scholarly journals MODERN EPIDEMIOLOGICAL CHARACTERISTICS OF NOROVIRUS INFECTION IN MOSCOW

Author(s):  
V. A. Kovalev ◽  
N. N. Filatov ◽  
M. N. Loktionova ◽  
T. G. Frolovskaya ◽  
A. V. Linok ◽  
...  

Aim. Norovirus infection (NVI) epidemiological characteristics evaluation in Moscow at municipal and district levels. Materials and methods. A retrospective analysis of NVI incidence rate was conducted according to the 2009 - 2016 state statistical reporting forms data. Results. In 2009 - 2016 NVI incidence rate has a trend to increase in Moscow, either at municipal and district levels. NVI cases were registered among children mostly (78% in the SEAD of Moscow, 80% in Moscow and 81% in Russia), at the same time adults proportion of NVI incidence rate increased significantly (up to 42,7% in Moscow and 13,9% in the Russian Federation) by 2016. The morbidity dynamics in different child population age groups was effected by the outbreaks cases. Totally in 2011 - 2016 33 outbreaks were registered in Moscow (24,3% from all acute diarrheal infection outbreaks in Moscow for the same period), where 64,3% with nonpercutaneous channel of infection and 35,7% alimentary. Outbreaks were more often recorded in children’s organized collectivity (69,7%). Conclusion. Nowadays in Moscow there is an NVI incidence increase trend is evidenced, with an increase of the adult population proportion in morbidity structure. At this stage, main contribution to group morbidity was made by children 7 - 14 and 15 - 17 years old. One of the reasons for the NVI incidence rate growth in Moscow (2016) could possibly be the lack of effective prevention measures. Actually, specific NVI diagnostics provided only in outbreaks, due to the lack of routine diagnostic tools. The main reason for the NVI group morbidity effective disease area formation is still sanitary and anti-epidemic regime violation at sites and facilities.

2013 ◽  
Vol 25 (3) ◽  
pp. 118-128 ◽  
Author(s):  
Florian Rehbein ◽  
Dirk Baier

In recent years, a variety of epidemiological studies have provided empirical data on the prevalence of video game addiction (GA) in different age groups. However, few studies investigated the causes of GA and could explain why video game playing as a widespread phenomenon leads to a comparatively small percentage of addicted players. Additionally, the existing longitudinal studies mainly consider psychological trait variables and neglect the possible explanatory value of predictors in socialization regarding media availability, media use, and family and everyday school life. In this paper, the results of a two-wave longitudinal study comprising a sample of students from Grades 4 to 9 (N = 406) are presented. The data show that 15-year-old video game addicts had already exhibited a number of specific risk factors at the age of 10. Students from single-parent families seem to be particularly at risk, as are students with low experienced school well-being and with a weaker social integration in class. The data also indicate that problematic use of video games in childhood increases the risk of GA in adolescence. Male students are especially vulnerable for developing GA. The results of this study are an important contribution to understanding risk factors for GA in adolescents, thereby laying the groundwork for effective prevention measures.


2021 ◽  
Author(s):  
Sabina Rodriguez Velasquez ◽  
Lea Jacques ◽  
Jyoti Dalal ◽  
Paolo Sestito ◽  
Zahra Habibi ◽  
...  

Introduction: Since the beginning of the COVID-19 pandemic, very little data on the epidemiological characteristics among the pediatric population in Africa has been published. This paper examines the age and sex distribution of the morbidity and mortality rate in children with COVID-19 and compares it to the adult population within 15 Sub-Saharan African countries. Methods: A merge line listing dataset using a reverse engineering model shared by countries within the Regional Office for Africa was analyzed. Patients diagnosed within 1 March 2020 and 1 September 2020 with confirmed positive RT-PCR test for SARS-CoV-2 were analyzed. Children data were stratified into three age groups: 0-4 years, 5-11 years, and 12-17 years, while adults were combined. The cumulative incidence of cases including its medians and 95% confidence intervals were calculated. Results: 9% of the total confirmed cases and 2.4% of the reported deaths were pediatric cases. The 12-17 age group in all 15 countries showed the highest cumulative incidence proportion in children. COVID-19 cases in males and females under the age of 18 were evenly distributed. Among adults, a higher case incidence per 100,000 people was observed compared to children. Conclusion: The cases and deaths within the children population was smaller than the adult population. These differences can reflect biases in COVID-19 testing protocols and reporting implemented by countries, highlighting the need for more extensive investigation and focus on the effects of COVID-19 in children.


2019 ◽  
Vol 64 (4) ◽  
pp. 436-446
Author(s):  
A. L. Melikyan ◽  
E. K. Egorova ◽  
E. I. Pustovaya ◽  
T. I. Kolosheinova ◽  
E. M. Volodicheva ◽  
...  

Introduction. Primary immune thrombocytopenia (idiopathic thrombocytopenic purpura, ITP) is a rare autoimmune disorder, whose main clinical manifestation consists in the hemorrhagic syndrome of varying severity. The therapy for ITP is aimed at eliminating hemorrhagic manifestations and maintaining patients’ quality of life. There is no information on the incidence of ITP, as well as on the clinical course and response to the treatment of ITP patients, in the Russian Federation.Aim. To estimate the epidemiological and clinical characteristics of ITP in the adult population of the Russian Federation.Materials and methods. We studied clinical and laboratory data derived from electronic medical records of ITP patients having participated in a multi-centre, prospective, observational, cohort study “Epidemiological and Clinical Characteristics of ITP in Adults in Russia” carried out from 2014 to 2017. The data was processed employing methods of descriptive statistics, as well as frequency analysis, event analysis and analysis of variance. The calculations were performed using the SAS V9.4 statistical package.Results. The incidence of ITP in the adult population in three selected regions of the Russian Federation averaged 2.09 per 100 thousand people per year. The highest incidence rate in gender-age groups was observed in women under 40 years of age mounting to 2.7 per 100 thousand. A gradual increase in the incidence rate from 1.09 to 2.5 per 100 thousand was noted in the men over 60 years of age. A significant correlation was found between the risk of developing the hemorrhagic syndrome, its severity and the platelet count at the onset of the disease (p<0.0001). In 92.2 % of cases, glucocorticosteroid hormones were prescribed as the first line of therapy. The analysis of methods used as the second line of therapy revealed that, although splenectomy is performed relatively frequently, its likelihood has decreased from 26 to 17 % over the past three years. In addition, the proportion of patients being treated with thrombopoietin receptor agonists has increased from 5.9 to 45.7 %.Conclusion: The incidence of ITP in three selected regions of the Russian Federation is comparable to that in other European countries.Conflict of interest: the authors declare no conflict of interest.


2019 ◽  
Vol 26 (3) ◽  
pp. 5-13
Author(s):  
S. P Mironov ◽  
N. A Es’kin ◽  
T. M Andreeva ◽  
E. V Ogryzko ◽  
E. A Shelepova

Purpose: to study the dynamics of traumatism, to analyze the injury structure as well as the structure of mortality from external causes in adult population of the Russian Federation. Material and methods. Injury mortality and injury morbidity in adults were analyzed on the basis of official statistical data for the period 2013-2017. Results. The decline of indices with preservation of gender differences as well as the differences in both the age groups and between the urban and rural population was noticed. Conclusion. Development of complex preventive regional program is necessary to the decrease of traumatism and its negative sequels.


Author(s):  
N. N. Kalashnikova ◽  
A. V. Naumov ◽  
E. E. Naumova

Introduction. In recent years, there has been a signifi cant increase in number and severity of spinal pathologies among the adult population of the Russian Federation. From 80 to 100 % of the adult population experience pain of different intensity in different parts of the spine after sitting for a long time. Modern treatment of patients with postural disorders does not always lead to positive results. In some cases it even causes progression of the disease. As a general rule, the existing methods of treatment do not take into account the concept of the integrity of the human body, which is fundamental for osteopathic treatment.Goal of research - to determine the incidence of somatic dysfunctions in patients of different age groups with postural disorders and to develop recommendations in order to optimize osteopathic correction taking into account patients’ age and type of postural disorder.Materials and methods. The study of the osteopathic status of patients of 3 age groups from 6 to 16 years, from 17 to 26 years and from 27 to 55 years was performed. The type of postural disorder in accordance with Stoffel classifi cation rules was determined with the use of computer optical tomography. Results. The study shows the infl uence of traumatic injuries on the formation of various types of postural disorders as well as the structure of the osteopathic status depending on the age and types of postural disorders.Conclusion. The analysis of the medical history data allowed to assume that traumatic impact may induce formation of various types of postural disorders. Patients’ age infl uences the structure of the dominant somatic dysfunctions. The incidence of somatic dysfunctions depends on the type of postural disorder.


2019 ◽  
Vol 40 (Supplement_1) ◽  
Author(s):  
L J Kjerpeseth ◽  
J Igland ◽  
R Selmer ◽  
H Ellekjaer ◽  
T Berge ◽  
...  

Abstract Background The reported incidence and prevalence of atrial fibrillation (AF) has been inconsistent among studies. Purpose We aimed to study time trends in incidence (first time) of AF hospitalizations or AF deaths in Norway in the period 2004–2014 by age and sex. Methods Nationwide hospital discharge diagnoses in the Cardiovascular Disease in Norway (CVDNOR) database and in the National Patient Registry were linked to the National Cause of Death Registry. All hospitalizations with AF as primary or secondary diagnosis and out-of-hospital deaths with AF as underlying cause (ICD-9: 427.3 or ICD 10: I48; AF or atrial flutter) in individuals ≥18 years were obtained during 1994–2014. Incident AF was defined as first hospitalization or out-of-hospital death due to AF with no previous hospitalization for AF the past 10 years. Age-standardized incidence rates with 95% confidence intervals (CIs) were calculated using direct standardization to the age-distribution in the Norwegian population per Jan 1st 2004. Age-adjusted average yearly incidence rate ratios (IRR) with 95% CIs were estimated by Poisson regression analyses. Accumulated prevalence during 1994–2014 was assessed in Norwegian residents 18 years and older per Dec 31st 2014. Results During 39,865,498 person years of follow up from 2004 to 2014 we identified 175,979 incident AF cases of which 30% were registered with AF as primary diagnosis, 69% as secondary diagnosis and 1% as out-of-hospital cause of death. The age-standardized incidence rate of AF hospitalization or out-of-hospital death per 100,000 person years was stable at 433 (426–440) in 2004 and 440 (433–447) in 2014. IRR were stable or declining across age groups of both sexes, except for the youngest age group 18–44 years, where incidence rates of AF hospitalization or out-of-hospital death increased by 2% per year, IRR 1.02 (1.01, 1.03). By 2014, the prevalence of AF assessed from hospital or death records was 2.9% in the adult population 18 years and older. Conclusion We found overall stable incidence rates of AF from 2004 to 2014 in the adult Norwegian population. Increased incidence rates of AF in the population 18–44 years are worrying and need further investigation. Acknowledgement/Funding The Norwegian Atrial Fibrillation Reseach Network


2020 ◽  
Vol 9 (5-6) ◽  
pp. 779-786
Author(s):  
N. P. Galina ◽  
A. Ya. Mindlina ◽  
R. V. Polibin

Over the last years, incidence of vaccine-preventable infections tended to increase both in Russia and multiple European countries due to diverse reasons, including loss of alertness in medical workers to ensure proper quality of immunization. Currently, vaccination is considered to be the most efficient means for preventing infectious diseases. However, vaccination efficacy is directly related to population coverage and proper timeframe for its application.Materials and methods. Diphtheria, tetanus, measles and hepatitis B vaccination coverage and timeframe were analyzed for population of Russia, Moscow as well as the three pediatric and adult out-patient hospitals.Results. It was found that compared to adults, pediatric subjects were vaccinated better. However, in case of 95% or higher coverage against all infections, shortcomings in vaccination timeframe were uncovered. In 2017, despite pediatric subjects should be vaccinated against diphtheria and tetanus at the age of 3-to-6 months, coverage was as low as 46.9% in Russia, 48.7% in Moscow that ranged in some polyclinics from 21.8% in 2012 down to 1.7% in 2017. Moreover, this situation was even more unfavorable in case of revaccination program. In particular, it was found that at the age of 18 months only 50, 54, and 49–55% underwent revaccination in the Russia, Moscow 54%, and some out-patient hospitals, whereas at the age of 7–14 years in Russia there were revaccinated up to 97% population. Likewise, at the age of 6 months there were covered with vaccination against hepatitis B as few as 49% population in Russia and Moscow, whereas more than 90% coverage was achieved only at the age of 1 year. Immunization coverage reaching more than 85% of adult population against hepatitis B is superior to diphtheria and tetanus. Immunization coverage against measles in Russia at all age groups was over 90% population. Thus, it is necessary to optimize activities on adhering to vaccination timeframe, as decline in quality of vaccination inevitably leads to elevated incidence rate of vaccine-preventable infections. This and vaccination coverage might be adjusted by introducing a Preventive Vaccination Surveillance and Reporting Automated System in the Russian Federation.


2019 ◽  
Vol 60 (1) ◽  
pp. 23-27
Author(s):  
Nina S. Prilipko

The study was carried out to determine requirements of adult population of Russia in medical rehabilitation in hospital conditions depending on age groups. To determine requirements of country population in medical rehabilitation in hospital conditions the age-specific indicators derived from data massive from three territories were standardized on population and morbidity in Russia in 2010. The number of hospitalized patients being in need of medical rehabilitation in hospital conditions was determined as indicator characterizing requirements of population in medical rehabilitation in hospital conditions. The age-specific requirements of adult population in medical rehabilitation in hospital conditions was determined and analyzed on the basis of number of cases of annual hospitalization for medical rehabilitation in hospital conditions according main classes and particular diseases. The largest number ofpatients being in need of medical rehabilitation in hospital conditions goes to elder age groups 60-69 years (874.7 cases per 10 000 of population) and 70 years and older (1346.3 cases per 10 000 of population). The least number of this kind of patients goes to age group of 18-29 years (106.2 cases per 10 000 of population). The proposed calculated number of cases of hospitalization of adult population for medical rehabilitation in hospital conditions can be implemented by executive authorities of subjects of the Russian Federation in health care sector of any territory for determining requirements ofparticular region in medical rehabilitation with consideration for age structure of population.


2020 ◽  
Author(s):  
Hamid Najafipour ◽  
Mohadeseh Shojaei Shahrokhabadi ◽  
Ghodsyeh Banivaheb ◽  
Abdolreza Sabahi ◽  
Mitra Shadkam ◽  
...  

Abstract Background: Anxiety and depression (A&D) are very common disorders and among the important causes of morbidity. This study aimed to investigate the prevalence and the incidence rate of these mental disorders and their relationship with socio-demographic and coronary artery disease risk factors in the adult population in southeastern Iran.Method: In a population based cohort study (KERCADRS phase2), the prevalence and five-year incidence rate of A&D and associated variables were studied on 9996 adults, 2820 of whom had also participated in phase1 of the study.Results: The prevalence for A&D was 41.6% (30.6% men, 48.9% women) and 16.0% (10.0% men, 19.9% women), respectively. The prevalence of A&D showed a decreasing trend with increase of education and age. The highest prevalence of A&D was observed among the unemployed, smokers, and opium users. The chance of having A&D symptoms also significantly increased in young people, the female gender, divorced or widowed women, obese individuals, and those with low physical activity (LPA). In phase2, A&D were significantly lower than they were in phase1 in all age groups and in both genders. The five-year incidence rate (per 1000 person-years) was 30.7 for anxiety and 9.8 for depression.Conclusion: Although there are some promising signs of reduction in the prevalence of A&D symptoms in the last five years, their higher prevalence in young people and females, along with their association with unemployment, smoking, opium use, LPA and obesity means that more effective interventions and strategies are needed to reduce the deleterious consequences of these disorders.


2021 ◽  
Vol 2 (1) ◽  
pp. 5-10
Author(s):  
M. N. Bantyeva ◽  
E. M. Manoshkina ◽  
Yu. Yu. Melnikov

Improving organizational approaches of medical rehabilitation is one of the important directions in Russian healthcare system.Aim. To determine the age-specific rates of adult population requirements in outpatient medical rehabilitation in Russia.Material and methods. The article provides data on the estimated age-specific rates of population requirements in outpatient medical rehabilitation, determined by expected attendance of a rehabilitation physician by classes of diseases and individual diseases according to the ICD-10 codes. For the study, the adult population was divided into 6 age groups (18-29, 30-39, 40-49, 50-59, 60-69 and 70 and older). Medical experts, taking into account the stage of the disease and the severity of the patient’s condition, have developed indications for outpatient medical rehabilitation immediately after the treatment of acute conditions, exacerbation of chronic diseases, the consequences of injuries and operations. And also the type of rehabilitation (inpatient or outpatient) was determined. Taking into account these indications, competent experts decided on the need and duration of further medical rehabilitation of patients after hospitalization.Results. The age-specific rates of population requirements in outpatient medical rehabilitation were determined and analyzed. The number of visits to a rehabilitation physician was calculated according to the main classes and some individual diseases. The largest number of persons in need of outpatient medical rehabilitation naturally falls on the older age groups 60-69 years (3917,5 visits per 1000 population) and 70 years and older (4716,9 visits per 1000 population), while the smallest — the patients 18-29 years old (832,2 visits per 1000 population). This is due to the fact that in older age groups the number of diseases requiring outpatient medical rehabilitation both in inpatient and outpatient settings is increasing. In other age groups, the need for medical rehabilitation per 1000 population was as follows: 985,6 visits per year in the 30-39 age group; 1672,0 — in the 40-49 age group; 2713,1 — in the 50-59 age group.Conclusion. Based on the data obtained, the healthcare executive authorities in the subjects of the Russian Federation can calculate the population requirements in outpatient medical rehabilitation in region, taking into account age composition and the estimated number of visits to a rehabilitation physician by the adult population.


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