MULTIDISCIPLINARY APPROACH TO PREVENTIVE EXAMINATION OF SCHOOL-AGE CHILDREN BY AN ENDOCRINOLOGIST
Keywords:
preventive examination, obesity, hypothyroidism, stunting, clinical study.Abstract
Relevance. An effective method for the early detection of diseases and risk factors are preventive examinations of children.
The study aimed to analyze the results of a preventive examination conducted among children of different ages to identify borderline conditions with pathological prerequisites for changes in the endocrine system.
Material and methods. Students of 18 secondary schools in the Bostandyk district of Almaty city underwent a scheduled preventive examination according to the age category by order of the Ministry of Health of the Republic of Kazakhstan. We analyzed the changes in health identified due to a preventive examination.
Results. 2425 children underwent preventive examination. In 252 children, six nosologies of the endocrine system were previously identified, like obesity, underweight, hypothyroidism, stunting, iodine deficiency, and tallness.
Discussion of the results. Specialists identify a preliminary diagnosis during a preventive examination. Then the student is referred to a medical institution at the place of residence for additional investigation to clarify the diagnosis.
Conclusion. Conditions like obesity, hypothyroidism, and stunting were more often detected in the students of the Bostandyk district of Almaty city, according to the preventive examination results.
References
1. Gadzhiev RS. Vrach obshhej praktiki: v 3-h tomah. T. 1: Normativno pravovye i organizacionno-tehnologicheskie aspekty. [General practitioner: in 3 volumes. Vol. 1: Regulatory and organizational and technological aspects]. Moscow: Chico, 2020. 528 p.
2. Prikaz Ministra zdravoohranenija Respubliki Kazahstan ot 15 dekabrja 2020 goda № ҚR DSM-264/2020. Zaregistrirovan v Ministerstve justicii Respubliki Kazahstan 20 dekabrja 2020 goda № 21820. - Ob utverzhdenii pravil, ob#ema i periodichnosti provedenija profilakticheskih medicinskih osmotrov celevyh grupp naselenija, vkljuchaja detej doshkol'nogo, shkol'nogo vozrastov, a takzhe uchashhihsja organizacij tehnicheskogo i professional'nogo, posle srednego i vysshego obrazovanija [The order of the Minister of Health of the Republic of Kazakhstan dated December 15, 2020, No. KR DSM-264/2020. Registered with the Ministry of Justice of the Republic of Kazakhstan on December 20, 2020, No. 21820. - On approval of the rules, scope, and frequency of preventive medical examinations of target population groups, including children of preschool and school age, as well as students of organizations of technical and vocational after secondary and higher education]. Available from: https://adilet.zan.kz/rus/docs/V2000021820/history.
3. Kasatkina EP. Actual problems of stunting in children and adolescents: classification, features of clinical therapy of disease variants. Problemy endokinologii = Problems of Endocrinology. 1993;39(5):90-93. https://doi.org/10.14341/probl12001
4. Danilova ES, Popovich MV, Glazunov IS, et al. Evaluation of measures to inform the population and educate specialists within the framework of the implementation of regional programs for the prevention of non-communicable diseases and the formation of a healthy lifestyle in the Russian Federation. Problemy nauki = Problems of Science. 2017; 24(1): 82-90. (In Russ.)
5. Usova EV, Popovich MV, Manshina AV, et al. The experience of conducting a pilot study to assess the effectiveness of the centers of medical prevention. Preventivnaja medicina = Preventive medicine. 2017;20(6):41-45. (In Russ.)
