ПРОЕКТ ЕНЕРГЕТИЧНОЇ БЕЗПЕКИ УКРАЇНИ НА ОСНОВІ ВЛАСНИХ ГЕОТЕРМАЛЬНИХ РЕСУРСІВ

The article presents the main components of energy and public safety through the development of geothermal resources in Ukraine. The development of geothermal resources is performed by geothermal power plants construction (GPPC) type, tube in tube "that do not require fuel resources, does not produce harmful emissions into the environment and are able to provide all spheres of society own thermal and electrical energy in sufficient amount. The data from the GPPC theory and technology of construction, industrial feasibility, socio-economic and ecological effectiveness are presented.В статті наведені основні складові енергетичної і екологічної безпеки суспільства на основі освоєння геотермальних ресурсів України. Освоєння геотермальних ресурсів виконується шляхом спорудження геотермальних енергоустановок (ГТЕУ) типу ,,труба в трубі”, що не потребують паливних ресурсів, не виробляють шкідливих викидів у довкілля і здатні забезпечити всі сфери діяльності суспільства власною тепловою і електричною енергією в достатній кількості. Наведені відомості з теорії ГТЕУ, техніки і технології їх спорудження, промислової доцільності, соціально-економічної та екологічної ефективності

Tuberculosis outcomes related to the Mycobacterium tuberculosis genotype

Mycobacterium tuberculosis strains of different phylogenetic lineages and genetic families differ in biological properties that determine, to some extent, epidemiological features and clinical manifestation in tuberculosis (TB) patients.The aim of the study was to assess the risk of an adverse outcome of the disease in TB patients caused by various M. tuberculosis genotypes.Materials and methods. A total of 425 patients with respiratory TB were enrolled in this study. They were registered at phthisiatric facilities in the Omsk region from March 2015 to June 2017 period and included: males — 73.1%, mean age 39.9 years, females — 26.9%, mean age 42.0 years. M. tuberculosis culture and drug susceptibility testing and DNA extraction were performed in accordance with standard methods. Strains were assigned to the M. tuberculosis Beijing genotype and its epidemiologically relevant clusters B0/W148 and 94-32 by PCR based detection of specific markers. Non-Beijing strains were subjected to spoligotyping.Results. We found that 66.5% isolates belonged to the Beijing genotype, 12.8% — to LAM, 10.1% — to T, and 4.7% — to the Ural genotype. Multi-drug resistance (MDR) to anti-TB drugs was observed in 195 M. tuberculosis strains (45.9%). Moreover, Beijing genotype was more often isolated from patients with MDR-TB infection (PR = 2.09 (95% CI 1.6–2.74) and TB infection associated with HIV infection (PR = 1.14 (95% CI 1.01–1.31). Lethal outcome was double higher in patients infected with Beijing vs. non-Beijing strains, 28.6% vs. 14.0% (PR = 2.03; 95% CI 1.3–3.17). The risk factors were identified as follows: young age 18–44 years (RR = 1.7; 95% CI 1.18–2.7), co-morbidity with HIV (RR = 5.0; 95% CI 3.39–7.45), multiple (RR = 1.7; 95% CI 1.14–2.55) and extensive drug resistance (RR = 2.57; 95% CI 1.35–4.92), and association with the Beijing genotype (RR = 2.0, 95% CI 1.3–3.17).Conclusion. M. tuberculosis spread in the Omsk region is characterised by significant prevalence of the Beijing genotype, associated with multiple and extensive drug resistance. A significant association of adverse clinical outcomes and various factors, including association with the Beijing genotype, requires development of new approaches in the fight against tuberculosis

Izloženost genotoksičnim agensima iz životnog okoliša tijekom prenatalnog razvoja i djetinjstva

Health disorders and diseases related to environmental exposure in children such as cancer and immunologic disturbances (asthma, allergies) are on the rise. However, complex transplacental and prepubertal genotoxicology is given very limited consideration, even though intrauterine development and early childhood may be critical for elucidating the cancer aetiology. The foetus is transplacentally exposed to contaminants in food and environment such as various chemicals, drugs, radiochemically contaminated water and air. Target organs of xenobiotic action may differ between the mother and the foetus due to specific stage of developmental physiology and enzyme distribution. This in turn may lead to different levels of clastogenic and aneugenic metabolites of the same xenobiotic in the mother and the foetus. Adult’s protective behaviour is not sufficient to isolate children from radioisotopes, pesticides, toxic metals and metalloids, environmental tobacco smoke, endocrine disrupting chemicals, and various food contaminants, which are just a part of the stressors present in a polluted environment. In order to improve legislation related to foetus and child exposure to genotoxic and possibly carcinogenic agents, oncologists, paediatricians, environmental health specialists, and genotoxicologists should work together much more closely to make a more effective use of accumulated scientific data, with the final aim to lower cancer incidence and mortality.Unatoč velikim naporima da se smanji okolišna izloženost u djece se dalje bilježi trend porasta pojavnosti karcinoma i imunosnih poremećaja (astma, alergije). Premda su intrauterini razvoj i rano djetinjstvo kritično razdoblje za tumačenje etiologije nastanka karcinoma, transplacentalna i prepubertetna genotoksikologija do danas su slabo istražene. Fetus je transplacentalno izložen brojnim fizikalnim i kemijskim čimbenicima: kontaminantima iz hrane i okoliša, radiokemijski kontaminiranoj vodi, zraku te lijekovima. Ciljna tkiva za djelovanje ksenobiotika mogu biti različita u majke i fetusa zbog različitosti u razvojnoj fiziologiji i distribuciji enzima. Zbog toga u organizmu majke i fetusa mogu nastati različite razine klastogenih i aneugenih metabolita istog ksenobiotika. Zaštitna uloga odraslih u namjeri da spriječe negativne utjecaje onečišćenog okoliša na djetetovo zdravlje često je ograničena jer su radioizotopi, olovo, PCB, pasivno pušenje, živa, endokrino aktivne tvari, pesticidi i kontaminanti prisutni u svim životnim područjima tijekom razvoja i rasta djeteta. Kako bi se poboljšalo zakonodavstvo vezano uz izloženost djece genotoksičnim i vjerojatno kancerogenim tvarima, tijekom razvoja potrebna je bolja suradnja onkologa, pedijatara, stručnjaka zdravstvene ekologije i genotoksikologa. Na taj način ostvarilo bi se uspješnije iskorištavanje postojećih znanstvenih podataka u cilju smanjenja incidencije karcinoma i mortaliteta

The Prevalence of Risk Factors of Breast Cancer in Different Age Groups of the Female Population of the Omsk Region

The paper estimates the prevalence of the main risk factors for breast cancer (BC) in different age groups of the female population of the Omsk Region. Priority groups for the correction of risk factors in five age intervals were identified. According to the results of an integrated assessment of the aggregate of risk factors at different ages of women, the age group 60-69 years old was in the first ranking place for the priority of preventive measures, the second group was 70 years or more, the third group included a group of 30-39 year old women. The specific weight of the corrected risk factors in this group of respondents was 85.7%, which determines the potential of preventive measures

The Long-Term Dynamics of the Incidence of Prostate Cancer in the Omsk Region

The purpose of this study is to assess the dynamics of the incidence of prostate cancer in the Omsk region for the period 2006– 2017. Materials and methods. A retrospective epidemiological analysis of data from statistical reports (Form No. 7) of the Omsk Oblast health authorities for the period 2006–2017 was carried out. Results and its discussion. In the structure of oncological morbidity in the male population of the Omsk Region, the proportion of prostate cancer was 16.3% and was lower than the average Russian average (17%). In rural areas, compared with the regional center, higher rates of increase in the incidence of prostate cancer were observed (by 1.2 times). In general, the situation on the territory of the Omsk Region is similar to the global trend, characterized by an increase in the incidence of the male population of prostate cancer, which is a reflection of insufficient attention to primary cancer prevention, features of the socio-economic situation in the Russian Federation. Findings. 1. In the long-term dynamics of incidence of prostate cancer in the region for the period 2006–2017. there was a moderately pronounced upward trend in indicators (Tpr. = 3.94%; p < 0.05), with higher growth rates (1.2 times) in rural areas compared to the regional center (respectively, 3.56% and 3.04%; p < 0.001). 2. From 2006 to 2017 incidence of prostate cancer in the Omsk region increased 2.3 times in total (from 29.2 to 66.2 per 100 ths) and 1.8 times in standardized indicators (from 24.8 to 44.4 per 100 ths). 3. Despite the obvious relevance of the pathology, the prevalence of known risk factors for the development of prostate cancer in the Omsk Region has not been studied sufficiently, which requires scientific justification and improvement of approaches to primary prevention with regard to regional characteristics

Ukraine Energy Security Project On The Basis Of Own Geothermal Resources

The article presents the main components of energy and public safety through the development of geothermal resources in Ukraine. The development of geothermal resources is performed by geothermal power plants construction (GPPC) type, tube in tube "that do not require fuel resources, does not produce harmful emissions into the environment and are able to provide all spheres of society own thermal and electrical energy in sufficient amount. The data from the GPPC theory and technology of construction, industrial feasibility, socio-economic and ecological effectiveness are presented

Eating habits among the Omsk Oblast population and poor nutrition in association with cardiovascular diseases according to the ESSE-RF2 study

Aim. To assess the prevalence of eating habits among the Omsk Oblast population and their association with cardiovascular diseases (CVDs) according to the ESSERF2 study.Material and methods. In the ESSE-RF2 study with persons aged 25-64 years (random sample, n=1648), the dietary habits of 21 food groups were assessed using the questionnaire method. Results. Insufficient consumption of vegetables and fruits was revealed in 60,0% and 68,7% of the region’s population, which is 1,5-2,2 times higher than amongRussians. The daily intake of cereals is 2,3 times higher than that of pasta, especially in those with CVDs. In the region, poultry is preferred. Poultry at least once a week is consumed by 91,7% of Omsk residents, red meat — 74,8%, and fish — only 35,2% (vs 84,7%, 83,1% and 65,1% in Russians, respectively). The daily intake of liquid dairy products is low. Cheese and cottage cheese is consumed significantly lower than the national average, while legumes — 4 times lower. The presence of confectionery in the daily diet of 40,3% of Omsk residents looks more favorable than the average among Russians. In addition, 50% of the population eat pickles only 1-2 times a month (significantly less than in Russia). On the contrary, 60,9% of Omsk residents regularly (daily-weekly) consume meat and sausages (56,0% in Russia, p=0,000). Omsk residents with CVDs refrain from excessive consumption of sugar, other sweets, meat and sausages, pickles and marinades. They are almost 2 times more likely to exclude red meat from the diet or reduce its daily consumption than people without CVDs. Salting of cooked food, consumption of vegetables and fruits, fish, seafood and dairy products practically did not depend on CVDs.Conclusion. The food habits of Omsk residents differs from the national one in many products. People with CVDs have unfavorable eating habits: reduced consumption of fresh vegetables, fruits, fish, seafood, legumes and nuts. Patients do not change their diet in favor of cardioprotective products and decrease in adding more salt. Although, they more often refuse meat and sausages, pickles, marinades, sweets, and pasta, and increase the consumption of cereals

Molecular Epidemiology of Tuberculosis Infection in Omsk Region

Relevance. In the Omsk region in 2005 - 2014 tended to decrease morbidity of tuberculosis infection. However, the dynamics of tuberculosis with multidrug resistance was characterized by a moderate upward trend from 29.6 to 38.3 per 100 thousand population (P < 0.05). Goal. Characteristics of the epidemic process of tuberculosis in the Omsk region for 10 years, molecular genetic features of leading genotypes of M. tuberculosis, circulating in the area to evaluate and select the most effective measures to prevent the spread of multidrug-resistant tuberculosis. Materials and methods. Studied with MIRU-VNTR-typing M. tuberculosis isolates from patients with active pulmonary tuberculosis (n = 100). All patients were inhabitants of Omsk region and treated in health organizations of TB in 2013 - 2014. Results. 36 genetic types have been identified in the result of typing. The composition of the 10 clusters of various sizes included 74 isolates. For genetic family Beijing treated 77.0% of isolates clustered (OR = 25.7, CI 6.87 * 96.17). Among the unique isolates of M. tuberculosis was dominated by unidentified genotypes, non-family Beijing (OR = 0.11, 95% CI 0,04 * 0,30), as well as rare genotypes Uganda I, Haarlem, S. Frequency clustering in this study was 64%, indicating that a significant proportion of cases of tuberculosis associated with active Mycobacterium tuberculosis transmission. Conclusions. The data obtained are of interest for the evaluation and selection of the most effective measures to prevent the spread of strains of multi-drug resistance in the Omsk region