Social changes, technological re-equipment, intensive formation of urban infrastructure have led to a constant increase in stress factors and an excessive growth of the nervous and psychological population burden. As a result of these processes in economically developed countries, acute diseases are becoming less and less significant, unlike the group of chronic disorders, such as arterial hypertension. Data from the review of the literature and the data we have received indicate that there is an increase in the level of cortisol in the blood in the phase of anxiety, which reduces in the resistance phase. A significant role is played by another hormone - insulin, which plays a key role in the development of the general adaptive syndrome. Through it the body implements numerous counter-defects in relation to the regulatory influence of catecholamines and cortisol. In conditions of prolonged stress, the level of insulin in the blood decreases and diabetes develops. The effect of cortisol and catecholamines in the resistance phase persists. The level of oxidative modification of blood plasma proteins indices depends on the behavior of the individual and changes in his psycho-emotional state, while a prolonged increase in the levels of catecholamines and cortisol in peripheral blood causes the development of psychosomatic pathology. It is proved that under the influence of complex action of risk factors there are significant changes in the psycho-emotional state that cause hypertension. This is confirmed by the presence of the highest level of reactive anxiety in patients with hypertension of the 1st stage on the background of the lowest personal anxiety which is the basis for the occurrence of the disease. With the progression of hypertension there are more profound changes in the personality of the patient, which is accompanied by the accumulation of personal anxiety, which can lead to a depressive state of neurotic genesis, which we observed with its complication. On the basis of a comprehensive study, the effect of stress on the occurrence of a syndrome of psychoemotional stress is shown, which leads to a steady increase in blood pressure - hypertension, and with its subsequent action complicates its course. Bangladesh Journal of Medical Science Vol.19(4) 2020 p.722-729
Our publication is devoted to the evolution of the public health system, its role in public health promotion and determination of the basic notions. According to the definition of the World Health Organization, public health is a science and practice of the diseases prevention, increase in life expectancy and health promotion with the help of the organized actions of the society. Yet in practice, public health formed under difficult conditions. In the article we consider the following questions: stages of public health system formation in the world and in Ukraine; analysis of public health system formation in Ukraine: institutional frameworks and strategic priorities and basic operational public health functions in Ukraine. We propose suggestions on legal procedures state improvement in public health in Ukraine in the context of European integration. Bangladesh Journal of Medical Science Vol.19(3) 2020 p.358-364
У статті проаналізовано стан сформованості та на цій основі визначено напрями розвитку організаційно-правових засад для застосування цифрових технологій у сфері громадського здоров'я в Україні. Обґрунтовано за результатами аналізу європейських та вітчизняних документів, пов'язаних із цифровізацією та громадським здоров'ям, необхідність удосконалення базового документа -Концепції розвитку системи громадського здоров'я. Охарактеризовано ситуацію щодо інституційного забезпечення громадського здоров'я. Запропоновано напрями запровадження нових цифрових технологій у сфері громадського здоров'я, серед яких: удосконалення процедур регуляторної політики; реалізація публічних стратегій, програм і проєктів забезпечення громадського здоров'я; навчання та просвітництво населення; розвиток страхової системи; кластеризація; етика цифрової взаємодії та ін.Ключові слова: громадське здоров'я; правові засади; інституційне забезпечення; цифрові технології; напрями політики.
In article the domestic legislative and regulatory documents, materials of bodies of public authority, non-governmental organizations, materials of specialized sites are considered. The article used both basic interdisciplinary and systematic approaches, methods of analysis and synthesis, modeling. The purpose of article is to develop complexes of tools to stimulate citizens' participation in formation and realization of the public housing policy and public health policy according to different levels of their housing self-sufficiency. The study proved that the categorical apparatus is being improved in the field of science "Public Administration" in the context of defining the concept of "residential self-sufficiency of the population". This is the ability of citizens, depending on their material wealth, social situation, cultural and aesthetic preference, local traditions to satisfy their basic needs for the use or possession of secure housing and land on a temporary or permanent basis. The importance of connection of public housing policy with the public health system based on the selfsufficiency of the local community has also been proven. The complexes of tools for stimulating the participation of the population in the formation and implementation of the state housing policy for groups of the population are defined, depending on the level of their housing self-sufficiency. Establishing a link between social policies for vulnerable groups of the population, the state of health of citizens and the level of their housing self-sufficiency will allow developing transversal approaches to housing construction and public health policy in general. Establishing the relationship between the state of health of citizens and the level of their living self-sufficiency will allow developing approaches to public housing policy and public health policy.
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