RESUMO
The authors summarize the experience with the participation of forensic medical experts in reducing the crime rise, prophylaxis of socially significant pathologies (such as drug addiction, diabetes mellitus, tuberculosis, oncological diseases, HIV infection) and improvement of health services to the population as exemplified by the activities of the specialists of Sankt-Peterburg Bureau of Forensic Medical Expertise. The special emphasis is laid on the role of the city's therapeutic and prophylactic facilities in this work and up-to-date high-tech laboratory and special investigations.
Assuntos
Crime/prevenção & controle , Prova Pericial/métodos , Medicina Legal , Medicina Legal/métodos , Medicina Legal/organização & administração , Humanos , Avaliação das Necessidades , Serviços Preventivos de Saúde/métodos , Papel Profissional , Federação Russa , Sociologia MédicaRESUMO
Dynamics of HIV-infection epidemic in St. Petersburg was analyzed. New features of epidemic process, which were not observed in St. Petersburg earlier, whereas noted in other territories of Russia, were revealed and described.
Assuntos
Surtos de Doenças , Infecções por HIV/epidemiologia , HIV , Busca de Comunicante , Feminino , Humanos , Masculino , Fatores de Risco , Federação Russa/epidemiologia , Comportamento Sexual , População UrbanaRESUMO
Forty HIV-positive women living with HIV-infected sexual partner as well as 40 HIV-positive women from discordant pairs (HIV-positive wife and HIV-negative husband) were surveyed. Less than half of HIV-infected patients (40%) specified the use of condoms for sexual contacts. In the group of women living with HIV-infected partner more expressed immunosupression (CD4 count 427 cells/mcl versus 528 cells/mcl) was observed. Statistically significant increased viral load in the 1st group compared with the women from discordant pairs was revealed.
