scholarly journals Comparative analysis of mortality from acute forms of ischemic heart disease during a 15-year period in the Russian Federation and the United States and the factors influencing its formation

2017 ◽  
Vol 89 (9) ◽  
pp. 53-59 ◽  
Author(s):  
S A Boytsov ◽  
I V Samorodskaya ◽  
N N Nikulina ◽  
S S Yakushin ◽  
E M Andreev ◽  
...  

Aim. To comparatively analyze the registered mortality rates from coronary heart disease (CHD) as a whole, as well as myocardial infarction (MI) and other acute forms of CHD during a 15-year period in the Russian Federation (RF, 2000—2014) and the United States of America (USA, 1999-2013). Materials and methods. Primary data were obtained from the database of the RF State Statistics Service, the World Health Organization Mortality Database, Human Mortality Database, then converted into standardized mortality rates and are presented in three age groups (30+, 30-49, and 50+ years old) in men and women separately. Results. The analysis revealed a substantial excess of the registered mortality rates from CHD in the RF versus in the USA, as well as a lower incidence of MI and a higher incidence of other acute CHD forms registered as the cause of death. It also showed considerable differences in the structure of registered types of MI as the cause of mortality. Conclusion. The differences found in the mortality rates from CHD, MI, and other acute forms of CHD in the RF and the USA can be explained by objective (the higher prevalence of cardiovascular risk factors, the higher and earlier incidence of CHD in the RF, as well as differences in the organization of medical care and, as a result, actually higher mortality rates from CHD in Russia) and subjective (differences in approaches to statistically developing a population-based mortality rate, as well as defects in filling out the medical documents and coding the causes of death) factors.

2018 ◽  
Vol 14 (3) ◽  
pp. 312-318 ◽  
Author(s):  
S. A. Shalnova ◽  
V. G. Vilkov ◽  
A. V. Kapustina ◽  
A. D. Deev

Heart rate (HR) acceleration is one of the risk factors of the number of prevalent chronic non-communicable diseases.Aim. To evaluate changes in mean levels of HR in the Russian Federation (RF) and the United States of America (USA) in different age and sex groups from 1975 to 2014.Material and methods. HR levels in men and women of different age groups were evaluated in the populations of the RF and the USA in 1975-1982 and in 2007-2014 by the secondary analysis of cross-sectional trials data. A total number of cases was 48974.Results. In 80th years of XX century Russian men and women of all age groups had lower HR as compared to the USA, the distinctions were statistically significant in all age groups except for men aged 25-34 years (p<0.0001). During the next 3 decades HR significantly decreased in all groups of the USA population, while the RF population demonstrated variety of HR levels trends in different groups, absolute distinctions in mean values were relatively small and did not exceed 2 beats per minute. At the present time HR levels are less in the RF as compared to the USA in women aged 25-55 years and in men aged 25-34 years; in 55-64-year old men HR is somewhat higher in the RF than in the USA, other groups revealed statistically insignificant distinctions.Conclusion. The USA evidently loosed out to the RF in mean levels of HR in all age groups 35 years earlier. During the next 3 decades situation has been worsened as applied to the RF and distinctions with the USA have been largely smoothed over. 


2021 ◽  
Vol 1 (10) ◽  
pp. 149-166
Author(s):  
Dmitry V. Gordienko ◽  

The paper examines the interests of Russia, the United States and China in the regions of the world and identifies the priorities of Russia's activities in Europe, Central Asia and the Caucasus, the Asia-Pacific region, the Arctic, Africa, the Middle East and Latin America, their comparative assessment with the interests of the United States and China. An approach to assessing the impact of possible consequences of the activities of the United States and China on the realization of Russia's interests is proposed. This makes it possible to identify the priorities of the policy of the Russian Federation in various regions of the world. The results of the analysis can be used to substantiate recommendations to the military-political leadership of our country. It is concluded that the discrepancy between the interests of the United States and China is important for the implementation of the current economic and military policy of the Russian Federation.


2018 ◽  
Vol 17 (4) ◽  
pp. 30-37
Author(s):  
A. A. Gerasimov

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.


2021 ◽  
Vol 2 (4) ◽  
pp. 102-117
Author(s):  
D. V. GORDIENKO ◽  

The paper analyzes the prospects of economic cooperation between the Russian Federation and the People's Republic of China, the Russian Federation and the United States in the context of economic relations of this strategic triangle. An approach is proposed to analyze the prospects for cooperation between Russia and China in the framework of global integration projects, as well as trade and investment cooperation between Russia and the United States. These relationships determine the interdependence of the national economies of these countries. An attempt is made to forecast the development of economic relations between the countries of the strategic triangle. The results of the work can be used to justify recommendations to the leadership of our country.


2018 ◽  
Vol 50 ◽  
pp. 01084
Author(s):  
Vladimir G. Svinukhov ◽  
Marina V. Konysheva ◽  
Irina G. Makarova

The paper presents a geographically based assessment of the volume and value of imported poultry meat into the Russian Federation under the embargo restrictions. The assessment is based on the foreign trade statistics issued by the Customs Service of the Russian Federation. In volume terms, the import of poultry meat to the Russian Federation in 2015 decreased by 14 % as compared to the volume of 2014; in value terms it decreased by 6%. The geography of the import also changed. Before the embargo, the main suppliers of poultry meat to the Russian Federation were the USA (51%), Belarus (16%) and Brazil (10%). After the embargo was introduced, the United States (30%) still remained the main supplier along with Brazil (21%). A significant market share of poultry meat supplies to the Russian Federation was captured by Belarus (26%).


2019 ◽  
Vol 23 (4) ◽  
pp. 546-564
Author(s):  
Emil V. Alimov

This article is devoted to the analysis of the genomic research legal regulation in the Russian Federation and the USA. In the United States, in addition to the legislation great importance is attached to medical and scientific institutions self-regulation, and such information is usually open. It is concluded that in Russia, despite the presence of both state and non-state scientific institutions engaged in genomic research, the mechanism of self-regulation as a whole is fragmented. It is also noted that Russia and the United States have specific legal regulation of these relations, which is reflected in the text of the article. For example, in the United States, unlike Russia, most organizations conducting genomic research, including genomic testing, are non-governmental. Currently, the general trend in the legal regulation of genomic research in Russia and the USA is the active development of normative legal regulation. Moreover, a significant difference in the approaches of these countries is the active role of the US states in the development of regional legal regulation on these issues. Despite the fact that Russia is a federal state, the subjects of the Russian Federation are significantly limited in the genomic research legal regulation possibilities. This is largely due to both legal and political reasons that were given in this article. In the United States, a number of statutes have been adopted at the state level that regulate genomic research in such aspects as health insurance, confidential of personal information, the prohibition of discrimination, screening of newborns, and certain types of clinical and scientific research. It should be noted that the genomic research regulation in the United States is not integrated into a single national consolidated act, which is a feature of this legal system. A comparative legal study of the fundamentals of legal regulation and self-regulation of genomic research in Russia and the USA made it possible to understand the specifics of regulation of these issues in different legal systems. The positive regulatory experience in conducting genomic research in the United States can be used to improve the regulatory framework of the Russian Federation in this area.


2020 ◽  
Vol 1 (12) ◽  
pp. 90-103
Author(s):  
D. V. GORDIENKO ◽  

The paper considers the impact of the European component of the policy of the United States of America, the people's Republic of China and the Russian Federation on the national security of these countries. An approach to comparing this influence is proposed, which allows us to identify the priorities of Russia's policy in Europe and other regions of the world. The proposed comparison can be used to justify recommendations to the military and political leadership of our country. It is concluded that the European component of the policy of the United States, China, and Russia occupies a dominant position in the implementation of current economic and military policies in the European region.


2021 ◽  
Vol 1 (9) ◽  
pp. 121-133
Author(s):  
D. V. GORDIENKO ◽  

The purpose of the study is to assess the impact of economic cooperation between the United States of America and the Russian Federation on the economic relations of the countries of the strategic triangle Russia- China-the United States. An approach to the analysis of trade and investment cooperation between the United States of America and the Russian Federation, which determines the interdependence of the national economies of these countries, is proposed. This allows us to give a forecast of the development of economic relations between the countries of the strategic triangle. The results of the analysis can be used to justify recommendations to the leadership of our country. The conclusion is made: despite the sanctions struggle between the United States and the Russian Federation, these countries continue to remain important economic partners for each other.


2019 ◽  
Vol 10 (3) ◽  
pp. 35-41 ◽  
Author(s):  
Elena V. Vladimirova ◽  
Vladimir P. Kovalyk ◽  
Stanislav V. Murakov ◽  
Artem A. Vladimirov ◽  
Yulia A. Markova

Background. The incidence rate of sexually transmitted infections (STIs) in different countries has attracted the attention of specialists from all over the world. The official rates of STI incidence in Russia are significantly lower than those in the United States. Objective. To assess the prevalence of STIs among patients in a network of federal laboratories. Methods. The prevalence analysis of Chlamydia trachomatis, Mycoplasma genitalium, Trichomonas vaginalis, Neisseria gonorrhoeae, human papillomavirus (HPV) types 16, 18 and herpes simplex virus (HSV) types 1, 2 was performed on the basis of anonymous data from 40 521 patients examined for sexually transmitted pathogens by real-time polymerase chain reaction (PCR). The studied biomaterial was delivered from 656 laboratory departments located in 284 settlements of all federal districts of the Russian Federation from January 2017 to June 2019. Results. One and more of the eight pathogens were detected in 13.8% of patients, two or more pathogens simultaneously were detected in 1.4% of patients. The prevalence of viral infections was: 5.6% in HPV type 16, 1.8% in HPV type 18, 0.5% in HSV-1, and 1.6% in HSV-2. The highest percentage of patients in whom at least one infection was detected was in the age groups under 17 years (27.9%) and 1825 years (19.8%). The distribution by gender in the groups varied, inversely: women predominated in the group under 17 years old (69%), men predominated in the group over 46 years old (71%). The prevalence of pathogenic bacteria was: C. trachomatis 3.8%, M. genitalium 1.5%, N. gonorrhoeae 0.5%, T. vaginalis 0.3%. Discussion. The official incidence of STIs in Russia is significantly lower than that in the United States, which, in our opinion, may indicate not the stable situation in our country infection-wise, but inefficiency of registering STIs in Russia. Conclusion. The data from the federal network of laboratories indicate a high prevalence of STIs in the Russian Federation. The existing STIs accounting system requires modernization. Introduction of the state national program for the Diagnosis, Treatment, and Prevention of STIs can be useful to reduce the spread of infections, improve the reproductive health of the population, and reduce the incidence of reproductive cancer.


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