scholarly journals State of health of children in Russia, priorities of its preservation and improving

2018 ◽  
Vol 99 (4) ◽  
pp. 698-705 ◽  
Author(s):  
A A Baranov ◽  
V Yu Albitskiy

Aim. Analysis of the main tendencies in the state of health of children in Russia in 2011-2016 and representation of priorities in its preservation. Methods. The official statistical data characterizing the state of health of the children’s population aged 0-17 years were used: birth rate, population of this age, physical development, incidence, disability, mortality. Results. In general, positive tendencies in the state of health of children and teenagers are observed. The high ratio of children with normal level of physical development was noted. According to routine medical examinations, more than one third of the examined children are healthy. Growth of the general and primary incidence among children of all age groups has stopped. The incidence of socially important diseases (tuberculosis, syphilis, gonococcal infection, alcoholism, drug addiction and inhalant abuse) among children and teenagers is reducing, level of newly diagnosed human immunodeficiency virus infection has stabilized. Mortality from the majority of main causes among children of all age groups, especially during the first year of life, has significantly decreased. However, the level of primary and general disability of children aged 0-17 years remains stable. Conclusion. The current priorities of children’s health care are health problems of teenagers, children’s disability, implementation of preventive medical care for children in primary care setting, improvement of medical rehabilitation, optimization of the system of medical social care to children’s population.

Author(s):  
Svetlana B. Lazurenko ◽  
A. P. Fisenko ◽  
S. R. Konova

Results of the analysis and comparison of official statistics and selective studies of the health status of young children brought up in children’s homes and in the children’s population over the past decade are presented. It has been established that The state of health of charity-children of children’s homes by the nature and structure of disorders was established to differ from the state of health of children in the population. The authors propose to implement a number of measures to ensure the improvement of the quality of medical and psychological-pedagogical assistance to children with combined forms of pathology; to introduce in the child’s homes modern medical-psychological-pedagogical assistance to a severe contingent of children based on interdisciplinary interaction, to improve the system of gradual rehabilitation treatment and comprehensive medical rehabilitation of children of the first year of life, taking into account the structure of health disorders.


2019 ◽  
Vol 72 (4) ◽  
pp. 575-578
Author(s):  
Oleksandr V. Kharchenko ◽  
Nataliya V. Kharchenko ◽  
Inna Y. Shaparenko ◽  
Lyudmyla M. Sakharova ◽  
Yulia P. Yushchenko

Introduction: The sharp deterioration in the physical development of the younger generation is worrying. The morbidity of youth has increased by 29.9% compared with the last century. More than 33% of boys and girls, among first-year students with chronic diseases. The aim: Assessing the state of the students’ body by examining the results of a survey among the second- and third-year students of the university using a specially designed questionnaire. Materials and methods: The material on the assessment of the state of health and the characteristics of the organism has been processed by studying the results of a survey of young men and women aged 20-23, obtained on the basis of using the developed questionnaire. Results: Physical development has been studied in accordance with the state of health of the students, as well as a thorough study of a number of criteria: diseases of the musculoskeletal system were 37.1%, 49.7% and 43.45 among boys aged 20, 22 and 23 and respectively 33.3 %, 38.6% and 47.7% among girls in their 20s, 22s and 23s. The morbidity of eye was 18.0%, 3.8% and 9.9% among boys aged 20, 22 and 23 years and 17.7%, 17.1% and 7.7% among girls aged 20, 22 and 23 years. Conclusions: In the structure of morbidities are diseases of the musculoskeletal system, diseases of the nervous system and the organ of vision. Correlation of the characteristics of the level of students’ health and their physical development have indicators on the level of educational adaptation and the number of diseases.


Thorax ◽  
2001 ◽  
Vol 56 (6) ◽  
pp. 427-431 ◽  
Author(s):  
T Tschernig ◽  
A S Debertin ◽  
F Paulsen ◽  
W J Kleemann ◽  
R Pabst

BACKGROUNDDendritic cells (DCs) in the mucosa of the respiratory tract might be involved in the early development of pulmonary allergy or tolerance. To date, little is known about when the first DCs occur in human airways.METHODSSpecimens of the distal trachea from patients who had died from sudden death in the first year of life (n=29) and in older age groups (n=59) as well as from those who had died from respiratory tract infections in the first year of life (n=8) were examined by immunohistochemistry. Transmission electron microscopy was performed in additional samples from two adults.RESULTSIn the sudden death subgroup DCs were absent in 76% of those who died in the first year of life but were present in 53 of the 59 older cases. All infants who had died of respiratory infectious diseases had DCs in the tracheal mucosa.CONCLUSIONSMature DCs are not constitutively present in the human tracheobronchial mucosa in the first year of life, but their occurrence seems to be triggered by infectious stimuli. These data support the hypothesis that DCs play a crucial role in immunoregulation in early childhood.


Author(s):  
Svetlana Vasil'evna Ivanova ◽  
Olga Vasil'evna Kurdakova ◽  
Aminat Msostovna Konova ◽  
Anna Yurievna Gavrilova

In the course of the experiment, the effect of increasing doses of nitrogen fertilizers on the yield of clover of the meadow variety Nadezhny, entered in the State Register of Breeding Achievements in 2012, was analyzed. A comparison is also made of this influence with the timothy of the meadow variety Leningradskaya 204. It was established that the pre-sowing introduction of mineral nitrogen for clover and timothy has influenced the productivity of these crops, but the nature of this effect varies depending on the type of grass. The introduction of N20 against the background of P30K90, which provided an increase in control of 51.2% for green mass and 33.6% for air-dry matter, was optimal for meadow clover of the first year of life. For grassland clover second year of life, the best option was N0P30K90, which gave an increase of 56.6% to the control on green mass and 50.6% on air-dry matter. A further increase in the dose of nitrogen on the options caused a decrease in yield increase. Timothy meadow for two years of life was traced responsiveness to the provision of nitrogen. The most productive in all respects was the option N120P30K90.    


(1) In a paper communicated to the Royal Society in 1899, and later in greater elaboration published in ‘Biometrika,’ 1901, it has been shown on the basis of the inheritance of longevity that the selective death-rate in man amounted to at least 60 per cent. to 80 per cent. of the total death-rate. The matter has been recently reconsidered by Prof. Ploetz, who, dealing with material wholly different from that of Beeton and Pearson came to similar conclusions. The point is a very vital one, for, combined with: (i) the heredity of physical and mental characters in man, and (ii) the demonstration that the longer-lived have more offspring, we reach a definite knowledge that Darwinism does apply, and very intensely applies, even to man under civilised conditions. The difficulty of a direct investigation of the problem lies in securing uniformity of environment. W e have to demonstrate that when under the same environment there is a heavier death-rate among a given group of human beings, then among the survivors of this group in a given later period the death-rate will be lessened. Now each group of individuals we attempt to deal with has its own environment, and if that is a bad environment we should expect to find a heavy death-rate both at the earlier and later periods; this obviously must obscure the action of natural selection. For example in districts with a high infant mortality we might expect a high child mortality, say deaths from two to five years of life, because a bad environment sends up the intensity of both. The correlation between deaths in the first year of life (0—1) and in the next four years of life (1—5) for a given district will certainly be positive if no correction be made for varying environment. Quite recently this matter has been discussed by determining the correlation between the ages 0—1 and 1—5 in the administrative counties of England and Wales. As ( a ) the group 0—1 was not followed to 1—5, but the deaths in these age-groups for the same years were dealt with, and ( b ) no allowance whatever was made for the differential environment of the administrative counties, it is difficult to find any real bearing of the data on the problem of natural selection in man.


2011 ◽  
Vol 26 (S2) ◽  
pp. 305-305
Author(s):  
M.A. Kalinina ◽  
G.N. Schimonova

IntroductionThe study of clinical features and prognostic significance of autonomic disorders are among the most pressing problems of modern medicine.ObjectivesDynamically within 5 years were observed 50 children at high risk for schizophrenia and 40 children with hypoxic-ischemic encephalopathy of the general population. Aims. Evaluation of prognostic significance of autonomic disorders in infancy for mental health in older age groups.MethodsAll patients were examined by clinical methods and EEG, neurosonografia, original screening tables for early childhood.ResultsIn the first year of life in children at high risk for schizophrenia observed mental and motor development within the syndrome of PDD.In infancy the vagotonic orientation prevailed 72, 5%. By 3 years it changed to the amphotonic orientation reaching 76, 0% of children, while the 10, 0% acquired sympathotony, the rest remained vagotonic.The mental state of 37 children to 5 years qualified as schizotipical disorder (F 21.8). In 13 children it was diagnosed schizophrenia, children's type (F20.8). Frequent and sudden changes in the type of tonus correlated with the deterioration of the mental state of a different nature.In the control group at the first year of life prevailed vagotonic orientation, which gradually to age of one year changed by eutonic. During the first 3–5 months of infancy revealed some unstable circulatory, sleep disorders.ConclusionsThe instability of autonomic tone and an abundance of vegetative violations indicate the risk of mental pathology.


2017 ◽  
Vol 16 (6) ◽  
pp. 14-20 ◽  
Author(s):  
N. T. Tikhonova ◽  
O. V. Tsvirkun ◽  
A. G. Gerasimova ◽  
A. A. Basov ◽  
R. A. Frolov ◽  
...  

Objective: evaluate the passive specific immunity to measles and rubella in newborns and their mothers. Materials and metods: a study was made by the ELISA of the state of specific immunity to measles and rubella in 226 puerperas aged 15 to 44 without taking into account the vaccination status and their newborns in maternity hospitals in Moscow and Moscow Region. Results - the seropositive of measles proportion - 73.9 ± 2.9%, the rubella - 84.5 ± 2.4%. Comparison of the results of the study of immunity to rubella in puerperas and newborns with the results of previous years did not reveal any significant differences. The results of the examination of 226 newborns for the presence of antibodies to the rubella virus showed that the proportion of seropositive measles to the virus turned out to be 177 (78.3 ± 2.7%) children, rubella - 83.6 ± 2.4%, comparable to results of a survey of their mothers. Conclusion: high level of protection of the puerperas and their newborns from these infections. However, the organization and carrying out of vaccinations requires increased attention and control, since only high and timely coverage with vaccinations will prevent the increase in the incidence of infection when meeting with the pathogen of infection, including children of the first year of life.


2020 ◽  
Vol 5 ◽  
pp. 187
Author(s):  
Nickson Murunga ◽  
Grieven P. Otieno ◽  
Marta Maia ◽  
Charles N. Agoti

Background: Randomized controlled trials of licensed oral rotavirus group A (RVA) vaccines, indicated lower efficacy in developing countries compared to developed countries. We investigated the pooled effectiveness of Rotarix® in Africa in 2019, a decade since progressive introduction began in 2009. Methods: A systematic search was conducted in PubMed to identify studies that investigated the effectiveness of routine RVA vaccination in an African country between 2009 and 2019. A meta-analysis was undertaken to estimate pooled effectiveness of the full-dose versus partial-dose of Rotarix® (RV1) vaccine and in different age groups. Pooled odds ratios were estimated using random effects model and the risk of bias assessed using Newcastle-Ottawa scale. The quality of the evidence was assessed using GRADE. Results: By December 2019, 39 (72%) countries in Africa had introduced RVA vaccination, of which 34 were using RV1. Thirteen eligible studies from eight countries were included in meta-analysis for vaccine effectiveness (VE) of RVA by vaccine dosage (full or partial) and age categories. Pooled RV1 VE against RVA associated hospitalizations was 44% (95% confidence interval (CI) 28-57%) for partial dose versus 58% (95% CI 50-65%) for full dose. VE was 61% (95% CI 50-69%), 55% (95% CI 32-71%), 56% (95% CI 43-67%), and 61% (95% CI 42-73%) for children aged <12 months, 12-23 months, <24 months and 12-59 months, respectively. Conclusion: RV1 vaccine use has resulted in a significant reduction in severe diarrhoea in African children and its VE is close to the efficacy findings observed in clinical trials. RV1 VE point estimate was higher for children who received full dose than those who received partial dose, and its protection lasted beyond the first year of life.


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