employees, which include behavioral medicine practices aimed at changing lifestyle and correcting risk factors. Scientific evidence shows the effectiveness of such programs, and new components of programs aimed at improving the well-being of employees can increase the effectiveness of preventive measures. In this article, we will review the domestic and international experience of using comprehensive health and well-being promotion programs to improve the health of employees in Russia.

scholarly journals Vladimir Dmitrievich FEDOROV, doctor of medical Sciences, Professor, academician, Director of the Institute of surgery them. A.V. Vishnevsky (to 85-th anniversary from birthday)

2018 ◽  
Vol 11 (1) ◽  
pp. 81
Author(s):  
Alexander Alekceevich Andreev ◽  
Anton Petrovich Ostroushko
Keyword(s):  
Russian Federation ◽  
International Society ◽  
State Prize ◽  
Medical Institute ◽  
Honorary Member ◽  
Medical Council ◽  
Medical Sciences ◽  
Ministry Of Health ◽  
Health Council ◽  
The Russian Federation

Vladimir Dmitrievich Fedorov was born on 21 March 1933 in Moscow. After finishing school he entered in the 2nd Moscow medical Institute named after N. And. Pirogov (1950-1956), where he performed the duties of Secretary of the Bureau of the Komsomol of the course and the member of the Komsomol Committee of the Institute; engaged in experimental work on the defibrillation of the heart. Studied in residency (1956-1958), graduate school (1958-1960), worked as a teaching assistant (1960-1966) and then associate Professor (1966-1971) chair of hospital surgery of the 2nd Moscow state medical Institute. In 1963 he defended his Ph. D. in 1971 doctoral dissertation. In 1972, Vladimir Dmitrievich Fedorov was appointed Director of research laboratory surgery clinic of the Ministry of health of the RSFSR. In 1976, on the initiative of V. D. Fedorov was the first in the USSR Department of Coloproctology of the Central doctors improvement Institute, which he headed for 13 years. In 1982 he was elected a corresponding member, and in 1986, academician of the Academy of medical Sciences (AMS) of the USSR. Since 1988, Vladimir Fyodorov, Director of the Institute of surgery named after AV Vishnevsky Academy of medical Sciences of the USSR. In 1990, V. D. Fedorov elected to the chair of surgery, faculty of postgraduate professional education of Moscow medical Academy named after I. M. Sechenov. Since 1974 he worked as a Deputy chief surgeon of the Medical center of President's Affairs Administration of the Russian Federation. D. Fedorov is the author of over 500 scientific works, including 13 copyright certificates and patents, and 20 monographs. Under his leadership, and counseling are protected by 32 doctoral and 47 master's theses. V. D. Fedorov was an honorary member of the Russian Association of endoscopic surgery and the Association hepatobiliary surgery, Moscow surgical society, surgical scientific societies of Uzbekistan, Kazakhstan and the Saratov region, Chairman of the surgical section and member of the Presidium of scientific medical Council of Ministry of health of the Russian Federation, a member of the Interdepartmental health Council, Deputy chief editor of the journal "Surgery", member of the editorial Board of the journal "Surgical Laparoscopy and Endoscopy" and one of the oldest journals "British Journal of Surgery". For two years he headed the Association of surgeons named after N. And. Pirogov (1992-1994). More than 10 years he was a member of the Presidium of the Russian Academy of medical Sciences and performed the duties of Chairman of the Board of Directors of the institutes of the Russian Academy of medical Sciences. Vladimir Dmitrievich, a foreign member of the Belarusian Academy of medical Sciences (2000) and the Academy of Sciences of Moldova (2003), honorary Professor of the Petrovsky national research center of the Russian Academy of medical Sciences and the Bashkir medical College. Academician V. D. Fedorov is the main national representative in the International society of surgeons (1990) national representative in the International society of University surgeons Coloproctology. Mr Kuznetsov – laureate of the State prize of the USSR (1985) and the RSFSR (1991), RF Government prize (2002), Honored scientist of Russia (1997), awarded the order of red banner of Labor (1976, 1978), Lenin (1983), "For merits before Fatherland" III degree, Friendship of peoples (1993).

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