THE CHOICE OF THE VARIANT OF THE ORGANIZATION OF HEAT SUPPLY OF RESIDENTIAL BUILDINGS IN THE city district of SAMARA

The paper considers the options for heat supply of residential buildings, as well as selection of appropriate variant of the heat balance of interests of all participants in the creation of the heating system, life cycle cost review of the options for heat supply. Given the cost efficiency of the proposed variant of the heat

Gestational diabetes mellitus: peculiarities of course and pregnancy outcomes in real clinical practice

Introduction. According to various authors, uncompensated gestational diabetes mellitus (GDM) is accompanied by the development of many complications affecting the mother and fetus. However, published data on the prevalence of GDM and its complications in real clinical practice in our country are insufficient.Aim. To estimate the prevalence of GDM among pregnant women in the South-Eastern Administrative District of Moscow, to analyze the main risk factors, the features of the course and pregnancy outcomes in women with GDM.Materials and Methods. Retrospective analysis of primary records of 510 pregnant women who were diagnosed with GDM during 2019. A comparative analysis of pregnancy complications and outcomes depending on the age of diagnosis of GDM was performed.Results and Discussion. During 2019, 510 pregnant women out of 5,000 women observed were diagnosed with GSD. The mean age of the women was 31.9 ± 4.8 (95% CI 31.5-32.3). Most frequently, 224 pregnant women (43.9%) were diagnosed in the 1st trimester of pregnancy, 31.8% (162) in the 2nd trimester, and 18.6% (95) in the 3rd trimester. Mean venous plasma glucose values were 5.43 [5.25; 5.7] mmol/L, and glycated hemoglobin was 5.19 ± 0.4% (95% CI 5.15-5.24). Diet therapy was predominantly sufficient to achieve GSD compensation - 84.3%. Complications of pregnancy were observed in 123 women (24.1%). Unfavorable pregnancy outcomes were recorded in 153 women with GSD out of 213 women analyzed (71.8%). There was no statistically significant difference in pregnancy outcomes depending on the age of diagnosis of GDM.Conclusions. The prevalence of GDM in the South-Eastern Administrative District of Moscow was 10.2%, which is consistent with the data of various epidemiological studies in other regions. The development of adverse pregnancy outcomes remains at a high level. Therefore, it is advisable to conduct further research aimed at assessing the main factors influencing the course and outcomes of pregnancy

ASSESSMENT OF ATTITUDES TOWARDS IMMUNIZATION IN DIFFERENT GROUPS OF POPULATION OF THE RUSSIAN FEDERATION

Aim. The study the attitude of population towards the necessity of vaccination. Materials and methods. The survey about the attitude towards vaccination among different groups of population was held. In total there were 1209 respondents: 1031 students of medical, humanitarian and technical universities and 178 parents of children under 2. Results. The most positive attitude towards vaccination was shown by medical students (77%) and parents (71%) and only 33% and 37% of humanitarian and technical students correspondency realize the significance of vaccination. It is worth noting that large number of people could not define their attitude to vaccination. The majority of respondents notices the lack of knowledge about vaccination wherein less than 50% of respondents get the information from doctors. The rest gets it from different sources mostly from the Internet. About 80% of respondents would prefer to get answers to their questions about vaccination in the Internet. Conclusion. The adherence of population of Russia to vaccination has a rather low level. The main reason for it is the lack ofknowledge and availability of true information about vaccination. It is necessary to use diverse sources of information to provide the population with true facts about vaccination, its significance and safety via mass media and the Internet as well