Saratov JOURNAL of Medical and Scientific Research

morbidity

Perspectives for the analysis of arterial hypertension morbidity in Saratov region

Year: 2015, volume 11 Issue: №2 Pages: 97-100
Heading: Health Service Organization Article type: Original article
Authors: Zhuzhlova N.Y., Sazanova G.Y., Dolgova E.M.
Organization: Saratov State Medical University
Summary:

Purpose: the study of trends in overall morbidity and primary hypertension in the Saratov region over the period from 2002 to 2013. Materials and methods. The official statistics Ministry of Health and the Federal State Statistics Service were used, which is processed using analytical and statistical methods. Results. The article has been providing the analysis of total and primary arterial hypertension morbidity of the population of the Saratov region, which is in accordance with the degree of the Government of the Russian Federation from December 1, 2004, N 715 to the group of socially significant diseases. During the period from 2002 to 2013 in the Saratov region, as well as in the Russian Federation in Volga Federal district, the tendency of growth of the overall incidence and the decrease in the primary incidence of arterial hypertension. Conclusion. The dynamics of incidence of hypertension suggests the need for careful analysis and optimization of medical care for patients with hypertension

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Hospital registry in special department for patients with acute cerebrovascular disease

Year: 2014, volume 10 Issue: №4 Pages: 819-823
Heading: cardiac surgery Article type: Original article
Authors: Maslyuk О.А., Smolentseva I.G., Amosova N.A., Krivonos O.V., Shevchenko N.S., Milagina V.S.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: organization and follow-up of a registry of patients with cerebrovascular disease in in special department. Materials and methods. In the period from January 2011 to December 2013 all cases of cerebrovascular disease in the special department were recorded. Each patient had an electronic case book and thematic record, developed on the basis of the materials of the National Stoke Association of "Registry of stroke." Results. 418 cases of cerebral stroke were registered. Male to female ratio was 3.7: 1. Patients with initial diagnosed cerebral stroke were 78%, secondary 22%. The average age of patients was 63. The big number of strokes was observed in men aged 56-57 years; in women aged 75-77 years. TOAST criteria for subtypes of ischemic stroke were distributed to: atherothrombotic (29,3%), cardioembolic (29,1 %), 22,4% lacunar ischemic stroke due to other established reasons (8,8%), crptogenic (10,4%). Hemorrhagic stroke was observed in 16.8% of cases. Parenchymal hemorrhage was observed in 10.7% of cases, nontraumatic subarachnoid hemorrhage (4,5%). Among the risk factors in patients with ischemic stroke identified: arterial hypertension (88,9%), coronary heart disease (43%), heart rhythm disorders (28,4%), diabetes (18,6%). The proportion of endovascular interventions performed for 3 years was 31.2%. Mortality rate was 3.74% (10 people) in 2011; 4.65% (14 people) in 2012; 2.48% (7 people) in 2013. Conclusion. Follow up the hospital stroke registry allowed to estimate the structure andcourse of cerebral stroke, found the risk factors to identify the most important factors of death.

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Effect of the acute postoperative pancreatitis at the postoperative period in the abdominal surgery

Year: 2013, volume 9 Issue: №4 Pages: 957-962
Heading: Surgery Article type: Original article
Authors: Kotenko К.V., Voskanyan S.Е., Korsakov I.N., Naydenov E.V.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

The study aims the influence of development of the acute postoperative pancreatitis at the early postoperative period; determine its influence at the frequency and spectrum of complications after abdominal surgery. Material and methods. The work is based on the results of the complex examination and surgical treatment of 1934 patients with various disorders of the digestive system (complicated duodenal ulcer and gastric ulcer, gastric cancer, the proximal and distal pancreatic cancer, colon cancer and postgastrectomy syndromes). The dependence of the overall incidence of postoperative complications, the number of complications per patient, and the number of infectious and inflammatory complications per patient, hospital mortality and length of postoperative hospital days for the development of acute postoperative pancreatitis were studied. Results. Acute postoperative pancreatitis is a leading cause of morbidity postoperative intra-abdominal operations. 97,8% of the cases of complicated early postoperative period of the operations on the organs of the abdominal cavity caused by the development of acute postoperative pancreatitis. Specific complications for the acute postoperative pancreatitis (satellite complications) were identified. Satellite complication had a clearly defined correlation with the development of the acute postoperative pancreatitis. The negative effect of acute postoperative pancreatitis on the severity of the postoperative period, on the morbidity, on the number of complications per patient, on the number of the infectious and inflammatory complications per patient, hospital mortality and on the duration of the postoperative hospital stay were found.

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Epidemiological monitoring the of Parkinson's disease morbidity

Year: 2013, volume 9 Issue: №4 Pages: 873-877
Heading: Neurology Article type: Original article
Authors: Krivonos О.V., Smolentseva I.G., Amosova N.A.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Aim: the analysis of epidemiological monitoring of Parkinson's disease. Material and Methods. We conducted the full-design population study in the six closed administrative-territorial unit (Seversk, Zarechniy, Ozersk, Lesnoy, Sarov and Zheleznogorsk) with an adult's population about 450000 in the period from 2009 to 2012. For collecting information was developed the register of PD. Results. 588 patients with PD were revealed and enrolled, including 302 patients, who were revealed in the first. Primary morbidity was 11.0 per 100000 population in 2009, and in 2010 and 2011 it was 25.7 and 22.7 per 100000 population respectively. By the beginning of 2012 was so-called "dredging" of patients from population (revealing of all patients, who were not revealed earlier) and was 8.5 per 100000. Total morbidity for 4 years of observation increased: so in 2009 it was 33.1 per 100000, in 2010-92.5 per 100000, in 2011-114,2 per 100000, and in 2013-118,7 per 100000, the same like international data. The Evolution of sex and age structure according to the Register's data showed: 1) peak of morbidity at age 70-74 years, with the decay over 85 years; 2) morbidity was higher in men aged 70-74 years and older. Conclusion. Implementation of the Register of PD's patients annually allowed to monitoring of the morbidity and statistically significant show the basic epidemiological evidence and undertake federal and sampling comparative studies, it is necessary for evaluation of the changes of Parkinson's disease status, which can't be done on the basis of the state statistical dates.

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The regional model of organization of medical care to patients with Parkinson disease in modern socio-economic conditions

Summary:

There is the evidence-based organizational and functional model of health care for people with Parkinson disease at the regional level, showing the role and importance of new organizational technology embodied in the closed administrative-territorial formations.

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Parkinson's disease: the reliability of morbidity and mortality statistics in the Russian Federation

Summary:

The aim of the research was to study the significance of morbidity of Parkinson's disease (PD) and mortality in Russian Federation in international comparisons. Material and Methods: In accordance with the purpose of the study the morbidity and mortality were analyzed in the Russian Federation on the basis of volumes "Morbidity in Russia" of the Ministry of Health of the Russian Federation in 2009-2012, "Human resources for health care institutions" of the Ministry of Health of the Russian Federation in 2012, tables С 51 about the mortality of subjects of the Russian Federation in 2012, data of mortality from Parkinson's disease in different countries in 2011, published by WHO. Results. The analysis of data on the morbidity patterns showed that in the Russian Federation in 2009-2012 there was an increase in general morbidity of adult patients with PD from 75.1 to 87.7 per thousand of populations. The data of primary morbidity in the adult population of the Russian Federation from PD also tend to increase from 8.0 to 8.5 per thousand of populations. The sharp fluctuations of mortality's data were revealed in subject of Russian Federation that was related of unreliable data. Mortality from PD in Russian Federation in 2012 was 0.31 per thousand of populations. Conclusion. The values in the study of general and primary PD's morbidity in the Russian Federation were lower than performance in international comparisons. PD's mortality in Russia was also lower than in other developed countries. Abidance by rules of selecting the primary cause of death (PCOD), confirmed by an automated system, where one of the causes is PD will make mortality statistics of PD reliable and internationally comparable.

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Differentiated approach to prophylaxis among students

Year: 2011, volume 7 Issue: №4 Pages: 925-929
Heading: Sociology of Medicine Article type: Author's opinion
Authors: Orlova G.G., Shemetova G.N., Nevzorov А.А., Molodtsov R.N.
Organization: Saratov State Medical University, Russian University of Friendship of Peoples
Summary:

The purpose of work: to study the medical and social status of learning youth of different types of educational institutions and scientifically to prove the differentiated approach to the organization of the prophylactic aid. Methods. Sociological research of 1039 respondents (students of universities) is lead; learning average special educational institutions and technical training colleges under specially developed questionnaire. Results. Features of a social accessory (belonging), a standard of living and well-being of learning universities, special educational institutions and technical training college are determined. The student's cohort of universities under many characteristics was a cohort of safe people from full (70%) intelligent (78%), малодетных (100%) families with an average level of well-being (70%). Pupils of technical training college — are more often natives from incomplete (57%) and quite often having many children (27%) than families working (37%) and peasants (39%) — differed the most unsuccessful characteristics. Pupils special educational institutions took an intermediate place on all investigated parameters. The conclusion. Essential distinctions of the social status of students and learning different types of educational institutions from which the most unsuccessful appeared pupils of technical training college are revealed. It serves as argument for a substantiation of the differentiated approach by development of programs of improvement and the preventive help of learning youth of different types of educational institutions

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Epizootic Situation at Rabies in Saratov Region

Year: 2011, volume 7 Issue: №4 Pages: 860-862
Heading: Infectious Diseases Article type: Original article
Authors: Eryomin V.I., Zayats N.A., Narkaytis L.I., Lavrentiev M.V., Krasilnikova N.N.
Organization: Saratov State Medical University, Administration of Federal Agency for Supervision in the Sphere of Consumers Rights Protection and Human Well-being in Saratov region
Summary:

The purpose of the study was to investigate epizootic situation at rabies in Saratov region during the period from 2000 to 2010. Materials and methods. Retrospective analysis of rabies morbidity of wild and farm animals was conducted. Results. During the reporting period an increase of animals' morbidity, accompanied by extension of unfavorable settlements in case of this disease was marked. Annual rate of diseased animals is defined by seasonal activity changes of foxes. The main carriers of rabies virus in the region are foxes. Conclusion. Epizootic situation at rabies in Saratov region is evaluated as unfavorable

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Health Matters Of Modern Students And Unsolved Problems Of Curative And Prophylactic Aid

Year: 2009, volume 5 Issue: №4 Pages: 526-530
Heading: Health Service Organization Article type: Review
Authors: G.N. Shemetova, E.V. Dudrova
Organization: Saratov State Medical University
Summary:

The health state of modern youth and the level of curative and prophylactic aid have been analyzed in the article. Basic disadvantages of rendering medical aid have been revealed. The main points of optimization of prophylactic and rehabilitation aid for students are presented in the study

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Morbidity Of Sexually Transmitted Diseases In The Russian Federation And Republic Of Belarus (From 1997 Till 2007)

Summary:

The research goal is the comparative analysis of morbidity of sexually transmitted diseases in the Russian Federation and Republic of Belarus in dynamics in the period from 1997 till 2007. Research data have been taken from statistic documents based on observations of STD registered in the countries under study. Statistical data manipulation has been done on PC (Pentium IV) in the programme Microsoft Excel. According to the research results the morbidity indices of most STD have been decreased. The higher morbidity indices of trichomoniasis have been noticed in Russia -186,2 and in Republic of Belarus-220,4 for the population of 100 000 people. The results of research have shown that it is necessary to work out normative documents, to identify the contingent of patients and repetition factor of medical examinations to prevent the spread of STD

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