Ultrasound neuroimaging as a technology for screening diagnostics of the central nervous system pathology in children

The article presents the results of analysis of 3466 examinations (2012–2018), obtained from screening of brain (neurosonography) and spinal cord (spinal ultrasonography) in children during an outpatient prophylactic examination (n = 593) and in the infectious hospital as a primary structural diagnostics of patients with a suspected infectious disease (n = 2873). In prophylactic screening, over a half of children (67%) demonstrated pathological changes in brain, of which 4,1% patients had symptomless course of structural deficit, which may cause unfavorable consequences. Spinal ultrasonography during an outpatient screening showed ultrasound symptoms of the spinal cord in 61% cases. When an infectious disease was suspected in the infectious hospital, neurosonography showed pathological changes in brain in 45% patients, and in 90% of cases the revealed disorders were not of infectious nature, but served as the ground for changing the therapeutic tactics, which determined the outcome of the main disease. The presented clinical cases substantiate the need for ultrasound screening of not only the brain but also the spinal cord at dispensarization of young children. The obtained results show the need to perform planned neurosonography at birth, at 1 and 3 months, at 1 year, further on indications stemming from previous examinations. Spinal ultrasonography should be performed to all children at the age of 1 month. The article also presents the experience of sonography screening in children with infectious diseases, which confirms the need to perform neurosonography during primary diagnostics in children of all ages with infectious diseases accompanied by general cerebral syndrome.

THE EXPERIENCE OF THE USE DATA OF PROPHYLACTIC EXAMINATION FOR EPIDEMIOLOGICAL STUDIES

The experience of the use data of prophylactic examination in working groups for epidemiological studies is presented. A prevalence of chronic and background diseases in different age and gender groups is demonstrated as well as a prevalence of Helicobacter pylori infection among the population and the shift in the work impact on the risk of health impairment in female workers. Data obtained can be used for the clinical and epidemiological analysis of the relationships between diverse pathologies and environmental and occupational factors with the view of optimization of financial expenditures. Data on prophylactic examinations are particularly valuable for the estimation the recent population health and environment to make decisions for prevention of widespread diseases.

PREVENTIVE MEDICAL EXAMINATION OF HEALTHY CHILDREN

Preventive medical examinations of healthy children or mass prophylactic examinations of minors in the Russian Federation are governed by the orders of the Ministry of Health of Russia. The data on regulatory and organizational support for the prophylactic examination of healthy children is presented. The article provides a comparative analysis on the frequency of children examinations by a district pediatrician, consultations by specialty doctors as well as additional examinations in accordance with the orders of the Ministry of Health of Russia No.1346n and No.514n entered into force on January 1, 2018. The authors give comments on the proposals of MO Revnova et al. suggested in the article “Towards the Improvement of the System of Mass Prophylactic Examinations of the Child Population”.

Current problems of health protection of the working population in Russia

The authors studied the extent of chronic diseses and of pathological conditions in the working people in on district of the Leningrad region using the data of prophylactic examination. The analysis showed that practically all people (90.4 % of the examined people) had chronic diseases: 26.3 % of the people had one pathology, 29.6 % had two diseases, and 34.5 % of the people had three and more pathologies. The women were more vulnarable than the men to three and more pathologies (40.2 % and 22.2 % of the cases respectively. The data obtained should be the basis for planning of the scope of preventive, curative and diagnostic measures for the working population.

The results of using automated system of prophylactic examination of children in Yakutsk

In this article the results of introduction of technology AKDO are presented to out-patient and policlinic service and possibilities of optimum use of this technology in school and preschool offices, in an office of the school doctor are offered.