scholarly journals MEDICAL CARE TO PATIENTS WITH CARDIOVASCULAR DISEASE IN FEDERAL SCIENTIFIC CLINICAL CENTER

2015 ◽  
Vol 6 (3) ◽  
pp. 9-19
Author(s):  
A V Chupin ◽  
A V Staferov ◽  
A S Zotov

Diseases of the circulatory system are the major social problem worldwide. The prevalence of these diseases, disability, mortality, temporary disablement and the need for specialized medical care contribute to medical and social significance of this pathology, for which our society incurs tangible human and economic losses. According to experts, the number of deaths from CVDs will increase due to the increase of mortality among the male population from 18.1 million in 2010 to 24.2 million in 2030. Mortality rates from CVD in the Russian Federation - one of the highest in the world.

Author(s):  
G. I. Tikhonova ◽  
M. S. Bryleva ◽  
T. Yu. Gorchakova

Standardized mortality rates of the male population aged 15-59 in Monchegorsk, where the Kola mining and metallurgical company is located, were higher relative to the Murmansk region and Russia: from diseases of the circulatory system by 34.8% and 52.1%, respectively, from malignant neoplasms by 26.3% and 19.4%, from diseases of the digestive system by 59.0% and 36.3%.


Vestnik ◽  
2021 ◽  
pp. 280-283
Author(s):  
М.А. Камалиев ◽  
С.Х. Алимбаева

Во всем мире болезни системы кровообращения считаются важнейшей проблемой потому, что показатели смертности от них превышают показатели смертности от любой другой причины. Обоснован перечень организационных резервов совершенствования медицинской помощи населению при болезнях системы кровообращения на основе усиления профилактической деятельности, ориентированной на конечные результаты. Diseases of the circulatory system are considered a serious problem all over the world, as the mortality rate from them exceeds the mortality rate from any other causes. The list of organizational reserves for improving medical care for the population with diseases of the circulatory system on the basis of strengthening preventive activities focused on the final results is justified.


2008 ◽  
Vol 7 (1) ◽  
pp. 119-123
Author(s):  
T. G. Ruksha ◽  
A. Ye. Dettsel ◽  
A. B. Salmina ◽  
Ye. I. Taksanova ◽  
K. A. Dettsel

Skin cancer is one of the most common malignancies and its increasing rates are found all over the world and in the Russian Federation in particular. The paper presents statistical analysis of the data on skin cancer morbidity and mortality rates in Krasnoyarsk Region summarized for the period since 1999 until 2005. Peculiarities of occurrence of this pathology among male and female persons are evaluated, tendencies of epidemiology of these tumors are analyzed, and comparative analysis of skin cancer morbidity in Krasnoyarsk Region with the Russian Federation as a whole and with foreign countries is carried out.


2019 ◽  
Vol 6 (4) ◽  
pp. 200-209
Author(s):  
N. Ryndina ◽  
P. Kravchun ◽  
O. Yermak

NEURO-HUMORAL MEDIATORS IN PROGRESSION OF ISCHEMIC HEART DISEASE WITH CONCOMITANT OBESITY. Ryndina N., Kravchun P., Yermak A. Cardiovascular disease is the main cause of death worldwide. Priority in the structure of the cardiovascular disease belongs to coronary artery disease (CAD) and especially to its acute form - acute myocardial infarction. AMI largely determines mortality, economic losses in most countries of the world. Modern epidemiological studies have shown the relationship between obesity and cardiovascular diseases, as well as between obesity and individual cardiovascular risk factors such as hypertension and hyperlipidemia. Cardiac troponin is a biomarker of choice for the diagnosis of acute myocardial infarction. However, after reperfusion therapy the actual level of Tn may be misleading due to the phenomenon of washout and the 12-hour expectation of peak levels remains the Achilles heel of this biomarker.Activation of neurohumoral systems in the acute period of the myocardial infarction promotes the expansion of the necrosis zone, the development of myocardial ischemia, abnormal heart rhythm and acute heart failure. Despite the large number of detected and studied neurohormones, our knowledge of the role of these peptides in the development of myocardial infarction and its complications is very limited. That is why studying of new biomarkers, such as copeptin and midregional proadrenomedullin, is perspective and interesting for scientist all over the world. Keywords: acute myocardial infarction, iscemic heart disease, obesity, copeptin, MRproADM.   Абстракт НЕЙРО-ГУМОРАЛЬНІ МЕДІАТОРИ ПРИ ПРОГРЕСУВАННІ ІШЕМІЧНОЇ ХВОРОБИ СЕРЦЯ З СУПУТНІМ ОЖИРІННЯМ. Риндіна Н., Кравчун П., Єрмак О. Серцево-судинні захворювання є основною причиною смерті в усьому світі. Пріоритет в структурі серцево-судинних захворювань належить ішемічній хворобі серця і особливо гострому інфаркту міокарда. Гострий інфаркт міокарда в чому визначає смертність, економічні втрати в більшості країн світу. Сучасні епідеміологічні дослідження показали зв'язок між ожирінням і серцево-судинними захворюваннями, а також між ожирінням і окремими факторами ризику серцево-судинних захворювань, такими як артеріальна гіпертензія і гіперліпідемія. Тропонін є маркером вибору для діагностики інфаркту міокарда. Однак після реперфузійної терапії фактичний рівень тропоніну може вводити в оману через явища вимивання, а 12-годинне очікування пікових рівнів залишається ахіллесовою п'ятою цього біомаркеру. Активація нейрогуморальних систем в гострому періоді інфаркту міокарда сприяє розширенню зони некрозу, розвитку ішемії міокарда, порушень ритму серця і гострої серцевої недостатності. Незважаючи на велику кількість виявлених і вивчених нейрогормонів, наші знання про роль цих пептидів у розвитку інфаркту міокарда та його ускладнень дуже обмежені. Ось чому вивчення нових біомаркерів, таких як копептин і MRproADM, є перспективним і цікавим для науковців усього світу. Ключові слова: гострий інфаркт міокарда, ішемічна хвороба серця, ожиріння, копептин, MRproADM.   Абстракт НЕЙРО-ГУМОРАЛЬНЫЕ МЕДИАТОРЫ ПРИ ПРОГРЕССИРОВАНИИ ИШЕМИЧЕСКОЙ БОЛЕЗНИ СЕРДЦА С СОПУТСТВУЮЩИМ ОЖИРЕНИЕМ. Рындина Н., Кравчун П. Ермак А. Сердечно-сосудистые заболевания являются основной причиной смерти во всем мире. Приоритет в структуре сердечно-сосудистых заболеваний принадлежит ишемической болезни сердца и особенно острому инфаркту миокарда. Острый инфаркт миокарда во многом определяет смертность, экономические потери в большинстве стран мира. Современные эпидемиологические исследования показали связь между ожирением и сердечно-сосудистыми заболеваниями, а также между ожирением и отдельными факторами риска сердечно-сосудистых заболеваний, такими как артеральная гипертензия и гиперлипидемия. Тропонин является маркером выбора для диагностики инфаркта миокарда. Однако после реперфузионной терапии фактический уровень тропонина может вводить в заблуждение из-за явления вымывания, а 12-часовое ожидание пиковых уровней остается ахиллесовой пятой этого биомаркера. Активация нейрогуморальных систем в остром периоде инфаркта миокарда способствует расширению зоны некроза, развитию ишемии миокарда, нарушений ритма сердца и острой сердечной недостаточности. Несмотря на большое количество обнаруженных и изученных нейрогормонов, наши знания о роли этих пептидов в развитии инфаркта миокарда и его осложнений очень ограничены. Вот почему изучение новых биомаркеров, таких как копептин и MRproADM, является перспективным и интересным для ученых всего мира. Ключевые слова: острый инфаркт миокарда, ишемическая болезнь сердца, ожирение, копептин, MRproADM.


Author(s):  
Elena Frolova

Brazil is the largest country in South America both in terms of population and area, while the country ranks fifth in the world in terms of territory. About 200 million people live in the country, the average life expectancy as of 2019 was 75.7 years, Portuguese is official language. Healthcare in Brazil at the present stage occupies a rightful place in the ranking of world health care systems. Not much is allocated for healthcare needs according to the European standards — about 8.5 % of GDP. However 1 % from any banking transaction in the country goes for medicine. At the same time the state pays close attention to health issues, fully providing financing for such costly areas as the treatment of HIV-associated pathology and hepatitis C, hemodialysis, and insulin therapy. But it was not always this way. Until 1988, before the right of all citizens to receive guaranteed medical care was enshrined in the Brazilian Constitution, healthcare in the country was available only to wealthy segments of the population, while the poor could only rely on the provision of medical services as part of charity. National Health System was established in the country in 1990 due to the adoption of the Constitution, which proclaimed the right to health as one of the fundamental human rights. Today, this system is one of the largest public health systems in the world, which covers provision of health care for about 200 million people. The country moved from the category of «recipient» of medical care at the world level to the category of «donor» not so long ago, and is very successful in this. This is one of the few states where public health interests of the nation are put above economic ones. This fact was confirmed during the tobacco control company. Brazil, being a major exporter of tobacco products, took an active part in this company, despite the fact that it suffered major economic losses [1].


2019 ◽  
Vol 21 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Nikolay I Briko ◽  
Platon D Lopukhov ◽  
Andrei D Kaprin ◽  
Elena G Novikova ◽  
Olga I Trushina ◽  
...  

Aim. To estimate the prevalence and trends of the long-term dynamics of morbidity and mortality associated with various manifestations of HPV infection in Russia in recent years. Materials and methods. We analyzed retrospective data with diagnostic codes related to cervical cancer, penile cancer, anal canal cancer, head and neck cancer (including the oral cavity, oropharynx, larynx and larynx), anogenital (venereal) warts from the official statistic of cancer register and STIs using incidence and mortality rates in Russia between January 2007 and December 2016 and retrospective data with diagnostic codes related to cancer of the vulva and cancer of the vagina between January 2011 and December 2016. Based on the available data on the involvement of HPV in the occurrence of pathological changes, the annual generalized indices for HPV-associated neoplasms were calculated. Results. The estimated number of HPV-associated lesions in the Russian Federation for 2007-2016 amounted to 5 761 170 cases, of which 224 630 - among men and 5 536 540 - among women. The estimated number of deaths from HPV-associated cancers was 109 510 cases, of which 32 080 - among men and 77 430 - among women. The estimated incidence of HPV-associated cancers neoplasms during this period increased by 10% among the male population and by 22% among the female population, reaching 8.0 cases per 100 000 male population in 2016 and 25.2 cases per 100 thousand female population. The death rate from HPV-associated cancers did not change significantly, and in 2016 it was 4.9 cases per 100 thousand male population and 10.2 cases per 100 thousand female population. Conclusion. There is an increase in morbidity and stabilization of mortality rates from HPV-associated cancers for both female and male populations, and a decrease in the incidence of anogenital (venereal) warts.


2009 ◽  
Vol 66 (7) ◽  
pp. 534-538
Author(s):  
Janko Jankovic ◽  
Isidora Ratkov ◽  
Sandra Sipetic ◽  
Jelena Marinkovic ◽  
Jadranka Maksimovic

Background/Aim. Oesophageal cancer is the sixth most common cause of death from all malignant tumors in the world (fifth in men, eighth in women). This cancer was estimated to account for about 529 000 new cases and about 442 000 deaths in the year 2007. In the year 2002 the highest standardized mortality rates (per 100 000 habitants) of oesophageal carcinoma were noticed in the East Asia (men/women: 18.8/7.7) and East Africa (18.6/7.8), while the lowest were noticed in the Middle Africa (1.4/0.2) and West Africa (1.3/0.5). The aim of this descriptive epidemiologic study was to analyze epidemiologic situation of oesophageal cancer in Belgrade population during the period 1989-2006, using mortality data. Methods. Mortality data were collected from the City Organization for Statistics. In data analysis we used mortality rates which were standardized directly using those of the world population as the standard, and proportions. A denominator for mortality rates was calculated using the Belgrade population which was an average of the two latest register years (1991 and 2002). In order to analyze trend mortality from oesophageal cancer we used linear trend. Results. In Belgrade deaths from oesophageal cancer accounted for about 5.2% of all malignant tumors of intestinal system in male population, and 2.4% in female population. This cancer is, according to standardized mortality rates (per 100 000 habitants), on the fifth place in Belgrade population behind colorectal, stomach, pancreatic, liver and cholecystic cancer. During the period 1989-2006 in Belgrade 44 persons died from oesophageal carcinoma on the average each year, mainly men (75%), and the rest were women (25%). In male population during the same period we noticed a significant increase in trend mortality (y = 1.61 + 0.06x, p = 0.001), while in female population the increase of mortality was not significant. The male/female oesophageal cancer mortality ratio was 3:1. Mortality rates for oesophageal cancer rise with age in both sexes and they are highest in the age group of 70 and more years. Significant increase in mortality from oesophageal cancer was noticed in age groups 20-29 and over 70 in male population, and age group 40-49 in female population. Conclusion. Increasing trend in oesophageal mortality suggests the necessity for improving measures of primary prevention including education about risk factors for this carcinoma (smoking, alcohol consumption, hot food and drinks), early diagnosis, and treatment.


2021 ◽  
Vol 100 (12) ◽  
pp. 1495-1501
Author(s):  
Yaroslav A. Leshchenko ◽  
Aleksandr A. Lisovtsov

Introduction. The concepts of the epidemiological transition and types of population health are applied to analyzing and evaluating the sanitary and epidemiological status of the population. Materials and methods. For many years of mortality, the dynamics of the male population of the Irkutsk region standardized indicators were used (European age standard). For identifying trends of changing mortality rates, an analytical alignment of the time series was used. It was a linear model by EXCEL’s standard tools (Microsoft Office 2007). The significance of the trend equation was calculated using F-test in IBM SPSS Statistics 23 (p < 0,05). Results. It has been established that the formation of various types of pathology and caused by this pathology mortality occurred under the influence of factors of different nature in the process of changes in social, environmental, epidemiological situations in the region. In the 1990 th and the first half of the 2000 th, high mortality rates in the class of diseases of the circulatory system and the class of external causes of morbidity and mortality were determined mainly by psychosocial disadvantage factors. By the class of Diseases of the respiratory system, there was noted a steady decrease in mortality rate from chronic diseases of the lower respiratory tract and pneumonia. It was probably due to an increase in the level and quality of medical care. A steady tendency to increase intensive and extensive mortality rates by class of Certain infectious and parasitic diseases was seen. That was caused by negative changes in infectious and epidemic processes under the influence of man-made pollution was noted. During 2005 - 2015 the digestive system’s share of the class of Diseases in the mortality structure increased. That is due to the prevalence of alcoholic liver disease, chronic alcoholic pancreatitis, complications of the ulcer of the stomach and duodenum. Conclusion. The combination of the identified patterns of the formation of intensive and extensive mortality rates determined by exogenous and endogenous factors made it possible to characterize the situation in the Irkutsk region as a relative sanitary and epidemiological disadvantage of the population.


Author(s):  
Olga Anatolievna Pasko ◽  
Vasily Fedorovich Kovyazin ◽  
Nadezhda Anatolyevna Lebedeva

The chapter describes the conditions of predisposition of territories to the emergence of forest fires on different continents of the world. Information on the types of forest fires and the characteristics of burning materials is given. Human and economic losses from the forest fires and other emergencies (earthquake, flood) are compared. The causes of forest fires and their dynamics in Europe, USA, Canada, Southeast Asia, and Russia are given in this chapter. An analysis of the factors of their occurrence is given. Forest fires in the Russian Federation, where they annually cover large areas, have been studied in detail. The dynamics of the burning of Russian forests in the regions and administrative districts of the Tomsk region is considered. The causes of fire emergence is revealed. The forecast of forest fires is given and zoning of forest areas of the region as for fire danger is carried out. The research identifies the role of natural conditions in the occurrence of forest fires at various territorial levels (continents, countries, regions, areas).


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