Vol 97, No 5 (2018)
- Year: 2018
- Published: 20.05.2018
- Articles: 17
- URL: https://rjpbr.com/0016-9900/issue/view/9685
PROBLEM-SOLVING ARTICLES
Deontology in preventive medicine: scientific and historical bases, challenges of the present and solutions
Abstract
The article presents the peculiarities of medical deontology in preventive medicine. The differences between deontological problems in the activity of a Clinician and a Physician in the specialty of medical and preventive medicine are considered. The historical stages of the formation and development of ideas of deontology and medical ethics in Russia are shown. The comparative plan presents an analysis of the main legislative acts in the field of bioethics and deontology of medical and preventive medicine. The world community was noted to show a great interest in topical problems of bioethics: several World Congresses and European Conferences were held, in most countries of Europe and America national bioethics committees were established (in the USA and France they were organized under the Presidents of these States). The main goal of the doctor’s professional activity is to preserve human life, prevent diseases and restore health, as well as reduce suffering from incurable diseases. Much attention is paid to this problem in the Federal law of November 21, 2011. (N 323-FZ) about bases of the protection of the health of citizens in the Russian Federation “which is fundamental in the field of healthcare”. It establishes the obligation of medical and pharmaceutical workers to carry out their activities in accordance with the legislation of the Russian Federation, guided by the principles. The aim of this study was to develop and substantiate the main differences between deontological problems in the activities of clinicians and physicians in the specialty medical and preventive care in the historical aspect. An invaluable role in the development of the principles of deontology was played by outstanding doctors of the past: Hippocrates, Abu-l-Faraj, as well as Russian and Soviet scientists and doctors M.Ya. Mudrov, N.I. Pirogov, V.A. Manassein, V.I. Davydovsky, N.Kh. Petrov, B.V. Petrovsky. Separately, it is noted that the role of medicine can be radically changed, if not exclude the importance of the preventive direction, but, on the contrary, through it to strengthen the ideological and controlling.



The scientific backgrounds for the creation of a microecological cryopreservation of human resources
Abstract
Anthropogenic physical, chemical, and biological impacts of objects on living organisms in the environment lead to profound structural and functional disorders primarily in the evolutionary current microbiocenosеs of a human. This is often accompanied by a deterioration in his health, an increase in the risk of infectious, chronic metabolic and mental diseases, which eventually can put a question for not only the preservation on our planet but also the entire existing diversity of living organisms. The development of cryobiotechnology and the creation of cryobanks of different directions is a common global trend in the development of Biological, Medical, Agricultural and Environmental Sciences. The advantage of the proposed technique of cryopreservation of symbiotic microbial associations is the storage of the biomaterials taken from the people will be carried out in an atmosphere of liquid nitrogen (-196°C) for the long-term storage. Fundamental and applied research on cryopreservation of microbiota of different human biotopes has a social orientation because they are directly related to human ecology and health of the nation.



ENVIRONMENTAL HYGIENE
The experimental study of the preventive treatment with Viburnum sargentii K. and Eleutherococcus on the composition of fatty acids in phospholipids components of erythrocyte membranes exposed to intoxication with nitric oxides
Abstract
There are presented results of the study of the impact of intoxication with nitrogen oxides on to the fatty acids pattern of phosphatidylcholine and phosphatidylethanolamine of erythrocyte membrane in rats. The inhalation exposure with nitrogen oxides was carried out in inoculating chamber with the volume of 100 liters and designed according to the type of chambers by Kurliandsky B.A. with self-cleaning of contained air and regenerating system, specified temperature settings (20-22 °С) and the air humidity (40-60%). Intoxication by nitrogen oxides was performed for 6 minutes with a toxicant concentration of 4.3 mg/cu.m. (MAC in atmospheric air amount to 0.4 mg/m3). Water solutions of dry residue from viburnum extract “Kaliphen” and Eleutherococcus extract (alcohol was anticipatorily removed from preparations by evaporating in a vacuum) were administered daily through the tube intragastrically during 2 weeks in a dosage of 100 mg of total polyphenols per kg of body weight prior to intoxication by nitrogen oxides. The influence of nitrogen oxides was found to be accompanied by the elevation of the level of saturated fatty acids of all kinds and by the decline in unsaturated fatty acids content in the fatty acids pattern of phosphatidylcholine and phosphatidylethanolamine, the main structural phospholipids of biomembranes. The redistribution of fatty acids in erythrocyte membrane supposes the changes of its physicochemical properties, lability, and the complexity of the erythrocyte passage through the microvascular bed. Herbal polyphenol preparations Kaliphen and Eleutherococcus improved the survival rate of animals under the preventive administration before intoxication with nitrogen oxides. The introduction of extracts before intoxication is accompanied by the pronounced trend to the restoration of the ratio of saturated and unsaturated fatty acids in phospholipids of erythrocytes membranes. The preventive administration of Kaliphen before intoxication with nitrogen oxides was supposed to offer more pronounced protection of the fatty acids pattern of phospholipid fractions than those following the introduction of Eleutherococcus. The preventive administration of herbal extracts with polyphenol complexes in its contents under exposure to toxic substances is considered to be a the promising direction for research.



Study of species diversity and antimicrobial resistance of microflora of the Rostov-on-Don water bodies
Abstract
In this paper, the results of an investigation of the diversity in microflora species in water bodies of Rostov-on-Don are presented. Susceptibility/resistance of isolated strains to antibacterial drugs (ABD) was studied. A portion of nonfermenting microorganisms (NFMs) constituted of 42.9 %, Enterobacteriaceae family — 28.2 %, Aeromonadaceae family — 23.7 %. In NFM group the sensitivity to all ABD was exhibited by 37.5 % of strains, 43.4 % of strains showed resistance to one antibiotic and 6.3 % were polyresistant (resistance to 3 and more antibiotics). No susceptible strains were detected among Enterobacteriaceae. The resistance to 3 or more ABD for Enterobacteriaceae accounted for 80 %, for Aeromonas — 72 %. In all groups of tested microorganisms, results of the investigation showed a high proportion of strains susceptible to ciprofloxacin, doxycycline, ceftriaxone, levomycetin, gentamicin, imipenem, meropenem, cefoperazone, cefepime. Among Enterobacteriaceae and Aeromonas strains isolates carrying the markers of resistance to ampicillin, nalidixic acid, furagin, co-trimoxazole were found frequently. The performed research of microbial communities in water bodies of Rostov-on-Don made it possible to identify dominant groups of microorganisms in the investigated objects, to reveal pathogenic and opportunistic bacteria, evaluate their antimicrobial resistance with the aim to determine a degree of their potential danger to human health



Environmental hazard of the consequences of technogenesis on the aquatoria and the sea bank
Abstract
The article contains the results of a study of the ecological hazards of long-term consequences (XVII-XXI centuries) of human activities on the shores and waters of the South-Eastern Baltic Sea. The following issues have been considered: 1) territorial losses and the destruction of man-made objects; 2) natural radioactivity of the potential source of mineral raw materials — titanium-zirconium concentrates in beach sands and their content of 137Cs (the “Chernobyl trace”); 3) echoes of the Great Patriotic War (WWII) — ammunition on the shore and dumping on the seabed of captured chemical warfare agents from the arsenal of Nazi Germany. The study has determined the following. Coast in Courland, after Peter the Great built the port of Libava (the end of XVII century) and after malls were extended in the nineteenth century, had been stable. Modernization of the military avantport of Emperor Alexander III at the beginning of the XX century with the removal of the sea piers on 2123 m caused the obstruction of sands along the coast and its grassroots catastrophic erosion to the North of the port. By the 1930s, the bottom sands have been eroded to Cape Akmenrags (along with the coast to ~40 km, the volume of >70 million m3). By the 1990s, at 4-6 km closest to port, the shore has receded up to 200 meters. Houses, landfills, fragments of the sewer were destroyed. There was a threat of collapse of toxic objects of municipal wastewater treatment facilities into the sea (sludge beds, chlorination station, town Schedes). An environmental disaster was prevented by the timely constructed shore protection facilities (1988-1991). The erosion of the shore caused the accumulations on the beach of industrially important titanium-zirconium concentrates (>1,5 t/m3). Heavy minerals (zircon, monazite, etc.) contain natural radionuclides (thorium, uranium etc.), their activity (5668,6 Bq/kg) exceeded the hygienic standard (1500 Bq/kg) by ~4 times. Mineral raw materials of this quality refer to the IV class of hazard. As for 137Cs, considering the period from the Chernobyl disaster (April 1986) to the analysis of the specimens (spring 2015 ~the half-life of the isotope), the concentration could reach,: in sands — 110 Bq/kg, in organic soils and peatlands — up to 500 Bq/kg. The contamination was consistent with the radiation condition of the several territories of the USSR, which have experienced the impact of the disaster, but was higher than in the Altai (“Semipalatinsk trace”, 41-43 Bq/kg). Echoes of the War resulted in storms bringing ashore ammunition, which caused injuries and deaths of adolescents, who found such “waste” of World War II (the town Schedes, the elimination of the Nazis in “Liepaja port”, 1945). In the deep (92-208 m) basins (Bornholm, Gotland) and in other areas of the Baltic Sea there are about 60 underwater dumpings of chemical warfare agents. The threat of environmental disaster may appear in the case of their large-scale mechanical damage (trawling, drilling, pipelines, etc.). The uncertainty of the information about the number of dumpings of chemical warfare agents keeps a danger of their location on the coast and bringing by waves to the beach. Further exploration and monitoring of dumpings are particularly relevant in connection with the laying of the gas pipeline “Nord stream – 2”.



The influence of climate on the respiratory function of the healthy population of Vladivostok and patients with bronchopulmonary pathology
Abstract
Introduction. The climatic factors affect the mucous membrane of the respiratory tract contacting with the environment. The investigation of pulmonary ventilation plays a leading role in the diagnosis of bronchial obstruction in response to an external stimulus.
Material and methods. The study included a healthy population of the city and patients with chronic catarrhal nonobstructive bronchitis (CCNB), controlled and uncontrolled asthma (131 people). The respiratory function (RF) was estimated by spirography and body plethysmography. Meteorological conditions were evaluated from the point of view of contrasting weather changes (on the survey day, on 1st and 2nd days before the survey). The degree of the climatic impact on RF was determined by the statistical module “Discriminant analysis”, used to a group of RF indices relatively adverse levels of impact of the monsoon climate.
Results. The low level of the responsiveness in a healthy urban population was identified. The negative impact of climatic indices on the respiratory system in CCNB patients was observed mainly in extreme weather conditions. The influence of climatic conditions on patients with asthma depends on the level of the disease control.
Discussion. The influence of climatic conditions was found to be within the adaptive and compensatory responses in a group of healthy people and CCNB patients. We assumed the use of basic drugs in patients with asthma without signs of bronchial obstruction to reduce the susceptibility of the receptors of the bronchi to the negative climatic impact. The greatest negative RF response to the impact of monsoon climate manifested both in static and in dynamic weather conditions, was observed in patients with uncontrolled asthma. It was associated with the impaired pulmonary ventilation.
Conclusion. The results indicate the Far East monsoon climate to be an important risk factor for the exacerbation in patients with respiratory diseases.



Perspectives of the primary prevention of colorectal cancer based on the assessment of the impact of factors associated with the risk of this pathology
Abstract
The analysis of personal data (characterizing a way of life, area of residence, food ration, an available disease, symptoms) of patients with the established diagnosis of colorectal cancer (CRC) and persons of the comparison group without this diagnosis was carried out. The factors (signs) associated with the risk of the development of colorectal cancer were determined, the probability of their detection in patients and healthy, their diagnostic value (informative value) was estimated. The most informative factors associated with the risk of the development of CRC were found for residents of the Omsk region: changing the region of residence, addiction to fatty food, passing the last prophylactic medical examination more than 4 years ago, having relatives of the first line with colorectal cancer, information on the state of health (positive the result of examination of feces for latent blood, symptoms of the presence of admixture of blood in the stool, false desires for stool presence of polyps, hemorrhoids, cracks in the rectum).



Evaluation of the dependence of autoantibody levels and cytokines from the inhalation load of priority toxicants air environment
Abstract
Air pollution has a negative impact on the human body, creating the preconditions for the formation of adaptive processes or the occurrence of pathologies. Formaldehyde, particulate matter, nitrogen oxide were proved to have an effect on the respiratory and immune systems, the latter played a key role in the formation of adaptive reactions. The purpose of the study was to assess the effect of formaldehyde, nitrogen dioxide and particulate pollutants in the air environment, the maintenance of specific autoantibodies and cytokines by means of a mathematical model. The study included 659 students. In assessing individual inhalation of chemical loadings on an organism of adolescents into account data on the content of impurities in the ambient air, indoor air, information about the organization of educational process and rest pupils, anthropometric and spirometric parameters. The content of interleukin-2 and -10, interferon -alpha and -gamma, level of specific autoantibodies that characterize the state of the immune system and lungs has been studied in adolescents. The content of specific autoantibodies and cytokines depends upon hazard indexes priority pollutants are not linear and varies depending on the level of exposure of toxicants. The levels of autoantibodies to β2- glycoprotein I and the content of α-INF and γ-INF adolescents living in air pollution by formaldehyde, nitrogen dioxide, and particulate matter may depend on the level of inhaled pollutants load by 8-11%. Inhalation of nitrogen dioxide in the organism of adolescents may contribute to the variable level of autoantibodies to the of membrane antigens lung parenchyma to 22%.



The impact of sodium nitrite on carcinogenesis induced by skin application of benzo(a)pyrene
Abstract
An important feature of the modern life is a significant environmental pollution, which creates the danger of simultaneous effects of carcinogenic and toxic compounds on the human organism. The combined effect of such ubiquitously common compounds as benzo(a)pyrene (BP) and nitrites (NI) was studied in the experiment, on 320 female mice F1 (CBAxC57BL/6). The mice (6 groups of 50 animals) received BP application on the skin at a dose of 6 or 9 µg/mouse (two cycles for 12 weeks each) or BP in the same doses in combination with sodium nitrite (SN) was administered to animals with water at a concentration of 50 mg/l or 500 mg/l throughout the entire experiment. The study revealed SN to have moderate potent effects on carcinogenesis induced by cutaneous application of BP, increasing tumor multiplicity index by 1.4–1.6 times (p < 0,05), as well as the prevalence rate of skin tumors and hormone-dependent tumors. Under the action of the maximum doses of BP + SN (9 µg + 500 mg/l), the number of animals with skin tumors increased by 2.4 times (p < 0.01). The number of animals with hormone-dependent tumors (total: breast, ovary, and uterus) increased by 2.8–3.5 times (p < 0.01) under the combined effect on BP+SN compared with that of BP alone. There is discussed a possible mechanism of the stimulation the carcinogenic process due to the increased appearance of reactive oxygen species, nitric oxide metabolites, as well as the suppression of the phagocytic function of blood neutrophils.



OCCUPATIONAL HYGIENE
Application of a risk-oriented model for the redistribution of staffing resources of the Office of Service for Supervision of Consumer Rights Protection and Human Welfare in the city of Moscow
Abstract
The article shows the classification of the supervised objects of the Office of Service for Supervision of Consumer Rights Protection and Human Welfare in the city of Moscow depending on the index of the potential risk for harm to public health in the conditions of the application of the risk-oriented approach. There is considered the possibility of the control and surveillance activities with the redistribution of human resources of the Office of Service for Supervision of Consumer Rights Protection and Human Welfare in the city of Moscow with respect to supervised objects 1 and 2 classes of the potential risk for harm to the health of the population on the risk-oriented approach.



Pulmonary gas exchange and acid-base status of blood under the use of means for individual protection of respiratory organs
Abstract
The aim of the study was to evaluate the effect of the duration of training on the use of personal respiratory protective equipment on indices of pulmonary gas exchange. Simulation of conditions for the use of personal respiratory protective equipment was carried out at the inspiratory resistance of 40, 60, 70 and 80% Pmmax. The study included 38 healthy male subjects aged 20 to 36 years. According to the results of the study, under the use of personal protective equipment for the respiratory system, preliminary training was shown to be essential. In the subjects without preliminary training, the use of personal protective equipment was followed by a weak change in the nature of the respiratory pattern. After the preliminary training subjects had an adaptive rearrangement of the respiratory pattern, consisted of the decline in breathing movements as the respiratory resistance increased. Preliminary training to the exposure of additional resistance to breathing, altered pulmonary gas exchange and acid-base state of blood. The trained subjects had higher pCO2 blood values and lower values of pO2. They showed a greater deficit of buffer bases of plasma compared to untrained ones. This fact testified the preliminary training for the use of personal respiratory protective equipment (long-term adaptation) changed the gas composition and acid-base state of the blood to be a more economical mode of the discharge of buffer systems. On the basis of the data obtained, the preliminary training for increased respiratory resistance was suggested to be advisable before the using personal respiratory protective equipment.



Features of the response of the blood system in phthalates production workers
Abstract
Introduction. Phthalates are substances widely used as plasticizers for the production of various industrial, domestic, food and medical polymer materials. Possessing high volatility, solubility, a wide range of toxic effects, phthalates represent a serious danger to human health. Goal. Identify the characteristics of donosological forms of impaired health.
Material and methods. A special clinical and functional examination of the aparatics for the first time started their work in the production of terephthalic acid (TPA), purified terephthalic acid (oTPA) and polyethylene terephthalate (PET) in the dynamics of 5 years of operation of the enterprise POLYEF. Hygienic, hematological, cytochemical and biochemical studies were performed for workers with a primary 5-year experience in this industry.
Results. It is established that the chemical factor is represented by a complex of harmful substances of 1 to 4 hazard classes, among which there are substances of irritating, general toxic, allergenic action. The production of phthalates is characterized by an increased content of TPA from 1.5 to 2.8 MPC.
Discussion. The working conditions of the apparatchiks in all industries are estimated as harmful to the third degree — 3.3. Among those who have worked for 5 years, about a third of workers are recognized with clinical and functional disorders. For 5 years of work, two of the first three come into contact with phthalates revealed changes in the blood system that go beyond physiological fluctuations. Most workers have anemia, reticulocytosis, thrombocytopenia, eosinophilia, lymphocytosis, decreased activity of enzymes.
Conclusions. The introduction of a differentiated approach, taking into account the results of the clinical, hygienic and laboratory-diagnostic studies carried out, will allow monitoring of the health status of workers in the production of TFA and PET, identify early donosological signs of health disorders, and adequately form high-risk groups for conducting therapeutic and preventive measures.



HYGIENE OF CHILDREN AND ADOLESCENTS
Examination stress among medical students: prevalence causes and prevention
Abstract
There was executed the study including the examination of 833 students of 2-6 courses of the medical University concerning their subjective rating of the stress level on exams, its causes and the measures they used to reduce stress. 26.7% of students noted the high level of stress on examination, there was significantly increased the number of students with low-stress levels in students оf 3-4 courses, boys, and students with good and excellent grades note significantly less a high level of examination stress. The most common manifestations of stress are changes in the cardiovascular system (62% of the students) and autonomic nervous systems (48.6%), these manifestations were significantly less noted in students with good and excellent grades. In the course of training, there was discovered the increase in complaints of the frequent urination, loose stools and discomfort or pain in the abdomen. The main causes of stress at exams, according to students, there are a large amount and difficulty of exam material and the insufficient addressing of examination tasks in the classroom. In the dynamics of training, there is a significant reduction in the number of students who believe early acquaintance with the exam questions to be important, the sufficiency of the time devoted to self-education and an increase in the number of students recognizing it is necessary to reduce the waiting time of the call to the exam. Most popular methods of the reducing examination stress on younger courses are the use of rites, superstitions, and drugs, in the senior years. A growing number of individuals using the techniques of autogenic training was discovered. 49.9% of students do not fight with stress. 63.9% of students consider the introduction of elective subjects of “Prevention and correction of examination stress in students” to be necessary.



Biological markers of non-cancerogenic negative impacts on the central nervous system of children in the area of exposure to aluminum production emissions
Abstract
Introduction. The priority indicator of the influence of chemical factors of the environment on the health of the population of Russia is the pollution of atmospheric air, the composition of which is largely determined by regional features of production.
Material and methods. A comparative hygienic assessment of the quality of the atmospheric air of the territory with the placement of aluminum production and the territory without similar sources of emissions was conducted; a chemical-analytical and clinical laboratory examination of 135 children was carried out, with an assessment of the negative effects from the nervous system in the case of aerogenic exposure to aluminum and manganese.
Results. In the conditions of the existing quality of atmospheric air in the residential area in the zone of influence of aluminum production which forms an aerogenic exposure of substances (aluminum and manganese), possessing of the unidirectional negative impact on the central nervous system, at the level of 0.0015g/(kg∙day) the share of aluminum is 93.3%, which indicates its primary impact on the population. Children of the observation group 1 showed urine aluminum content by 3.1 times more than in comparison to observation subgroup 2 and 6.9 times in relation to the comparison group (p = 0.0001). The concentration of aluminum as a marker of inhalation exposure is substantiated, and its value more than 0.053 mg/dm3 in urine may indicate an increased risk of neurotoxic exposure. An increased prevalence (1.6-5.5 times) of the negative impact on the CNS in the form of the asthenic autonomous syndrome, as a predictor of attention deficit and hyperactivity disorder, has been shown to be associated with the aerogenic exposure to aluminum. In children with an elevated aluminum content in urine comparing to the reference level, revealed laboratory abnormalities and indices were proved to be associated with an elevated concentration of aluminum in the urine relative to the children of the comparison group: an increase in the level of neuron-specific enolase in the serum indicating an increase in the activity of damage to the blood-brain barrier; an increase in the glutamic acid content by 1.3 times, characterizing the imbalance of the neurotransmitters of the central nervous system; reduction in serum phosphorus, reflecting the antagonistic effect of aluminum, followed by an increase in the level of ionized calcium in the blood. The contribution of aluminum to the biochemical and functional indices deviation from the physiological norm accounted for from 10% to 58%. On the basis of a consistent chain of reliable dependencies, a complex of biomarkers of the asthenic autonomous syndrome and attention deficit and hyperactivity disorder associated with an elevated aluminum content in urine, including glutamic acid, neuron-specific enolase, and phosphorus is substantiated.



FOOD HYGIENE
Alimentary-dependent diseases of the population and the hygienic characteristic of the factors of the risk of their development in the territory of the Republic of Tatarstan
Abstract
The analysis of data on alimentary-dependent diseases among persons of the working age in the Republic of Tatarstan testifies to their steady growth. The proportion of deaths from diseases in the etiology of which nutrition plays a significant role over the period 2005-2015 was 77.9%. We have identified the main trend of eating behavior in each age group: high protein intake (in 75% of men and 81% of women) and fat (in 59% of women and 67% of men). A normal range of the body mass index (20.0-24.9), was noted in 44.3% of women and 44.7% of men. About 38% of the surveyed men and more than 2/3 of women (63.2%) do not have additional physical activity. As a result of the irrational eating behavior and low physical activity, the number of overweight men increased by 17.5% during the studied period. Only 20% of residents of the Republic of Tatarstan can be considered rational.



PREVENTIVE TOXICOLOGY AND HYGIENIC STANDARTIZATION
Peculiarities of the toxic effect of diisononyl phthalate plasticizer phthalate on experimental models
Abstract
Introduction. The purpose of the study was to determine the characteristics of the biological effect of diisononyl phthalate, a new plasticizer for polymer products.
Material and methods. Toxic properties of the compound have been studied in various ways of its entering in the organism of laboratory animals, local irritating, cumulative and skin-resorptive actions have been established, the potential ability of the compound to induce remote effects in experimental models in vivo/in vitro has been revealed.
Results and discussion. The obtained data show diisononyl phthalate do not pose a risk of the acute poisoning under intragastric, intraperitoneal, epicutaneous and inhalation modes of exposure, being incapable of inducing signs of the irritation of the skin and mucous membranes, is not allergic. With subchronic intragastric administration of diisononyl phthalate in doses from 10,000 to 100 mg/kg, the dose dependence of toxic effect and its ability to cause chronic polytropic poisoning of the action in the form of disturbance of the pattern of peripheral blood, calcium and phosphorus metabolism and changes in the functional state of internal organs are revealed. In the study of the reproductive toxicity against the background of the administration of the drug at a dose of 10,000 mg/kg, an increase in total postimplantation, embryonic and the postnatal mortality rate was established. Intragastric administration of diisononyl phthalate at the mentioned dose to female animals during pregnancy triggered the formation of multiple (combined), external and internal malformations of embryos that were single in response to a reduced dose of up to 100 mg/kg. Changes in the state of the reproductive function of males have not been established. In the study of mutagenic toxicity in the Ames test, the effect of the compound has not been established to lead to an increase in the number of revertant colonies, which indicates the lack of ability of diisononyl phthalate to induce point mutations.
Conclusion. The results of the studies showed that further study of the toxic effect of diisononylphthalate in chronic exposure and in vitro tests is necessary.



FROM THE HISTORY OF SANITARY AFFAIRS
Aleksey Petrovich Dobroslavin and domestic penitentiary hygiene. (Historical-medical and historical-legal aspects)
Abstract
The article presents the historical medical and historical legal aspects of the development of sanitary care in the domestic penitentiary system; the role of the outstanding Russian scientist, the founder and the first professor of the Department of Hygiene of the Medical-Surgical Academy, a doctor, and scientist, public figure, Professor — Aleksey Petrovich Dobroslavin. For ten years he headed the health care department of the Main Prison Administration of the Russian Empire. November 18, 1871, Aleksey Petrovich Dobroslavin read the first lecture on the course of hygiene for listeners of the 4th year of the Medico-Surgical Academy. That day, according to the authors, can be considered the day of the founding of the national hygiene science. In September 1879, the scientist headed the Health care Department of the Main Prison Administration of Russia. At this position, Aleksey Petrovich combined all his knowledge, obtained earlier - hygiene and public knowledge, medicine and law. He served science and law, the people and the State. In 80 years of the XIX century, A.P. Dobroslavin played a decisive role in the development of domestic penitentiary hygiene. He received a real opportunity not only to develop theoretical provisions of hygiene but also the possibility to implement them by his orders binding on the staff of the penitentiary system of the Russian Empire. The scientist observed the implementation of his scientific provisions, generalized the experience of practical application of his research in various geoclimatic and other environmental conditions. Each of his commanding decisions is a separate, completed scientific work. He introduced the penitentiary science, which he actively developed as a scientist hygienist. Theoretical heritage of A.P. Dobroslavin for many decades determined the ways of the Russian penitentiary hygienic science.


