[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.

[The risk factors of health formation in urban and rural women].

The purpose of the study is the socio-hygienic characteristics of the lifestyle and living conditions of urban and rural women and the assessment of their importance in the formation of health. The materials of the study were: the number of newly registered chronic diseases for 5 years, the average number of complaints about diseases during the year, the results of the survey. A socio-hygienic study shows that among urban women there are more divorced women than among rural women, fewer widows, urban women have higher levels of education, more permanent jobs, low physical activity, etc. Rural women were distinguished from urban women by lower level of education, low medical activity, frequent alcohol consumption, lower income, etc. Among urban women, more than in the first health assessment group (18.4% of women), among rural women 14.6% and less than in the third health assessment group (30.2%). Among rural women, 36.0% were in the third health assessment group. It was found that the greatest impact on the health of urban women have irrational nutrition, low physical activity, low medical activity, harmful production factors, frequent stress at work and at home, on the health of rural women: low income, low medical activity, mainly physical labor, irrational nutrition, frequent alcohol consumption.

[The Organization of Functioning of Traumatological Station of Municipal Clinical Hospital: the Structure of Resort of Patients on the Occasion of Traumas].

The analysis of the structure of treatment of patients with injuries in traumatological station of municipal clinical hospital established that the percentage of females was slightly higher than that one of males, 50.9% and 49.1% respectively. In all patients, 24.1% were of age group 30-39 years. This age group was also the largest one in males men and amounted up to 29.4%. In women, the largest age group was that one of 50-59 years (19.2%). In male patients 84.6% were in the age range of 18-60 years. Among female patients 60.0% were in the range of 18-55 years. Among males, the predominant localization of injury was wrist and hand (24.0%) and chest injuries (14.4%). Among females, the most frequently injured areas were ankle and foot, (26.8%) and knee and shin (17.4%). The duration of treatment of the patient and number of visits to traumatologist depends on localization and severity of the injury. The analysis demonstrated that the average duration of treatment of patient in the traumatological station made up to 4.2±0.13 days. The average duration of treatment of males was shorter (3.7±0.17 days) than that one of females (4.6±0,18 days). From those who applied to the traumatological station during the year, medical certificate was made out to 12.7% of patients. The average duration of medical certificate for all types of injuries made up to 28.9±1.2 days (28.1±1.1 days in males and 29.6±1.2 days in females) and ranged from 11.5±0.5 days in case of head injuries to 35.7±1.4 days in case of injuries of hip and thigh. In general, in case of single temporary disability, patient visited the traumatological station 3.7±0.2 times.

[The quality of medical care in case of urological diseases in hospitals of the Republic of Bashkortostan].

The article presents the results of the evaluation of in-patient medical care of patients with urological diseases depending of the level of medical care assistance. In the specialized departments of municipal multi-type hospitals and Republic medical establishments, the structure of in-patients with urologic pathology is characterized by larger portion of urolithiasis and lesser portion of varicocele, phimosis, orchitis and epididymitis as compared with the medical care services of municipal district. However, according to the medical insurance organizations expertise, the level of quality of medical care in the Republic medical establishments was higher than in municipal district medical services. The lower level of medical care quality in municipal district formed due to decreasing of treatment quality and volume of diagnostic procedures.