Background.Vaccination is considered by the world community as the main measure of the fight against pneumococcal infection [1–3]. Immunization of children has been carried out since the end of 2014.  Goals. To study the compliance of the vaccination scheme against pneumococcal infection in young children and its influence on vaccination efficacy.Methodology.Evaluation of the compliance of the vaccination schedule against pneumococcal infection and the impact on morbidity in young children was carried out under the conditions of epidemiological observational descriptive and analytical («cohort») researches. Expert assessment is made of medical records of 52 patients, and 200 electronic medical cards and 200 cards of prophylactic vaccination in children were born in of 2015 and 2016.Results.The high importance of adherence to the vaccination scheme against pneumococcal infection was established not only in the prevention of disease and also in reducing carriage of S. pneumoniae. The greatest effect of pneumococcal immunization was observed in children who received the first vaccination before the age of 6 months and with a completed course of vaccination.Conclusion.Timeliness of immunization of young children against pneumococcal infection is a significant factor in ensuring preventive efficacy of immunization.

Here we present the data on foreign research publications describing healthcare-associated enteroviral (nonpolio) infections (HAI) sought in the Worldwide Database for Nosocomial Outbreaks (Institut für Hygiene und Umweltmedizin, Universitȁtmedizincomplex “Charite”, Germany) as well as PubMed search engine (The United States National Library), covering 1936–2017 timeframe. The publications retrieved contained the data on 28 nosocomial outbreaks caused by Enterovirus A (EV-A71), В (Echoviruses 11, 17, 18, 30, 31, 33, Coxsackie viruses А9, В2, В5) and D (EV-D68). It was discovered that the majority of the nosocomial enteroviral (non-polio) outbreaks occurred in obstetric hospitals and neonatal units so that children were mainly maternally infected. In addition, a case associated with intrauterine infection was described. It was shown that outbreaks might be started by an infected child at the incubation period. Single publications reported nosocomial outbreaks in geriatric hospitals. Generally, nosocomial enteroviral (non-polio) outbreaks were characterized by polymorphic clinical picture caused by any certain pathogen serotype and within a single site of the infection. Few lethal outcomes were recorded. Enterovirus B species dominated among identified etiological agents. Violated hospital hygiene and infection control contributing to spread of infection were among those found in neonatal units: putting used diapers out on baby bed prior disposal, sharing bathtub, toys and household objects as well as poor hand hygiene in medical workers. One of the measures recommended to improve diagnostics of enteroviral (non-polio) infections was virology screening of children with suspected sepsis in case of unidentified etiology. It was established that etiological decoding of nosocomial outbreaks was impossible without applying pathogen-specific diagnostic tools, mainly nested RT-PCR and direct sequencing of followed by subsequent phylogenetic analysis.

Научный диалог: Экономика и менеджмент -17 -сфере, государственным и муниципальным служащим, а также строительному сектору экономики.Но изменения в девелопменте в момент кризиса неоднозначны. Алена Владимирская, ведущий HR-специалист объясняет это тем, что люди, пытаясь сберечь свои деньги, вкладывают их в недвижимость, а потом на протяжении нескольких лет у них нет денежных средств, чтобы вложиться в строительство, и к тому же существует кризис в банках, поэтому с оформлением ипотек тоже возникают проблемы. В какой ситуации дальнейший прогноз становится очевиден : пострадает вся производственная цепочка, от строителя до офисных работников.Также на ряду с специалистами технических профессий обеспечить себя рабочим местом смогут работники занятые в торговле . По-прежнему остаются высокооплачиваемые финансовые директора,( т.к. традиционно в финансовой сфере были самые высокие зарплаты) пользуются спросом менеджеры и руководители продаж.Благоприятны прогнозы экспертов в плане трудоустройства выпускников ВУЗов. Они утверждают, что всѐ больше набирает оборот тенденция образований специализированных кафедр в университетах, с помощью которых студенты могли бы начать свою профессиональному деятельность, совмещая учѐбу с работой.Подведя итог, можно сказать, что по сравнению с 2017 годом, рынок труда этого года оценивается как более благоприятный. Те, кто долго сидел без дела, смогут найти себе работу. Вакансий станет больше. Только вот ждать повышения зарплаты, как минимум первые полгода, не следует.