scholarly journals Clinical and epidemiological data on epilepsy in the Republic of Bashkortostan

2019 ◽  
Vol 11 (3) ◽  
pp. 263-269
Author(s):  
L. B. Novikova ◽  
A. P. Akopian ◽  
K. M. Sharapova

Objective – to conduct a retrospective study on the prevalence of epilepsy and the use of antiepileptic drugs (AED) in the adult population of the Republic of Bashkortostan (RB) in 2013-2017.Materials and methods. The study was carried out by analyzing the data of annual reports by the neurology services of outpatient and inpatient medical institutions in cities and regions of the Republic of Bashkortostan. In addition, we used the results of clinical examinations of patients with confirmed epilepsy and the data from the Medical Information and Analytical Center (MIAC).Results. The prevalence of epilepsy in the RB in 2013-2017 was 291.7-325.8 cases per 100 000 population; the incidence of epilepsy was higher in the central and eastern regions of the Republic. The average age of these patients ranged from 30.5±1.3 years to 41.8±0.2 years. The men/ women ratio was 1.1/1.0. The incidence rate of symptomatic epilepsy ranged from 82.6% to 46.5%. Of AED, carbamazepine was used most often (47.4% of patients) followed by valproic acid (up to 32.9%). AED of the new generation (perampanel) were rarely used (2.4%).Discussion. According to the data for 2016, the prevalence of epilepsy (per 100 000 population) in the RB exceeded the average figure for Russia as a whole: 323.4 in the Republic of Bashkortostan and 255.4 in the Russian Federation. Patients of young age (up to 40 years old) prevailed; among those, men took some lead. According to the literature, the gender difference in the prevalence of epilepsy remains minimal. As for the etiology, symptomatic epilepsy was the predominant form, with an increased presence of cryptogenic and idiopathic epilepsy in 2016-17. The “basic” AED were largely used for the treatment. Conclusion. Studying the clinical and epidemiological characteristics of epilepsy is important for the systemic organization of specialized medical care and the improvement of life quality in patients with epilepsy. 

2021 ◽  
Vol 65 (3) ◽  
pp. 191-197
Author(s):  
Elvira T. Valeyeva ◽  
Venera T. Akhmetshina ◽  
Elmira R. Shaikhlislamova ◽  
Rosa M. Bakieva ◽  
Albina A. Distanova

Introduction. The problem of disability of the population includes medical and social, economic, moral, and ethical aspects, since it affects a considerable number of people, mainly of working age. This also applies to health care workers, whose role in solving the tasks of state policy to preserve and prolong the active life of a person is invaluable. Purpose. Analysis of the levels, trend, and structure of primary disability among the Republic of Bashkortostan’s adult population and health care workers. Material and methods. Primary disability was studied according to the annual reports and 936 certificates of examination for disability in the Bureau of medical and Social expertise of the Republic of Bashkortostan for 2015-2017. Results. During the analyzed period, there is practically no tendency to decrease disability indices among the population of the Republic of Bashkortostan; among health care workers, in 2017 this value decreased by 1.1 times compared to 2015, amounting to 49.5 per 10 thousand population. In the structure of primary disability, the most numerous both among the population and among medical workers were persons with group III disability. Among the causes of disability of the adult population of the Republic of Bashkortostan, diseases of malignant aetiology (37.4%) and diseases of the circulatory system (25.9%) hold the top place. The direct access to disability, the cause of neoplasms of malignant aetiology, in medical workers for all the years of observation exceeded the national indices by 1.1-1.4 times. Breast, ovarian, and cervical cancer prevailed in the structure of oncological diseases among doctors. Disability among medical workers due to conditions of the circulatory system is established for every third doctor (32.9%). Conclusion. The basis for early diagnosis of diseases and prevention of disability of health care workers should be high-quality periodic medical examinations with mandatory implementation of the full scope of laboratory and functional research methods.


2020 ◽  
Vol 37 (1) ◽  
pp. 5-13
Author(s):  
L. B. Novikova ◽  
A. P. Akopyan ◽  
K. M. Sharapova

Aim. To conduct a retrospective study of the prevalence of multiple sclerosis (MS) and use of "drugs that change the course of multiple sclerosis" in the Republic of Bashkortostan (RB) for 20142018. Materials and methods. The analysis of the prevalence of MS in the Republic of Bashkortostan according to annual reports of neurological service of outpatient and inpatient hospitals of cities and districts of the Republic of Bashkortostan for 20142018 years. The data on dispensary examination of patients with a confirmed diagnosis of MS as well as those received from Medical Information and Analytical Center (MIAC) were analyzed. Results. The prevalence of MS in Bashkortostan during the study period ranged from 47.9 to 61.9 cases per 100 thousand of the population that was recorded mostly in the Central and Eastern regions of the Republic. According to gender features, women predominated in relation to men about 2:1. The mean age of patients ranged from 42.21 0.61 years to 47.6 10.83 years. The majority of patients (71.8 %), who were prescribed the drugs that change the course of multiple sclerosis, had a remitting form of the disease and 28.2 % had a secondary progressive form. Pathogenetic therapy of MS for the analyzed period of 2014-2018 was used for all MS patients on the basis of preferential drug provision. Conclusion. Improvement of the quality of care, rendered to MS patients, is closely related to early diagnosis of the disease, the optimization of pharmacotherapy on the basis of modern approaches to the treatment of various forms of this disease according to clinical guidelines and standard management of MS patients. The solution of this problem requires systemic organizational approaches and formation of specialized service for MS patients.


Author(s):  
R.M. Zainullin ◽  
◽  
T.R. Gilmanshin ◽  
G.M. Kazakbaeva ◽  
G.Z. Israfilova ◽  
...  

2014 ◽  
Vol 19 (1) ◽  
pp. 4-11
Author(s):  
M. G. Avdeeva ◽  
D. Yu. Moshkova ◽  
L. P. Blazhnyaya ◽  
V. N. Gorodin ◽  
S. V Zotov ◽  
...  

The purpose of the study the improvement of early diagnostics of Lyme disease on the based of clinical and epidemiological analysis of the main clinical forms of the acute course of the disease in new natural foci in the Krasnodar Krai. Patients and methods. There was analyzed the clinical course of disease and epidemiological data for 207 patients in the early period of acute course of Lyme disease within the period from 2004 to 2013. Results. In the territory of the Krasnodar Krai and the Republic of Adygea there has formed a set of foci of tick-borne borreliosis (TB), i.e. Lyme disease (LD). The infection of cases is observed not only in the natural foci of disease, but also within the city limits. The disease is registered mainly in the erythematous form (74% of patients), non-erythematous form accounts for 26%. The average age of patients was 41,1±1,83, years, males 38%, females 62%. In the non-erythematous form initial clinical symptoms are recorded in average in 11,6 ± 2,20 days after tick suction; in the erythematous form in 6,4 ± 0,70 days ( p


2019 ◽  
Vol 95 (6) ◽  
pp. 533-538 ◽  
Author(s):  
A. V. Skalny ◽  
Elena S. Berezkina ◽  
V. A. Demidov ◽  
A. R. Grabeklis ◽  
M. G. Skalnaya

The study of elemental status was carried out as a result of a multielement analysis of hair by ICP-MS within the framework of the Federal Program "National System of chemical and biological security of the Russian Federation, 2009-2014". This parameter is an index of the impact of the environment on the body. A total of 1,138 adult residents of the Republic of Bashkortostan (624 women and 514 men aged of25-50 years) were examined. The features of the element status of the adult population of the Republic were shown. The obtained data can be used as reference values of chemical elements in the hair of the adult population of the Republic of Bashkortostan.


Author(s):  
P. A. Mochalkin ◽  
A. P. Mochalkin ◽  
E. G. Stepanov ◽  
L. A. Farvazova

Objective of the study was to collate the lessons learned from application of differential approach to the areas with varying risk of infection while performing prophylactic measures in the territory of the Republic of Bashkortostan. Materials and methods. Archival epizootiological and epidemiological data of the Rospotrebnadzor Administration in the Republic of Bashkortostan, Republican Center of Disinfection, Center of Hygiene and Epidemiology in the Republic of Bashkortostan over the period of 2012–2017, as well as official statistics of the Rospotrebnadzor, including from Federal Center of Hygiene and Epidemiology and the data contained in the Form 1 of state statistics “Information on infection and parasitic diseases” were used for the analysis. Statistical processing of the data and results acquisition were carried out using standard software package of Microsoft Office and Statistica 8.0. Results and conclusions. It is established that in 2012–2017 due to selective concentration of preventive (anti-epidemic) activities in zones of high risk of HFRS contraction in Ufa city, significant decrement in HFRS morbidity rates was achieved. In order to deploy the stated tactics across the whole territory of the Republic of Bashkortostan, factors and areas of risk of infection have been identified. It is determined that the total land area with high risk of infection amounts to 14096 square kilometers; i.e. 9.8 % of the whole area of the Republic of Bashkortostan. At that, in 2012–2017 4946 cases of HFRS infection were registered here, which is 50.5 % of the total morbidity rate in the territory of the Republic of Bashkortostan. It is substantiated that to stabilize the level of HFRS incidence it is necessary to provide three-fold (spring, summer, and autumn) running of disinfection activities (barrier, community deratization (disinfection)) in the territories of high risk of infection. Prophylactic measures must be aimed at protection of specific contingents falling under the high risk of HFRS contraction and be preventive in nature; i.e. be carried out prior to the periods of contact intensity and population density increase in the areas characterized by high risk of infection.


2013 ◽  
Vol 1 (1) ◽  
pp. 108-111
Author(s):  
Milka Zdravkovska ◽  
Zharko Stojmanovski ◽  
Vaso Taleski ◽  
Svetlana Jovevska ◽  
Velo Markovski

Background: The Republic of Macedonia is an endemic area where brucellosis is a dominant zoonosis with high morbidity and enormous economic loss.Aim: To determine the incidence rate, prevalence rate and development tendency of infected people with brucellosis in R. Macedonia in the period from 01.01.1999 to 31.12.2009, to register and analyse the epidemiological characteristics of the infected with brucellosis according to gender, age and regional distribution.Materials and methods: The data about the infected people with brucellosis were taken from the register of individual cases as well as monthly and annual reports for infectious diseases prepared by the Institute for Public Health of Republic of Macedonia.Results:  According to the survey the highest number of incidence of human brucellosis in R. Macedonia was found in 2008, 23.94/100,000 people, and the lowest number of infected people was in 2009, about 13.99/100,000 people. Human brucellosis has a decreasing tendency.Conclusion: Human brucellosis remains a public health problem in Republic of Macedonia.


2020 ◽  
pp. 9-13
Author(s):  
M.M. Bikbov ◽  
◽  
T.R. Gilmanshin ◽  
G.Z. Israfilova ◽  
R.M. Zaynullin ◽  
...  

2021 ◽  
Vol 14 (2) ◽  
pp. 10-13
Author(s):  
M.V Zabelin ◽  
◽  
A.A. Izmailov ◽  
R.T. Ayupov ◽  
R.R. Rakhimov ◽  
...  

Introduction. The topic of telemedicine in Russia is now extremely relevant in connection with the current coronavirus infection in the pandemic. Diagnostics and prevention of the spread of epidemics, as well as remote treatment of patients, is currently the main task of the telemedicine section of the provision of cancer care in the Republic of Bashkortostan. The spread of the coronavirus infection COVID-19 has become a new challenge and a powerful impetus for the rapid development of telemedicine technologies (TMT) in the Republic. Materials and methods. The article describes in detail the algorithm for conducting telemedicine consultations (TMC) at the level  doctor-doctor  in the profile  oncology  upon requests from medical organizations of levels 1, 2, 3 received through the Republican Medical Information and Analytical System of the Republic of Bashkortostan. Results. The results of the work of the Republican clinical oncological dispensary (RСOD) telemedicine service for 2020 are presented. RСOD consultants conducted 32,295 telemedicine consultations on the  oncology  profile directed by medical organizations of the 2nd and 3rd levels of the Republic of Bashkortostan. With the introduction of TMK into the oncological service of the Republic of Bashkortostan, there was a natural shortening of the examination time for cancer patients. The remote appointment of the necessary examinations one day prior to a full-time visit to a specialized RKOD specialist made it possible to shorten the time frame from the time of establishing an oncological diagnosis to the oncological consultation and the beginning of specialized treatment. Conclusions. The widespread introduction of telemedicine in the work of the oncological service of the Republic of Bashkortostan may turn out to be a powerful tool for providing quality care while maintaining patient safety in a pandemic. The impact of the pandemic could turn teleoncology into the main practice of providing outpatient medical care for cancer patients.


2021 ◽  
Vol 13 (1S) ◽  
pp. 15-20
Author(s):  
A. V. Tukhvatullin ◽  
U. Sh. Kuzmina ◽  
N. F. Utyagulova ◽  
R. F. Talisov ◽  
V. A. Vakhitov ◽  
...  

An expansion of the age range of multiple sclerosis (MS) manifestation has been reported recently. Considering the multifactorial etiology, high heterogeneity of the clinical symptoms, and the difficulties of early MS diagnosis in young people, the onset and course of this disease in students can be considered as one of the significant medical and social problems.Objective: to analyze the clinical and epidemiological characteristics of MS in university and secondary specialized educational institutions students in the Republic of Bashkortostan (RB).Patients and methods. This case-control study included 32 patients aged 15 to 24 years studying in universities and secondary schools of the RB. The clinical and epidemiological indicators analysis was carried out based on data from the register of MS patients in the RB. 32 sex-, age-, place of birth and residence-matching patients with MS, who were not students, were included in the control group.Results and discussion. The median age of disease manifestation in students was 18 [16.5; 20] years, in the control group – 16 [14; 19] years (p=0.010). We found a lower «disease onset – diagnosis» in the students group of revealed a lower interval «disease onset – diagnosis» (0.5 [0; 1] years, p=0.006), and a shorter duration of MS compared to the control group ((2.8 [2; 4] years and 4 [2; 7] years, respectively, p=0.020). Students with MS predominantly had movement disorders: central paresis and cerebellar ataxia. Students also had a faster MS progression (0.4 [0.2; 0.6] EDSS scores per year, p=0.001), despite of the disease-modifying therapies.Conclusion. MS manifestation and course in students receiving disease-modifying therapies indicate the need for close follow-up, adherence control, and psychological support in the educational process.


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