ИСПОЛЬЗОВАНИЕ СИСТЕМЫ УПРАВЛЕНИЯ РИСКАМИ ДЛЯ СОВЕРШЕНСТВОВАНИЯ САНИТАРНО-ЭПИДЕМИОЛОГИЧЕСКОГО КОНТРОЛЯ И НАДЗОРА

The article reviewsthe possibility to work out and introduce risk-oriented model for control and surveillance in the field of the sanitary-epidemiological well-being of the population in the Russian Federation. In implementation of risk-oriented approaches, choice of a model is of importance. If the static model is the starting one, then in the future, the dynamic model will be the most promising allowing for assessment of stability of the sanitary-epidemiologic situation in time. Introduction and development of risk-oriented models for control and surveillance is the actual objective at realization of sanitary-epidemiological control (surveillance) . It is necessary to work out and harmonize concept, procedural apparatus, and scientific and methodological support of risk-oriented control and surveillance on the base of the best world patterns and standards.Приведен анализ возможности применения системы оценки рисков для здоровья при осуществлении мероприятий по контролю (надзору) и внедрении этого опыта в Российской Федерации. При внедрении риск-ориентированных подходов важным является выбор модели. При этом если стартовой будет статическая модель, то в дальнейшем наиболее перспективной будет динамическая модель, позволяющая оценить устойчивость санитарно-эпидемиологической ситуации во времени. Внедрение и совершенствование риск-ориентированных моделей контроля и надзора является актуальной задачей при проведении санитарно-эпидемиологического надзора (контроля). Необходима разработка и гармонизация понятийного, процедурного аппарата и научно-методического обеспечения риск-ориентированной контрольно-надзорной деятельности на базе лучших мировых образцов и стандартов

Can the physiological process of teething in babies be abnormal?

The article discusses the problem of teething in babies, the related mechanisms and factors. The research findings demonstrate the importance of different clinical symptoms of teething in infants, the relationship of the process with the baby's body type. Questions of the current therapy of pathological teething are considered

ACUTE OBSTRUCTIVE LARYNGITIS IN CHILDREN: EMERGENCY PRE-HOSPITAL MANAGEMENT (IN A TABULAR AND DIAGRAM FORM)

Acute obstructive laryngitis is a life-threatening upper respiratory tract disease of various aetiologies that is characterized by laryngostenosis and manifests itself by barking cough, dysphonia and inspiratory dyspnoea [8]. A child showing these clinical symptoms needs urgent medical care. Delay in emergency treatment of a child with acute obstructive laryngitis may lead to serious complications and even to an unfavourable outcome [1–15]

EFFICIENCY OF PREVENTION AND MANAGEMENT OF VITAMIN D DEFICIENCY IN YOUNG CHILDREN IN RUSSIA DEPENDING ON THE REGION OF RESIDENCE (BASED ON THE RESULTS OF RODNICHOK-2 STUDY)

Medical examination of 360 children from four regions of Russia (Moscow, Astrakhan, Stavropol, Kazan) showed significant regional differences in the sufficiency and compensation of vitamin D deficiency at the baseline (Day 0) and established factors associated with vitamin D sufficiency on Day 0. The established interregional differences in vitamin D levels were not due to insolation, but primarily to adequate vitamin D supplementation received at the baseline. Vitamin D supplementation (an average of 894 ± 632.6 IU/day) significantly reduced the risk of vitamin D deficiency (RR 0.15, 95% CI 0.09–0.26, P = 5.7 x 10–14). The study included the analysis of factors associated with the increase in 25(OH)D levels during the administration of Aquadetrim, identification of predictors of patient’s response and the analysis of identified predictors. The most important factor determining the patient’s response was the dose of vitamin D taken by the patient: 25(OH)D levels increased by 1 ng/ml with an increase in the dose of vitamin D by 90 IU per day. As can be seen from the above, the study results indicate that the vitamin D deficiency requires a long-term preventive therapy (for at least several months) with adequate doses of vitamin D (1000–2000 IU/day)