[The attitude to health in modern family].

The purpose of survey is to identify behavioral characteristics in family life-style and intra-family educational practices in dynamics of observation as health indicator. The life-style is analyzed according the results of questionnaire survey of 297 respondents, fostering school age children. The comparative analysis of behavior of adults and children is carried out based on the results of questionnaire surveys in 2007 and 2013. The verbal affirmations concerning importance of health and observance of healthy life-style in family have no concordance with actual behavior. The deterioration of of family function in healthy generation fostering is established. About 36,7% of parents pay no attention to their children. The passivity concerning organization of comfortable domestic conditions and inadequate medical activity in children health support are manifested by parents. The responsibility of parents for health of their children decreases too. The changing of priorities in hierarchy of life values occurs. The health loses its primary value. The decreasing of health in adults and children is logical due to effect relationship between life-style and health.

[Health promoting schools and health of schoolchildren (analytical review)].

The determinants of the decrease in health of the school age children, connected with their studies are discussed. The educational institutions are considered as the subjects of healthy way of life formation and strengthening of health of schoolchildren. There is a number of"health schools", using in their activity various approaches and health promoting methods for preservation and strengthening of health of schoolchildren. The results of activity of these schools are shown.

[Parental life style as a determinant of children's health].

The paper considers a family in the context of an attitude towards health. The focus of attention in children is their parental lifestyle they imitate in their behavioral model. A sociological survey of parents (n = 328) and adolescent schoolchildren (n = 344) has established that by the time of leaving school, the children form behavioral norms accepted in their families. There is devaluation of family values and lesser parenteral responsibility for children's health. The pedagogical unsoundness of the parents to cultivate healthy lifestyle (HLS) habits in children is due to their personal example, inadequate HLS motivation, and the spread of bad habits.

[Schoolchildren's attitude towards health in the aspect of tobacco smoking: a sociohygienic study].

The paper presents the results of a sociological survey of 1093 Moscow 6th-11th form schoolchildren. Their awareness and real behavior are analyzed in the context of smoking and health. The adolescents have been found to have superficial knowledge of the negative effect of smoking on health. Among the schoolchildren, the prevalence of varying intensity smoking is 45.6%. Susceptibility to smoking increases by 3 and 5 times in the middle and senior classes, respectively. The number of smoking adolescents peaks (41.1%) in the 10th-11th classes. This group of adolescents shows no gender differences: the smoking boys and girls are 42.1 and 40.0%, respectively. Despite the fact that the adolescents have a firm grasp of health protection, the reality shows a substantial difference between the acceptable values and real behavior.

[Biological properties and serological types and groups of pneumococci isolated from suppurative meningitis patients]. / Biologicheskie svoistva i serologicheskie tipy i gruppy pnevmokokkov, vydelennykh ot bol'nykh gnoinymi meningitami.

The results of the study of the biological and serological properties of pneumococci isolated from the cerebrospinal fluid and the blood of patients with purulent meningitides are presented. Serological types were determined in 64 pneumococcal strains. They were found to belong to 16 known serological types and groups; of these, 10 had been included into the existing 14-component polysaccharide capsular pneumococcal vaccine. Serotypes 1, 19, 6, 12 and 20 were most frequently isolated from patients irrespective of their age; from children meningococci of serotype 12 were most frequently isolated. In lethal cases types 1, 19 and 2 were isolated from adults and type 12, from children. At the moment of isolation pneumococci possessed biological characteristics typical of this species.

[Recurrent necrosis as a complication of the subacute period of myocardial infarct]. / Retsidiviruiushchii nekroz kak oslozhnenie podostrogo perioda infarkta miokarda

Recurrent myocardial infarction was observed in 105 among 656 myocardial infarction patients (16.1%). The recurrence developed more often after macro-focal infarction, especially when complicated by cardiogenic shock and/or pulmonary oedema. The clinical pattern of a recurrence was characterized by a significant increase of the incidence of the arrhythmic and gastralgic variants of myocardial infarction. Among those surviving acute myocardial infarction for over 72 hours recurrent necrosis was the leading cause of death in 78%. A faster hospital rehabilitation of the myocardial infarction patients did not result in any increase of the incidence of recurrent myocardial infarction.

[Clinico-morphological characteristics of recurrent myocardial infarct with lethal outcome]. / Kliniko-morfologicheskaia kharakteristika retsidiviruiushchego infarkta miokarda c letal'nym iskhodom.

The work is based on the results of follow-up of 656 patients with myocardial infarction who survived the first 72 hours after the attack. The disease followed a recurrent course in 105 persons (16.1%), 32 (30.4%) of whom died. Nine (1.6%) out of 551 patients who had no recurrence of the disease died. Recurrent necrosis was the principal cause of hospital mortality in myocardial infarction, with death occurring 3 days after the onset of the disease. The clinical picture of recurrent myocardial infarction with a lethal outcome is characterized by a high incidence of the predominance of the asthmatic and arrhythmic variants. The morphologic picture of recurrent myocardial infarction is characterized by the predominance of colliquative necrosis, large foci of myocardial "injury" in the perinecrotic zone, and poorly demonstrated proliferative processes.

[Immunochemical study of the meningococcal cell wall]. / Immunokhimicheskoe izuchenie kletochnoi stenki meningokokkov

Meningococcus strains--standard and those isolated from the cerebrospinal fluid of patients suffering from the cerebrospinal meningitis were grown on fluid and solid protein-free nutrient media. Electron microscopic study showed that in the strains isolated from patients the wall was much thicker than in the standard strains. The cell wall preparations were obtained by its solution at pH 9.0 and separation from the microbial residue. In the cultures grown on the solid medium the cell was dissolved already in its washing at pH 7.2. It was revealed in gel filtration that the cell wall preparations consisted of three fractions. The fraction with the mol wt of from 2 to 3 million possessed a complex protein-polysaccharide nature, contained all the antigens of the group and intergroup specificity, was nontoxic for mice and antigenic for rabbits. Two other fractions whose mol wt was below 67000 contained no antigens.

[Prognosis of the outcome of recurrent myocardial infarct]. / Prognozirovanie iskhoda retsidiviruiushchego infarkta miokarda.

The authors developed a method for prognosticating the outcome of recurrent myocardial infarction with the use of the Bayes formula. The diagnosis of recurrent myocardial infarction was made when necroses recurred in the myocardium during in-patient treatment for acute myocardial infarction. The prognosis was determined 72 hours after the recurrence of the necrosis. The prognostic signs characterized predominantly the degree of congestive circulatory failure and the frequency of disorders of cardiac rhythm in the acute period of myocardial infarction and recurrent myocardial infarction as well as in the interval betwen them (10 signs with informativeness of 0.117 to 0.05 were used.) The prognosis was erroneous in 8 of 70 patients who recovered from the disease and in 1 of 17 who died.

[Health education of the population during mass screening at a polyclinic]. / Gigienicheskoe vospitanie naseleniia pri dispanserizatsii v usloviiakh polikliniki.

The survey was undertaken to analyze the work of polyclinic physicians on health education of the population during dispensarization activities. Medical personnel must carry out a whole complex of measures aimed at community involvement into dispensarization activities, promotion of population's readiness to follow doctor's indications and prescribed regimen and diet, to stick to a more active mode of life and to repudiate bad habits.