Children’s health of Saint Petersburg

Important role in shaping the health of adolescents is played by the environmental factors and lifestyle, the influence of which they are exposed to a greater degree than adults. At the same time, adolescents have not yet formed attitudes to conscious attitude to their health, extremely low medical activity, which exacerbates the impact of risk factors on their health. The aim of the study was to assess the awareness of high school students about the risk factors of lifestyle that adversely affect health, and their prevalence among adolescents. To achieve this goal on a specially designed statistical forms conducted an anonymous survey of 325 boys enrolled in high school four secondary schools in the city of Yakutsk. It was found that high school students are quite well informed about most lifestyle risk factors that have an impact on health. At the same time, in the way of life of many young men (73,9 ± 2,4 of 100) there is at least one risk factor that adversely affects health. Among the risk factors for health in high school students of Yakutsk are more common: prolonged stay at the computer, sleep, excessive consumption of food with high carbohydrate content, small stay in the fresh air, long additional classes, low physical activity. In this regard, it is now a very important task of school, family, health workers is to create in adolescents’ belief in the need to maintain a healthy lifestyle, the formation of a cult of health.

unclassified

The Prevalence of Some Lifestyle Risk Factors, Negatively Affecting the Health of High School Students

Юрьев

Кузьмич²,

Zhirkov

et al. 2018

Analysis of the activities of the reproductive health protection system of children and adolescents of Saint Petersburg in 2020–2021

Ippolitova

2023

The quality of the reproductive potential of children and adolescents in St. Petersburg has not shown positive dynamics in the last decade. The reproductive health of this contingent is provided by the offices of an obstetrician-gynecologist for minors and a pediatric urologist-andrologist. They operate with varying effectiveness, both as independent structures and as subdivisions of adolescent reproductive health centers, more often on the basis of children's polyclinics or women's consultations. Analysis of monitoring data on conditions and volumes of medical services in the field of reproductive health of children and adolescents. The algorithm developed by the specialists of the City Center for Reproductive Health “Juventa” was applied based on the requirements of the procedures for providing medical care in the profile of obstetrics and gynecology, pediatric urology-andrology. The structure and scope of activities of reproductive health services for children and adolescents in different administrative districts of the city varies significantly. This is due to the disregard of uniform requirements stipulated by regulatory documents and the lack of a unified methodology for the formation of these services. In a situation of a steady increase in the number of visits, especially for preventive purposes, institutions demonstrate a different level of efficiency of their activities. Independent offices of an obstetrician-gynecologist for minors do not fully provide all aspects of reproductive health protection and are primarily focused on working with prepubescent children. Reproductive health centers are highly sought after and preferred for providing comprehensive medical, psychological and social assistance to adolescents. The structure of reproductive health services for children and adolescents in each administrative district of the city should be represented both by the offices of an obstetrician-gynecologist for minors, and necessarily by centers for the protection of adolescent reproductive health. An urgent task should be considered the formation of a system of professional training of gynecologists to work with children and adolescents.

Newborns’ routing organization in subjects of the Russian Federation

Ivanov,

Yakovlev

2024

Reduction of infant mortality is a priority task for achieving the national development goals of the Russian Federation. The paper analyzes the influence of regional routing of newborns on the infant mortality rate in the subjects of the Russian Federation. The infant mortality rate for the period January–November 2023 in the Russian Federation is below the target value and amounts to 4.1‰, which is lower than the rate for the same period of 2022 (4.3‰). At the same time, subjects implementing insufficiently effective intraregional routing of newborns have a high rate of neonatal deaths in the early and late neonatal period concerning medical organizations of the I and II level of medical care. In order to improve the availability and quality of medical care for newborns, as well as to reduce the number of re-hospitalizations of newborns between medical organizations of the same level, including those requiring emergency surgical correction, it is necessary to update regional and interregional routing schemes in the provision of care to newborns, taking into account the orders of medical care, principles of territorial planning (with a detailed description of the areas of responsibility of each medical organization located on the territory of the subject).