[The evaluation of quality of implementation of preventive medical examinations of underage persons in the Russian Federation].

The analysis was implemented concerning informational statistic data characterizing health of children population of different age groups in the Russian Federation on the basis of results of dispensarization in its federal okrugs and subjects in 2014. The purpose of the study was to discover ways and modes of developing and increasing efficiency of preventive examinations of underage population. The following indices were analyzed: coverage of children population by preventive medical examinations, distribution according health groups and medical groups for physical culture involvement, level and stricture of established total and primary morbidity, rate of dispensary registration, requirements in additional consultations, examinations and treatment in out-patient condition, day hospital, day-and-night hospital and also coverage with all these medical services. In the most of the subjects of the Russian Federation a high level of coverage of underage population with preventive medical examinations is registered. The percentage of healthy children population in the Russian Federation comprises more than one third of all covered by dispensarization. The significant variations in indices of rate of healthy children and children with functional disorders and chronic diseases in subjects of the Russian Federation is determined by quality and accessibility of medical care at the regional level. The established total and primary morbidity of children population in significant percentage (more than one third) of the subjects has a level higher than a national one. The leading causes of morbidity in children are diseases of respiratory system, musculoskeletal system, nervous system. In adolescents, these causes are diseases of musculoskeletal system, eye diseases and diseases of respiratory system. Despite high prevalence of chronic pathology in children population of the Russian Federation, the guidelines concerning treatment and rehabilitation on the basis of results of preventive medical examinations were developed in inadequate scope. The regional characteristics of the results of dispensarization are established. These results made it possible to sort out the most unfavorable territories and to determine defects in its organization and absence of continuity between medeical institutions providing the given type of medical services.

[The regularities and tendencies of infant and children mortality in the Russian Federation].

The article presents dynamics and causes of infant and children mortality in the Russian Federation during post-soviet period (1990-2012) in conditions of implementation of demographic policy and reforming of health care system. The data of official statistics of Rosstat (1990-2012) is analyzed. The comparative analysis with similar indicators in countries of European Union was made. The significant decreasing of infant mortality more than twice at the expense of all its components (early neonatal, neonatal, post-neonatal mortality) and because ofalmost all causes (conditions of perinatal period, infectious diseases, respiratory organs diseases, malformations, accidents) is established In the Russian. Federation, the characteristic of this indicator is decreasing of neonatal mortality and mortality and increasing of post-neonatal mortality in contrast with countries of European Union where its decreasing occurs just at the expense of late losses. It is demonstrated that this particularity is conditioned by under-registration of infants died in early neonatal period. The higher level of infant mortality in rural territories is established. However, the gap between urban and rural indicators shortens. In the Russian Federation infant mortality has regional characteristics and the Siberian and Far-East region are the most unfavorable ones. The mortality of children aged before 5 decreases. However, its level is still higher than in countries of European Union. Among causes of death of children in this age group the first places are for external factors and significance of malignant neoplasms increases. Therefore, development of system of mother and child health care in the Russian Federation made it possible to significantly decrease infant and children mortality.

[The children health centers: first results of functioning and perspectives of development].

The article presents analysis of functioning of children health centers organized in allsubjects of the Russian Federation. For the first time, according data of report form 68, the information are received concerning visits of children in following age groups: 0-4 years, 5-9 years, 10-14 years, 15 and 16-17 years. The average Russian indicators of visits of children health centers are calculated that can be applied in territories as markers of their effectiveness. The main flows of arrival of children population to health centers and determining factors are established. The particular attention is paid to analysis of repeated visits. The regional experience of their payments in the system of mandatory medical insurance is presented. The experience of implementation of Internet resources in propaganda of healthy life-style in adolescents and young parents is examined. The results of the carried out study were used as a basis to establish in n prevention activities of children health centers problem zones of medical organizational, technological and informational character. The proposals are given concerning enhancement of children health centers functioning.

[The condition and problems of adolescents' health in Russia].

The article presents data concerning health condition of adolescents aged 15-19 years in the Russian Federation during 2002-2012. The official statistical data concerning morbidity, disability and mortality of adolescents were analyzed. In children of this age group increasing of morbidity, disability and decreasing of mortality are established. The special studies demonstrated that true indicators of morbidity of adolescents exceed official indicators up to 1.5-2 times. The morbidity of adolescents is characterized by increasing of socially significant pathology and diseases related to behavioral risk factors. In adolescent age, the unfavorable tendencies in psychic and reproductive health are observed. In the structure of disability mental disorders and behavior disorders, diseases of nervous system and inherited malformations are in the lead. The principal limitation of vital activity is "capacity to learning". It is demonstrated that in the Russian Federation there is underestimation of cases of disability among children and adolescents.

[The organization of medical aid to children of various cohorts of supervision, undergone to the influence of small dozes of radiation].

In clause the stages of organization of medical aid to children who undergone to the influence of the ecopathologic factors, including small dozes of ionizing radiation are submitted. The features of various stages of medical aid in nearest time after influence of the radiating agent are shown. The methodological complexities of diagnostic measures in the late times after the ecopathologic influence of small dozes of ionizing radiation are submitted, the role of the radiosensitivity in formation of pathological somatic diseases of condition at children is considered. The opportunity of the differential treating and preventive help rendering to the children various cohorts of supervision is shown.