ISSN Print 2713-0878    ISSN Online 2713-0886
BIOMEDICAL JOURNAL OF ERMC EASTERN EUROPEAN

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This review article examines the effect of nutrition on the functional state of an organism with persistent disorders. The assessment of nutrition given in the current research shows that it does not match the needs of such an organism. Statistics for the Russian Federation reveal that the number of disabled people in the country is on an upward trend, which is of high prognostic significance in the context of investigating their nutritional status. Seeking to raise awareness about the nutritional problems of disabled persons in specialized boarding communities, we analyzed research papers on the subject published within the last 20 years. The analysis of works by Russian and foreign authors revealed the need for a unified methodology and scientific substantiation of the nutritional status assessment criteria. We have also found that the assessment of anthropometric indicators in this population is fraught with difficulties: using body mass index (BMI) as the sole measure for diagnosing eating disorders is insufficient. Current scientific literature on nutrition for people with disabilities is diverse and covers a wide range of aspects, highlighting the complexity of the considered problem. Still, the number of studies investigating the features of nutrition and health status of people with chronic diseases is insufficient, which underlines the importance of continuing scientific work in this direction. This will allow for a deeper understanding of the specifics of maintaining an optimal level of health and meeting the nutritional needs of people with disabilities, taking into account existing socio-economic difficulties.
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In the context of demographic changes, the preservation of the health of all children, including those with health limitations, acquires particular importance. Children with health limitations are a special group that needs special conditions for effective education and upbringing. The comprehensive assessment of the health of such children lacks methodological uniformity because of poor communication between the bodies and agencies involved in assisting them, as well as insufficient harmonization of the applicable regulations. This study aimed to optimize the respective assessment process. The materials were medical records of students (n = 104), used as the sources of data. We revealed that children with health limitations tend to be ill often; the proportion of those developing normally in physical terms is low (57%); most of the children with abnormal physical development (20%) are short. The recommendation is to use two methods for assessing children's physical development: regression coefficients, which describe growth disorders, and body mass index (BMI), which reports the degree of excess body weight. We identified faults in the results of the comprehensive health assessment: 68 children belonging to the 5th health group were qualified for the preparatory physical education group, which creates a high risk of a severe clinical situation in a physical education lesson. From the perspective of optimization of the comprehensive assessment of the condition of children with health limitations, the recommendation is to make the wording of the Order of the Ministry of Health of the Russian Federation more clear and to harmonize it with the conceptual framework of the Orders of the Ministry of Labour and Social Affairs of the Russian Federation.
VIEWS 52
Currently, cosmetology is one of the fastest growing branches of medicine. Some of the factors contributing to the occupational hazards of cosmetology include static loads, repetitive small-scale hand and wrist movements, and prolonged sitting in uncomfortable positions. This study aimed to assess the ergonomics of the working posture of cosmetologists and the related risk of musculoskeletal disorders. We examined doctors' complaints about having to remain in an uncomfortable, rigid working posture for long periods. The variations in posture were assessed photogoniometrically, and the results were used to construct the distribution diagrams for "sitting" and "standing." The participants' shoulders were examined using the Artro-Pro hardware and software complex (digital goniometry). It was found that a cosmetologist stays in an uncomfortable and/or fixed position for about 85% of the working time, which puts the occupation into hardness class 3.2. Cosmetologists most often complain about pain in the neck (60.0–85.4%), back (33.1–82.1%), and shoulders (62.6–80.2%). Digital goniometry has shown that in the sitting position, almost all goniometric indicators deviate from the recommended values. For the standing position, the greatest deviations were established for neck, trunk, and elbow, especially among older specialists (p ≤ 0.05). Thus, an aggravating factor related to the working posture of cosmetologists is the lack of an ergonomically adequate seat, which poses a significant occupational risk for developing musculoskeletal disorders.
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