All articles by Zhelezova P. V.
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2020 № 7 On the issue of legal protection of adolescent girls ‘ reproduc tive health
The article presents an overview of modern approaches to legal protection of reproductive health of adolescent girls
in the Russian Federation. The system aspects of health protection of girls and adolescent girls, as well as prevention of violations
of reproductive health formation, are taken into account. The research was based on Federal laws, regulatory and legislative acts
of individual subjects of the Russian Federation, and relevant scientific publications. The legal priority in ensuring the reproductive
health of girls and adolescent girls is determined by the availability and quality of specific medical care, as well as relevant sections of the main legal documents. -
2023 № 12 Main indicators of obstetric care in the region of Central Russia.
The article presents an analysis of the main indicators of obstetric care in the region of the Central Federal District – Kostroma Region.
Despite the identified positive trends in the reproductive and demographic process in the Kostroma region, a number of significant problems remain (exceeding the Russian average for the number of complications in labor, termination of pregnancy, infant mortality, etc.) that require management decisions in improving the obstetric care system and ensuring the proper level of medical care mother and child. This direction of improving the activities of the healthcare system of the Kostroma region is of paramount importance in conditions of reduced population reproduction. -
2023 № 12 Basic indicators of population morbidity, including prognostic ones, in assessing the reproductive potential of the region.
The article presents the results of a study conducted to study the main indicators of population morbidity from the perspective of assessing the reproductive potential of the region. Statistical, analytical, and graphological methods were used in the work. A key factor in the reproductive potential of a region is the level of health of its population, including morbidity rates. When developing measures to stimulate the birth rate, which is especially necessary for territories with the lowest rates of population reproduction, such as the Central Federal District and, in particular, the Kostroma Region, a detailed study of the regional characteristics of the health status of the population is necessary. It was determined that, according to predictive models, the incidence rate in the Kostroma region will increase from 701.1 per 1000 population in 2020 to 768.8 per 1000 population in 2025. To identify the relationship between indicators of the birth rate and morbidity in the Kostroma region for period 2010–2020 A cross-correlation analysis was carried out to reveal not only the degree and direction of the relationship between the analyzed indicators, but also the time lag. For the Kostroma region, according to the time series under consideration, no statistically significant relationship
was found between the level of fertility and morbidity. There is a slight correlation (–0.3) between the analyzed indicators for the Kostroma region with a time lag of 6 periods, but it is not statistically significant and does not allow us to draw clear conclusions. -
2023 № 1 Socio-hygienic and clinical-microbiological features of the formation of reproductive health disorders in adolescent girls
Studies show that inflammatory diseases of the small pelvis and inflammatory diseases of the external genital organs are risk factors for the formation of reproductive health disorders in adolescent girls, the reason for seeking advice and treatment in outpatient and inpatient medical organizations. It is generally believed that pelvic inflammatory disease, as a consequence of the activity of a polymicrobial infection, usually occurs in sexually active women and is rare in young women and adolescent girls who are not sexually active. However, worldwide the prevalence of pelvic inflammatory disease remains quite high among children and adolescent girls of prepubertal and sexually inactive age. In contrast, inflammatory gynecological diseases of the external genital organs are considered a common pathology in girls of early and prepubertal age, however, studies show that they are common among adolescent girls due to the high prevalence
of risk factors. Early diagnosis and treatment of pelvic inflammatory disease (PID) in adolescent girls is essential to ensure fertility and reproductive health in this population. -
2019 № 9 Features of the medical and demographic process in the Kostroma region as a region of Central Russia
Based on the official statistics from Rosstat, the article presents the results of the analysis of the medical and demographic process using the example of the Kostroma region taking into account the general trend in the constituent entities of the Russian Federation, including the dynamics of the population, the main demographic indicators of mortality and fertility, and indicators of natural population movement.