PROBLEMS OF TRAINING SPECIALISTS IN THE FIELD OF ENSURING FIRE SAFETY OF PROTECTED OBJECTS

The complex situation of fire science. Two-level system of higher education. Rating assessment and professional competencies

Problems Of Training Specialists In The Field Of Ensuring Fire Safety Of Protected Objects

The complex situation of fire science. Two-level system of higher education. Rating assessment and professional competencies

Arterial hypertension epidemiology in Bryansk Region: prevalence, awareness, treatment, and control

Aim. To study the dynamics of arterial hypertension (AH) epidemiology in urban and rural population of Bryansk Region, aged 19-64 years. To evaluate AH awareness, treatment, and control in the local healthcare settings. Material and methods. Random representative samples of the urban and rural Bryansk Region population - men and women aged 19-64 years - were selected. The study sample was constructed in three stages: selection of policlinics and central regional hospitals; selection of healthcare catchment areas; and selection of households (flats). At the first stage, a random urban and rural sample of 2345 people (response rate 78%) was examined; at the third stage, a sample of 1909 individuals (response rate >70%) was examined. The data were collected using a unified registration form (140-1/u). The study was performed as a part of the Target Federal Program, Ministry of Health. Results. In rural men and women, AH prevalence was 25,9% and 35,4%, while in their urban peers, it was 30% and 38,6%, respectively. The respective levels of AH awareness in urban and rural participants varied from 87,5% to 90,4%, and from 86,6% to 94,6%. In rural and urban samples, AH treatment percentages were 60,3%-76,8% and 77,5%-82,9%, respectively. Effective blood pressure control was achieved in 14,3%-13,8% and 10,1%-29,8% of rural and urban AH patients, respectively. The most popular antihypertensive medications were ACE inhibitors (59,0%–64,1%), diuretics (34,8%–37,0%), beta-adrenoblockers (12,8%–31,6%), and calcium antagonists (10,5%–12,4%). Conclusion. The urban population of Bryansk Region demonstrated higher levels of AH prevalence, awareness, treatment, and especially control throughout the four-year follow-up period