Ministry of Education and Youth Policy of the Republic of Komi

Introduction: The organization of medical support for the implementation of the standards of the All-Russian physical culture and sports complex “Ready for Labor and Defense” (“RLD”) in children’s clinics on the territory of the Republic of Komi (RK) is carried out in order to develop a physical culture among the population. Patients and methods: The analysis of the results of 2652 medical examinations of children and adolescents to comply with the standards of the “RLD” in the State budgetary healthcare institution of the Republic of Komi “Syktyvkar Children’s Clinic No. 3” (“SChCl No. 3”) in 2016-2022 was carried out. The significance of differences in quantitative characteristics between groups with a normal distribution of quantitative variables was calculated using Student’s t-tests for independent samples. The threshold value of the probability of error for statistically significant differences was set at a level equal to 0.05. The frequency ratio was calculated per 10,000-child population. The depth of the study was 7 years. Results: Among patients who applied for examination only 2604 people (98.85 ± 0.21%) were allowed to pass sports standards. The FC of those who applied was 138.44 per 10,000 children, and the FC of those admitted was 135.94. The proportion of patients of “SChCl No. 3”, who were assigned the main medical group for physical education ranged over the years from 87.37 ± 1.47% in 2017 to 98.86 ± 0.34% in 2019 and on average for 7 years amounted to 94.19 ± 0.45%. That is, almost 90% of those examined are children without health and physical development disorders, but with possible functional disorders that do not lag behind their peers in physical development and physical fitness. They are allowed to study in full according to the curriculum of physical education using preventive technologies, preparation, and passing tests of individual physical fitness. Conclusion: The average annual quantitative indicator of those who applied for certification to pass the standards of the “RLD” is a statistical tool, on the one hand, to determine the current and future workload of medical personnel and determine the forces and means of medical support, on the other hand, an indirect indicator of the interest of children and adolescents in systematic physical education and sports, instilling in schoolchildren the skills of a healthy lifestyle and the prospects for the physical development of the nation. The frequency of examinations per 10,000 of the child population should be considered as an indirect marker for assessing the physical development of children and adolescents since it is not the result of a continuous, but only selective (at the request of those who applied) research. The voluntary surrender of the “RLD” standards by children and adolescents should be approached as an indicator of physical readiness and high personal self-esteem, including psychological readiness for competitive relations in the school and adolescent environment and psychological maturity.

Introduction: Mooring operations on modern vessels remain one of the least mechanized types of work. Mooring injuries are characterized by a particularly gross violation of soft tissues and bones. Materials and methods: The analysis of the treatment of 224 patients from members of crew who received occupational injuries while mooring the vessels while performing voyages in the northern water basin. When working on the material, analytical and statistical methods were used. The significance of differences was calculated using Student’s t-criteria for independent samples.

Childhood disability is a major marker of health status of the child population and prospects for its social well-being.The analysis of diseases that caused the occurrence of disability in 710 disabled children was conducted. State Budget Agency of Health of Republic of Komi ‘Syktyvkar children`s clinic №3’, who were disabled in 2016-2018. Control group consisted of 901 patients of ‘SCC №3’ who were disabled in 2011–2015.Determined the ranking of diseases that caused the emergence of disability in children with disabilities, their structure and frequency per 10,000 contingent patients of clinicsWhen working on material used methodological approaches: systemic, integrated, integration, functional, dynamic, process, regulatory, quantitative, administrative and situational. Used methods: historical, analytical and comparison. The following techniques were used: grouping, absolute and relative values, average values, detailing and generalization. The significance of differences in quantitative characteristics between groups with a normal distribution of quantitative variables was calculated using Student’s t-criteria for independent samples.The formed indicators of the general disability of the contingent of patients of the urban children’s clinic of the regional center of the subarctic territory is a statistical tool of everyday use for the objectification of the rehabilitation process, their comparative evaluation and determination of the strength and means of a medical institution for its successful maintenance.For period from 2011–2018. total (widespread) disability in ‘SCC №3’ increased in absolute terms from 166 to 261 people, that is, 1.57 times and, correspondingly, with a growth rate of 157.23%. The frequency of primary disability increased 1.34 times from 118.69 per 10,000 patients to 159.92, while the growth rate was 134.73%. With outpacing growth of primary disability over general trend of further growth in number of disabled children will increase.Based on the calculations in 2019, no less than 86–90 disabled children are expected, who will have VI G00-G99 Diseases of nervous system (36.33–35.44%,% in overall structure and frequency 57.59) as leading pathology. -52.41 per 10,000 patients). As a result of examinations, 55–53 children with XVII Congenital anomalies, chromosomal disorders Q00-Q99 (23.46–22.25%, frequency - 33.70–32.09) will be identified as disabled; 31–26 children with IV Endocrine Disorders, eating disorders and metabolic disorders E00-E90 (11.88–10.85%, frequency 18.99–15.64); II neoplasms C00-D48 (10.34–9.86%, frequency 16.54–14.22); VIII Diseases of the ear and mastoid H60-H95 (9.30–9.00%, frequency 12.12–11.64); 9–8 children with XIII Diseases of the musculoskeletal system and connective tissue M00-M99 (4.28–3.83%, frequency - 6.13–5.58); VII. Diseases of the eye and adnexa H00-H59 (3.60–3.45%, frequency 5.51–4.69)