scholarly journals Dynamics of epidemiological indicators of thyroid pathology in the population of the Russian Federation: analytical report for the period 2009–2018

2021 ◽  
Vol 67 (2) ◽  
pp. 10-19
Author(s):  
E. A. Troshina ◽  
N. M. Platonova ◽  
E. A. Panfilova
Keyword(s):  
Iodine Deficiency ◽  
Russian Federation ◽  
Deficiency Syndrome ◽  
Thyroid Diseases ◽  
Entire Population ◽  
Linear Regression Models ◽  
Thyroid Pathology ◽  
Autoimmune Pathology ◽  
The Russian Federation ◽  
Observation Period

BACKGROUND: The level of iodine consumption by the population largery determines the spectrum of thyroid pathology. To date, in the Russian Federation, iodine-deficiency disorders (IDD) occupy a leading position in the structure of all thyroid diseases. Chronic ID leads to adverse health consequences and significant economic costs for their elimination on a national scale. However, the spectrum of thyroid pathology is not limited to the problem of ID, and the study of other thyroid diseases is also of interest.AIMS: to assess the dynamics of prevalence and incidence of IDD and other thyroid diseases in the entire population of the RF for the period 2009–2018, using official state statistics.MATERIALS AND METHODS: the main epidemiological indicators (incidence and prevalence) of thyroid diseases in the entire population of the RF were analyzed using official state statistics. The analyzed period is 2009–2018. There was no medical intervention. To assess the dynamics of prevalence and incidence, a linear regression models were constructed, the slope of the trend line was calculated.RESULTS: the data were analyzed in accordance with the structure of diseases presented in the statistical reporting: goiter, thyroiditis, hypothyroidism, thyrotoxicosis, congenital iodine deficiency syndrome. For the ten-year period 2009–2018 there is a statistically significant increase in the prevalence of various forms of goiter, thyrotoxicosis, congenital iodine deficiency syndrome in the entire population of the Russian Federation. During the observation period, an increase in the incidence of thyrotoxicosis was revealed. With regard to the incidence of congenital iodine deficiency syndrome, only an upward trend was revealed. Despite the fact that during the observation period the number of new cases of various forms of goiter decreased, the prevalence of goiter among the population of the Russian Federation remains high: 1.2% of the population by January 1, 2019. with the growth of autoimmune pathology, improvement of the level of diagnosis, and also, in some cases, with overdiagnosis (for example, when diagnosing autoimmune thyroiditis in individuals with asymptomatic carriage of antithyroid antibodies). The current approaches to iodine prophylaxis are not effective enough.CONCLUSIONS: the results of the analysis indicate mainly an increase in the high prevalence of thyroid pathology among the population of the RF against the background of regional events. The problem of ID remains unresolved, which dictates the need to introduce universal mandatory salt iodization in the territory of the RF.

scholarly journals EPIDEMIOLOGICAL INDICATOR VALUE IN THE IODINE AVAILABILITY ASSESSMENT — EVIDENCE FROM THE REGIONS OF THE RUSSIAN FEDERATION

2019 ◽  
Vol 9 (5) ◽  
pp. 367-372
Author(s):  
E. A. Troshina ◽  
A. A. Rybakova ◽  
S. I. Kutsev ◽  
N. М. Platonova ◽  
E. A. Panfilova ◽  
...  
Keyword(s):  
Congenital Hypothyroidism ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Urinary Iodine ◽  
Deficiency Syndrome ◽  
Thyroid Stimulating Hormone ◽  
Salt Iodization ◽  
The Russian Federation ◽  
Relationship Of ◽  
Availability Assessment

Background: In the Russian Federation, newborn screening comprises thyroid stimulating hormone determination to exclude primary congenital hypothyroidism. Screening is carried out throughout Russia. Neonatal TSH can be used to assess iodine deficiency and monitor iodine prevention programs.Objective: To assess and compare official statistical data on congenital hypothyroidism, the prevalence of hypothyroidism and iodine deficiency syndrome in children, as well as urinary iodine in the Russian regions.Materials and methods: The level of neonatal TSH was determined in 97.69% of children born in the Russian Federation in 2017. This article represents the results on the prevalence of hypothyroidism in the regions with various iodine availability. The correlation analysis was used to assess the relationship of CH incidence in newborns and iodine availability.Results: The calculated correlation coefficient, which was 0.2, reflects a weak relationship between the degree of iodine deficiency in the region and the number of newborns diagnosed with congenital hypothyroidism.Conclusions: In the Russian Federation, a law on universal salt iodization does not exist, and many regions are still in conditions of moderate or severe iodine deficiency. To assess the iodine status in these particular regions, we could use the results of newborn TSH screening

scholarly journals Prevalence of iodine deficiency disorders and effectiveness of iodine prophylaxis among the population of reproductive age living in Saint Petersburg

2014 ◽  
Vol 21 (3) ◽  
pp. 53-55
Author(s):  
D. E. Soboleva ◽  
S. V. Dora ◽  
A. R. Volkova ◽  
E. A. Ter-Oganesyants
Keyword(s):  
At Risk ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Iodized Salt ◽  
Reproductive Age ◽  
Iodine Deficiency Disorders ◽  
Women Of Reproductive Age ◽  
Saint Petersburg ◽  
Iodine Prophylaxis ◽  
The Russian Federation

The purpose of the study is the assessment of iodine status and effectiveness of iodine prophylaxis among the population of reproductive age. In this regard, we examined 200 individuals from 18 up to 44 years old living in Saint Petersburg for more than 3 years permanently. Most of the examined individuals had mild iodine deficiency, less than half of people of reproductive age (46 %) used iodized salt at home. Goiter was found by palpation in 8 % of participants. More than half of the surveyed individuals are women of reproductive age who are at risk for the development of iodine deficiency disorders. Our data reflect an unfavorable situation in fight against iodine deficiency disorders in Saint Petersburg. Probably, the voluntary model of using iodized salt as the prevention of iodine deficiency in the Russian Federation is not effective enough.

scholarly journals Diffuse toxic goiter in children: incidence at iodine deficient territories of the Russian Federation

2001 ◽  
Vol 47 (6) ◽  
pp. 19-22
Author(s):  
D. Ye. Shilin
Keyword(s):  
Relative Risk ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Time Course ◽  
Annual Number ◽  
Central Russia ◽  
Notable Increase ◽  
The Russian Federation ◽  
The Mean ◽  
Toxic Goiter

Time course of changes in the incidence of diffuse toxic goiter (DTG) in children aged 0-14years was studied in 1986-1999 at territories with slight iodine deficiency and normal radiation levels in the Central Federal Region of Russia (Belgorod, Voronezh, and Orel regions, a total of 45 territories, n = 665,987). The mean incidence of DTG over 14years in this cohort was 0.59per 100,000 children annually, which corresponds to the prevalence of this condition at a territory with slight and moderate iodine deficit. A notable increase in the incidence of DTG was observed during recent 5 years (1995-1999) in comparison with the beginning of observation (1986-1990): annual number of new cases and the morbidity level doubled (from 2.6+ 0.7 to 5.6+0.5, p - 0.01, and from 0.39 to 0.84, p < 0.03, respectively). The relative risk, of DTG in childhood increased to 2.15 (1.13-4.15, p < 0.029) in recent years; this is true mainly for pubertal girls. These negative shifts in DTG epidemiology among children in Central Russia were not caused by principal changes in the level of iodine consumption and were observed in the presence of persisting slight iodine deficiency under conditions of neglected overall iodine prevention.

scholarly journals Formation history and problems of the system of resistance to human immunodeficiency virus infection in the Armed forces of the Russian Federation

2018 ◽  
Vol 20 (4) ◽  
pp. 199-207
Author(s):  
Yu I Bulankov ◽  
M A Bulygin ◽  
K V Zhdanov ◽  
K V Kozlov ◽  
Yu I Lyashenko ◽  
...  
Keyword(s):  
Immune Deficiency ◽  
Human Immunodeficiency Virus ◽  
Russian Federation ◽  
Immune Deficiency Syndrome ◽  
Armed Forces ◽  
Acquired Immune Deficiency Syndrome ◽  
Deficiency Syndrome ◽  
Immunodeficiency Virus ◽  
The Russian Federation ◽  
Acquired Immune Deficiency

Infection rates of human immunodeficiency virus in Army forces have a clear structure divided into stages. Each stage characterized by objective socio-economic, political, epidemical prerequisites, which reflected conditions of epidemic developing, activeness of mechanisms and transmission factor, structure and possibilities of a protective system against infection in country and army. There are three stages of epidemic development. The first stage - infiltration (invasion), 1987 - 1995 years. The common feature this period of developing and functioning counteraction system against infection, produced by human immunodeficiency virus, and acquired immune deficiency syndrome in our country is «recognition by the state of the growing threat of the epidemic spread of infection caused by the human immunodeficiency virus in the absence of a real epidemic and limited material resources». The second period - epidemical infection spreading, produced by human immunodeficiency virus, 1995-2003 years. Significant efforts of counteraction system against infection, produced by human immunodeficiency, and acquired immune deficiency syndrome in the army was concentrated on improving diagnostic and approximation of the possibilities of military-medical expertise to the places where patients are identified. The third period - generalized - in the last2004 year to current period. Stabilization indicators identifying soldiers, infected by human immunodeficiency, archived as a result of barrier preventive measures (examination at the stage of conscription to the Armed Forces) are not accompanied by methodological and regulatory changes that have occurred in civilian health care, which contributes to negative trends in the later detection of the disease. So, the current system of medical help for soldiers, infected by human immunodeficiency, does not provide medical help enough, regulated by the governing documents of the Department of Health of the Russian Federation and state medical standards.

scholarly journals Social and hygienic assessment of the spread of thyroid diseases

2021 ◽  
Vol 65 (1) ◽  
pp. 37-44
Author(s):  
Konstantin V. Kondrat’ev ◽  
Pavel F. Kiku ◽  
Svetlana N. Beniova ◽  
Marina V. Li ◽  
Ol’ga G. Tsygankova ◽  
...  
Keyword(s):  
Iodine Deficiency ◽  
Physical Inactivity ◽  
Endocrine System ◽  
Statistical Processing ◽  
Thyroid Diseases ◽  
Thyroid Pathology ◽  
The Social ◽  
Correlation Pleiades ◽  
Deficiency Diseases ◽  
Combined Impact

Introduction. Iodine deficiency diseases (IDD) are currently one of the most common pathologies of the endocrine system. The development of these diseases in the Primorsky region depends on the sufficient intake of iodine and various factors of exogenous and endogenous nature. The identification and establishment of the contribution of social and hygienic nature factors in the comprehensive impact to the occurrence and development of thyroid diseases, including IDD, is an important area of research. The aim of the study is to obtain information about the social and hygienic factors that influence the occurrence and development of thyroid pathology, including iodine deficiency diseases. Material and methods. Based on statistical data the dynamics in the population prevalence of diseases of the endocrine system in the Primorsky region was analyzed. To identify social and hygienic factors, a survey of 222 patients of the Center of Endocrinology Regional Clinical Hospital No. 2 (Vladivostok) was performed. Statistical processing of the results of the sociological survey was carried out using the Terentyev correlation pleiades method. Results. The development of thyroid pathology, including IDD, is influenced by unfavorable environmental conditions, physical inactivity and stressful situations in the workplace, unfavorable occupational factors including an exposure to noise, dust, radiation from a personal computer, lifestyle factors due to low physical activity, non-compliance with the waking and sleeping regime. More often, thyroid diseases develop in women and people over 50 years of age. The development of IDD is influenced by the observance of the principles of rational nutrition and the presence of certain foods in the diet. The contribution of these factors in the conditions of their combined impact on the human body is established. Conclusion. The identified complex of social and hygienic factors that are important for the occurrence and development of thyroid diseases can be further used to create targeted programs for the prevention of these diseases in the population of the Primorsky region.

DYNAMICS OF THE MAIN INDICATORS OF HOSPITAL BEDS CARDIOLOGICAL HOUR AND DAY OF STAY IN THE RUSSIAN FEDERATION

2020 ◽  
Vol 5 (4) ◽  
pp. 43-49
Author(s):  
E. Manoshkina ◽  
M. Bant'eva ◽  
V. Kuznecova
Keyword(s):  
Length Of Stay ◽  
Medical Care ◽  
Russian Federation ◽  
Average Length ◽  
Health Resources ◽  
Average Length Of Stay ◽  
Hospital Beds ◽  
The Russian Federation ◽  
Day Hospitals ◽  
Observation Period

. For the period 2010-2018, the number of cardiac macroglobulinov stay in the Russian Federation decreased from 55477 before 49578 (10.6%),polysilazane hospitalizations for cardiac beds (from 9.3 to 10.8 per 1,000 population – 16.1%),decreased provision of cardiological beds (from 3.88 to 3.38 per 1000 population – by 12.9%), the average length of stay for cardiac bed (from 13.1 to 9.1 tnado – by 26.0%) and average employment cardiology bed per year (from 340 to 327 days – 3.8%). Mortality in cardiac beds in the Russian Federation decreased from 1.96% in 2010 to 1.89% in 2018 (by 3.6%).The provision of places for the Russian population in day hospitals of cardiological profile of organizations providing medical care in inpatient conditions increased by 19.6% (from 0.12 per 10,000 population in 2010 to 0.14 in 2018), and in day hospitals of organizations providing medical care in outpatient conditions decreased by 11.5% (from 0.15 per 10,000 population in 2014 up to 0.14 in 2018).In the Russian Federation, during the observation period, the level of hospitalizations in day hospitals of organizations providing medical care in inpatient conditions increased by 43.6%, and the GVA of the cardiological profile of organizations providing medical care in outpatient conditions increased by 5.2%. The dynamics of indicators of the bed Fund of cardiology profile in recent years indicates the process of inpatient replacement, which is undoubtedly one of the ways to improve the efficiency of using health resources.

Chernobyl and Iodine Deficiency in the Russian Federation: An Environmental Disaster Leading to a Public Health Opportunity

2002 ◽  
Vol 23 (4) ◽  
pp. 453 ◽  
Author(s):  
Richard J. Jackson ◽  
David M. DeLozier ◽  
Gregory Gerasimov ◽  
Olga Borisova ◽  
Paul L. Garbe ◽  
...  
Keyword(s):  
Public Health ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Environmental Disaster ◽  
The Russian Federation

scholarly journals Features of the structure of adult disability due to hypertension

2020 ◽  
Vol 23 (2) ◽  
pp. 46-51
Author(s):  
Roza Odebaeva ◽  
Evgeniy E. Achkasov ◽  
Marina А. Shurgaya
Keyword(s):  
Statistical Analysis ◽  
Russian Federation ◽  
Total Population ◽  
Adult Population ◽  
Functional Disorders ◽  
Disabled People ◽  
Life Activity ◽  
Essential Arterial Hypertension ◽  
The Russian Federation ◽  
Observation Period

A retrospective statistical analysis of primary, repeated and General disability of the adult population in Moscow and in the Russian Federation was carried out. The observation period 20112017. Scope of the study: 31 373 disabled people (primary 11 069 and repeated 20 304), recognized as disabled due to hypertension during examination in the BMSE. The analysis of the dynamics of disability due to all classes of diseases in the Russian Federation is carried out. The total population was 324 832 people (90 808 primary and 234 024 repeated), who were recognized as disabled due to hypertension during examination in the BMSE. The observation period 20112017. The features of clinical and functional disorders and limitations of life activity in disabled people due to essential arterial hypertension (hypertension) were studied. A sample study was conducted in a cohort of disabled people (271 people due to hypertension).

scholarly journals FEATURES OF THE STRUCTURE OF THE CARDIAC CYCLE IN RECRUITS TRAINING CENTER OF THE NAVY IN THE ARCTIC ZONE

2019 ◽  
Vol 5 (3) ◽  
pp. 49-54
Author(s):  
Andrey B. Gudkov ◽  
Igor G. Mosyagin ◽  
Olga N. Popova ◽  
Anatoliy A. Nebuchennykh ◽  
Fedor A. Shcherbina
Keyword(s):  
Russian Federation ◽  
Cardiac Cycle ◽  
Northern Region ◽  
The Arctic ◽  
Training Center ◽  
Arctic Zone ◽  
Geographical Regions ◽  
The Russian Federation ◽  
Observation Period ◽  
Efficient Work

Objective: to identify the features of the structure of the cardiac cycle among recruits of the Navy training center, who arrived from different climatic and geographical regions of the Russian Federation in the Arctic zone. Two groups of servicemen of 37 people were formed: the first group consisted of recruits from the southern regions of the Russian Federation, and the second — natives of the northern region. Each soldier was examined monthly for 5 months. To study the structure of the cardiac cycle, polycardiography was used, which included simultaneous recording of an electrocardiogram (ECG), phonocardiogram (PCG) and sphygmogram (SG) of the carotid artery. It was established that the duration of the asynchronous reduction (AS) phase for servicemen from the southern regions during the 5-month observation period only tended to decrease from 0,053±0,004 to 0,044±0,004 s, and starting from 3 months. In the group of servicemen-northerners, the duration of the AU phase during the observation period was statistically significantly reduced from 0,055±0,003 to 0,040±0,004 s, and in months 3, 4, and 5 from 22% to 27% (p<0,05). The stress period (T) in the systole of the ventricles in military personnel from the southern regions also remained almost unchanged, while in the military northerners it was statistically significantly reduced from 0,085±0,002 to 0,080±0,001 s, as well as the duration of the total (electromechanical) systole (So) from 0,372±0,004 to 0,358±0,006 s. Thus, when training at the Navy training center located in the AZ, for recruits-northerners the duration of the AC phase decreases after 2 months, and after 4 months the time T and the duration of So decrease, indicating the beginning of a more efficient work of the myocardium. For recruits from the southern regions of the Russian Federation, by the end of their studies, there is only a slight tendency towards a decrease in the AU phase, which indicates a less efficient work of the myocardium in comparison with the group of northerners.

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