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24 pages, 2315 KiB  
Article
A Decade of Transformation in Higher Education and Science in Kazakhstan: A Literature and Scientometric Review of National Projects and Research Trends
by Timur Narbaev, Diana Amirbekova and Aknar Bakdaulet
Publications 2025, 13(3), 35; https://doi.org/10.3390/publications13030035 - 30 Jul 2025
Viewed by 379
Abstract
Higher education and science (HES) is one of the key drivers of a country’s economic growth. In this study, we examine national projects and research capacity in HES in Kazakhstan from 2014 to 2024. We conducted a content review and scientometric analysis with [...] Read more.
Higher education and science (HES) is one of the key drivers of a country’s economic growth. In this study, we examine national projects and research capacity in HES in Kazakhstan from 2014 to 2024. We conducted a content review and scientometric analysis with network and temporal visualizations. Our data sources included policy documents, statistical reports, and the Scopus database. Our findings suggest that, while Kazakhstan aligns with global trends in the field (e.g., digitalization, scientometrics monitoring, and internationalization), these are achieved through a state-led, policy-driven approach shaped by its post-Soviet context. Additionally, we note a dual structure in Kazakhstan’s HES sector, characterized by a strong top-down direction and increasing institutional engagement. In terms of the thematic trends from the temporal analysis, the country experienced a three-staged evolution: foundational reforms and system modernization (2014–2017), capacity building and evaluation (2018–2021), and, most recently, strategic expansion, inclusivity, and globalization (2022–2024). Throughout the analyzed period, low R&D intensity, disciplinary imbalances, and structural barriers still undermine desired development efforts in HES. The analyzed case of Kazakhstan can serve as “lessons learned” for policymakers and researchers working in the science evaluation and scholarly communication area in similar emerging or transition countries. Full article
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15 pages, 943 KiB  
Systematic Review
The Implementation of Antimicrobial Consumption Surveillance and Stewardship in Human Healthcare in Post-Soviet States: A Systematic Review
by Zhanar Kosherova, Dariga Zhazykhbayeva, Ainur Aimurziyeva, Dinagul Bayesheva and Yuliya Semenova
Antibiotics 2025, 14(8), 749; https://doi.org/10.3390/antibiotics14080749 - 25 Jul 2025
Viewed by 365
Abstract
Background/Objectives: Antimicrobial consumption (AMC) surveillance and antimicrobial stewardship (AMS) constitute effective strategies to combat the increasing antimicrobial resistance rates worldwide. Post-Soviet countries (Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldova, the Russian Federation, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan) implemented various elements [...] Read more.
Background/Objectives: Antimicrobial consumption (AMC) surveillance and antimicrobial stewardship (AMS) constitute effective strategies to combat the increasing antimicrobial resistance rates worldwide. Post-Soviet countries (Armenia, Azerbaijan, Belarus, Estonia, Georgia, Kazakhstan, Kyrgyzstan, Latvia, Lithuania, Moldova, the Russian Federation, Tajikistan, Turkmenistan, Ukraine, and Uzbekistan) implemented various elements of AMC surveillance and AMS to different extents. The limited quantity and quality of data from post-Soviet countries make it difficult to assess health system performance; therefore, this region is a blind spot in global AMR monitoring. This systematic review assesses and characterises AMC surveillance and AMS implementation in post-Soviet countries. Methods: Evidence was compiled via a search in PubMed, Google Scholar, Embase, CyberLeninka, and Scopus. The eligibility criteria included AMC surveillance- and AMS-related papers in human health within defined regions and timelines. Some literature from the official websites of international and national health organisations was included in the search. Results: As a result of the searches, screening, and critical appraisal, three peer-reviewed publications and 31 documents were selected for analysis. Eleven out of fifteen countries with updated national action plans for combating antimicrobial resistance have defined AMC surveillance and AMS as strategic objectives. All 15 examined countries submitted antimicrobial consumption data to international networks and reported the existence of approved laws and regulations on antibiotic sales. However, disparities exist in the complexity of monitoring systems and AMS implementation between high-income and low-income countries in the region. Conclusions: This review provides key insights into the existing AMC surveillance and AMS implementation in former Soviet countries. Although the approach of this review lacks quantitative comparability, it provides a comprehensive qualitative framework for national-level AMC surveillance and AMS system assessment. Full article
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23 pages, 2188 KiB  
Article
Producing Feminist Discourses in the Debris of Destruction: Maria Kulikovska’s Response to War in Let Me Say: It’s Not Forgotten
by Kalyna Somchynsky
Arts 2025, 14(4), 71; https://doi.org/10.3390/arts14040071 - 26 Jun 2025
Viewed by 495
Abstract
The Ukrainian–Crimean artist Maria Kulikovska’s artistic practice has addressed war in Ukraine since the Annexation of Crimea and outbreak of war in the Donbas regions of Ukraine in 2014. In 2019 she created the video-performance Let Me Say: It Will Not Be Forgotten [...] Read more.
The Ukrainian–Crimean artist Maria Kulikovska’s artistic practice has addressed war in Ukraine since the Annexation of Crimea and outbreak of war in the Donbas regions of Ukraine in 2014. In 2019 she created the video-performance Let Me Say: It Will Not Be Forgotten that responds to the ways artworks and women’s bodies are targeted by derisive retaliation and physical attacks during periods of political instability. Informed by explorations of feminism in post-Soviet countries, theories of prosthetic memory, and destruction art of the 1960s, I argue that Kulikovska does not let the destruction of her artwork silence her, but, rather, she uses destruction as a strategy to take control of oppressive forces. In their place, I argue that Let Me Say: It’s Not Forgotten demonstrates subjective and complex ways of building resilient feminist presents and futures that overcome oppressive violence and testify to continual perseverance. Full article
(This article belongs to the Special Issue Ukraine Under Fire: The Visual Arts in Ukraine and Abroad Since 2014)
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25 pages, 723 KiB  
Systematic Review
Systematic Review on CyanoHABs in Central Asia and Post-Soviet Countries (2010–2024)
by Kakima Kastuganova, Galina Nugumanova and Natasha S. Barteneva
Toxins 2025, 17(5), 255; https://doi.org/10.3390/toxins17050255 - 20 May 2025
Viewed by 1039
Abstract
Cyanobacterial harmful blooms (CyanoHABs) in lakes, estuaries, and freshwater reser-voirs represent a significant risk to water authorities worldwide due to their cyanotoxins and economic impacts. The duration, spread, and severity of CyanoHABs have markedly increased over the past decades. The article addresses CyanoHABs, [...] Read more.
Cyanobacterial harmful blooms (CyanoHABs) in lakes, estuaries, and freshwater reser-voirs represent a significant risk to water authorities worldwide due to their cyanotoxins and economic impacts. The duration, spread, and severity of CyanoHABs have markedly increased over the past decades. The article addresses CyanoHABs, cyanotoxins, and monitoring methodologies in post-Soviet and Central Asian countries. This particular region was selected for the systematic review due to its relative lack of representation in global CyanoHABs reporting, particularly in Central Asia. The main aim of this systematic review was to analyze the primary literature available from 2010–2024 to examine the current situation of CyanoHAB detection, monitoring, and management in Central Asia and post-Soviet countries. Following a detailed database search in several selected data-bases (Google Scholar, Pubmed, Web of Science (WOS), Scopus, Elibrary, ENU, and KazNU) along with additional hand searching and citation searching, 121 primary articles reporting 214 local cyanobacterial bloom cases were selected for this review. Aquatic cyanotoxins were reported in water bodies of eight countries, including high concentrations of microcystins that often exceeded reference values established by the World Health Organization (WHO). Advancing monitoring efforts in Baltic countries, Belarus, and the Russian Federation differed from only a few Central Asian reports. However, Central Asian aquatic ecosystems are especially threatened by rising anthropogenic pressures (i.e., water use, intensive agriculture, and pollution), climate change, and the lack of adequate ecological surveillance. We hypothesize that recent Caspian seal mass mortality events have been caused by a combination of infection (viral or bacterial) and exposure to algal neurotoxins resulting from harmful algal blooms of Pseudo-nitzschia. We conclude that there is an urgent need to improve the assessment of cyanobacterial blooms in Central Asia and post-Soviet countries. Full article
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16 pages, 1110 KiB  
Systematic Review
Antimicrobial Resistance Surveillance in Post-Soviet Countries: A Systematic Review
by Dariga Zhazykhbayeva, Dinagul Bayesheva, Zhanar Kosherova and Yuliya Semenova
Antibiotics 2024, 13(12), 1129; https://doi.org/10.3390/antibiotics13121129 - 25 Nov 2024
Cited by 2 | Viewed by 1566
Abstract
Background: Antimicrobial resistance (AMR) is a global health threat. AMR surveillance is crucial for understanding and controlling the spread of AMR. Surveillance systems can inform clinicians, guide health policymakers, and support effective AMR interventions. AMR surveillance data from former Soviet region countries are [...] Read more.
Background: Antimicrobial resistance (AMR) is a global health threat. AMR surveillance is crucial for understanding and controlling the spread of AMR. Surveillance systems can inform clinicians, guide health policymakers, and support effective AMR interventions. AMR surveillance data from former Soviet region countries are often limited, resulting in gaps in up-to-date knowledge. Methods: This systematic review was registered under the PROSPERO protocol CRD42024537799 and followed the PRISMA guidelines. Data from five databases (PubMed, MEDLINE, Embase, CINAHL, and CyberLeninka) and official sources were searched according to the inclusion criteria. Results: In total, 30 publications describing AMR surveillance and National Action Plans (NAPs) were included. Among the 15 countries, 14 (93.3%) have either developed a NAP or are in the process of implementing one; and 7 (46.7%) countries have a standardized AMR surveillance system. Almost all countries have reference laboratory centers, but nine (60%) countries have established standard testing methods in all sites. Only three (20%) countries have fully implemented quality assessment. There is an increasing tendency to involve and report AMR data to international networks, and countries will strengthen their AMR systems by adhering to international standards. The subgroup analysis revealed that Central and Western Asian countries are less developed in terms of AMR surveillance, which may encourage proactive engagement in AMR governance in these regions. Conclusions: This review is crucial for understanding the current efforts and improving AMR surveillance in former Soviet countries. The findings are promising and indicate that AMR surveillance is established in all reviewed countries, although at different levels. Full article
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15 pages, 258 KiB  
Article
Politico-Administrative Culture and Public Service Reform in Post-Independence Kazakhstan
by Artan Karini
Adm. Sci. 2024, 14(10), 268; https://doi.org/10.3390/admsci14100268 - 21 Oct 2024
Cited by 3 | Viewed by 1867
Abstract
Classical organizational management literature draws clear parallels between organizational culture and climate and effective use of power and influence as key to successful policy implementation of reforms in public sector organizations. On the other hand, the public policy literature, in particular, policy transfer [...] Read more.
Classical organizational management literature draws clear parallels between organizational culture and climate and effective use of power and influence as key to successful policy implementation of reforms in public sector organizations. On the other hand, the public policy literature, in particular, policy transfer as a strand within policy studies, emphasizes the role of the national context, more specifically, ‘facilitators’ and ‘constraints’ of ‘‘politico-administrative culture” within the national context, as crucial to understanding processes of transfer, convergence, and diffusion of public policy. There is a plethora of studies by Western scholars of public management who have successfully utilized these theoretical underpinnings to study the effectiveness of public service reforms in mature policy environments such as the UK, the US, Australia, New Zealand, and others. However, the public policy and comparative public management literature only offers a limited number of case studies from developing, middle-/upper-middle countries, which rely on concepts of organizational management in addition to narratives on the impact of policy learning from global doctrines, such as Weberianism, New Public Management (NPM), and New Public Governance (NPG), and national politics, on the implementation of administrative reforms in those contexts. Kazakhstan, as a resource-affluent post-Soviet country and a bastion of modernization and ‘open government’ in Central Asia or the Commonwealth of Independent States (CIS) in the post-Soviet era is a case in point. Based on ethnographic research consisting of interviews with elite academics, civil servants, and think-tank activists, as well as reviews of OECD and government strategy reports in Astana, the findings point to a potential abatement of the impact of context constraints such as large power distance and collectivist behavior by context facilitators such as those surrounding the use of ‘trilingualism’ and public diplomacy towards reforms in Kazakhstan particularly in recent years. Full article
(This article belongs to the Special Issue Current Challenges in Strategy and Public Policy)
17 pages, 399 KiB  
Article
Life Trajectories of the Russophone Speakers in Germany: 30 Years of Observation
by Katharina Meng and Ekaterina Protassova
Languages 2024, 9(10), 314; https://doi.org/10.3390/languages9100314 - 29 Sep 2024
Viewed by 1919
Abstract
This article presents a multifaceted portrait of immigrants to Germany from the post-Soviet states. The article traces the paths of two families over the course almost of a third of a century after immigration, focusing on language use and integration into the new [...] Read more.
This article presents a multifaceted portrait of immigrants to Germany from the post-Soviet states. The article traces the paths of two families over the course almost of a third of a century after immigration, focusing on language use and integration into the new environment. In-depth interviews conducted at various stages of the integration process and age-appropriate tests served as research material. The content, text, and lexical analyses, as well as a linguistic biography method, were used. The research included four generations of Russian Germans and Jews in each family. Russophones in Germany have not had an easy time integrating but, ultimately, have a positive attitude toward their adoptive country. The results show that the German language became the primary means of communication outside the family and partly within the family where Russian dominates among the second and third generations. The oldest generation (great-grandfathers and great-grandmothers) were fluent in German to some extent; those who moved at the age of 20–40 learned it sufficiently for their jobs; their children studied in German preschools and schools and became completely bilingual; and the great-grandchildren were born in Germany. The younger generations have fully integrated into German society, although strong connections with locals exist among the older generations too. Proficiency in the Russian language is still maintained even among the great-grandchildren’s generation, although not to the same extent as among the generation of young parents. Full article
(This article belongs to the Special Issue Linguistic Practices in Heritage Language Acquisition)
32 pages, 5227 KiB  
Article
Global Suicide Mortality Rates (2000–2019): Clustering, Themes, and Causes Analyzed through Machine Learning and Bibliographic Data
by Erinija Pranckeviciene and Judita Kasperiuniene
Int. J. Environ. Res. Public Health 2024, 21(9), 1202; https://doi.org/10.3390/ijerph21091202 - 10 Sep 2024
Cited by 1 | Viewed by 5026
Abstract
Suicide research is directed at understanding social, economic, and biological causes of suicide thoughts and behaviors. (1) Background: Worldwide, certain countries have high suicide mortality rates (SMRs) compared to others. Age-standardized suicide mortality rates (SMRs) published by the World Health Organization (WHO) plus [...] Read more.
Suicide research is directed at understanding social, economic, and biological causes of suicide thoughts and behaviors. (1) Background: Worldwide, certain countries have high suicide mortality rates (SMRs) compared to others. Age-standardized suicide mortality rates (SMRs) published by the World Health Organization (WHO) plus numerous bibliographic records of the Web of Science (WoS) database provide resources to understand these disparities between countries and regions. (2) Methods: Hierarchical clustering was applied to age-standardized suicide mortality rates per 100,000 population from 2000–2019. Keywords of country-specific suicide-related publications collected from WoS were analyzed by network and association rule mining. Keyword embedding was carried out using a recurrent neural network. (3) Results: Countries with similar SMR trends formed naturally distinct groups of high, medium, and low suicide mortality rates. Major themes in suicide research worldwide are depression, mental disorders, youth suicide, euthanasia, hopelessness, loneliness, unemployment, and drugs. Prominent themes differentiating countries and regions include: alcohol in post-Soviet countries; HIV/AIDS in Sub-Saharan Africa, war veterans and PTSD in the Middle East, students in East Asia, and many others. (4) Conclusion: Countries naturally group into high, medium, and low SMR categories characterized by different keyword-informed themes. The compiled dataset and presented methodology enable enrichment of analytical results by bibliographic data where observed results are difficult to interpret. Full article
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10 pages, 207 KiB  
Article
Institutionalizing Projectification—The Case of Kyrgyzstan
by Reinhard F. Wagner and Mladen Radujković
Buildings 2024, 14(4), 891; https://doi.org/10.3390/buildings14040891 - 26 Mar 2024
Cited by 2 | Viewed by 1156
Abstract
The extent to which projects are established as an organizational form in society to cope with various challenges has been analyzed extensively in research under the term ‘projectification’. However, it remains unclear how the projectification at the level of society begins and which [...] Read more.
The extent to which projects are established as an organizational form in society to cope with various challenges has been analyzed extensively in research under the term ‘projectification’. However, it remains unclear how the projectification at the level of society begins and which actors are involved in its institutionalization. Drawing on an explanatory case study in post-Soviet Kyrgyzstan, responses are provided to these questions and propositions for further research. The country is undertaking reforms as part of its ongoing transformation, which includes the professional implementation of projects, particularly in the public sector. These activities are, to some extent, based on the developments in project management in neighboring Kazakhstan, where a presidential decree also constituted a first step towards the institutionalization of projectification. It later found its way into relevant sectors and to key actors via the presidential administration, primarily through regulative and normative institutions. Because of increased international cooperation, the number and importance of projects in Kyrgyzstan will continue to increase in the coming years, requiring greater emphasis on projectification. The results are informative for research into projectification and for those involved in countries with comparable situations. Full article
(This article belongs to the Special Issue The Impact of Construction Projects and Project Management on Society)
13 pages, 268 KiB  
Article
Inclusion and Inclusive Education in Russia: Analysis of Legislative and Strategic Documents at the State Level between 2012–2014
by Natallia Bahdanovich Hanssen and Aleksandra A. Alekseeva
Educ. Sci. 2024, 14(3), 312; https://doi.org/10.3390/educsci14030312 - 15 Mar 2024
Cited by 2 | Viewed by 3572
Abstract
Inclusive education is an important foundation of many societies, including the post-Soviet countries. It has been more than ten years since the official implementation of inclusion in Russia. However, the inclusive education system has not developed enough to be equally supported everywhere throughout [...] Read more.
Inclusive education is an important foundation of many societies, including the post-Soviet countries. It has been more than ten years since the official implementation of inclusion in Russia. However, the inclusive education system has not developed enough to be equally supported everywhere throughout the country, and is marked by controversial views on legal regulation and inclusive strategies. The purpose of this article is to examine inclusion and inclusive education, mainly for students with special educational needs, as understood in the educational policy. The data consist of legislative and strategic documents on the state level between 2012 to 2014. The data analysis was based on a qualitative content analysis. The analysis indicated two main themes: the subtle expression and lack of a definition for inclusion, and an inconsistent expression and definition of inclusive education. The results point to the necessity of encouraging discussions as well as reflections with respect to articulating and defining what inclusion is and how Russia can create an effective strategy for the further development of inclusive education. Full article
(This article belongs to the Section Special and Inclusive Education)
43 pages, 93094 KiB  
Article
State Murals, Protest Murals, Conflict Murals: Evolving Politics of Public Art in Ukraine
by Emma Louise Leahy
Arts 2024, 13(1), 1; https://doi.org/10.3390/arts13010001 - 19 Dec 2023
Cited by 4 | Viewed by 4227
Abstract
Russian interference and invasion in Ukraine have transformed that nation’s historical practice of mural painting. A traditional art form with deep religious and political resonance in Ukraine, murals have become an instrument for patriotic mass mobilisation against the Russian military threat. From the [...] Read more.
Russian interference and invasion in Ukraine have transformed that nation’s historical practice of mural painting. A traditional art form with deep religious and political resonance in Ukraine, murals have become an instrument for patriotic mass mobilisation against the Russian military threat. From the mid-2000s, spraypaint graffiti underwent a gradual process of professionalisation and reconciliation with mainstream culture as Ukrainian municipalities pursued urban beautification initiatives and city-branding strategies to mitigate the socioeconomic challenges of postsocialism. It was this legacy of apolitical, privately funded street art that provided the foundations for patriotic muralism following the Maidan “Revolution of Dignity” and the Russian annexation of Crimea. Amidst the post-Maidan search for a postcolonial understanding of Ukrainian culture disentangled from Soviet and Russian influences, professionally produced murals in central urban districts proposed new visions of national identity. The war’s intensification since 2022 has resulted in a decentralisation of mural production. No longer reliant on international festivals in urban centres, conflict murals are now made by Ukrainian artists in large cities and small towns across the country. The newest murals represent a blending of the physical and digital—with a subject matter often inspired by viral conflict memes; artworks are, in turn, shared with worldwide audiences via social media. Full article
(This article belongs to the Special Issue Ukraine Under Fire: The Visual Arts in Ukraine and Abroad Since 2014)
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22 pages, 2245 KiB  
Article
The Labour Share, Government Expenditure and Income Inequality of Post-Soviet Countries
by Bruno S. Sergi, Svetlana Balashova and Svetlana Ratner
Economies 2023, 11(12), 288; https://doi.org/10.3390/economies11120288 - 28 Nov 2023
Cited by 5 | Viewed by 3274
Abstract
This study analyses the influence of economic growth on inequality, concentrating on the role of governments as mediators. The period studied is from 2000 to 2020, encompassing 11 post-Soviet countries. The primary estimation method used is the two-stage least squares for panel data. [...] Read more.
This study analyses the influence of economic growth on inequality, concentrating on the role of governments as mediators. The period studied is from 2000 to 2020, encompassing 11 post-Soviet countries. The primary estimation method used is the two-stage least squares for panel data. Despite the differences in the economic and political systems at the current development stage, the post-Soviet countries share a common pattern in terms of the relationship between economic growth, the labour income share and the level of inequality, which we first show in this article. Government expenditure has the potential to reduce inequality. However, its effectiveness depends largely on government efficiency and the development of democratic institutions. Despite the increase in government spending on education, more is needed to reduce income inequality. Increased economic performance, productivity, and high-quality state institutions are necessary for this change. Full article
(This article belongs to the Special Issue Labour Economics)
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13 pages, 713 KiB  
Article
An Analysis of Problem-Based Learning vs. Traditional Teaching among Students in Azerbaijan
by Ulkar Sattarova, Jelena Arsenijevic and Wim Groot
Educ. Sci. 2023, 13(12), 1167; https://doi.org/10.3390/educsci13121167 - 22 Nov 2023
Cited by 2 | Viewed by 3447
Abstract
Objective: Our goal was to analyze the effects of implementing problem-based learning (PBL) at the Azerbaijan University of Architecture and Construction. Method: We compared students that attended lectures and tutorials using PBL and students that attended lectures and tutorials using traditional teaching methods. [...] Read more.
Objective: Our goal was to analyze the effects of implementing problem-based learning (PBL) at the Azerbaijan University of Architecture and Construction. Method: We compared students that attended lectures and tutorials using PBL and students that attended lectures and tutorials using traditional teaching methods. In total, 737 students (intervention group) participated in PBL and 2201 in non-PBL (Control group A and Control group B) at the university. Descriptive statistics and a statistical Kruskal–Wallis test were used to analyze the data and determine whether groups could be compared. We used propensity score matching to make groups comparable and analyzed the differences between groups. Results: The results of the statistical analysis and descriptive statistical characteristics for the unmatched samples are presented in this paper. We also present the differences between the PBL group and two non-PBL groups based on the unmatched samples. All calculations were performed on one outcome measure: the final scores of students. The results show that even within a short period of time (one semester or academic year), applying PBL can have promising effects, although these effects are generally not statistically significant. However, after matching, the differences between the PBL and non-PBL groups were significant. Discussion and conclusions: Even a preliminary and limited introduction of PBL appears to have promising impacts on learning outcomes, as demonstrated by students’ final scores on subjects that were taught using the PBL approach. The results suggest that post-Soviet countries with education traditions that differ from Western ones can benefit from PBL. It is advised to prolong the implementation of PBL and advocate for wider dissemination of this method in Azerbaijan and elsewhere in post-Soviet countries. Full article
(This article belongs to the Special Issue Challenges of Project Based Learning (PBL) in Engineering Education)
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16 pages, 1236 KiB  
Article
The Trend, Characteristics and Treatment Outcomes in Patients with Tuberculosis Undergoing Thoracic Surgery in the Kyrgyz Republic between 2017 and 2021
by Konushbek Sakmamatov, Yulia Kuznetsova, Kylychbek Istamov, Daniil Shauer, Jaya Prasad Tripathy, Anthony D. Harries, Kudaibergen Osmonaliev and Olga Goncharova
Trop. Med. Infect. Dis. 2023, 8(8), 393; https://doi.org/10.3390/tropicalmed8080393 - 31 Jul 2023
Viewed by 1631
Abstract
Surgery has played an important role in managing complicated tuberculosis in former Soviet Union countries, including the Kyrgyz Republic. However, published information is limited. This study aimed to document the trend, characteristics and outcomes of tuberculosis patients who underwent thoracic surgery, using routinely [...] Read more.
Surgery has played an important role in managing complicated tuberculosis in former Soviet Union countries, including the Kyrgyz Republic. However, published information is limited. This study aimed to document the trend, characteristics and outcomes of tuberculosis patients who underwent thoracic surgery, using routinely collected data. Between 2017 and 2021, 4–7% of tuberculosis patients in the Kyrgyz Republic underwent thoracic surgery in two centres in Bishkek and Osh. In 2021, case records were retrieved in 264 (78%) of 340 patients undergoing thoracic surgery in the country. The most common indications for surgery were pleural exudate/empyema in 127 (44%) and tuberculoma in 83 (32%). Most patients (73%) underwent surgery within 30 days of starting TB treatment. Two-thirds of patients underwent radical surgery, and surgical outcomes were excellent in 99% of patients with one death. Post-operatively, 63 (23%) patients had no TB detected by the histology, with the two most common specified conditions being lung cancer and pulmonary hydatid disease. TB treatment was stopped in these patients. Of the 201 patients with confirmed TB after surgery, TB-treatment success was documented in 163 (81%), died/failure/lost to follow-up in 10 (5%) and not evaluated in 28 (14%). This study shows that thoracic surgery is feasible, safe and effective in the routine programme setting. Recommendations are made to strengthen referral and monitoring systems. Full article
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11 pages, 1281 KiB  
Article
The Changing Epidemiology of Viral Hepatitis in a Post-Soviet Country—The Case of Kyrgyzstan
by Manas K. Akmatov, Nurgul J. Beisheeva, Asylbek Z. Nurmatov, Sattarova J. Gulsunai, Kylychbekova N. Saikal, Aisuluu A. Derkenbaeva, Zamira O. Abdrahmanova, Jana Prokein, Norman Klopp, Thomas Illig, Omor T. Kasymov, Zuridin S. Nurmatov and Frank Pessler
Pathogens 2023, 12(8), 989; https://doi.org/10.3390/pathogens12080989 - 28 Jul 2023
Cited by 3 | Viewed by 2008
Abstract
Historically, viral hepatitis has been a considerable public health problem in Central Asian countries, which may have worsened after the dissolution of the Soviet Union. However, up-to-date seroepidemiological studies are lacking. The aim of the present study was, therefore, to provide current estimates [...] Read more.
Historically, viral hepatitis has been a considerable public health problem in Central Asian countries, which may have worsened after the dissolution of the Soviet Union. However, up-to-date seroepidemiological studies are lacking. The aim of the present study was, therefore, to provide current estimates of the seroprevalence of viral hepatitis in Kyrgyzstan, one of the economically least developed countries in the region. We conducted a population-based cross-sectional study in 2018 in the capital of Kyrgyzstan, Bishkek (n = 1075). Participants, children and adults, were recruited from an outpatient clinic. The data were collected during face-to-face interviews. A blood sample (6 mL) was collected from each participant and tested with ELISA for the presence of serological markers for five viral hepatitides (A, B, C, D, and E). Post-stratification weighing was performed to obtain nationally representative findings. The overwhelming majority of the study participants were positive for anti-HAV (estimated seroprevalence, 75.3%; 95% confidence interval, 72.5–77.9%). The weighted seroprevalence estimates of HBsAg, anti-HCV, and anti-HDV were 2.2% (1.5–3.3%), 3.8% (2.8–5.1%), and 0.40% (0.15–1.01%), respectively. Anti-HEV seropositivity was 3.3% (2.4–4.5%). Of the 33 HBsAg-positive participants, five (15%) were anti-HDV-positive. Our study confirms that Kyrgyzstan remains a highly endemic country for hepatitis virus A and C infections. However, seroprevalences of HBV and HDV were lower than previously reported, and based on these data, the country could potentially be reclassified from high to (lower) intermediate endemicity. The observed anti-HEV seroprevalence resembles the low endemicity pattern characteristic of high-income countries. Full article
(This article belongs to the Special Issue Epidemiology and Outcomes Research in Infectious Diseases)
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