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Ygiyeva D, Pivina L, Messova A, Urazalina Z, Semenova Y, Dyussupov A, Dyussupov A, Belikhina T, Syzdykbayev M, Batenova G, Akhmetova A, Adams A. Paramedic To Provider Consultation Challenges in the Emergency Department in Kazakhstan: An Online Survey. Open Access Emerg Med 2023; 15:69-77. [PMID: 36923062 PMCID: PMC10010182 DOI: 10.2147/oaem.s401331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2022] [Accepted: 02/28/2023] [Indexed: 03/18/2023] Open
Abstract
Objective Consultation is an important and necessary aspect of patient care in the emergency department. We prospectively examined difficulties during the consultation process between paramedics and providers in emergency departments in Kazakhstan. Methods The paramedics were interviewed using various platforms and face-to-face meetings. Questionnaires were administered to paramedics to gather feedback on the current consultation process. In our survey, 202 paramedics of ambulance from the cities of Semey, Pavlodar, and Ust-Kamenogorsk, located in the North and East of Kazakhstan took part. Results Serious barriers to effective consultation were identified during consultations with cardiologists, pediatricians, and traumatologists. Weekends, as well as nighttime, are associated with more consultation difficulties. The most common problems for paramedics are non-attendance of the consultant, refusal of hospitalization by the consultant, and referral to other specialists and departments. More than 40% of the respondents noted the desire to share responsibility for the patient with medical consultants, which indicates uncertainty in their own knowledge due to the limited work experience of the majority of respondents. Conclusion Barriers that arise during the consultation process of patients with emergency conditions can lead to unfavorable outcomes. Strategies to address these barriers are needed to improve the quality of patient care. This review aims to understand and evaluate the issues that arise during the consultation process.
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Affiliation(s)
- Diana Ygiyeva
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Lyudmila Pivina
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Assylzhan Messova
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Zhanar Urazalina
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Yuliya Semenova
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Almas Dyussupov
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Altay Dyussupov
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Tatyana Belikhina
- Nuclear Medicine Department, Center of Nuclear Medicine and Oncology, Semey, Abay Region, Kazakhstan
| | - Marat Syzdykbayev
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Gulnara Batenova
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Ayaulym Akhmetova
- Department of Emergency Medicine, Semey Medical University, Semey, Abay Region, Kazakhstan
| | - Amber Adams
- JoAnne Gay Dishman School of Nursing, Lamar University, Beaumont, TX, USA
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Semenova Y, Rakhimova I, Nurpeissov T, Alikeyeva G, Khaibullin T, Kovalchuk V, Ainabekova Y, Yurkovskaya O, Glushkova N, Pivina L, Sarria-Santamera A, Abdrakhmanova Z, Abdrakhmanov A. Epidemiology of stroke and transient ischemic attacks in the population of the territories adjacent to the former Semipalatinsk Nuclear Test Site, Kazakhstan. RADIATION AND ENVIRONMENTAL BIOPHYSICS 2022; 61:17-28. [PMID: 34821973 DOI: 10.1007/s00411-021-00955-1] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 10/23/2021] [Indexed: 06/13/2023]
Abstract
The issue of radiation exposure as a potential cause of cerebrovascular disease raises many concerns. The aim of the present study was to investigate the epidemiology of stroke and transient ischemic attacks (TIA) along with the associated risk factors among the population of East Kazakhstan exposed to ionising radiation from the former Semipalatinsk Nuclear Test Site (SNTS) in comparison with the unexposed population of the same region. This 5-year retrospective cross-sectional study included the data on 10,970 patients, of whom the majority (62.3%) suffered from ischemic stroke, 11.7% had hemorrhagic stroke and the remaining 26.0% had TIA. At the moment when stroke/TIA happened, exposed patients were younger than the unexposed (mean age 63 years versus 64 years, p < 0.001) and showed higher rates of nearly all associated comorbidities, which commonly were more severe. Besides, exposed patients showed a higher risk of stroke lethality in contrast with the unexposed. The observed features might indicate that people residing in the vicinity of the SNTS are vulnerable to cerebrovascular disease and thus, this study contributes to timely recognition of this public health problem. In addition, a longitudinal study has to be envisaged to clarify whether there is any cause-effect relationship between exposure to radiation from the SNTS and the development of stroke or transient ischemic attacks.
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Affiliation(s)
- Yuliya Semenova
- Department of Neurology, Ophthalmology and Otolaryngology, Semey Medical University, Semey, Kazakhstan.
| | - Idaliya Rakhimova
- Department of Cardiology and Interventional Arrhythmology, Semey Medical University, Semey, Kazakhstan
| | | | - Galiya Alikeyeva
- Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Talgat Khaibullin
- Department of Neurology, Ophthalmology and Otolaryngology, Semey Medical University, Semey, Kazakhstan
| | - Vitalii Kovalchuk
- Hospital No 38 named after N.I. Semashko, Saint Petersburg, Russian Federation
| | - Yelena Ainabekova
- East Kazakhstan Regional Hospital, Stroke Center, Ust'-Kamenogorsk, Kazakhstan
| | - Oksana Yurkovskaya
- Department of Personalized Medicine, Semey Medical University, Semey, Kazakhstan
| | - Natalya Glushkova
- Faculty of Medicine and Healthcare, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Lyudmila Pivina
- Department of Emergency Medicine, Semey Medical University, Semey, Kazakhstan
| | | | - Zhanar Abdrakhmanova
- Department of Radiology and Nuclear Medicine, Astana Medical University, Nur-Sultan, Kazakhstan
| | - Ayan Abdrakhmanov
- Department of Interventional Arrhythmology, National Research Cardiac Surgery Center, Nur-Sultan, Kazakhstan
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3
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Kussainova A, Kassym L, Akhmetova A, Glushkova N, Sabirov U, Adilgozhina S, Tuleutayeva R, Semenova Y. Vitiligo and anxiety: A systematic review and meta-analysis. PLoS One 2020; 15:e0241445. [PMID: 33170870 PMCID: PMC7654800 DOI: 10.1371/journal.pone.0241445] [Citation(s) in RCA: 31] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2020] [Accepted: 10/14/2020] [Indexed: 12/18/2022] Open
Abstract
BACKGROUND Vitiligo is an acquired depigmenting skin disease which is often accompanied by mental distress. There are numerous studies dedicated to local and global prevalence of depression in patients with vitiligo but anxiety has not been recognized as a major mental problem within named population. We aimed to evaluate the prevalence of anxiety among patients with vitiligo from different countries and to compare it with patients suffering from eczema, psoriasis, and acne. METHODS In November 2019, we conducted a systematic search for observational studies that examined the prevalence of anxiety in vitiligo patients. Fifteen studies comprising 1176 patients with vitiligo were included to our systematic review. RESULTS The general prevalence of anxiety among vitiligo patients was equal to 35.8%. Statistically significant difference in anxiety rates was found among female and male patients (47.32% vs 42.4%) (P = 0.03), but the clinical relevance of this issue remains arguable. In addition, the pooled odds ratio among vitiligo and non-vitiligo patients did not indicate a statistical significance among patients coming from different continents. CONCLUSIONS The pooled prevalence of anxiety among vitiligo patients worldwide was comparable to other severe skin disorders. This finding accentuates the necessity of anxiety awareness in management of patients with skin diseases.
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Affiliation(s)
- Assiya Kussainova
- Department of Dermatovenerology and Cosmetology, NJSC "Semey Medical University", Semey, Republic of Kazakhstan
| | - Laura Kassym
- Nazarbayev University School of Medicine, Nur-Sultan, Republic of Kazakhstan
- * E-mail:
| | - Almira Akhmetova
- Department of Dermatovenerology and Cosmetology, NJSC "Semey Medical University", Semey, Republic of Kazakhstan
| | - Natalya Glushkova
- Department of Epidemiology, Evidence-Based Medicine and Biostatistics, Kazakhstan Medical University Higher School of Public Health, Almaty, Republic of Kazakhstan
| | - Ulugbek Sabirov
- Republican Specialized Scientific and Practical Medical Center of Dermatovenerology and Cosmetology, Tashkent, Republic of Uzbekistan
| | - Saltanat Adilgozhina
- Department of Family Medicine, NJSC "Semey Medical University", Semey, Republic of Kazakhstan
| | - Raikhan Tuleutayeva
- Department of Pharmacology Department, NJSC "Semey Medical University", Semey, Republic of Kazakhstan
| | - Yuliya Semenova
- Department of Neurology, Ophthalmology, Otorhinolaryngology, NJSC "Semey Medical University", Semey, Republic of Kazakhstan
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Environmental, Neuro-immune, and Neuro-oxidative Stress Interactions in Chronic Fatigue Syndrome. Mol Neurobiol 2020; 57:4598-4607. [PMID: 32761353 DOI: 10.1007/s12035-020-01939-w] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2019] [Accepted: 05/13/2020] [Indexed: 12/19/2022]
Abstract
Chronic fatigue syndrome/myalgic encephalomyelitis (CFS) is a complex, multisystem disease that is characterized by long-term fatigue, exhaustion, disabilities, pain, neurocognitive impairments, gastrointestinal symptoms, and post-exertional malaise, as well as lowered occupational, educational, and social functions. The clinical and biomarker diagnosis of this disorder is hampered by the lack of validated diagnostic criteria and laboratory tests with adequate figures of merit, although there are now many disease biomarkers indicating the pathophysiology of CFS. Here, we review multiple factors, such as immunological and environmental factors, which are associated with CFS and evaluate current concepts on the involvement of immune and environmental factors in the pathophysiology of CFS. The most frequently reported immune dysregulations in CFS are modifications in immunoglobulin contents, changes in B and T cell phenotypes and cytokine profiles, and decreased cytotoxicity of natural killer cells. Some of these immune aberrations display a moderate diagnostic performance to externally validate the clinical diagnosis of CFS, including the expression of activation markers and protein kinase R (PKR) activity. Associated with the immune aberrations are activated nitro-oxidative pathways, which may explain the key symptoms of CFS. This review shows that viral and bacterial infections, as well as nutritional deficiencies, may further aggravate the immune-oxidative pathophysiology of CFS. Targeted treatments with antioxidants and lipid replacement treatments may have some clinical efficacy in CFS. We conclude that complex interactions between immune and nitro-oxidative pathways, infectious agents, environmental factors, and nutritional deficiencies play a role in the pathophysiology of CFS.
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Gromova O, Doschanova A, Lokshin V, Tuletova A, Grebennikova G, Daniyarova L, Kaishibayeva G, Nurpeissov T, Khan V, Semenova Y, Chibisova A, Suzdalskaya N, Aitaly Z, Glushkova N. Vitamin D deficiency in Kazakhstan: Cross-Sectional study. J Steroid Biochem Mol Biol 2020; 199:105565. [PMID: 31812522 DOI: 10.1016/j.jsbmb.2019.105565] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/14/2019] [Revised: 12/03/2019] [Accepted: 12/04/2019] [Indexed: 11/17/2022]
Abstract
Vitamin D deficiency (VDD) is one of the serious and highly debatable public health problems affecting at least one billion of world population. This study objected to evaluate Vitamin D status in adult population of both sexes residing in different geographical areas of Kazakhstan and to elucidate the possible contributing factors related to VDD. This cross-sectional study covered 6 regions of Kazakhstan and applied the systematic random sampling to recruit 1347 healthy adults (of whom 819 were females) with mean age 44 ± 14 years. The concentration of 25-hydroxy vitamin D (25-OHD) was measured from May 2018 to August 2018 with Architect 25OH Vitamin D assay (Abbott Ireland Diagnostics Division Lisnamuck, Longford Co. Longford Ireland). Vitamin D deficiency was defined as 25-OHD values not exceeding 20 ng/mL as a reference threshold in healthy population. The median serum 25(OH)D concentrations in all studied regions of Kazakhstan were below the reference threshold (20 ng/mL). The lowest range of vitamin D (<10 ng/mL) was observed more commonly in females (34.6 % - 283) as compared to males (16.7 % - 88) and was significantly higher in Asians (33.2 % - 352) in contrast with Caucasians (6.7 % - 19) (χ2 = 177,939; D.f. = 3; p-value=<0,001). The proportion of severe VDD was higher in individuals with low body mass index (31.1 % - 188) vs. individuals with high body mass index (18.7 % - 50). In this study individuals aged 60 years and older had the most favorable situation with 25-OHD concentrations since these were normal in 14.4 % of observations (χ2 = 26,589; D.f. = 6; p-value=<0001). Studying the prevalence of VDD is an important public health task. Further research is needed to understand the epidemiology of VDD in more details to tailor intervention programs.
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Affiliation(s)
- Olga Gromova
- Federal Research Center «Computer Science and Control» of the Russian Academy of Sciences, Moscow, Russia; Institute of Bioelementology, Moscow, Russia
| | - Aikerm Doschanova
- Medical Center "Talmas Medicus", Astana, Kazakhstan; Association of Obstetricians and Gynecologists of Astana, Astana, Kazakhstan
| | - Vyacheslav Lokshin
- Persona International Clinical Center for Reproductology, Almaty, Kazakhstan; Association of Reproductive Medicine, Almaty, Kazakhstan
| | | | | | - Laura Daniyarova
- Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | | | | | | | - Yuliya Semenova
- Department of Neurology, Ophthalmology and Otolaryngology, Semey Medical University, Semey, Kazakhstan
| | | | | | - Zhanara Aitaly
- Federal Research Center «Computer Science and Control» of the Russian Academy of Sciences, Moscow, Russia
| | - Natalia Glushkova
- Department of Personalized Medicine, Semey Medical University, Semey, Kazakhstan.
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6
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Nurgaliyeva GT, Semenova YM, Tanysheva GA, Akylzhanova ZE, Bologan I, Manabayeva GK. Epidemiology of pre-eclampsia in the Republic of Kazakhstan: Maternal and neonatal outcomes. Pregnancy Hypertens 2020; 20:1-6. [DOI: 10.1016/j.preghy.2020.02.003] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2019] [Revised: 01/16/2020] [Accepted: 02/07/2020] [Indexed: 12/31/2022]
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Comorbilidad afectiva en personas con hipertensión arterial: un estudio de caso-control en adultos dominicanos. ACTA COLOMBIANA DE PSICOLOGIA 2020. [DOI: 10.14718/acp.2020.23.1.10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
En la literatura científica se encuentra un gran número de controversias y resultados dispares a la hora de explicar la relación entre la hipertensión arterial y algunas variables vinculadas a la afectividad negativa, como la depresión, la ansiedad y la ira. Teniendo esto en cuenta, en la presente investigación se planteó como objetivo principal analizar medidas de ansiedad, depresión e ira en personas adultas que padecen de hipertensión arterial (HTA). A partir de un diseño de caso-control, se contrastaron dos grupos, uno conformado por personas con HTA (n = 50) y otro de control equiparado en número de casos, edad y sexo. A nivel general, el grupo de HTA mostró mayores niveles de depresión ¾en su dimensión somática¾ y de ira-rasgo ¾en su dimensión de temperamento¾. Asimismo, las personas con HTA presentaron síntomas de irritabilidad y pérdida de energía ¾síntomas depresivo-somáticos¾, además de que tendían a enojarse con facilidad o rápidamente —sín- tomas de temperamento de ira¾. El abordaje de estos factores psicológicos comórbidos resulta de relevancia dado que en estudios precedentes ha demostrado aumentar la adherencia al tratamiento médico en pacientes que han sido diagnosticados con hipertensión o patologías similares.
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8
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Semenova Y, Zhunussov Y, Pivina L, Abisheva A, Tinkov A, Belikhina T, Skalny A, Zhanaspayev M, Bulegenov T, Glushkova N, Lipikhina A, Dauletyarova M, Zhunussova T, Bjørklund G. Trace element biomonitoring in hair and blood of occupationally unexposed population residing in polluted areas of East Kazakhstan and Pavlodar regions. J Trace Elem Med Biol 2019; 56:31-37. [PMID: 31442951 DOI: 10.1016/j.jtemb.2019.07.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2019] [Revised: 07/09/2019] [Accepted: 07/17/2019] [Indexed: 01/16/2023]
Abstract
INTRODUCTION Eastern and North-Eastern regions of Kazakhstan are considered to be environmentally disadvantaged due to industrial pollution and activity of the former Semipalatinsk Nuclear Test Site. Ferrous metallurgy is represented by the world's largest ferroalloy plant located in Aksu. In addition to a ferroalloy plant, Aksu is the home for the largest thermal power plant in Kazakhstan. OBJECTIVE Biomonitoring of 31 hair and blood trace elements (Ag, Ba, Be, Bi, Cs, Co, Ce, Cr, Cu, Eu, Gd, Hf, In, La, Li, Mn, Mo, Nb, Nd, Pb, Sc, Sn, Tl, Th, U, V, W, Y, Yb, Zn, and Zr) in non-occupationally exposed population residing in polluted areas of East Kazakhstan and Pavlodar regions. METHODS Five case groups, residing in the vicinity to the former Semipalatinsk Nuclear Test Site (Akzhar, Borodulikha, and Karaul) or in proximity to industrial plants (Aksu and Ust-Kamenogorsk) have been assessed vs. controls from a rural settlement in Kurchum. In total, 204 hair and blood samples were analyzed by inductively coupled plasma mass spectrometry. RESULTS The observed blood concentrations of trace elements were in agreement with earlier studies on residents of industrially polluted areas. Elevated levels of blood Ba, Mn, Pb, V, and Zn were detected in residents of Aksu and Ust-Kamenogorsk. The elemental composition of head hair was characterized by greater stability between the study sites. CONCLUSION Residency near the former Semipalatinsk Test Site could be considered as safe, while the environmental status of industrial settlements appears to be rather adverse.
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Affiliation(s)
- Yuliya Semenova
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | | | - Lyudmila Pivina
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | | | - Alexey Tinkov
- Yaroslavl State University, Yaroslavl, Russia; Peoples' Friendship University of Russia (RUDN University), Moscow, Russia; IM Sechenov First Moscow State Medical University, Moscow, Russia
| | - Tatyana Belikhina
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | - Anatoly Skalny
- Peoples' Friendship University of Russia (RUDN University), Moscow, Russia; IM Sechenov First Moscow State Medical University, Moscow, Russia; Federal Research Centre of Biological Systems and Agro-technologies of the Russian Academy of Sciences, Orenburg, Russia
| | | | | | | | | | | | | | - Geir Bjørklund
- Council for Nutritional and Environmental Medicine, Mo i Rana, Norway.
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9
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Semenova Y, Pivina L, Manatova A, Bjørklund G, Glushkova N, Belikhina T, Dauletyarova M, Zhunussova T. Mental distress in the rural Kazakhstani population exposed and non-exposed to radiation from the Semipalatinsk Nuclear Test Site. JOURNAL OF ENVIRONMENTAL RADIOACTIVITY 2019; 203:39-47. [PMID: 30849560 DOI: 10.1016/j.jenvrad.2019.02.013] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2019] [Revised: 02/20/2019] [Accepted: 02/21/2019] [Indexed: 06/09/2023]
Abstract
The present study investigates the rates of depression, anxiety, somatic distress, and fatigue in a rural population of Abayskiy, Borodulikha and Mayskiy districts exposed to radiation from Semipalatinsk Nuclear Test Site in comparison with the unexposed population of Kurchum district. The sample size included 901 people, of whom 656 were residents of radioecological contaminated areas, while 245 resided at ecologically safe territories and had no radiation exposure in the past. Both study groups had no significant differences concerning age, sex, level of education, smoking habit, and alcohol consumption. The prevalence of depression, anxiety, somatic distress and fatigue in the exposed group was found to be considerably higher than that in the unexposed. Results of logistic regression analysis showed considerable differences in associations between depression and anxiety, as wells as between depression and somatic distress in the exposed group. Besides, depression was significantly associated with general fatigue, reduced activity, physical fatigue, reduced motivation and mental fatigue in the unexposed group. There is a need to tailor public health interventions focused on the identification and management of individuals exhibiting mental distress, including the provision of adequate information about radiation-induced health effects, quality routine check-ups and psychological counseling.
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Affiliation(s)
- Yuliya Semenova
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | - Lyudmila Pivina
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | - Almira Manatova
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
| | - Geir Bjørklund
- Council for Nutritional and Environmental Medicine (CONEM), Mo i Rana, Norway.
| | | | - Tatyana Belikhina
- Semey Medical University, Semey, Kazakhstan; CONEM Kazakhstan Environmental Health and Safety Research Group, Semey Medical University, Semey, Kazakhstan
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10
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Apsalikov KN, Lipikhina A, Grosche B, Belikhina T, Ostroumova E, Shinkarev S, Stepanenko V, Muldagaliev T, Yoshinaga S, Zhunussova T, Hoshi M, Katayama H, Lackland DT, Simon SL, Kesminiene A. The State Scientific Automated Medical Registry, Kazakhstan: an important resource for low-dose radiation health research. RADIATION AND ENVIRONMENTAL BIOPHYSICS 2019; 58:1-11. [PMID: 30446811 DOI: 10.1007/s00411-018-0762-5] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/13/2018] [Accepted: 11/07/2018] [Indexed: 06/09/2023]
Abstract
Direct quantitative assessment of health risks following exposure to ionizing radiation is based on findings from epidemiological studies. Populations affected by nuclear bomb testing are among those that allow such assessment. The population living around the former Soviet Union's Semipalatinsk nuclear test site is one of the largest human cohorts exposed to radiation from nuclear weapons tests. Following research that started in the 1960s, a registry that contains information on more than 300,000 individuals residing in the areas neighboring to the test site was established. Four nuclear weapons tests, conducted from 1949 to 1956, resulted in non-negligible radiation exposures to the public, corresponding up to approximately 300 mGy external dose. The registry contains relevant information about those who lived at the time of the testing as well as about their offspring, including biological material. An international group of scientists worked together within the research project SEMI-NUC funded by the European Union, and concluded that the registry provides a novel, mostly unexplored, and valuable resource for the assessment of the population risks associated with environmental radiation exposure. Suggestions for future studies and pathways on how to use the best dose assessment strategies have also been described in the project. Moreover, the registry could be used for research on other relevant public health topics.
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Affiliation(s)
- K N Apsalikov
- Scientific Research Institute for Radiation Medicine and Ecology, 258 Gagarina Street, Semey, 490007, Kazakhstan
| | - A Lipikhina
- Scientific Research Institute for Radiation Medicine and Ecology, 258 Gagarina Street, Semey, 490007, Kazakhstan
| | - B Grosche
- Federal Office for Radiation Protection, Neuherberg, Germany.
- , Grasmückenweg 19, 85356, Freising, Germany.
| | - T Belikhina
- Scientific Research Institute for Radiation Medicine and Ecology, 258 Gagarina Street, Semey, 490007, Kazakhstan
| | - E Ostroumova
- International Agency for Research on Cancer, 150 Cours Albert Thomas, 96372, Lyon Cedex 08, France
| | - S Shinkarev
- State Research Center-Burnasyan Federal Medical Biophysical Center, 46 Zhivopisnaya Street, Moscow, 123182, Russian Federation
| | - V Stepanenko
- A. Tsyb Medical Radiological Research Center, 4, Koroleva Street, Obninsk, 249036, Russian Federation
| | - T Muldagaliev
- Scientific Research Institute for Radiation Medicine and Ecology, 258 Gagarina Street, Semey, 490007, Kazakhstan
| | - S Yoshinaga
- Institute for Radiation Biology and Medicine, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, Hiroshima, 734-8553, Japan
| | - T Zhunussova
- Norwegian Radiation Protection Authority, Grini Naeringspark 13, 1332, Osteraas, Norway
| | - M Hoshi
- Institute for Peace Science, Hiroshima University, Higashisenda-machi 1-1-89, Naka-ku, Hiroshima, 730-0053, Japan
| | - H Katayama
- The Comprehensive Data Archives and Analysis (CDAA), 6-7, Hacchobori, Naka-ku, Hiroshima, 730-0013, Japan
| | - D T Lackland
- Medical University of South Carolina, 19 Hagood Ave, Charleston, SC, 29425-8350, USA
| | - S L Simon
- Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, 9609 Medical Center Drive, Bethesda, MD, 20892-9778, USA
| | - A Kesminiene
- International Agency for Research on Cancer, 150 Cours Albert Thomas, 96372, Lyon Cedex 08, France
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