8 research outputs found

    Maps for developing information competency of sportsman students in conditions of digital transformation

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    The progress to "cloud-based learning" and transition to "personalized learning" occur within digital transformation of education. Within this context, the authors analyse regulatory documents and recommendations outlined by the professional, teaching, and psychological communities and making the research relevant. The research question put up in the paper is: how to plot maps for developing the information competency of students in conditions of digital transformation. Theoretical substantiation is presented for the following phenomena under study: digital transformation, mapping, individual educational path, the information competency of students. It is pointed out that mapping is the process of creating maps for reducing the unpredictability effect and solving the problem of choice, a way of visualization of the future, and a strategy of one's self-development. It is highlighted that the individual educational route is the authors' approach to self-fulfilment in the real and virtual world. They describe the approach to understanding the student information competency as the key meta-subject educational one. This competency consists of the cognitive, motivational, and activity-based components which are provided with details by students via "understanding", generating their own meanings, and enriching their subject experience. In the paper, the stages of pedagogical support and fulfilment of maps for developing the said competency are described, too: the ascertaining one, transforming, and analytical ones. The pedagogical experience of mapping is summed up which is associated with the students' plotting and fulfilling various types of maps outlined by the authors: subject maps, meta-subject (mental) maps, portfolio maps as the digital footprint, start-up maps. The total of various maps represents the databases and analytical methods of their research. For studying the former, the authors used the expert appraisal method and applied some psychological techniques. The principal research results can be summarized by the statement: in the period of digital transformation and the pandemic, maps have to be plotted for settling emotions in conditions of lockdown and uncertainty, for supporting the relevant student initiatives, and for shaping their profound unmistakable "digital footprint", which characterizes the students' high information competency development level

    Rare lichens, mosses, liverworts and fungi from the Republic Sakha (Yakutia), Russia

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    The Republic of Sakha (Yakutia) is situated in the north-east of Siberia. The area of Yakutia (3 103 200 km2) occupies one-fifth of the Russian Federation’s territory. In total 1984 species of vascular plants, 523 of mosses, 199 of liverworts, 703 of lichens, 911 of fungi and 2476 of algae are known in Yakutia. Among them 19 species of vascular plants, 6 of mosses, 8 of liverworts, 2 of lichens, and 2 species of fungi are included in the Red Data Book of the Russian Federation (2008). In this study all currently available information about locations of red-listed mosses, hepatics, lichens, and fungi on the territory of the Sakha Republic, is provided. Diverse climatic and edaphic conditions of Yakutia provide a wide range of ecological niches for the growth of species of different ecological requirements. Most of the rare species included in the Red Data Book of Russian Federation have narrow ecological amplitude. Majority of the species was recorded in mountain ecosystems on rocky outcrops, especially on limestone, at the banks of rivers and streams, and in old-growth boreal forests

    "The Greek world" in the perception of Latin intellectuals

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    The article examines the problem of the perception of "the Greek world" by the Latin intellectuals of the V and the beginning of the VI century AD, i.e. in the period of time when political, cultural and somewhat religious dissociation between the Western and Eastern parts of the Roman Empire became visible. The hermeneutic analysis of narrative, epistolary and didactic works written in the Latin West in V–VI centuries has been carried out in the article. The Β«system codesΒ» through which Latin intellectuals perceived both their own and the Greek world have been reconstructed by the identification of the tropes, metaphors and similes. It has been concluded that the Greek world had been still taking on a role of the creator and preserver of high culture, a kind of indicator of the cultural achievements of the West in the minds of Latin authors of the V–VI century. At the same time the Latin authors’ desire to establish their own self-sufficiency and even cultural superiority in the competition with the Greeks was quite obvious. The article shows that belonging to the Greek civilization served as an identifying feature of noble Roman's which also forced the representatives of German elite to strive for both the Roman and the Greek education in their ambition to legitimize their authority among the Italian population.peer-reviewe

    The Incidence of Cervical Disease in Women of Different Age Groups in the Republic of Sakha (Yakutia)

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    The purpose of this study was to investigate the incidence of cervical disease in women of different age groups in the Republic of Sakha (Yakutia). Materials and Methods: The cytological material of the cervix of 7,600 women aged between 18 and 88 years was analyzed in the laboratory of pathomorphology, histology and cytology. The material of the cytological study consisted of smears of cervical mucosa and the cervical canal, stained according to the method of Romanovsky-Giemsa. The study was conducted with subjects grouped according to age: Group 1 (18-29), Group 2 (30-44), Group 3 (45-59), and Group 4 (60-74). Results: According to the results of cytological analysis, inflammatory diseases of the cervix uteri were diagnosed in 4,629/61% cases. Among age groups, the highest rate of inflammatory diseases of the cervix uteri was registered in Group 1 and Group 2. Benign cervical lesions were found in 563/7.4% cases with the highest incidence in Groups 1 and 2. The most frequently diagnosed pathology was squamous cell metaplasia with maximum frequency in Group 2 and Group 1. Cervical intraepithelial neoplasia (or dysplasia) (CIN) was detected in 359/4.7% cases. CIN I, CIN II and CIN III were registered in 220/61.3%, 84/24.5%, and 38/10.6% women, respectively. At the same time, the maximum frequency of dysplasia was noted in Group 1 and Group 2. Thus, results obtained indicate a high incidence of cervical disease in women of reproductive age

    The Effect of Selective and Mass Immunization Against Pneumococcal Infection on the Morbidity and Mortality due to Community-Acquired Pneumonia in Children Under 5 Years of Age

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    Background.Β It is required to perform estimation of epidemiological and cost efficacy (regarding morbidity rate) of mass routine vaccination against pneumococcal infection in Russian children and carried out earlier selective vaccination of children from high-risk groups on the basis of four-year experience. It is also important to estimate the rate of hospital admissions in this patient group, long-term and annual cycles, morbidity age and etiology structure, and mortality due to community-acquired pneumonia as one of the most common form of pneumococcal disease. The aim is to study the effect of selective and mass immunization against pneumococcal infection on the morbidity and mortality due to community-acquired pneumonia in children under 5 years of age.Β Methods. The analysis of communityacquired pneumonia morbidity (in 2003–2018) and mortality due to pneumonias (in 2003–2018) in children under the 14 years old in Perm was carried out. Serotypes of circulating pneumococcus, etiology of community-acquired pneumonias and immunization cost efficacy (direct expense on health care) were further studied. The analysis of study indexes was carried out following selective (vaccination of at-risk children in 2011–2014) and mass (vaccination of infants in 2015–2018) immunization strategies.Β Results.Β The morbidity rate of community-acquired pneumonias decreased by 4.0 times (from 267.0 to 66.7 for 1000) after performing selective vaccination (2011–2014) in at-risk children (frequently and chronically ill children). The morbidity rate of community-acquired pneumonias in non vaccinated children of the same group increased by 2.0 times (from 40.0 to 80.0 for 1000 non-vaccinated). The prophylactic efficacy index was 46.0. Whereby the antibacterial index among vaccinated frequently and chronically ill children was 0.11 on one child. This index has decreased by 2.6 times (from 0.11 to 0.04 on one child) in a year within the framework of prospective controlled randomized clinical study. The antibacterial index among non-vaccinated children of this group remained slightly the same: 0.09 and 0.12 respectively. During the selective vaccination the mortality rate among infants decreased by 2 times: long-term average index was 17.9 (2011–2014) against 35.2 (2003-2010) on 100 thousand children. Mass vaccination of infants against pneumococcal infection has reduced the incidence of community-acquired pneumonias among children under 2 years of age and has led to absence of multiple sites of pneumococcal infection in children’s organizations. It also has reduced the number of hospitalized children and achieved zero mortality due to pneumonias in infants by the third year of this immunization strategy implementation. The obtained results were achieved mainly due to circulation of 7 pneumococcal serotypes (6A, 6B, 9V, 14, 19A, 19F, 23F) in children under 5 years of age. The threshold level of vaccination against pneumococcal infection advancing morbidity and mortality due to pneumonias in children was specified. The strategy of mass vaccination of infants was cost-effective.Β Conclusion.Β The new data on epidemiological and cost efficacy of various immunization strategies against pneumococcal infection in children was obtained

    Bronchopulmonary Pathology Prevalence Among Premature infants and Estimation of Prophylactic Efficacy and Reactogenicity of 13-Valent Pneumococcal Conjugate Vaccine in Premature infants with Bronchopulmonary Dysplasia

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    Background. The most frequent chronic lung pathology among infants and especially in premature children with extremely low and very low body weight is bronchopulmonary dysplasia (BPD). The aim of the study is to study the prevalence of bronchopulmonary pathology among premature children and justify the need to vaccinate against pneumococcal disease premature children suffering from BPD. Methods. The official statistics (Form β„–32) and data from annual reports of the catamnesis department of β€œthe Honourary order” Perm Regional Clinical Hospital were used in order to measure the number of premature children born alive in Perm region in 2015-2017 yy. The estimation of prophylactic efficacy and reactogenicity of 13-valent pneumococcal conjugate vaccine (PCV13) at immunization of premature children with BPD. Results. The study group included vaccinated premature children with BPD (n=29), the experimental group included non-vaccinated premature children with BPD (n=29) and 30 vaccinated term children. Administration of PCV13 in premature children suffering from BPD has revealed its high prophylactic efficacy (no cases of community-acquired pneumonia among vaccinated children during the prospective study for 3 years), high tolerability (no cases of broncho-obstructive syndrome or negative effects on respiratory system such as apnoea or desaturation among vaccinated children). Low reactogenicity (17.2 Β± 0.57%) and similar vaccine tolerance with term children (16.5 Β± 0.55%) has been revealed as well. The combination of PCV13 with other vaccines from immunisation schedule did not increase the number of vaccine-induced diseases in comparison with administration of PCV13 alone. Conclusion. The scientific necessity of vaccination of premature children with BPD against pneumococcal disease has been proved. The high prophylactic efficacy and low reactogenicity of PCV13 in this children group at tertiary neonatological care (catamnesis department of perinatal center) has been established within the national immunisation schedule

    ВлияниС сСлСктивной ΠΈ массовой стратСгии ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΡ€ΠΎΡ‚ΠΈΠ² ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Π½Π° Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΈ ΡΠΌΠ΅Ρ€Ρ‚Π½ΠΎΡΡ‚ΡŒ Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ срСди Π΄Π΅Ρ‚Π΅ΠΉ Π΄ΠΎ 5 Π»Π΅Ρ‚

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    Background.Β It is required to perform estimation of epidemiological and cost efficacy (regarding morbidity rate) of mass routine vaccination against pneumococcal infection in Russian children and carried out earlier selective vaccination of children from high-risk groups on the basis of four-year experience. It is also important to estimate the rate of hospital admissions in this patient group, long-term and annual cycles, morbidity age and etiology structure, and mortality due to community-acquired pneumonia as one of the most common form of pneumococcal disease. The aim is to study the effect of selective and mass immunization against pneumococcal infection on the morbidity and mortality due to community-acquired pneumonia in children under 5 years of age.Β Methods. The analysis of communityacquired pneumonia morbidity (in 2003–2018) and mortality due to pneumonias (in 2003–2018) in children under the 14 years old in Perm was carried out. Serotypes of circulating pneumococcus, etiology of community-acquired pneumonias and immunization cost efficacy (direct expense on health care) were further studied. The analysis of study indexes was carried out following selective (vaccination of at-risk children in 2011–2014) and mass (vaccination of infants in 2015–2018) immunization strategies.Β Results.Β The morbidity rate of community-acquired pneumonias decreased by 4.0 times (from 267.0 to 66.7 for 1000) after performing selective vaccination (2011–2014) in at-risk children (frequently and chronically ill children). The morbidity rate of community-acquired pneumonias in non vaccinated children of the same group increased by 2.0 times (from 40.0 to 80.0 for 1000 non-vaccinated). The prophylactic efficacy index was 46.0. Whereby the antibacterial index among vaccinated frequently and chronically ill children was 0.11 on one child. This index has decreased by 2.6 times (from 0.11 to 0.04 on one child) in a year within the framework of prospective controlled randomized clinical study. The antibacterial index among non-vaccinated children of this group remained slightly the same: 0.09 and 0.12 respectively. During the selective vaccination the mortality rate among infants decreased by 2 times: long-term average index was 17.9 (2011–2014) against 35.2 (2003-2010) on 100 thousand children. Mass vaccination of infants against pneumococcal infection has reduced the incidence of community-acquired pneumonias among children under 2 years of age and has led to absence of multiple sites of pneumococcal infection in children’s organizations. It also has reduced the number of hospitalized children and achieved zero mortality due to pneumonias in infants by the third year of this immunization strategy implementation. The obtained results were achieved mainly due to circulation of 7 pneumococcal serotypes (6A, 6B, 9V, 14, 19A, 19F, 23F) in children under 5 years of age. The threshold level of vaccination against pneumococcal infection advancing morbidity and mortality due to pneumonias in children was specified. The strategy of mass vaccination of infants was cost-effective.Β Conclusion.Β The new data on epidemiological and cost efficacy of various immunization strategies against pneumococcal infection in children was obtained.Π§Π΅Ρ‚Ρ‹Ρ€Π΅Ρ…Π»Π΅Ρ‚Π½ΠΈΠΉ ΠΎΠΏΡ‹Ρ‚ массовой ΠΏΠ»Π°Π½ΠΎΠ²ΠΎΠΉ Ρ€ΡƒΡ‚ΠΈΠ½Π½ΠΎΠΉ Π²Π°ΠΊΡ†ΠΈΠ½ΠΎΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠΈ ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Ρƒ российских Π΄Π΅Ρ‚Π΅ΠΉ Ρ€Π°Π½Π½Π΅Π³ΠΎ возраста ΠΈ Ρ€Π°Π½Π΅Π΅ проводимая сСлСктивная вакцинация Π΄Π΅Ρ‚Π΅ΠΉ Π³Ρ€ΡƒΠΏΠΏ высокого риска Ρ‚Ρ€Π΅Π±ΡƒΠ΅Ρ‚ ΠΎΡ†Π΅Π½ΠΊΠΈ Π΅Π΅ эпидСмиологичСской ΠΈ экономичСской эффСктивности Π² ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠΈ уровня заболСваСмости, Π²ΠΊΠ»ΡŽΡ‡Π°Ρ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ госпитализации этой Π³Ρ€ΡƒΠΏΠΏΡ‹ Π΄Π΅Ρ‚Π΅ΠΉ, ΠΌΠ½ΠΎΠ³ΠΎΠ»Π΅Ρ‚Π½Π΅ΠΉ ΠΈ Π²Π½ΡƒΡ‚Ρ€ΠΈΠ³ΠΎΠ΄ΠΎΠ²ΠΎΠΉ цикличности, возрастно-этиологичСской структуры заболСваСмости, Π° Ρ‚Π°ΠΊΠΆΠ΅ смСртности ΠΎΡ‚ Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΈ ΠΊΠ°ΠΊ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ распространСнной нозологичСской Ρ„ΠΎΡ€ΠΌΡ‹ ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ. ЦСль исслСдования — ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ влияниС сСлСктивной ΠΈ массовой стратСгии ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΡ€ΠΎΡ‚ΠΈΠ² ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Π½Π° Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π΅ΠΌΠΎΡΡ‚ΡŒ ΠΈ ΡΠΌΠ΅Ρ€Ρ‚Π½ΠΎΡΡ‚ΡŒ Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ срСди Π΄Π΅Ρ‚Π΅ΠΉ Π² возрастС Π΄ΠΎ 5 Π»Π΅Ρ‚.Β ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ Π°Π½Π°Π»ΠΈΠ· Π΄ΠΈΠ½Π°ΠΌΠΈΠΊΠΈ заболСваСмости Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½Ρ‹ΠΌΠΈ пнСвмониями (ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ 2003–2018 Π³Π³.) ΠΈ смСртности ΠΎΡ‚ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ (ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ 2003–2018 Π³Π³.) Π΄Π΅Ρ‚Π΅ΠΉ Π² возрастС Π΄ΠΎ 14 Π»Π΅Ρ‚ Π² Π³. ΠŸΠ΅Ρ€ΠΌΠΈ. Π”ΠΎΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎ ΠΈΠ·ΡƒΡ‡Π΅Π½Ρ‹ сСротиповой состав Ρ†ΠΈΡ€ΠΊΡƒΠ»ΠΈΡ€ΡƒΡŽΡ‰ΠΈΡ… ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ², этиологичСская структура Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½Ρ‹Ρ… ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ ΠΈ экономичСская ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ (прямыС Π·Π°Ρ‚Ρ€Π°Ρ‚Ρ‹ Π½Π° мСдицинскиС услуги). Анализ ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»Π΅ΠΉ исслСдования Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ с ΡƒΡ‡Π΅Ρ‚ΠΎΠΌ сСлСктивной (вакцинация Π΄Π΅Ρ‚Π΅ΠΉ Π³Ρ€ΡƒΠΏΠΏ риска Π² 2011–2014 Π³Π³.) ΠΈ массовой (вакцинация Π΄Π΅Ρ‚Π΅ΠΉ Π² возрастС Π΄ΠΎ 1 Π³ΠΎΠ΄Π° Π² 2015–2018 Π³Π³.) стратСгий ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ.Β Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π’ условиях сСлСктивной Π²Π°ΠΊΡ†ΠΈΠ½Π°Ρ†ΠΈΠΈ (2011–2014 Π³Π³.) срСди ΠΏΡ€ΠΈΠ²ΠΈΡ‚Ρ‹Ρ… Π³Ρ€ΡƒΠΏΠΏΡ‹ риска β€” часто Π±ΠΎΠ»Π΅ΡŽΡ‰ΠΈΡ… Π΄Π΅Ρ‚Π΅ΠΉ β€” послС ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ заболСваСмости Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½Ρ‹ΠΌΠΈ пнСвмониями снизился Π² 4,0 Ρ€Π°Π·Π° β€” с 267,0 Π΄ΠΎ 66,7 Π½Π° 1000. Π‘Ρ€Π΅Π΄ΠΈ Π½Π΅ΠΏΡ€ΠΈΠ²ΠΈΡ‚Ρ‹Ρ… Π΄Π΅Ρ‚Π΅ΠΉ этой Π³Ρ€ΡƒΠΏΠΏΡ‹ риска ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ заболСваСмости Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ возрос Π² 2 Ρ€Π°Π·Π° β€” с 40,0 Π΄ΠΎ 80,0 Π½Π° 1000 Π½Π΅ΠΏΡ€ΠΈΠ²ΠΈΡ‚Ρ‹Ρ…. ИндСкс профилактичСской эффСктивности составил 46,0. ΠŸΡ€ΠΈ этом индСкс Π°Π½Ρ‚ΠΈΠ±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½ΠΎΠΉ Π½Π°Π³Ρ€ΡƒΠ·ΠΊΠΈ срСди ΠΏΡ€ΠΈΠ²ΠΈΡ‚Ρ‹Ρ… часто Π±ΠΎΠ»Π΅ΡŽΡ‰ΠΈΡ… Π΄Π΅Ρ‚Π΅ΠΉ исходно составил 0,11 Π½Π° 1 Ρ€Π΅Π±Π΅Π½ΠΊΠ°, Ρ‡Π΅Ρ€Π΅Π· Π³ΠΎΠ΄ Π² условиях проспСктивного ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΠΈΡ€ΡƒΠ΅ΠΌΠΎΠ³ΠΎ Ρ€Π°Π½Π΄ΠΎΠΌΠΈΠ·ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ клиничСского наблюдСния ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ снизился Π² 2,6 Ρ€Π°Π·Π° β€” с 0,11 Π΄ΠΎ 0,04 Π½Π° 1 Ρ€Π΅Π±Π΅Π½ΠΊΠ°. Π‘Ρ€Π΅Π΄ΠΈ Π½Π΅ΠΏΡ€ΠΈΠ²ΠΈΡ‚Ρ‹Ρ… Π΄Π΅Ρ‚Π΅ΠΉ этой Π³Ρ€ΡƒΠΏΠΏΡ‹ Π°Π½Ρ‚ΠΈΠ±Π°ΠΊΡ‚Π΅Ρ€ΠΈΠ°Π»ΡŒΠ½Π°Ρ Π½Π°Π³Ρ€ΡƒΠ·ΠΊΠ° Π½Π΅ измСнилась ΠΈ составила 0,09 ΠΈ 0,12 соотвСтствСнно. Π’ ΠΏΠ΅Ρ€ΠΈΠΎΠ΄ сСлСктивной Π²Π°ΠΊΡ†ΠΈΠ½Π°Ρ†ΠΈΠΈ ΡƒΡ€ΠΎΠ²Π΅Π½ΡŒ смСртности срСди Π΄Π΅Ρ‚Π΅ΠΉ Π΄ΠΎ Π³ΠΎΠ΄Π° снизился Π² 2 Ρ€Π°Π·Π°: срСднСмноголСтний ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΡŒ Π² 2011–2014 Π³Π³. составил 17,9 ΠΏΡ€ΠΎΡ‚ΠΈΠ² 35,2 Π½Π° 100 тыс. Π΄Π΅Ρ‚Π΅ΠΉ Π² 2003–2010 Π³Π³. Массовая вакцинация Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΠ΅Ρ€Π²ΠΎΠ³ΠΎ Π³ΠΎΠ΄Π° ΠΆΠΈΠ·Π½ΠΈ ΠΏΡ€ΠΎΡ‚ΠΈΠ² ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ ΠΏΡ€ΠΈΠ²Π΅Π»Π° ΠΊ сниТСнию уровня заболСваСмости Π²Π½Π΅Π±ΠΎΠ»ΡŒΠ½ΠΈΡ‡Π½ΠΎΠΉ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠ΅ΠΉ срСди Π΄Π΅Ρ‚Π΅ΠΉ Π² возрастС Π΄ΠΎ 2 Π»Π΅Ρ‚ ΠΈ ΠΎΡ‚ΡΡƒΡ‚ΡΡ‚Π²ΠΈΡŽ мноТСствСнных ΠΎΡ‡Π°Π³ΠΎΠ² ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ Π² дСтских ΠΎΡ€Π³Π°Π½ΠΈΠ·ΠΎΠ²Π°Π½Π½Ρ‹Ρ… ΠΊΠΎΠ»Π»Π΅ΠΊΡ‚ΠΈΠ²Π°Ρ…, сниТСнию количСства госпитализированных Π΄Π΅Ρ‚Π΅ΠΉ ΠΈ обСспСчила отсутствиС смСртности ΠΎΡ‚ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ срСди Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΠ΅Ρ€Π²ΠΎΠ³ΠΎ Π³ΠΎΠ΄Π° ΠΆΠΈΠ·Π½ΠΈ ΠΊ Ρ‚Ρ€Π΅Ρ‚ΡŒΠ΅ΠΌΡƒ Π³ΠΎΠ΄Ρƒ Ρ€Π΅Π°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ Π΄Π°Π½Π½ΠΎΠΉ стратСгии ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ Π±Ρ‹Π»ΠΈ достигнуты ΠΏΡ€ΠΈ циркуляции Π³Π»Π°Π²Π½Ρ‹ΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ 7 сСротипов ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠ° (6А, 6Π’, 9V, 14, 19A, 19F, 23F) срСди Π΄Π΅Ρ‚Π΅ΠΉ Π΄ΠΎ 5 Π»Π΅Ρ‚. ΠžΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½ΠΎ ΠΏΠΎΡ€ΠΎΠ³ΠΎΠ²ΠΎΠ΅ Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ уровня привитости ΠΏΡ€ΠΎΡ‚ΠΈΠ² ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ, ΡƒΠΏΡ€Π΅ΠΆΠ΄Π°ΡŽΡ‰Π΅Π΅ Ρ€Π°Π·Π²ΠΈΡ‚ΠΈΠ΅ заболСваСмости ΠΈ смСртности ΠΎΡ‚ ΠΏΠ½Π΅Π²ΠΌΠΎΠ½ΠΈΠΉ срСди Π΄Π΅Ρ‚Π΅ΠΉ. ЭкономичСски цСлСсообразной оказалась стратСгия массовой Π²Π°ΠΊΡ†ΠΈΠ½Π°Ρ†ΠΈΠΈ Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΠ΅Ρ€Π²ΠΎΠ³ΠΎ Π³ΠΎΠ΄Π° ΠΆΠΈΠ·Π½ΠΈ.Β Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. ΠŸΠΎΠ»ΡƒΡ‡Π΅Π½Ρ‹ Π½ΠΎΠ²Ρ‹Π΅ Π΄Π°Π½Π½Ρ‹Π΅ ΠΎΠ± эпидСмиологичСской эффСктивности ΠΈ экономичСской цСлСсообразности Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… стратСгий ΠΈΠΌΠΌΡƒΠ½ΠΈΠ·Π°Ρ†ΠΈΠΈ Π΄Π΅Ρ‚Π΅ΠΉ ΠΏΡ€ΠΎΡ‚ΠΈΠ² ΠΏΠ½Π΅Π²ΠΌΠΎΠΊΠΎΠΊΠΊΠΎΠ²ΠΎΠΉ ΠΈΠ½Ρ„Π΅ΠΊΡ†ΠΈΠΈ
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