Russian Population Research Articles

Subjective well-being indices in assessing happiness in Russia

Due to the multidimensionality and dynamism of today’s social life, there emerges the need to modify the principles of measuring the effectiveness of socio-economic policy. The article empirically tests and analyzes subjective metrics focused on “failures” in the socio-economic development which are impossible to identify through objective indicators only. These metrics are the subjective well-being indices for the Russian population in terms of gender and age, residence (by federal districts), level of education, marital status, presence of children, subjective health assessments, job and pay satisfaction. The methodological framework resides in Edward Diener’s subjective well-being theory. The method of index numbers and methods of descriptive statistics, including the multivariate frequency distribution of two attributes, are applied. The evidence base is comprised of panel data of The Russia Longitudinal Monitoring Survey – Higher School of Economics (RLMS-HSE) for 2013–2022. According to the research results, the minimum and maximum values of the life satisfaction index were observed in 2016 and 2022, respectively. The affective index of happiness was found to reach higher values compared to the cognitive assessment of it. The findings show that gender, age, region of residence, level of education, as well as satisfaction with health, job, wage and financial status affect the values and dynamics of happiness indices in Russia. A well-being measurement approach covering both objective and sub jective assessments of people’s life and its individual aspects allows identifying gaps in the system of socio-economic support for the population.

Русская Зарубежная Церковь и начало «Свободной Церкви» (1990–1995 гг.)

The article is devoted to the history of the creation of a non–canonical structure by the Russian Church Abroad - the so-called "Russian Orthodox Free Church" (ROSC). The article explores the reasons why the ROCOR in 1990, instead of reconciliation with the Moscow Patriarchate, went to confrontation, creating dioceses on its canonical territory. The reasons why the Russian Orthodox Church did not become popular in the Orthodox environment and was marginalized at the very beginning of the 1990s are also being investigated. The reasons for the conflict between this structure and the ROCOR leadership are also considered. Based on documents and materials, as well as the periodicals of the ROCOR and the Russian Orthodox Church, it is concluded that the reason for the failure of the "Free Church" was, first of all, the misunderstanding of the leadership of the Church Abroad of Russian realities, groundless confidence that the Russian population will massively move to a new structure. Among other reasons is the impoverishment of the spiritual and intellectual forces of the ROCOR, confident in the success of the new project. The result was an unsuccessful personnel policy, the admission of far from the best representatives of the clergy to the Russian Orthodox Church. In parallel with the problems that began, representatives of the Russian Church Abroad began to understand that its "return" to its homeland should take place not through the creation of a non-canonical parallel "Church", but through dialogue.

The evolution and causes of the change in the demographic model of Russia. Message 1. General assessment of historical, medical, social and demographic events

The demographic situation in different periods was determined by the general patterns of childbearing, epidemics and the state of society. In Russia, even against the background of great upheavals, population growth has been observed for several centuries with a high birth rate, which exceeded the total mortality rate. Epidemics, wars and political events of the twentieth century, as well as the change of priorities in the 1990s, left their mark and led to a decrease in the population. This analytical review is devoted to the evolutionary changes in the Russian population model. The main historical, medical, social and demographic events that dynamically affect the demographic situation in our country are considered. Special attention is paid to the factors influencing the decline in the population in the country, which must be taken into account when planning and implementing state and territorial programs to stimulate the birth rate, taking into account the main political and economic changes.

Study of the genetic and molecular epidemiology of cystic fibrosis based on the patient registry for planning targeted therapy in Russian Federation

Cystic fibrosis (CF) is a genetically inherited disorder characterized by a wide range of clinical manifestations and genetic variations. This study focuses on the genetic and molecular epidemiology of CF in the Russian population, utilizing data from the national CF registry. The birth prevalence of CF in Russia has been analyzed over a span of years, revealing variations in frequency. The study delves into the genetic landscape of CFTR gene variants in Russian patients, showcasing a diverse spectrum with a predominance of severe variants, some of which are rare and distinct from global populations. A total of 233 variants have been documented, exhibiting frequencies ranging from 0.01% to 51.5%, with 47 of these variants remaining uncharted within international genetic databases. As of 2021, CFTR modulator therapy has been introduced for patients under 19 years, heightening the importance of genetic diagnosis. In 2023, more than 1,850 patients under 19 received CFTR modulator therapy. Notably, the impact of complex alleles on disease progression and response to targeted therapies is gaining recognition. Comparisons with European registries highlight distinctive features of the Russian population, such as differences in age distribution among patients. Additionally, the study emphasizes the need to ascertain clinical significance and pathogenicity of newly identified genetic variants, along with exploring their suitability for targeted therapies. The integration of genetic insights into the management of CF offers potential for enhanced personalized therapeutic interventions. In conclusion, this thorough analysis provides a comprehensive understanding of the genetic nuances within the Russian CF population. By illuminating the intricate relationship between genetic variations and disease manifestation, the study underscores the essential role of genetics in shaping therapeutic strategies and improving patient outcomes. Further research and ongoing genetic exploration are crucial for optimizing the care of individuals with CF in the era of evolving therapeutic options.

Inter-ethnic heterogeneity in valvular morphology and aortopathy of a worldwide bicuspid aortic valve cohort referred for TAVR

Abstract Background Bicuspid aortic valve (BAV) represents one of the most common congenital heart disease. BAV stenosis tipycally occurs in younger, low-surgical risk patients compared to tricuspid aortic valves (TAV). With the predicted expansion of trans-catheter aortic valve replacement (TAVR) into lower-risk patients, the proportion of BAV is expected to rise. Although some observational studies have investigated the characteristics of Asian versus European patients with BAV undergoing TAVR, little is known about the inter-ethnic differences within the large and diverse Asian, African, Russian, and Caucasian population. Purpose To evaluate the inter-ethnic differences of aortic valve morphology, annular size and associated aortopathy, in a worldwide population of patients with severe aortic stenosis referred for TAVR. Methods Cardiovascular multislice computed tomography data of patients with severe aortic valve stenosis referred for TAVR worldwide were obtained from the database of the Meril Life Core Lab. Inter-ethnic and epidemiological differences in terms of valvular phenotype, annular size and aortic morphology were evaluated with particular focus on patients with BAV. Results Among 12,712 patients (59% male), n=3,203 subjects (25%) exhibited a BAV morphology. According to the Siever’s BAV classification, type 1 (71%, n=2,284) was the most prevalent BAV morphology and particularly Type 1a was the most common in almost all population, with 26% exhibiting a type 0 BAV, while only 3% of the patients (n= 92) had a type 2 (Table 1). A significantly higher prevalence of severe calcium score (>1000 mm3) was found in patients with BAV compared with patients exhibiting a TAV morphology (51% vs. 32, p<0.01). Additionally, larger ascending aorta (AA) diameter (AA >40 mm) (BAV: 31% vs TAV 7%, p = 0.04), along with a higher prevalence of horizontal aorta (HA) (BAV: 20% vs TAV: 9%, p<0.01) was found in patients with BAV compared with TAV. As for inter-ethnic characteristics, there was a higher prevalence of BAV in Indian and Asian Pacific populations (respectively 43% and 28%), with the African population exhibiting the lowest prevalence (7%, n= 28, p=0.02) (Table 2). In Indian patients a higher prevalence of BAV was found in an earlier age (61-70 years old) compared to Western countries (p=0.05). Finally, smaller annular size (456±98 mm2 vs 584±99 mm2, p<0.01) and lower coronary ostia height (Asia and India: RCA 14.5±3 mm, LCA 14±2.9mm vs Caucasian and Russian: RCA 16±3.2 mm, LCA 16.9±3.3mm; p<0.01) were found in the Asian and Indian population when compared with Russian, African and Caucasian subjects. Conclusions BAV morphology, aortopathy and annular size resulted widely heterogenous according to the ethnicity and geographical origin of patients referred for TAVR worldwide. These features may lead different therapeutical decision making and outcomes following TAVR in patients with BAV.Table 1Table 2

Typical profile of a patient with atrial fibrillation in the Russian population based on medical registries. A systematic review

Aim. To compare clinical and anamnestic characteristics of patients with atrial fibrillation (AF) included in three large international stu­dies assessing the efficacy and safety of therapy with direct oral anti­coagu­lants, with the profile of a typical Russian patient with AF in clinical practi­ce, established by medical registries in the Russian Federation (RF).Material and methods. A systematic review of scientific publications was con­ducted. The search was conducted in the E-library and Google Scholar databases. Publications from 8 registries of patients with AF, con­ducted in the Russian Federation from 2012 to 2023, were found, which present the clinical and anamnestic characteristics of patients. All studies included in the analysis meet the generally accepted require­ments for medical registries. The systematic review protocol was pre­viously recorded in the PROSPERO electronic database (CRD42024512425).Results. A Russian patient with AF is a patient with a large number of cardiovascular pathologies and a high risk of thromboembolic events. According to the analysis, Russian patient with AF has an average age of ~70 years. Most patients have a diagnosis of hypertension, heart failure, while from one third to half of patients have a diagnosis of chronic kidney disease. From 20 to 30% of patients have a history of myocardial infarction and every fifth patient has type 2 diabetes.Conclusion. In all countries around the world, including the Russian Fe­deration, for many years, medical registries have been one of the main sources of information on the characteristics of patients with AF and the disease course. They can supplement the available data from randomized clinical trials with real-world data. Comparison of clinical and anamnestic characteristics of patients in randomized clinical trials of direct oral anticoagulants with characteristics of patients in the Russian registries shows that patients included in the Rivaroxaban Once Daily Oral Direct Factor Xa Inhibition Compared with Vitamin K An­tagonism for Prevention of Stroke and Embolism Trial in Atrial Fib­rillation (ROCKET AF trial) were most similar to Russian patients with AF.

Hypertension prevalence among the male population aged 35-74 years in Novosibirsk

Aim. To study the prevalence and risk factors of hypertension (HTN), structure and effectiveness of treatment coverage, as well as disease control indicators among the male population aged 35-74 years in Novosibirsk.Material and methods. This cross-sectional study of the Novosibirsk population was conducted in 2021-2023 at the Research Institute for Internal and Preventive Medicine — branch of the Federal Research Center Institute of Cytology and Genetics according to the ESSE-RF3 study protocol. A total of 1200 people aged 35-74 years living in Novosibirsk were examined. The analysis included 600 men. The response rate exceeded 70%. HTN was considered detected in systolic blood pressure (BP) ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and/or in patients taking antihypertensive agents. Awareness was estimated as the proportion of individuals who had previously been informed by a physician about HTN. Treatment effectiveness was considered the proportion of individuals who achieved target BP values while taking antihypertensive therapy. Hypertension control was considered the proportion of individuals who achieved target values among all those examined with HTN. Statistical processing was performed using the SPSS software package (version 13.0). Associations were assessed using multiple logistic regression analysis. The critical significance level of the null hypothesis (p) was 0,05.Results. The medians of systolic and diastolic BP among men in No­vo­sibirsk were 136,0 [126,5; 149,5] and 89,0 [82,0; 95,5] mm Hg, respectively. The prevalence of HTN among men aged 35-74 in Novo­sibirsk was 68,9%, while 81,1% of men in Novosibirsk were aware of HTN. Among men with HTN, 54,7% take antihypertensive agents. The effectiveness of treatment among men in Novosibirsk is 32,3%, while 19,6% of men control the disease. The odds of hypertension occurrence in men with hypertriglyceridemia increased by 3,5 times, with abdominal obesity — by 2 times, with an positive family history for cardiovascular diseases — by 1,6 times, and with each year of life increased by 1,1 times.Conclusion. The prevalence of HTN among men in Novosibirsk is higher in comparison with the average Russian level. Significant risk factors for HTN include abdominal obesity, hypertriglyceridemia, and decreased physical activity. While awareness, treatment coverage, and HTN control among men aged 35-74 in Novosibirsk correspond to Russian trends, treatment effectiveness turned out to be slightly lower than in the Russian population.

Dietary habits and all-cause mortality risk in the adult population. Results of a 6-year prospective follow-up of the ESSE-RF study cohort

Dietary habits affect the risk of all-cause mortality (ACM) in the adult population according to prospective studies.Aim. To assess the effect of dietary habits on the ACM risk in the Rus­sian population.Material and methods. The prospective cohort included represen­ta­tive samples of 10 Russian regions (n=17175, 6767 men and 10408 wo­men aged 25-64 years), examined in 2012-2014 as part of the ESSE-RF study. Dietary habits were studied based on the consumption rate of the main food groups. The vital status of the cohort was updated every 2 years. The follow-up period was 6 years. Kaplan-Meier curves were used to analyze overall survival (OS). Cox proportional hazards model was used to assess the ACM risk.Results. In the Russian population, an increase in OS is associated with daily consumption of vegetables/fruits, dairy products (milk, kefir, yogurt, cottage cheese, and cheese), and the presence of the Heal­thy Eating Model (HEM) in the diet. A decrease in OS is associated with excess salt intake (ESI) in the diet, the habit of adding salt to pre­pared foods, and daily consumption of pickles (p<0,05). Among men, an increase in OS is observed with daily consumption of fruits/ve­ge­tables, cheese, and HEM, while a decrease is observed with daily consumption of pickles, general ESI, and the habit of adding salt to foods (p<0,05). In women, daily consumption of red meat, liquid dairy products, cheese, and sweets is associated with an increase in OS (p<0,05). The risk of ACM in the general population and among men increases with ESI — relative risk (RR)=1,31 [1,06-1,61] (p=0,012) and 1,41 [1,06-1,87] (p=0,017), respectively, adding salt to food — RR=1,34 [1,09-1,65] (p=0,006) and 1,5 [1,13-1,98] (p=0,005) and daily consumption of pickles — RR=1,48 [1,02-2,14] (p=0,039) and 1,5 [1,01-2,54] (p=0,045). In women, regular consumption of red meat — RR=0,7 [0,49-0,99] (p=0,043), liquid dairy products — RR=0,68 [0,5-0,93] (p=0,015) and cheese — RR=0,64 [0,46-0,9] (p=0,011) were associated with an ACM decrease.Conclusion. An ACM risk increase in the general population and among men is associated with excess salt intake, and a decrease in ACM risk in women is associated with the regular inclusion of red meat and dairy products in the diet.

Diversity of Northwestern and North Caucasian Populations of <i>Puccinia striiformis</i> f. sp. <i>tritici</i> by Virulence and Microsatellite Loci in 2022

Yellow rust (Puccinia striiformis f. sp. tritici, Pst) is a potentially dangerous disease of wheat. Genetic protection of wheat is an environmentally safe method of control. For its successful application, information on the structure of regional populations of the pathogen is needed. The purpose of these studies is to characterize the virulence and molecular polymorphism of Russian Pst populations in 2022. Wheat leaves with Pst urediniopustules were obtained from the North Caucasus (Krasnodar Territory, Dagestan, Kalmykia) and Northwestern (Leningrad region) regions. Virulence analysis was performed on 14 isogenic lines (AvocetNIL) and 15 differentiator varieties. The polymorphism of 20 microsatellite loci was evaluated in molecular analysis. We used SSR markers recommended by the Global Rust Reference Center. Virulence was studied in 74 monopustular isolates: 29 Dagestan, 10 Krasnodar, 5 Kalmyk, 30 northwestern. Resistance to all isolates was shown for lines with genes Yr5, Yr10, Yr15, Yr24, Yr26 and varieties Moro (Yr10, YrMor) and Nord Desprez (Yr3, YrND, Yr+). Isolates virulent to the AvYr17 line were detected for the first time in Dagestan and Krasnodar populations. They were moderately represented in the northwestern population (13%). Significant variation was observed in lines and varieties with the Yr1 and Yr3 genes. There was a decrease in virulence to Yr7 and YrSp compared to 2019–2021. 28 phenotypes (races) were determined in the virulence analysis (15 in Dagestan, 11 in North West, 3 in Krasnodar and 2 in Kalmyk). A common phenotype was noted for three North Caucasian Pst samples. The genetic distances between the identified phenotypes were estimated. In the multidimensional diagram, most of them combined together in a common group, with the exception of three Dagestan phenotypes with the fewest virulence alleles. According to the Fst index, Dagestan and Kalmyk Pst collections were characterized by high similarity; others differed moderately from them. The long-term virulence dynamics (2019–2022) of Pst populations in the Northwestern and North Caucasian regions was assessed. High similarity was determined between all regional population samples in 2019 and 2020. The northwestern and Dagestan populations differed slightly from them in 2021 and 2022. In 2022, the Krasnodar and Kalmyk populations were divided into separate groups, which differed from each other and from the main group. Long-term results of virulence analysis indicate a high dynamic of the structure of Pst populations in Russia. All North Caucasian isolates and 23 Northwestern isolates were used in the SSR analysis. Six loci (RYN3, RYN9, RYN12, WU6, RJO21, RJO24) were monomorphic. Three polymorphic alleles were identified in the RYN13 and RJO27 loci and two in the remaining studied ones. Significant deviations from the Hardy-Weinberg equilibrium are noted for most loci. The observed heterozygosity exceeded the expected one, which indicates an excess of heterozygotes and the clonal origin of the population. The studied collection of isolates was represented by 20 multilocus genotypes (MGs) (Dagestan and Northwestern – 11 each, Krasnodar – 3, Kalmyk – 1). Common genotypes were detected in Dagestan, Krasnodar and Northwestern populations (MG_1); Dagestan, Kalmyk and Northwestern (MG_2); Dagestan and Krasnodar (MG_3, MG_4). The genetic distances between MGs were estimated. In the multidimensional diagram, they are divided into 4 groups. The main group included 80% of MGs. One Dagestan MG, two Northwestern MG and MG_3 common for Dagestan and Krasnodar collections, significantly differentiated from the main group and among themselves. According to the Fst index, most regional Pst collections were moderately differentiated among themselves, with the exception of Dagestan and Kalmyk, which is consistent with the virulence analysis. According to the Mantel test, a moderate correlation was found between the results of virulence analysis and SSR (r = 0.6). This indicates that both analyses can be used in assessing the genetic polymorphism of Pst. The high variability of Russian populations based on virulence and microsatellite loci determines the need for annual monitoring of regional Pst populations in Russia.

Role of gene polymorphism in the development of disorders of the lipid profile in individuals exposed to chemicals

Introduction. The prevalence of arterial hypertension and dyslipidemia in the Russian population exceeds 50%. By a number of working industrial factors have been proved to play the negative role in their development. The results of earlier studies indicate to the epigenetic role of toxic substances in relation to various genes. The aim of the study was to establish associations of polymorphic variants of cardiovascular risk genes with disorders of lipid metabolism in workers performing liquidation works in the accumulated environmental risks zone. Materials and methods. Ninety two and 82 employees from Federal Environmental Operator (FEO) and EMERCOM, respectively were studied. Parameters of lipid metabolism and polymorphic variants of APOE Cys130Arg (rs429358) and PPARG Pro12Ala (rs1801282) genes were investigated. Results. In FEO workers, each variant allele of the APOE Cys130Arg gene is associated with impaired LDL-C concentration in an additive manner (OR = 2.69; 95% CI = 1.03–7.08, p=0.04). Carrying either the T/C or C/C variant allele of this polymorphic variant or the C/G or G/G polymorphic variant Pro12Ala of the PPARG gene increases the odds of developing abnormalities in total cholesterol levels by more than 3.5-times. The risk influence of the mutant genotype G/G and allele G on the increase of Apo B concentration was also established. In EMERCOM workers, the presence of both alleles of this polymorphic variant increased the probability of a decrease in HDL-H levels by 5 times. Limitations. Male persons are employees of the FEO and the Ministry of Emergency Situations. Age accounts of 30–50 years. Conclusions. An increased risk of deviations of total cholesterol concentration, proatherogenic cholesterol, and lipoprotein fractions associated with the PPARG Pro12Ala and APOE Cys130Arg genes polymorphisms was found in FEO workers, whereas only the reduced high-density lipoprotein cholesterol risk in carriers of the PPARG Pro12Ala gene mutant allele was found in EMERCOM workers.

Kin-State Intervention and the Securitization-Minority Policy Nexus: Hungarians and Russian-Speakers in Central and Eastern Europe

Abstract Russia’s full-scale invasion of Ukraine in 2022, launched under the pretext of protecting the rights of Russian kin populations outside of Russia, had a massive impact on security concerns beyond Ukraine. An important consequence was the intensification of insecurities about the presence of large Russian-speaking minorities in Russia’s neighboring states. Scholars have long emphasized that kin-state involvement can lead to the securitization of minority issues, harming the willingness of governments to support collective claims by minorities associated with that kin-state. Yet there is scarce empirical knowledge about whether and under what conditions an assertive kin-state triggers securitization resulting in restrictive minority policy. We assessed this securitization-minority policy nexus comparatively, focusing on the impact of intensifying Hungarian and Russian kin-state activism on policies toward Hungarian and Russophone minorities in five states in Central and Eastern Europe. Our main finding is that intensified kin-state activism does not significantly disrupt previously established paths in minority policy-making, unless a kin-state turns to territorial revisionism. We also found that titular ontological insecurity (faced by actors belonging to a state’s dominant ethnic group) is a helpful heuristic for explaining instances when securitization results in policy restrictions, and we offer conceptual tools for analyzing the salience of both internal and external sources of titular insecurity. Ultimately, our findings highlight the necessity for scholars to distinguish between nonterritorial and territorial types of kin-state intervention in studies about the security dimension of kin-state involvement.

Belarusization in Russian Regions in the 1920s in Modern Russian Historiography

The article presents a historiographical review of publications on the policy of Belarusization carried out in the Russian regions in the 1920s. This work does not address the publications of Belarusian and foreign researchers on the practice of implementing the new Soviet national policy within the territorial borders of the Belarusian Republic. The main attention is paid to the three Russian provinces bordering Belarus – Pskov, Smolensk and Bryansk. At the same time, the eastern territories of the RSFSR – the Urals, Siberia, and the Far East, where Belarusians found themselves as a result of the resettlement policy, especially at the beginning of the 20th century during the Stolypin agrarian reform, were not ignored. Belarusization, as part of the general policy of Korenization, proclaimed in 1923 at the XII Congress of the Russian Communist Party (b), in modern research is closely linked to the need to show new principles and directions of Soviet national policy for the development of Belarusian statehood and culture in contrast to the all-out polonization carried out by the Pilsudski government in Western Ukrainian and Belarusian lands ceded to Poland by the Riga Peace Treaty of 1921. A significant role in this process was assigned to the expansion of the state borders of the BSSR at the expense of Russian territories, especially in 1924 and 1926. However, Belarusization did not find any real support from the local authorities, who considered Belarusians to be part of the Russian population until the end of the 1920s, as well as due to the significant self-Russification of the Belarusian population in the Russian regions that had already taken place by the middle of the decade. Formally, these tasks were constantly on the agenda of the party and Soviet authorities in the second half of the 1920s. But they have not received any significant practical implementation.

Russians of the near abroad in the focus of Russian sociology: the evolution of research approaches and angles (1990s – 2020s)

The article examines main directions of sociological research on the Russian population of the near Abroad, establishes quantitative, thematic dynamics, territorial priorities of publications devoted to this problem complex. A shift in publication activity has been revealed from large forms (author’s and collective monographs, collections of articles) that dominated in the 1990s to scientific periodicals, the quantitative peak of which occurred in the second half of the 2000s. Of the leading Russian sociological publications “Sociological Studies” paid maximum attention to the problems of foreign Russians. The professional community, initially consisting of researchers from Moscow academic structures, gradually expanded to include specialists from St. Petersburg and the post-Soviet countries themselves. Since the late 2000s, the activity of researchers from Russian regions has been growing significantly. In the context of content, there was a gradual thematic detailing of research, a shift to more specific angles and narrow groups of the analyzed Russian population. Geographically, the interest of ethnosociologists was extremely unevenly distributed – three quarters of all publications were devoted to Russians from four post-Soviet countries (Kazakhstan, Estonia, Latvia, Ukraine). At the same time, the Russian communities of the South Caucasus, Tajikistan, and Turkmenistan practically fell out of the research focus, despite the fact that their adaptation to the new conditions of functioning was quite difficult.

Chronic obstructive pulmonary disease and its treatment in the Russian Federation: Results of a cross-sectional assessment from the CORSAIR observational study

Abstract Up-to-date data on patients with chronic obstructive pulmonary disease (COPD) in the Russian Federation are necessary to improve medical care effectiveness.This article presents the results of the retrospective part and the cross-sectional assessment of the CORSAIR study, which aimed to assess the distribution of COPD patients in the Russian population by symptom severity and exacerbation risk as per GOLD (2020) classification groups A, B, C, D.Methods. The observational multicenter study CORSAIR included a cross-sectional assessment with data collection during the previous 12 months (retrospective part) and subsequent follow-up for 12 months (prospective part). Data from 704 patients obtained at 18 study sites from August 2021 to November 2022 are presented. At the first visit, the physician recorded medical history, clinical data on the disease course, and COPD therapy, assessed compliance of treatment with national guidelines, and determined whether treatment change was needed considering the predominant treatable trait (dyspnea or exacerbation).Results. Upon inclusion, most patients had severe COPD symptoms (mMRC score ≥ 2; САТ score ≥ 10) and severe and very severe airflow obstruction (GOLD III and GOLD IV; FEV1 < 50% оf predicted). More than half of the patients had at least one moderate or severe COPD exacerbation within the previous 12 months. As per the GOLD (2020) classification, 57.2% of patients belonged to Group B (severe symptoms and low risk of exacerbations) and 30.3% to Group D (severe symptoms and high risk of exacerbations). 58.8% of patients received treatment that was not compliant with national clinical guidelines in force at the study initiation. 31.7% of patients had not COPD control. Blood eosinophil count was above 300 cells/μL in 15.1% of patients.Conclusion. In most cases, patients had severe COPD symptoms with frequent exacerbations, and the prescribed treatment did not comply with national clinical guidelines. These data will be analyzed alongside the prospective study results.

Diversity of Northwestern and North Caucasian Populations of Puccinia striiformis f. sp. tritici by Virulence and Microsatellite Loci in 2022.

Yellow rust (Puccinia striiformis f. sp. tritici (Pst)) is a potentially dangerous disease of wheat. Genetic protection of wheat is an environmentally safe method to control the disease, but its successful application requires information on the structure of regional populations of the pathogen. Virulence and molecular polymorphism were characterized in two Russian Pst populations in 2022. Wheat leaves with Pst urediniopustules were collected from the North Caucasus (Krasnodar Krai, Dagestan, and Kalmykia) and Northwestern Russia (Leningrad Oblast). Virulence was tested on 14 isogenic lines (AvocetNIL) and 15 differentiator cultivars. Polymorphism at 20 microsatellite loci was evaluated in molecular analyses. The SSR markers were as recommended by the Global Rust Reference Center. Virulence was assessed in 74 monopustular isolates, including 29 Dagestan, 10 Krasnodar, 5 Kalmyk, and 30 Northwestern ones. Resistance to all isolates was observed in lines with the genes Yr5, Yr10, Yr15, Yr24, and Yr26 and the cultivars Moro (Yr10, YrMor) and Nord Desprez (Yr3, YrND, Yr+). Isolates virulent to the AvYr17 line were detected for the first time in the Dagestan and Krasnodar populations. Their occurrence was moderate (13%) in the Northwestern population. A significant variation was observed in lines and cultivars with the Yr1 and Yr3 genes. Virulence to Yr7 and YrSp was found to be lower than in 2019 to 2021. In total, 28 phenotypes (races) were determined in the virulence analysis (15 in Dagestan, 11 in the Northwestern region, 3 in Krasnodar, and 2 in Kalmykia). A common phenotype was detected in three North Caucasian Pst samples. Genetic distances between the phenotypes were estimated. Most phenotypes grouped together in a multidimensional diagram, with the exception of three Dagestan phenotypes with the fewest virulence alleles. Based on the Fst index, the Dagestan and Kalmyk Pst collections were high similar to each other and differed moderately from the other collections. Long-term trends in virulence (from 2019 to 2022) were assessed in the Pst populations. A high similarity was observed between all regional population samples in 2019 and 2020. The Northwestern and Dagestan populations slightly differed from the other populations in 2021 and 2022. In 2022, the Krasnodar and Kalmyk populations formed separate groups, which differed from each other and from the main group. The long-term virulence analysis indicated that the structure of Pst populations is highly dynamic in Russia. All North Caucasian isolates and 23 Northwestern isolates were used in the SSR analysis. Six loci (RYN3, RYN9, RYN12, WU6, RJO21, and RJO24) were monomorphic. Three polymorphic alleles were identified in each of the RYN13 and RJO27 loci; two alleles, in each of the remaining loci examined. Significant deviations from Hardy-Weinberg equilibrium were observed for most loci. The observed heterozygosity exceeded the expected one, suggesting a clonal origin of the Pst population. Twenty multilocus genotypes (MGs) were found in the total isolate collection (11 in Dagestan, 11 in the Northwestern region, 3 in Krasnodar, and 1 in Kalmykia). Common MGs were detected in the Dagestan, Krasnodar, and Northwestern populations (MG_1); Dagestan, Kalmyk, and Northwestern populations (MG_2); and Dagestan and Krasnodar populations (MG_3 and MG_4). Genetic distances between MGs were estimated. MGs formed four groups in a multidimensional diagram. A major group included 80% of MGs. One Dagestan MG, two Northwestern MGs, and MG_3 common for the Dagestan and Krasnodar collections were significantly differentiated from the major group and differed from each other. Based on Fst, most regional Pst collections were moderately differentiated from each other, with the exception of the Dagestan and Kalmyk collections. The finding was consistent with the virulence analysis results. The Mantel test detected a moderate correlation between the virulence and SSR data (r = 0.6). This indicates that both analyses can be used to assess genetic polymorphism in Pst. The high variability of the virulence and microsatellite loci warrants annual monitoring of regional Pst populations in Russia.

On the Role of Eschatology in the Ideological Confrontation between the Church and the Old Believers

The article describes the process of formalizing the eschatological teaching among the Old Believers and attempts to refute it by Church hierarchs. The focus is on the doctrine of the ultimate destinies of the world, which gained significant support among opponents of church reform in the latter half of the 17th century. The study demonstrates the con tinuity of ideas and the evolution of the views of the authors who explored in their works the theme of the reign of the Antichrist in the world and affirmed the idea that only the defenders of the old rite are able to serve the guarantors of the salvation of mankind. The authors built their arguments on quotations from the Holy Scriptures and their interpretations in patristic literature, explaining the facts of modern reality through them. Such constructions appeared quite convincing to the Russian population's religious consciousness, resulting in an increasing number of supporters of the Old Believer doctrine, turning the intra-church movement into a broad religious and social one. The fight against schism became relevant not only for the Church but also for secular authorities since the defenders of the old rite used the doctrine of the ultimate destinies of the world to justify their opposition towards governing bodies and solutions to social and political issues proposed by them. The Church battled against the Old Believers in alliance with the authorities. Council resolutions and legislative acts evidence this. The article concludes by arguing that the Church and authorities in the 17th – 18th centuries saw the main threat in the dissemination of the teachings of the Old Believers in handwritten propaganda texts, which necessarily contained a statement about the possible accession of the Antichrist in Russia. However, no attempts by the Church hierarchs to rebut the eschatological teaching of the defenders of the old rite were successful, and the religious-social movement only continued to grow. Both sides believed that eschatology played an essential role in the ideological confrontation between the Church and the Old Believers, substantiating the right to oppose the innovations brought into ritual and liturgical practice due to the reform.

Identifiable Information Value of Standard Autosomal STR in Indigenous Populations of Russia for Determination of First-Degree Relatedness

The effects of the demographic history of mankind have led to the fact that the indigenous peoples of Dagestan and Siberia are inferior in terms of genetic diversity to the populations of Europe, which affects the level of identification informativeness of standard forensic autosomal markers in these populations. In our study, we evaluated the effectiveness of two standard sets of autosomal STRs (13 CODIS, 20 CODIS, Combined DNA Index System) for the genetic testing of parent-child relatedness in four highly inbred populations of the Russian Federation and the Russian population, using two types of reference frequencies. The results of the study confirmed the assumption that the level of identification informativity of standard autosomal markers in highly inbred populations of Siberia and Dagestan is lower than in the Russian population. The total information content of markers of the new CODIS standard exceeds the threshold values required in the order of the Ministry of Health and Social Development of the Russian Federation (No. 346n). At the same time, the probability of a false positive result increases with an increase in the inbreeding coefficient in the population.

Development and justification of a method for presenting radiation risks associated with medical exposure of patients

The practical implementation of radiation protection principles in the medical exposure of patients often tends to fall into one of two extremes: either excessive simplification of the methodology for assessing radiation health detriment, or its excessive complexity. An example of an excessively simplified approach is the assessment of radiation risk to patients using effective dose and radiation damage coefficients (nominal risk coefficients) as presented in Norms of the Radiation Safety NRB-99/2009. An example of an unjustifiably complex approach can be considered Tables 1-2 in MR 2.6.1.0215-20 "Assessment of radiation risk to patients during X-ray diagnostic radiological examinations," which indicate "lifetime risk values of death taking into account harm from reduced quality of life due to cancer of various organs and tissues and genetic effects from medical examinations" for a wide range of medical diagnostic X-ray radiological examinations in five-year age groups of patients. The main shortcomings of the simplified approach can be considered the lack of differences in risk assessment between individuals of different sexes and ages, although the fact of higher radiosensitivity in children compared to adults and in women compared to men can be considered universally recognized. The risk assessment approach proposed in MR 2.6.1.0215-20 addresses these shortcomings. However, in the view of the authors of this study, it offers an unnecessarily detailed picture considering uncertainties inherent in risk assessments at low doses, as well as uncertainties in the method of interpopulation transfer of radiation risk proposed by the International Commission on Radiological Protection. The aim of this study was to develop and justify a simpler and more straightforward method of presenting information on radiation risks associated with medical X-ray radiological examinations, free from the main drawbacks of the two aforementioned methods. To achieve this goal, radiation risks were calculated using two methods (using effective dose and using the risk model of the International Commission on Radiological Protection). A comparative analysis of the calculation results was conducted with estimates presented in Tables 1-2 of MR 2.6.1.0215-20. As a result of the analysis, an original applied method for presenting qualitative characteristics of radiation risks was developed for use in prescribing X-ray radiological examinations and informing patients about potential health risks. The practical outcome of the study is the formation of a table of radiation risks associated with conducting studies on patients from the Russian population, using the developed method of presenting information on radiation risks.

Spectrum of Cognitive Impairment in Patients with Multiple Sclerosis

Introduction. Cognitive impairment (CI) is a common manifestation of multiple sclerosis (MS), which significantly affects patients’ daily life and professional activity. Despite the development of methods to screen MS patients for CI, data on its prevalence in the Russian population are still lacking. Aim: to comprehensively assess cognitive functions in patients with different types of MS. Materials and methods. The study included MS patients who did not have any other possible causes of CI and no diseases or conditions that confounded this assessment. CI was determined using the Brief International Cognitive Assessment in Multiple Sclerosis (BICAMS) test battery and the Stroop test as a decrease in the scores below the mean by at least 1.5 standard deviations. CI was subjectively assessed using the Perceived Deficit Questionnaire; fatigue was subjectively assessed using the Modified Fatigue Impact Scale (MFIS). The Mann–Whitney test and Fisher’s exact test were used for comparison, and the Spearman test was used to evaluate correlations. Results. We evaluated 77 MS patients (30 men; age 40 [30; 48] years; 47 with relapsing-remitting MS, 30 with progressive MS). CI incidence was 23.4% in patients with relapsing-remitting MS and 77% in patients with progressive MS, while multi-domain CI was statistically significantly more common in patients with progressive MS. Impairment of processing speed was the most common. Patients with relapsing-remitting MS and CI were statistically significantly older and had longer disease duration than those without CI. There was a statistically significant correlation of subjective CI severity with MFIS scores but not with testing results. Conclusion. CI incidence in MS patients was relatively high with greater severity and involvement of more domains in patients with progressive MS. No correlation was found between subjective and objective CI assessment results, which may suggest that patients underestimated their deficit.

EP.12A.45 Study of the Mutational Profile of EGFR-Mutated Lung Cancer in the Russian Population on the Example of the City of Moscow

EP.12A.45 Study of the Mutational Profile of EGFR-Mutated Lung Cancer in the Russian Population on the Example of the City of Moscow