THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS

И. А. Наумов, Yevgenij Tishchenko, Aleksandr Aleksandrovich
In: Health Problems of Civilization · 2016 · vol. 8(3) , pp. 4–11 · doi:10.5114/hpc.2014.57079 · W1151803884
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Abstract

AMA Naumov I, Tishchenko Y, Aleksandrovich A. THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS. Health Problems of Civilization. 2014;8(3):4-11. doi:10.5114/hpc.2014.57079. APA Naumov, I., Tishchenko, Y., & Aleksandrovich, A. (2014). THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS. Health Problems of Civilization, 8(3), 4-11. https://doi.org/10.5114/hpc.2014.57079 Chicago Naumov, Igor, Yevgenij Tishchenko, and Aleksandr Aleksandrovich. 2014. "THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS". Health Problems of Civilization 8 (3): 4-11. doi:10.5114/hpc.2014.57079. Harvard Naumov, I., Tishchenko, Y., and Aleksandrovich, A. (2014). THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS. Health Problems of Civilization, 8(3), pp.4-11. https://doi.org/10.5114/hpc.2014.57079 MLA Naumov, Igor et al. "THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS." Health Problems of Civilization, vol. 8, no. 3, 2014, pp. 4-11. doi:10.5114/hpc.2014.57079. Vancouver Naumov I, Tishchenko Y, Aleksandrovich A. THE MEDICO-ORGANIZATIONAL MODEL OF PROTECTION OF REPRODUCTIVE HEALTH OF WOMEN WITH INFLAMMATORY DISEASES OF GENERATIVE ORGANS. Health Problems of Civilization. 2014;8(3):4-11. doi:10.5114/hpc.2014.57079.
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Introduction

‘™ ‹ϐŽƒƒ–‘”› †‹•‡ƒ•‡• ‘ˆ ˆ‡ƒŽ‡ ”‡’”‘†—…–‹˜‡ ‘”‰ƒ• ȋˆ—”–Š‡” Ǧ Ȍ ƒ”‡ –Š‡ ‘•– ˆ”‡“—‡– …ƒ—•‡ ‘ˆ ‹ˆ”‹‰‡‡– ‘ˆ ”‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š ‘ˆ ™‘‡Ǥ ”‹•‹‰ –Š‡”‡‘ˆ ‡†‹…ƒŽǡ •‘…‹ƒŽ ƒ† ‡…‘‘‹… ’”‘„Ž‡• ƒ”‡ ”ƒ–Š‡” ƒ’’”‡…‹ƒ„Ž‡ȋ‡••‡–ƒŽǤʹͲͲͷȌǤ‘ǡʹͶǦ͵ͲΨ‘ˆ™‘‡‘–‡ƒ’‡Ž˜‹…’ƒ‹ˆ—Ž•›†”‘‡™‹–Š‹͸‘–Š•ƒ†‘”‡ƒˆ–‡”–Š‡ –‘Ž‡”ƒ–‡†•ƒŽ’‹‰‘Ǧ‘‘’Š‘”‹–‹•ǡͶ͵ΨŠƒ˜‡‡’‹•‘†‡•‘ˆƒ‡šƒ…‡”„ƒ–‹‘‘ˆ‹ϐŽƒƒ–‘”›’”‘…‡••Ǣˆ”‘ͳͲ–‘ͶͲΨ”‡ƒ‹ ˆ”—‹–Ž‡••Ǥ–’ƒ–‹‡–•™‹–Š ‹͸–‹‡•‘”‡‘ˆ–‡ǡ–Šƒƒ–Š‡ƒŽ–Š› ǡ–Š‡‡†‘‡–”‹‘•‹•ǡƒ––Š‡‹ͺ–‹‡•‹•–ƒ’‡† ‘”‡‘ˆ–‡ǡ–Šƒ‹–Š‡„ƒ•‹…’‘’—Žƒ–‹‘ǡ–Š‡—–‡”—•Ž‡ƒ˜‡•ȋƒ‹ƒ”‹ǡŠƒ…‘ʹͲͲͷȌǤ–ƒ’—”—Ž‡–Ž‡•‹‘‘ˆƒ’’‡†ƒ‰‡• ‘ˆƒ—–‡”—•–Š‡”‡‹•ƒ”‡ƒŽ–Š”‡ƒ–‘–‘Ž›–‘Š‡ƒŽ–Šǡ„—–ƒŽ•‘Ž‹ˆ‡‘ˆ–Š‡’ƒ–‹‡–Ǥ ϐŽ—‡…‡ ƒ†‘’‡”‹ƒ–ƒŽ‘—–…‘‡• ǦŽ‡˜‡Ž•ƒ–‡”ƒŽǡ‹ˆƒ–‹Ž‡ƒ†’‡”‹ƒ–ƒŽ‘”–ƒŽ‹–‹‡•ȋˆ—”–Š‡”ǦȌǡˆ”‡“—‡…›‘ˆƒ…ƒ•‡”ƒ–‡‘ˆ‡™„‘”•‹•ƒ’’”‡…‹ƒ„Ž‡ ȋŠƒŽŽ‹•‡–ƒŽǤʹͲͲͻȌǤŠ‡”‡ˆ‘”‡–Š‡’”‡˜‡–‹‘ƒ†–”‡ƒ–‡– ‹•–Š‡ƒŒ‘”’”‘„Ž‡‘ˆŠ‡ƒŽ–Š’”‘–‡…–‹‘‘ˆ™‘‡ ƒ•ƒ•–ƒ–‡‘ˆŠ‡ƒŽ–Š‘ˆ’ƒ–‹‡–•™‹–Š–Š‡‰‹˜‡’ƒ–Š‘Ž‘‰›ƒ’’”‡…‹ƒ„Ž›†‡ϐ‹‡•„”‡‡†‹‰’‘–‡–‹ƒŽ‘ˆƒ•‘…‹‡–› ǡƒ†“—‡•–‹‘• ‘ˆ•–—†›‹‰ƒ†–Š‡†‡…‹•‹‘‘ˆ•—…Š’”‘‹‡–ƒ•’‡…–•ƒ•”‡•–‘”ƒ–‹‘‘ˆ”‡’”‘†—…–‹˜‡ˆ—…–‹‘‘ˆ’ƒ–‹‡–•ǡˆ‘”ƒ–‹‘ƒ† ƒ‹–‡ƒ…‡‘ˆ…‘†‹–‹‘•‘ˆ–Š‡‹””‡’”‘†—…–‹˜‡„‡Šƒ˜‹‘—”Ǧƒ”‡‡•’‡…‹ƒŽŽ›ƒ…–—ƒŽǤ ‡•‡ƒ”…Š ‘„Œ‡…–‹˜‡ǣ –‘ †‡˜‡Ž‘’ǡ •…‹‡–‹ϐ‹…ƒŽŽ› –‘ ’”‘˜‡ ƒ† ‹–”‘†—…‡ ‡†‹…ƒŽǦ‘”‰ƒ‹œƒ–‹‘ƒŽ ‘†‡Ž ‘ˆ ’”‘–‡…–‹‘‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ’ƒ–‹‡–•™‹–Š Ǥ ƒ–‡”‹ƒŽ•ƒ†‡–Š‘†•Ǥ ‡•‡ƒ”…Š‹•„ƒ•‡†‘–Š‡‰‡‡”ƒŽ‡–Š‘†‘Ž‘‰‹…ƒŽƒ’’”‘ƒ…Š–‘ƒƒŽ›•‹•‘ˆ‡†‹˔‘Ǧ •‘…‹ƒŽˆƒ…–‘”•‘ˆŠ‡ƒŽ–Šƒ†–Š‡‹ŽŽ‡••Ǥƒ•‹•‘ˆ™‘”‹•–Š‡ƒ›Ǧ•–ƒ‰‡”‡ˆ‡””‡†•‡Ž‡…–‹‘ǤŠ‡•›•–‡ƒ’’”‘ƒ…Š ‹• —•‡†Ǥ ‘ŽŽ‘™‹‰ ‡–Š‘†• ™‡”‡ ƒ’’Ž‹‡†ǣ •ƒ‹–ƒ”›Ǧ•–ƒ–‹•–‹…ƒŽǡ ‡…‘‘‹…Ǧƒ–Š‡ƒ–‹…ƒŽǡ ‡š’‡”– ƒ••‡••‡–•ǡ •‘…‹‘Ž‘‰‹…ƒŽǡŠ‹•–‘”‹…ƒŽǡ‘”‰ƒ‹œƒ–‹‘ƒŽ‡š’‡”‹‡–ǡ‘†‡ŽŽ‹‰ƒ†ˆ‘”‡…ƒ•–‹‰Ǥ Š‡ˆ‡ƒŽ‡’‘’—Žƒ–‹‘‘ˆ–Š‡ ”‘†‘”ƒ‰‡‹ͳͻͷͶǦʹͲͲͺǡ‹…Ž—†‹‰ǡ”‡…‡‹˜‡†‡†‹…ƒŽƒ‹†‹–Š‡…‘†‹–‹‘• ‘ˆ‰›‡…‘Ž‘‰‹…ƒ†‘„•–‡–”‹…Š‘•’‹–ƒŽ•‹••–—†‹‡†Ǣ‹‘—–’ƒ–‹‡–…‘†‹–‹‘•Ǧ‹ˆ‡ƒŽ‡…‘•—Ž–ƒ–‹‘ȋˆ—”–Š‡”Ǧ Ȍǡ ‹…Ž—†‹‰‹†‹—”ƒŽŠ‘•’‹–ƒŽ•ȋˆ—”–Š‡”Ǧ Ȍ ǤŠ‡’”‹ƒ”›‡†‹…ƒŽ†‘…—‡–ƒ–‹‘‘ˆ’ƒ–‹‡–•™‹–Š ǡ”‡…‡‹˜‡† ‡†‹…ƒŽƒ‹†‹‘—–’ƒ–‹‡–ƒ†•–ƒ–‹‘ƒ”›…‘†‹–‹‘•‹•ƒƒŽ›•‡†ǤŠ‡”‡•‡ƒ”…Š„ƒ•‡‹•‰‡‡”ƒ–‡†‹‡Ž‡…–”‘‹…ˆ‘”ǡ •–ƒ–‹•–‹…ƒŽ…ƒŽ…—Žƒ–‹‘•ƒ†…Šƒ”–•ƒ”‡‡š‡…—–‡†„›‡ƒ•‘ˆ…‘’—–‡”’”‘‰”ƒ•  ͸ǤͲǤ Health Problems of Civilization, Volume 8/ Number 3/2014 ǦͷǦ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ ‡•—Ž–•Ǥ …–‹‘• ‘ˆ –Š‡ †‡˜‡Ž‘’‡† ‡†‹…‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ ‘†‡Ž ‘ˆ ’”‡•‡”˜ƒ–‹‘ ‘ˆ ”‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š ‘ˆ ’ƒ–‹‡–•™‹–Š ƒ”‡„ƒ•‡†‘–Š‡•›•–‡ƒ’’”‘ƒ…Šƒ†Šƒ˜‡‹‘˜ƒ–‹˜‡ˆ‘”‡Žƒ”—•—Ž–‹Ž‡˜‡Ž…Šƒ”ƒ…–‡”Ǣ‹–• „ƒ•‹…’”‹…‹’Ž‡•ƒ”‡–Š‡•›•–‡ƒ’’”‘ƒ…Šǡ‹–‡”†‡’ƒ”–‡–ƒŽ…Šƒ”ƒ…–‡”ƒ†ƒ•–ƒ‰‡‘ˆ’‡”ˆ‘”ƒ…‡ȋϐ‹‰—”‡ͳȌǤ Š‡•›•–‡‘ˆƒ…–‹‘•ˆ”ƒ‡†™‹–Š‹–Š‡Ž‹‹–•‘ˆ‘†‡ŽŠƒ•—Ž–‹…‘’‘‡–…Šƒ”ƒ…–‡”ƒ†‹…Ž—†‡•–Š”‡‡ •–ƒ‰‡’”‘…‡••‘ˆ–Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ‡†‹…ƒŽƒ‹†‘’”‡‰”ƒ˜‹†ƒŽ•–ƒ‰‡ǡ‹•‹‡†‹ƒ–‡‹–Š‡‰‡•–ƒ–‹‘–‡”ƒ†ƒˆ–‡” ‡†‘ˆ’”‡‰ƒ…›Ǥ 3 I stage II stage III stage Formation of clinico- organizational bunches of patients for definition of an order of rendering of planned medical aid in out-patient and a stationary condition  Medical aid in out- patient conditions  Medical aid in a stationary condition Position about FC  Duty regulations FC, a diurnal hospital Specialised receptions, Units «Marriage and monogynopaedium» The centre of ultrasonic diagnostics  Standards of inspection of pregnant and gynecologic patients in the Grodno region  Different levels system of perinatal centres Hospitalisation rules order Medical technologies

Material

support Personnel maintenance Organizational technologies Interaction perinatal services Excision of the infectious agent Planning of monogynopaedium and elimination of factors of "risk" Medicogenetic consultation Prophylactic medical examination gynecologic and EGP Formation HML and active fertility behaviour Iron, vitamin - iodic preventive maintenance Excision of the infectious agent Medicogenetic consultation Maintenance of safe labours and perinatal leaving Psychoprophylactic preparation for labours Preventive maintenance of postnatal pyoinflammatory complications After abortal medicamental aftertreatment Medical aid to newborn Prophylactic medical examination gynecologic and EGP Planning of monogynopaedium and elimination of factors of "risk" Realisation of the state and regional branch programs Interaction with enforcement authorities Information technologies Monitoring of a state of reproductive health and quality of medical aid Strengthening of reproductive health of patients with IDGO ‹‰—”‡ͳǤ ‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ’ƒ–‹‡–•™‹–Š  Health Problems of Civilization, Volume 8/ Number 3/2014 Ǧ͸Ǧ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ –ƒŽŽ•–ƒ‰‡•‘ˆ‘†‡Ž‡…Šƒ‹••‘ˆ–Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ–Š‡‡†‹…ƒŽƒ‹†‡™–‘‡Ž˃”—•ǡ‹…Ž—†‹‰‹•”‡ƒŽ‹•‡†ǣ ƒ‹–‡ƒ…‡‘ˆ‘„Ž‹‰ƒ–‘”›’•›…Š‘’Š›•‹‘Ž‘‰‹…ƒŽ…‘””‡…–‹‘ˆ‘”ƒ†‡“—ƒ–‡•–ƒ”–‡Œ”‘Ǧ‰—‘”ƒŽƒ†‡†‘…”‹‡’ƒ”–• ‘ˆ”‡‰—Žƒ–‹‘–Šƒ–ƒŽŽ‘™•–‘‘”ƒŽ‹•‡ˆ—”–Š‡”ϐŽ‘™‰‡•–ƒ–‹‘’”‘…‡••‡•Ǣ‹–”‘†—…–‹‘‹ƒŽŽ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡• ȋˆ—”–Š‡” Ǧ  Ȍ –Š‡ †‡˜‡Ž‘’‡† –ƒ†ƒ”†• ‘ˆ ‹•’‡…–‹‘ ƒ† –”‡ƒ–‡– ‘ˆ ’”‡‰ƒ– ƒ† ‰›‡…‘Ž‘‰‹… ’ƒ–‹‡–• ȋˆ—”–Š‡”Ǧ–ƒ†ƒ”†•Ȍ™Š‹…Š…‘˜‡”ˆ‘”–Š‡ϐ‹”•––‹‡ƒŽŽ‘•‘Ž‘‰‹…ƒŽˆ‘”•‘ˆƒ‘„•–‡–”‹…Ǧ‰›‡…‘Ž‘‰‹…’ƒ–Š‘Ž‘‰›Ǣ ‡ƒ…Š•–ƒ‰‡‘ˆ–Š‡‹”ƒ’’Ž‹…ƒ–‹‘ƒŽŽ‘™•–‘—‹ˆ›–Š‡†‹ƒ‰‘•–‹…ƒ†‡†‹…ƒŽ’”‘…‡†—”‡•‡…‡••ƒ”›ƒ•ˆ‘”•–ƒ–‡‡–‘ˆ –Š‡†‹ƒ‰‘•‹•ƒ†•ƒƒ–‹‘‘ˆƒ’ƒ–Š‘Ž‘‰›‹Ǽ…Žƒ••‹…ƒŽǽ…ƒ•‡•ǡƒ†–‘…ƒ””›‘—–†‹ˆˆ‡”‡–‹ƒŽ†‹ƒ‰‘•–‹…•ƒ†–‘†‡ϐ‹‡ –”‡ƒ–‡––ƒ…–‹…•‹…‘’Ž‡š…ƒ•‡•ˆ‘”†‹ƒ‰‘•–‹…•Ǥ ”‹ϐ‹…‡• ‹ ‘†‡Ž ƒ”‡ „‘†‹‡• ‘ˆ ‹–‡”‡•– Ǧ ’ƒ–‹‡–• ™‹–Š Ǥ ‘” ”‡•‡ƒ”…Š ‘„Œ‡…–‹˜‡ ƒ…Š‹‡˜‡‡– Ǧ •–”‡‰–Š‡‹‰• ‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ–Š‡‰‹˜‡…‘–‹‰‡–‘ˆ™‘‡Ǧƒ––Š‡ϐ‹”•–•–ƒ‰‡‘ˆ‘†‡Žƒ”‡•‘Ž˜‡†’”‘„Ž‡•‘ˆ„—‹Ž†‹‰ ‘ˆ …‘†‹–‹‘•ˆ‘”‡Ž‹‹ƒ–‹‘ ‘ˆ †‹•–—”„ƒ…‡• ‹ ˆ—…–‹‘‹‰  ƒ† „‹”–Š• ‘ˆ Š‡ƒŽ–Š› …Š‹Ž†”‡ „› ’‡”ˆ‡…–‹‘ ‘ˆ –Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ–Š‡–”‡ƒ–‡–Ǧƒ†Ǧ’”‘’Š›Žƒ…–‹…Š‡Ž’‘ƒ’”‡‰”ƒ˜‹†ƒŽ•–ƒ‰‡ǡƒ‹Ž›‹‘—–Ǧ’ƒ–‹‡–…‘†‹–‹‘•Ǥ ‘”‹‰‘—–ƒ†‹–”‘†—…–‹‘‹ƒŽŽ ”ƒ‰‡•‘ˆ•ƒ’Ž‡’‘•‹–‹‘ƒ„‘—– ™‹–Šƒ•—„•–ƒ–‹ƒ–‹‘‘ˆ˜‘Ž—‡•‘ˆ ‡†‹…ƒŽƒ‹†ǡƒ†ƒŽ•‘–Š‡…‘ˆ‘”‹‰ƒ‹–‡ƒ…‡™‹–Š”‡•‘—”…‡•ƒ†’‡”ˆ‡…–‹‘‘ˆƒ…‘–”‘Ž•›•–‡„›Ž‡˜‡Ž‘ˆ ’”‹ƒ”›‡†‹…ƒŽƒ‹†‘–Š‡„ƒ•‹•‘ˆ–Š‡‡š’‡”–…‘–”‘Žƒ†“—ƒŽ‹–›‘‹–‘”‹‰„‡…ƒ‡ƒ„ƒ•‹•‘ˆ•—…Š‡…Šƒ‹•Ǥ —‹Ž†‹‰‘ˆ‡™’Š›Ž—•‘ˆ•–”—…–—”ƒŽŽ›ˆ—…–‹‘ƒŽ—‹–•‘–Š‡„ƒ•‹•‘ˆƒŽ”‡ƒ†›‡š‹•–‹‰•‡…–‹‘‹‰•ƒ†‘ˆϐ‹…‡• •’‡…‹ƒŽ‹•‹‰‘†‹ƒ‰‘•–‹…•ƒ†–”‡ƒ–‡–‘ˆ’ƒ–Š‘Ž‘‰›„‡…ƒ‡–Š‡ƒ‹‹…”‘‡…‘‘‹…‡Ž‡‡–ƒ––Š‡ϐ‹”•– •–ƒ‰‡‘ˆ‘†‡ŽǤŠ‡„ƒ•‹…’ƒ”–•‹•—…Š•–”—…–—”‡ƒ”‡’”‡•‡–‡†ƒ•Ǽ„›–Š‡…‡–”‡‘ƒˆ—…–‹‘ƒŽ„ƒ•‹•ǽȋ–Š‡…‡–”‡ ‘ˆ—Ž–”ƒ•‘‹…†‹ƒ‰‘•–‹…•Ȍǡƒ†’”‘ϐ‹Ž‡—‹–‹•–”—…–—”‡ ȋǼƒ””‹ƒ‰‡ƒ†‘‘‰›‘’ƒ‡†‹—ǽȌǢ–Š‡•’‡…‹ƒŽ’Žƒ…‡ ‹••Š—–‡†–‘ƒ†‹—”ƒŽŠ‘•’‹–ƒŽƒ•–‘–Š‡•–”—…–—”‡ǡƒŽŽ‘™‡†–‘”‡ƒŽ‹•‡‹‘—–Ǧ’ƒ–‹‡–…‘†‹–‹‘•ƒ’”‹…‹’Ž‡‘ˆ–Š‡ •’‡…‹ƒŽ‹•‡†Š‡Ž’™Š‹…ŠŠƒ•’”‘˜‹†‡†‘–Š‡„ƒ•‹•‘ˆ’”‘˜‡†‡…‘‘‹…ˆ‡ƒ•‹„‹Ž‹–›”‹•‹‰‘ˆƒ†‡‰”‡‡‘ˆ“—ƒŽ‹–›‘ˆŽ‹ˆ‡ ƒ†•ƒ–‹•ˆƒ…–‹‘‘ˆ’ƒ–‹‡–•Ǥ ‘”‡ƒ…Š…‘…”‡–‡˜ƒ”‹ƒ–‹†‹…ƒ–‹‘•ˆ‘”ƒ†‹”‡…–‹‘ƒ†Š‘•’‹–ƒŽ‹•ƒ–‹‘ǡ–Š‡†‡ƒ† –‘–Š‡‡†‹…ƒŽ†‘…—‡–ƒ–‹‘ƒ”‡†‡ϐ‹‡†”‡‰—Žƒ”•–”—…–—”‡ǡƒ‘’‡”ƒ–‹‰’”‘…‡†—”‡–Šƒ–Šƒ•ƒŽŽ‘™‡†–‘…‘•‹†‡” ‡†‹…‘Ǧ•‘…‹ƒŽ …Šƒ”ƒ…–‡”‹•–‹…• ‘ˆ ’ƒ–‹‡–• ™‹–Š  ƒ† –‘ ’”‘˜‹†‡ –Š‡ ‘…‘˜‡–‹‘ƒŽ ƒ’’”‘ƒ…Š –‘ –Š‡ ‘”‰ƒ‹•ƒ–‹‘ ‘ˆ ‡†‹…ƒŽǦ†‹ƒ‰‘•–‹… ’”‘…‡••Ǥ Š‡ ‰‹˜‡ ƒ’’”‘ƒ…Š …‘•‹•–• ‹ •–—†›‹‰ …Ž‹‹…‘Ǧƒƒ‡•–‹…• …Šƒ”ƒ…–‡”‹•–‹…•ǡ ‹–‡‰”ƒ–‡•“—ƒŽ‹–ƒ–‹˜‡ƒ†“—ƒ–‹–›‹†‹…ƒ–‘”•…Šƒ”ƒ…–‡”‹•–‹…ˆ‘”–Š‡‰‹˜‡…‘–‹‰‡–‘ˆ™‘‡‘ˆ•‘…‹ƒŽ‡†‹— ƒ†’”‘˜‹†‡••‡ƒ”…Š‘ˆƒ’”‘„ƒ„Ž‡…ƒ—•‡‘ˆ‹ŽŽ‡••Ǣƒƒ••‡••‡–‘ˆ†‡‰”‡‡‘ˆ‹ϐŽ—‡…‡‘ƒ•–ƒ–‡‘ˆ”‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š‘ˆ…‘–”‘ŽŽ‡†ƒ†‹•…‘†‹–‹‘ƒŽǦ‘’‡”ƒ–‡†‡†‹…‘Ǧ•‘…‹ƒŽˆƒ…–‘”•Ǣ†‡ϐ‹‹–‹‘‘ˆƒ’”‹‘”‹–›‘ˆ’”‘„Ž‡•‘™Š‹…Š †‡…‹•‹‘–Š‡…‘Ǧ‘”†‹ƒ–‡†ƒ…–‹˜‹–›‘ˆ•‘‡˜ƒ”‹‘—••‡”˜‹…‡•ƒ††‡’ƒ”–‡–•‹•ˆ‘…—•‡†Ǣ‹–‡•‹˜‡–”‡ƒ–‡–™‹–Š ƒ’’Ž‹…ƒ–‹‘‘ˆƒ…‘’Ž‡š‘ˆ‡†‹…ƒ‡–ƒŽƒ†‘–‡†‹…ƒ‡–ƒŽ‡–Š‘†•Ǣ‡ˆˆ‡…–‹˜‡ƒˆ–‡”–”‡ƒ–‡–Ǣ—‹Ž†‹‰‘ˆ –Š‡‘–‹˜ƒ–‹‘•ƒ†ƒ’–‹‰’ƒ–‹‡–•–‘ƒ…–‹˜‡•‘…‹ƒŽƒ†Žƒ„‘—”ƒ…–‹˜‹–›Ǣ”‡ƒŽ‹•ƒ–‹‘–‘‰‡–Š‡”™‹–Š‡†—…ƒ–‹‘ƒŽ„‘†‹‡• ‘ˆƒ…‘’Ž‡š‘ˆƒ…–‹‘•ˆ‘”ˆ‘”ƒ–‹‘Š‡ƒŽ–Š›‘†‡‘ˆŽ‹ˆ‡ȋˆ—”–Š‡”Ǧ Ȍƒ‘‰‰‹”Ž•Ǧ–‡‡ƒ‰‡”•ƒ†™‘‡‘ˆ ›‘—‰”‡’”‘†—…–‹˜‡ƒ‰‡™‹–Šƒ……‡–‘“—‡•–‹‘•‘ˆ’”‡•‡”˜ƒ–‹‘‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š™‹–Š‹–Š‡Ž‹‹–•‘ˆ–Š‡ •’‡…‹ƒŽ‹•‡†…‡–”‡•ǡ‹…Ž—†‹‰’”‡˜‡–‹˜‡ƒ‹–‡ƒ…‡ ƒ†ƒ„‘”–‹‘•ǡ”‡ƒŽ‹•ƒ–‹‘‘ˆ–Š‡•‡šƒ†”‡’”‘†—…–‹˜‡ ”‹‰Š–•Ǣ†‡ϐ‹‹–‹‘‘ˆ–Š‡ˆ‘”‡…ƒ•–ƒ†ƒ†‹•‡ƒ•‡‘—–…‘‡Ǥ Š‡‹–‡‰”ƒ–‡†ƒ’’”‘ƒ…Š‡•„ƒ•‡†‘ˆ‘”ƒ–‹‘ƒ†’”‘’Š›Žƒ…–‹…‡†‹…ƒŽ‡šƒ‹ƒ–‹‘‘ˆ„—…ŠǼ”‡•‡”˜‡‘ˆ •‘”–•ǽȋˆ—”–Š‡”ǦȌƒ”‡†‡˜‡Ž‘’‡†‹‘˜ƒ–‹˜‡ˆ‘”›‡Ž‘”—••‹ƒǡ‹…Ž—†‹‰˒˓ˈˆ˓˃˅ˋˇ˃˓ːˑˈ‹’”‘˜‡‡–™Š‹…Š ™‡ƒ”•ƒ„‹†‹‰…Šƒ”ƒ…–‡” ǡƒ†‹–•„ƒ•‹…ƒ…–‹‘•ƒ”‡…ƒ””‹‡†‘—–͵‘–Š•’”‹‘”–‘’Žƒ‡†’”‡‰ƒ…›‹‘—–Ǧ’ƒ–‹‡– …‘†‹–‹‘•ǡ‹…Ž—†‹‰–Š‡™‘”‘”‰ƒ‹•ƒ–‹‘‘‡†‹…‘Ǧ‰‡‡–‹…ƒŽ…‘•—Ž–ƒ–‹‘‘ˆƒ””‹‡†…‘—’Ž‡•Ǥ‹–Š‹–Š‡Ž‹‹–• ‘ˆ’”‘’Š›Žƒ…–‹…‡†‹…ƒŽ‡šƒ‹ƒ–‹‘‘ˆ’ƒ–‹‡–•ƒ”‡…ƒ””‹‡†‘—–ǣ”‘—–‹‡‹•’‡…–‹‘•™‹–Šˆ‘”ƒ–‹‘‘–Š‡ †‡˜‡Ž‘’‡†ƒŽ‰‘”‹–Š‘ˆ„—…Š‡•‘ˆǼ”‹•ǽ‘†‡˜‡Ž‘’‡– ƒ††‹•–—”„ƒ…‡•‹ˆ‡ƒŽ‡”‡’”‘†—…–‹˜‡•›•–‡ ȋˆ—”–Š‡”Ǧ ȌǢ•–ƒ‰‡Ǧ„›Ǧ•–ƒ‰‡‘„•‡”˜ƒ–‹‘ƒ†…‘–”‘Ž‘ˆƒ•–ƒ–‡‘ˆŠ‡ƒŽ–Š‘ˆ…‘–‹‰‡–•‘ˆ„—…Š‡•‘ˆǼ”‹•ǽǢ–Š‡ •–ƒ†ƒ”†‹•‡†‡–Š‘†•‘ˆ”‡˜‡ƒŽ‹‰ Ǣˆ‘”ƒ–‹‘‘ˆ…Ž‹‹…‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ„—…Š‡•‘ˆ’ƒ–‹‡–•ˆ‘”†‡ϐ‹‹–‹‘‘ˆ ƒ‘”†‡”‘ˆ”‡†‡”‹‰‘ˆ’Žƒ‡†‡†‹…ƒŽƒ‹†‹‘—–Ǧ’ƒ–‹‡–ƒ†ƒ•–ƒ–‹‘ƒ”›…‘†‹–‹‘•Ǥ …–‹‘• ‘ˆ–Š‡ϔ‹”•–•–ƒ‰‡ ‘ˆ‘†‡ŽŠƒ˜‡ƒŽŽ‘™‡†–‘‘”‰ƒ‹•‡…ƒ””›‹‰‘—–‘ˆ‘‹–‘”‹‰‘ˆƒ•–ƒ–‡‘ˆ”‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š‘ˆ’ƒ–‹‡–•‹–Š‡…‘—”•‡‘ˆ‡†‹…ƒŽƒ‹†”‡†‡”‹‰ǡ–‘ƒ—–‘ƒ–‡’”‘…‡••‹‰‘ˆ–Š‡‹ˆ‘”ƒ–‹‘ƒ†–‘‡•–‹ƒ–‡ ‘–Š‹•„ƒ•‹•ƒ‘˜‡”ƒŽŽ’‡”ˆ‘”ƒ…‡ƒ•–Š‡ƒ––‡†‹‰’Š›•‹…‹ƒǡƒ†‡•–ƒ„Ž‹•Š‡–•‘„•–‡–”‹…Ǧ‰›‡…‘Ž‘‰‹…•‡”˜‹…‡ ȋˆ—”–Š‡”Ǧ Ȍ ƒ•ƒ™Š‘Ž‡Ǥ ƒ‹–‡ƒ…‡‘ˆ‹–‡”ƒ…–‹‘‘ˆ–‡…Š‘Ž‘‰‹…ƒŽ‡Ž‡‡–•‘ˆ”‡†‡”‹‰‘ˆ‡†‹…ƒŽƒ‹†–‘’ƒ–‹‡–•‹‘—–Ǧ’ƒ–‹‡– ƒ†ƒ•–ƒ–‹‘ƒ”›…‘†‹–‹‘•‘–Š‡„ƒ•‹•‘ˆ–Š‡‡…Šƒ‹•‘ˆƒ……‡’–ƒ…‡‘ˆ–Š‡•–”ƒ–‡‰‹…ƒ†‹‹•–”ƒ–‹˜‡†‡…‹•‹‘‘ „—‹Ž†‹‰‘ˆ‡™’Š›Ž—‘ˆ•’‡…‹ƒŽ‹•‡†•–”—…–—”‡•–‘™Š‹…Šƒ††‹–‹‘•ƒ†…Šƒ‰‡•†‡’‡†‹‰‘…‘…”‡–‡…‘†‹–‹‘• ‘ˆˆ—…–‹‘‹‰ …ƒ„‡ƒ†‡„‡…ƒ‡ƒ„ƒ•‹…’”‹…‹’Ž‡‘ˆˆ—…–‹‘‹‰‘ˆ‘†‡Ž ƒ––Š‡•‡…‘†•–ƒ‰‡ Ǥˆϐ‹…ƒ…››‘ˆ ˆ—…–‹‘‹‰‘ˆ–Š‡•‡•–”—…–—”‡•…‘•‹•–•‹–Š‡ˆ‘ŽŽ‘™‹‰ǣ‹ƒ•—„•–ƒ–‹ƒ–‹‘‘ˆ‡…‡••ƒ”›˜‘Ž—‡•‘ˆ‡†‹…ƒŽƒ‹† ƒ†”‡ƒŽϐ‹ƒ…‹ƒŽ”‡“—‹”‡‡–‘ˆ…‘…”‡–‡•‡…–‹‘‹‰•ƒ–’”‹‘”‹–›ϐ‹ƒ…‹‰ ™‹–Šƒ‹–‡ƒ…‡™‹–Š‡…‡••ƒ”› ƒ–‡”‹ƒŽ”‡•‘—”…‡•Ǣ‹’‡”ˆ‡…–‹‘‘ˆ–Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ–Š‡‡†‹…‘Ǧ’”‡˜‡–‹˜‡Š‡Ž’–‘’ƒ–‹‡–•™‹–Š ƒ–Ž‡˜‡Ž• Ǽ Ǧƒƒ–‡”‹–›Š‘‡ǽǢ‹–Š‡‘”‰ƒ‹•ƒ–‹‘ƒ†™‹†‡—•‡‘ˆ†‹—”ƒŽŠ‘•’‹–ƒŽ•ˆ‘”‹•’‡…–‹‘ǡ‹’”‘˜‡‡–ƒ† Health Problems of Civilization, Volume 8/ Number 3/2014 Ǧ͹Ǧ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ ƒˆ–‡”–”‡ƒ–‡– ‘ˆ ’”‡‰ƒ– ™‘‡Ǣ ‹ ™‘”‹‰ ‘—– ‘ˆ –Š‡ ƒ…–‹‘• ’”‘˜‹†‹‰ ‰—ƒ”ƒ–‡‡• ‘ˆ ˆ”‡‡ ‡†‹…ƒŽ ƒ‹†–‘ ’”‡‰ƒ–™‘‡ǡ’ƒ”–—”‹‡–™‘‡ƒ†‡™„‘”•‹–‡””ƒ‹‘ˆ”ƒ‰‡™‹–Šƒ…–‹˜‹–›”‡ˆ‘”‹‰‘ˆ†‹ˆˆ‡”‡–Ž‡˜‡Ž• ’‡”‹ƒ–ƒŽ…‡–”‡•Ǣ‹„—‹Ž†‹‰‘ˆ•–ƒ†ƒ”†„ƒ•‡ƒ†™‘”‹‰‘—–‘ˆ–Š‡†‘…—‡–•™Š‹…Šƒ”‡”‡‰—Žƒ–‹‰ƒ…–‹˜‹–›  ƒ†„‡‹‰ƒŽ‡‰ƒŽ„ƒ•‹•ˆ‘”‹–”‘†—…–‹‘‘ˆ‘†‡Ž‘–Š‡„ƒ•‹•‘ˆ–Š‡‡…Šƒ‹•‘ˆ–Š‡‡š’‡”–…‘–”‘ŽǢ‹™‘”‹‰ ‘—–‘ˆ—‹ˆ‘”‹ˆ‘”ƒ–‹‘†ƒ–ƒ„ƒ•‡ ‘ˆ”ƒ‰‡ˆ‘”ƒ‹–‡ƒ…‡‘ˆ‘‹–‘”‹‰‘ˆ‹–•ƒ…–‹˜‹–›ƒ–ƒŽŽŽ‡˜‡Ž•Ǥ – „—‹Ž†‹‰ ‘ˆ ƒŽ‰‘”‹–Š ‘ˆ ‘„•‡”˜ƒ–‹‘ ‘˜‡” ’ƒ–‹‡–• ™‹–Š  ‹ ’”‡‰ƒ…› –Š‡ ‡™ ƒ’’”‘ƒ…Š‡• ™Š‹…Š Šƒ˜‡”‡•‘Ž˜‡†•›…Š”‘‘—•Ž›–‘‡•–‹ƒ–‡‡ˆϐ‹…ƒ…››‘ˆˆ—…–‹‘‹‰ ‹…‘’ƒ”‹•‘–‘‹–•ƒ†ƒ’–‹˜‡’‘–‡–‹ƒŽƒ†ǡ –Š‡ ‘•– ‹’‘”–ƒ– –Š‹‰ǡ ™‹–Š –Š‡ ’‡”•‘ƒŽ ‡“—‹’‡–• ‘ ’”‡‰ƒ…› ƒ• ‘–‹˜ƒ–‹‘ƒŽ ‹ƒ–—”‹–› ƒ– ™‘‡ ‘ˆ –Š‡ ‰‹˜‡ ‡†‹…‘Ǧ•‘…‹ƒŽ „—…Š •—„•–ƒ–‹ƒŽŽ› †‡ϐ‹‡• ‹ƒ†‡“—ƒ…› ‘ˆ ƒŽŽ ‹†• ‘ˆ ˆ—…–‹‘ƒŽ Ǽ”‡•’‘•‡•ǽ ‹ –Š‡ –‡”‰‡•–ƒ–‹‘–Šƒ–†‘‡•‘–’”‘˜‹†‡‘’–‹—’‡”ˆ‘”ƒ…‡‘ˆ†‹ˆˆ‡”‡–’ƒ”–•‘ˆ•›•–‡Dz‘–Š‡”Ǧ’Žƒ…‡–ƒǦˆ‘‡–—•dz ƒ”‡ƒ’’Ž‹‡†Ǥ –Š‡•‡…‘†‹–‹‘•Ǽ”‹•ǽ„—…Š‡•‘’”‘„ƒ„Ž‡—ˆƒ˜‘”ƒ„Ž‡ϐŽ‘™‘ˆ’”‡‰ƒ…›ƒ†•‘”–•–ƒ‹‰‹–‘ ƒ……‘—– †‡ϐ‹‹–‹‘ ‘ˆ ’ƒ–‹‡–• ™‹–Š –Š‡ ƒƒ‡•‹• „—”†‡‡†  ƒ† —ˆƒ˜‘”ƒ„Ž‡ ’‡”‹ƒ–ƒŽ „› ‘—–…‘‡• ƒ”‡ ‘”‰ƒ‹œƒ–‹‘ƒŽ ‰‡‡”ƒ–‡†Ǣ –Š‡ …Š”‘‹… ‡š–”ƒ‰‡‹–ƒŽŽ‘…—•‡• ‘ˆ ƒ ‹ˆ‡…–‹‘ …‘–ƒ‹ƒ–‹‘Ǣ †‹•–—”„ƒ…‡•‹  ȋ•–‡”‹Ž‹–›ǡ†‹•‘”†‡”•‘ˆƒ‡•–”—ƒŽ…›…Ž‡ȌǢ…ƒ””›‹‰‘—–ˆ”‡‡Œ‘†‘Ǧ‹”‘Ǧƒ†˜‹–ƒ‹’”‡˜‡–‹˜‡ƒ‹–‡ƒ…‡‹• ‘”‰ƒ‹•‡†Ǣ –‡”ƒ…–‹‘‘ˆ‹–‡”ˆƒ…‹‰•‡”˜‹…‡•ƒ–Ž‡˜‡Ž‘ˆ’”‹ƒ”›‡†‹…ƒŽƒ‹†‹•’”‘˜‹†‡†Ǣ…ƒ””›‹‰‘—–‘ˆ—Ž–”ƒ•‘‹… ‹•’‡…–‹‘ƒ†‡†‹…‘Ǧ‰‡‡–‹…ƒŽ…‘•—Ž–ƒ–‹‘—†‡”–Š‡•–ƒ†ƒ”†‹•‡†‹†‹…ƒ–‹‘•‹•‘”‰ƒ‹•‡†Ǥ Š‡†‡˜‡Ž‘’‡†‹–‡‰”ƒ–‡†‡…Šƒ‹••‘ˆ…‘†—…–‹‰’”‡‰ƒ–™‘‡™‹–ŠŠ‹‰Š‹ˆ‡…–‹‘—•Ǽ”‹•ǽƒ––Š‡•‡…‘† •–ƒ‰‡‘ˆ‘†‡Ž‹…Ž—†‡ǣ–Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ…Ž‹‹…‘ǦŽƒ„‘”ƒ–‘”›‹•’‡…–‹‘ˆ‘”˜‡”‹ϐ‹…ƒ–‹‘‘ˆƒ‰‡‹–ƒŽ‘”‡š–”ƒ‰‡‹–ƒŽ ‹ˆ‡…–‹‘ …‘–ƒ‹ƒ–‹‘ ‘– Ž‡•• –Šƒ –™‘ ‡–Š‘†•ǡ ”‡•‡ƒ”…Š ‘ˆ –Š‡ ‹—‡ •–ƒ–—• ƒ† ‘•’‡…‹ϐ‹… ”‡•‹•–ƒ…‡ ƒ……‘”†‹‰ –‘ –Š‡ †‡˜‡Ž‘’‡† ƒŽ‰‘”‹–ŠǢ –Š‡ ‘”‰ƒ‹•ƒ–‹‘ ‘ˆ ”‡†‡”‹‰ ‘ˆ –Š‡ ‡‡”‰‡…› ‘„•–‡–”‹…Ǧ‰›‡…‘Ž‘‰‹… Š‡Ž’ƒ……‘”†‹‰–‘–Š‡†‡˜‡Ž‘’‡†Ž‹•–‘ˆ‡š–”‡‡•‹–—ƒ–‹‘•ƒ†–Š‡‹–”‘†—…‡†ƒŽ‰‘”‹–Š‘ˆƒ…–‹‘•‘ˆ–Š‡‡†‹…ƒŽ ’‡”•‘‡Žƒ––Š‡‹”‘……—””‡…‡ǡƒ†ƒŽ•‘‘”†‡”‘ˆƒ…ƒŽŽ‘ˆƒ”‡‰‹‘ƒŽ”‡ƒ‹ƒ–‹‘„”‹‰ƒ†‡Ǣ…‘’Ž‡š•›•–‡‘ˆ–Š‡ ƒ…–‹‘•ǡƒŽŽ‘™‡†–‘‘”‰ƒ‹•‡ƒƒ••‡••‡–‘ˆƒ’”‡Ǧƒ–ƒŽ•–ƒ–‡‘ˆƒˆ‘‡–—•ƒ†‹–ƒ–‡ƒ–ƒŽ’”‡•‡”˜ƒ–‹‘Ǣˆ‘”‡…ƒ•–‹‰ ‘ˆϐŽ‘™‘ˆ’”‡‰ƒ…›ǡ•‘”–•ƒ†ƒ•–ƒ–‡‘ˆŠ‡ƒŽ–Š‘ˆ‡™„‘”•ƒ……‘”†‹‰–‘–Š‡–ƒ’‡†ˆƒ…–‘”•‘ˆǼ”‹•ǽǢ…ƒ””›‹‰‘—–‘ˆ ƒ…‘—”•‡‘ˆ’”‡˜‡–‹˜‡ƒ‹–‡ƒ…‡‘ˆƒ•›†”‘‡‘ˆ”‡•’‹”ƒ–‘”›†‹•‘”†‡”•‘ˆ‡™„‘”•Ǣ’”‡’ƒ”ƒ–‹‘‘ˆ’ƒ–”‹‘‹ƒŽ ’ƒ–Š‡•Ǣƒ…Š‹Ž†„‡†‹†—…–‹‘ǢƒƒŽ›•‹•‘ˆ‡ˆϐ‹…ƒ…››‘ˆ”‡†‡”‹‰‘ˆ‡†‹…ƒŽƒ‹†ƒ……‘”†‹‰–‘–Š‡†‡˜‡Ž‘’‡†ƒŽ‰‘”‹–ŠǤ Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ‡†‹…ƒŽƒ‹†–‘’ƒ–‹‡–•™‹–Š ‹ƒ’—‡”’‡”ƒŽ’‡”‹‘†„‡…ƒ‡–Š‡’—”’‘•‡‘ˆƒ…–‹‘• ‘ˆ –Š‡ –Š‹”† •–ƒ‰‡  ‘ˆ ‘†‡ŽǤ ‡™ ’”‘…‡†—”‡• ‘ˆ ’”‡˜‡–‹˜‡ ƒ‹–‡ƒ…‡ ‘ˆ –Š‡ ’›‘‹ϐŽƒƒ–‘”› …‘’Ž‹…ƒ–‹‘•ǡ ‹…Ž—†‹‰ƒ”‡†‡˜‡Ž‘’‡†ƒ†ƒ’’Ž‹‡†ǣ‹–”‘†—…–‹‘‘ˆ‡–Š‘†•‘ˆ”ƒ–‹‘ƒŽƒ–‹„ƒ…–‡”‹ƒŽ–Š‡”ƒ’›ƒˆ–‡”‘’‡”ƒ–‹‘• …‡•ƒ”‡ƒ •‡…–‹‘•Ǣ ƒ ƒ……‡Ž‡”ƒ–‹‘ ‘ˆ Š‡ƒŽ‹‰ ‘ˆ ’‘•–‘’‡”ƒ–‹˜‡ ™‘—†•Ǣ ƒ’’Ž‹…ƒ–‹‘ ‘ˆ ’”‘…‡†—”‡• ‘ˆ ’”‡˜‡–‹˜‡ ƒ‹–‡ƒ…‡‘ˆƒ’‘•–ƒ–ƒŽ‡–”‘‡†‘‡–”‹–‹•ƒ†ƒ•–‹–‹•ǡ‹…Ž—†‹‰–Š‡’ƒ–‡–‡†–‡…Š‘Ž‘‰‹‡•Ǥ Š‡ ˆ”ƒ‡† •›•–‡ ‘ˆ ƒˆ–‡”–”‡ƒ–‡– ƒˆ–‡” ƒ ˆƒ‹Ž—”‡ ‘ˆ ’”‡‰ƒ…› ƒ† •‘”–• ‹…Ž—†‡• –Š‡ ‡™ –™‘ǦŽ‡˜‡Ž ‡…Šƒ‹•ǣƒ–Ž‡˜‡Ž‘ˆ‡•–ƒ„Ž‹•Š‡–‘ˆ‘„•–‡–”‹…ƒ‹†ǣ–Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ–Š‡‰‡‡”ƒŽƒ†’•›…Š‘Ž‘‰‹…ƒ••‡••‡– ‘ˆƒ•–ƒ–‡‘ˆŠ‡ƒŽ–Š‘ˆ–Š‡™‘ƒ‹…Š‹Ž†„‹”–Šƒ†‹–•…‘””‡…–‹‘Ǣƒ–Ž‡˜‡Ž ǣƒ…‘’Ž‡š‘ˆƒ…–‹‘•ˆ‘”–Š‡†‹•’‡•ƒ”› ‘„•‡”˜ƒ–‹‘ ‘”‰ƒ‹•ƒ–‹‘ǡ ‹…Ž—†‹‰ ‡š…‹•‹‘ ‘ˆ –Š‡ ‹ˆ‡…–‹‘—• ƒ‰‡–Ǣ ”‡•‡ƒ”…Š ‘ˆ ƒ†ƒ’–‹… ’‘–‡–‹ƒŽ ‘ˆ ƒ ˆ‡ƒŽ‡ ‘”‰ƒ‹•Ǣ’•›…Š‘Ž‘‰‹…–‡•–‹‰Ǣ…‘•—Ž–ƒ–‹‘„›–Š‡†‘…–‘”Ǧ–Š‡”ƒ’‹•–ƒ†‹ˆ‡…‡••ƒ”›Ǧ†‘…–‘”•‘ˆ‘–Š‡”•’‡…‹ƒŽ‹–‹‡•Ǣ …ƒ””›‹‰ ‘—– ‘ˆ ‡†‹…‘Ǧ‰‡‡–‹… …‘•—Ž–ƒ–‹‘Ǣ …Š‹Ž†Ǧ„‡ƒ”‹‰ ’Žƒ‹‰ ƒ– ‘„•‡”˜ƒ–‹‘ ‹ Ǥ Š‡ ‘”‰ƒ‹•ƒ–‹‘ ‘ˆ ‹•’‡…–‹‘‘ˆ’ƒ–‹‡–•ˆ‘”ϐ‹†‹‰Ǧ‘—–‘ˆƒ’ƒ–Š‘‰‡‡–‹…˜ƒ”‹ƒ–‘ˆ†‹•–—”„ƒ…‡‘ˆ”‡’”‘†—…–‹˜‡ˆ—…–‹‘™‹–Š–Š‡ •—„•‡“—‡–…ƒ””›‹‰‘—–‘ˆ–Š‡”ƒ’›ǡƒƒ••‡••‡–‘ˆ‹–•‡ˆϐ‹…ƒ…››ƒ†’Žƒ‹‰‘ˆ–Š‡ˆ‘ŽŽ‘™‹‰’”‡‰ƒ…›„‡…ƒ‡ ƒ‘…‘˜‡–‹‘ƒŽ…‘’‘‡–‘ˆ–Š‡–Š‹”†•–ƒ‰‡‘ˆ‘†‡ŽǤ  ƒ ‘†‡Ž ‡š‹– –Š‡ ‹’‘”–ƒ– ”‘Ž‡ ‹• •Š—–‡† –‘ ˆ‘”‡…ƒ•–‹‰ ‘ˆ ”‡•—Ž–• ‘ –Š‡ „ƒ•‹• ‘ˆ ƒ ƒ••‡••‡– ‘ˆƒ •–ƒ–‡‘ˆ”‡•‘—”…‡ƒ‹–‡ƒ…‡ ƒ†ƒƒŽ›•‹•‘ˆ–Š‡”‡ƒŽ”‡ƒ…Š‡†’ƒ”ƒ‡–”‡•‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ’ƒ–‹‡–• ™‹–Š ǡƒ†ƒŽ•‘Ž‡˜‡Žƒ†•–”—…–—”‡‘ˆ”‡’”‘†—…–‹˜‡Ž‘••‡•Ǥ ”ƒ‡†ˆ‘”–Š‡†‡…‹•‹‘‘ˆ–Š‹•’”‘„Ž‡‹‘˜ƒ–‹˜‡ ˆ‘” ‡Žƒ”—• –Š‡ –‡…Š‘Ž‘‰‹…ƒŽ •›•–‡ ‘ˆ –Š‡ …‘ŽŽ‡…–‹‰ ƒ† –Š‡ ƒ—–‘ƒ–‡† ’”‘…‡••‹‰ ‘ˆ –Š‡ ‡†‹…‘Ǧ•–ƒ–‹•–‹…ƒŽ ‹ˆ‘”ƒ–‹‘ ‹…Ž—†‡• –Š‡ †‡˜‡Ž‘’‡† …‘’—–‡” ’”‘‰”ƒ• ™Š‹…Š ˆ‡ƒ–—”‡• ƒ”‡ …‘’Ž‡–‡Ž› ƒ …‘’—–‡” –Š”‡‡ǦŽ‡˜‡Ž “—ƒŽ‹–›‘‹–‘”‹‰‘ˆ”‡Ž‹ƒ„‹Ž‹–›‘ˆ–Š‡‰‹˜‡†ƒ–ƒǡ–Š‡ƒ—–‘ƒ–‡†ˆ‘”ƒ–‹‘‘ˆ•—ƒ”›”‡’‘”–•™‹–Š’‘••‹„‹Ž‹–› ‘ˆ –Š‡‹” …‘˜‡”–‹‰ ‹ †‹ˆˆ‡”‡– ‡Ž‡…–”‘ ˆ‘”ƒ–•ǡ ‡ˆϐ‹…‹‡…› ‘ˆ ƒƒŽ›•‹•ǡ ’‘••‹„‹Ž‹–› ‹ …ƒ•‡ ‘ˆ †‹•Šƒ”‘› ‘ˆ –Š‡ ‡š’‡…–‡†ƒ†”‡ƒ…Š‡†‹†‹…ƒ–‘”•‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š–‘•—„Œ‡…––‘’‡”ˆ‡…–‹‘…‘’‘‡–•‘”–‘…‘””‡…–•–ƒ–‡‡– ‘ˆ ’”‘„Ž‡•ǡ ‘„Œ‡…–•ǡ –Š‡ ˜‘Ž—‡•ǡ ‡š’‡…–‡† ‹†‹…ƒ–‘”•Ǥ ‡•—Ž–• ‘ˆ ƒƒŽ›•‹• ™‹–Š –Š‡ ‡•–ƒ„Ž‹•Š‡† ’‡”‹‘†‹…‹–› ƒ”‡ ‰‹˜‡‹…‘–”‘Ž‘ˆ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡•‘ˆ”‡‰‹‘ƒŽ‡š‡…—–‹˜‡…‘‹––‡‡ƒ†ƒ†‹‹•–”ƒ–‹‘ ˆ‘”–Š‡’—”’‘•‡ ‘ˆƒ……‡’–ƒ…‡‘ˆ–‹‡Ž›ƒ†‹‹•–”ƒ–‹˜‡†‡…‹•‹‘•‘‘’–‹‹•ƒ–‹‘‘ˆ‹–‡”ƒ…–‹‘‘ˆ•‡”˜‹…‡•‘ˆ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡• ‘•–”‡‰–Š‡‹‰‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ’ƒ–‹‡–•™‹–Š ǡŠ‡ƒŽ–Š’”‘–‡…–‹‘‘ˆ‘–Š‡”ƒ†–Š‡…Š‹Ž†Ǥ –‹•‡•–ƒ„Ž‹•Š‡†ǡ–Šƒ–ƒ…–‹‘•‘ˆ–Š‡†‡˜‡Ž‘’‡†ƒ†‹–”‘†—…‡†‡†‹…‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡ŽŠƒ˜‡Š‹‰Š‡†‹…ƒŽǡ •‘…‹ƒŽƒ†‡…‘‘‹…‡ˆϐ‹…‹‡…›Ǥ –‹•‡•–ƒ„Ž‹•Š‡†ǡ–Šƒ–‹ͳͻͻͻǦʹͲͲͺ‹–Š‡ ”‘†‘ƒ”‡ƒ–Š‡”‡™‡”‡‘…ƒ•‡•‘ˆ’ƒ”‡–†‡ƒ–Šˆ”‘‹ˆ‡…–‹‘—•Ǧ ‹ϐŽƒƒ–‘”›…‘’Ž‹…ƒ–‹‘•‘ˆ’”‡‰ƒ…›ƒ†…Š‹Ž†„‹”–ŠǤ Health Problems of Civilization, Volume 8/ Number 3/2014 ǦͺǦ ʹͲͲͶǦʹͲͲͺ‹…‘’ƒ”‹•‘™‹–Š–Š‡’”‡˜‹‘—•ϐ‹ˆ–Šƒ‹˜‡”•ƒ”›Ž‡˜‡Ž‹ƒ”‡ƒ‹–‹•…‘•‹†‡”ƒ„Ž‡Ǧ‘Ͷʹǡ͵ ΨǦŠƒ•†‡…”‡ƒ•‡†ȋ’δͲǡͲͷȌǤ›ʹͲͲͺ–Š‡†‹ˆˆ‡”‡…‡‘ˆ‹†‹…ƒ–‘”•„‡–™‡‡…‹–›ƒ†”—”ƒŽ•‡––Ž‡‡–•–‘Ͳǡͳ Ω –Šƒ– –‡•–‹ϐ‹‡• –‘ ‡†‹…ƒŽ ƒ‹† ‹’”‘˜‡‡– ‘ˆ “—ƒŽ‹–› –‘ ”—”ƒŽ ‹Šƒ„‹–ƒ–• ™ƒ• ”‡†—…‡†Ǥ  ʹͲͲͺ ™‹ŽŽ ”‡ƒ…Š ƒ ‹‹— Ž‡˜‡Ž ‘ˆ ‹†‹…ƒ–‘”  ˆ‘” ƒ †‡…ƒ†‡ǡ ƒ†‡ ͶǡͳΩ ȋϐ‹‰—”‡ ʹȌ ™Š‹…Š ™ƒ• …‘•‹†‡”ƒ„Ž‡ „‡Ž‘™ ƒ ƒ˜‡”ƒ‰‡ ”‡’—„Ž‹…ƒȋͷǡͲΩȌȋ˓δͲǡͲͷȌǤ ‹‰—”‡ʹǤ ›ƒ‹…•‹ͳͻͻͻǦʹͲͲͺ ʹͲͲͶǦʹͲͲͺ‹…‘’ƒ”‹•‘™‹–ŠͳͻͻͻǦʹͲͲ͵•–”—…–—”‡Šƒ•…Šƒ‰‡†ǣƒŽ‡ƒ†‹‰’Žƒ…‡Šƒ•„‘””‘™‡†–Š‡ ˆ‘‡–—•ƒ•’Š›š‹ƒ„‡…ƒ—•‡‘ˆ‹ˆ”‹‰‡‡–—–‡”—•Ǧ’Ž‡…‡–ƒǦ—„‹Ž‹…ƒŽ„Ž‘‘†…‹”…—Žƒ–‹‘•Ǧͷʹǡͳ͸άͳͶǡ͵͹ΨǤŠ‡•‡…‘† ”ƒ–‹‰’Žƒ…‡„‡Ž‘‰‡†˔‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡•ƒ––Š‡ˆ”—‹–•™Š‹…Š•Šƒ”‡Šƒ•ƒ†‡ʹ͸ǡͻͲάͶǡ͵ʹΨǤ –Š‡–Š‹”†’Žƒ…‡–Š‡”‡™‡”‡’”‡Ǧƒ–ƒŽ‹ˆ‡…–‹‘•Ǧ͹ǡͺͲάʹǡͳ͵ΨǤŠ‡•›†”‘‡‘ˆ”‡•’‹”ƒ–‘”›ˆ”—•–”ƒ–‹‘Šƒ•–ƒ‡ –Š‡ˆ‘—”–Š”ƒ–‹‰’Žƒ…‡ǦͶǡ͸Ͷάʹǡ͸͹ΨǤ –”—…–—”‡  …Šƒ‰‡ Šƒ• „‡‡ …‘‡…–‡† ™‹–Š ”‡†—…–‹‘ ‘ˆ ƒ •Šƒ”‡ ‘ˆ ’ƒ–Š‘Ž‘‰‹…ƒŽ …Šƒ‰‡• ‘ˆ ‹ϐŽƒƒ–‘”› …Šƒ”ƒ…–‡” ‹ ƒ ’Žƒ…‡–ƒ ƒ† ƒ —„‹Ž‹…ƒŽ …‘”† ™‹–ŠͳͲͲǡͲάͲǡͲ Ψ ‹ ͳͻͻͻǦʹͲͲ͵ –‘ Ͷ͸ǡͶͳάʹǡͺ͹ Ψ ‹ ʹͲͲͶǦʹͲͲͺ ȋ˓δͲǡͲͷȌǡƒ…‘•‡“—‡…‡ƒ••‘…‹ƒ–‡ȋ•‹—Ž–ƒ‡‘—•‘”…‘•‡…—–‹˜‡Ȍ„‡…‘‹‰‹ˆ‡…–‡†‘ˆ˜ƒ”‹‘—•ƒ…–‹˜ƒ–‘”•‹†‹ˆˆ‡”‡– –‡”•‘ˆ’”‡‰ƒ…›ȋ”αͲǡͺͶ͹ͻȌǤ –Šƒ•Ž‡†–‘”‡†—…–‹‘‘ˆ‹†Ǧƒ—ƒŽ—„‡”‘ˆ…ƒ•‡•ȋ‘ͳ͸Ȍ†‡ƒ†„‹”–Š•ƒ†‡ƒ”Ž› ‡‘ƒ–ƒŽ†‡ƒ–Š”ƒ–‡Ǥ –‹•‡•–ƒ„Ž‹•Š‡†ǡ–Šƒ–•–”—…–—”‡…Šƒ‰‡Šƒ•„‡‡…ƒ—•‡†„›‹–”‘†—…–‹‘’‡”‹ƒ–ƒŽ–‡…Š‘Ž‘‰‹‡•‘ˆ‡†‹…‘Ǧ ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘”‡’”‘†—…–‹˜‡Š‡ƒŽ–Šȋˆ—”–Š‡”Ǧ Ȍ‘ˆ’ƒ–‹‡–•™‹–Š Ǥ ‘ǡƒ•ƒ”‡•—Ž–‘ˆ’‡”ˆ‡…–‹‘‘ˆ•›•–‡‘ˆ–Š‡‘”‰ƒ‹•ƒ–‹‘’”‡‰”ƒ˜‹†ƒŽ‹’”‘˜‡‡–•ǡ‹…Ž—†‹‰–Š‡‡†‹…‘Ǧ ‰‡‡–‹…Š‡Ž’‘’”‡‰”ƒ˜‹†ƒŽƒ•–ƒ‰‡ƒ††—”‹‰’”‡‰ƒ…›ǡ‡ˆϐ‹…‹‡…›’‡”‹ƒ–ƒŽ†‹ƒ‰‘•–‹…•Šƒ•‹…”‡ƒ•‡†ǣ‹ʹͲͲͶǦ ʹͲͲͺ‹–‡”–‹ŽŽʹʹ™‡‡•‘ˆ’”‡‰ƒ…›…ƒ‡–‘Ž‹‰Š––‘ͻͲΨŽ‡–ŠƒŽƒ†•—„Ž‡–ŠƒŽ–‘…‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽ ƒ‘ƒŽ‹‡•ǡƒ†ƒˆ–‡”ʹʹ™‡‡•Ǧ‘‘”‡–ŠƒͳͲΨȋ–ƒ„Ž‡ͳȌǤ ƒ„Ž‡ͳǤ ‡–‡…–ƒ„‹Ž‹–›‘ˆ…‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡•‹–Š‡ ”‘†‘ƒ”‡ƒ‹ͳͻͻͻǦʹͲͲͺȋ‹Ψ–‘–Š‡‰‡‡”ƒŽ—„‡”Ȍ †‹…ƒ–‘”• ʛ܏ ˓ͳͻͻͻȂʹͲͲ͵ ʹͲͲͶȂʹͲͲͺ —ƒŽŽ›†‡–‡…–‡†…‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡• ͺͶ ǡʹ͵άͶǡͶͷ ͸ͻǡͷ͹άͶǡͶʹ δͲǡͲͷ —ƒŽŽ›†‡–‡…–‡†…‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡•ƒˆ–‡”ʹʹ™‡‡•‘ˆ’”‡‰ƒ…› ͳͶǡ͵͸άʹǡ͵Ͷ ͹ǡʹ͹άͳǡ͵ʹ δͲǡ Ͳͷ –‹•‡•–ƒ„Ž‹•Š‡†ǡ–Šƒ–ǡ†‡•’‹–‡”‡Žƒ–‹˜‡†‡•‹–›‘ˆ‹–‡””—’–‹‘•”‡ƒ‹‹‰™‹–Š‹†‡…ƒ†‡—†‡”‡†‹…‘Ǧ‰‡‡–‹… ‹†‹…ƒ–‹‘•‹•–”—…–—”‡ϐ‹‹•Š‡†’”‡‰ƒ…›ȋͲǡͶǦͲǡ͹ΨȌǡ‹ʹͲͲͶǦʹͲͲͺƒ•Šƒ”‡‘ˆ™‘‡„›™Š‹…Š’”‡‰ƒ…›Šƒ• „‡‡‹–‡””—’–‡†‹–‡”‘ˆͳʹǦʹʹ™‡‡•—†‡”‡†‹…‘Ǧ‰‡‡–‹…‹†‹…ƒ–‹‘•ǡ‹–™ƒ•”‡†—…‡†‹ͳǡͶ–‹‡•ȋ˓δͲǡͲͷȌǤ ‹”‡…– ‡‰ƒ–‹˜‡ …‘””‡Žƒ–‹‘ ‘ˆ …‘˜‡”ƒ‰‡ ’”‡‰”ƒ˜‹†ƒŽ ’”‡’ƒ”ƒ–‹‘ ‘ˆ ’ƒ–‹‡–• ƒ† ˆ”‡“—‡…‹‡• ‘ˆ †‡ˆ‡…–• ‘ˆ ƒ ‡”˜‘—•–—„‡ƒ–ˆ‘‡–—•ƒ†‡™„‘”•ȋ”αǦͲǡͻͷͳʹȌ‹•”‡˜‡ƒŽ‡†ȋϐ‹‰—”‡͵ȌǤ ‡•‹†‡•ǡƒ……—”ƒ–‡†›ƒ‹…•‘ˆ”‡†—…–‹‘‘ˆ…ƒ•‡•‘ˆ”‡˜‡ƒŽ‹‰…‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡•‘ˆ‡”˜‘—• –—„‡‹–‡”•‘”‡–Šƒͳʹ™‡‡•‘ˆ’”‡‰ƒ…›Šƒ•„‡‡”‡‰‹•–‡”‡†ǡ–Šƒ–‹ƒ††‹–‹‘–‡•–‹ϐ‹‡•–‘‹’”‘˜‡‡–‘ˆ “—ƒŽ‹–›‘ˆ‡†‹…ƒŽƒ‹†–‘’ƒ–‹‡–•™‹–Š Ǥ –ǡ‹–—”ǡŠƒ•Ž‡†ƒ—–Š‡–‹…ȋ˓δͲǡͲͷȌ–‘•Šƒ”‡”‡†—…–‹‘…‘‰‡‹–ƒŽ †‡˜‡Ž‘’‡–ƒŽ ƒ‘ƒŽ‹‡• ‡—”ƒŽ –—„‡• ‹ •–”—…–—”‡ ‹ ʹͲͲͶǦʹͲͲͺ ‹ …‘’ƒ”‹•‘ ™‹–Š ͳͻͻͻǦʹͲͲ͵ ™Š‹…Š ‹ ʹͲͲͺŠƒ˜‡–ƒ‡Žƒ•–”ƒ–‹‰’Žƒ…‡ǡƒ†–Š‡‹””‡Žƒ–‹˜‡†‡•‹–›Šƒ•ƒ†‡͸ǡ͵ΨǤ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ Health Problems of Civilization, Volume 8/ Number 3/2014 ǦͻǦ ‹‰—”‡ ͵Ǥ ›ƒ‹…• ‘ˆ …‘˜‡”ƒ‰‡ ’”‡‰”ƒ˜‹†ƒŽ ’”‡’ƒ”ƒ–‹‘ ȋΨȌ ƒ† ˆ”‡“—‡…‹‡• ‘ˆ †‡ˆ‡…–• ‘ˆ ƒ ‡—”ƒŽ –—„‡ ȋΩȌ ȋˆ‘‡–—•‡• Ϊ ‡™„‘”•Ȍ‹ͳͻͻͻǦʹͲͲͺ ˆϐ‹…‹‡…›‘ˆ–Š‡Ž‡ƒ†ƒ…–‹‘•–‘’”‡‰”ƒ˜‹†ƒŽ‹’”‘˜‡‡–™ƒ•‡š’”‡••‡†ƒŽ•‘‹”‡†—…–‹‘ˆ”‘…‘‰‡‹–ƒŽ †‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡•ȋϐ‹‰—”‡ͶȌǤ ‹‰—”‡ͶǤ –‡ƒ–ƒŽ‡Ž‹‹ƒ–‹‘ƒ†ƒŽ‡–ŠƒŽ‹–›ˆ”‘…‘‰‡‹–ƒŽ†‡˜‡Ž‘’‡–ƒŽƒ‘ƒŽ‹‡•ȋ”αǦͲǡ͸ͷͷͳȌ ›•–‡ ‘ˆ ”‡†‡”‹‰ ‘”‰ƒ‹•‡† ƒ……‘”†‹‰ –‘ –Š‡ ‹–‡”ƒ–‹‘ƒŽ ƒ’’”‘ƒ…Š‡• ȋ‡’‘ƒ•…Š› ‡– ƒŽǤ ʹͲͲ͹Ȍ –‘ –Š‡ ’‡”‹ƒ–ƒŽŠ‡Ž’‹͵Ž‡˜‡Ž’‡”‹ƒ–ƒŽ…‡–”‡•ȋˆ—”–Š‡”ǦȌŠƒ•ƒŽŽ‘™‡†–‘’”‘˜‹†‡ƒ˜ƒ‹Žƒ„‹Ž‹–›‘ˆ–Š‡Š‹‰ŠŽ›•‹ŽŽ‡†Š‡Ž’ ƒ•–‘’”‡‰ƒ–™‘‡ǡƒ†‡™„‘”•ƒ†Šƒ•ƒ†‡’‘•‹–‹˜‡‹’ƒ…–‘†‡…”‡ƒ•‡‹Ž‡˜‡Žȋ”αǦͲǡ͹͵ʹʹȌǤ‡•‹†‡•ǡ Ž‡˜‡Ž”‡†—…–‹‘’‡”‹ƒ–ƒŽŽ‘••‡•Šƒ•„‡‡…ƒ—•‡†„›ƒ…–‹˜‡ƒ’’Ž‹…ƒ–‹‘‘ˆ–Š‡†‡˜‡Ž‘’‡†ƒ†‹–”‘†—…‡†–‡…Š‹“—‡• ‘ˆ–”‡ƒ–‡–˜ƒ‰‹‹–‹•ƒ††‹•„‹‘–‹…ƒŽ…‘†‹–‹‘•ƒ–’”‡‰ƒ–™‘‡ƒ–†‹ˆˆ‡”‡–Ž‡˜‡Ž•‘ˆ”‡†‡”‹‰’‡”‹ƒ–ƒŽŠ‡Ž’ ȋ”αͲǡͺ͵Ͷ͹Ȍǡ‡–Š‘†•ƒ–‡ƒ–ƒŽˆ‘‡–—•’”‘–‡…–‹‘ȋ”αͲǡ͹͹ͶͻȌǡ”ƒ–‹‘ƒŽ‡†‹…ƒ‡–‘—•–Š‡”ƒ’›‘ˆ’”‡‰ƒ–™‘‡ǡ ™‘‡‹…Š‹Ž†„‹”–Šƒ†‡™„‘”•ǡ‹…Ž—†‹‰ǡ…ƒ””›‹‰‘—–‘ˆ’”‡˜‡–‹˜‡ƒ‹–‡ƒ…‡‘ˆ†‡˜‡Ž‘’‡–‘ˆƒ•›†”‘‡ ‘ˆ ”‡•’‹”ƒ–‘”› ˆ”—•–”ƒ–‹‘ „› †‡šƒ‡–Šƒ•‘‡ ȋ”αͲǡ͹ͳʹͻȌǡ ƒ† ƒŽ•‘ ƒ…–‹˜‡ —•‡ ƒ”–‹ϐ‹…‹ƒŽ •—”ˆƒ…–ƒ– ˆ‘”‹–• –”‡ƒ–‡– ȋ”αͲǡ͸ͺ͵͹ȌǤ –”‘†—…–‹‘‘ˆ–‡…Š‘Ž‘‰‹‡•‘ˆ–Š‡‘”‰ƒ‹•ƒ–‹‘‘ˆ’”‡˜‡–‹˜‡ƒ‹–‡ƒ…‡ǡ‡ƒ”Ž›”‡˜‡ƒŽ‹‰ƒ†’”‘’Š›Žƒ…–‹… ‡†‹…ƒŽ‡šƒ‹ƒ–‹‘ ȋ”αͲǡ͹͸͹ʹȌǡƒ…–‹˜‹–›ƒ…–‹˜‹œƒ–‹‘‘ˆ‘”ƒ–‹‘ ™‹–Š…‘˜‡”ƒ‰‡•—„•–ƒ–‹ƒŽ‰”‘™–Š „› ƒŽŽ ‹†• ‘ˆ …‘–”ƒ…‡’–‹‘ ‹ †‹ˆˆ‡”‡– ƒ‰‡ ‰”‘—’• ‘ˆ ’ƒ–‹‡–• ȋ’”‡˜ƒŽ‡…‡ ‹–”ƒ—–‡”› …‘–”ƒ…‡’–‹‘ ‘ ͳͲͲͲ ™‘‡ˆ‡”–‹Ž‹–›ƒ‰‡‹ʹͲͲͺŠƒ•ƒ†‡͵ͶͳǡͶǡŠ‘”‘ƒŽǦ͵͹͹ǡͺȌȋ”αͲǡͺͳ͹͵ȌŠƒ†ƒ…‘•‡“—‡…‡‹ʹͲͲͶǦʹͲͲͺ‹ …‘’ƒ”‹•‘™‹–ŠͳͻͻͻǦʹͲͲ͵…‘•‹†‡”ƒ„Ž‡”‡†—…–‹‘ȋ‹ͳǡ͵–‹‡•Ȍ‘–’Žƒ‡†’”‡‰ƒ…›ǣ–‘ͳʹǡ͹άͲǡͺͻ‘ͳͲͲͲ ™‘‡ˆ‡”–‹Ž‹–›ƒ‰‡ȋ˓δͲǡͲͷȌǤ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ Health Problems of Civilization, Volume 8/ Number 3/2014 ǦͳͲǦ ‘ǡ ˆ‘” ƒ †‡…ƒ†‡ ’”‡˜ƒŽ‡…‡ ‘ˆ ƒ„‘”–‹‘• Šƒ• †‡…”‡ƒ•‡† ‹ ʹǡͳ –‹‡• –‘ ͳͳǡʹ ˆ‘” ͳͲͲͲ ™‘‡ ˆ‡”–‹Ž‹–› ƒ‰‡ ȋ’δͲǡͲͷȌǤ ʹͲͲͶǦʹͲͲͺ‹ƒ”‡ƒǡ–Š‡”‡™‡”‡‘…ƒ•‡•‘ˆ…”‹‹ƒŽƒ„‘”–‹‘•Ǥ’’”‘š‹ƒ–‹‘‘ˆ†ƒ–ƒǡƒ†ƒŽ•‘–Š‡ ‡“—ƒ–‹‘’‘Ž›‘‹ƒŽ–”‡†™‹–ŠŠ‹‰Š†‡‰”‡‡‘ˆ”‡Ž‹ƒ„‹Ž‹–›ȋ ʹαͲǡͺͶʹ͵ȌŠƒ˜‡ƒŽŽ‘™‡†–‘ƒ••‡”–ǡ–Šƒ–‘–‡†–‡†‡…› –‘†‡…”‡ƒ•‡‹“—ƒ–‹–›‘ˆƒ„‘”–‹‘•™‹ŽŽ”‡ƒ‹ƒ†ˆ—”–Š‡” Ǥ •ƒ™Š‘Ž‡ǡƒ‘‰™‘‡ˆ‡”–‹Ž‹–›ƒ‰‡™‹–Š ‹†Ǧƒ—ƒŽ”‡†—…–‹‘‘ˆ—„‡”‘ˆ”‡’”‘†—…–‹˜‡Ž‘••‡•Šƒ• ƒ†‡ͻͺͲ’”‘†—…–•‘ˆ…‘…‡’–‹‘Ǥ –ǡ‹–—”ǡŠƒ†ƒ…‘•‡“—‡…‡‹…”‡ƒ•‡‹‹†Ǧƒ—ƒŽ—„‡”‘ˆ„‹”–Š•ȋͶ͸Ͳ…ƒ•‡•Ȍ ƒ†ƒ‹†‹…ƒ–‘”‘ˆ„‹”–Š”ƒ–‡™Š‹…Š‹ʹͲͲͺŠƒ•”‡ƒ…Š‡†–Š‡Š‹‰Š‡•–˜ƒŽ—‡•‹…‡ͳͻͻ͵ǡƒ†Šƒ•ƒ†‡ͳͳǡ͵ΩǤ ‹–ŠƒŽŽ‘™ƒ…‡ˆ‘”‹†Ǧƒ—ƒŽ”‡†—…–‹‘ȋ†‡…”‡ƒ•‡Ȍ‘ˆ–‡”•‘ˆ•–ƒ›‘ˆ’ƒ–‹‡–•™‹–Š ‹ƒ‰›‡…‘Ž‘‰‹… Š‘•’‹–ƒŽǡ”‡†—…–‹‘•‘ˆŽ‡˜‡Ž‘ˆƒ…ƒ•‡”ƒ–‡™‹–Š–‡’‘”ƒ”›†‹•ƒ„Ž‡‡–ǡ”‡†—…–‹‘•‘ˆ…‘•–•ˆ‘””‡†‡”‹‰ƒ••‹•–ƒ…‡ –‘’ƒ–‹‡–•‹Žƒ„‘—”•ƒ†–Š‡’‘•–ƒ–ƒŽ’‡”‹‘†ǡ†‡…”‡ƒ•‡•‘ˆ‹†Ǧƒ—ƒŽŽ‡˜‡Ž‘ˆ”‡’”‘†—…–‹˜‡Ž‘••‡•ȋͻͺͲ’”‘†—…–• ‘ˆ …‘…‡’–‹‘Ȍǡ †‡…”‡ƒ•‡• ‘ˆ ‹†Ǧƒ—ƒŽ —„‡” ‘ˆ …ƒ•‡• ‹– ‹• †‡ƒ† „‹”–Š• ƒ† ƒ ‡ƒ”Ž› ‡‘ƒ–ƒŽ ‘”–ƒŽ‹–›ȋͳ͸ …ƒ•‡•Ȍǡƒ—‰‡–ƒ–‹‘‘ˆ‹†Ǧƒ—ƒŽ—„‡”‘ˆ„‹”–Š•ȋͶ͸ͲȌǡƒ†ƒŽ•‘–Š‡‹†Ǧƒ—ƒŽ‹…‘‡™Š‹…Š™‹ŽŽ„‡”‡…‡‹˜‡† „›–Š‡•–ƒ–‡ˆ”‘‹ƒ††‹–‹‘„‘”…‹–‹œ‡™‹–ŠƒŽŽ‘™ƒ…‡ˆ‘”…‘•–•ˆ‘”‹–‘ˆ–Š‡•–ƒ–‡ƒ††‹–‹‘ƒŽ‡…‘‘‹…„‡‡ϐ‹–ˆ‘” –Š‡ϐ‹ˆ–Šƒ‹˜‡”•ƒ”›Šƒ•ƒ†‡ǣʹͳͺʹʹͳͺͺ͸ͷʹ–Š‘—•ƒ†”‘—„Ž‡•ȋ‹–Š‡’”‹…‡•‘ˆʹͲͲͺȌǤ ‹•…—••‹‘Ǥ   ‘†‡” •‘…‹ƒŽ ƒ† ‡…‘‘‹… …‘†‹–‹‘•ǡ –Š‡ •–ƒ–‡‘ˆ ”‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š ‘ˆ –Š‡ ˆ‡ƒŽ‡ ’‘’—Žƒ–‹‘”‡ƒ‹•–‘‘‡‘ˆ–Š‡‘•–ƒ…—–‡‡†‹…‘Ǧ•‘…‹ƒŽ’”‘„Ž‡•ǡ„‡‹‰ƒ’”‘‹‡–ƒ•’‡…–‘ˆƒ–‹‘ƒŽ•ƒˆ‡–›Ǥ Š‡ˆƒ…–‘”•‹•‡••‡–‹ƒŽ‹ϐŽ—‡…‹‰†‡˜‡Ž‘’‡–‘ˆƒ’ƒ–Š‘Ž‘‰›‘ˆ ǡ‡‡’™‹–Š‹–Š‡‰‡‡”ƒŽ…‘…‡’–‘ˆ …‘†‹–‹‘ƒŽ‹–› ‘ˆ ’—„Ž‹… Š‡ƒŽ–Šǣ ƒ ‡š–‡”ƒŽ ‡˜‹”‘‡–ǡ ƒ ‘†‡ ƒ† Ž‹ˆ‡ …‘†‹–‹‘•ǡ ‡†‹…‘„‹‘Ž‘‰‹…ƒŽ ˆƒ…–‘”•ǡ ƒ•–ƒ–‡‘ˆ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡•ȋƒƒ—”ƒ‡–ƒŽǤʹͲͲͺȌǤ Š—•ǡ‡†‹…‘Ǧ•‘…‹ƒŽƒ•’‡…–•‘ˆˆ‡ƒŽ‡”‡’”‘†—…–‹˜‡Š‡ƒŽ–ŠŠƒ˜‡•–”ƒ–‡‰‹…˜ƒŽ—‡ǡƒ†–Š‡‡™‡–Š‘†‘Ž‘‰‹…ƒŽ „ƒ•‡ ‘ˆ ‹–• ˆ‘”ƒ–‹‘ ƒ† ’”‡•‡”˜ƒ–‹‘ „‡…‘‡• ƒ ‡••‡–‹ƒŽ •…‹‡–‹ϐ‹…ƒŽŽ›Ǧ’”ƒ…–‹…ƒŽ ’”‘„Ž‡ ‘ˆ ƒ‹–‡ƒ…‡ ‘ˆ Š‡ƒŽ–Š‘ˆ–Š‡ƒ–‹‘ǤŠ—•ƒ––Š‡’”‡•‡–•–ƒ‰‡‘ˆ†‡˜‡Ž‘’‡–‘ˆ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡•–‘†ƒ–ƒ„ƒ•‡„—‹Ž†‹‰ǡ‹ ’ƒ”–‹…—Žƒ” ǡ‹•›•–‡ƒŽƒ”ǡ‡†‹ƒ–‡ƒ†‡–”‡•—Ž–•‹–Š‡ϐ‹‡Ž†‘ˆƒƒ••‡••‡–‘ˆ’‘–‡–‹ƒŽ‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Šǡ –Š‡ƒŒ‘”•‹‰‹ϐ‹…ƒ…‡‹•ƒ––ƒ…Š‡†ǤŠ‡•‡†ƒ–ƒˆ‘”ƒ„ƒ•‹•ˆ‘”‹–”‘†—…–‹‘‹ƒ…–‹˜‹–›‘ˆ–Š‡‘”‰ƒ‹•ƒ–‹‘•‘ˆ  ‡™–‡…Š‘Ž‘‰‹‡•ˆ‘”‘’–‹‹•ƒ–‹‘‘ˆ–Š‡ƒ†‹‹•–”ƒ–‹˜‡’”‘…‡••„ƒ•‡†‘—•‡‘ˆ–Š‡‹–‡”ƒ–‹‘ƒŽ•–ƒ†ƒ”†•Ǥ š’‡”‹‡…‡ ‘ˆ –Š‡ ’”‡˜‹‘—• ”‡•‡ƒ”…Š‡• ‹ –Š‡ ‰‹˜‡”ƒ‰‡ –‡•–‹ϐ‹‡•ǡ –Šƒ– ”‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š ‘ˆ ™‘‡ ‹• ’ƒ™‡†ˆ”‘ϐ‹”•–†ƒ›•‘ˆ–Š‡‹”Ž‹ˆ‡ǡˆ‘”‡†‹–Š‡…‘†‹–‹‘•‘ˆ•‘…‹ƒŽŽ›Ǧ‡†‹…ƒŽ‡†‹—ƒ††‡–‡”‹‡•„”‡‡†‹‰ ’‘–‡–‹ƒŽ‘ˆƒ•‘…‹‡–›ƒ•ƒ–‹ϐŽ—‡…‡‘ˆ—ˆƒ˜‘”ƒ„Ž‡‡†‹…‘Ǧ•‘…‹ƒŽˆƒ…–‘”•–Š‡‘„•–‡–”‹…Ǧ‰›‡…‘Ž‘‰‹…’ƒ–Š‘Ž‘‰›‹ –Š‡ˆ‘”‘ˆ†‹•–—”„ƒ…‡•‘ˆ•’‡…‹ϐ‹…ˆ—…–‹‘•‘ˆƒˆ‡ƒŽ‡‘”‰ƒ‹•“—‹–‡‘ˆ–‡‡†—…‡•ǡ…‘’Ž‹…ƒ–‹‘•‘ˆϐŽ‘™‘ˆ ’”‡‰ƒ…›ƒ†•‘”–• ǡ Š‡ƒŽ–Š‘ˆ‡™„‘”• ȋ ”‹‰•„›‡–ƒŽǤʹͲͳͲǢ Š‹‡–ƒŽǤʹͲͲͶȌǤ –Š‡Ž‡ƒ†’‘•‹–‹‘‹•–”—…–—”‡‘ˆ–Š‡‡†—…‡†‰›‡…‘Ž‘‰‹…’ƒ–Š‘Ž‘‰›‹•‘……—’‹‡†™‹–Š Ǥƒ–‹‡–•™‹–Š–Š‡ ‰‹˜‡’ƒ–Š‘Ž‘‰›…‘’‘—†‘”‡–ŠƒͷͲΨ‘—–’ƒ–‹‡–ƒ†ƒ„‘—–͵ͲΨ‘ˆ•–ƒ–‹‘ƒ”›‰›‡…‘Ž‘‰‹…’ƒ–‹‡–•ǡƒ†Žƒ•– ›‡ƒ”•‹‡Žƒ”—•ǡƒ•™‡ŽŽƒ•ƒŽŽ‘˜‡”–Š‡™‘”Ž†ǡ…‘•–ƒ–‰”‘™–Š‘ˆƒ…ƒ•‡”ƒ–‡‹•”‡‰‹•–‡”‡†ȋ ʹͲͲ͹ȌǤ Š‡”‡ƒ”‡ƒ›–Š‡•…‹‡–‹ϐ‹…”‡•‡ƒ”…Š‡•†‡˜‘–‡† ǡŠ‘™‡˜‡”‹–‹•‡…‡••ƒ”›–‘‘–‹…‡ǡ–Šƒ––Š‡”‡‹•ƒ™‹†‡ •’‡…–”—›‡–‘–•‘Ž˜‡†’”‘„Ž‡•Ǥ ‘ǡ–‹ŽŽ‘™–Š‡”‡ƒ”‡‘„ƒ•‹…”‡•‡ƒ”…Š‡• ǡ‘–•–—†‹‡†–Š‡”‡‹•†›ƒ‹…•‘ˆƒ…ƒ•‡”ƒ–‡‹ƒ–‹‡Š‹•–‘”‹…ƒŽ ”‡–”‘•’‡…–‹˜‡•Š‘™–Šƒ–†‘‡•‘–ƒŽŽ‘™–‘ˆ”ƒ‡ƒˆ—ŽŽǦ•…ƒŽ‡’‹…–—”‡‘ˆƒ•–ƒ–‡‘ˆ”‡’”‘†—…–‹˜‡ˆ—…–‹‘‘ˆ’ƒ–‹‡–• ƒ– •—„’‘’—Žƒ–‹‘ Ž‡˜‡Ž ƒ† –‘ ‰‡‡”ƒ–‡ —‹ˆ‘” ƒ’’”‘ƒ…Š‡• –‘ –Š‡ †‡…‹•‹‘ ‘ˆ ƒ ’”‘„Ž‡ ‘ˆ ’”‡•‡”˜ƒ–‹‘ ‘ˆ ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š–ƒ‹‰‹–‘ƒ……‘—–Š‹‰Š’”‡˜ƒŽ‡…‡ Ǥ ƒ›’”‘„Ž‡•‘ˆ•–”ƒ–‡‰‹…ƒ†‘”‰ƒ‹œƒ–‹‘ƒŽ…Šƒ”ƒ…–‡” ǡ‹…Ž—†‹‰“—‡•–‹‘•‘ˆˆ‘”ƒ–‹‘‘ˆƒ ™Š‹…Š ƒ”‡‘–•—”˜‡›‡†ƒ•ƒ…‘†‹–‹‘ƒ†”‡•—Ž–‘ˆ•—……‡••ˆ—Ž•‘…‹ƒŽ‹•ƒ–‹‘‘ˆ–Š‡’‡”•‘ƒ”‡‘–•‘Ž˜‡†ǤŠ‡•›•–‡‘ˆ ‘–‹˜ƒ–‹‘ƒ†˜ƒŽ—ƒ„Ž‡‘”‹‡–ƒ–‹‘ǡ‘™Ž‡†‰‡‘ˆ›‘—‰™‘‡‘ˆˆƒ…–‘”•‘ˆDz”‹•dz ǡ–Š‡‹”ˆ‡ƒ–—”‡•ƒ˜‹‰—’Š‡ƒŽ–Š ƒ†”‡’”‘†—…–‹˜‡„‡Šƒ˜‹‘—”–Šƒ–†‘‡•‘–ƒŽŽ‘™…ƒ””›‹‰‘—–ƒ…–‹‘‘ˆ…‘””‡…–‹˜‡…Šƒ”ƒ…–‡”–‘–Š‡ˆ—ŽŽ‹•‘–•–—†‹‡†Ǥ ‡‰”‡‡‘ˆ‹ϐŽ—‡…‡‘ˆƒ•‘…‹ƒŽ„ƒ…‰”‘—†‘Ž‡˜‡Žƒ†•–”—…–—”‡‘ˆƒ‰›‡…‘Ž‘‰‹…ƒ†‡š–”ƒ‰‡‹–ƒŽ’ƒ–Š‘Ž‘‰› ȋˆ—”–Š‡”Ǧ Ȍ‹•‹•—ˆϐ‹…‹‡–Ž›‡•–‹ƒ–‡†ƒ–™‘‡™‹–Š ǡ‹•‹…‘’Ž‡–‡ˆ‡ƒ–—”‡•‘ˆˆ‘”ƒ–‹‘ƒ†ƒ•–ƒ–‡‘ˆ –Š‡‹””‡’”‘†—…–‹˜‡Š‡ƒŽ–Šƒ”‡•–—†‹‡†ǡ–Š‡”‡‹•‘‘‹–‘”‹‰‘ˆ”‡•‡ƒ”…Šƒ†–Š‡…‘ˆ‘”‹‰ƒƒŽ›–‹…ƒŽƒ••‡••‡–• ˆ‘” ™‘”‹‰ ‘—– ‘ˆ ‡š’‡”– ƒ’’”‘ƒ…Š‡• ƒ† ‡–Š‘†• ‘‹–• …‘•‡”˜ƒ–‹‘ ƒ† •–”‡‰–Š‡‹‰ ‘ –Š‡ „ƒ•‹• ‘ˆ–Š‡ ”‡‰‹‘ƒŽ•…‹‡–‹ϐ‹……‘…‡’–™Š‹…Š™‘—Ž†…‘•‹†‡”ƒ…‘•‹†‡”ƒ„Ž‡“—ƒ–‹–›‘ˆˆƒ…–‘”•—ˆƒ˜‘”ƒ„Ž‡Ž›‹ϐŽ—‡…‹‰‘ ‹–Š‡†‹ˆˆ‡”‡–ƒ‰‡•‡ƒ•‘•‘ˆ‹–•ˆ‘”ƒ–‹‘ƒ†”‡ƒŽ‹•ƒ–‹‘Ǥ ƒ›’”‘‹‡–ƒ•’‡…–•‘ˆ‡†‹…ƒŽƒ‹†–‘’ƒ–‹‡–•–ƒ‹‰‹–‘ƒ……‘—–’‡”ˆ‡…–‹‘‘ˆ‘”‰ƒ‹œƒ–‹‘ƒŽƒ†‡†‹…ƒŽ –‡…Š‘Ž‘‰‹‡•ǡƒ‡–™‘”ƒ”‡‘–•—”˜‡›‡†™‹–Š—•‡‘ˆ‘†‡”†‡‘•–”ƒ–‹˜‡„ƒ•‡‹ƒŠ‹•–‘”‹…ƒŽ”‡–”‘•’‡…–‹˜‡•Š‘™ǡ ’‡”•‘‡Ž’‘–‡–‹ƒŽƒ†•–ƒ†ƒ”†„ƒ•‡‘ˆ ‘–Š‡„ƒ•‹•‘ˆƒ…–‹˜‡‹–‡”ƒ…–‹‘™‹–Š‡ˆ‘”…‡‡–ƒ—–Š‘”‹–‹‡•–Šƒ–Šƒ• ‘–ƒŽŽ‘™‡†–‘‰‡‡”ƒ–‡–‹ŽŽ‘™–Š‡…‘ˆ‘”‹‰‡†‹…‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž–‘‡•–‹ƒ–‡‹–•‡†‹…ƒŽǡ‡…‘‘‹…ƒ† •‘…‹ƒŽ‡ˆϐ‹…ƒ…››ƒ†‹ƒ…‘’Ž‡š–‘•‘Ž˜‡ƒ’”‘„Ž‡‘ˆ•–”‡‰–Š‡‹‰‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ™‘‡™‹–Š Ǥ ‡™‡–Š‘†‘Ž‘‰‹…ƒŽ„ƒ•‡•Š‘—Ž†„‡„ƒ•‡†ƒ†ƒ•…‹‡–‹ϐ‹…‡•–‹ƒ–‹‘‘ˆ–Š‡„ƒ•‹…‹†‹…ƒ–‘”•‘ˆƒ…–‹˜‹–›‘ˆ •‡”˜‹…‡‘ˆ‘„•–‡–”‹…ƒ‹†‘‹’”‘˜‡‡– ‘ˆ–Š‡™‘‡™Š‹…Š„ƒ•‹…†‹”‡…–‹‘•‡šƒ‹‡†‹–Š‡Ž‹–‡”ƒ–—”‡ƒ”‡ the •–”—…–—”‡ǡ’”‘…‡••ƒ†‘—–…‘‡• ȋ—””‹‰–‘Ǧ”‘™‡–ƒŽǤʹͲͲͷȌǤ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ Health Problems of Civilization, Volume 8/ Number 3/2014 ǦͳͳǦ Š‡ •–”—…–—”‡ ‘ˆ ƒ ‡•–‹ƒ–‹‘ ‘ˆ “—ƒŽ‹–› ‘ˆ ‡†‹…ƒŽ ƒ‹† „› ”‡•‡ƒ”…Š‡”• Œ‘‹• ƒ–‡”‹ƒŽ ”‡•‘—”…‡• ȋ„—†‰‡–ƒ”› ϐ‹ƒ…‹‰ƒ†‘ˆˆǦ„—†‰‡–‡ƒ•ǡƒ–‡”‹ƒŽ•ƒ†–Š‡‡“—‹’‡–‡–…ǤȌǡ–Š‡’‡”•‘‡Žȋ—„‡” ǡ’”‘ˆ‡••‹‘ƒŽ•—‹–ƒ„‹Ž‹–›ǡ “—ƒŽ‹ϐ‹…ƒ–‹‘ ‡–…ǤȌ ƒ† ‘”‰ƒ‹œƒ–‹‘ƒŽ …Šƒ”ƒ…–‡”‹•–‹…• ‘ˆ ƒ…–‹˜‹–›Ǥ ‘™‡˜‡” ‹ ‘†‡” ”‡•‡ƒ”…Š‡• –‘ •–”—…–—”‡ ‘ˆ ƒ ‡•–‹ƒ–‹‘‘ˆ“—ƒŽ‹–›ȋ‡š…‡’–ˆ‘”“—‡•–‹‘•‘ˆϐ‹ƒ…‹‰‘ˆ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡•Ȍ‹–‹•‘–‰‹˜‡…‘•‹†‡”ƒ„Ž‡ƒ––‡–‹‘ǡ –Š‡”‡ƒ”‡‘™‘”•‹™Š‹…Š‘‘†‡”†‡‘•–”ƒ–‹˜‡„ƒ•‡‹ƒŠ‹•–‘”‹…ƒŽ”‡–”‘•’‡…–‹˜‡•Š‘™˜ƒ”‹‘—•ƒ•’‡…–•‘ˆ ‡†‹…ƒŽƒ‹†–‘’ƒ–‹‡–•™‹–Š ™‘—Ž†„‡•–—†‹‡†ǡ†‹”‡…–‡†‘–Š‡‹”‹’”‘˜‡‡– ǡ–ƒ‹‰‹–‘ƒ……‘—–’‡”ˆ‡…–‹‘ ‘ˆ’‡”•‘‡Ž’‘–‡–‹ƒŽƒ†•–ƒ†ƒ”†„ƒ•‡‘ˆ‘„•–‡–”‹…Ǧ‰›‡…‘Ž‘‰‹…•‡”˜‹…‡ȋˆ—”–Š‡”Ǧ Ȍȋ‘œ‹‹‡–ƒŽǤʹͲͲ͹ȌǤ ……‘”†‹‰–‘”‡•‡ƒ”…Š‡”•ǡ–Š‡‡•–‹ƒ–‹‘‘ˆ–‡…Š‘Ž‘‰‹‡•‹’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡•‰‡–•–Š‡‹…”‡ƒ•‹‰˜ƒŽ—‡‹ –Š‡‘†‡”™‘”Ž†ƒ•ƒ…Š‹‡˜‡‡–•‘ˆƒ‡†‹…ƒŽ•…‹‡…‡Ž‡ƒ†–‘‘……—””‡…‡‘ˆ‘”‡‘†‡”ƒ†ǡˆ”‡“—‡–Ž›ǡ‘”‡ ‡š’‡•‹˜‡ ‘ˆ –Š‡ ‡“—‹’‡– ƒ† ‡†‹…‹‡•Ǥ ‹‹–ƒ–‹‘ ‘ˆ ”‡•‘—”…‡• ‘„Ž‹‰‡• †‘…–‘”• ƒ† Š‡ƒ†• ‘ˆ ’—„Ž‹…Š‡ƒŽ–Š •‡”˜‹…‡•–‘’”‘˜‹†‡“—ƒŽ‹–›‘ˆ‡†‹…ƒŽƒ‹†™‹–Š‹–Š‡Ž‹‹–•‘ˆƒ˜ƒ‹Žƒ„Ž‡„—†‰‡–ƒ”›ˆ—†•ǤŠ‡–”—•–™‘”–Š›‹ˆ‘”ƒ–‹‘ ‹•‡…‡••ƒ”›ˆ‘”ƒ’‘••‹„‹Ž‹–›‘ˆƒ……‡’–ƒ…‡‘ˆ…‘””‡…–ƒ†‹‹•–”ƒ–‹˜‡†‡…‹•‹‘•ƒ„‘—–…Ž‹‹…‘Ǧ‡…‘‘‹…‡ˆϐ‹…‹‡…›ƒ† ’”‘†—…–‹˜‹–›‘ˆƒ’’Ž‹…ƒ–‹‘‘ˆ–‡…Š‘Ž‘‰‹‡•‹’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡• Ǥ ‘™‡˜‡” ǡ–‹ŽŽ‘™”‡•‡ƒ”…Š‡•‘ˆ–Š‡‹”…Ž‹‹…‘Ǧ ‡…‘‘‹…‡ˆϐ‹…‹‡…›ƒ–‡†‹…ƒŽƒ‹†”‡†‡”‹‰–‘–Š‡‰‹˜‡…‘–‹‰‡–’”ƒ…–‹…ƒŽŽ›ƒ”‡ƒ„•‡–ȋƒ—–‘˜‡–ƒŽǤʹͲͲͻȌǤ –Š‹•…‘‡…–‹‘‹”‡†‡”‹‰‘ˆ‡†‹…ƒŽƒ‹†–‘’ƒ–‹‡–•™‹–Š –Š‡•›•–‡‘ˆ‡šƒ‹ƒ–‹‘‘ˆ‹–•“—ƒŽ‹–›Šƒ• •’‡…‹ƒŽ˜ƒŽ—‡ǤŠ‡‡š’‡”–‡•–‹ƒ–‹‘ƒŽŽ‘™•–‘†‘–Š‡‰‹˜‡”‡ƒ•‘…‘…Ž—•‹‘•ƒ„‘—–’”‡•‡…‡‘ˆ†‡ˆ‡…–•‹‹–•”‡†‡”‹‰ ƒ–†‹ˆˆ‡”‡–•–ƒ‰‡•ƒ†˜ƒ”‹‘—•Ž‹• Ǥ ‘™‡˜‡” ǡ–Š‡ƒƒŽ›•‹•‘ˆƒ’”‘„Ž‡‘ˆ“—ƒŽ‹–›‘ˆ–Š‡‘„•–‡–”‹…Ǧ‰›‡…‘Ž‘‰‹… Š‡Ž’–‘’ƒ–‹‡–•–‡•–‹ϐ‹‡•ǡ–Šƒ––‘–Š‡’”‡•‡––‹‡–Š‡”‡ƒ”‡‘•–ƒ†ƒ”†•–ƒ†ƒ”†ƒ’’”‘ƒ…Š‡•–‘‹–•†‡…‹•‹‘ƒ–Ž‡˜‡Ž–Š‡ ’—„Ž‹…Š‡ƒŽ–Š•‡”˜‹…‡•‘”‰ƒ‹•ƒ–‹‘•ȋˆ—”–Š‡”Ǧ ȌǤŽ‘‰™‹–Š‹–ǡƒŽ•‘–Š‡”‡ƒ”‡‘—‹ˆ‘”ƒ’’”‘ƒ…Š‡•–‘ƒ‡š’‡”– ‡•–‹ƒ–‹‘ƒ†–Š‡ƒƒŽ›•‹•‘ˆ“—ƒŽ‹–›‘ˆ‡†‹…ƒŽƒ‹†–‡””‹–‘”‹ƒŽ ȋ–ƒ‹•Š‡˜•›ʹͲͲͷȌǤ Š—•ǡ †‡•’‹–‡ …‘•–ƒ– ’‡”ˆ‡…–‹‘ ‘ˆ ‘”‰ƒ‹œƒ–‹‘ƒŽ –‡…Š‘Ž‘‰‹‡•ǡ ‡†‹…ƒŽ ƒ‹† ‹’”‘˜‡‡– ‘ˆ “—ƒŽ‹–› –‘ –Š‡ ˆ‡ƒŽ‡ ’‘’—Žƒ–‹‘ǡ ƒ•…‡†‹‰ ‘ˆ –Š‡ ‹’‘”–ƒ…‡ ‘ˆ –Š‡ ‡š‹•–‹‰ ‡†‹…ƒŽ …‘–”‘Ž ‘ˆ ‹’”‘˜‡‡– ‘ˆ ’ƒ–‹‡–• ™‹–Š ǡ ‡™ …‘’Ž‡š ”‡•‡ƒ”…Š‡• ˆ‘” ƒ •…‹‡–‹ϐ‹… •—„•–ƒ–‹ƒ–‹‘ ƒ† ™‘”‹‰ ‘—– ‘ˆ –Š‡ •›•–‡ —‹ϐ‹‡†ƒ† •–ƒ†ƒ”†‹•‡†‘”‰ƒ‹œƒ–‹‘ƒŽƒ†‡†‹…ƒŽƒ…–‹‘•ˆ‘”’”‡•‡”˜ƒ–‹‘ƒ†•–”‡‰–Š‡‹‰‘ˆ”‡’”‘†—…–‹˜‡Š‡ƒŽ–Š‘ˆ–Š‡ ‰‹˜‡…‘–‹‰‡–ƒ–ƒŽŽ•–ƒ‰‡•‘ˆ‡†‹…ƒŽ‘„•‡”˜ƒ–‹‘ƒ”‡†‡ƒ†‡†Ǥ ‘…Ž—•‹‘Ǥ Š—•ǡ‹–Š‡…‘—”•‡‘ˆ”‡•‡ƒ”…Š–Š‡‹’‘”–ƒ–‡†‹…‘Ǧ•‘…‹ƒŽ’”‘„Ž‡‹•†‡…‹†‡†Ǧ•‹‰‹ϐ‹…ƒ– •–”‡‰–Š‡‹‰ ‘ˆ’ƒ–‹‡–•™‹–Š ǡƒ†’‡”‹ƒ–ƒŽ–‡…Š‘Ž‘‰‹‡•‹–”‘†—…‡†™‹–Š‹–Š‡Ž‹‹–•‘ˆ‡†‹…‘Ǧ ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‹•”‡ƒ…Š‡†ǡŠƒ˜‡‡š’”‡••‡†‡†‹…ƒŽǡ•‘…‹ƒŽƒ†‡…‘‘‹…‡ˆϐ‹…‹‡…›Ǥ ‡ˆ‡”‡…‡•ǣ ͳǤ ‡••ǤǤ‡–ƒŽǤȋʹͲͲͷȌ ˆˆ‡…–‹˜‡‡••‘ˆ–”‡ƒ–‡–•–”ƒ–‡‰‹‡•‘ˆ•‘‡™‘‡™‹–Š’‡Ž˜‹… ‹ϔŽƒƒ–‘”›†‹•‡ƒ•‡ǣ a randomized trial. „•–‡”‹…•ƒ† ›‡…‘Ž‘‰›ǡͳͲ͸ȋ͵Ȍǣͷ͹͵ǦͷͺͲǤ ʹǤ ƒ‹ƒ”‹ǤǡŠƒ…‘ǤǤȋʹͲͲͷȌ ‡Ž˜‹…‹ϔŽƒƒ–‘”›†‹•‡ƒ•‡‹ƒ†‘Ž‡•…‡–•Ǥ ‡‹ƒ”•‹‡†‹ƒ–”‹… ˆ‡…–‹‘—• ‹•‡ƒ•‡•ǡͳ͸ȋ͵Ȍǣͳ͹ͷǦͳͺͲǤ ͵Ǥ ŠƒŽŽ‹• ǤǤ‡–ƒŽǤȋʹͲͲͻȌ ϔŽƒƒ–‹‘ƒ†’”‡‰ƒ…› Ǥ‡’”‘†—…–‹˜‡…‹‡…‡•ǡͳ͸ǣʹͲ͸ȂʹͳͷǤ ͶǤ ‡’‘ƒ•…Š› ǤǤ‡–ƒŽǤȋʹͲͲ͹Ȍ –”‡••ǡ‹—‡ˆ—…–‹‘ǡƒ†™‘‡ǯ•”‡’”‘†—…–‹‘ ǤƒŽ•‘ˆ–Š‡‡™‘” …ƒ†‡›…‹‡…‡•ǡͳͳͳ͵ǣ͵ͷͲȂ͵͸ͶǤ ͷǤ ƒƒ—”ƒǤ‡–ƒŽǤȋʹͲͲͺȌ–”‡••ƒ†”‡’”‘†—…–‹˜‡ˆƒ‹Ž—”‡ǣ’ƒ•–‘–‹‘•ǡ’”‡•‡–‹•‹‰ Š–•ƒ†ˆ—–—”‡†‹”‡…–‹‘• Ǥ Ǥ••Ǥ‡’” Ǥ ‡ǡʹͷǣͶ͹Ȃ͸ʹǤ ͸Ǥ ”‹‰•„› ǤǤ‡–ƒŽǤȋʹͲͳͲȌŠ‘”‹‘†‡…‹†—ƒŽ ϔŽƒƒ–‹‘ǣ ƒ”„‹‰‡”‘ˆ–Š‡”‡–‡”ƒ„‘” ›†”‘‡Ǥ ‡’” Ǥ…ǡ ͳ͹ǣͺͷȂͻͶǤ ͹Ǥ Š‹ǤǤ‡–ƒŽǤȋʹͲͲͶȌŽ‹‹…ƒŽ•‹‰‹ϔ‹…ƒ…‡‘ˆ‹–”ƒǦƒ‹‘–‹…‹ϔŽƒƒ–‹‘‹’ƒ–‹‡–• ™‹–Š’”‡–‡”’”‡ƒ–—”‡ ”—’–—”‡‘ˆ‡„”ƒ‡• Ǥ‡”‹…ƒ ‘—”ƒŽ‘ˆ„•–‡–”‹…•ƒ‰ ›‡…‘Ž‘‰›ǡͳͻͳǣͳ͵͵ͻȂͳ͵ͶͷǤ ͺǤ  ȋʹͲͲ͹Ȍ ‘”Ž†Š‡ƒŽ–Š•–ƒ–‹•–‹…•ǡ ‡‡˜ƒǣ ’Ǥͺ͸Ǥ ͻǤ —””‹‰–‘Ǧ”‘™ Ǥ‡–ƒŽǤȋʹͲͲͷȌ ‡ϔ‹‹‰–Š‡’‡”•‘ƒŽŠ‡ƒŽ–Š”‡…‘”†Ǥ ”‡Ž‡ƒ•‡•†‡ϔ‹‹–‹‘ǡƒ ––”‹„—–‡•‘ˆ …‘•—‡”Š‡ƒŽ–Š”‡…‘”†Ǥ  Ǥ‡”‹…ƒ ‡ƒŽ–Š ˆ‘”ƒ–‹‘ƒƒ‰‡‡–••‘…‹ƒ–‹‘ǡ͹͸ȋ͸ȌǣʹͶǦʹͷǤ ͳͲǤ ‘œ‹‹Ǥ‡–ƒŽǤȋʹͲͲ͹Ȍ ‹•‘ˆ’”‡ƒ–—”‹–›ǡŽ‘™„‹”–Š™‡‹‰Š–ƒ†’”‡‡…Žƒ’•‹ƒ‹”‡Žƒ– ‹‘–‘™‘”‹‰Š‘—”•ƒ† ’Š›•‹…ƒŽƒ…–‹˜‹–‹‡•ǣƒ•›•–‡ƒ–‹…”‡˜‹‡™ ……—’ƒ–‹‘ƒŽ˜‹”‘‡–ƒŽ‡†‹…‹‡ǡ͸ͶȋͶȌǣʹͳͻȂʹ͵ͺǤ ͳͳǤ ƒ—–‘˜ Ǥ Ǥ ‡– ƒŽǤ ȋʹͲͲͻȌ ‡’”‘†—…–‹˜‡ Š‡ƒŽ–Š ‘ˆ ™‘‡ ‹ –‡””‹–‘”‹‡• ‘ˆ ƒ …‹–› ™‹–Š †‹ˆˆ‡” ‡– Ž‡˜‡Ž ‘ˆ ƒ ƒ–Š”‘’‘‰‡‘—•Ž‘ƒ†Ǥ  ‹‰Ǥƒǡͳǣͳ͹ȂͳͻǤ ͳʹǤ –ƒ‹•Š‡˜•›ǤǤȋʹͲͲͷȌ Š‡‘”‡–‹…ƒŽ„ƒ•‡•‘ˆ†‡‘‰”ƒ’Š‹…•ƒˆ‡–›Ǥ ‡Ž…‘ǡͷǣ͵͸ȂͶʹǤ —„‹––‡†ʹ͹ǤͲ͸ǤʹͲͳͶ ……‡’–‡†ǣͲͺǤͲͻǤʹͲͳͶ Š‡‡†‹˔‘Ǧ‘”‰ƒ‹œƒ–‹‘ƒŽ‘†‡Ž‘ˆ’”‘–‡…–‹‘ǤǤǤ

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last seen: 2026-06-10T17:14:06.276822+00:00
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