Publications by authors named "I B Iampol'skaia"

The paper analyzes morbidity among Moscow schoolchildren in the past 50 years on the basis of the results of in-depth studies of pupils by the researchers of the Research Institute for the Hygiene and Health Care of Children and Adolescents. There is a significant reduction in the number of absolutely healthy children, the proportion of which is 2-4%. There is a considerable increase in the prevalence of dysfunctions and chronic diseases among schoolchildren.

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The presented materials are the result of many years' observations of the growth and development of Moscow senior adolescent schoolchildren, by revealing main trends in their physical development. By using the representative material (more than 2.5 thousand persons), the authors consider the trend in the physical development of 16-17-year-old adolescents examined in 1960-2007 by the strictly unified program.

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Analysis of prevalence of various functional disorders and chronic diseases diagnosed in children and adolescents during comprehensive prophylactic examination in educational institutions does not provide complete information about health tendencies because the same statistical data may reflect both favourable development of a pathological process and its deterioration. Such information can be obtained by thorough analysis of complaints, medical histories and catamnestic observations, fulfillment of the complete range of regimented clinical examinations. An algorithm and criteria for characterization of a pathological process as "improving", "worsening" or "unaltered" were developed for different nosological forms and classes of diseases in 2006.

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This paper is based on the results of medical examination (single-step and longitudinal) of more than 10,000 schoolgirls and students aged 8-17 and 17-23 years respectively undertaken in Moscow in 1960-2004 and on the archival data (6500 medical cards of primipara women) from maternity hospitals dated to 1981-1990. It was shown that a main feature of growth and development of the female organism in the recent years was gracialization of the girls' stature due to reduced transverse and circumferential body measures including diameter of pelvis. This finding implies a risk of reproductive health impairment with time.

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