[Retrospective analysis of the incidence rate of the population in the Republic of Tatarstan with diseases of the endocrine system].

Diseases of the endocrine system are an urgent medical and social problem in connection with their widespread prevalence and negative growth trend throughout the world; they often accompany other chronic diseases and can lead to disability. Aim: to study the trends in the structure and characteristics of the morbidity of the population in the Republic of Tatarstan with diseases of the endocrine system. The study was based on the materials of the official statistics in the Republic of Tatarstan for the period 2014-2019, the methods of descriptive statistics and linear regression analysis were used. The indicators of the primary morbidity and prevalence of the endocrine system diseases among various age groups in the Republic of Tatarstan were studied. The retrospective analysis of the incidence of the endocrine system diseases in the population in the Republic of Tatarstan indicates the formation of stable negative trends in the growth of the prevalence of thyroid diseases, diabetes and obesity among all the groups under study. There is an increase in the primary incidence and prevalence of thyroid diseases among children (growth rate in 2019 compared to 2014 of 198.6 and 50.1% respectively) and adolescents (growth rate of 244.9% and 114.3% respectively), as well as an increase in the prevalence of type 2 diabetes in these groups (growth rate of 500% and 269,2% respectively); an increase in both the primary incidence (growth rate of 200%) and the prevalence of hypothyroidism among children (growth rate of 183.5%), an increase in the prevalence of thyroiditis among adults (growth rate of 24.3%).The rate of increase in the primary incidence of obesity, over 6 years of observation, among children was 74.7%, among adolescents - 171.1%; among the adult population - 21.2%. To reverse negative trends in morbidity, we believe it is necessary to strengthen preventive work among all age groups to form healthy eating habits, maintain a normal body weight, take legislative decisions on mass prevention of iodine deficiency in endemic regions, as well as conduct some research aimed at assessing the impact of risk factors caused by the impact of endocrine disruptors on the health of the population of the Republic.

[Risk assessment from exposure to chemical contaminants in food].

There was investigated the impact of chemical substances contained in the public health foodstuffs in eight regions of the Republic of Tatarstan on 11 product groups: meat and meat products, fish and fish products, milk and dairy products, bread and bakery products, sugar and confectionery products, vegetables and melons (excluding potatoes), potatoes, fruits and berries, vegetable oil, eggs and egg products, salt. In total there were analyzed more than 240 thousand samples offood raw materials andfood products over the period offrom 2006 to 2014. The study took place on 27 priority chemicals, including thirteen carcinogens (benzo (a) pyrene, DDT, hexachlorobenzene, hexachloran, heptachlor, alpha-lindane, beta-lindane, lindane, cadmium, arsenic, lead, derivatives of 2,4-D acid, cypermethrin). Exposition load is calculated by the 50 (median), and 90 percentiles of the content ofpollutants in food products. There were calculated carcinogenic risks, HQ coefficients and HI indices for chronic non-cancer exposure. High values of the total cancer risk (3.31*10 at the median level of 1.49*10+ at the 90 percentile) are associated with the exposure to tohexachlorane and alpha-lindane seem to be alarming (from 1.73*10 to 9.68*10) with the effect of lindane, cadmium and lead with dominant contribution to the total risk in the use of meat and meat products, milk and dairy products. The warning value of Hazard ratios (HQ 1.1-3) at 90-percentile were shown on nitrate, lead, beta-lindane, high (HQ >3), for DDT and its metabolites, lindane and arsenic, with the dominant contribution to the exposure of vegetables and melons (excluding potatoes), potato, milk and milk products.

[Monitoring and assessment contamination of toxic elements food in Tatarstan monitoring and evaluation of contamination by toxic elements of food products in the territory of the Republic of Tatarstan].

Actual consumption of toxic elements in the body of an adult human in the Republic of Tatarstan (during the period of the study of the production in 2008-2012) amounts for lead: 0.68 mg/week for cadmium: 0.18 mg/day, arsenic: 0.68 mg/day, mercury: 0.21 mg/week (per 1 kg body weight) or respectively: 22.81%, 18.0%, 13.69%, 4.27% of the allowable levels of the chemical load. We have performed calculations with account of the balance of food resources per capita per year in the Republic of Tatarstan. This analysis showed that the main dietary sources of income for cadmium there are milk and dairy products (48.32%), bakery products (16.07%), meat and meat products (13.22%); for lead there are bakely products (26.85%), potatoes (24.36%), milk and dairy products (23.94%), meat and meat products (7.55%); for mercury there are milk and dairy products (53.72%), meat and meat products (16.82%), potatoes (10.92%); fish and fish products (4.74%); for arsenic there are milk and dairy products (72.51%), meat and meat products (12.8%), bakery products (3.05% ,); fish and fish products (2.23%). It is important to know not only what products are the most contaminated, but what place in the structure of the nutrition they take.

[Risk assessment of carcinogenic and non-carcinogenic effects in the use of food].

Application of methodology for assessing the risk of diseases associated with consumption of contaminated foods, is aimed at predicting possible changes in the future and helps to create a framework for the prevention of negative effects on public health. The purpose of the study is assessment of health risks formed under the influence of chemical contaminants that pollute the food. Exponential average daily dose of receipt of chemicals in the body, non-carcinogenic and carcinogenic risks were calculated.

[Species composition of anaerobic microflora in parodontal pocket depending upon disease stage].

With the help of polymerase chain reaction (PCR) the dynamic of species composition of anaerobic microflora in cases of generalized parodontitis was established. It was detected that disease severity increase was followed by the increase of the number of anaerobic microflora species in parodontal pocket; at that it was impossible to connect the presence of some determined type of microorganism with the inflammatory parodontal process intensity. It was shown that proteins fimbrilin and gingipain were not the only parodontitis pathogenic factors although the first one (fimbrilin) could be connected with aggressive disease flow. The suggested PCR scheme could be useful for early disease stage diagnostic and substantiation of antimicrobial therapy method selection.

[Use of indicators for comprehensive assessment of life quality].

The paper presents a procedure for quantitative sociomedical and hygienic assessment of the quality of life. Several combinations of factors that have the greatest influence on the quality of life and human health: medicodemographic indices; the prevalence and incidence rates of all classes of diseases in different age population groups; health care quality; socioeconomic conditions; natural, climatic, and sanitary conditions; quality of the population's nutrition; sociological assessment of living conditions. Based on the performed study, the indicators were estimated by each combination of factors. The quantitative determination of the integrated index of life quality may be used to assess the socioeconomic position, the health status of the population in some administrative districts and regions over time.

[A fluorescence diagnostic method and possibilities of its use in parodontology].

The possibility of the fluorescence diagnostic method use for determination of presence and amount of dental plaque and evaluation of the plaque removal efficacy by different methods of individual and professional hygiene was substantiated in the article.

[Pressing problems in development of diagnostic methods for clinical periodontology]. / Aktual'nye zadachi razvitiia diagnosticheskikh metodov v klinike parodontologii.

In this article are examining the requirements to diagnostic methods in periodontics. Author comprises clinical radiology and cytomorphometric methods in diagnostics of chronic gingivitis and initial periodontitis.

[Assessment of human health risk factors in the city of Nizhnekamsk]. / Otsenka faktorov riska zdorov'iu naseleniia goroda Nizhnekamska.

Nizhnekamsk is marked not only high by levels of ambient air pollution, but also by the deteriorated qualitative composition of portable water. The present paper gives the results of assessment of the mutagenic activity of tap water. A test system of biological evaluation of portable water is proposed.

[Morphogenesis of early stages of periodontal inflammations]. / Morfogenez rannikh stadii vospalitel'nykh zabolevanii parodonta.

Morphological signs of dissemination of active inflammatory process beyond the gingiva into the depth of the alveolar process bone tissue, paralleled by numerous destructive changes (bone resorption and lysis of collagen fibers of the periodontal ligament, plunged into the bone) in the periodontium are observed during clinically manifest chronic gingivitis. Hence, in contrast to the concept universally acknowledged in periodontology, despite the seeming clinical "heterogeneity" of gingivitis and periodontitis, these conditions should be regarded as a periodontal inflammation, because, judging by the detected morphological picture, each of the nosological entities acknowledged today (chronic gingivitis, periodontitis) represents just a successive stage of the same chronic inflammatory process differing only quantitatively but not qualitatively.

[Use of a new biological factor--exogenous nitric oxide--during surgical treatment of periodontitis]. / Primenenie novogo biologicheskogo faktora-ékzogennogo oksida azota-pri khirurgicheskom lecheni parodontita.

In order to improve the efficiency of surgical treatment of periodontitis, the operative wound was exposed to nitrogen oxide (NO) during osteogingivoplasty and on days 3, 5, and 6 after it. Clinical and laboratory data making use of the cytomorphometrical method indicate that NO exposure decreased and maybe prevented secondary injury to the operation wound in up to 46.6% patients, which was confirmed by decrease and even normalization of destruction index and inflammatory destructive index on days 7 and 14, which was not observed in the reference group patients not exposed to NO.

[Cytological indices as criteria for assessing periodontal status]. / Tsitologicheskie pokazateli kak kriterii otsenki sostoianiia parodonta.

The authors define the complex of criteria for analysis of cytograms of gingival impressions in health and periodontal diseases. Such criteria are needed for objective diagnosis and monitoring of periodontal status over the course of treatment. All the cellular elements were taken account of: different types of epithelial cells, including those with signs of cytopathology and bacterial contamination, connective tissue cells, mononuclears, leukocytes, and fibroblasts. The cytological picture correlated with the status of periodontium and forms and severity of pathological processes developing in it.

[The therapeutic effect of a biogenic paste in experimental chronic periodontitis]. / Lechebnyi éffekt biogennoi pasty pri éksperimental'nom kronicheskom periodontite.

The efficacy of a biogenic paste containing calcium phosphate and chondroitin sulfate was studied in dogs with experimental chronic periodontitis. The paste exerted a therapeutic effect on the periapical inflammatory destructive foci, relieving the inflammation and stimulating the reparative processes in the bone.