scholarly journals Comments to clinical guidelines “Iodine deficiency disorders and diseases”

2021 ◽  
Vol 67 (5) ◽  
pp. 104-109
Author(s):  
G. A. Gerasimov
Keyword(s):  
Potassium Iodide ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Clinical Guidelines ◽  
Iodine Deficiency Disorders ◽  
Iodine Status ◽  
Adolescents And Adults ◽  
Icd 10 ◽  
The Russian Federation ◽  
Mandatory Use

The Letter to Editor presents an analysis of some sections of the clinical guidelines «Diseases and conditions associated with iodine deficiency» published in No. 3 of the journal «Problems of Endocrinology» for 2021. In particular, the discussion deals with the coding of thyroid diseases according to ICD-10, depending on the iodine status of the population of constituent entities of the Russian Federation, as well as issues of diagnosis and treatment, such as «verification» of goiter detected by palpation, or treatment of the vast majority of children, adolescents and adults with potassium iodide. The obstacles to the epidemiological assessment of the iodine status of the population when examining schoolchildren are discussed separately, in connection with the introduction in 2020 of the new regulation, which requires the mandatory use of iodized salt for cooking in school canteens throughout the country.

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 Iodine status of the population in Russia and the world: what do we have for 2019?

2019 ◽  
Vol 15 (2) ◽  
pp. 73-82 ◽  
Author(s):  
Vlada I. Alferova ◽  
Svetlana V. Mustafina ◽  
Oksana D. Rymar
Keyword(s):  
Soviet Union ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Former Soviet Union ◽  
World Literature ◽  
Urinary Iodine ◽  
Eastern Region ◽  
Iodine Status ◽  
The World ◽  
The Russian Federation

The article presents the most relevant data of the world literature on the problem of iodine status. The problem of iodine deficiency still remains unresolved on the territory of the former Soviet Union (the median urinary iodine was 29.1 μg/l in Abkhazia, and almost 30% of the examined had the level of ioduria below standard values in Kazakhstan), although some countries have been successful in dealing with iodine deficiency (the median urinary iodine is 191 μg/l in Belarus, 169 μg/l in Ukraine). On the rest of the Eurasian continent, the picture is also different: among the total mass of countries with normal median urinary iodine, there are territories with both iodine deficiency (the median of ioduria ranges from 80 to 138 μg/l in the UK, the median of ioduria is 63 μg/l in France) and its excessive consumption (the median of ioduria is 330.0 μg/l in China). On the territory of America, in 2016, the elimination of iodine deficiency was announced (the median of ioduria ranged from 123 μg/l (Argentina) to 415 μg/l (Colombia)), and Haiti was the only country with a fixed iodine deficiency – 84 μg/l. Research data from different years in the following regions of the Russian Federation are presented: Moscow (the median of ioduria 67.0 μg/l), St. Petersburg (66.0–86.0 μg/l), Tyumen region (106.9 μg/l), Novosibirsk region (93.0 μg/l), Republic of Bashkortostan (70.3 μg/l), Republic of Dagestan (65.8 μg/l), Kemerovo region (90.0 μg/l), Saratov region (59.0–106.0 μg/l), Tomsk region (94 μg/l), Far Eastern region (58.0–74 μg/l), Chelyabinsk region (92.0–164.5 μg/l), Chuvash Republic (72.0 μg/l), Perm region (100.0 μg/l). Almost throughout the Russian Federation, iodine deficiency of mild severity was noted.

scholarly journals The analytical review of monitoring of the basic epidemiological characteristics of iodine deficiency disorders among the population of the Russian Federation for the period 2009—2015

2018 ◽  
Vol 64 (1) ◽  
pp. 21-37 ◽  
Author(s):  
Ekaterina A. Troshina ◽  
Nadezhda M. Platonova ◽  
Elena A. Panfilova ◽  
Konstantin O. Panfilov
Keyword(s):  
Iodine Deficiency ◽  
Russian Federation ◽  
Preventive Measures ◽  
Analytical Data ◽  
P Value ◽  
Iodine Deficiency Disorders ◽  
Salt Iodization ◽  
The Russian Federation ◽  
Epidemiological Characteristics ◽  
Statistical Form

Background. In the Russian Federation (RF), the problem of iodine deficiency(ID) remains in. Major ongoing events are regional program. In our opinion it is necessary to evaluate their effectiveness and suggestions for improvements of preventive measures if necessary. Aims — to analyze the dynamics of the main epidemiological indicators of iodine deficiency disorders (IDD) in children, adolescents and adults population of the RF, sing the figures in the statistical form № 63 «Information on diseases related to micronutrient deficiency» and the statistical form №12 «Data on number of diseases registered at patients, living in area of medical service of medical institutions» (retrospective study), to evaluate the effectiveness of preventive measures for elimination of ID and formulate possible solutions. Material and methods. It have been analyzed the main epidemiological indicators of IDD among children (0—14 years), adolescents (15—17 years) and adult (18 and older) population of the RF for the period 2009—2015. For the assessment of the key epidemiological indicators was constructed a linear regression model, calculated the slope of the trend line (k-factor; a quantitative expression of the dynamics of prevalence/incidence), using Student’s t-test assessed the significance of k: were considered reliable (presence of speakers) at the level of p value p<0.05. Data processing was performed using Microsoft Excel 2010, R (version 3.2.3). Results. Latest analytical data on the prevalence and incidence of IDD has shown that despite preventive actions, the problem IDD is still remaining, as evidenced by the increase in the prevalence and incidence of IDD. The downward trend in the prevalence and incidence of some IDD is likely to be associated with the implementation of regional programs for the prevention of IDD. Also challenges and successes in managing ID in RF highlighted, given some normative-legal acts related to salt iodization. Conclusions. Formulate practical proposals to improve preventive measures to prevent the development of IDD.

scholarly journals The analytical review of monitoring of the basic epidemiological characteristics of iodine deficiency disorders among the population of the Russian Federation for the period 2009—2015

2018 ◽  
Vol 64 (1) ◽  
pp. 21-37 ◽  
Author(s):  
Ekaterina A. Troshina ◽  
Nadezhda M. Platonova ◽  
Elena A. Panfilova ◽  
Konstantin O. Panfilov
Keyword(s):  
Iodine Deficiency ◽  
Russian Federation ◽  
Preventive Measures ◽  
Analytical Data ◽  
P Value ◽  
Iodine Deficiency Disorders ◽  
Salt Iodization ◽  
The Russian Federation ◽  
Epidemiological Characteristics ◽  
Statistical Form

Background. In the Russian Federation (RF), the problem of iodine deficiency(ID) remains in. Major ongoing events are regional program. In our opinion it is necessary to evaluate their effectiveness and suggestions for improvements of preventive measures if necessary. Aims — to analyze the dynamics of the main epidemiological indicators of iodine deficiency disorders (IDD) in children, adolescents and adults population of the RF, sing the figures in the statistical form № 63 «Information on diseases related to micronutrient deficiency» and the statistical form №12 «Data on number of diseases registered at patients, living in area of medical service of medical institutions» (retrospective study), to evaluate the effectiveness of preventive measures for elimination of ID and formulate possible solutions. Material and methods. It have been analyzed the main epidemiological indicators of IDD among children (0—14 years), adolescents (15—17 years) and adult (18 and older) population of the RF for the period 2009—2015. For the assessment of the key epidemiological indicators was constructed a linear regression model, calculated the slope of the trend line (k-factor; a quantitative expression of the dynamics of prevalence/incidence), using Student’s t-test assessed the significance of k: were considered reliable (presence of speakers) at the level of p value p<0.05. Data processing was performed using Microsoft Excel 2010, R (version 3.2.3). Results. Latest analytical data on the prevalence and incidence of IDD has shown that despite preventive actions, the problem IDD is still remaining, as evidenced by the increase in the prevalence and incidence of IDD. The downward trend in the prevalence and incidence of some IDD is likely to be associated with the implementation of regional programs for the prevention of IDD. Also challenges and successes in managing ID in RF highlighted, given some normative-legal acts related to salt iodization. Conclusions. Formulate practical proposals to improve preventive measures to prevent the development of IDD.

Diffuse euthyroid goiter. The algorithms of treatment and prophylaxis with iodine preparations. A lecture

2014 ◽  
Vol 60 (5) ◽  
pp. 49-56
Author(s):  
Ekaterina A Troshina
Keyword(s):  
Breast Feeding ◽  
Iodine Deficiency ◽  
Russian Federation ◽  
Rural Populations ◽  
Iodine Deficiency Disorders ◽  
Table Salt ◽  
Salt Iodization ◽  
Diffuse Goiter ◽  
The Russian Federation ◽  
Deficiency Diseases

Iodine deficiency is known to be a major cause leading to the development of diffuse goiter. The available data indicate the existence of natural iodine deficiency over the entire territory of the Russian Federation. Nevertheless, there is up to now no legislative regulation of prophylaxis of iodine-deficiency diseases in the country by means of universal table salt iodization. Iodine-deficiency disorders are believed to currently affect 10-15% and 13-35% of the urban and rural populations of Rus- sia respectively. Calcium iodide preparations are widely applied to treat and prevent diffuse goiter in the patients including children, pregnant and breast-feeding women.

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 Atrial fibrillation treatment in Russia: work on bugs

2021 ◽  
Vol 28 (3) ◽  
pp. 1-4
Author(s):  
S. G. Kanorskii
Keyword(s):  
Atrial Fibrillation ◽  
Clinical Practice ◽  
Russian Federation ◽  
Medical Errors ◽  
Clinical Guidelines ◽  
The Future ◽  
The Russian Federation ◽  
Real Clinical Practice

The article discusses the results of a survey of doctors in the Russian Federation with the aim of studying approaches to the treatment of atrial fibrillation in real clinical practice and comparing the results obtained with the current clinical guidelines. Some new data are presented that could change the recommendations in the future; possible causes of medical errors and ways to correct them are discussed.

scholarly journals The Impact of the Introduction of Clinical Recommendations on Cardiology in the USA and Russia Federetionon Mortality from Ischemic Heart Diseas

2018 ◽  
Vol 17 (4) ◽  
pp. 30-37
Author(s):  
A. A. Gerasimov
Keyword(s):  
United States ◽  
Coronary Heart Disease ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Russian Federation ◽  
Clinical Guidelines ◽  
The United States ◽  
Ischemic Heart ◽  
The Russian Federation ◽  
The Impact

1 million 824 thousand people died in the Russian Federation in 2017, including 457 thousand from ischemic heart disease (IHD). IHD caused more than a quarter of deaths in Russia. Goal. The article analyzes the impact of implementation of clinical guidelines in cardiology in medical practice in the United States and the Russian Federation on the dynamics of mortality from ischemic heart disease and its outcomes in different age groups. Results. The results showed that the implementation of clinical guidelines (CG) increased the rate of mortality reduction from coronary heart diseases in Russia and the United States, which may indicate a positive impact CG on the quality of medical care. Conclusions. A higher level of mortality from coronary heart disease in Russia compared to the United States may be due to less commitment of doctors to the principles of therapy and diagnosis of various forms of coronary heart disease, set out in clinical guidelines.

Sign in / Sign up

Export Citation Format

Share Document