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Biomedical subjects

D Z Borokhov

Publications and source records attributed to D Z Borokhov.

At least 19 recordsLinked to original sources
PubMed1991

[Medico-demographic and socio-hygienic aspects of infant mortality and its causative factors].

An analysis is made of the current level and regional peculiarities of infant mortality in the Kazakh SSR. It was found that despite considerable decline of infant mortality it still remains one of the urgent problems of social hygiene and public health organization. Infant mortality causes great socio-economic damage to the society reducing by 2.2-3.6 percent the participation of each generation in the process of public production. Taking into account that the deceased do not participate in the process of public production each case of infant mortality causes a damage amounting to 139.8 thousand roubles to the society. Among factors stipulating regional peculiarities of infant mortality the most important is the level of socio-economic development of individual territories. The latter requires a comprehensive approach to the fulfilment of tasks targeted at the reduction of mortality among children of the first year of life.

Humans↗
PubMed1991

[Suicidal behavior as a socio-hygienic problem].

An assessment of changes in the incidence of suicides is provided. An analysis is made of age- and sex-related features, motivation, methods, the level of alcohol intoxication at the moment of autoaggression; the extent of impact is determined which suicide and autoaggression make on the main economic-demographic indices. It has been found that the established level of suicidal actions incidence influences the main economical and demographic indices. Positive changes occurring recently in the life of society, the realization of measures to combat hard drinking and alcoholism resulted in the reduction of suicide incidence. However, despite the decrease in suicide incidence the proportion of persons among suicides who resorted to the act of autoaggression during alcohol intoxication remains practically at the same level. Suicidal behavior leading to the tragic outcome should be considered as a socio-hygienic problem as it is caused by lifestyle, insufficient social and medico-psychological protection, close association with alcohol abuse and has a considerable impact on the medico-demographic indices characterizing the state of population's health.

Adult↗
PubMed1991

[Medico-social rehabilitation from the standpoint of insurance medicine].

A discussion is provided of issues related to the determination of priorities in the field of rehabilitation . It is indicated that under present conditions the disability due to occupational diseases is a major socio-hygienic problem causing great socio-economic losses to the national economy. While analysing the impact of regional features in the development of public health and its specialized services on the level of medico-social rehabilitation of disabled persons it was found that there is no correlation between the phenomena studied. This situation can be explained by the absence of specialized rehabilitation service. It is suggested to create a network of cost-accounting medicosocial rehabilitation centres based on insurance medicine, their cost-effectiveness is demonstrated.

Cost-Benefit Analysis↗
PubMed1991

[Rating tables for disability evaluation].

The indices of average duration of one case of morbidity associated with temporary disability taking into account their informative capacity can, to a considerable degree, be regarded as a quality criterion of the curative and diagnostic process. However, despite the relative simplicity, the determination of the validity degree of difference between the indices of the average duration of disability is rather a labour-consuming task. An assessment table is proposed which permits to determine the validity degree of difference between dimensions compared. Algorithms of table design and the examples of its use are provided.

Disability Evaluation↗
PubMed1990

[Methodological approaches to the evaluation of the effects of environmental pollution on morbidity of the population].

A method is proposed which is based on the comparison of calculation coefficients estimated by eliminating the actual rates of morbidity resulting in temporary disability among workers and employees of some branches of national economy residing in different territories. Calculation algorithms are provided, the use of which is illustrated by relative and specific examples. It is demonstrated that the method based on the evaluation of present information systems is fully acceptable for assessing the influence of environmental pollution on the morbidity of able-bodied population.

Absenteeism↗
PubMed1990

[Prognostic medico-social potential of work capacity as an indicator of population's health].

To provide a complex socio-hygienic and economic evaluation of population's health status a suggestion is made of essentially new integral index--the level of prognostic medico-social potential of working ability taking into account all kinds of labour losses and permitting to evaluate not only population's health status but also the amount of socio-hygienic damage caused by diseases and injuries. A mathematical model is developed for calculating the level of prognostic medico-social potential of working ability and for the first time with the help of index suggested the evaluation of dynamics in the Kazakh SSR population's health status is realized which confirmed its acceptability.

Adult↗
PubMed1989

[Evaluation of economic effectiveness of the complex measures related to mass screening of the population in a rural region].

Socioeconomic appraisal of efficacy of a complex of measures on overall dispensarization in a rural district is presented. A prognostic medicosocial potential of the capacity for work is recommended as an integral indicator. Cost analysis of socioeconomic effect achieved due to the complex programme realization comprises the volume of national income received by virtue of additional participation in the process of social production of those with preserved capacity for work; resources from social insurance funds saved due to the decline in temporary and permanent disability rates; budget funds of public health bodies saved due to the decrease in the number of patients in need of treatment. The study demonstrated that the total annual economic effect of the complex programme on overall dispensarization in the rural district was equal to 674100 roubles.

Adult↗
PubMed1989

[Use of the automated management system "Manpower" for solving the problems of ambulatory care and improving working conditions of workers and employees at large industrial plants].

In order to raise efficacy of dispensarization activities and to improve labour conditions of workers and employees of large industrial enterprises it is proposed to develop an automated system of medical data processing through attaching additional files with the data on periodic medical check-ups and workers' morbidity rates to the operating automated management system "Manpower". This system has been developed and introduced at the Chimikent Phosphorus Production Association and it has demonstrated high profitability when solving a number of public health problems.

Adult↗
PubMed1980

[Disability in mental disorders in the light of the socioeconomic losses created].

Taking the city of Chimkent as an example, the amount of socio-economic damage due to invalidity in mental disorders was calculated with the aid of analytical prognosis and by means of computer. The calculations demonstrated that the socio-economic damage because of this group of causes is significant. From total labor losses 53.3% are due to psychoses, 15,2% to neurosis and other mental disorders of a nonpsychotic character, 31,5% to mental retardation. The temporary disablement accounts for 29,7% of labor losses, while the invalidity for 70,3%. The employment of invalids at large industrial enterprises under the observation of a neuropsychiatric dispensary facilitates their medical and social rehabilitation. This permits to consider this circumstance as an important reserve in the decrease of socio-economic damage due to invalidity because of this group of reasons.

Adult↗