Abstract. Among the world's population the number of elderly people is increasing progressively. In the period of 1980-2020 the expected increase in the elderly population in developed countries will be 186% in developing countries -356%. Experience of ophthalmic practice shows that the most common cause of blindness and visual impairment in older age groups is senile cataract. A retrospective analysis of data of annual statistical reports for LPU 1990-2013 is provided in the Amur medical information-analytical center. We analyzed the general and primary morbidity of senile cataract. Indicators calculated were based on the classical formulas per 1000 population per mille (‰)Primary morbidity study in nosology has increased by 400% from 0,8 ‰ (1990) to 4 ‰ (2013). Throughout the period there was a dynamic growth rates of both general and primary morbidity of senile cataract. In an average year, the overall incidence was increased by 28.9%, 16.7% of primary-on.Key words: cataract, the dynamics of the disease, prognosis Introduction. Among the world's population the number of elderly people is increasing progressively. In the period 1980-2020 gg. the expected increase in the elderly population in developed countries will be 186% in developing countries -356%. Experience ophthalmic practice shows that the most common cause of blindness and visual impairment in older age groups is senile cataract. On this basis, WHO believes that in 2025 some 50 million people aged 60 will have varying degrees of intensity of lens opacity.[1] Of these, about 17 million are in need of surgical treatment [2].Materials and мethods. A retrospective analysis of data of annual statistical reports for LPU 1990-2013 gg. Provided in the Amur medical information-analytical center. We analyzed the general and primary morbidity of senile cataract. Indicators calculated based on the classical formulas per 1000 population per mille (‰). In constructing the logarithmic trend line points by calculating the least-squares method using a logarithmic mathematical formula: y = cln (x) + b, where a and b-constant and ln-natural logarithm function, and X -time forecasting. In the simulation calculated the medium-term forecast for 5 years. results of the study/We've traced the dynamics of the general and primary morbidity of senile cataract population of the Amur region from 1990 to 2013. The overall incidence of cataracts residents of the Amur region during the analyzed period increased by 693.3% to 3,3 ‰ in 1990 to 26.2 ‰ in 2013 year. Primary morbidity study nosology has increased by 400% from 0,8 ‰ (1990) to 4 ‰ (2013).Discussion of indings. Throughout the period there was a dynamic growth rates of both general and primary morbidity of senile cataract. In an average year, the overall incidence was increased by 28.9%, 16.7% of primary-on. Also, in the study of the dynamics of the general and primary morbidity of senile cataract population of the Amur region the trend line was obtained with the forecast of 5 years, which allows reliably identify 86-88% ch...

It should be noted that only 2 classes were observed a systematic reduction of the primary disease for 10 years-a class of diseases of the digestive system and diseases of skin and subcutaneous tissue. While the reverse trend in 2010 compared to 2006 to 2.8% in 2015 compared to 2010 and 10.3% was observed in the class of diseases of the digestive system and 10.3 percent respectively, and 29.7% in the class of diseases of the skin and subcutaneous tissue. In grade 5 had a decline of primary disease in the last 5 years (2010-2015): infectious and parasitic diseases of 9.9%, diseases of musculoskeletal system and connective tissue (27,5 per cent), congenital anomalies of development of 17.7%, neoplasms-in 1,5 times, diseases of the circulatory system-2,4 times. Due to the diferent growth rates and reduce the incidence of disease classes in dynamics for 10 years has changed and its structure, rank place. So, in 2006, the irst seven places were occupied by classes: 1st-diseases of the respiratory system 2-digestive organs, 3-diseases of the skin and subcutaneous tissue, 4-ediseases of the musculoskeletal and connective tissue, 5-e-eye disease, 6th disease of the nervous system 7 diseases of the genitourinary system certain conditions of the perinatal period. In 2015 there was a change of rank the irst 7 places-1 e-diseases of the respiratory system, 2 diseases of the nervous system, infectious and parasitic diseases, 3-e-a separate condition of perinatal period, 4th-diseases of the ear, 5-e-eye disease-6th-diseases of the musculoskeletal system and connective tissue 7 diseases of the genitourinary system and diseases of the digestive system. In dynamics for 10 years the most stable ranking places occupy diseases of respiratory organs (1 place), infectious and parasitic diseases(2nd place), eye disease (5th place), diseases of the genitourinary system (7th place). Other classes of diseases in dynamics for 10 years has been a space or leading (diseases of the nervous system, certain conditions of the perinatal period), or low (diseases of the digestive system, diseases of the musculoskeletal system and connective tissue). Thus, for 10 years, saved adverse trends in the growth of General and primary morbidity of children 0-14 years, which as a whole increased by 46% and 45.5%, respectively. The increased incidence is mainly due to the class leading rank places: diseases of the nervous system, diseases of the ear, diseases of the respiratory system, certain conditions of the perinatal period, infectious and parasitic diseases, which in 2015 is a signiicant frequency (80,9%) of the entire spectrum of diseases. Among certain classes there is a decrease in indicators (diseases of the digestive system; diseases of the skin), although the structure of these classes take up only about 5%. Conclusions. Overall, both components of morbidity (General and primary) have a tendency to increase in terms of time, what determined the ratings, the level and the structure of classes. The data obtained can be used in programs of preventive...

The aim of the research is to study the availability of vitamin D among children of different age and pregnant women living in the Amur region. 339 residents of Blagoveshchensk (279 children of different age and 60 adults) were examined. Among them there were 129 toddlers, 90 children of preschool age of 3-6 years old, 60 adolescents of 15-17 years old and 60 adults (pregnant women) of 18-40 years old. In the blood serum the content of the metabolite of vitamin D [25(OH)D] was studied by high performance liquid chromatography. The assessment of risk factors for failure and deficiency of vitamin D was conducted by clinical and anamnestic data. The first results of the study have been presented. They indicate a high frequency of various vitamin D deficiency in the population of the Amur region. Among 339 residents of the Amur region 92 (27.1%) had an adequate availability of vitamin D, 144 (42.4%) had an insufficiency of 25(OH)D; at the same time vitamin D deficiency was identified in 90 (26.5%) with 1/3 of the child population and 1/4 of pregnant women. The level of 25(OH)D within normal limits found in 37.5% of children in the first year of life decreased till 3.6 % by 3 years old, with its deficit increasing from 29.1% to 50%, persisting at this level (45.5 percent) in 3-6 year-old children, declining till 23.3% in adolescents and till 23.3% in pregnant women. The average vitamin D in the studied age periods was the highest in the first year of life (36.14±4.3 ng/ml), and the lowest in 2-3 year-old children (19.31±14.68 ng/ml), with a gradual increase in 3-6 years old (21.77±0.96 ng/ml); in 15-17 years old (23.89±0.66 ng/ml) and in pregnant women it has reached a level of 27.75±0.18 ng/ml, remaining below normal values. Respiratory infections, digestion, bone and joint systems pathologies are the most important risk factors contributing to the low status of 25 (OH) D; their prevention, alongside with the correction of vitamin D deficiency can improve the health of the population of the Amur region.

Амурский медицинский журнал №3 -4 (15 -16) 2016plasms, diseases of the nervous system, diseases of the eye and adnexa, diseases of the ear and mastoid process, diseases of respiratory organs diseases of digestive organs, diseases of the genitourinary system, injury and poisoning).In the dynamics of primary disease marked not stable indicators in 9 categories: neoplasms, diseases of blood and blood-forming organs and disorders of immune mechanism, endocrine, nutritional and metabolic disorders, diseases of the eye and adnexa, diseases of the circulatory system, diseases of digestive organs, diseases of the musculoskeletal system and connective tissue congenital malformations, diseases of the skin and subcutaneous tissue.It should be noted that growth of primary morbidity among adolescents in the classes of diseases of the nervous system, blood circulatory system and digestive system, indicates the unused reserves of primary prevention outpatient care, family and educational institutions.The analysis of morbidity rate in adolescents has allowed to deine in traic year on its leading rank place. So, 2006-2015 I ranked place was occupied by diseases of the respiratory system which accounted for 31.5 to 44%. of the diseases; rank II place -diseases of the musculoskeletal system and connective tissue, the proportion of which is of 20.0-9.9% of all morbidity. Diseases of the genitourinary system rank III take place, but share in common their incidence is much lower -7,6%-8,7%.Diseases of the endocrine system with 4-th place in 2006 moved to 5th place in 2015, losing to diseases of the eye and adnexa. Diseases of the digestive system, which occupies in the structure of morbidity in 2006. 5 place 10 years moved to 6th place.At the same time, diseases of the nervous system with 6-th place in 2006 become to 5th place in 2015, on the 7th place in 2006 -diseases of the eye, in 2015 -diseases of the endocrine system, and is a disease of the circulatory system, whose share is 4.1 %.In the far East region ranking places in 2010 took 6 classes: diseases of respiratory (34.3 percent), diseases of the digestive system (17.2 per cent), injury and poisoning (10.8 per cent), diseases of the eye and adnexa (7,0%), diseases of the musculoskeletal system (6%), diseases of the genitourinary system (5.2 percent), the amount of the contribution in the total morbidity amounted to 80.5%.In the city of Blagoveshchensk in 2010 ranked the leading places were: diseases of the respiratory system (39,4%), diseases of the musculoskeletal system and connective tissue (15.7%), eye disease (7,6%), diseases of the genitourinary system (7.0 percent), diseases of the circulatory system (5.8 percent), diseases of the nervous system (4.8%), amount of contribution in the total incidence rate was 80.3%.At the same time, starting in 2010, there was a feature of the structure of diseases in adolescents of the city of Blagoveshchensk in comparison with indicators of the far Eastern region and in Russia as a whole, where the leading ranks had classes respiratory ...

Novadays, the lack of sunshine vitamin D is associated with rickets in children and osteoporosis in adults. Recently, however, new data on the physiological role of cholecalciferol and the relationship of its deicit with numerous diseases (immune system, cardiovascular, oncological, neurological, etc.) were received. This paper presents the analysis of the results of the study of vitamin D metabolites in serum of healthy adolescents, training on the basis of the Amur Cadet Corps, residing in the territory of the Amur region. Risk factors for development of vitamin D deiciency were Identiied and the adequacy of preventive measures was assessed. A study to identify D-deicient states of conditionally healthy adolescents in the Amur region began with the December 2014 and March, 2015. The article presents the irst results of studies indicating a high frequency of deicits of varying severity of vitamin D in healthy adolescent boys in the Amur region. Currently the principles of prevention and optimal methods of correction of low vitamin D status in adolescents are not developed. These results allow to speak about necessity of revision of existing methodological recommendations taking into account modern approaches to the prevention and treatment of deiciency with diferent degrees of severity of vitamin D in children and adolescents. Key words. Vitamin D, cholecalciferol, hypovitaminosis, deiciency, vitamin D insuiciency, adolescent boys, cadets, risk factors. Introduction. In the scientiic literature has dramatically increased the interest in solar vitamin D. Over the past half century was published more than 60 thousand articles on the subject. Not more than 30% of physiological needs vitamin D enters the human body. To prevent the efects of D-deiciency condition is a necessary and timely prevention and treatment of vitamin D deiciency, so additional applications of farmpreparatov vitamin D throughout life is necessary. Up to the present time vitamin D was associated within the meaning of the doctor efect on bone-joint system and for the prevention/treatment of rickets in children the irst year