Vol 25, No 4 (2019)

The relevance of the study. In Russia, the number of women of reproductive age makes up 38% of the total female population, there is a negative natural increase in the population. The aim is to study the medical and social aspects of the health of women of childbearing age (18-45 years). Materials and methods:the study of observed women was conducted for three years (2016-2018) according to medical records and questionnaire results in Moscow. The results. The majority of observed women are working, the average age of births by a woman of a child was 25-29 years, more than 80% of women performed abortion, 20.8% of women have gynecological diseases: pathology of the endometrium of the uterus and ovarian (44% and 27% respectively), 12% - had complications of pregnancy and childbirth, irregular menstrual cycle have 55.3% of women. For every woman, on average there are 1.3 diseases, the most common disease is respiratory diseases. In terms of health, women observed are almost evenly distributed to women with good health 35%, with satisfactory health - 37%, with poor health - 28%. The conclusion. In order to improve the health of the women observed and increase their medical activity, preventive interviews were conducted among them on the formation of a healthy lifestyle, which is advisable to conduct constantly.

Relevance. There are numerous publications of foreign authors about relationship between Pyloric Helicobacter (H. p.) infection with several gastroduodenal diseases, including metabolic disorders. Russia is one of the countries with high prevalence of H. p. infection and metabolic disorders. Determining their relationship is important for both prevention and treatment of metabolic disorders. Purpose - study the possibility of relationship between H. p. infection and type 2 diabetes, dyslipidemia, overweight and obesity. Methods and materials. The study included 1487 working residents of Moscow and the Moscow region, 931 men and 556 women, aged 21 to 77 years (median - 46). H. p. infection was diagnosed by detecting antibodies to IgG bacteria in the blood serum. In 698 infected individuals, the presence of a CagA strain, a marker of virulence of the bacterium, was studied using ELISA. Serum levels of basal glucose, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides were studied, and the body mass index was determined. Results. Infection was discovered in 1348 people (90.6%), CagA positive - 392 (56.2%). Type 2 diabetes was diagnosed in 77 people, 74 - H. p. positive (5.5% ), and 3 - H. p. negative (2.1%). CagA was studied for 31 persons with diabetes. CagA-positive bacterial strain was determined in 22 cases out of 31 (70.1%, p <0,05 by criterion χ²). Dyslipidemia was detected in 175 persons (11.8%), 165 persons H. p. positive (12.2%), 10 - H. p. negative (7.2%) (p>0,05, by criterion χ²). Among H. p. positive, overweight was registered in 884 cases (65.6%), in H. p. negative - in 74 cases (53.2%) (p<0,05 by criterion χ²). Conclusion. In the presence of H. p. infection, the prevalence of metabolic abnormalities increases, which indicates a possible connection between them.

Introduction. Cerebral palsy (CP) is one of the most common neurological causes of childhood disability. In patients with cerebral palsy, the underlying disease is often complicated by secondary orthopedic disorders, for the prevention of which orthopedic methods of treatment, including orthoses and other technical means of rehabilitation (TMR) are widely used. Funding for orthosis is carried out from the Federal budget on the basis of an individual program of rehabilitation and habilitation (IPRH) of a disabled child. IPRH, in turn, is filled in taking into account the appointments of the attending physician of the orthopedist. Purpose. To analyze the compliance of recommendations on orthosis, initially introduced in the IPRH, and clinical recommendations of the medical and technical commission (MTC) of the rehabilitation Center for disabled children with spastic forms of cerebral palsy. Materials and methods. Conducted a prospective analysis of IPRH and MTK findings was made in a group of 63 disabled children aged 2 to 17 years, formed by random sampling. All patients were divided into 5 groups depending on the level of motor activity in accordance with the classification of GMFCS. Results. There were statistically significant differences (p < 0.05) between the number of orthoses initially introduced into the IPRH and the recommended MTK with a fluctuation of the visibility index depending on the group (GMFCS) from 38.9% to 56.0%. Summary. All groups noted the need for orthopedic equipment recommended by the MTC and not included primarily in the IPRH, which suggests the need for a multidisciplinary approach to the selection of TMR, including orthoses for children with spastic forms of cerebral palsy. The level of motor activity is an important expert factor in the formation of IPRH recommendations: with a decrease in the level of motor activity, the number and range of orthoses required for the patient increases. The maximum number of orthoses is recommended for additional introduction in IPRH, noted in patients in groups 3 and 5 of GMFCS.

Experimentally have been revealed that environmental contamination by pesticides, dioxides of sulphur and nitrogen disorders the processes of tissue differentiation of teeth and ossifications of jaw bones in embryos. The results of this are tardy teething and anomalous development of the teeth and jaw bones in postembryonic periods. Goal of the work was to identify the features of embryonic development of rats as a whole, as well as embryonic and postnatal development of their dentoalveolar system under conditions of intrauterine exposure to some chemicals polluting the environment. Material and methods. Pesticides, hexachlorane and fosalone, as well as sulfur dioxide and nitrogen dioxide, which are the main components of harmful emissions from oil refineries, have been selected as polluting chemicals. The experiments were performed on non-matured mature white female rats with a body weight of 170-180 g. Results.It is found that prenatal exposure of toxic substances (pesticides, sulfur and nitrogen dioxides) leads to impaired fetal and postnatal development of offspring, which are shown to the maximum extent in combined toxicity of pesticides and dioxides. It was also revealed that combined intrauterine intoxication substantially interferes with the tooth tissue differentiation and jaw bones of the fetus, resulting in the delayed eruption and abnormal development of the teeth in the postnatal period.

This article discusses the main issues of legislative and legal aspects of the provision of primary health care, emergency, including specialized medical care to foreign citizens who are studding in state, municipal and non-state organizations of higher education of the Russian Federation on various programs. The paper comprehensively analyzes the legal nuances of medical support for foreign students compared to their Russian counterparts. The rights and obligations of foreign citizens studying in Russian universities, as well as the possibilities for them to receive full medical care in the Russian Federation are described in detail and step by step. According to the results of the analysis, the authors propose a number of measures for the possibility of equal medical care for foreign students in relation to their Russian colleagues. The analysis was based on regulatory documentation on this topic.