The impact of socio-economic indices on the incidence of the child population of the Republic of Bashkortostan

Introduction. Over the past two decades, a large amount of data has been accumulated that show the significant impact of social factors on the health of the population. The Republic of Bashkortostan is a large industrial centre and one of the most promising subjects of the Russian Federation. Purpose of the study. Ranking the territories of the Republic of Bashkortostan by priority socioeconomic indices, as well as determining their impact on the health of the child population. Material and methods. As the initial data, the materials of the socioeconomic state of the Republic of Bashkortostan, data on the number and morbidity of the child population for the period 2014-2018 were used. Correlation-regression analysis was carried out, and qualitative assessments of the results obtained were given. The principle of dividing the territory into seven socio-economic zones, taking into account climatic and geographical features, the development of industrial potential and the existing socio-economic ties, was chosen as the basis for the study. Results. The ranking of territories by socio-economic indices in the Republic of Bashkortostan showed that most of the municipalities (over 60%) have a low level of socio-economic development. The most favourable conditions in terms of social comfort for children were found in the southern, central and northwestern economic zones. So, as socio-economic indices improve by 2018, the incidence of the population tends to decrease. Conclusion. Thanks to the data obtained, a number of the most disadvantaged areas in socio-economic development and morbidity in the child population have been identified. In these territories, it is recommended to develop a set of measures to improve and stabilise socio-economic indices.

Questions of immunodiagnostics in the teaching of phthisiology for students of the pediatric faculty

The quality of training of medical specialists is laid down during training at a medical university, where basic knowledge and the ability to manipulate them are laid, and, on the basis of the acquired competencies, to form practical skills. The issues of tuberculosis infection occupy a significant part in the work of a pediatrician. First of all, these are the issues of screening the child population for tuberculosis, early detection and specific prevention of tuberculosis. For the effective preparation of students of the pediatric faculty, it is necessary to lay theoretical knowledge in the program, to form practical skills and abilities. Since the detection of tuberculosis patients is carried out in medical institutions of the general pediatric network, it is necessary to master professional competencies. The preparation of students within the framework of the basic specialty "phthisiology" has its own nuances due to the specifics of medical education, the diversity of tuberculosis infection, the peculiarities of the organization and provision of anti-tuberculosis care to the child population. Training in the specialty "phthisiology" requires a large amount of special knowledge, skills, improvement of the interdisciplinary approach, in accordance with the requirements of the federal state educational standard. The article provides an analysis of the ongoing training system for students of the pediatric institute in the online system, presents the experience of the department in teaching students during the period of distance education during the spread of a new coronavirus infection. The assessment of the results of practical training among 6th year students of the pediatric faculty (n = 123). It was revealed that it is not always possible to predict in advance the degree of understanding of the educational material, and even the depth of understanding the questions in the test problems. The use of scientific evidence-based statistical methods for evaluating test items helps in optimizing and objectifying knowledge control and understanding the educational material.

Investigation of the Effectiveness of Cortexin in the Treatment of Cardiac Arrhythmias in Children

In this article, a new look at cardiac rhythm and conduction disorders in children is outlined. These deviations, along with congenital malformations, have taken one of the first places in the structure of cardiovascular pathologies. This is one of the most serious problems that stands at the intersection of cardiology and pediatrics. The frequency of occurrence of severe forms of arrhythmias reaches 1:5000 of the child population, and life-threatening arrhythmias – 1:7000. Treatment of cardiac arrhythmias and conduction disorders is one of the most difficult sections of clinical pediatrics. There are medicinal and non-medicinal methods. According to experimental new data, nootropics, in particular the drug Cortexin, along with cardiotrophic drugs, form the basis of neuro-metabolic therapy and correction of children's arrhythmias.

Gastrointestinal Parasitosis and Anemia Monitoring in the Child Population of Villa Clarín, Colombia

BackgroundThere is limited non-anecdotal literature on the effectiveness of health policies and the prevalence of childhood anemia in rural communities in the Colombian Caribbean region. The objective of the following study is to report a parasitological and hematological episode of 94 children belonging to the child population of Villa Clarín, Colombia, and reinforce the disposable literature of local care reports.Case presentationThis article studies an event of intestinal parasitosis prevalence and anemia in 94 children between 1 and 11 years of age, grouped into three age ranges of 1 to 3 years, 4 to 6 years, and 7 to 11 years of age respectively, from the rural community of Villa Clarín, Colombia. Blood samples were obtained by venipuncture and processed through a complete blood count. The feces were collected by spontaneous evacuation and analyzed using a spontaneous sedimentation technique. The prevalence of intestinal parasitosis was 96.81%. ConclusionsEight of the 91 children in whom intestinal parasites were detected had anemia while 29 were above the normal levels of hemoglobin. An association was found with E. histolytica / dispar, but not with A. lumbricoides, T. trichiura, S. stercolaris, Uncinaria, Taenia sp, H. nana, H. diminuta, G. lamblia, T. hominis or B. hominis. The high prevalence of intestinal parasitosis and the anemia levels indicate deficiencies in environmental sanitation and hygienic-sanitary measures.

Crianças, saberes e ações práticas: como a terapia ocupacional tem dialogado com as infâncias/Children, knowledge, and practice: how occupational therapy has dialogued with childhoods

ResumoEstudar as infâncias têm sido, nos últimos anos, pontos de diversas disciplinas. Na Terapia Ocupacional, o campo das infâncias e o trabalho com crianças constituem um leque abrangente de áreas em comum e formas distintas de se pensar e colocar em prática os diversos seguimentos de atuação da profissão. Pensando em modos plurais de se trabalhar com crianças, este dossiê condensa em seus textos alguns trabalhos, pesquisas e abordagens de terapeutas ocupacionais com a população infantil, cujo objetivo é criar um caleidoscópio de referências para ampliar o desenvolvimento de ações, saberes e fazeres com crianças em seus múltiplos contextos.Palavras-chave: Terapia Ocupacional. Crianças. InfânciasAbstractStudying childhoods have been, in recent years, points of various disciplines. In Occupational Therapy, the field of childhood and work with children constitute a wide range of common areas and distinct ways of thinking and putting into practice the various segments of the profession's performance. Thinking about plural ways of working with children, this dossier condenses in his texts some works, research and approaches of occupational therapists with the child population, whose objective is creating a kaleidoscope of references to expand the development of actions, knowledge and do with children in their multiple contexts.Keywords: Occupational Therapy. Children. Childhood.

Morbidity of Children's Population of Lermontov City, Located in the Uranium Legacy Area

Purpose: To carry out assessment the health status of the child population of the Lermontov city. This child population living in the area, of uranium legacy, and they are critical group of the population in terms of sensitivity to adverse environmental factors. Materials and methods: The object of the study was the morbidity of children 0–14 years old (primary, chronic, oncological). The research material was the data of reporting forms of medical statistics, presented in the following forms: 7 – information on malignant neoplasms and 12 - information on the number of diseases in children. The development included data from Clinical hospital # 101 of the FMBA of Russia for 2014–2018. Statistical data processing was carried out using standard methods used for the analysis of biomedical data. Results: The morbidity of children 0–14 years old in Lermontov in 2014–2018 averaged 2310.9 ± 115.7 per 1000. In the structure of morbidity, the leading places were occupied by diseases of the respiratory system – 59.2 %, the digestive system – 8.8 %, skin and subcutaneous tissue 5.5 %, trauma and poisoning – 4, 8 % and infectious and parasitic diseases. The frequency of chronic morbidity does not exceed the population estimates – 73.0 ± 4.1 per 1000. The peculiarity of chronic morbidity is the relatively high incidence of skin diseases – 25.3 % and the musculoskeletal system – 20.4 %. The morbidity of children in the first year of life is 2348.0 ± 135.1 per 1000. A feature of the morbidity structure is the high incidence of respiratory diseases, which makes up 66.3 % of the total morbidity, with population estimates – 20–30 %. Conclusion: The increased radiation background can be considered as one of the possible negative environmental factors affecting the health of the population.

The role of preventive medical examinations in obligatory clinical check-ups of children in Azerbaijan

In 2014, obligatory medical check-ups of the child population were legislatively introduced in Azerbaijan. At the same time, for the early detection of diseases and various pathological conditions, health services of the country paid special attention to precisely preventive measures which will predetermine both the state of child health, as well as the quality of their life in the future.In order to increase the efficiency of obligatory medical check-ups, the morbidity rates of the child population of Azerbaijan were analyzed based on the results of preventive medical examinations for the period 2014—2019.

Child suicides in Sweden, 2000–2018

Although child mortality is decreasing in Sweden, an increase in suicide rates has been previously observed among children and adolescents collectively. To increase knowledge about trends, demographics, and means in child suicides, data including all child (< 18 years) suicides in Sweden in 2000 through 2018 were retrieved from the Swedish National Board of Forensic Medicine. In all, a total of 416 child suicides were found in a 19-year period, accounting for an annual suicide rate of 1.1/100,000 child population. The number of suicides increased with 2.2% by each successive year during the study period (p < 0.001). The mean age in both sexes was 16 years; boys accounted for 55% and girls for 45% of all study cases. The majority of the children who died by suicide (96%) were teenagers (13–17 years old) and suicides in children younger than 10 years were uncommon. Suicide methods were 59% hanging, 20% lying/jumping in front of a moving object, 8% jumping from a height, 7% firearm injury, 4% poisoning, and 2% other methods. Sex differences were significant (p < 0.001) only for firearms being preferably used by boys. The vast majority of firearms used were licensed long-barreled weapons.Conclusion: The number of child suicides in Sweden is relatively low but increasing. Most of the children used a violent and highly lethal method. Prevention of premature mortality is an urgent concern with an emphasis on resolutely reducing the availability of suicide means. What is Known:• Suicide is a significant cause of death globally among children, bringing tragic consequences for young individuals, their family, and the entire society.• Suicide rates and distribution of suicide methods in children differ between countries and settings, but studies of time trends are scarce. What is New:• Increasing number of minors’ suicides and the predominance of violent methods emphasize the importance of prevention strategies tailored for a child population.• Even in a setting of very restrictive firearm laws, firearm suicides in children must not be overlooked.