Objective. To assess prevalence of joint pain and swelling complaints among Ivanovo city residents and to compare their frequency with prevalence of musculoskeletal disorders. Materials and methods.4000 people aged 18 to 90 years (mean age 43,55±16,48 years), 45,76% male and 54,21% female living in multiple dwellings of different city districts were included in a screening questionnaire study. Most of them were of young and middle age. Old and senile people constituted 16% of all population. Results. 39% of all respondents (44,6% of female and 32,4% of male) at the examination complained of knee and hip joint pain. 26,3% of population reported swelling (arthritis) of wrist, knee, hand and feet joints. Joint swelling complaints were twice less frequent among male (18,1%) than among female (33,1%). Mean age of residents with joint swelling was 57,25±13,93 years and was higher in persons with joint pain 55,75±14,04 years. Joint complaints frequency increased from 31-40 age group with joint pain peak at 81-90 years and swelling peak at 71-80 years. Rheumatoid arthritis had been previously diagnosed in 1,2% of respondents what is in accordance with data about morbidity, and diagnosis of osteoarthritis had been made in 5,3% what is lower than statistical data for the city. Conclusion. Questionnaire study results show high prevalence of joint disorders among Ivanovo city residents, their significant increase in old age groups from 51-60 years group, higher frequency of joint pain in women low awareness of inhabitants about the diagnosis and insufficient medical care for people with joint diseases.
Objective: to study the rate of metabolic syndrome (MS) and its components among gout patients in different regions of the Russian Federation. Subjects and methods. This cross-sectional multicenter study enrolled 2277 gout patients, including 1963 (86.2%) men and 314 (13.8%) women, from 12 independent medical centers in different regions of the Russian Federation. The patients over 18 years of age who met the classification criteria for gout, elaborated by S. Wallace et al., were included. The diagnosis of MS was established on the basis of Adult Treatment Panel III (ATP III) criteria. The presence of MS, its individual components and comorbidities were recorded. Results. The total rate of MS in the patients with gout was 57%; however, it varied substantially (from 15 to 77%) in different centers. Among the comorbidities, arterial hypertension was most common (in three fourths of the patients), coronary heart disease (CHD) and type 2 diabetes mellitus were less common (43 and 25%, respectively); 15% of the patients had sustained myocardial infarction, renal and cardiac failure was also observed in 15%. In the gout patients, MS was associated with the presence of CHD. Conclusion. The patients with gout were observed to have a high rate of MS (57%), its components, and cardiovascular diseases. The findings suggest that there is a relationship between the presence of MS and the development of CHD.
An open-labeled study of the efficiency and tolerability of the herbal preparation Urisan used for one month in 21 male gout patients has revealed that the agent has moderate antihyperurecemic activity, no adverse reactions, and excellent or good tolerability in the appraisal by physicians and patients.
Early combined prenatal screening for frequent chromosomal abnormalities and congenital disorders was organized in the Russian Federation in 2010 on the initiative of the Ministry of Health and Social Development and with the support of the Government of the Russian Federation in accordance with FMF guidelines. The first results achieved in the implementation of the activities of new screening model, and the evaluation of key indicators and the general condition of the early prenatal screening in the regions and the federal districts of Russia are presented.
Early combined prenatal screening for frequent chromosomal abnormalities and congenital disorders was organized in the Russian Federation in 2010 on the initiative of the Ministry of Health and Social Development and with the support of the Government of the Russian Federation in accordance with FMF guidelines. The first results achieved in the implementation of the activities of new screening model, and the evaluation of key indicators and the general condition of the early prenatal screening in the regions and the federal districts of Russia are presented.
An analysis of an applicability of neoinstitutional economics (theory of Transaction costs economy, Game theory, Contractual theory) and operational management (LEAN-production) to arise an efficiency of project procurement management was conducted in the present paper. The most prominent feature of the planned research is its interdisciplinarity. It provides the tool for redefinition of the term ‘efficiency’ and its criteria in project procurement management and to design tools to achieve the result which meet such criteria.
The paper presents the results of the collection of ticks in the Orenburg region. The study was conducted ixodid fauna about 30 administrative districts of the Orenburg region, whereby we collected 3202 ticks representative of 4 species: Dermacentor marginatus, Dermacentor reticulatus, Hyalomma detritum, Ixodes persulcatus. The most common and dangerous to humans are the following: D. reticulatus, D. marginatus, I. Persulcatus.
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