Saratov JOURNAL of Medical and Scientific Research

analysis

Dynamics of frequency of alcohol-related fatal automobile trauma in the Saratov region from 2006 till 2017

Year: 2019, volume 15 Issue: №3 Pages: 701-706
Heading: Forensic medicine Article type: Original article
Authors: Savenkova E.N., Efimov А.А., Alekseev Yu.D., Raykova K.A., Avdeeva O.S., Gavrichenko E.P.
Organization: Saratov State Medical University
Summary:

Objective; to analyze of the dynamics of frequency of alcohol-related fatal automobile trauma in the Saratov region over the years 2006-2017. Material and Methods. The study was conducted on the basis of the results of forensic medical examinations of the corpses of persons dead in a car accident in the period from 2006 to 2017 Results. During the study period in the Saratov region slightly decreased the proportion of alcohol intoxication in traffic accidents from 35-40% (2012-2015) to 23.5% (2017). Until 2015, the frequency of alcohol intoxication with trauma in the cabin and pedestrian injury almost did not differ, making up 35-40%. By 2017, the proportion of injured pedestrians with ethanol in the blood more than twice exceeded those affected in the cabin, moreover, the structure of ethanol intoxication in pedestrians is dominated by a concentration of 2.5-3.5%o and more. Along with the decrease in the frequency of ethanol in the blood among drivers (from about 40% in 2012-2015 to 23.5% in 2017), the share of heavy ethanol intoxication decreased, which until 2012 ranged from 33 to 60%, in 2017 it decreased to 25%. The age structure of alcohol-associated automobile trauma has changed: the share of intoxication among persons of 17-30 years has decreased, has increased in age groups of 31-40 years and 41-50 years. Conclusion. During the twelve-year period in the Saratov region in the structure of alcohol- associated automobile trauma there have been positive trends, expressed in a decrease in the proportion of victims in the cabin with the presence of ethanol in the blood, among drivers, and also a decrease in alcohol intoxication among young people. Negative trends should be considered an increase in the proportion of pedestrians with the presence of alcohol in the blood with a predominance of concentration corresponding to a severe degree of ethanol intoxication, increase of the share of ethanol intoxication in older age groups.

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The analysis of the structure of causes of violent death in Saratov (from 2011 to 2015)

Year: 2016, volume 12 Issue: №1 Pages: 27-31
Heading: Forensic medicine Article type: Original article
Authors: Efimov А.А., Savenkova E.N., Alekseev Yu.D., Ivakhina S.A., Raykova K.A., Kalugina S.A.
Organization: Saratov State Medical University, Saratov Bureau of Forensic Medical Examination
Summary:

Objective: the establishment changes in the structure of the causes of violent death in Saratov from 2011 till 2015. Material and Methods. The examination was based on analysis of the results of the forensic medical expert researches of corpses in the Saratov city office of forensic medical examination of corpses in the period from 2011 to 2015. Results. The structure of the causes of violent death was identical in Saratov in the last five years. The mechanical trauma was a leader, in second place — poisonings, then — mechanical asphyxia and external factors. There were two trends in the dynamics of components of each type of violent death: positive and negative. Positive trends were expressed as a decrease in the proportion of deaths from poisoning by ethanol and reducing the number of deaths from alcohol intoxication from other causes. Negative trends were expressed as the increase in the number of forensic medical expert examinations in the last two years, an increasing share of violent death of children in 2015, maintaining the leading position of automotive trauma among deaths from injuries by blunt objects. Conclusion. The number of forensic medical examinations of corpses was increased in Saratov for the studied period, but the proportion of fatal poisoning with ethanol was decreased. In 2015, the share of violent death of children aged under 14 was increased.

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Analysis of production of the decellularized scaffolds and their potential use in cardiovascular surgery

Year: 2015, volume 11 Issue: №4 Pages: 615-620
Heading: Genetics Article type: Review
Authors: Brumberg V.A., Lauk-Dubitsky S.E., Astrelina Т.А., Kobzeva I.V., Bushmanov A.Y., Samoilov A.S.
Organization: State Scientific Research Center n.a. A.I. Burnasyan — Federal Medical Biophysical Center of Federal Medical Biological Agency
Summary:

Data on application of decellularized scaffolds and tissue-engineered vascular conduits in the field of cardiovascular surgery have been analyzed, and also techniques for their procurement have been studied. For finding, selection and synthesis resources of research data from the systems Pubmed, ScienceDirect were used. The preference was given to the most informative, comprehensive and contemporary publications.

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Pharmacoeconomics as an instrument of clinical pharmacology for optimization of pharmacotherapy

Year: 2015, volume 11 Issue: №3 Pages: 428-431
Heading: Dermatovenerology Article type: Review
Authors: Reshetko O.V., Lutsevich К.А., Nelyubova 0.I.
Organization: Saratov State Medical University
Summary:

The article presents pharmacoeconomics is an essential component of health technology assessment and the appraisal of medicines for use by patients. As a comparatively young discipline, its methods continue to evolve. Pharma-coeconomic analyses encompass cost — minimization, cost — utility, cost — benefit, and cost — effectiveness studies, providing essential information critical for optimization of pharmacotherapy, optimal health-care resource allocation and drug development success.

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Analysis of observations of acute strokes during the period from 2009 till 2012

Summary:

Objective: analysis of autopsy material of the patients who died with clinical diagnosis of stroke. Material and Methods. The protocols of postmortem investigations of 172 patients have been studied. The interested information were added to the questionnaire. Material was processed statistically. Results. It has been determined that 51,74% of dead patients were men and 48,26% were women. 96,9% of dead patients were from age group of 41-50 and 81-90 years respectively. The causes of death of the patients were edema of brain and pneumonia, which developed within 24 hours to 7 days. In 16,28% and 11.05% the death was fixed from 7 to 14 and from 14 to 28 days, respectively. The conclusive clinical diagnosis more commonly consisted of two basic diseases. Conclusion. There is a positive trend for improvement of the quality of diagnosis of stroke, to reduce the number of mistakes in conclusive clinical diagnosis.

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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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