Dispanserization monitoring for HIV-infected patients in the Siberian Federal District in 2013–2017

2019 ◽  
pp. 44-48
Author(s):  
E. S. Dovgopolyuk ◽  
L. I. Levakhina ◽  
A. T. Tyumentsev ◽  
O. A. Pasechnik
Keyword(s):  
Hiv Infection ◽  
Federal District ◽  
Siberian Federal District ◽  
Infected People ◽  
Number Of Patients ◽  
Target Values ◽  
The Russian Federation ◽  
Living With Hiv

According to UNAIDS, 1.4 million people are living with HIV in Eastern Europe and Central Asia, 75% of them in Russia. International guidelines recommend regular clinical evaluation of HIV-infected patients, which is achieved through follow-up. Purpose of the study: to characterize the quality of follow-up observation of HIV patients in the Siberian Federal District for the five-year period from 2013 to 2017. Materials and methods. A retrospective descriptive-assessment epidemiological study for the period 2013–2017 was conducted in the Siberian Federal District, in which dispensary observation indicators were most affected by improving the epidemiological situation associated with the spread of HIV infection. Results. The HIV infection in the Siberian Federal District increased during the period under review by 62,4% and reached 1328,5 per 100 thousand population. The prevalence of HIV infection at the beginning of 2018 was 679.0 per 100 thousand population (with an average Russian indicator of 430,2). The SFO accounted for 20,7% of all HIV cases (n = 130 595), which were registered at specialized medical organizations in the Russian Federation. The coverage of HIVinfected patients with clinical observation reached the target value and amounted to 88,2%. The number of patients who were examined to determine the immune status and viral load increased almost 2 times. At the same time, the proportion of HIV-infected people receiving antiretroviral therapy was at the level of 39,8%, which is 4,2% lower than the target values. The proportion of patients surveyed for tuberculosis among those who underwent medical examination in 2017 remains at the level of 87,8%, which does not stabilize the incidence of tuberculosis infection. The number of HIV-infected patients with a diagnosis of active tuberculosis increased 1,4 times to 17 610 in 2017 (10,9% of the number of patients). Conclusion. In the context of the continuing increase in the incidence of HIV infection in the population and an increase in the number of patients in need of various types of medical care, additional measures are needed to improve the quality and effectiveness of follow-up observation of patients with HIV infection.

scholarly journals SOCIETAL DETERMINANTS AS RISK FACTORS OF HIV-INFECTION SPREAD IN REGIONS IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 118-128
Author(s):  
S.I. Boyarkina ◽  
◽  
D.K. Khotimchenko ◽  
Keyword(s):  
Hiv Infection ◽  
Public Healthcare ◽  
Behavioral Strategies ◽  
Potential Health ◽  
Infected People ◽  
Number Of Patients ◽  
Structure Of Population ◽  
The Russian Federation ◽  
Social Environmental ◽  
Infection Spread

The paper dwells on the results obtained via examining dependence between HIV-infection spread and factors related to social environmental and social structure of population in RF regions. These factors are considered to be potential health risk ones. The authors tested a hypothesis about influence exerted by demographic, economic, cultural and behavioral de- terminants and public healthcare availability on differences in territorial spread of the disease within social-epidemiologic approach. To solve the set task, data that characterized 85 RF regions were taken from official statistical reports. Descriptive statistic analysis was performed and regression models were built up; it allowed testing whether the analyzed factors had their influence in RF regions and selecting the most significant ones to be included into the overall regression model. The research revealed significant contextual differences in HIV-infection spread. Regression analysis showed that 22.0 % differences in a number of HIV-infected people detected in RF regions occurred due to differences in urban popu- lation numbers, provision with ambulatories and polyclinics, and unemployment rate. Moreover, a number of registered crimes committed by minors determined 32.5 % difference in a number of patients with the first diagnosed HIV-infection between the examined regions. These results allow assuming that the greatest influence on spread of the disease in RF regions is exerted by conse- quences of urbanization; this process is usually accompanied with a growth in a share of urban population in a given region, instability on the labor market there as well as related migration processes within the country and wider opportunities to pursue individual behavioral strategies including those that involve law violations and/or are destructive for people’s health.

Prevalence of tuberculosis in Russian Federation in 1970–2019 and factors influencing its level

2021 ◽  
pp. 23-33
Author(s):  
M. V. Shilova
Keyword(s):  
Drug Resistance ◽  
Hiv Infection ◽  
Russian Federation ◽  
Tuberculosis Patients ◽  
The Past ◽  
Factors Influencing ◽  
Number Of Patients ◽  
The Russian Federation ◽  
Detection Quality

The data on the prevalence of tuberculosis in the Russian Federation are presented. A decrease in the prevalence of tuberculosis over the past 49 years, from 1970 to 2019, and a decrease in the number of patients with tuberculosis are shown. The factors influencing the prevalence of tuberculosis infection in the Russian Federation are considered: timely detection, quality of diagnosis and treatment of tuberculosis patients, MBT drug resistance, HIV infection in tuberculosis patients. The reliability of indicators characterizing the prevalence of tuberculosis has been studied.

Analysis of the level and structure of the incidence of the population of the KHMAO

2021 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
T. V. Razumova ◽  
◽  
T. V. Zuyevskaya ◽  
P. I. Pavlov ◽  
E. V. Sadrieva ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Russian Federation ◽  
Age Groups ◽  
Circulatory System ◽  
Federal District ◽  
Malignant Neoplasms ◽  
Number Of Patients ◽  
Working Age ◽  
The Russian Federation ◽  
Khanty Mansi Autonomous

Purpose of the study: assessment of the level and structure of the incidence of the population to determine the main categories of diseases most common in the Khanty-Mansi Autonomous Okrug-Yugra, as well as making a territorial comparison of the incidence of the population. Materials and research methods: statistical materials from the annual collection “Health of the population of the Khanty-Mansi Autonomous Okrug-Yugra and the activities of medical organizations” and data of statistical reporting on the incidence of the population from the Medstat program were used, in particular, the primary morbidity of the population of the Khanty-Mansi Autonomous Okrug-Yugra in different age groups, the general incidence the population of different age groups of the Khanty-Mansi Autonomous Okrug-Yugra. The analysis used indicators such as primary morbidity, general morbidity, one-year mortality (died within the first year from the date of diagnosis) in malignant neoplasms. Results. The primary morbidity of the population in the Khanty-Mansi Autonomous Okrug-Yugra tends to grow in all age groups. The indicators of primary morbidity of the population of the Khanty-Mansi Autonomous Okrug-Yugra in 2018 are 17.1% higher than in the Russian Federation and 12.2% higher than in the Ural Federal District. In the structure of primary morbidity, the first place is taken by diseases of the respiratory system, the second place in the structure of the primary morbidity of people over working age is taken by diseases of the circulatory system, and the third place is by diseases of the genitourinary system. The overall incidence rate of the entire population is 1896 per 1000 population. In 2018, 41.2 cases of tuberculosis per 100 thousand of the population were detected for the first time in the Khanty-Mansi Autonomous Okrug-Yugra (in the Ural Federal District – 61.6, in the Russian Federation – 44.4 per 100 thousand of the population). This pathology tends to decrease and compared with 2017 decreased by 10.2% (the Russian Federation decreased by 8.1%, the Ural Federal District – 2.1%). The number of patients with newly diagnosed HIV infection in 2018 decreased by 1.5% compared to 2017 and amounted to 82.3 per 100 thousand population, which is higher than in the Russian Federation (58.5), but lower. than in the Ural Federal District (108.2) per 100 thousand population. Since 2012, there has been a tendency towards an increase in the incidence of malignant neoplasms, but the detection rate of malignant neoplasms at stages III-IV has not changed since 2015 and is 39.5%, which is higher than in the Russian Federation (38.5%). Conclusion: the primary morbidity in the Khanty-Mansi Autonomous Okrug-Yugra in 2018 is 17.1% higher than in the Russian Federation. In the first place are diseases of the respiratory system (48.4%, of which in children – 66.4, and in persons of older working age – 22.2%). In second place in children is infectious pathology, and in people of working age – diseases of the genitourinary system. The second place in morbidity in older people of working age is diseases of the circulatory system. The district has a high level of infectious and parasitic diseases. The number of patients with newly diagnosed tuberculosis is lower than in the Ural Federal District and the Russian Federation. The number of patients with HIV infection is higher than in the Russian Federation, but lower than in the Ural Federal District. There is a tendency towards an increase in the number of malignant neoplasms. The number of neoplasms is lower than in the Ural Federal District and the Russian Federation. In the Khanty-Mansi Autonomous Okrug-Yugra, there is a positive trend in the reduction of socially significant diseases, such as tuberculosis, HIV infection, STIs, alcoholism, drug addiction, injuries and an increase in overall morbidity, including malignant neoplasms, which indicates the availability of medical care, health literacy of the population and carrying out appropriate preventive work.

scholarly journals SOCIETAL DETERMINANTS AS RISK FACTORS OF HIV-INFECTION SPREAD IN REGIONS IN THE RUSSIAN FEDERATION

2021 ◽  
pp. 118-128
Author(s):  
S.I. Boyarkina ◽  
◽  
D.K. Khodorenko ◽  
Keyword(s):  
Hiv Infection ◽  
Public Healthcare ◽  
Behavioral Strategies ◽  
Potential Health ◽  
Infected People ◽  
Number Of Patients ◽  
Structure Of Population ◽  
The Russian Federation ◽  
Social Environmental ◽  
Infection Spread

The paper dwells on the results obtained via examining dependence between HIV-infection spread and factors related to social environmental and social structure of population in RF regions. These factors are considered to be potential health risk ones. The authors tested a hypothesis about influence exerted by demographic, economic, cultural and behavioral de- terminants and public healthcare availability on differences in territorial spread of the disease within social-epidemiologic approach. To solve the set task, data that characterized 85 RF regions were taken from official statistical reports. Descriptive statistic analysis was performed and regression models were built up; it allowed testing whether the analyzed factors had their influence in RF regions and selecting the most significant ones to be included into the overall regression model. The research revealed significant contextual differences in HIV-infection spread. Regression analysis showed that 22.0 % differences in a number of HIV-infected people detected in RF regions occurred due to differences in urban popu- lation numbers, provision with ambulatories and polyclinics, and unemployment rate. Moreover, a number of registered crimes committed by minors determined 32.5 % difference in a number of patients with the first diagnosed HIV-infection between the examined regions. These results allow assuming that the greatest influence on spread of the disease in RF regions is exerted by conse- quences of urbanization; this process is usually accompanied with a growth in a share of urban population in a given region, instability on the labor market there as well as related migration processes within the country and wider opportunities to pursue individual behavioral strategies including those that involve law violations and/or are destructive for people’s health.

scholarly journals Epidemiology of HIV Infection and Molecular and Genetic Features of the Virus at the Infected Persons in Siberian Federal District

2016 ◽  
Vol 15 (5) ◽  
pp. 46-51
Author(s):  
A. N. Kolomeets ◽  
G. A. Kalacheva ◽  
L. I. Levakhina ◽  
V. K. Yastrebov ◽  
A. Kh. Nurpeysova ◽  
...  
Keyword(s):  
Hiv Infection ◽  
Significant Proportion ◽  
Federal District ◽  
Risk Groups ◽  
Age Group ◽  
Siberian Federal District ◽  
Nonnucleoside Reverse Transcriptase Inhibitors ◽  
Number Of Patients ◽  
Immunodeficiency Virus ◽  
Genetic Features

Relevance. HIV infection epidemic in the Siberian Federal District (SFD) continues to develop with a tendency to incidence growth. The prevalence indicator in the district on 1/1/2015 made 948,4 on 100 thousand of the population. Since 1996 within 20 years in Siberian federal district the group which is the most affected with HIV infection were the consumers of injecting drugs (CID). The greatest number of patients with HIV is registered among males from risk groups in age group of 30 - 39 years (25.8%). And the combined infections lead risky behavior in respect of HIV infection to increase in number of the dead. Goal. Studied the frequency distribution of mutations associated with resistance of human immunodeficiency virus to three main classes of antiretrovirals in patients on therapy, as well as «naive» patients Materials and methods. The study is supposed to monitor the epidemic process of HIV infection in the Siberian Federal District in 2001 - 2015. Results. Patients on therapy, noted the prevalence of mutations of HIV to nucleoside and nonnucleoside reverse transcriptase inhibitors. The "naive" patients in the majority of cases revealed no mutations associated with resistance. Conclusions. Established the dominance of HIV subtype A1, along with a significant proportion of circulating recombinant form 02_AG and 63_02А1.

Spatial socioeconomic development of cooperating regions: The Siberian Federal District case study

2020 ◽  
Vol 18 (7) ◽  
pp. 1266-1285
Author(s):  
Sn.P. Mongush
Keyword(s):  
Economic Development ◽  
Socioeconomic Development ◽  
Federal District ◽  
Conceptual Basis ◽  
Siberian Federal District ◽  
Socio Economic Development ◽  
The Russian Federation ◽  
Development Objectives ◽  
The Relationship

Subject. This article explores the various aspects of the concept of Spatial Development. Objectives. The article aims to develop a conceptual basis for the spatial socio-economic development of the collaborating regions. Methods. For the study, I used the methods of comparative and statistical analyses. Results. The article shows how cooperation between the subjects of the Russian Federation increases the potential of economically united regions. Conclusions. When preparing national strategic planning documents, it is necessary to take into account the specifics of regions, their capacity, available resources, and focus on the relationship between regions.

Tuberculosis epidemic situation in the Khabarovsk Krai: status and trends

2021 ◽  
Vol 87 (1) ◽  
pp. 17-24
Author(s):  
K.P. Topalov ◽  
◽  
O.L. Karpenko ◽  
E.G. Kovalyova ◽  
◽  
...  
Keyword(s):  
Population Density ◽  
Federal District ◽  
Khabarovsk Krai ◽  
Its Regions ◽  
Status And Trends ◽  
The Russian Federation ◽  
Far Eastern ◽  
Statistical Indicators ◽  
Tuberculosis Care

The article presents an overview of the data of statistical observation of the Khabarovsk Krai, the Russian Federation and the Far Eastern Federal District (Okrug) on tuberculosis; their significance for assessing the epidemic situation and the quality of anti-tuberculosis care in these territories in 2002–2019 is studied. The dynamics of statistical indicators for 18 years is given using the methodology for calculating rank values. The dependence of the incidence of tuberculosis on the population density in the constituent entities of the country, the Far Eastern Federal District and its regions has been determined

scholarly journals Education in Neurology Resident Documentation Using Payroll Simulation

2017 ◽  
Vol 9 (2) ◽  
pp. 231-236 ◽  
Author(s):  
John W. Liang ◽  
Vicki L. Shanker
Keyword(s):  
Medical Decision ◽  
Financial Loss ◽  
Income Loss ◽  
Face To Face ◽  
Number Of Patients ◽  
Specific Feedback ◽  
Didactic Lecture ◽  
E Mail

ABSTRACT Background Approaches for teaching neurology documentation include didactic lectures, workshops, and face-to-face meetings. Few studies have assessed their effectiveness. Objective To improve the quality of neurology resident documentation through payroll simulation. Methods A documentation checklist was created based on Medicaid and Medicare evaluation and management (E/M) guidelines. In the preintervention phase, neurology follow-up clinic charts were reviewed over a 16-week period by evaluators blinded to the notes' authors. Current E/M level, ideal E/M level, and financial loss were calculated by the evaluators. Ideal E/M level was defined as the highest billable level based on the documented problems, alongside a supporting history and examination. We implemented an educational intervention that consisted of a 1-hour didactic lecture, followed by e-mail feedback “paystubs” every 2 weeks detailing the number of patients seen, income generated, income loss, and areas for improvement. Follow-up charts were assessed in a similar fashion over a 16-week postintervention period. Results Ten of 11 residents (91%) participated. Of 214 charts that were reviewed preintervention, 114 (53%) had insufficient documentation to support the ideal E/M level, leading to a financial loss of 24% ($5,800). Inadequate documentation was seen in all 3 components: history (47%), examination (27%), and medical decision making (37%). Underdocumentation did not differ across residency years. Postintervention, underdocumentation was reduced to 14% of 273 visits (P < .001), with a reduction in the financial loss to 6% ($1,880). Conclusions Improved documentation and increased potential reimbursement was attained following a didactic lecture and a 16-week period in which individual, specific feedback to neurology residents was provided.

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