- Healthcare Systems and Public Health
- Frailty in Older Adults
- Nutrition and Health in Aging
- Cardiovascular Health and Disease Prevention
- Blood Pressure and Hypertension Studies
- Nutritional Studies and Diet
- Health Systems, Economic Evaluations, Quality of Life
- Neurological Disorders and Treatments
- Dementia and Cognitive Impairment Research
- Human Health and Disease
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Chronic Disease Management Strategies
- Cardiac, Anesthesia and Surgical Outcomes
- Atrial Fibrillation Management and Outcomes
- COVID-19 Clinical Research Studies
- Cardiovascular Syncope and Autonomic Disorders
- Cardiovascular Function and Risk Factors
- Dental Health and Care Utilization
- Renal and Vascular Pathologies
- Cardiac Health and Mental Health
- Hip and Femur Fractures
- Medical and Biological Sciences
- Adipose Tissue and Metabolism
- Heart Rate Variability and Autonomic Control
- Child and Adolescent Health
North-Western State Medical University named after I.I. Mechnikov
2015-2024
Coney Island Hospital
2018-2022
Pirogov Russian National Research Medical University
2020
Ministry of Health of the Russian Federation
2020
Institute of Bioorganic Chemistry
2015
Saint Petersburg State Pediatric Medical University
2011
UCLouvain
2011
KU Leuven
2011
Kharkiv Medical Academy of Postgraduate Education
2011
Russian Academy of Sciences
2006
The paper represents clinical guidelines on frailty, developed by Russian Association of gerontologists and geriatricians. are dedicated to geriatricians, internal medicine specialists, general practitioners, family doctors other dealing with adult patients. includes screening diagnostic tools treatment options for patients along prevention, rehabilitation medical care organization in this cohort
OBJECTIVES: To categorize the health problems of older Russians and identify number frail adults using different approaches. DESIGN: Cross-sectional study. SETTING: The Kolpino district St. Petersburg. PARTICIPANTS: A random sample 611 community-dwelling aged 65 was selected from a population-based register stratified into two age groups (65–74, ≥75). MEASUREMENTS: Anthropometry, medical history, nutritional status, Physical Performance Battery, activities daily living, grip strength,...
The paper represents clinical guidelines on frailty, developed by Russian Association of gerontologists and geriatricians. are dedicated to geriatricians, internal medicine specialists, general practitioners, family doctors other dealing with adult patients. This publication includes treatment options for patients frailty.
Disease management programmes (DMPs) improve quality of care for patients with heart failure (HF). However, only a limited number trials have studied the efficacy such preserved ejection fraction (HFPEF).To estimate impact structured, nurse-led patient education programme and plan in general practice on outcome parameters events HFPEF.Single blinded randomized clinical trial an intervention over six months follow-up during 12 additional months. In control group, (n = 41) were managed...
There is no ideal lock solution that prevents hemodialysis (HD) catheter loss due to catheter-related thrombosis (CRT) and bloodstream infection (CRBSI). Catheter associated with increased hospitalization high inpatient costs. Sodium bicarbonate (NaHCO3) demonstrates anti-infective anticoagulation properties a good safety profile, making it an development target.The objective of this study was determine the efficacy using sodium (SBCLS) as means preventing HD CRT CRBSI.
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Depression is a common and treatable illness in late-life. However, many do not seek treatment may suffer from the stigma of illness, which vary across cultures. The aim this study was to compare attitudes about depression primary care practices South Korea, Russia, USA.A cross-sectional undertaken using self-administered questionnaire PHQ-9 diagnostic survey with 1,094 patients aged 60-93 years who attended clinic or USA.The mean age participants 71 years, 61% being female. US were older...
Frailty prevalence differs across countries depending on the models used to assess it that are based various conceptual and operational definitions. This study aims clinical validity of three frailty among community-dwelling older adults in north-western Russia where there is a higher incidence cardiovascular disease lower life expectancy than European countries. The Crystal population-based prospective cohort Kolpino, St. Petersburg, Russia. A random sample population living district was...
Falls in old and senile age is one of the main geriatric syndromes that determine prognosis a patient's life autonomy, regardless consequences. According to experts, 33% people 65 years older have history falls, with 50% them falling more than once year. The prevalence falls depends on environment person: rate 10 times higher for nursing homes hospitals those living at home. For older, most common cause injury leading death due traumatic injury. are closely related other syndromes. It...
Abstract Background: Spirometry is an important test for the diagnosis of respiratory diseases, yet it underused especially in older adults. Several predictors good-quality spirometry this age group have been reported, based mainly on in/outpatients geriatric and/or units. Aims: This study aims to assess poor-quality community-dwelling adults from two primary care cohorts Russia and Belgium. Methods: Spirograms population-based cohort studies (CRYSTAL) Belgium (BELFRAIL) were assessed...
The results of investigation sample 107 patients 60 years and older during one month are described. This was collected in geriatric outpatient departments. prevalence syndromes assessed. main revealed were high risk falls, malnutrition, depression cognitive disorders. 67% frail. All caused level dependency. geriatrician made recommendations for correction problems. need to use multidisciplinary approach.
Senile asthenia syndrome (SAS) is a geriatric characterized by age-associated decline of the physiological reserve and function in multiple systems, which results higher vulnerability to effects endo- exogenous factors high risk unfavorable outcomes, loss self-sufficiency, death. Generally, SAS observed elderly patients with comorbidities. In cardiovascular diseases, associated poor prognosis, including incidence exacerbation death both during acute events chronic disease. However, often not...
Introduction. Oral frailty is associated with decreased quality of life and general health in older adults. Objective: to assess the relationship between oral frailty, physical functioning decline. Methods: An epidemiological cross-sectional Eucalyptus study adults aged 65 years (n=396). The main parameters: status, chronic diseases, a comprehensive geriatric assessment, complete blood count. Results: 75.5% (n=299) participants had less than half teeth. 87% them used removable/fixed dentures...
To explore the experts' opinion on feasibility of using Mini-Kog, MMSE and GPCOG tests for screening assessment cognitive impairment in elderly senile patients at primary stage medical care, as well to compare different characteristics these according opinion.The survey specialists was carried out basis 6 Medical Centers. Prior survey, tested functions during routine visits undergoing admission tests, interviewed their relatives corresponding section GPCOG. During filled a special physician...
The prevalence of chronic kidney disease (CKD) increases with age, but CKD is often underdiagnosed in older adults and regarded as age-related changes function. Screening for mandatory should include estimated glomerular filtration rate (eGFR) using both the EPI creatinine-based formula albumin/creatinine ratio a urine spot sample. In diagnostic criteria are same younger subjects. associated advanced ageing requires careful assessment geriatric syndromes. Renal function be assessed at least...
Objectives. This paper sought to provide normative values for grip strength among older adults 65+ across different age groups in northwest Russia. Methods. A population-based prospective cohort study of 611 community-dwelling individuals 65+. Grip was measured using the standard protocol applied Groningen Elderly Tests. The cut-off thresholds were defined separately men and women ages a weighted polynomial regression. Results conclusions. 1. presents age- sex-specific reference Russian...
Purpose: This study was conducted to investigate the relationships between arterial stiffness, frailty and fall-related injuries among community-dwelling older adults. Materials Methods: A cross-sectional of a random sample adults aged 60 years conducted. Main parameters: stiffness measured by determining cardio-ankle vascular index (CAVI); Frailty status defined using 7-item screening scale, developed in Russia. questionnaire included question about falls injuries. Orthostatic test...
A fall is defined as an event, which results in a person coming to rest inadvertently on the ground or floor other lower level, except cases, are result of blow, loss consciousness, sudden paralysis epilepsy [1]. Falls and fear falling cause serious health problems, which, turn associated with high injury rate, medical costs negative impact quality life. Older senile patients cardiovascular disease (CVD) at risk falling. However, clinical practice, prevalence falls risks not well understood...
Evaluate differences in depressive symptoms, compare sociodemographic and health-related variables associated with symptoms report level of impact on daily activities.Cross-sectional study using a self-administered questionnaire Patient Health Questionnaire-9 (PHQ-9) diagnostic survey 1115 patients aged 60-93 years who attended primary care clinic Korea, Russia or USA.At least mild depression (PHQ-9 score ≥ 5) occurred 28% Koreans, 65% Russian 27% US participants. Russians scored more...
Рабочая группа:Председатель: д.м.н., профессор Ткачева О. Н.Заместитель председателя: д.м.н. Рунихина Н. К.Члены рабочей группы: Воробьева М., Комаров А. Л., Котовская Ю. В., Панченко Е. П., к.м.н. Плохова Фролова Явелов И. С.Комитет экспертов: Аверков В. (Москва), Архипов М. (Екатеринбург), Баранова (Санкт-Петербург), член-корр. РАН Барбараш Л. (Кемерово), член- корр. Бойцов С. Болотнова Т. (Тюмень), Галявич (Казань), Гиляров Глезер Г. Гринштейн (Красноярск), Дупляков Д. (Самара), Захарова...