[The dynamic and structural indicators of population morbidity of diseases of skin and subcutaneous fat: the scientific review].

The diseases of skin and subcutaneous tissue represent consist medical and social problem due to their high prevalence. In the case of chronic course, dermatosis result in long-term temporary incapacity for work, disability and deterioration of quality of life of patients. The purpose of the study was based on analysis of scientific publications to assess level, structure and dynamics of morbidity of population, territorial features of prevalence of diseases of skin and subcutaneous tissue and risk factors for their occurrence. The scientific review of studies in Russian and English was carried out using information portals and platforms eLIBRARY.ru, PubMed, Web of Science and Scopus for the period 2010-2022. The selection included 47 publications that assessed levels of primary and general morbidity of population with diseases of skin and subcutaneous tissue and its dynamics over certain periods of time, as well as territorial features of prevalence of these diseases in the Russian Federation and risk factors of development of skin diseases. Many studies demonstrated decreasing in primary and general morbidity of population with diseases of skin and subcutaneous tissue. The rate of decreasing was more pronounced in 2018-2022. The level of primary and general morbidity differs significantly by Okrugs and Subjects of the Russian Federation, including particular nosologies. It is determined that there is wide spread of incidence rates across territories. The large proportion of publications reflects prevalence of psoriasis in population. The authors proposed measures of to improve registration of skin diseases and to decrease corresponding morbidity of population.

[The certain aspects of organization of medical care of women in period of pregnancy and delivery in the Republic of Bashkortostan].

Health protection of women of reproductive age is a priority direction of state policy. In protection of reproductive health of women no small importance is played by development of organization of primary medical sanitary care and specialized medical care of women during pregnancy and delivery. The study was carried out in the Republic of Bashkortostan and covered period of 2017-2021. It was established that the number of women of fertility age decreased up to 3,9% that became one of causes of reduction of birth rate from 12.1‰ to 9.8‰ respectively. At that, the level of maternal mortality increased up to 8.9 times (from 4.1 to 36.8 per 100,000 born alive). In 2021, out of 37,775 women who completed their pregnancy, 99.3% were examined by therapist and only 92.2% passed such an examination prior to 12 weeks of their pregnancy. On the gestation period of 11-4 weeks, 91.3 % of pregnant women were subjected to ultrasound examination of fetus with detection of maternal serum markers and 94.4% of pregnant women were examined at the 19-21 weeks of pregnancy. Among pregnant women, rate of diseases and pathological conditions that preceded or developed during pregnancy slightly increased. Increasing of morbidity of anemia, diseases of endocrine system, including diabetes mellitus, was noted. The deterioration of particular indicators of organization of medical care of women according to profile "obstetrics and gynecology" occurred during period of COVID-19 pandemic. The implementation of three-level system of organization of medical care resulted in significant reduction of number of obstetric and gynecological hospital beds.

[The influence of social economic factors on level of morbidity of psoriasis among adult population of the Republic of Bashkortostan].

THE PURPOSE OF THE STUDY: To assess the social economic factors of development of morbidity of psoriasis in adult population within a separate region as exemplified by the Republic of Bashkortostan. MATERIALS AND METHODS: The non-linear dynamic prognostic regression model with panel data was applied to establish role of social economic factors in development of morbidity of psoriasis in adult population. The model-based indicator is rate of total adult morbidity of psoriasis in 51 municipalities and 7 urban districts in 2014-2018. The factor space was generated by ten groups. THE RESULTS: The regression coefficients (elasticity) were obtained for every group of social economic factors. With increasing of factor of harmful emissions into atmosphere by 100.0%, morbidity of psoriasis in all municipalities can increase on average by 7.0% (elasticity coefficient -0.07). With increasing of economic well-being and incomes of population by 1.0%, a decrease of morbidity of psoriasis by 1.55% is possible. With changing of number of workers employed in harmful production by 100.0%, morbidity of psoriasis in adult population decreases on average by 3.9% (elasticity coefficient -0.39). The specific number of unemployed population (the unemployed, pensioners) and factor of social psychological stress in society turned out to be insignificant. The elasticity factor of level of support of population with public health resources was 0.08. At theoretical opportunity of increasing health care resources up to 100.0%, morbidity of psoriasis in adult population of municipalities can increase on average by 8.0%. CONCLUSION: The overall morbidity of psoriasis in adult population of the Republic of Bashkortostan is positively affected by economic development of municipality and level of urbanization. The unfavorable environmental factors have impact negatively. The increasing of volume of health care resources (provision of population with medical personnel, number of beds of day-and-night and daytime stay, capacity of polyclinic institutions, etc.) may result in increasing of morbidity of psoriasis in municipalities as consequence of increased accessibility of medical care. The study results can be applied in planning health care within the framework of medical care support of patients with chronic dermatitis in the Republic of Bashkortostan.

[The dynamics of demographic indices in the Republic of Bashkortostan].

The article presents results of analysis of demographic indices in the Republic of Bashkortostan. The primary data for analysis was acquired from official public statistics. The dynamics of fertility and mortality indices in 1985-2018 is described. The prognostication of indices dynamics up to 2025 was made. The distribution of mortality indices by gender, age, causes of death, place of residence is proposed for 2012, 2015 and 2018. Four periods with increasing or decreasing of fertility and mortality was allocated. The linear correlation made up to r = -0.492, p<0.01, i.e., with decreasing of birth rate increasing in mortality occurred. The assessment of dynamics of mortality in 2015-2018 established that young age groups (15-29 years old) are characterized by significant increasing of mortality in every subsequent age group as compared with previous age group. Between 2012 and 2018, total mortality decreased from 13.2 ‰ to 12.4 ‰. Males and females aged 40-44 and females aged 45-49 and 50-54 had such negative trend as increasing of mortality as compared with 2012 and 2015. The decreasing of indices of overall mortality occurred only among males. In males, mortality rate exceeded mortality rate in females up to 1.33 times in 2012, up to 1.29 times in 2015 and up to 1.23 times in 2018. The mortality rate of rural population is 1.3 times higher than mortality rate of urban population. While mortality rate of able-bodied population is 1.4 times higher. The increasing of mortality occurred due to malignant neoplasms, while the growth rate was more pronounced among rural population as compared with urban population. The mortality of respiratory diseases is more than 2 times higher in rural areas and of diseases of the digestive system is 1.5 times higher among rural population. The established growth trends in mortality among rural population due to respiratory and digestive diseases and decreasing of mortality of diseases of the circulatory system and significant decreasing of such cases as "elder age" can be explained by probability of defects in encoding of causes of death.