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STD legislation in Ukraine: legal and ethical issues and the implications for HIV/AIDS.

Dr. Buromensky identifies the principal laws and regulations in Ukraine that pertain to individuals with sexually transmitted diseases (STDs), situates those instruments in the larger context of Ukrainian law generally, and discusses the impact these measures have, in this context, on individuals with HIV/AIDS and other STDs. In doing so, he focuses especially on issues of confidentiality, privacy and discrimination.

Civil Rights↗

[Urogenital tuberculosis in the Ukraine population].

The prevalence and incidence rates of urogenital tuberculosis in the Ukraine in the past 10 years were studied. They tended to decrease in the first period (1988-1992) and to become stable in the second period (1993-1997), being equal to 10.71 and 1.0 per 100,000. In the past 5 years, the incidence of urogenital tuberculosis tended to increase among urban residents as compared to rural ones. These changes show a total trend in the population living in the radioactively polluted area.

Air Pollution, Radioactive↗

[The results of the scientific activities of the organizations under the Ministry of Public Health of Ukraine in 1998].

Data are submitted on the scientific potential of the system of the Ministry of Health of Ukraine, its constituent parts, some features of financing and volume of scientific research work done in 1998. Results are presented of scientific investigations in basic fields of medicine and priority lines of activity of medical science. The importance of introduction of scientific developments into the health care practice is emphasized. Prerequisites for further development of sectorial medical science under present-day social and economic conditions are analyzed.

Academies and Institutes↗

[The pharmacoeconomics of testicular cancer in Ukraine].

An ever-growing cost of health care in Ukraine attest to the need for an optimum employment of resources in diagnosing and treating disorders of major public health significance, testicular carcinoma (TC) among their number. The authors consider it expedient to ascertain TC costs and design an analytical framework for the diagnostic and therapeutic options to be assessed properly. The following combination chemotherapy regimens were found to be associated with high response rates and acceptable longterm survival: BEP, PE programmes for primary treatment and PEI programme for recurrent or refractory TC. The minimum cost of the above regimens in one course of treatment (with 2 to 4 usually prescribed) for one patient, his height 175 cm, weight 75 kg--S = 1.9 m2, is US$ 613.0, 385.9, 813.5 for BE100P, PE100, and PEI respectively. In the Lviv region with the population about 2,750,000 TC cytostatic therapy is estimated to be about US$ 75,168.6 this being 62.6% of the annual budget appropriation for drug therapy of all malignant diseases taken together. The importance is emphasized of pharmaco-economic principles in the clinical management of patients allowing for decisions to be made with taking account of the cost and expected outcome of the therapy instituted.

Adolescent↗

[The status of occupational morbidity in Ukraine today].

Data are submitted on the pattern and levels of occupational morbidity in Ukraine in different branches of national economy, by forms of pathology, with those individuals presenting with occupational health problems having gotten distributed by sex, age, and service duration. The article addresses the issue of significance in the formation of occupational pathology and its levels of different factors and causes (economical, social, medical). The status of the occupational pathology service in the country is considered, with special emphasis being placed on inadequacy of detecting occupational diseases.

Adult↗

[The high-molecular glutenins of the soft winter wheats from European countries and their relationship to the glutenin composition of the ancient and modern wheat varieties of Ukraine].

The sources of high-quality components of HMW glutenines determining grain quality, as initial material for breeding in the conditions of Ukraine were revealed on the base of analysis of 75 literature sources data about composition of high-molecular weight (HMW) glutenin and pedigrees of 598 European wheats from 12 countries, bred in 1923-1997, including, 449 cultivars from West and 149 East Europe. Origin of these components was observed in varieties of Great Britain, France and Germany from ancient Ukrainian wheat Red Fife and it derivative spring wheats of Canada--Marquis, Garnet, Regent, Saunders, Selkirk and of USA--spring wheat Thatcher and winter wheats--Kanred and Oro--as directly as via cultivars of European countries and Australia; in wheats of East European countries from winter wheats Myronivs'ka 808 and Bezostaya 1 (derivative of Ukrainian cultivars Ukrainka and Krymka) and their descendants; in wheats of Austria and Italy--from the both genetical sources.

Crosses, Genetic↗

[The social hygiene assessment of mortality among adolescents and young people in Ukraine].

An analysis is submitted of age- and sex-specific mortality among adolescents and young people (young men and women) aged 15-19, 20-24, 25-29) of Ukraine. The main causes of death in the above groups of population related to sex and age and place of residence (town, village) are stated. Measures to be designed and implemented to reduce death rates from the most important causes in juveniles and young people are outlined.

Adolescent↗

[The properties of Pragia fontium bacteria isolated on the territories of Ukraine and the Czech Republic].

The results are presented of the study of the properties (morphological, tinctorial, cultural, biochemical) and primary DNA structure of 28 Pragia fontium strains, 18 of which were isolated in the territory of Ukraine and 10 in the territory of Czechia. The scheme of differentiation of genera Pragia, Budvicia and Leminorella is presented. The GC (guanine + cysteine) content of DNA is 47 +/- 1.5 mol.%. The levels of DNA relatedness of P. fontium strains and the type strain (CNCTC Eb11/82) varied from 84 to 95%. The levels of DNA relatedness of P. fontium and Escherichia coli K-12 strain is 3 to 5%.

Amino Acid Sequence↗

[The characteristics of the information support for the process of the state accreditation of public health institutions in Ukraine].

Introduction of novel information technologies in the health system of Ukraine is a requisite condition of enhancing the effectiveness of work of medical bodies, ensuring high-quality medical care. Our objective in this study was to devise a mechanism of information support of the process of state accreditation of the public health institutions. A structural scheme is developed of a uniform information-analytical system for information support of the process of accreditation of medical institutions. An automated information system has been set up at the level of medico-prophylactic institutions, which consists of information-reference and information-analytical subsystems and provides information support for the process of accreditation. Ways are discussed of setting up an information-control system of accreditation using potentialities of the sectoral corporative computer network "Ukrmednet".

Accreditation↗

[The results of a 5-year study of listeriosis in Ukraine].

Data on the isolation of Listeria spp. cultures on the territory of Ukraine, the frequency of Listeria contamination of alimentary raw materials and foodstuffs, the level of listeriosis morbidity, the clinical forms of the manifestation of this disease, as well as the occurrence of asymptomatic carriership among clinically healthy persons of epidemiologically significant professions, are given. The results of the study of the biological properties of 73 strains of Listeria spp., their sensitivity to antibiotics and Chlorophyllipt are presented.

Animals↗

[The status of and developmental outlook for sports medicine and therapeutic physical exercise in Ukraine].

The sports medicine service in Ukraine, its structure, priority tasks, manpower potential, extent and quality of care-giving to sportsmen and those individuals engaged in physical culture over the period 1997-1998 are detailed. Case follow-up findings are submitted together with indices for medical and biological supplies to sportsmen. Ways for further improvement of the sports medicine service are outlined.

Exercise Therapy↗

[Institute of Biochemistry and the development of molecular biophyics in the Ukraine].

The development of molecular biophysics research in Ukraine is reviewed with historical perspective. Vladimir Belitser and his school were among the pioneers in the studies of protein denaturation and assembly of intermolecular structures. New methods of research of protein conformational transitions and dynamics at equilibrium have been developed at the Palladin Institute of Biochemistry. Presently, the biophysics aspects in different areas of protein research are actively explored. The studies of protein folding in both experimental and theoretical aspects promise especially good prospects.

Academies and Institutes↗

[Spread of infection with hepatitis B and C viruses in different population groups of north-western Ukraine].

The detection rate of specific markers of hepatitides B and C among the child and adult population, including 487 children in 5 boarding schools, 338 oncological, hematological, urological patients and 206 medical staff members in Rovno and the Rovno region (North-Western Ukraine), was determined. In boarding-school the markers of HB (HBsAg, anti-HBs, summary anti-HBc) were detected 3.5 times more often than among the child population in general (in 28.3 and 8.0% respectively). In children staying in a boarding school for up to 1 year (126 children) these markers were determined in 23% of cases, and in those who stayed there for 3-5 years, in 58.1% of cases. Among the members of the groups where children with HBsAg were found the markers of HB occurred 3.3 more often then among the children in the groups having no HBsAg carriers (45.3 and 13.9% respectively). The detection rates of the markers of HB in children with various kinds of C.N.S. pathology (first of all, with mongolism) and without concomitant diseases were sharply different (they were found, respectively, in 52.9 and 19.6%, including HBsAg in 17.4 and 2.7%). At the same time the detection rate of anti-HCV among boarding-school children (including those with C.N.S. lesions) was no different from that among the child population in general, which was indicative of great differences in the activity of the nonartificial transmission routes HB and HC viruses. Patients with oncological, hematological and urological diseases who had great "parenteral load", as well as medical staff members, formed a high risk group for being infected with both HB and HC viruses.

Adolescent↗

[Public health reforms in Ukraine: legal bases].

The authors demonstrate the need in a law of the Ukraine on organization of population health protection by using an original methodological approach: they separate organization of medical activity and primary health care. The state is expected to play the leading role in public health as a regulator, but not manager. Philosophy of financial/economic and organization/financial basis of medical activities is described in the context of modern legislation.

Ecology↗