ANALYSIS OF PERINATAL CARE INDICATORS OF THE ALMATY MEGAPOLIS

Vestnik ◽  
2021 ◽  
pp. 13-18
Author(s):  
Г.Ж. Бодыков ◽  
А.М. Курманова ◽  
К.С. Болат ◽  
Б.К. Аманжолова ◽  
Б.У. Умбетов ◽  
...  
Keyword(s):  
Perinatal Care ◽  
Circulatory System ◽  
Digital Technologies ◽  
Live Births ◽  
High Risk Women ◽  
The Past ◽  
Demographic Indicators ◽  
Pathological Conditions ◽  
Prevalence Of Anemia ◽  
Overall Mortality

Анализ демографических показателей за последние десять лет в г. Алматы выявил, что на фоне относительно стабильных показателей рождаемости (17,7 до 18,2‰), общей смертности (8,03 до 6,49‰) наблюдалось значительное снижение младенческой (с 17,4 до 8,05‰) и повышение материнской смертности (с 2,4 до 15,4 на 100 тыс. живорожденных). Несмотря на снижение распространенности анемии с 31,8% до 18,8%, удельный вес её все еще высокий, являющейся фоном для развития преэклампсии и ухудшения течения экстрагенитальных заболеваний, среди которых наиболее часто встречаются болезни почек и мочевыделительной системы (10,1%), системы кровообращения (3,5%), органов дыхания (3,3%); развития осложнений в виде невынашивания беременности (16,9%), преждевременных родов (7,2%), акушерских кровотечений (1,2%), учащения операции кесарева сечения (до 30,0%), органоуносящих операций (0,4%). В этих условиях созрела необходимость создания системы мониторинга женщин группы высокого риска, включающей наблюдение за ними, коррекцию лечения, проведение профилактики патологических состояний с использованием современных цифровых технологий. An analysis of demographic indicators over the past ten years in Almaty revealed that against the background of relatively stable birth rates (from 17.7 to 18.2‰), overall mortality (from 8.03 to 6.49‰), there was a significant decrease in infant mortality (from 17,4 to 8.05 ‰) and perinatal mortality (from 20.1‰ to 8.0‰), an increase in maternal mortality (from 2.4 to 15.4 per 100 thousand live births). Despite the decrease in the prevalence of anemia from 31.8% to 18.8%, its proportion is still high, which is a background for the development of preeclampsia and worsening of the course of extragenital diseases, among which diseases of the kidneys and urinary system (10.1%) , circulatory system (3.5%), respiratory system (3.3%) are most common; the development of complications in the form of miscarriage (16.9%), premature birth (7.2%), obstetric bleeding (1.2%), increased frequency of cesarean section (up to 30.0%), organ-carrying operations (0.4%). In these conditions, need to create a monitoring system for high-risk women, including monitoring them, correcting treatment, and preventing pathological conditions using modern digital technologies.

DYNAMICS OF PERINATAL LOSSES IN ALMATY

Vestnik ◽  
2021 ◽  
pp. 19-22
Author(s):  
Г.Ж. Бодыков ◽  
А.М. Курманова ◽  
С.М. Оспангалиева ◽  
Ж.Р. Жаналиева ◽  
Б.К. Аманжолова ◽  
...  
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Perinatal Mortality ◽  
Congenital Anomalies ◽  
Perinatal Care ◽  
Cardiovascular Disorders ◽  
Fetal Health ◽  
Early Neonatal Mortality ◽  
The Past ◽  
Steady Decrease

Динамика и уровень перинатальной смертности за последние десятилетие свидетельствовали о том, что в г. Алматы имеет устойчивую тенденцию к снижению до 8,8‰ к 2019 году. В структуре перинатальной смертности большая часть приходится на антенатальную (5,5-6,5‰); около трети - на раннюю неонатальную смертность (3,2 до 2,3‰). В структуре причин неонатальных потерь наблюдалось устойчивое снижение дыхательных и сердечно-сосудистых нарушений в 2,3-3,8 раза - с 5 до 1,3‰, врожденных аномалий с 4,4 до 0,9‰, неонатальные потери от инфекционных болезней остаются стабильными. Сохраняющие риски инфекционной патологии, особенно в беспрецедентной ситуации в период пандемии диктуют необходимость пересмотра подходов к оказанию перинатальной помощи населению и разработкой новой концепции перинатальной помощи с существенными изменениями в подходах инфекционного контроля, развития превентивной перинатологии с более эффективной антенатальной охраной здоровья плода. The dynamics and level of perinatal mortality over the past decade testified to the fact that in Almaty it has a steady downward trend to 8.8 ‰ by 2019. In the structure of perinatal mortality, most of it falls on antenatal (5.5-6.5 ‰); about a third - for early neonatal mortality (3.2 to 2.3 ‰). In the structure of the causes of neonatal losses, there was a steady decrease in respiratory and cardiovascular disorders by 2.3-3.8 times - from 5 to 1.3 ‰, congenital anomalies from 4.4 to 0.9 ‰, neonatal losses from infectious diseases remain stable. The persisting risks of infectious pathology, especially in an unprecedented situation during a pandemic, dictate the need to revise approaches to providing perinatal care to the population and develop a new concept of perinatal care with significant changes in approaches to infection control, thedevelopment of preventive perinatology with more effective antenatal fetal health care.

Cerebral Palsy

1995 ◽  
Vol 16 (11) ◽  
pp. 411-418
Author(s):  
Lawrence T. Taft
Keyword(s):  
Cerebral Palsy ◽  
Prevalence Rate ◽  
Brain Lesion ◽  
Motor Deficit ◽  
Motor Disorder ◽  
Term Infants ◽  
Live Births ◽  
The Past ◽  
Technological Advances ◽  
Static Encephalopathy

To be classified as cerebral palsy (CP), there must be difficulty in neuromotor control, a nonprogressive brain lesion, and an injury to the brain that occurred before it was fully mature. The term "cerebral palsy" should be used only if a static encephalopathy exists. If there is any question that a progressive central nervous system disorder exists, the term "cerebral palsy" should not be used diagnostically until the status of the lesion is clarified. Although the primary abnormality must be a motor deficit, often there are many associated symptoms of cerebral dysfunction present. Incidence and Prevalence The prevalence of CP has changed very little over the past 40 years, in spite of many technological advances that have decreased mortality in compromised preterm and full-term infants. The prevalence rate has been estimated to be between 2 and 5 per 1000 live births. At 12 months of age, the prevalence rate was estimated to be 5.2 per 1000, but at 7 years of age, the rate was estimated to be 2 per 1000 live births. This indicates that many children who showed signs or experienced symptoms suggesting a motor disorder did not have CP on follow-up. The past 3 decades have seen an increased survival rate of very small preterm infants, resulting in a change in the percentage rates of the different clinical types of motor disabilities among patients classified as having CP.

scholarly journals Implementing Multi-Criteria Analysis in the Selection of AUCHS for the Integration of Digital Technologies into the Tourism Offering: The Case of MeDryDive

Heritage ◽  
2021 ◽  
Vol 4 (4) ◽  
pp. 4460-4472
Author(s):  
Angelos Manglis ◽  
Paschalina Giatsiatsou ◽  
Dimitra Papadopoulou ◽  
Vasiliki Drouga ◽  
Anastasia Fourkiotou
Keyword(s):  
Site Selection ◽  
Digital Technologies ◽  
Underwater Cultural Heritage ◽  
Cultural Industry ◽  
Appropriateness Criteria ◽  
Heritage Sites ◽  
The Past ◽  
Tourism Product ◽  
Tourism Destinations ◽  
Selection Of

Focusing on both physical and virtual accessibility, this paper presents the methodology developed by MeDryDive for the selection of AUCHS (Accessible Underwater Cultural Heritage Sites) in Greece, Italy, Croatia, and Montenegro. MeDryDive is a project that aims at the promotion of AUCHS in the Mediterranean as distinctive tourism destinations through personalized dry dive experiences. The candidate sites are assessed in order to be included in the transnational thematic tourism product “Dive in the Past” and promoted through Creative and Cultural Industry (CCI) applications, including a Serious Game, Augmented and Virtual Reality applications, and promotional videos, all developed in the context of the project. The main goal of the methodology is to meet the requirements for both the sustainability of the thematic tourism product and the digital applications’ development. The assessment of AUCHS is based on specific criteria that result from setting weighing factors and classifying indicators as either critical or non-critical. The criteria are categorized into core (feasibility) criteria and complementary (appropriateness) criteria for determining the total level of readiness. This set of criteria enables site selection through an elimination method, identifying the suitable pilot and follow-on sites for the integration of digital technologies into the tourism offering.

scholarly journals Digital Humanities and Renaissance Studies in Canada: A Graduate Student’s Perspective

2015 ◽  
Vol 37 (4) ◽  
pp. 195-214
Author(s):  
Sarah M. Loose
Keyword(s):  
Graduate Students ◽  
Digital Technology ◽  
Digital Humanities ◽  
Digital Technologies ◽  
Historical Gis ◽  
The Past ◽  
Research And Teaching ◽  
Recent Interest ◽  
Renaissance Studies ◽  
Sciences Humaines

This article focuses on digital humanities and Renaissance studies in Canada, highlighting established projects such as Iter and newer efforts such as Serai, and addressing recent interest in historical GIS. This survey of projects demonstrates how the work of Renaissance studies faculty and graduate students in Canada is increasing accessibility to sources, creating new knowledge environments and spaces for collaboration, and encouraging new ways to map and visualize Renaissance data, with an end result that enhances our understanding of the past and the ways that digital technology is changing humanities scholarship. The article also suggests that from the perspective of graduate students, participation in these endeavours provides not only training in digital technologies but also the opportunity to contribute knowledge to the field in concrete ways and the chance to establish a foundation in methodologies and practices that will shape approaches to Renaissance studies research and teaching in the future. Cet article se penche sur les humanités numériques et les études de la Renaissance au Canada, en présentant des projets établis tels qu’Iter et plus récents tels que Serai, ainsi qu’en examinant l’intérêt plus récent pour le système d’information géographique (SIG) historique. Ce survol de différents projets montre comment le travail de professeurs et d’étudiants aux études supérieures dans le domaine améliore l’accès aux sources, créent des environnements pour de nouvelles connaissances et des espaces de collaboration, et favorisent de nouvelles façons de visualiser des données relatives à la Renaissance, enrichissant ainsi notre compréhension du passé, tout en mettant en lumière les transformations des sciences humaines provoquées par les technologies numériques. Cet article avance également qu’en ce qui concerne les étudiants aux études supérieures, la participation dans ces projets non seulement leur donne de l’expérience en humanités numériques, mais leur donne aussi la chance de pouvoir contribuer de façon concrète à l’avancement des connaissances dans leur domaine. Ces expériences leur donne également l’opportunité de développer une méthode et des pratiques qui détermineront leurs approches dans leur recherche et leur enseignement à venir en études de la Renaissance.

Development of real estate marketing – trends for the future

2021 ◽  
Vol 16 (4) ◽  
pp. 10-19
Author(s):  
Jörg Petermann
Keyword(s):  
Real Estate ◽  
Digital Technologies ◽  
Marketing Channels ◽  
The Past ◽  
Online Platforms ◽  
Real Estate Marketing ◽  
The Future ◽  
Real Estate Agents ◽  
Digital Channels ◽  
International Sales

Real estate marketing has changed fundamentally over the past twenty years, mainly due to digital technologies. Due to the availability of online platforms as intermediary websites, the complexity of interaction relationships between providers, demanders, and real estate agents has increased. The study takes the perspective of real estate agents and uses the example market of Cologne/Bergisch-Gladbach to show what new potential digital channels offer for the reach and intensity of real estate marketing. Real estate agencies are challenged to evolve technologically, but then have a wider inventory of marketing channels and presentation options at their disposal. In the future, social media and video streaming platforms could further revolutionize property marketing, offering further potential to proactive providers, especially in terms of property branding and international sales.

JUSTIFICATION OF TECHNOLOGIES FOR ORGANIZING MEDICAL CARE FOR PATIENTS WITH HIGH CARDIOVASCULAR RISK ON THE EXAMPLE OF THE BREST REGION (PART 1)

2021 ◽  
Vol 5 (1) ◽  
pp. 1234-1238
Author(s):  
N. Pabivantsava ◽  
Keyword(s):  
Cardiovascular Risk ◽  
Cardiovascular Diseases ◽  
Circulatory System ◽  
Risk Groups ◽  
High Tech ◽  
High Morbidity ◽  
High Cardiovascular Risk ◽  
Social Effect ◽  
Demographic Indicators ◽  
Multi Level

In order to substantiate organizational measures for early detection and tertiary prevention of cardiovascular diseases, the causal relationships of high morbidity, disability, and mortality due to cardiovascular diseases, coronary heart disease and its complications were studied in the population of the Brest region in the period from 2006 to 2010. Measures to improve the organization of preventive medical examination of patients from cardiovascular risk groups with prognostically unfavorable outcomes were suggested. Through the implementation of an organizational experiment in 2012-2017, it was possible to achieve a positive medical and social effect, expressed in increasing the availability of multi-level and high-tech care to patients in need, as well as in improving the medical and demographic indicators of the Brest region in general and in the diseases of the circulatory system in particular, which formed the basis of the second part of this article.

To the heart block clinic

1926 ◽  
Vol 22 (1) ◽  
pp. 23-33
Author(s):  
A. F. Samoylov ◽  
M. N. Cheboksarov
Keyword(s):  
Medical Journal ◽  
Heart Block ◽  
The Past ◽  
Pathological Conditions ◽  
Rare Combination

Over the past five years, we have observed four cases of complete transverse heart block at the Faculty Therapeutic Clinic. One of these cases has already been described by Dr. Rufimsky on the pages of Kazan Medical Journal (1921, No. 2), and two new cases where transverse dissociation of the heart was found in patients in a rare combination with other pathological conditions from this body, we consider it interesting to describe in this article.

The Diagnosis and Prognosis of Upper Gastrointestinal Haemorrhage

1980 ◽  
Vol 66 (1) ◽  
pp. 11-14
Author(s):  
R.H. Hunt
Keyword(s):  
Gastrointestinal Bleeding ◽  
Gastrointestinal Endoscopy ◽  
Upper Gastrointestinal Bleeding ◽  
Gastrointestinal Haemorrhage ◽  
Accurate Diagnosis ◽  
Upper Gastrointestinal Endoscopy ◽  
The Past ◽  
Diagnosis And Prognosis ◽  
Upper Gastrointestinal ◽  
Overall Mortality

AbstractThere have been major advances in the diagnosis and management of upper gastrointestinal bleeding over the past two decades but the overall mortality figure remains about 10 per cent. This paper reviews the place of upper gastrointestinal endoscopy in diagnosis and discusses the argument that this form of earlier, more accurate diagnosis has had no influence on the outcome of the condition.

Digital Prepress

2011 ◽  
pp. 24-39
Author(s):  
Mark Snyder
Keyword(s):  
Historical Perspective ◽  
Print Media ◽  
Digital Technologies ◽  
Printing Industry ◽  
New Techniques ◽  
Digital Revolution ◽  
The Past ◽  
Problems And Solutions ◽  
Common Problems ◽  
Work Done

This chapter identifies changes that the printing industry has undergone during the past 25 years as a result of the digital revolution. It also provides a brief historical perspective of the printing industry and how it has evolved. It is undeniable that the computer has had an impact on the development of print media and today it is rare to find any prepress work done without the use of some digital technology. The workflow of a traditional printed piece is described from start to finish and is compared to a more modern digital workflow to familiarize readers with the processes and contrast the old with the new techniques. This chapter will identify common problems that occur in the preparation of print media using digital technologies. In particular, it will explore a variety of problems and solutions related to the use of digital prepress as well as identifying new innovations intended to improve prepress operations in the future.

Preventive Medicine

2016 ◽  
pp. 365-374
Author(s):  
Amy T. Wang ◽  
Karen F. Mauck
Keyword(s):  
Surgical Procedures ◽  
Preventive Medicine ◽  
The Past ◽  
Risk Of Mortality ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Complex Surgical Procedures ◽  
Overall Mortality ◽  
Overall Risk

Mortality associated with anesthesia and surgery has decreased markedly in the past several decades. Today the overall mortality is 1:250,000 even though more complex surgical procedures are performed on sicker patients. The American Society of Anesthesiologists classification, with broadly defined categories, is used to estimate overall risk of mortality within 48 hours postoperatively.

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