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Zhanaspayev A, Bokembayev N, Zhanaspayev M, Tlemissov A, Aubakirova S, Prokazyuk A. Correction method for moderate and severe degrees of hallux valgus associated with transfer metatarsalgia. World J Orthop 2024; 15:238-246. [PMID: 38596187 PMCID: PMC10999968 DOI: 10.5312/wjo.v15.i3.238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Revised: 01/07/2024] [Accepted: 02/29/2024] [Indexed: 03/15/2024] Open
Abstract
BACKGROUND Hallux valgus (HV) is a common foot deformity that manifests with increasing age, especially in women. The associated foot pain causes impaired gait and decreases quality of life. Moderate and severe HV is a deformity that is characterized by the involvement of lesser rays and requires complex surgical treatment. In this study, we attempted to develop a procedure for this condition. AIM To analyse the treatment results of patients who underwent simultaneous surgical correction of all parts of a static forefoot deformity. METHODS We conducted a prospective clinical trial between 2016 and 2021 in which 30 feet with moderate or severe HV associated with Tailor's bunion and metatarsalgia were surgically treated via a new method involving surgical correction of all associated problems. This method included a modified Lapidus procedure, M2M3 tarsometatarsal arthrodesis, intermetatarsal fusion of the M4 and M5 bases, and the use of an original external fixation apparatus to enhance correction power. Preoperative, postoperative, and final follow-up radiographic data and American Orthopaedic Foot and Ankle Society (AOFAS) scores were compared, and P values < 0.05 were considered to indicate statistical significance. RESULTS The study included 28 females (93.3%) and 2 males feet (6.7%), 20 (66.7%) of whom had a moderate degree of HV and 10 (33.3%) of whom had severe deformity. M2 and M3 metatarsalgia was observed in 21 feet, and 9 feet experienced pain only at M2. The mean follow-up duration was 11 months. All patients had good correction of the HV angle [preoperative median, 36.5 degrees, interquartile range (IQR): 30-45; postoperative median, 10 degrees, IQR: 8.8-10; follow-up median, 11.5 degrees, IQR: 10-14; P < 0.01]. At follow-up, metatarsalgia was resolved in most patients (30 vs 5). There was a clinically negligible decrease in the corrected angles at the final follow-up, and the overall AOFAS score was significantly better (median, 65 points, IQR: 53.8-70; vs 80 points, IQR: 75-85; P < 0.01). CONCLUSION The developed method showed good sustainability of correction power in a small sample of patients at the one-year follow-up. Randomized clinical trials with larger samples, as well as long-term outcome assessments, are needed in the future.
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Affiliation(s)
- Amangasy Zhanaspayev
- Department of Traumatology and Orthopaedics, The National Scientific Center of Traumatology and Orthopaedics Named after Academician Batpenov ND, Astana 010000, Kazakhstan
| | - Nurlan Bokembayev
- Department of Traumatology and Paediatric Surgery, Non-Commercial Joint-Stock Company “Semey Medical University”, Semey 071400, Kazakhstan
| | - Marat Zhanaspayev
- Department of Traumatology and Paediatric Surgery, Non-Commercial Joint-Stock Company “Semey Medical University”, Semey 071400, Kazakhstan
| | - Aidos Tlemissov
- Department of Habilitation and Rehabilitation, Center of Habilitation and Rehabilitation of Persons with Disabilities of the Abai Region, Semey 071400, Kazakhstan
| | - Sabina Aubakirova
- Department of Traumatology and Paediatric Surgery, Non-Commercial Joint-Stock Company “Semey Medical University”, Semey 071400, Kazakhstan
| | - Alexander Prokazyuk
- Department of Anaesthesiology and Resuscitation, Center of Nuclear Medicine and Oncology, Semey 071400, Kazakhstan
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Glushkova N, Ivankov A, Trenina V, Oshibayeva A, Kalmatayeva Z, Temirbekova Z, Mamyrbekova S, Davletov K, Khismetova Z, Kauysheva A, Auyezova A, Zhanaspayev M, Pivina L, Koshmaganbetova G, Nurbakyt A, Sarsenbayeva G, Sadibekova Z, Gazaliyeva M, Kulimbet M, Kalmatayeva D, Zhylkybekova A, Nurgaliyeva Z, Sultanbekov K, Semenov D, Izmailovich M, Tsigengagel O, Munir K. Post-conflict acute stress reactions in Kazakhstan in the aftermath of January 2022 unrests: A national survey. Heliyon 2023; 9:e21065. [PMID: 37964844 PMCID: PMC10641126 DOI: 10.1016/j.heliyon.2023.e21065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 10/12/2023] [Accepted: 10/13/2023] [Indexed: 11/16/2023] Open
Abstract
Background In January 2022 Kazakhstan experienced unprecedented nationwide protests that quickly turned to violent riots. Although the number of individuals affected physically by the disturbances were cited, the emotional toll of the events remains undetermined. The aim of this study was to evaluate the comparative rates of acute stress reactions in Kazakhstan in the aftermath of the unrests. Methods A cross-sectional, population-based online survey was conducted one month after the start of the disturbances. The study questionnaire were completed anonymously and included the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) and the General Anxiety Disorder-7 (GAD-7), as well as socio-demographic and event exposure information. Results Of the 7021 people who initially agreed to participate, 6510 were able to complete the full survey. For a cut-off of ≥3 on the PC-PTSD-5, 14.8 % of the study participants exhibited symptoms. With a cut-off of ≥4, this percentage reduced to 4.6 %. Participants from Almaty city and Almaty region who experienced the most extensive disturbances showed a doubled prevalence compared to the national level (30.0 % for a cut-off of ≥3, and 10.1 % for a cut-off of ≥4). At the national level, the prevalence of anxiety symptoms, defined as a score of ≥10 on the GAD-7, stood at 10.9 %. This prevalence decreased to 4.2 % when considering a cut-off of ≥15. Conclusion Health authorities of riot-affected areas ought to be aware of the population level mental health impact of the civil conflict and consider provision of targeted interventions to mitigate the long-term consequence of these lifespan disorders, while also seeking for the peaceful resolution of the ensuing conflicts.
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Affiliation(s)
- Natalya Glushkova
- Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | | | - Varvara Trenina
- Department of Public Health, Semey Medical University, Semey, Kazakhstan
| | - Ainash Oshibayeva
- Rector Office, Khoja Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan
| | - Zhanna Kalmatayeva
- Academic Office, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Zhanar Temirbekova
- Rector Office, Khoja Akhmet Yassawi International Kazakh-Turkish University, Turkestan, Kazakhstan
| | - Saltanat Mamyrbekova
- Academic Office, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Kairat Davletov
- Scientific Office, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Zaituna Khismetova
- Department of Public Health, Semey Medical University, Semey, Kazakhstan
| | - Almagul Kauysheva
- Rector Office, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
| | - Ardak Auyezova
- Rector Office, Kazakhstan Medical University Higher School of Public Health, Almaty, Kazakhstan
| | - Marat Zhanaspayev
- Department of Traumatology, Semey Medical University, Semey, Kazakhstan
| | - Lyudmila Pivina
- Department of Internal Medicine, Semey Medical University, Semey, Kazakhstan
| | - Gulbakit Koshmaganbetova
- Department of Master's and Doctoral Studies, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Ardak Nurbakyt
- Department of Public Health, Asfendiyarov Kazakh National Medical University, Almaty, Kazakhstan
| | - Gulzat Sarsenbayeva
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
| | - Zhanat Sadibekova
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
| | - Meruert Gazaliyeva
- Dean Office of the School of Medicine, Karaganda Medical University, Karaganda, Kazakhstan
| | - Mukhtar Kulimbet
- Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Diana Kalmatayeva
- Department of General Psychology, Faculty of Philosophy and Political Science, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Aliya Zhylkybekova
- Department of Master's and Doctoral Studies, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhstan
| | - Zhansaya Nurgaliyeva
- Department of Epidemiology, Biostatistics and Evidence-Based Medicine, Al-Farabi Kazakh National University, Almaty, Kazakhstan
| | - Kassymkhan Sultanbekov
- Department of Social Health Insurance and Public Health, South Kazakhstan Medical Academy, Shymkent, Kazakhstan
| | | | - Marina Izmailovich
- Department of Internal Diseases, Karaganda Medical University, Karaganda, Kazakhstan
| | - Oxana Tsigengagel
- Department of Public Health, Semey Medical University, Semey, Kazakhstan
| | - Kerim Munir
- Developmental Medicine Centre, Boston Children's Hospital and Departments of Psychiatry and Paediatrics, Harvard Medical School, Boston, USA
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Semenova Y, Pivina L, Zhunussov Y, Zhanaspayev M, Chirumbolo S, Muzdubayeva Z, Bjørklund G. Radiation-related health hazards to uranium miners. Environ Sci Pollut Res Int 2020; 27:34808-34822. [PMID: 32638305 DOI: 10.1007/s11356-020-09590-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/08/2020] [Accepted: 06/03/2020] [Indexed: 06/11/2023]
Abstract
Concerns on health effects from uranium (U) mining still represent a major issue of debate. Any typology of active job in U mines is associated with exposure to U and its decay products, such as radon (Rn), thorium (Th), and radium (Ra) and its decay products with alpha-emission and gamma radiation. Health effects in U miners have been investigated in several cohort studies in the USA, Canada, Germany, the Czech Republic, and France. While public opinion is particularly addressed to pay attention to the safety of nuclear facilities, health hazard associated with mining is poorly debated. According to the many findings from cohort studies, the most significant positive dose-response relationship was found between occupational U exposure and lung cancer. Other types of tumors associated with occupational U exposure are leukemia and lymphoid cancers. Furthermore, it was found increased but not statistically significant death risk in U miners due to cancers in the liver, stomach, and kidneys. So far, there has not been found a significant association between U exposure and increased cardiovascular mortality in U miners. This review tries to address the current state of the art of these studies.
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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
| | | | | | - Salvatore Chirumbolo
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
- CONEM Scientific, Verona, Italy
| | | | - Geir Bjørklund
- Council for Nutritional and Environmental Medicine (CONEM), Toften 24, 8610, Mo i Rana, Norway.
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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: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [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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