scholarly journals Reduction in Blood Lead Concentration in Children across the Republic of Georgia following Interventions to Address Widespread Exceedance of Reference Value in 2019

Author(s):  
Ekaterine Ruadze ◽  
Giovanni S. Leonardi ◽  
Ayoub Saei ◽  
Irma Khonelidze ◽  
Lela Sturua ◽  
...  

In recent years, reports of lead contamination have dramatically increased in Georgia. Given concerns about the exposure of children to lead (Pb), the National Multiple Indicator Cluster Survey (MICS-2018) included a blood sampling component. The results showed that 41% of the children that participated had blood Pb levels (BLL) ≥ 5 µg/dL and that BLL in children living in Western Georgia were higher than those in Eastern regions. In response to these findings, NCDC implemented written and verbal advice to the families of children who participated in the MICS-2018 on how to reduce Pb exposure. From August 2019 onwards, the state program of clinical follow-up was implemented. The design of this study was a longitudinal study. The intervention of interest was the public health advice and medical follow-up, and the outcome was defined as the difference in BLL between the MICS-2018 survey and the state program follow-up. We observed a significant overall reduction in median BLL between MICS-2018 and state program follow-up in both August 2019 and the latest results (until December 2019). However, we did not observe any significant further reduction between August and the most recent BLL results. In the Georgian setting, written and verbal communication targeting individual households, alongside home visits to the most exposed, effectively reduced BLL in children.

1992 ◽  
Vol 28 ◽  
pp. 343-353
Author(s):  
W. R. Ward

For a long time before dramatic recent events it has been clear that the German Democratic Republic has been in die position, embarrassing to a Marxist system, of having nothing generally marketable left except (to use the jargon) ‘superstructure’. The Luther celebrations conveniendy bolstered the implicit claim of the GDR to embody Saxony’s long-delayed revenge upon Prussia; still more conveniendy, they paid handsomely. Even the Francke celebrations probably paid their way, ruinous though his Orphan House has been allowed to become. When I was in Halle, a hard-pressed government had removed the statue of Handel (originally paid for in part by English subscriptions) for head-to-foot embellishment in gold leaf, and a Handel Festival office in the town was manned throughout the year. Bach is still more crucial, both to the republic’s need to pay its way and to the competition with the Federal Republic for the possession of the national tradition. There is no counterpart in Britain to the strength of the Passion-music tradition in East Germany. The celebrations which reach their peak in Easter Week at St Thomas’s, Leipzig, are like a cross between Wembley and Wimbledon here, the difference being that the black market in tickets is organized by the State for its own benefit. If Bach research in East Germany, based either on musicology or the Church, has remained an industry of overwhelming amplitude and technical complexity, the State has had its own Bach-research collective located in Leipzig, dedicated among other things to establishing the relation between Bach and the Enlightenment, that first chapter in the Marxist history of human liberation. Now that a good proportion of the population of the GDR seems bent on liberation by leaving the republic or sinking it, the moment seems ripe to take note for non-specialist readers of some of what has been achieved there in recent years.


2021 ◽  
Vol 14 (1) ◽  
pp. 501-508
Author(s):  
Bakhytzhan Kurmanov ◽  
Yolanda Pena-Boquete ◽  
Aizhan Samambayeva ◽  
Galym Makhmejanov

Background: During the last 10 years, the prevalence of underweight has decreased considerably in Kazakhstan and, nowadays, it is set under 3% for children under 5 years old. However, the prevalence of overweight, which was not important at all in the 90s, is reaching 10% for children under 5 nowadays. This means that there is a co-existence between being underweight and overweight in the same country and, in some cases, within the same region. In order to design policies addressing both problems and avoiding policies, which may solve underweight but worsening overweight, and vice versa, the aim of this paper is to analyse the socioeconomic determinants of the two problems. Methods: We estimate the probability of occurrence using the Multiple Indicator Cluster Survey (MICS) collected by the United Nations Children’s Fund (UNICEF) and Agency of Statistics of the Republic of Kazakhstan for the years 2006, 2010-2011 and 2015. This survey includes a questionnaire for children younger than 5 years old containing information on maternal and child health. We consider that a child is overweight if she/he falls over two standard deviations of the World Health Organization standards (WHO) for her/his age. Similarly, we consider that a child is underweight if she/he falls below the two standard deviations of the WHO standards. Results: Children of mothers with higher education have a higher probability of being overweight (6,8%) and less probability of being underweight (-5,5%). This effect disappears for children older than 2 years old. Children of Russian origin and other ethnic groups show a lower probability of being overweight in comparison with their Kazakh peers. Being born in the highest wealth quintile reduces the risk of a child under 2 years old being underweight (-2,9%). On the other side, children in rich families at age 2-4 years old have a higher probability of being overweight (3,7%). Conclusion: Health policy aimed to improve family and institution´s knowledge on child nutrition could be effective measures to reduce infant overweight.


Author(s):  
B. Zhumanova ◽  
N. Alashbayeva ◽  
A. Imashev ◽  
К. Baigabulova ◽  
Б.К. Жуманова ◽  
...  

The article presents the conditions for a culture of digitalization’s formation of the transport and logistics sector of the economy of Kazakhstan and considers the main stages of the implementation of the state program "Digital Kazakhstan", based on the basic principles of the development of economic sectors, through the introduction of new technologies and improvement of existing business processes. The authors define the goals and objectives of the development of the transport and logistics structure. The consistency of the functioning of the project of an intelligent transport system is shown. Based on the results of the study of the transport industry in the framework of the modern development of the Republic of Kazakhstan’s economy, the article’s authors identified the main problematic aspects and constraints to further development associated with high costs of logistics services and low labor productivity. Based on the results of the study, the need for digital modernization of transport and logistics services in the sectors of the economy of Kazakhstan is justified. These digital processes of modernization intended to create the appropriate environment and contributes to the development of strategically important industries, including transportation and logistics services. The implementation of the state program "Digital Kazakhstan", allows you to explore issues to support the development of industries in terms of digitization. В представленной статье приведены условия формирования культуры цифровизации транспортно-логистической сферы экономики Казахстана и рассмотрены основные этапы реализации государственной программы «Цифровой Казахстан», на основе основных принципов развития отраслей экономики, за счёт внедрения новых технологий и совершенствования действующих бизнес-процессов. Авторами определены цели и задачи развития транспортно-логистической структуры. Показана согласованность функционирования проекта интеллектуальной транспортной системы. По результатам исследования транспортной отрасли в рамках современного развития экономики Республики Казахстан авторы статьи выделили основные проблемные стороны и сдерживающие факторы дальнейшего развития, связанные с высокими затратами логистических услуг и низкой производительностью труда. По итогам проведенного исследования обоснована необходимость цифровой модернизации транспортно-логистических услуг в отраслях экономики Казахстана. Данные процессы цифровой модернизации предполагают создание соответствующей среды и способствует развитию стратегически значимых отраслей, в том числе транспортно-логистических услуг. Реализация на государственном уровне программы «Цифровой Казахстан» позволяет прорабатывать вопросы поддержки развития отраслей экономики в условиях цифровизации.


PRANATA HUKUM ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. 43-52
Author(s):  
Tubagus Muhammad Nasarudin

The rule of law in the perspective of Pancasila which can be termed the law state of Indonesia or the rule of law state of Pancasila besides having the same elements as the rule of law in the rechtstaat and rule of law, also has specific elements that make the Indonesian law state different from the concept of the state generally known law. The difference locates in the values contained in the Preamble to the 1945 Constitution which contain Pancasila with the principles of the Belief in the one and only God and the absence of separation between the state and religion, the principle of deliberation in the implementation of state government power, the principle of social justice, kinship and mutual cooperation, as well as laws that serve the integrity of the unitary state of Indonesia. The Pancasila Law State concept is characterized by: (1) Close relations between religion and state (2) Stand on the one and only God (3) Freedom of religion in a positive sense (4) Atheism is not justified and communism is forbidden and (5) The principle of kinship and harmony. As for the main elements of the Republic of Indonesia Law State are: (1) Pancasila (2) MPR (3) Constitutional system (4) equality and (5) Free trial.


2020 ◽  
Vol 28 (1) ◽  
pp. 43-68
Author(s):  
Lyazzat Sembiyeva ◽  
Lyazzat Beisenova ◽  
Aliya Shakharova ◽  
Aida Zhagyparova

In the budgeting system of the Republic of Kazakhstan, which is focused on achieving results, a special place is occupied by state programs. A state program is a comprehensive document that defines the main direc­tions of state policy in the field of its implementation, which is directly linked to the development strategy of the state as a whole and the concept developing a particular industry. In the Republic of Kazakhstan, a state program is a strategic planning doc­ument containing a set of planned activities and interlinked by tasks, deadlines, implementers, resources, and public policy instruments that ensure—within the framework of the implementation of key state functions—the achievement of priorities and goals of state policy in the field of socioeconomic development and national security. In other words, a state program is an instrument of state regulation of the economy, ensuring the achievement of promising goals and objectives through the use of available resources. State programs are documents of an inter-sphere, inter-sectoral, and inter­departmental nature that define goals, objectives, and expected results in the priorities and strategic directions of the country’s development and are devel­oped for a period of at least 5 years in order to implement the higher docu­ments of the State Planning System.


2021 ◽  
Vol 73 (1) ◽  
pp. 142-151
Author(s):  
Zh.Sh. Baktybayev ◽  
◽  
М.S. Turysbekova ◽  

The article determines the effectiveness of increasing the volume of knowledge, skills and abilities of students in the context of informatization in such regulatory documents as the State Program for the Development of Education of the Republic of Kazakhstan for 2020-2025, the Law of the Republic of Kazakhstan "On Education", the State Program "Digital Kazakhstan", theoretical basics of literacy of information and communication competence of a teacher. The article discusses the need for any future teacher in the information society to master the basics of information knowledge, use information and communication technologies (ICT) for self-education and develop skills to use their potential as a cognitive and didactic tool in professional activity. The needs of future teachers in the country's universities and the main directions of social and pedagogical activities are described. There are also links to the formation of information and communication competencies of future teachers and a review of the work of domestic and foreign scientists.


Vestnik NSUEM ◽  
2021 ◽  
pp. 203-211
Author(s):  
A. A. Niyazbayeva

Agriculture in Kazakhstan can be described as the main resource, but it is far from being fully used. One of the priorities of agro-industrial complex of the Republic is the development of processing of agricultural products.This is confirmed by the implementation of the objectives of the State program on the development of agro-industrial complex of the Republic of Kazakhstan for 2017–2021. The article gives a picture of the development of agricultural production in Kazakhstan, explores the current state and problems of the agricultural sector of the republic in the context of the financial crisis, including in the Aktobe region.


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