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Addressing the epidemiologic transition in the former Soviet Union: strategies for health system and public health reform in Russia.

https://arctichealth.org/en/permalink/ahliterature212589
Source
Am J Public Health. 1996 Mar;86(3):313-20
Publication Type
Article
Date
Mar-1996
Author
T H Tulchinsky
E A Varavikova
Author Affiliation
School of Public Health Hadassah-Hebrew University, Jerusalem, Israel.
Source
Am J Public Health. 1996 Mar;86(3):313-20
Date
Mar-1996
Language
English
Publication Type
Article
Keywords
Health Care Reform
Health Priorities
Health services needs and demand
Health Status Indicators
Humans
Longevity
Morbidity - trends
Mortality - trends
Public Health Administration
Russia - epidemiology
Abstract
This paper reviews Russia's health crisis, financing, and organization and public health reform needs.
The structure, policy, supply of services, and health status indicators of Russia's health system are examined.
Longevity is declining; mortality rates from cardiovascular diseases and trauma are high and rising; maternal and infant mortality are high. Vaccine-preventable diseases have reappeared in epidemic form. Nutrition status is problematic.
The crisis relates to Russia's economic transition, but it also goes deep into the former Soviet health system. The epidemiologic transition from a predominance of infectious to noninfectious diseases was addressed by increasing the quantity of services. The health system lacked mechanisms for epidemiologic or economic analysis and accountability to the public. Policy and funding favored hospitals over ambulatory care and individual routine checkups over community-oriented preventive approaches. Reform since 1991 has centered on national health insurance and decentralized management of services. A national health strategy to address fundamental public health problems is recommended.
Notes
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Comment In: Am J Public Health. 1996 Mar;86(3):321-38604755
PubMed ID
8604754 View in PubMed
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[An analysis of the treatment indices of patients with acute surgical diseases of the abdominal organs in Saint-Petersburg over 50 years (1946-1996)].

https://arctichealth.org/en/permalink/ahliterature209929
Source
Vestn Khir Im I I Grek. 1997;156(3):35-9
Publication Type
Article
Date
1997
Author
A E Borisov
A P Mikhailov
V P Akimov
Source
Vestn Khir Im I I Grek. 1997;156(3):35-9
Date
1997
Language
Russian
Publication Type
Article
Keywords
Abdomen, Acute - diagnosis - epidemiology - surgery
Hospitalization - statistics & numerical data
Humans
Medical Errors - statistics & numerical data
Morbidity - trends
Mortality - trends
Russia - epidemiology
Time Factors
Urban Population - statistics & numerical data
Abstract
The article analyzes results of treatment of 900 thousands patients with acute surgical diseases of organs of the abdominal cavity. Factors responsible for unfavorable results are shown. The authors consider that reduced lethality depends on strict observation of the main principle of the medical doctrine in emergency surgery and on wider introduction of endovideosurgical technologies into practice.
PubMed ID
9324841 View in PubMed
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[An epidemiological analysis of the health status of the participants in the cleanup of the aftermath of the accident at the Chernobyl Atomic Electric Power Station]

https://arctichealth.org/en/permalink/ahliterature72392
Source
Lik Sprava. 1998 Dec;(8):39-41
Publication Type
Article
Date
Dec-1998
Author
V M Ponomarenko
A M Nahorna
H V Osnach
T L Proklina
Source
Lik Sprava. 1998 Dec;(8):39-41
Date
Dec-1998
Language
Ukrainian
Publication Type
Article
Keywords
Accidents, Radiation - statistics & numerical data
Adult
Comparative Study
English Abstract
Female
Health status
Humans
Male
Middle Aged
Morbidity - trends
Mortality - trends
Power Plants
Radiation Injuries - complications
Registries - statistics & numerical data
Ukraine - epidemiology
Abstract
A comparative analysis has been carried out of indices for health status in 137,072 persons who took part in the elimination of the aftermath of the Chernobyl accident, using records of the National Register of Ukraine. The above-mentioned indices were for time-related general morbidity, mortality, disability during the period of 1988-1996. There has been revealed yearly increase in morbidity rates in all classes of diseases, in particular those of the circulatory system, nervous system, and sense organs, digestive, and respiratory systems. High morbidity rates are recordable with respect to that class of diseases afflicting the endocrine system, blood, and hemopoietic organs, neoplasms including malignant tumours. The disability rates tended to increase above average statistical ones for Ukraine.
PubMed ID
10204344 View in PubMed
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[An epidemiological study of cancer morbidity and mortality among the population living in areas close to thermal and atomic electric power stations].

https://arctichealth.org/en/permalink/ahliterature202468
Source
Gig Sanit. 1999 Jan-Feb;(1):10-3
Publication Type
Article
Author
V A Komleva
Source
Gig Sanit. 1999 Jan-Feb;(1):10-3
Language
Russian
Publication Type
Article
Keywords
Environmental Exposure - adverse effects - statistics & numerical data
Female
Humans
Male
Morbidity - trends
Mortality - trends
Neoplasms - epidemiology - etiology
Power Plants - statistics & numerical data
Russia - epidemiology
Abstract
Cancer mortality and morbidity rates were studied in the population residing in 2 areas adjacent to thermoelectric stations and in 3 areas next to atomic power stations. They were shown to be higher in the population living in vicinity of the former than in the latter stations.
PubMed ID
10199067 View in PubMed
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[Assessment of the influence of socio-economic factors on health and demographic indices].

https://arctichealth.org/en/permalink/ahliterature115862
Source
Gig Sanit. 2012 Nov-Dec;(6):36-8
Publication Type
Article
Author
M I Chubirko
N M Pichuzhkina
L A Masailova
G V Lastochkina
Source
Gig Sanit. 2012 Nov-Dec;(6):36-8
Language
Russian
Publication Type
Article
Keywords
Cities
Humans
Hygiene - standards
Morbidity - trends
Mortality - trends
Population Dynamics - statistics & numerical data - trends
Public Health - statistics & numerical data - trends
Questionnaires
Regression Analysis
Risk assessment
Rural Population - statistics & numerical data - trends
Russia
Socioeconomic Factors
Urban Population - statistics & numerical data - trends
Abstract
THE THEME: assessment of the influence of socio-economic factors on health and demographic indicators.
population of municipalities of the Voronezh region.
the justification of the system of measures aimed at stabilizing the medical-demographic situation at the regional level.
methods of Health Statistics; questionnaire.
the low socio-economic status of the population is set in the territories, depressed at the level of demographic development. The contribution of socio-economic indicators in health and demographic situation has been determined Reliable cause-effect relationships between health and demographic indicators and the level of socio-economic development of the population have been identified.
PubMed ID
23457991 View in PubMed
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Burden of disease, health indicators and challenges for epidemiology in North America.

https://arctichealth.org/en/permalink/ahliterature126251
Source
Int J Epidemiol. 2012 Apr;41(2):540-56
Publication Type
Article
Date
Apr-2012
Author
Amy Toporowski
Sam Harper
Rebecca Fuhrer
Patricia A Buffler
Roger Detels
Nancy Krieger
Eduardo L Franco
Author Affiliation
Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada.
Source
Int J Epidemiol. 2012 Apr;41(2):540-56
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Capacity building
Female
Health Priorities
Health Services Accessibility
Health Status Indicators
Healthcare Disparities
Humans
Male
Morbidity - trends
Mortality - trends
North America - epidemiology
Population Surveillance
Risk factors
Socioeconomic Factors
Abstract
Commissioned by the International Epidemiological Association, this article is part of a series on burden of disease, health indicators and the challenges faced by epidemiologists in bringing their discoveries to provide equitable benefit to the populations in their regions and globally. This report covers the health status and epidemiological capacity in the North American region (USA and Canada).
We assessed data from country-specific sources to identify health priorities and areas of greatest need for modifiable risk factors. We examined inequalities in health as a function of social deprivation. We also reviewed information on epidemiological capacity building and scientific contributions by epidemiologists in the region.
The USA and Canada enjoy technologically advanced healthcare systems that, in principle, prioritize preventive services. Both countries experience a life expectancy at birth that is higher than the global mean. Health indicator measures are consistently worse in the USA than in Canada for many outcomes, although typically by only marginal amounts. Socio-economic and racial/ethnic disparities in indicators exist for many diseases and risk factors in the USA. To a lesser extent, these social inequalities also exist in Canada, particularly among the Aboriginal populations. Epidemiology is a well-established discipline in the region, with many degree-granting schools, societies and job opportunities in the public and private sectors. North American epidemiologists have made important contributions in disease control and prevention and provide nearly a third of the global scientific output via published papers.
Critical challenges for North American epidemiologists include social determinants of disease distribution and the underlying inequalities in access to and benefit from preventive services and healthcare, particularly in the USA. The gains in life expectancy also underscore the need for research on health promotion and prevention of disease and disability in older adults. The diversity in epidemiological subspecialties poses new challenges in training and accreditation and has occurred in parallel with a decrease in research funding.
PubMed ID
22407862 View in PubMed
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Clinical depression, antidepressant use and risk of future cardiovascular disease.

https://arctichealth.org/en/permalink/ahliterature112411
Source
Eur J Epidemiol. 2013 Jul;28(7):589-95
Publication Type
Article
Date
Jul-2013
Author
Iffat Rahman
Keith Humphreys
Anna Michaela Bennet
Erik Ingelsson
Nancy Lee Pedersen
Patrik Karl Erik Magnusson
Author Affiliation
Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Box 281, 17177, Stockholm, Sweden. Iffat.Rahman@ki.se
Source
Eur J Epidemiol. 2013 Jul;28(7):589-95
Date
Jul-2013
Language
English
Publication Type
Article
Keywords
Aged
Antidepressive Agents - adverse effects - therapeutic use
Cardiovascular Diseases - epidemiology - etiology
Coronary Disease - epidemiology - etiology
Depression - diagnosis - drug therapy - epidemiology
Female
Humans
Interviews as Topic
Male
Middle Aged
Morbidity - trends
Mortality - trends
Prospective Studies
Questionnaires
Registries
Risk factors
Socioeconomic Factors
Stroke - complications - epidemiology - etiology
Sweden - epidemiology
Abstract
Many studies have shown that depression contributes to a higher risk of developing cardiovascular disease (CVD). Use of antidepressants and its association with CVD development has also been investigated previously but the results have been conflicting. Further, depression and use of antidepressants have been more widely studied in relation to coronary heart disease rather than stroke. A population-based cohort study consisting of 36,654 Swedish elderly twins was conducted with a follow-up of maximum 4 years. Information on exposures, outcomes and covariates were collected from the Swedish national patient registers, the Swedish prescribed drug registry and the Swedish twin registry. Depression and antidepressant use were both associated with CVD development. The risk was most pronounced among depressed patients who did not use antidepressants (HR 1. 48, CI 1.10-2.00). When assessing the two main CVD outcomes coronary heart disease and ischemic stroke separately, the predominant association was found for ischemic stroke while it was absent for coronary heart disease. The association between depression and stroke also remained significant when restricting to depression diagnoses occurring at least 10 years before baseline. The study supports that depression is a possible risk factor for development of CVD. Moreover, the hazard rate for CVD outcomes was highest among depressed patients who had not used antidepressants. The association with clinical depression is more marked in relation to stroke and disappears in relation to development of coronary heart disease.
PubMed ID
23836399 View in PubMed
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76 records – page 1 of 8.