scholarly journals Resolution of the plenary session of the problem commission "ecology and reproductive health of women" of the scientific council on obstetrics and gynecology of the framework "scientific and practical aspects and prospects for the development of ecological reproduction" dated September 21-24, 2004

2005 ◽  
Vol 54 (1) ◽  
pp. 93-95
Author(s):  
Eduard К. Ailamazyan ◽  
Elena G. Vinogradova

After hearing and discussing messages from various regions of the Russian Federation, the participants of the Plenum state: despite the fact that the level of anthropogenic pollution of the environment according to the parameters of sanitary and hygienic monitoring in the 2000s decreased or in a number of territories did not undergo significant changes, and qualitative indicators of the health status of pregnant women, newborns and children.

2005 ◽  
Vol 54 (1) ◽  
pp. 5-6
Author(s):  
Eduard K. Ailamazyan

For more than 40 years Scientific Research Institute of Obstetrics and Gynecology named after V.I. D.O. Otta RAMS is the leading institution for the problem "Ecology and reproductive health of women" of the Scientific Council (NS) for Obstetrics and Gynecology of the RAMS and the Ministry of Health of the Russian Federation (M3 RF)


Author(s):  
Frank A. Quinn ◽  
Gennady N. Gridasov ◽  
Sergey A. Vdovenko ◽  
Natalia A. Krasnova ◽  
Nadezhda V. Vodopianova ◽  
...  

AbstractUndiagnosed thyroid disease is a common problem with significant public health implications. This is especially true during pregnancy, when the health of both the mother and the developing child can be adversely affected by abnormal maternal thyroid function. Measurement of serum thyroid stimulating hormone (TSH) and thyroid peroxidase antibodies (TPO-Ab) are two common ways to assess maternal thyroid status. The objective of our study was to determine the prevalence of abnormal TSH and TPO-Ab tests in a population of pregnant women in the Samara region of the Russian Federation. Serum samples were obtained from 1588 pregnant women as part of their routine antenatal care. TSH and TPO-Ab were measured, and trimester-specific reference values for TSH (2.5–97.5 percentiles) were calculated using TPO-Ab-negative women. TSH results outside these ranges were considered abnormal; TPO-Ab levels outside the manufacturer's reference range (>12IU/mL) were considered abnormal. Overall, the prevalence of abnormal results was 6.3% for TSH and 10.7% for TPO-Ab. High TSH (>97.5 trimester-specific percentile) and TPO-Ab-positive results were most common in the first trimester (5.7% and 13.8%, respectively). TSH levels were associated with gestational age and TPO-Ab status, and with maternal age in TPO-Ab-negative women. TPO-Ab status was associated with both maternal and gestational age. Women with TSH >2.5mIU/L had a significantly increased risk of being TPO-Ab-positive, and this risk increased with age. Based on our data, we conclude that abnormal TSH and TPO-Ab are common in pregnant women of the Samara region. Given the association of thyroid dysfunction to adverse pregnancy outcomes, screening of this population for abnormal thyroid function should be considered.


2021 ◽  
Vol 100 (12) ◽  
pp. 1487-1494
Author(s):  
Aleksandr S. Shastin ◽  
Olga L. Malykh ◽  
Venera G. Gazimova ◽  
Tatyana M. Tsepilova ◽  
Tatyana S. Ustyugova

Introduction. The quality of labour potential is one of the most important factors of economic growth, which largely depends on the health status of the working-age population. Today, incidence and prevalence rates in the Russian working-age population are not monitored at the national level. Materials and methods. We conducted a descriptive epidemiological study based on retrospective data on disease incidence in the adult population of the Russian Federation. We also assessed disease incidence and prevalence in the Russian working-age population (men aged 18-59 and women aged 18-54) in 2015-2019 using the method of continuous observation. We estimated and ranked incidence and prevalence rates per 100,000 working-age population of some constituent entities and federal districts of the Russian Federation to establish the territories with the highest and lowest rates. Results. We applied and tested methodological approaches to assessing the morbidity of the working-age population living in different regions of the Russian Federation. Our findings demonstrate a high degree of variability in both incidence and prevalence rates in the working-age population in general and by ICD-10 disease categories. Conclusion. Results of our assessments and ranking of the constituent entities of the Russian Federation by disease-specific incidence and prevalence rates in the working-age population provide an opportunity to areas at risk with specific health status enabling the most efficient management of risks of labour and economic losses. The proven method approaches may be used to address the challenges of public health monitoring.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nataliia Bakunina ◽  
Artyom Gil ◽  
Vitaly Polushkin ◽  
Boris Sergeev ◽  
Margarita Flores ◽  
...  

Abstract This narrative review was conducted to synthesize and summarize available up-to-date evidence on current health status, including both non-communicable diseases and infectious diseases, of migrants and refugees from the former Soviet Union countries in the Russian Federation. Epidemiological and sociological studies with one or more determinants of the health, as well as relevant qualitative studies characterizing risk factors, well-being indicators, and lifestyles of migrants and refugees from the former Soviet Union countries in Russia published from 2004 to 2019 in Russian and English languages were included in the review. Despite significant limitations of the available research literature in the field, some patterns in migrants’ health in Russia and issues that need to be addressed were identified. In particular, the syndemic epidemics of communicable and non-communicable diseases, additively increasing negative health consequences, including cardiovascular diseases and chronic digestive system diseases, high rates of sexually transmitted infections and HIV, respiratory diseases and a growing percentage of new tuberculosis cases among migrants from the former Soviet Union countries are all of great concern. Possibly, the burden of these co-occurring morbidities is linked to commonly reported issues among this population group, such as poor nutrition and living conditions, high prevalence of unskilled manual labour, non-compliance with sanitary norms, lack of basic vaccinations, lack of basic knowledge about safe sexual practices and risky sexual behaviour, low healthcare seeking behaviour and limited access to health care. Importantly, these findings may urge the government to increase efforts and promote international collaboration in combating the threat of infectious diseases. Additionally, it was found that migrants had higher levels of anxiety and post-traumatic stress disorder, and those who stayed in the receiving country 5 years or more had a higher level of somatic pathology than those whose stay was less than 5 years. In order to ensure an adequate health system response and fulfil the main Universal Health Coverage principle of “leaving no one behind”, a robust monitoring system of the health status of refugees and migrants and an integrated legal framework for the standardized and more inclusive routine care for this population in Russia is urgently needed.


2021 ◽  
Vol 22 (3) ◽  
pp. 27-32
Author(s):  
A. G. Arutyunyants ◽  
◽  
M. B. Ovchinnikova ◽  

The purpose of the study is to characterize the legal framework for integrating telemedicine into the obstetric service in the light of the new Order of the Ministry of Health of the Russian Federation of 2010.2020 No. 1130n, to establish aspects of the use of telemedicine in obstetrics, and to show the practical results of its implementation. Material and methods. A scientific and analytical, retrospective study of all cases of the use of telemedicine technologies in the obstetric service of the Perinatal Center of Noyabrsk (Yamalo-Nenets Autonomous Okrug) in 2020 was carried out. Results. The main aspects of the use of telemedicine in obstetrics in areas with a low population density have been established, namely: selection of pregnant women requiring a high level of attention, routing of high-risk pregnant women in health care facilities of levels II and III, extreme conditions of pregnant women and newborns, pregnancy complications and negative medical and genetic prognosis of offspring, high-tech remote medical care for pregnant women, women in labor and newborns in federal healthcare facilities of III B level. The capabilities of patient-centered telemedicine technologies in the context of the COVID-19 pandemic have been determined. The clinical experience of the Noyabrsk Perinatal Center has proved that telemedicine counseling for pregnant women located in areas remote from the PC, prescribed by Order No. 1130n, significantly improves the quality of the regional obstetric care system. Conclusion. The Order of the Ministry of Health of the Russian Federation No. 1130 n ensures the effective integration of telemedicine technologies into the obstetric service, laying the foundation for the formation of a regional regulatory framework for obstetric telemedicine. Thanks to the new Order, the planned development of telemedicine obstetric networks and the organization of remote consulting centers in level III A health facilities have become mandatory. The Order gave impetus to the formation of electronic databases of high-risk pregnant women in each region. It provides for remote provision of both routine and emergency obstetric care. All this allows the obstetric service of the regions with the use of telemedicine to provide high-quality medical care to pregnant women, women in labor and parturient women, even in extreme conditions of epidemics and emergencies.


Author(s):  
Anna V. Fomina ◽  
Fatima G. Dzidzarija ◽  
Evgenia V. Bivol

Background: Due to a quantitative decrease in the demographic reserve and a qualitative decrease in the reproductive potential of the country, protecting the reproductive health of women in Russia has now become an emergency situation. The obstetric and gynecological service is of major importance in maintaining reproductive health and conducting a comprehensive demographic policy. This study aimed to assess the dynamics of gynecological morbidity in the Russian Federation, the Central Federal District, the city of Moscow, and the organization of stationary gynecological care. Material and methods: The official statistics of the Federal State Statistics Service and the Ministry of Health of Russia for 20092018, as well as data from copies of the medical records (medical history, records of patients discharged from the hospital) of patients who received treatment in a gynecological day patient facility between 2015 and 2017. Results: A decrease in the number of gynecological beds by 32.2% over 10 years was noted. At the same time, the level of primary and general incidence of inflammatory diseases of the female pelvic organs did not decrease; between 2014 and 2018, there has been an increase in the incidence of primary female infertility. Non-inflammatory diseases of the female genital organs prevail (76.6%) as reason for admission in the day patient facility. Conclusion: The gynecological day patient facility manages female health; however, the nationwide and regional incidence rate of gynecological morbidity follows a negative trend and is increasing annually.


Author(s):  
Yu. K. Krasnov

Introduction. May and June 2018 saw intensi­fied discussions in Russia around the issue of confis­cation of property obtained by criminal means. These discussions arose after several initiatives of legisla­tors who advocated the strengthening of the role of this institution of criminal law in the legal practice in Russia and after the Supreme Court of the Rus­sian Federation summarized the experience of the use of confiscation in the practice of Russian courts and formulated some recommendations for the courts in the decision of the plenary session of June the 14th .  Materials and methods. The article uses a number of research methods and techniques to ana­lyze the problem such as analysis that allows isolat­ing the trends in the development of the institution of confiscation; comparison which allows evaluating homogeneous processes at different stages of the in­stitute of confiscation of property acquired by crimi­nal means, and generalization which is necessary to summarize the results of the research.  Research results. The use of the institution of confiscation of property obtained by criminal means in the legal practice of Russia has passed several stages. The modern stage began after the institution was restored in the criminal code of the Russian Fed­eration by the Federal law of July 27, 2006 № 153FZ and section VI of the Criminal Code was supple­mented by Chapter 15.1 “Confiscation of property”. This Chapter contains the legislative definition of the confiscation of property (article 104.1 of the Crimi­nal Code) and an indication of the subject of confis­cation, its types and conditions.  Based on the decisions of the plenums of the Su­preme Court of the Russian Federation the article analyzes the practice of this institution in the activi­ties of Russian courts. 12 years of experience in the application of Chapter 15.1 of the Criminal Code, showed that, despite the repeated explanations of the Supreme Court, which dealt with individual crimes, some of the controversial issues remained unre­solved. In this regard the Plenum of the Supreme Court introduced a number of proposals to improve the legal framework of this institution in the draft Resolution.  On June 14th , 2018 the next plenary Session of the Supreme Court of the Russian Federation ad­opted a new detailed resolution on the practice of application of Chapter 15.1 of the Criminal Code and proposed detailed recommendations to improve the application of the institution of confiscation of property obtained by criminal means in the Russian Federation, which are considered and commented on in the article.  Discussion and conclusion. Legal literature discussed the innovations in the Russian legislation related to the institution of confiscation of property obtained by criminal means caused in a very active mode. The views of the authors of articles on this is­sue can be divided into two parts with each havinga lot of supporters. According to the first of them the new place of confiscation of property among the mea­sures of criminal law is justified.  Supporters of the opposite point of view sup­port the exclusion confiscation of property from the system of measures of criminal law as they believe that the legal nature of the confiscation of property belongs to a form of criminal punishment. This is the opinion of the judges. Two-thirds of the judges believe that the confiscation of property should be considered as an additional form of punishment.


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