[The Traumatogenic Factors of Life-Style of Rural Population].

The article substantiates actuality of problem, presents study methodology and classification of leading traumatogenic factors of life-style of rural population. The results of medical social monitoring were used as a basis for ranking degree of evidence of traumatogenic factors impacting on population health in rural district. The study established a high level of prevalence of traumatogenic factors in population of rural district. The following groups were marked out according degree of traumatogenicity: very high impact, high impact, average impact, low impact, very low impact and no impact established. In adult population of rural district, a high prevalence of industrial traumatic factors was established as well as traumatogenic agricultural labor, significant distancing of place of residence from work place, community uncomfortableness, bad highways, polluted basins, availability of ramshackle household buildings, availability of domestic and agricultural animals, motor transport means, high rate of alcohol consumption. The differences are established between prevalence of traumatogenic factors in various settlements of rural district. As far as distancing from district center increases in direction of rural settlements decreasing of quality of accomplishment of roads is noted as well as community uncomfortableness of accommodation at the expense of increasing of private sector, increasing of number of owners of lawn-and-garden and homestead lands with extremely low level of material welfare, increasing of individuals consuming alcohol beverage. The following principles of system of monitoring og traumatogenic factors are substantiated: complex character, intersectoral integration, maintenance of strict ethic rues, feedback.

[Structural and functional changes of blood vessels in women in early postmenopause, the possibility of correction of the revealed violations].

AIM: To evaluate severity and pattern of structural and functional changes of vascular wall in early postmenopausal women receiving chronic treatment with a low-dose combination of 17ß-estradiol (E2) 1 mg and drospirenone 2 mg (DRSP). Evaluation of structural and functional arterial remodeling might be important for assessment of cardiovascular risk in postmenopausal women. MATERIALS AND METHODS: The study included 162 early postmenopausal women with postmenopausal syndrome. The women were divided into two groups. The main group consisted of 84 patients receiving the postmenopausal hormonal therapy (PMHT) with E2 1 mg / DRSP 2 mg (Angeliq, Bayer) and the control group included 78 women not receiving PMHT. The follow-up duration was 5.2 years. 24­h blood pressure monitoring with evaluation of arterial stiffness (RWTT, AIx, ASI, AASI, (dP/dt) max) was performed. Endothelium-dependent dilation of the brachial artery was measured using the reactive hyperemia test. Aortic pulse wave velocity (aPWV) and common carotid intima-media thickness (ccIMT) were measured ultrasonically. RESULTS: At baseline, increased aPWV was observed in 15 (21.4 %) women of the main group and 19 (24.3 %) women of the control group (р=0.4). At the end of study, increased aPWV was observed in both groups but the increase was more pronounced in the control group. Increased pulse blood pressure (PBP) was observed in 27 (32.1 %) patients of the main group and 26 (33.3 %) patients of the control group (р=0.87). At the end of study, PBP decreased from 47.2±7.2 to 45.3±6.9 mm Hg (р.

[The supplementary professional education in the field of social health care].

The results of study of psychological educational basis of the training of professionals in the field of social health to work in rural areas are presented.