The system

Is conducted operational information input from the remote terminals, and demands to the central data base also are achieved; it makes it possible to conduct its own base of data of the parameters of the health of local residents; it makes it possible to send information from the center to the periphery.

The system of monitoring health can be used for other purposes:

- monitoring formation;
- the collection of information about the state of environment;
- the instruction of personnel of the medical establishments of region;
- the guarantee with operational consultative aid in the extraordinary situations.

Thus, is proposed the concept of observation of the health of the large population groups, which live in the extensive territories, which adjoin industrial, for the purpose of monitoring the action of these on the health of population. Technical complexities by using of technology and contemporary means of connection. The utilized methods are oriented to monitoring of those systems of the human organism, which are most sensitive to the toxins. Besides the functions of observation, monitoring system solves the important social problem: the timely determination of the deviations of the health of individual people and their direction to the treatment.

The special conditions

The contemporary technical equipment, which make it possible operationally to gather and to process the large volume of data from the territorially distributed sources, is used;Sistema is tuned to the specific models of influence depending on ecological factors.

Procedure of diagnostics of the level of the health

For determining the functional state the simplest and information method is the method of variation - the time of the inspection of 2-3 minutes. Is used the sensor of the measurement of from finger or ear of patient, which makes it possible to carry out inspection, without undressing. Sensor is connected to the computer through the sequential port. For determining the functional state CNS is used- it is wild (visual-motor reaction) - the time of the inspection of 4 minutes. For determining the level of physical fitness for work (physical health) are used the procedures , PWC-170, MPK] on - the time of the inspection of 7 minutes. System records the factors of the individual influence: age-qualification, anthropometric, morphological, physical and psychological loads, harmful habits, the specific features of nourishment.

All procedures are permitted to the use by Ministry of Pub. Health.

Procedure does not require of personnel and patient of the special of [podgo]- of [tovki]. The capacity of system is extremely great, the data are packed into the special file and can be crossed along the channels of electronic mail to the center for that automated of [statisti]- of [cheskoy] of processing and decision making by the methods of sanitation. Frequency of the inspection of 1-2 times in the week.

Under the special conditions (liquidation of the outbreaks of infectious diseases, extraordinary situations) the frequency of inspections can be increased. Furthermore it is possible to carry out the inspection of patients with each rotation after the medical aid. In the special situations are possible the output and the transmission of functional data to the center constants for analysis by doctor- expert and issuing of the qualified recommendations. In the cases of the development of patients in the state of unsatisfactory adaptation or its disruption is conducted additional diagnostics with the connection of psychological block, block of determining the metabolic type of man for the purpose of the establishment of the reasons for this state, and compiling individual health-improvement program.

Population

The third problem is solved due to the use in real time of data of ecological monitoring and many measurements of the parameters of adaptation in different people taking into account the influencing them individual the approximations of models they are assigned on the basis of a of model they are refined in proportion to the accumulation of data. The proposed technical system is the universal means, which easily is tuned to any form of actions, and it means also to the wide spectrum of the models of influence.

Thus the proposed approach of monitoring the health of the population, which falls into the zone of action of industrial is based on the following principles: healthy or conditionally healthy population undergoes observation; to be carried out monitoring the most sensitive to the external actions regulator systems of the human organism; simple and convenient for regular diagnostics methods and means of measurements adapt; In detail are considered the individual factors, which have an effect on the status of the health of those investigated including psychological; Are conducted the regular measurements of the ecological factors, characteristic for this region;

The human organism

Control of technogenic load can be realized on the basis of dynamic model, which considers the connection between the indices of quality of living environment and the data about the state of the adaptive systems of the human organism. For constructing this model together with the organization of ecological monitoring on the contaminators priority for the specific region it is necessary to solve the following tasks: to select the indices of the tension of the adaptive systems of human organism (parameters of adaptation) most sensitive to the technogenic actions, which are subject to observation. to ensure the measurement of the parameters of adaptation in the investigated contingent, and also the individual associated factors with necessary for purposes of control of completeness and periodicity. to construct the adequate models of the influence of ecological factors on the parameters of the adaptation of the human organism. The first problem is solved by application and development of contemporary approaches to diagnostics of the regulated systems of organism in healthy or conditionally healthy people. Numerous studies defined among many control systems of human organism, first of all, warmly - vascular system and central nervous system as is most sensitively and universally reacting to the external and internal stresses. For these systems are established the quantity indicators of the parameters of adaptation, which successfully adapt in the space and sport to the measurement of these indices is oriented the proposed system of monitoring health.

Living environment

These data compose the complete set of information, necessary for the automated construction of the individual program of the nourishment of patient. Healthy people must obtain the sufficiency of nutrients, vitamins and minerals from the food sources. The human organism, his body can be compared with the machine and as “the fuel” appears food. About half of energy, ensured by food, it is used for the normal functioning of organism. The other half is absorbed by the [razdichnymi] forms of activity, such as work and leisure. Generally speaking, more active people expend more than energy and, theoretically, they need the larger consumption of food resources for the satisfaction of their energy needs. If [individum] uses more than energy, if it or it expends, excessiveness there will be they will be preserved in tele- as completeness and collection of weight. And vice versa, if it is consumed less than it is necessary, the additional required energy will be expended from the reserves of organism, and weight will be lost.Obektom] of our attention appears the medical monitoring of the population, subjected to the action of industrial [obektov] in the regime of their normal operation and with the appearance of emergencies. By the purpose of monitoring is not only the determination of the degree of the action of industrial [obekta] on human organism, but also control action for the purpose of the adoption of timely measures for the correction of ecological situation. Control of technogenic load can be realized on the basis of dynamic model, which considers the connection between the indices of quality of living environment and the data about the state of the adaptive systems of the human organism.

About the patient

ARM of doctor- dietologist “individual diet” fulfills the functions of data collection about the special features of the organism of patient, about the individual medium of his inhabiting, about the previous and chronic diseases and produces the automated forming of the optimum diagram of individual nourishment, which the doctor - dietologist has the capability to correct on the basis of his experience and knowledge about the patient. In the bases of data of computer system is contained the information about the standard diets of therapeutic establishment, depending on the revealed pathology or stated problems of sanitation; normative data by the [nutrientnomu] composition of nourishment with the tying to the sex, the age, the build, the indices of engine and mental activity, the harmful habits and so forth; the information about the [nutrientnom] composition of finished dishes, taking into account culinary losses depending on the technology of the preparation of food used; information about the biologically active additives, the vitamin and mineral preparations. These data compose the complete set of information, necessary for the automated construction of the individual program of the nourishment of patient. Healthy people must obtain the sufficiency of nutrients, vitamins and minerals from the food sources. The human organism, his body can be compared with the machine and as “the fuel” appears food. About half of energy, ensured by food, it is used for the normal

Working place

The satisfaction of the needs of organism for the nutrients not in the form of the additional method of special preparations, but by correct selection and moderate consumption of food products is reduced the danger both of the insufficient and luxury consumption of nutrients. In the case of the immoderate method the nutrients are capable of manifesting the increased toxicity.

The automated working place (ARM) “individual diet” is the program product, intended for the optimization of the individual diet of patient under the conditions of therapeutic and prophylactic establishment, sanatorium, [fitnes]- center or under the household conditions for the purpose of achieving the assigned health-improvement and training goals (recovery of pathology, rehabilitation and the restoration of health, psychosomatic correction; an increase in the resistance of organism, physical trained state, psychological stability and the like). The development of individual diet is accomplished either in the complex of other medical and sanitary measures or as independent special or preventive diet therapy. ARM of doctor- dietologist “individual diet” fulfills the functions of data collection about the special features of the organism of patient, about the individual medium of his inhabiting, about the previous and chronic diseases and produces the automated forming of the optimum diagram of individual nourishment, which the doctor - dietologist has the capability to correct on the basis of his experience and knowledge about the patient.