scholarly journals RETROSPECTIVE ANALYSIS OF INCOME AND CONSUMER EXPENDITURES OF THE POPULATION IN THE REPUBLIC OF BURYATIA

Author(s):  
D. B. Dugarzhapova ◽  
I. O. Nagaslaeva
2020 ◽  
pp. emermed-2019-209239
Author(s):  
Min Sung Lee ◽  
Tae Gun Shin ◽  
Won Young Kim ◽  
You Hwan Jo ◽  
Yoon Jung Hwang ◽  
...  

ObjectivesHyperchloraemia is associated with poor clinical outcomes in sepsis patients; however, this association is not well studied for hypochloraemia. We investigated the prevalence of chloride imbalance and the association between hypochloraemia and 28-day mortality in ED patients with septic shock.MethodsA retrospective analysis of data from 11 multicentre EDs in the Republic of Korea prospectively collected from October 2015 to April 2018 was performed. Initial chloride levels were categorised as hypochloraemia, normochloraemia and hyperchloraemia, according to sodium chloride difference adjusted criteria. The primary outcome was 28-day mortality. A multivariate logistic regression model adjusting for age, sex, comorbidities, acid-base state, sepsis-related organ failure assessment (SOFA) score, lactate and albumin level was used to test the association between the three chloride categories and 28-day mortality.ResultsAmong 2037 enrolled patients, 394 (19.3%), 1582 (77.7%) and 61 (3.0%) patients had hypochloraemia, normochloraemia and hyperchloraemia, respectively. The unadjusted 28-day mortality rate in patients with hypochloraemia was 27.4% (95% CI, 23.1% to 32.1%), which was higher than in patients with normochloraemia (19.7%; 95% CI, 17.8% to 21.8%). Hypochloraemia was associated with an increase in the risk of 28-day mortality (adjusted OR (aOR), 1.36, 95% CI, 1.00 to 1.83) after adjusting for confounders. However, hyperchloraemia was not associated with 28-day mortality (aOR 1.35, 95% CI, 0.82 to 2.24).ConclusionHypochloraemia was more frequently observed than hyperchloraemia in ED patients with septic shock and it was associated with 28-day mortality.


2020 ◽  
Vol 48 (5) ◽  
pp. 291-298
Author(s):  
A. A. Vizel ◽  
G. R. Shakirova ◽  
I. Yu. Vizel ◽  
E. Z. Kudryavtseva ◽  
A. S. Burchagina ◽  
...  

2019 ◽  
Vol 4 (5) ◽  
pp. 127-134
Author(s):  
L. Yu. Lukhnova ◽  
T. K. Erubaev ◽  
U. A. Izbanova ◽  
T. V. Meka-Mechenko ◽  
E. B. Sansyzbaev ◽  
...  

Almost every year in Kazakhstan, cases of diseases of animals and people with anthrax are recorded. The incidence rate of people with anthrax in the period from 2000 to 2018 ranged from 0.01 to 0.24 per 100 thousand people. In the territory of the East Kazakhstan region, the incidence rate is higher than in the republic.Objective: a retrospective analysis of anthrax outbreaks in the East Kazakhstan region from 2000 to 2018.Methods: a retrospective analysis using statistical, cadastral data, archival funds, the results of participation in the investigation of outbreaks of infection.Results. Since 1938, cases of animal and human disease of anthrax have been recorded in East Kazakhstan. Infection of humans occurs during the slaughter of animals. In Zharma, Urjar, and Ayagozskiy areas most of all are anthrax foci of soil. In 67 % of cases, outbreaks of anthrax were recorded in these areas.Conclusion. The relative incidence rate of anthrax in people in East Kazakhstan is from 0.07 to 0.27, since 2001 it is higher than the republican indicator.In the East Kazakhstan region from 1997 to 2018, 37 people fell ill with anthrax. The form of the disease is skin, in 8.1 % secondary sepsis. In the remaining patients, the diseases were mild (70.3 %), ended in recovery. The source of human infection is mainly cattle. The isolated strains of B. anthracis have typical properties, they are included in cluster A1a, A3b (MLVA-8). The strains isolated in 2016 are similar to the strains isolated in the Almaty region (MLVA-25). Grouped with a number of European, Asian and African strains from France, Germany, Italy, Tajikistan, Pakistan, Korea and Namibia. The presence of a significant number of soil foci of anthrax in the territory of the East Kazakhstan region, not fully the implementation of veterinary and sanitary preventive measures leads to an exacerbation of the situation for anthrax. 


2021 ◽  
Vol 64 (4) ◽  
pp. 39-44
Author(s):  
Boris Golovin ◽  
◽  
Mihail Pestereanu ◽  
Tatiana Bicic ◽  
Svetlana Lupu ◽  
...  

Background: In the last 2 years, some changes have occurred in the structure of emergencies at the prehospital stage in the Republic of Moldova, being largely influenced by the COVID-19 pandemic. Material and methods: Retrospective analysis of the Prehospital Emergency Medical Service (PEMS) Request Sheets of the National Centre of Prehospital Emergency Medicine (NCPEM) of the Republic of Moldova for the years 2019-2020. Results: According to the nosological profile in 2020 at the prehospital stage, respiratory emergencies were on the first place with 23% of the 761.416 of total number of requests. On the second – cardiovascular (20.6%), on the third – neurological (13.3%), infectious – 3.1%. In 2019, on the first place – cardiovascular with 22.3% of the 845.572 of total number of requests, followed by respiratory – 19.3%, neurological – 13.6%, infectious – 2.2%. In 2020, on the first place were respiratory emergencies, which compared to 2019 increased practically by 4% and the infectious emergencies by almost 1%. The number of endotracheal intubation procedures and medical-assisted transportations practically doubled in y.2020 compared to y.2019. Conclusions: All these changes: increased respiratory and infectious emergencies, intubation procedures, and assisted-medical transportations, have occurred exeptionally due to COVID-19 infection.


2019 ◽  
Vol 15 (3) ◽  
pp. 78-98 ◽  
Author(s):  
Zorikto Dondokov ◽  
◽  
Leonid Potapov ◽  
Darima Ubonova ◽  
◽  
...  

Author(s):  
N.P. Buravtseva ◽  
V.M. Mezentsev ◽  
N.M. Chimidova ◽  
T.B. Kalyaeva ◽  
K.L. Mandzhieva ◽  
...  

Epizootological and epidemiological situation on anthrax in the Republic was estimated. GIS-technologies were used for drawing up a data base of the incidence in humans and animals and cadastre of areas permanently infected with anthrax. A connection between soil and climatic conditions and persistence of anthrax was traced. It has been established, that currently the incidence of anthrax is sporadic in character and depends for the most part on timely carrying out preventive measures.


Author(s):  
O.N. Kostritsova, G.E. Sukhareva, I.N. Imnadze

A retrospective analysis of 24 cases prenatal diagnosed of the transposition of great arteries and examined its postnatal outcomes. The analysis of diagnostic errors is carried out and the effectiveness of prenatal diagnosis of the transposition of great arteries in the Republic of Crimea for 2011–2016 is presented.


2020 ◽  
Vol 101 (6) ◽  
pp. 883-889
Author(s):  
Kh N Makaev ◽  
S V Ivanova ◽  
L A Melnikova ◽  
G Kh Murtazina ◽  
A N Garaev ◽  
...  

Aim. To assess the risks of potential anthrax outbreaks based on a retrospective analysis of the epizootic situation for this infection and inventory data on the number of stationary anthrax-unfavorable sites in the Russian Federation using the case of the Republic of Tatarstan. Methods. A retrospective analysis of data on animals with anthrax in the Republic of Tatarstan and the inventory of permanently unfavorable sites for this infection in the Russian Federation was carried out by using veterinary reporting documents for the period between 1914 and 2018. The epizooticity index of anthrax-unfavorable sites was determined by the formula: EI=(nt)/(NT), and the effectiveness of specific prevention of the infection was determined according to the guidelines. Analyzes were carried out using statistical methods. Results. The analysis of the results of the conducted studies showed that between 1914 and 2018, 2037 group and single animals infected with anthrax on the territory of the Republic of Tatarstan, 1208 stationary unfavorable sites for this infection were registered. When assessing the risks of the potential occurrence of anthrax among animals of the Republic of Tatarstan, it was found that 69.8% of the territory of the republic (every third settlement) is permanently unfavorable for anthrax and has serious risks of a possible re-infection of animals with this infection, therefore all livestock of animals once a year vaccinated against anthrax. A study of more than 11,000 blood serum samples of animals vaccinated against anthrax according to this scheme revealed that the titer of anti-anthrax antibodies decreases 1:2 and 1:4 below the level that protecting the animal from infection with the causative agent of this infection in 20% of animals after 6 months, and in 60% after 12 months after vaccination. This creates high risks of anthrax in animals and people in disadvantaged areas since the anthrax pathogen is transmitted from an infected animal to a person by mistaken autopsy of dead animals or the processing of carcasses of animals, hidden carriers of the anthrax pathogen. With this in mind, in regions with high risks of anthrax, it was confirmed the need for introducing two vaccinations per year into the prevention scheme of this infection in animals and monitor the post-vaccination immunological status, which will allow them to maintain high immunity throughout the year and promptly eliminate the focus of infection. Conclusion. It was found that 69.8% of the territory of the Republic of Tatarstan (every third settlement) is permanently unfavorable for anthrax and has high risks of anthrax outbreaks in animals; it was shown the need for complex anti-anthrax measures, including two-time vaccination of animals during the year, to reduce the risks of infection of animals and the population with the causative agent of this infection.


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