City, University of London

City, University of London
Short name
CUL
Country, city
United Kingdom, London
Publications
16 704
Citations
381 084
h-index
209
Top-3 organizations
University College London
University College London (797 publications)
King's College London
King's College London (615 publications)
University of Oxford
University of Oxford (442 publications)
Top-3 foreign organizations
University of Melbourne
University of Melbourne (130 publications)
University of Queensland
University of Queensland (106 publications)
University of Sydney
University of Sydney (97 publications)

Most cited in 5 years

Found 
from chars
Publications found: 441
The Role of Contrast-Enhanced Imaging Methods in Breast Cancer Early Diagnostics and Treatment Planning
Tyurin I.Е., Rozhkova N.I., Artamonova E.V., Busko E.A., Didenko V.V., Zikiryakhodzhaev A.D., Karpova M.S., Kvetenadze G.Е., Krivorot’ko P.V., Mazo M.L., Petrovsky A.V., Puchkova О.S., Serebryakova S.V., Bakulev А.P.
Luchevaya Diagnostika
Journal of radiology and nuclear medicine (Vestnik rentgenologii i radiologii) 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Оn March 27, 2023, а multidisciplinary Advisory Board meeting was held in Moscow with the participation of Е.V. Artamonova, Е.А. Busko, V.V. Didenko, А.D. Zikiryakhodzhaev, М.S. Karpova, G.Е. Kvetenadze, P.V. Krivorot’ko, М.L. Mazo, А.V. Petrovsky, О.S. Puchkova, S.V. Serebryakova under the chairmanship of I.Е. Tyurin and N.I. Rozhkova. The participants discussed different issues of early diagnostics and treatment planning of breast cancer. We present the conclusion made by the Advisory Board.
The dynamics of biomarkers of autophagy and neuroinflammation in the acute period of atherothrombotic ischemic stroke
Lugovaya A.V., Kalinina N.M., Ivanov A.M., Nikitin Y.V., Sukhina I.A., Mitreikin V.P., Zabirov S.S., Kirilkin G.E.
Q4 Medical Immunology (Russia) 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Postischemic neuroinflammation is a critical pathophysiological process within the entire pattern of cerebral ischemia. It is characterized by microglial and astroglial activation and is accompanied by disturbances in the innate and adaptive immune response. The early damage of the blood-brain barrier (BBB) integrity is accompanied by the brain autoantigens release into circulation, in particular, the neurospecific protein S100B. According to recent experimental data, activated autophagy is associated with postischemic neuroinflammation, involved in its regulation and influences the outcome of the ischemic stroke (IS) acute period. Experimental evidence is provided for the autophagy involvement in the regulation of proinflammatory cytokines and chemokines production. The influence of activated autophagy on the pro- and anti-inflammatory cytokines balance in acute IS has been demonstrated. Purpose of the study: to quantitatively evaluate key autophagy biomarkers, the early biomarker of BBB damage S100B, pro- and anti-inflammatory cytokines in the dynamics of the IS acute period. To identify the relationship between autophagy and inflammation biomarkers, 112 patients with acute IS and 56 healthy persons were examined. Patients underwent dynamic clinical neurological examination and blood testing on the 1st, 7th and 14th days from the disease’s onset. The level of autophagy in peripheral blood leukocytes was determined by flow cytometry by assessing the intracellular expression of autophagy proteins LC3, p62 and mean fluorescence intensity of the Cyto-ID dye, which specifically recognizes active autophagosomes. Serum concentrations of TNFα, IL-1β, IL-4, IL-6, IL-8, IL-10, IL-18, neuropeptide S100B and autophagy biomarkers Beclin-1, LC3, p62 were determined by ELISA. A statistically significant increase in the studied biomarkers was found compared to the control group. The maximum increase in inflammation indicators and neuropeptide S100B was observed on the 1st, and autophagy biomarkers – on the 7th day of the disease. Established correlations indicate the participation of activated autophagy in the postischemic neuroinflammation regulation and its involvement in ischemic brain damage in the early stages of the IS acute period (days 1-7).
Multifocal character of lesions in gunshot open globe injury type B in experiment
Kol'bin A.A., Kulikov A.N., Zybina N.N., Frolova M.Y., Troyanovsky R.L., Chirskiy V.S.
Q4
Eco-Vector LLC
Ophthalmology journal 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
BACKGROUND: An increase was noted in the number of gunshot eyeball injuries, which are accompanied by low functional outcomes. Reproduction and experimental study of this type of eye injury would help improving the functional and cosmetic treatment results in patients. AIM: The aim of the study is to investigate gunshot open globe injury type B (penetrating wound without intraocular foreign body) on a standardized experimental model. MATERIALS AND METHODS: A complete investigation of the standardized model of gunshot open globe injury type B (penetrating wound without intraocular foreign body) simulated on the ballistic test facility was carried out. The experiment was accomplished at the ophthalmology chair on 36 rabbits (71 eyes). The injury was inflicted in the projection of the ciliary body — zone II (Birmingham Eye Trauma Terminology). The examination in the control period included ophthalmologic (ophthalmoscopy, full field electroretinography, optical coherence tomography), biochemical (testing of vitreous fibronectin level), histological and radiological (magnetic resonance imaging, ultrasound examination) methods. Statistical non-parametric methods of data analysis were used. RESULTS: The analysis of gunshot open globe injury type B model demonstrated the rate and multiple foci of abnormalities practically of all eyeball structures. CONCLUSIONS: For the first time ever, the characteristics of gunshot open globe injury type B model were studied using a new complex of methods, their high reproducibility (91.5–100%) was demonstrated. Based on recorded abnormalities in all ocular structures, including proliferative vitreoretinopathy, the multifocal character of damage in this type of injury is validated.
Conservative Treatment in Avascular Necrosis of the Femoral Head: A Systematic Review
Goncharov E.N., Koval O.A., Nikolaevich Bezuglov E., Aleksandrovich Vetoshkin A., Gavriilovich Goncharov N., Encarnación Ramirez M.D., Montemurro N.
Q1
MDPI
Medical Sciences 2024 citations by CoLab: 1
Open Access
Open access
PDF  |  Abstract
Introduction: Avascular necrosis (AVN) of the femoral head is a pressing orthopedic issue, leading to bone tissue death due to disrupted blood supply and affecting the quality of life of individuals significantly. This review focuses on conservative treatments, evaluating their efficacy as mainstay therapies. Enhanced understanding of AVN’s pathophysiology and advancements in diagnostic tools have rekindled interest in non-surgical interventions, emphasizing personalized, multidisciplinary approaches for improved outcomes. Material and Method: A systematic search was conducted on PubMed, SCOPUS, and Google Scholar databases from January 2020 to August 2023, with the objective of focusing on conservative treatments for AVN of the femoral head. Eligible studies, including original research, case reports, and observational studies, were examined for relevant, well-documented patient outcomes post-conservative treatments, excluding non-English and surgically focused articles without comparative conservative data. Results: A systematic search yielded 376 records on AVN of the femoral head across multiple databases. After de-duplication and rigorous screening for relevance and quality, 11 full-text articles were ultimately included for a comprehensive qualitative synthesis, focusing on conservatively managing the condition. Conclusions: This review evaluates the effectiveness of conservative treatments such as pharmacological interventions and physical modalities in managing AVN of the femoral head. Despite promising results in symptom alleviation and disease progression delay, variability in outcomes and methodological limitations in studies necessitate further rigorous, randomized controlled trials for a robust, patient-centric approach to optimize therapeutic outcomes in AVN management.
Assessment of the levels of formation and leading components of the patient safety system of the anesthesiology and resuscitation service (message 2)
Gorban V.I.
Q3
FSBEI HE I.P. Pavlov SPbSMU MOH Russia
Messenger of Anesthesiology and Resuscitation (Vestnik anesteziologii i reanimatologii) 2024 citations by CoLab: 1
Open Access
Open access
 |  Abstract
The objective was to assess the levels of formation and leading components of the patient safety system of the anesthesiology and resuscitation (A&R) service (department) of multidisciplinary hospitals.Materials and methods. Expert assessment of the patient safety system of the anesthesiology and resuscitation service (department) of 235 multidisciplinary hospitals, including the assessment of its level, leading components, and their structure in the overall sample. Expert assessment method. Statistical analysis of data distribution, Student’s t-test for independent samples of different sizes, correlation analysis.Results. It has been established that in the main part (38.3%) of multidisciplinary hospitals, the A&R service is at an average (sufficient) level of ensuring patient safety. 17% are at a high (organized) and highest (system-organized) level in terms of ensuring patient safety. A fairly large part (44.7%) is at a low (insufficient) and minimal (critical, extremely low) level of ensuring patient safety. At the same time, the level of ensuring patient safety in the A&R service of multidisciplinary hospitals is important and has a close but inverse relationship with the level of digitalization. Comparison of the severity of the five leading (main) components (criteria) for ensuring patient safety in the A&R service of multidisciplinary hospitals made it possible to assess the levels of their completeness and their structure and showed that in the general sample, the most pronounced criteria for ensuring patient safety were «Teamwork, staff expertise» and «Availability of medicines».Conclusion. The current state of the patient safety system of the A&R service of multidisciplinary hospitals is characterized by 5 levels and 5 leading (main) components, the expert assessment of which made it possible to distribute the A&R services of hospitals according to the indicated levels, identify the structure of their leading components an determine target areas for improving the patient safety system.
Somatometric parameters in firefighters of the Federal Fire Fighting Service of the EMERCOM of Russia
Sannikov M.V., Kalyuzhnaya A.P., Makarova N.V.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Relevance. Professional firefighters are subjected to high levels of chronic stress due to extreme professional activities. Chronic stress is a psychogenic factor, conducive of obesity, the latter being a predictor of cardiovascular and other diseases. To identify those at a higher risk, the body fat percentage was estimated in the Russian EMERCOM Federal Fire Fighting Service firefighters.The objective is to estimate the body fat percentage in firefighters of the Russian EMERCOM using anthropometric and circumference calculations with further comparative analysis.Methods. Body mass index (BMI) based anthropometric and circumference calculations, including waist circumference, waist/hip ratio, and body type, allowed assess the body fat percentage (BFP) in 98 EMERCOM firefighters working in three fire and rescue units in St. Petersburg. In addition, a retrospective study was performed to analyze 1497 medical examination records of the EMERCOM firefighters involved in fire extinguishing operations in 2019-2023. BFP was relied on circumference calculation used in the U.S. Armed Forces, the U.S. Navy, and the Young Men’s Christian Organization. The somatometric parameters were analyzed using Statistica 13.3 software and statistical methods – dispersion, correlation, stepwise regression, and conjugation table, with the significance level p < 0.05.Results and analysis. The study found that BMI only as a tool to assess the body fat percentage in firefighters is insufficient and does not allow to obtain a reliable result. The reason is that BMI is a highly reliable indicator of excessive body fat only in obese population, whereas in normal-weight or overweight subjects the BMI data is often misleading. In this respect, BFPbased circumference calculation appears to be the most reliable tool to assess body fat content. The study also includes an extensive comparative analysis of the obtained results, suggesting a diagnostic strategy to identify obesity-prone firefighters among the Russian EMERCOM firefighter corps at regular medical examinations. In addition, the suggested new BMI formulas involve simpler arithmetic calculations.Conclusion. The study results, show that excessive body weight is hardly a rare event among professional firefighters of the EMERCOM of Russia. Further studies regarding its correlation with chronic non-infectious diseases are required to develop new healthcare solutions and obesity prevention programs.
Cluster analysis and visualization of keywords in papers by international researchers on bioactive drugs in the treatment of rotator cuff injuries
Vasil’chenko N.V., Vetoshkin A.A., Gusev S.S.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Relevance. Rotator cuff ruptures continue to show high incidence with no signs of decrease. Despite the available expertise in advanced diagnosis and surgical treatment, supported by extensive scientific evidence, achieving optimal clinical outcomes remains a challenge. As a result, researchers and clinicians have been exploring alternative methods to improve outcomes. Recent studies in orthopedics have demonstrated that using bioactive drugs (biologic augmentation), particularly multipotent stem cells, may positively influence tissue regeneration. Therefore, biologic augmentation may be a promising strategy for promoting tissue healing.The objective of this study is to perform a cluster analysis and visualization of keywords in papers by international researchers on innovative rotator cuff injury treatments, including bioactive drug therapy.Methods. This study investigated publications dated 2013 to 2022 and published in the PubMed international reference and bibliographic database, using terminology-based search queries, i.e. (concentrated bone marrow aspirate OR stem cells OR platelet) and (rotator cuff injury). The search yielded 484 relevant scientific papers. Relevant bibliographic information was uploaded in “.txt” format into the VOSviewer 1.6.20 analytical software.Results and analysis. . With the coefficient of determination (R2 = 0.94), the polynomial trend of article dynamics showed an increase in the number of publications. The average annual number of articles was 46. With 3 repetitions, 207 keywords were analyzed and combined subsequently into 7 clusters. Cluster 1 was called ‘Arthroscopy treatment results of rotator cuff injuries’. It contained 21.1 % of papers with the total link strength of keywords 22.5 %. Cluster 2 ‘Use of platelet-rich plasma in injuries and diseases of the rotator cuff’ contained 24.2 % of papers with the total link strength 21.2 %. Cluster 3 ‘Biological models’ yielded 18.6 % and 20.0 % respectively. Cluster 4 ‘Regenerative potential of mesenchymal stem cells – 15.2 % and 15.4 % respectively; Cluster 5 ‘Using mesenchymal stem cells in rotator cuff injury treatment’ – 11.7 % and 11.2 % respectively; Cluster 6 ‘Efficiency of mesenchymal stem cells on the treatment of rotator cuff injuries’ – 8.6 % and 8.6 % respectively; Cluster 7 ‘Using of bioactive drugs in orthopaedics / orthobiology’ – 1.4 % and 1.1 % respectively. Leading authors and research schools were identified as well.Conclusion. The results provided an insight into the areas of research over the past 10 years and hence have provided information support for scientists and practitioners exploring innovative treatments for rotator cuff injuries, including the use of bioactive drugs.
Analysis and optimization of global terrorism index indicators
Evdokimov V.I., Chernov K.A.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Relevance. Terrorism has a significantly disrupts life of the population across regions (countries). In recent years, armed conflicts have increased in number, and global terrorist activity has intensified.The objective is to analyze the Global Terrorism Index (GTI) reported across countries from 2010 to 2022 and suggest GTI optimization techniques based on risk metrics and risk indicators.Methods. The GTI is a comprehensive method to study the impact of terrorism in 163 countries, comprising 99.7 % of the world’s population. Data was obtained from annual 2011 to 2023 GTI reports, published by the Institute for Economics & Peace and its founder Steve Killelea, a technology entrepreneur. Quasi-logarithmic structures were used to normalize the baseline data to a 10-point GTI scale (where 10 is the maximum score). The risk of death (injury) among the world’s population was calculated based on the Global Terrorism Database indicators for terrorism biomedical consequences registered from 2011 to 2020. Risks were calculated per 1 million people (10–6). Among the world’s population, the individual risk of death from a terrorist attack was 2.55 • 10–6 deaths/(person • year), while the injury risk was 3.63 • 10–6 injuries/(person • year). Qualitative risk indicators were also calculated as optimal, acceptable, and elevated.Results and analysis. From 2010 to 2022, the annual average GTI indicator showed that 4 countries had a very high terrorism level (average index in Iraq – 9.32, Afghanistan – 9.03, Pakistan – 8.42, Nigeria – 8.11); 8 countries were classified as high risk, 30 countries – as average risk (including Russia – 5.57), 25 countries – as low risk, 84 countries – as very low risk, and 12 countries – as zero cases of terrorism. The GTI correlated well with the number of deaths as a most crucial indicator. At the same time, countries with a large population showed inconsistencies between GTI and terrorism risk indicators. For example, according to 2011–2020 data, China’s GTI level (5.09) was classified as average level of terrorism, with the risk of dying 0.11 • 10–6 deaths/(person • year) and the risk of injury 0.56 • 10–6 injuries/(person • year), which was 15.5 and 4.3 times below the optimal global risk, respectively. Notably, Afghanistan’s GTI level (9.15) was classified as very high risk, with the death risk 93.53 • 10–6 deaths/(person • year) and injury risk 128.49 • 10–6 injuries/(person •year), which was 27.5 and 26.6 times above the elevated global risk, respectively.Conclusion. Although apparently impossible to eradicate completely across the world, terrorism can be drawn to a minimum. The Global Terrorism Index reveals potential threats and allows to compare terrorist activity across individual territories (countries) in order to undertake the necessary political or organizational counter-terrorism measures. Following large-scale studies, risks of death and injury should be incorporated in the Global Terrorism Index enhance unbiased terrorism threat assessment for individual countries (territories).
Analysis of morbidity indicators in the personnel of the Ministry of Internal Affairs of Russia
Ivanov N.M., Ichitovkina E.G., Evdokimov V.I., Liholetov A.G.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 1
Open Access
Open access
 |  Abstract
Introduction. The extreme work conditions of the Russian Ministry of Internal Affairs personnel strain the functional reserves of body systems accelerate the emergence of occupational diseases and even death. By ensuring safety of the population and social stability in general, combat readiness largely depends on strong health of the Russian Ministry of Internal Affairs workforce.Methods. The object of the study was the database of morbidity rates among employees with special ranks of the Russian Ministry of Internal Affairs from 2008 to 2023. Morbidity rates were correlated with chapters of diseases and causes of death according to the ICD 10th Revision (ICD-10). Average long-term data on morbidity and labor losses were calculated per 1000 (‰) employees, primary disability – per 10 thousand (10–4 ), mortality – per 100 thousand (10–5) employees. The tables present the structure, ranks and disease development dynamics. To calculate the social and epidemiological significance of morbidity, indicators of fatality-associated disease categories were assigned the coefficient 3, primary disability – 2, primary morbidity – 1.5, other types of morbidity and workforce loss – 1. To compare the obtained statistics with morbidity rates in extreme professions, considering the due course of disease development and impossibility to yield absolute data for the latter, the study calculated the arithmetic mean data and errors (M ± m) or medians and quartiles, if different from normal (Me [Q1 ; Q3]). The dynamics of indicators was assessed using time series analysis and calculation of a second-order polynomial trend.Results and analysis. The long-term average rate of general morbidity was 857.1 ‰ (868.5 ± 35.7 ‰), primary morbid- ity – 545.7 ‰ (553.6 ± 27.5 ‰), outpatient follow-up – 123.8 ‰ (125.9 ± 7.5 ‰), loss of workforce – 572.4 (576.1 ± 28.5 ‰), days out of work – 7398 ‰ (7506 ± 391 ‰), primary disability – 10.9 • 10–4 (11.1 ± 1.3 •10–4), mortality – 90.1 • 10–5 (92.4 ± 9.9 • 10–5). With high coefficients of determination, polynomial trends in overall morbidity, primary disability and mortality show a decrease in data, primary morbidity, loss of workforce and days out of work resemble a U-curve, showing an increase in indicators due to COVID-19-associated morbidity cases in 2020–2022. The indicators for injuries, poisoning and some other consequences of externally caused disorders (Chapter XIX) represented the main chapters of diseases that – with a share of 24.6% – were the key contributors to the social and epidemiological significance of morbidity among the personnel of the Ministry of Internal Affairs of Russia, followed by respiratory diseases (Chapter X) – 20.3 % , circulatory system disorders (Chapter IX) – 18.7 %, neoplasms (Chapter II) – 6.8 %, musculoskeletal system and connective tissue diseases (Chapter XIII) – 6.5 %, digestive disorders (Chapter XI). In total, these сhapters of diseases accounted for 82.3 % of the entire social and epidemiological significance of morbidity.Conclusion. Studies have shown lower incidence rates than in the Russian population of working age. Timely detection, treatment, rehabilitation and prevention of diseases contained in the ICD main chapters can significantly improve the health status of personnel of the Russian Ministry of Internal Affairs.
Digitalization of anesthesiology and resuscitation services: multicenter questionnaire study
Gorban V.I., Shchegolev A.V., Protsenko D.N., Gritsan A.I., Grigoryev E.V., Dunts P.V., Levit A.L., Zabolotskikh I.B.
Q3 Annals of critical care 2024 citations by CoLab: 3
Open Access
Open access
 |  Abstract
OBJECTIVE: To substantiate recommendations for the implementation of the concept and technologies of digitalization of the anesthesiology and resuscitation (A&R) service in multidisciplinary hospitals to solve the problem of ensuring the safety of patients and medical personnel. MATERIALS AND METHODS: The study presents data on the implementation of information technology in the practice of the A&R service based on information received from 235 anesthesiology and resuscitation specialists working in leadership positions in various categories of healthcare institutions. Method of collecting information: experts independently completed the online version of the questionnaire. Sampling principle: intentional. Survey period: April 12, 2023 — August 4, 2023. RESULTS: In 87 % of hospitals the medical information system (MIS) of the A&R service is part of the hospital’s MIS. Only in 23 % of hospitals all workstations of the anesthesiologist-resuscitator are connected to the MIS. Logging into a personal electronic workplace using access rights on any of the hospital’s personal computers was confirmed by 87 % of respondents. Hospitals in which anesthesiology and resuscitation equipment are not integrated into the MIS account for 89 %. In the case of branches with a local A&R information system, equipment in 44 % of similar branches is connected to it. Only in 51 % of hospitals the A&R receives data from the laboratory information system, the integration rates with the radiological information system are even lower and amount to only 34 %. The study revealed a significant problem with the introduction of clinical recommendations, drug reference books, as well as prevention and manipulation protocols, various requirements and, in particular, scales/indices for assessing the condition of patients into the MIS. CONCLUSIONS: For the full functioning of the MIS, organizational solutions are needed that are aimed at implementing the tasks, primary and future. The development and application of modern MIS in anesthesiology and resuscitation will contribute to the further development of the specialty and ensure patient safety and adequate quality of medical care. It is necessary to unify the requirements for MIS developers according to the main components in the functionality.
Indicators of health groups of pupils of general education organizations of the Russian Ministry of Defense (2010–2022)
Soldatov I.K., Evdokimov V.I., Arsentiev V.G., Makiev R.G., Golovinova V.Y.
Eco-Vector LLC
Russian Military Medical Academy Reports 2024 citations by CoLab: 0  |  Abstract
BACKGROUND: Currently, there are 33 educational organizations of the Russian Ministry of Defense in Russia with a total staff of about 18 thousand students studying around the clock
 AIM: to assess the dynamics of the health status of students in educational institutions of the Russian Ministry of Defense for 12 years from 2010/2011 to 2021/2022 academic year.
 MATERIALS AND METHODS: We studied reports on Form 13К/МЕД, prepared by employees of educational organizations of the Russian Ministry of Defense, and calculated the dynamics of the level of assessments of the health status of students. The article presents arithmetic averages and their errors; the development of health groups was assessed using time series analysis, for which a second-order polynomial series was used.
 RESULTS: In general educational institutions, there were 25.3 ± 0.9% of pupils with health group I, 60.7 ± 0.6% with group II, and 14.0 ± 1.2% with group III. In recent years, there has been a tendency to increase the number of pupils with health groups I and II and decrease with group III. These results indicated a properly organized educational process and optimization of medical support for students. The most positive dynamics of health status were observed in pupils aged 10–12 years, less pronounced — in pupils aged 16–18 years.
 CONCLUSIONS: In some educational organizations of the Russian Ministry of Defense during the period studied, there were not entirely favorable trends in the organization of medical support for students, which aims at more personalized work with students.
Cluster analysis and visualization of keywords in papers on rotator cuff injuries published by international investigators
Vetoshkin A.A., Gusev S.S., Vasil’chenko N.V.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 1
Open Access
Open access
 |  Abstract
Introduction. Epidemiological studies demonstrate that in everyday life rotator cuff injuries are found in a wide range of population cohorts, varying from 10 to 15 % in younger adults and up to 20–30 % in patients aged 60 years and over. The significance of social and economic effects are therefore noteworthy.The objective of this study is to perform a cluster analysis and visualization of keywords in international publications on rotator cuff injuries using the VOSviewer software.Methods. The study analyzes publications related to rotator cuff injures published from 2013 to 2022 and selected from the PubMed international reference and bibliographic database for ‘Rotator Cuff Injuries’ search query. A total of 5,444 results were retrieved and relevant bibliographic information was uploaded in “.txt” format into the analytical software VOSviewer 1.6.20.Results and analysis. With the coefficient of determination (R2 = 0.96), the polynomial trend of article dynamics showed an increase in the number of publications. The average annual number of articles was (653 ± 48). With 10 repetitions, 504 keywords were analyzed and combined subsequently into 7 clusters. Cluster 1 was called ‘Trauma and injuries of the rotator cuff and tendons’. It contained 32.9 % of papers, with the total link strength of keywords 30.7 %. Cluster 2 titled ‘Results of arthroscopic reconstruction of rotator cuff injuries contained 27.7 % of papers with a total link strength of 27.5 %. Cluster 3 ‘Anatomy of the shoulder joint’ yielded 17.5 % and 17.4 % respectively; Cluster 4 ‘Biomechanics of the shoulder joint and rotator cuff’ – 7.3 % and 7.8 %; Cluster 5 ‘Postoperative analysis of surgical reconstruction of rotator cuff injuries’ – 7.1 % and 7.5 %; Cluster 6 ‘Surgical approaches (techniques) in the reconstruction of rotator cuff injuries’ – 4.6 % and 4.8 %; Cluster 7 ‘Structural reconstruction of shoulder function following reconstructive surgical of rotator cuff injuries’ – 3.9 % and 4.8 %. Leading authors and research schools were identified as well.Conclusion. The results provided an insight into the areas of research over the past 10 years and hence have provided information support for scientists and practitioners dealing with traumatic rotator cuff injuries.
Comparative analysis of the psychological status of the EMERCOM of Russia State Fire Service employees in correlation with work experience
Pyatibrat A.O., Sannikov M.V., Tsikunova N.S.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Relevance. Considering the modern geopolitical situation, the increased risk of terrorist attacks and large-scale disasters enforces more stringent requirements to the non-stop readiness to emergency response, overstretching efficiency parameters and stress tolerance in employees of the Ministry of Emergency Situations of Russia.The objective is to identify the indicators of professional psychological maturity among employees of the State Fire Service (GPS) of the Ministry of Emergency Situations of Russia.Methods. Using the Bass–Darky technique (BDHI), the WHOQOL-26 quality of life questionnaire and the Maslach burnout syndrome questionnaire (MBI), 182 employees of the Ministry of Emergency Situations of Russia were examined (98 individuals with work experience of 5 years and over and 84 individuals with work experience of 2 years or less); the control group included 122 individuals of non-extreme professions. The age of respondents ranged from 20 to 35 years. The survey data were verified for parameter distribution normality; arithmetic averages and standard deviations were calculated.Results and discussion. The performance of duties by firefighters in extreme scenarios (intense physical exertion and mental stress) may be associated with exhibiting negative personality manifestations, such as aggression, suspicion, hostility, psychological manifestations of professional burnout (emotional exhaustion, depersonalization, and reduced professional communication), decrease satisfaction with the quality of life. It turned out that firefighters with work experience of 5 years and over show a significantly higher rate of such manifestations and develop them faster than professionals doing other jobs.Conclusion. The conducted research shows the need for further studied regarding the psychological status of firefighters, especially after 5 years of professional experience.
Terrorism and its global biomedical consequences (2011 to 2020)
Evdokimov V.I., Shulenin N.S.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 2
Open Access
Open access
 |  Abstract
Relevance. Global terrorist activity is still far from decreasing, demanding extra studies regarding the risk indicators and compelling the countries to unite their efforts to combat terrorism across the world.The study objective is to analyze worldwide biomedical consequences of terrorism from 2011 to 2020 in order to optimize counterterrorism activities.Methods. The study analyzed global indicators of terrorist activities collected in the Global Terrorism Database (GTD) [https://www.start.umd.edu/]. The analyses focused on structure, dynamics and risks regarding fatalities and casualties (injuries) of terrorist attacks (TAs), including by type of attack, weapon, and incident location. The risk analysis focused on the risk of being affected by terrorist attack (death or injury) per 1 million of global population (Ч10-6). Mean data, the upper and lower quartiles, and the median were calculated (Me [Q1; Q3]).Results and analysis. From 2011 to 2020 the world’s annual average number of TAs was 110 thousand, or 10.7 [8.5; 14.1] thousand, with 25.8 thousand, or 23.1 [20.4; 35.3] thousand of people killed and 28.4 thousand, or 25.5 [18.8; 40.6] thousand of people affected. The polynomial trendlines for these indicators are inverted U-curves, showing less data in the latest observation period. TAs without biomedical consequences account for about 50%. However, the most severe medical and biological consequences were associated with the use of explosives and firearms, responsible for 84.4 % of all deaths and 91.4 % of all injuries. Massive sanitary losses associated with this type of TAs are a major challenge for medical care providers. 91.4 % of all TAs targeted military personnel, police officers, individual residents (or bystanders), government and business officials, responsible for 86.8% of all deaths and 84.2 % of all injuries. These population cohorts were in the risk groups for terrorism. The average individual risk of TA exposure among the world population stood at 1.49 • 10–6 incidents/(person • year), with the risk of death 3.49 • 10–6 deaths/(person • year) and trauma (injury) 3.87 • 10–6 injuries/(person • year). Meanwhile, according to the calculations by the International Labour Organization, the global average annual risk of death due to occupational injury for the same timespan (2011–2020) was by factors higher and amounted to (3.83 ± 0.13) • 10–4 deaths/(person • year).Conclusion. Terrorism is pursuing social instability, intimidation, and engulfing panic among the population, rather than medical and biological consequences. Considering that terrorism is impossible to eradicate completely across the world, it can be minimized by optimizing counterterrorism activities, based on TA weapon information or incident location.
Vitamins D and B12, homocysteine and laboratory markers of chronic atrophic gastritis in Chernobyl liquidators with metabolic syndrome
Aleksanin S.S., Alkhutova N.A., Kovyazina N.A., Ribnikov V.Y., Boyarkina M.P., Frolova M.J.
Q3
NRCERM EMERCOM of Russia
Medico-Biological and Socio-Psychological Problems of Safety in Emergency Situations 2024 citations by CoLab: 0
Open Access
Open access
 |  Abstract
Relevance. An in-depth examination of Chernobyl liquidators treated at the Nikiforov Russian Center of Emergency and Radiation Medicine showed a higher incidence of chronic atrophic gastritis versus the comparison group. When combined with metabolic syndrome, the disease has vague and diverse clinical manifestations. Due to poor compliance among patients regarding invasive diagnostic procedures and elevated risk of chronic atrophic gastritis progressing into gastric adenocarcinoma, an extensive laboratory assessment is required to understand the grade of disorder in Chernobyl liquidators with metabolic syndrome.The study objective is to identify laboratory markers responsible for the chronic atrophic gastritis and metabolic syndrome comorbidity development in Chernobyl liquidatorsMethods. 97 male Chernobyl liquidators were divided into two groups – with and without metabolic syndrome. Pepsinogen-I, pepsinogen-II, gastrin-17 and H. pylori-IgG concentration in blood plasma was assessed quantitatively using enzyme immunoassay with “Gastropanel” (BIOHIT, Finland) reagent system in accordance with the manufacturer’s guidelines. Serum vitamin D (Access 2, Beckman Coulter, USA), vitamin B12 (UniCel DXi, Beckman Coulter, USA) and homocysteine (Immulite 2000 XPI, Siemens, USA) were measured using chemiluminescent immunoassay. Statistical analysis was performed using Statistica 10.0.Results and discussion. In the presence of metabolic syndrome both in Chernobyl liquidators and the comparison group, laboratory assessment showed higher detection frequency of gastric mucosal atrophy. In Chernobyl liquidators, the combination of vitamin B 12 deficiency and metabolic syndrome was associated with a doubled blood level of gastrin-17, while the median concentration was four times higher than the upper reference limit. Pepsinogen I level was below 70 mcg/L in 57.1 % of cases with combined B 12 deficiency and metabolic syndrome. In 70 % of cases, Chernobyl liquidators with fundal chronic atrophic gastritis revealed a combination of disorders, namely: vitamin B12 deficiency, hyperhomocysteinemia, pepsinogen I < 30 mcg/L, gastrin-17 > 30 pmol/L, pepsinogen I/pepsinogen II < 3. Moreover, Chernobyl liquidators with fundal chronic atrophic gastritis, showed vitamin D deficiency regardless of metabolic syndrome diagnosis. Vitamin D level in Chernobyl liquidators with antral chronic atrophic gastritis and without metabolic syndrome corresponded was within reference, while in the presence of metabolic syndrome, vitamin D level was close to deficiency.Conclusion. Laboratory findings demonstrate that in Chernobyl liquidators, metabolic syndrome and vitamin B12 deficiency are associated with a greater severity of atrophic changes in the stomach mucous membrane. This justifies the need for homocysteine, vitamins D and B12 lab tests to be included in the clinical and laboratory health monitoring of Chernobyl liquidators with combined metabolic syndrome and chronic atrophic gastritis comorbidity.

Since 1966

Total publications
16704
Total citations
381084
Citations per publication
22.81
Average publications per year
283.12
Average authors per publication
4.41
h-index
209
Metrics description

Top-30

Fields of science

200
400
600
800
1000
1200
1400
General Medicine, 1249, 7.48%
Economics and Econometrics, 927, 5.55%
Ophthalmology, 636, 3.81%
Strategy and Management, 605, 3.62%
Electrical and Electronic Engineering, 581, 3.48%
Public Health, Environmental and Occupational Health, 572, 3.42%
Psychiatry and Mental health, 536, 3.21%
Sociology and Political Science, 523, 3.13%
Developmental and Educational Psychology, 513, 3.07%
Mechanical Engineering, 511, 3.06%
Finance, 493, 2.95%
Computer Science Applications, 478, 2.86%
Linguistics and Language, 467, 2.8%
Arts and Humanities (miscellaneous), 463, 2.77%
Experimental and Cognitive Psychology, 456, 2.73%
Language and Linguistics, 434, 2.6%
Information Systems, 430, 2.57%
Business and International Management, 424, 2.54%
Library and Information Sciences, 415, 2.48%
Sensory Systems, 386, 2.31%
Condensed Matter Physics, 384, 2.3%
Software, 372, 2.23%
Applied Mathematics, 370, 2.22%
Education, 357, 2.14%
Health Policy, 354, 2.12%
General Psychology, 352, 2.11%
Management of Technology and Innovation, 346, 2.07%
Civil and Structural Engineering, 336, 2.01%
Atomic and Molecular Physics, and Optics, 325, 1.95%
Statistics and Probability, 310, 1.86%
200
400
600
800
1000
1200
1400

Journals

200
400
600
800
1000
1200
200
400
600
800
1000
1200

Publishers

500
1000
1500
2000
2500
3000
3500
500
1000
1500
2000
2500
3000
3500

With other organizations

100
200
300
400
500
600
700
800
100
200
300
400
500
600
700
800

With foreign organizations

20
40
60
80
100
120
140
20
40
60
80
100
120
140

With other countries

200
400
600
800
1000
1200
1400
1600
1800
USA, 1740, 10.42%
Italy, 884, 5.29%
Germany, 795, 4.76%
Australia, 791, 4.74%
China, 774, 4.63%
Netherlands, 527, 3.15%
Canada, 501, 3%
France, 398, 2.38%
Spain, 376, 2.25%
Switzerland, 340, 2.04%
Sweden, 315, 1.89%
Greece, 303, 1.81%
India, 281, 1.68%
Ireland, 245, 1.47%
Belgium, 212, 1.27%
Norway, 172, 1.03%
Denmark, 164, 0.98%
Brazil, 144, 0.86%
Japan, 137, 0.82%
South Africa, 129, 0.77%
Austria, 124, 0.74%
Singapore, 113, 0.68%
Turkey, 111, 0.66%
Finland, 97, 0.58%
Cyprus, 96, 0.57%
Malaysia, 93, 0.56%
New Zealand, 92, 0.55%
Republic of Korea, 90, 0.54%
Israel, 89, 0.53%
200
400
600
800
1000
1200
1400
1600
1800
  • We do not take into account publications without a DOI.
  • Statistics recalculated daily.
  • Publications published earlier than 1966 are ignored in the statistics.
  • The horizontal charts show the 30 top positions.
  • Journals quartiles values are relevant at the moment.