Nutrition transition and dietary energy availability in Eastern Europe after the collapse of communism.

After the economic transition of the late 1980s and early 1990s there was a rapid increase in overweight and obesity in many countries of Eastern Europe. This article describes changing availability of dietary energy from major dietary components since the transition to free-market economic systems among Eastern European nations, using food balance data obtained at national level for the years 1990-92 and 2005 from the FAOSTAT-Nutrition database. Dietary energy available to the East European nations satellite to the former Soviet Union (henceforth, Eastern Europe) was greater than in the nations of the former Soviet Union. Among the latter, the Western nations of the former Soviet Union had greater dietary energy availability than the Eastern and Southern nations of the former Soviet Union. The higher energy availability in Eastern Europe relative to the nations of the former Soviet Union consists mostly of high-protein foods. There has been no significant change in overall dietary energy availability to any category of East European nation between 1990-1992 and 2005, indicating that, at the macro-level, increasing rates of obesity in Eastern European countries cannot be attributed to increased dietary energy availability. The most plausible macro-level explanations for the obesity patterns observed in East European nations are declines in physical activity, increased real income, and increased consumption of goods that contribute to physical activity decline: cars, televisions and computers.     

The World Health Organisation. WHO in Europe: does it have a role?

WHO is under pressure from all sides to justify its existence. Donors want to know what they are getting for their money, and health professionals question the relevance of the organisation''s work. The pressure to justify itself is perhaps strongest of all in Europe, where most member countries have fully fledged health infrastructures and high overall levels of health. Now there is the additional threat of encroachment into the field of public health by the European Union. The disintegration of the Soviet bloc has given WHO''s regional office in Europe a new sense of purpose and led to a major shift in resources towards the countries of central and eastern Europe. But WHO''s critics are calling for a different shift in the way its European office works: from its current concentration on broad based policy issues to the nitty-gritty of health care management and delivery.     

Scientific basis for the Soviet and Russian radiofrequency standards for the general public

The former Soviet Union (USSR) and the USA were the first countries to introduce standards limiting exposure to radiofrequency (RF) fields. However, the exposure limits in the USSR standards were always much lower than those in the USA and other countries. The objective of this article is to provide a history of the development of the Soviet and Russian RF standards. In addition, we summarize the scientific evidence used to develop the original USSR RF and subsequent Russian public health standards, as well as the mobile telecommunications standard published in 2003, but we do not critique them. We also describe the protective approaches used by the Soviet and Russian scientists for setting their limits. A translation of the papers of the key studies used to develop their standards is available in the online version of this publication. Bioelectromagnetics 33:623–633, 2012. © 2012 Wiley Periodicals, Inc.     

Neurasthenia and related problems

Summary Neurasthenia is a diagnostic entity included in ICD-9 which is used in daily clinical practice in China and the Soviet Union, as well as some other Asian countries, so far as I know. Although it was eliminated from the psychiatric nosology in DSM-III of the United States and in several European countries, this disease has not disappeared. In my view, elimination of the category only indicates change of diagnostic concept without definite direction. Whether this change will be accepted by psychiatrists all over the world is still a question. The continued use of this diagnostic term in China is justifiable, I believe. The final resolution of these differences in views and practice remains for future development in psychiatric science.     

Feeding the world healthily: the challenge of measuring the effects of agriculture on health

Agricultural production, food systems and population health are intimately linked. While there is a strong evidence base to inform our knowledge of what constitutes a healthy human diet, we know little about actual food production or consumption in many populations and how developments in the food and agricultural system will affect dietary intake patterns and health. The paucity of information on food production and consumption is arguably most acute in low- and middle-income countries, where it is most urgently needed to monitor levels of under-nutrition, the health impacts of rapid dietary transition and the increasing ‘double burden’ of nutrition-related disease. Food availability statistics based on food commodity production data are currently widely used as a proxy measure of national-level food consumption, but using data from the UK and Mexico we highlight the potential pitfalls of this approach. Despite limited resources for data collection, better systems of measurement are possible. Important drivers to improve collection systems may include efforts to meet international development goals and partnership with the private sector. A clearer understanding of the links between the agriculture and food system and population health will ensure that health becomes a critical driver of agricultural change.     

A Multifaceted Image of the Soviet and Post-Soviet Eras

Russia, Ukraine and a number of neighboring countries formed the Soviet Union, or USSR, until 1989, when what was both a political and an economic catastrophe saw the Union fragment into a number of independent states. Following constitutional reforms in 1990, what remained was now called the Russian Federation and, at 17,172,200?sq. km, it was the largest country by area in the entire world, covering an eighth of the entire inhabited land surface. In 1991, notably, Ukraine became an independent state. Neither country any longer had a communist government, but both were burdened with unproductive economies that made daily life difficult for most citizens. The papers in this collection emphasize the dominant effect of economic deficits on the conduct of daily life in both countries, and discusses some visual aspects of various subcultures.     

Ethnographic Note on Nation: Narratives and Symbols of the Early Post-socialist Nationalism in Lithuania

In the late 1980s and early 1990s Lithuania experienced the nationalist upheaval, which epitomized in the break up from the Soviet Union in 1990. Narratives and symbols were constitutive of the nationalist movement. “Nation” — the master symbol of that time — was reproduced in relation to the symbols of “the West,” and “the East,” as well as through the different values implied in “the West” and “the East” symbolism. Nationalist narratives reconstructed history and memory, reevaluated the present of the “reborn” nation, and drew the paths for the transition. Symbols and narratives were significant in mobilizing popular opinion, creating models for identity and action, and expressing moral and legitimate stances. They were a primary mechanism by which ideologies and cultural stances were shaped and maintained during the nationalist upheaval. In early 1990s the “nation” was redefined in the context of the Western tradition which was essential in communicating with the European countries and distancing from the former Soviet Union.     

Loneliness: Its Correlates and Association with Health Behaviours and Outcomes in Nine Countries of the Former Soviet Union

Background

Research suggests that the prevalence of loneliness varies between countries and that feeling lonely may be associated with poorer health behaviours and outcomes. The aim of the current study was to examine the factors associated with loneliness, and the relationship between feeling lonely and health behaviours and outcomes in the countries of the former Soviet Union (FSU) – a region where loneliness has been little studied to date.

Methods

Using data from 18,000 respondents collected during a cross-sectional survey undertaken in nine FSU countries – Armenia, Azerbaijan, Belarus, Georgia, Kazakhstan, Kyrgyzstan, Moldova, Russia and Ukraine – in 2010/11, country-wise logistic regression analysis was conducted to determine: the factors associated with feeling lonely; the association between feeling lonely and alcohol consumption, hazardous drinking and smoking; and whether feeling lonely was linked to poorer health (i.e. poor self-rated health and psychological distress).

Results

The prevalence of loneliness varied widely among the countries. Being divorced/widowed and low social support were associated with loneliness in all of the countries, while other factors (e.g. living alone, low locus of control) were linked to loneliness in some of the countries. Feeling lonely was connected with hazardous drinking in Armenia, Kyrgyzstan and Russia but with smoking only in Kyrgyzstan. Loneliness was associated with psychological distress in all of the countries and poor self-rated health in every country except Kazakhstan and Moldova.

Conclusions

Loneliness is associated with worse health behaviours and poorer health in the countries of the FSU. More individual country-level research is now needed to formulate effective interventions to mitigate the negative effects of loneliness on population well-being in the FSU.     

"Infant mortality in Armenia 1992-2003": a comment.

The purpose of this comment is to counsel caution in some of the conclusions drawn in an otherwise fine article recently published in Economics and Human Biology on infant mortality in Armenia by Hakobyan, Mkrtchyan and Yepiskoposyan. These relate first, to the reliability of estimates and trends in infant mortality estimated from DHS data; second, to the interpretation of what the authors consider to be a 'low' infant mortality rate in former communist countries given their level of economic development; and third, to the role of the health care infrastructure in countries of the former Soviet Union in producing these 'low' infant mortality levels. This comment argues that trends in infant mortality in Armenia and other CIS countries, although probably declining, are perhaps less certain than the authors allow, that existing evidence does not suggest that they are uniformly low by global standards, or that the health care systems in CIS countries are uniformly effective in reducing infant deaths.     

International Monetary Fund programs and tuberculosis outcomes in post-communist countries

Background

Previous studies have indicated that International Monetary Fund (IMF) economic programs have influenced health-care infrastructure in recipient countries. The post-communist Eastern European and former Soviet Union countries experienced relatively similar political and economic changes over the past two decades, and participated in IMF programs of varying size and duration. We empirically examine how IMF programs related to changes in tuberculosis incidence, prevalence, and mortality rates among these countries.

Methods and Findings

We performed multivariate regression of two decades of tuberculosis incidence, prevalence, and mortality data against variables potentially influencing tuberculosis program outcomes in 21 post-communist countries for which comparative data are available. After correcting for confounding variables, as well as potential detection, selection, and ecological biases, we observed that participating in an IMF program was associated with increased tuberculosis incidence, prevalence, and mortality rates by 13.9%, 13.2%, and 16.6%, respectively. Each additional year of participation in an IMF program was associated with increased tuberculosis mortality rates by 4.1%, and each 1% increase in IMF lending was associated with increased tuberculosis mortality rates by 0.9%. On the other hand, we estimated a decrease in tuberculosis mortality rates of 30.7% (95% confidence interval, 18.3% to 49.5%) associated with exiting the IMF programs. IMF lending did not appear to be a response to worsened health outcomes; rather, it appeared to be a precipitant of such outcomes (Granger- and Sims-causality tests), even after controlling for potential political, socioeconomic, demographic, and health-related confounders. In contrast, non-IMF lending programs were connected with decreased tuberculosis mortality rates (−7.6%, 95% confidence interval, −1.0% to −14.1%). The associations observed between tuberculosis mortality and IMF programs were similar to those observed when evaluating the impact of IMF programs on tuberculosis incidence and prevalence. While IMF programs were connected with large reductions in generalized government expenditures, tuberculosis program coverage, and the number of physicians per capita, non-IMF lending programs were not significantly associated with these variables.

Conclusions

IMF economic reform programs are associated with significantly worsened tuberculosis incidence, prevalence, and mortality rates in post-communist Eastern European and former Soviet countries, independent of other political, socioeconomic, demographic, and health changes in these countries. Future research should attempt to examine how IMF programs may have related to other non-tuberculosis–related health outcomes.     

Problems of the complex assessment of radiobioecological situation and public health in uranium-extraction regions of Kazakhstan

In the article was considered main direction in investigation and methodological approach in the estimations of radiobioecological situation and condition health of population in the uranium-extraction regions of Kazakhstan. Elimination of consequences of uranium extraction in Kazakhstan is only possible with a broad scientific cooperation and combined resources and man-power from Kazakhstan, from former Soviet Union countries and from other countries.     

“Infant Mortality in Armenia 1992–2003”: A comment

The purpose of this comment is to counsel caution in some of the conclusions drawn in an otherwise fine article recently published in Economics and Human Biology on infant mortality in Armenia by Hakobyan, Mkrtchyan and Yepiskoposyan. These relate first, to the reliability of estimates and trends in infant mortality estimated from DHS data; second, to the interpretation of what the authors consider to be a ‘low’ infant mortality rate in former communist countries given their level of economic development; and third, to the role of the health care infrastructure in countries of the former Soviet Union in producing these ‘low’ infant mortality levels. This comment argues that trends in infant mortality in Armenia and other CIS countries, although probably declining, are perhaps less certain than the authors allow, that existing evidence does not suggest that they are uniformly low by global standards, or that the health care systems in CIS countries are uniformly effective in reducing infant deaths.     

Brexit,British People of Colour in the EU-27 and everyday racism in Britain and Europe

This paper foregrounds an understanding of Brexit as unexceptional, as business as usual in Britain and Europe. It reports on original empirical research with British People of Colour who have settled elsewhere in Europe, to bring into view an original perspective to understandings of what Brexit means to Britons living in Europe, and to consider what these testimonies offer to emerging social science research on Brexit. As we argue, focussing on the testimonies of British People of Colour living in the EU-27 offers a unique lens into how Brexit is caught up in everyday racism, personal experiences of racialization and racial violence, and longer European histories of racialization and racism. Importantly, these experiences precede and succeed Brexit, taking place in both Britain and other European Union countries.     

The cessation of gastrulation: BMP signaling and EMT during and at the end of gastrulation

An integral component of gastrulation in all organisms is epithelial to mesenchymal transition (EMT), a fundamental morphogenetic event through which epithelial cells transform into mesenchymal cells. The mesenchymal cells that arise from epithelial cells during gastrulation contribute to various tissue rudiments during subsequent development, including the notochord, somites, heart, gut, kidney, body wall and lining of the coelom. The process of gastrulation has been the subject of several hundred scientific papers. Despite all that has been written, it is likely that what we currently know about gastrulation is still considerably less than what remains to be learned. One critical remaining question that we consider here is how does gastrulation cease at the right place along the body axis, and at the right time? In this commentary, we focus on the molecular mechanism for the cessation of gastrulation, using the chick embryo as a model system.Key words: epithelial to mesenchymal transition (EMT), gastrulation, basal membrane, tail bud, ventral ectodermal ridge (VER), BMP, noggin, E-cadherin, chick embryo     

世界不同地区现代人及现代行为的出现与区域特征

现代人和现代行为在世界不同地区的出现是多年来学术界的焦点问题, 至今关于这方面的研究与讨论仍然非常热烈。本文简要梳理了不同地区现代人及其行为出现的情况及特点, 并在目前的材料和研究的基础上特别关注了东亚地区, 指出有待进一步研究和解释的问题。现代行为和文化具有显著的区域特征, 这应当是现代人在不同自然和社会环境中适应生存的反映。同时各地区在旧石器时代晚期也展现出相似或相同的技术思维、知识和行为方式,暗示出活跃的人群迁徙与交流。     

The New Dynamics of European Spaces since 1989

Since the collapse of the Soviet bloc, the term “Europe” has reached a new dimension. The fall of the Berlin Wall opened the East to the West and, in 1989, the European space moved up from two entities symbolically separated by a wall to one territorial unity. But we cannot say that this unity is a political one. This dichotomy is not based on two different political orientations, but on the adhesion or the non-adhesion to economic, political and especially moral principles. Thus two conceptions of the European space are competing. The term “Europe” has two major significations: firstly it refers to the European Union, and secondly to a Great Europe, including the states which have belonged to the former Soviet bloc. How can we define how this Great Europe perceived itself and what are its limits? The objective of this paper is to demonstrate that the two visions of the European space are under competition through two institutions. They convey two representations of this European space and imagine it in two perspectives. Therefore, the collapse of the Soviet bloc has altered in depth the perception of the European space and created a new dichotomy.     

Negotiating “The Social” and Managing Tuberculosis in Georgia

In this paper I utilize anthropological insights to illuminate how health professionals and patients navigate and negotiate what for them is social about tuberculosis in order to improve treatment outcomes and support patients as human beings. I draw on ethnographic research about the implementation of the DOTS (Directly Observed Therapy, Short Course) approach in Georgia’s National Tuberculosis Program in the wake of the Soviet healthcare system. Georgia is a particularly unique context for exploring these issues given the country’s rich history of medical professionalism and the insistence that the practice of medicine is a moral commitment to society. I argue for critical attention to the ways in which treatment recipients and providers navigate what, for them, is “social” about therapeutic practices and their significance for avoiding biological and social reductionism.     

Welfare state type,labour markets and refugees: a comparison of Jews from the former Soviet Union in the United States and the Federal Republic of Germany

The massive exodus of Jews from the former Soviet Union [FSU] has been accompanied by welfare state retrenchment and labour market restructuration in the two preferred destination countries of refugee resettlement: the United States and Germany. This study compares the resettlement policies and outcomes of FSU Jews and shows how the context of resettlement, viz. differences in welfare state type, labour market formation and host ethnic community, yield marked differences in formal job market adaptation. FSU Jews in Germany are almost twice as likely as their American counterparts to rely on some form of refugee cash assistance for their primary means of support, whereas the American cohort is twice as likely to be employed in the formal labour market. However, informal labour market adaptation is quite similar. Findings suggest unwitting system convergence, each exercising a different form of social exclusion - welfare stigma and under employment for refugees in the United States, and high labour market regulation in Germany.