Publications by authors named "Melnichenko P"

The article presents the results of the evaluation of the most significant risk factors related to lifestyle and health of medical students of different courses andfaculties. The obtained data testify that out of the total number of factors that have a significant influence on the formation of bases of student's healthy lifestyle and health, the most typical are the mode of employment, the total workload, material well-being, living conditions of the majority of today's students, as well as the conditions of nutrition, physical activity, the presence or absence of such factors as smoking, frequency of consumption of alcoholic beverages.

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In the article the psycho-pedagogical and physiological-hygienic aspects of improvement of student's learning in radiation hygiene at the Health-prophylactic Faculty of the medical institution within a framework of the requirements of the new Federal State Educational Standard -3 are considered.

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The paper considers the topical hygienic aspects of education and adaptation improvement in senior (fourth-year) medical students from the Faculty of Medical Prevention.

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There are various harmful physical factors in the passenger and work premises of the Moscow underground. Noise is the most common harmful factor. The normative documents regulating noise in the underground were found to have discrepancies, which in practice makes it difficult to define whether the level of the sound is in compliance with the existing specifications and hence to determine effective actions made to mitigate its negative impact on the underground passengers and personnel.

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F.F. Erisman, a prominent scientist, gifted tutor, and outstanding public figure is ranked among the founders of hygienic science in this country.

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According to information about ecology of agents of parasitic diseases with lousy-flea mechanism of contamination, mite natural diseases and experience of battle with them, we can make a conclusion: elimination of spongers in their natural environment, lousies and fleas by washing and disinfection is not effective. Alternative is implementation of insectoacaricides of new class, based on permethrins. These insectoacaricides are secure for environment and very effective towards arthopods.

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Because of the probability of influenza pandemic that can occur in the next few years the anthroponotic and zoonotic hypotheses of influenza A agents remained in biosphere are discussed. The most arguments show that anthroponotic A2 virus that persists in inactive form among the population since 1968 can return in circulation. Alternative is the long co-circulation of "drifting" variants of A1 and A3 viruses that continue causing separate weak epidemics in the world due to decrease in their epidemic potential.

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A new information system (IS) - the software and hardware complex for controlling the state sanitary-and-epidemiological inspection (SSEI) was created. The system represents the aggregate of automated working places of RF MD chief state sanitary physician arid specialists from the department of state sanitary-and-epidemiological inspection of the Main Military Medical Headquarters. They interact through communications with working places of specialists from SSEI Main Center, chief state sanitary physicians from the Armed Forces, military districts (fleets) and RFAF CSSEI.

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Basing on the results obtained during the study of risk factor effect and extra-hospital pneumonia (EHP) etiology in servicemen in order to prevent this nosologic form the complex of prophylactic and antiepidemic measures was developed. The effective measure of EHP pneumonia prophylaxis in military collectives proved to be the polysaccharide 23-valent pneumococcus vaccine "Pneumo-23". After immunization of about 14 000 servicemen on the average EHP incidence has 3 times decreased with vaccine efficiency coefficient up to 74.

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The analysis of dynamics of pneumonia incidence in servicemen for 50 years and 1 year was conducted. The risk factors of pneumonia development in the troops were studied. Some of them decrease the body immunoresistance (supercooling, acute respiratory disease, adaptation to the service and new climatic-and-geographic conditions, stress, body mass deficiency, etc.

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Pneumococcal vaccine Pneumo-23, used for specific prophylaxis of pneumonia and other pneumococcal infections, was tested in military training units of the North Western, Central and Far Eastern Military Districts. The vaccine used for immunization of servicemen, was shown to have high immunogenicity with no adverse reactions. In the training group of the North Western Military District the epidemiological effectiveness of the vaccine was particularly high a month after immunization and amounted to 83.

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The importance of hepatitis A (HA) for epidemiological situations among the servicemen of the Armed Forces of the Russian Federation, including the Far Eastern Military District, and the necessity of vaccinal prophylaxis have been substantiated. Vaccination against HA, made in a single injection, was shown to be capable of decreasing morbidity, on the average, 1.98 times.

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The high military-and-epidemiological significance of pneumonia in servicemen during the war in Afghanistan (1979-1989) and the armed conflict in Chechnia (1995-1996) is shown and the measures for increasing the pneumonia incidence in the regions of operations are substantiated. It is established that more than 70% of pneumonia are conditioned by pneumococci that rather frequently show the pathogenic features against the background of viral (usually influenzal) respiratory infection or in association with Hemophilic bacillus, Chlamydia or Mycoplasma. The main factor leading to development of pneumonia during the period of local wars is the decreased organism resistance caused by supercooling, stresses and overwork as well as untreated acute respiratory diseases.

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In 1999-2000 the preventative vaccination against virus hepatitis A (HA) was performed in 62 thousands of people serving in the North-Caucasian Military District. We proceeded from the data that even the single injection could provide quick protection, at least for 1 year, in 95% of the cases. After the vaccination the steady distribution of HA incidence level by months among the servicemen and decrease in the incidence indices during the period under review (approximately in 3 times) comparing the previous period were observed.

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