EFFICIENCY OF ANNUAL FLUOROGRAPHY SCREENING OF THE POPULATION IN VORONEZH REGION

Goal of the study: to justify the need for annual fluorography screening of the population.Materials and methods. Nosologic structure of chest pathologies detected by fluorography screening in 2007-2015 has been studied. The changes in the estimated number of undetected active tuberculosis cases have been calculated, provided that there was no 100% coverage by preventive fluorography screening. The obtained data were compared with the rates in the Russian Federation.Results. Nosologic structure of chest pathologies has been analyzed. It has been found out that respiratory tuberculosis patients made 4.8-10.8% out of those screened in 2007-2015, non-specific pulmonary diseases made – 16.6-36.2%, cancer cases made – 4.9-7.0% and other disorders made – 49.3-72.0%. Due to annual fluorography screening conducted in Voronezh Region from 2007 to 2015 the hidden reservoir of tuberculous infection significantly reduced and thus the number of detected patients decreased every year. In 2007-2015 the number of detected tuberculosis cases decreased by 2.2 fold in Voronezh Region, and by 1.4 fold in the Russian Federation. Tuberculosis incidence in Voronezh Region decreased from 69.3 (2007) down to 31.4 (2015) per 100,000 population (reduction by 54.69%), in the Russian Federation from 83.3 down to 57.7 (by 30.73%) respectively

Plants of the calcifilic flora exposition of the N.V. Tsitsin Main Botanical Garden of the Russian Academy of Sciences, listed in the regional Red Data Books of Central Russia

The results of conservation of plants of the exposition of the calciphilous flora of the Main Botanical Garden of the Russian Academy of Sciences, listed in the regional Red Data Books of Central Russia, are shown. For 12 years, in the culture of GBS RAS, in the conditions of Moscow, 118 calciphilous species listed in the regional Red Books, represented by 77 genera from 34 families, were studied. Among them, in terms of introduction resistance, resistant ones prevail - 46% and highly resistant - 35.5%, weakly resistant - 13.5%, unstable - 5%. The main groups according to ecological confinement are considered: obligate (25%) and facultative (75%) calciphilic species. The experiment proved the importance of using special agricultural techniques for the successful adaptation of representatives of this group. In total, an average of 70% of calciphilous taxa of regional protected lists were tested. The representation of calciphilic species in the regional Red Data Books of Central Russia is different and is due to the natural features of the distribution of their classical habitats. In the regions of the Chernozem region, this figure ranges from 55% in the Belgorod region to 24% in the Tambov region. In the Non-Chernozem region: Bryansk, Ryazan, Tula regions, calciphilic species in relation to the total number of protected species also represent a significant part - 25%. For Vladimir, Ivanovo, Kaluga, Kostroma, Smolensk, Tver, Yaroslavl regions and the federal city of Moscow, calciphilic taxa represent an average of 9% of protected lists. The share of calciphilous species of categories: 0, 1, 2 in the regional Red Data Books of Central Russia averages 58%, which indicates a high vulnerability of this group and the need for ex situ stud

The Trans-Siberian Flora at the border of continents (section Perm - Kungur)

The Trans-Siberian Railway connects Europe and Asia making the flora at this intersection of particular interes

Plants of the calcifilic flora exposition of the N.V. Tsitsin Main Botanical Garden of the Russian Academy of Sciences, listed in the regional Red Data Books of Central Russia

The results of conservation of plants of the exposition of the calciphilous flora of the Main Botanical Garden of the Russian Academy of Sciences, listed in the regional Red Data Books of Central Russia, are shown. For 12 years, in the culture of GBS RAS, in the conditions of Moscow, 118 calciphilous species listed in the regional Red Books, represented by 77 genera from 34 families, were studied. Among them, in terms of introduction resistance, resistant ones prevail - 46% and highly resistant - 35.5%, weakly resistant - 13.5%, unstable - 5%. The main groups according to ecological confinement are considered: obligate (25%) and facultative (75%) calciphilic species. The experiment proved the importance of using special agricultural techniques for the successful adaptation of representatives of this group. In total, an average of 70% of calciphilous taxa of regional protected lists were tested. The representation of calciphilic species in the regional Red Data Books of Central Russia is different and is due to the natural features of the distribution of their classical habitats. In the regions of the Chernozem region, this figure ranges from 55% in the Belgorod region to 24% in the Tambov region. In the Non-Chernozem region: Bryansk, Ryazan, Tula regions, calciphilic species in relation to the total number of protected species also represent a significant part - 25%. For Vladimir, Ivanovo, Kaluga, Kostroma, Smolensk, Tver, Yaroslavl regions and the federal city of Moscow, calciphilic taxa represent an average of 9% of protected lists. The share of calciphilous species of categories: 0, 1, 2 in the regional Red Data Books of Central Russia averages 58%, which indicates a high vulnerability of this group and the need for ex situ stud

TUBERCULOSIS COLITIS WITH PERFORATION AS A MANIFESTATION OF GENERALIZED MILIARY TUBERCULOSIS IN THE FEMALE PATIENT WITH CHRONIC ADRENAL INSUFFICIENCY

The article describes a clinical case of post mortem diagnostics of progressing generalized tuberculosis (microfocal disseminated pulmonary tuberculosis) of spleen, kidneys, adrenal glands, heart, and intestine (infiltrate ulcerative tuberculosis of terminal ileum), developed during continuous treatment with glucocorticosteroids due to chronic adrenal insufficiency