Publications by authors named "Schepin V"

For the last 20 years of analysis, mortality rate of rural population was higher than that one of entire population; in 2020, increasing of mortality due to COVID-19 was noted.The indicators were 15.4 per 1000 population for rural population, and 14.

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The COVID-19 pandemic has its own objective features associated with density of residence, organization and accessibility of medical care, migration characteristics of population, etc. Therefore, analysis of current situation with coronavirus in the Russian Federation, its Federal Okrugs and subjects is needed. The coronavirus infection resulted in significant changes in indicators of primary morbidity and mortality of population of the Russian Federation.

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The article presents the results of analysis of dynamics of morbidity of working population with temporary disability in the Russian Federation in 2000-2018 according its causes, assessment of gender and age differences and in the context of Federal Okrugs and subjects The Russian Federation. The significant changes in rate and duration of temporary disability indices on National and Regional levels are considered. The absence of differences in structure of causes and average duration of morbidity with temporary disability is analyzed.

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The article presents the analysis of results of the study of incidence and prevalence of children diseases in Russia in 2012-2018 including structure of diseases classes, regional characteristics in the Federal okrugs and regions and assessment of chronization coefficient. The significant changes are established in incidence cases rate by disease classes in the Federal districts and regions, in dynamics of chronization coefficient, and their absence in morbidity structure.

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[The actual problems of traumatism in the Russian Federation].

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med

September 2020

In 2005-2018, marked decreasing of morbidity of trauma, intoxications and other outcomes of impact of external causes in the Russian Federation was registered. In the Ural Federal Okrug, the rate of decreasing was the lowest and made up to 1.3%.

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The disability is one of the main indices of public health, along with medical and demographic characteristics, morbidity and physical development that characterizes level of social economic development and is a major problem of health and social care authorities. The availability of statistical data and analysis of problem of population disability will allow to properly plan activities of various administrative bodies. The article presents trends of persistent disability in the Russian Federation during the studied period.

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The article presents the results of analysis of values and dynamics of changes in indicators of fertility rate, expected life expectancy, total and infant mortality, able-bodied mortality, mortality of circulatory system diseases, neoplasms, and road traffic accidents in 18 subjects of the Central Federal Okrug of the Russian Federation in 2015-2018. The results of comparative analysis of factual values of mentioned indicators with values of target indicators approved by the "Health care Development Strategy in the Russian Federation for period up to 2025" (2019) are presented. The necessary scope of correction of existing discrepancies are established.

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The issues of assessing medical and demographic processes and improving public health are very actual in Russia. The article analyzes the current state and regional characteristics of medical and demographic development using the example of the Republic of Dagestan. The positive tendency of the main fertility indicators was determined, including the analysis of the age structure of the population and population size alterations.

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The article analyzes the indicators of population reproduction on the example of the Kostroma region, presents the dynamics of the main medical and demographic indicators of the region: age structure of the population, mortality, fertility, migration, marriage and divorce rates, as well as the starting positions for overcoming reproductive and demographic disadvantages.

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The main ways of formation and development of complex scientific research of Federal public budgetary scientific institution "The National Public Health Research Institute named after N. A. Semashko» in the section of health protection of mother and child are tracked.

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The article is devoted to the history of the creation and activities of the N. A. Semashko National Research Institute of Public Health.

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[About Problems of Palliative Care].

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med

January 2019

The palliative care is determined as "a complex of medical interventions targeted to deliverance from pain and relief of other severe manifestations of disease, for improving quality of life of terminally ill citizens" (Art. 36 of the Federal Law of 21.11.

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The article considers the made known, systematized and analyzed indices of morbidity of infectious diseases in the USSR in 1950-1990. The results of comparative analysis of morbidity of infectious diseases in the USSR and developed countries are presented. It is proved that despite of current opinion presented in publications epidemiological morbidity in the USSR was not eradicated.

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The results of prevalence and prognostic significance of occupational, housing and family risk factors for myocardial infarction are presented. The significance of the analyzed risk factors for predicting development of myocardial infarction is established. The myocardial infarction (MI) have to do with global social and medical evidential problems.

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The article presents history of development and becoming of the International Classification of Diseases (ICD), including its importance and necessity for health care.

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The article presents analysis of problems of organization of functioning of military medical commissions in the light of implementation of complex of activities related to licensing of military medical expertise as a type of medical activity. The conceptual definitions and main legislative acts regulating procedures of licensing of the given type of expertise are considered. The characteristics of functioning of military medical expertise in actual conditions of Russia, including experience of Moscow and the Moskovskaia oblast are established.

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The article presents data concerning number of physicians and their supply to population of the Russian Empire in 1809-1913. It is reasonable to affirm that health care system of the Russian Empire during this period had no opportunities to efficiently implement function of health care.

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The article presents the results of analysis of special complex study of conditions of measures concerning health promotion and health preservation of future fighting men within the framework of the Concept of Federal system of training citizen of the Russian Federation to military service up to 2020. The normative legal support of call to military service is considered. The expert approach was applied to analysis of the regional normative legal acts related to the given issue using examples of two subjects of the Russian Federation - the city of Moscow and the Moskovskaia oblast.

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The study was carried out to establish characteristics of implementation of processing approach to management of regional system of organization of ophthalmologic care of population of the Tyumenskaia oblast and to develop conceptual model of management of profile service. The article considers characteristics of implementation methodological tools of processing approach to management of regional profile ophthalmologic service. The developed and scientifically substantiated conceptual model of management is considered.

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The article presents results of analysis of works of late XIX--first quarter of XY centuries devoted to problems of social hygiene. It is established that origin of social hygiene was directly related to crucial revision of conceptions of causes and essence of diseases that created necessary conditions for transfer into medicine ideas and methods of political economy, sociology and eugenics. It is proved that origin of social hygiene was appropriate consequence of those crucial alterations in mass physician's consciousness that characterize scientific revolution in medicine of late XIX--first half XX centuries.

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The article presents originally developed model of quality of orthodontic care of population on the level of subject of the Russian Federation. The model includes the following elements: demand of population in orthodontic care, mission of orthodontic service, regulations of orthodontic service, table of facilities, staff list, standards of evaluation of effectiveness and audit of effectiveness of orthodontic care of population, and standards of quality control. The developed standards of quality control exemplified by typical stomatological polyclinic, demonstrated reserves of further development of quality and accessibility of orthodontic service to population in functioning of medical organization.

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The article contends that in stomatology actual normative legal support does not handle all problems of both organization of orthodontic care of children population and control of quality of orthodontic treatment. It is assumed that in. conditions of updated federal health legislation additional efforts are to be made to enhance quality and accessibility of orthodontic care.

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The article considers on the basis of complex analysis becoming and development of public policy of health care of children, legislative and normative acts in area of legal defense of childhood according international recommendations. The study traces adopted on different levels management subordinate acts, strategical and tactical mechanisms of their application in territories and effectiveness of realization. The situations making possible to detect reserves of enhancement of effectiveness of profile official documents are analyzed The aspects concerning future of national medical science.

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The two-part article presents the results of complex scientific analysis of hospitalized morbidity and mortality of adult population (18 years and older) of the Russian Federation. The main accounting statistical groups--able-bodied (18-54/59 years) and older than able-bodied age--are included. The report I (published in No2 2014) substantiates actuality of study and determines materials and methods of analysis of volume, structure, level of subject of research.

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The two-part article presents the results of complex analysis of hospital morbidity and mortality of adult population of the Russian Federation, including its main registration statistical groups (able-bodied (18-59 years) and older able-bodied age). In the part 1 of article actuality of study is substantiated, materials and analysis methods of proportion, structure, level of subject of research are determined. The characteristics of adult population on the whole and the results of in-death analysis of hospital morbidity and mortality of adult population of able-bodied age are presented In the part 2 of article the main characteristics of hospital morbidity and mortality of population older than able-bodied age and the results of comparative analysis of hospital morbidity and mortality in above mentioned groups of adult population.

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