scholarly journals SUICIDES IN LITHUANIA: RATES, METHODS AND DISTRIBUTION BY AGE, GENDER AND SETTLEMENT, 2012-2016

2019 ◽  
Vol 7 ◽  
pp. 839-845
Author(s):  
Diana Vasiljevaitė ◽  
Jurgita Stasiūnienė ◽  
Sigitas Laima ◽  
Sigitas Chmieliauskas ◽  
Dmitrij Fomin ◽  
...  

INTRODUCTION: According to the World Health Organisation regarding suicide rate, Lithuania was on the top in 2016 with 31.9 suicide events per 100 000 people of the population. This research was aimed at analysing the situation including methods of suicide and its distribution between different age, gender and settlement groups in Lithuania. METHODS: 4610 particular suicide cases were found and analysed from the given retrospectively collected data by the Hygiene Institute’s Register of Death Causes in Lithuania from 2012 till 2016. These cases have been categorised into age (10-19 years old, 20-69 years old and >70 years old), gender and settlement groups. Chi-squared and Fisher tests were used to analyse the associations between the suicide methods used, sex, as well as age. A significance level of p<0.05 was used. RESULTS: In total, 4610 suicide cases were registered in Lithuania in 2012-2016. People aged 20-69 years had the biggest proportion with 80%, followed by 16% for people older than 70 and 4% people aged 10-19. 82% of all cases were men. The most common method of suicides in all age groups was hanging, self-strangulation and self-suffocation; 92%. There is no statistical significant difference in methods used by the 10-19 years old group and above 20 years of age (20-70+).A difference was found between the groups under 70 years and above 70 years old. Moreover, the following difference was found between their genders (p=0.0002). In terms of using drugs and biological substances, women (54.24%) are more likely to commit suicide through these means than men in all age groups, while 100% of suicide methods by gas, steam or solvents were used by men. Though slightly more suicides were registered in cities, there was no statistically significant difference between people living in cities and in villages. CONCLUSIONS: Despite the fact that incidences of suicides are gradually decreasing every year, the situation is not yet satisfactory. The pattern almost has not changed for years – the most inclinable person to commit suicide is a 50-59 years old man living in a city and the most used method is still hanging.

Author(s):  
Katarzyna Dereń ◽  
Justyna Wyszyńska ◽  
Serhiy Nyankovskyy ◽  
Olena Nyankovska ◽  
Marta Yatsula ◽  
...  

Overweight and obesity, as well as underweight in children and adolescents, pose a significant public health issue. This study aimed to investigate the secular trend of the incidence of underweight, overweight, and obesity in children from Ukraine in 2013/2014 and 2018/2019. The studies were conducted in randomly selected primary and secondary schools in Ukraine. In total, 13,447 children (6468 boys and 6979 girls) participated in the study in 2013/2014 and 18,144 children (8717 boys and 9427 girls) participated in 2018/2019. Measurements of body weight and height were performed in triplicate. Underweight, overweight, and obesity were diagnosed according to the standards of the World Health Organization (WHO). In the group of girls, a significant difference between 2013/2014 and 2018/2019 measurements was found only among 7-year-olds. The percentage of girls at this age exceeding the body mass index (BMI) norm was lower in the 2018/2019 study. In boys, a significant difference was also found in 7-year-olds, and, as in girls, a lower share of overweight and obesity was found in 2018/2019. But for the ages of 12, 13, and 15, the significant differences had a different character—more overweight or obese boys were found in the 2018/2019 study. The proportion of underweight children was similar for the majority of age groups in both genders and did not differ in a statistically significant way.


2019 ◽  
Vol 4 (6) ◽  

The Kingdom of Saudi Arabia is one of the largest Arab countries with a moderate annual problem of tuberculosis that is either pulmonary or extra-pulmonary. TB is still one of the most significant health troubles in the KSA, affecting different nationalities (Saudis, non-Saudis), ages, provinces, and genders. The control of TB still faces some challenges in different provinces of the KSA. Data were collected, arranged, analyzed and presented in tables and figures. In this retrospective study, we appraised TB surveillance data for the period between 2013 (1434H) and 2018 (1439H). Data were handled using Microsoft Excel and SPSS version 23. Data were checked for normality using Shapiro-Wilk normality test at 0.05 levels to determine whether they are parametric or nonparametric. Chi-squared, Kruskal Wallis, and analysis of variance tests were used to evaluate trends at a significance level of p< 0.05. Statistical analyses were performed using IBM-SPSS version 23 for Mac OS. We appraised TB surveillance data for the period between 2013 (1434H) and 2018 (1439H). The data included the region of the country (province), age, sex, and nationality (Saudis, non-Saudis). The study evaluated the impact of TB on various nationalities (Saudis and non-Saudis), age groups (0-14, 15-34, 35-55, more than 55 years old), and genders (males and females). Non-Saudis had a higher incidence rate than Saudis in 2013-2018. The number of cases and incidence rates of TB recorded in males between 2013 to 2018 were about two to three times greater than estimates for females. The Makkah, Riyadh, and Jeddah regions attract enormous numbers of non-Saudi migrant workers, who account for ~60% of all TB cases in the KSA. Assessing the main TB risk factors contributing to high TB rates in non-Saudi workers is essential. Furthermore, periodical accurate studies, including evidence-based studies for optimum surveillance, avoidance, spread risk, inspection, control procedures and treatment of TB, should be conducted. These assessments would lead to evaluating the strengths and weaknesses of KSA-NTP’s TB action plan.


2020 ◽  
Vol 127 (Suppl_1) ◽  
Author(s):  
Manish Suryapalam ◽  
Mohammed Kashem ◽  
Val Rakita ◽  
Yoshiya Toyoda

Introduction: As the prevalence of heart failure increases among older patients, the potential role of heart transplant (HTx) in this demographic demands further investigation. Survival outcome analysis of the elderly has primarily been analyzed in single-center studies, and the few long term studies performed have included a timeframe to the 1980s, introducing substantial variance from much poorer survival outcomes. We investigated the 5 to 10 year survival outcomes of more modern heart transplantation patients by analyzing the UNOS database. Methods: Heart transplantation data for 32,337 patients (2000-2014) was divided into three different age groups- <60, 60-69, and ≥70 years old. Gender, ethnicity, height, weight, BMI, ICU stay, ischemic time, length of stay (LOS), and creatinine level were evaluated for significance using Chi-Squared and H-Tests as appropriate (p<0.05). Survival outcome was assessed using a Kaplan-Meier Curve and log-rank tests. Results: 23,267 were <60, 8,459 were 60-69, and 611 were ≥70, with mean ages of 38±0.1, 64±0.0, and 72±0.1 respectively. The distribution of gender, ethnicity, ischemic time, BMI, height, and weight was significantly different between the cohorts, with p=0.000 for all. Survival analysis indicated complete pairwise significance at 10 years post-HTx, with overall significance of p=0.000. At 5 years post-HTx, only 60-69 vs ≥70 did not have pairwise significance in survival. Conclusion: Contrary to prior studies, results indicate a statistically significant difference in survival the older and younger cohorts. This difference is especially prominent at the 10 th year post-transplant, but can be seen even at the 5 th year.


2017 ◽  
Vol 41 (S1) ◽  
pp. S570-S570
Author(s):  
T. Sanchez Cantero ◽  
R. Costilla ◽  
M. Chávez

Background and aimSuicide is a serious and growing problem worldwide. According to the World Health Organization, for each death there are twenty attempts on record. Every year over 800,000 people commit suicide, that is, one in every forty. 45% of the people who commit suicide visit their Primary Health Care physician in the previous month. Seventy-five percent of suicides take place in countries with medium or low income and Argentine heads the suicide rate in Latin America. In the last twenty years the death by suicides rate in young people (aged 15–35) and has decreased in older age groups (+ 55), which historically presented the highest rates. In the inner zone of the province of Santiago del Estero, suicides have increased among teenagers [1].AimsTo know suicide statistics in young people in the last decade so that a prevention scheme can be produced.MethodsDescriptive observational study.ResultsIn the province of Santiago del Estero suicides occur more frequently among young people, aged 15–35, and the rate has increased significantly in the inner zone of the province.ConclusionsThe analysis carried out reveal that this problem in increasing in our province and it requires analysis and consensus in order to design a model of Primary Health Care Prevention.Disclosure of InterestThe authors have not supplied their declaration of no competing interest.


2008 ◽  
Vol 55 (3) ◽  
pp. 154-162 ◽  
Author(s):  
Leite Cavalcanti ◽  
Medeiros Bezerra ◽  
Cristiano Moura ◽  
Medeiros Bezerra ◽  
Flávia Granville-Gracia

Purpose: To evaluate the prevalence of malocclusions in preschool children in the city of Campina Grande, PB, Brazil, and verify the existence of associations between malocclusions and deleterious oral habits, gender and age. Methods: 342 children (3-5-year-old; 196 boys and 146 girls) with complete primary dentition and no previous orthodontic treatment were randomly selected from children regularly attending municipal day care centers. The occurrence of the following malocclusions was evaluated: accentuated overjet and overbite, anterior open bite and posterior crossbite. A calibrated experienced examiner (Kappa = 0.86) performed all clinical examinations under natural lightening after drying the teeth and soft tissue with gauze. Yates' chi-square and Fisher's exact tests verified the association between the variables and odds ratio. Significance level was set at 5%. Results: Malocclusions and deleterious oral habits were observed in 74% and 73.4% of the children, respectively. The prevalence of malocclusion was 68.9% in boys and 80.9% in girls. Accentuated overjet (45%) and anterior open bite (42.4%) were the most prevalent malocclusions. There was statistically significant difference (P = .008) between genders. However, no statistically significant differences (P = .47) were found among the age groups. Accentuated overjet, anterior open bite and posterior crossbite showed a positive association with the presence of deleterious oral habits. Conclusions: The high prevalence of malocclusions and deleterious oral habits observed in this pediatric population is supportive to the fact that oral health professionals that treat patients in these age groups should be aware of the importance of an early and accurate diagnosis in order to avoid the aggravation of occlusal alterations in the future.


Revista CEFAC ◽  
2021 ◽  
Vol 23 (4) ◽  
Author(s):  
Giulia Ádni Viana Santos ◽  
Maria Luiza Lopes Timóteo de Lima ◽  
Manoelina Xavier Cavalcante ◽  
Leonardo Gleygson Angelo Venâncio ◽  
Cleide Fernandes Teixeira

ABSTRACT Purpose: to analyze the use of a screening tool, by teachers, to identify the auditory behavior of students who are learning to read and write. Methods: a cross-sectional study including 22 students who answered the Fisher’s Auditory Problems Checklist (QFISHER). The analysis of this questionnaire approached the categories of hearing, attention, memory, language, and school performance. The chi-square statistical test and Mann-Whitney test were used to compare the scores between the age groups, considering the 5% significance level. Results: school performance had the worst frequency in QFISHER (87.72%), followed by attention (62.10%), language (60.53%), and hearing (59.65%). The median revealed worse assessment in school performance (100.0%) followed by attention (60.0%). The QFISHER overall score was 66.7%. The comparison between age groups did not reveal any significant difference for the domains assessed. Conclusion: the QFISHER, used by teachers, as a screening tool for children who are learning to read and write, can identify behavioral changes suggestive of auditory processing disorder, broadening the possibility of early interventions.


2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Abhishek Jaiswal ◽  
Ankita Jaiswal ◽  
Surabhi Puri ◽  
Adarsh Pal

Abstract Background Inappropriate usage of antibiotics among COVID-19 patients can raise disastrous effects on antimicrobial resistance management and antibiotic stewardship programs. A study from USA reported 71% of COVID-19 patients received antibiotics while only 4% had bacterial co-infection. Similar findings were reported from a review of data from COVID-19 cases in Asia, which reported more than 70% of the patient receiving antibiotics however less than 10% on average had bacterial coinfection. The World Health Organisation discourages the use of antibiotics for mild cases of COVID-19, however they recommend it for severe cases at increased risk of secondary bacterial infection and death. This review aims to discuss the usage of antibiotics in COVID-19 patients pointing the role of bacterial coinfections, types of antibiotics used, and antibiotic resistance. Methods We systematically searched Medline, Cochrane library, Google Scholar for eligible studies published from 1st January 2020 till 29th May 2021. We included English language articles. We included patients of all age groups, in all settings. Primary outcome variable was bacterial coinfection and antimicrobial usage among COVID-19 patients. Results Less than 10% of the hospitalised COVID-19 patients had bacterial Co-infection. Antibiotics used among COVID-19 positives were moxifloxacin, ceftriaxone, azithromycin, piperacillin-tazobactam, levofloxacin, meropenem, etc. Conclusions Low proportion of COVID-19 patients had bacterial co-infection. Routine usage of antibiotics among COVID-19 positives should be discouraged. Key messages Bacterial co-infection among COVID-19 patients is low and therefore misuse of antibiotics among them should be discouraged.


2018 ◽  
Vol 75 (12) ◽  
pp. 1165-1171
Author(s):  
Gordana Dedic ◽  
Srdjan Dedic

Background/Aim. The World Health Organisation (WHO) estrimates that approximately 1,000,000 people die by suicide every year. The aim of this study was to examine the gender differences in cases of committed suicides, including suicide rates, socio-demographic factors and methods of suicide in Serbia within the period 2011?2015. This investigation is continuing the previous investigation from the period 2006?2010. Methods. Data were obtained from the Statistical Office of the Republic of Serbia. Their classification related to the suicide method was carried out on the basis of International Classification of Diseases-Tenth Revions- Clinical Modification (ICD-X-CM) (WHO 1992). Statistical analysis was done by using the crude number of committed suicide. Results. Within the period 2011?2015, the total number of suicides in Serbia was 5,897, of which 74.56% were males and 25.44% females (male to female suicide ratio was 2.93). Annual suicide rate (per 100,000) showed constantly decreased from 2011 to 2015, and in 2015 it was 15. Male/female suicide ratio was the highest among adolescents and decreased with age. The suicide was the most often committed by married males (47.6%) and widowed females (38.86%) with completed high school, retired, Serbs. About a quarter (23.38%) suicide committers were older than 75 years, and 39.39% were older than 65 years. The most common suicide method males (64.63%) and females (59.00%) used was hanging, strangulation and suffocation. The second most common method males used was by firearm (18.96%) and females by poisoning (16.73%). Conclusions. Suicide Prevention Programme in Serbia should be primarily oriented towards two age groups at highest risk to commit suicide, towards the adolescents whose suicide was on the rise and towards the elderly male population, less ready to refer to the doctors for help because of problems related to their mental health. With the aim to suicide prevention, doctors should become familiar with community, state and national resources that are concerned with youth and elderly populations, including mental health institutions, family and crisis intervention centers.


2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Emran Hajmohammadi ◽  
Samira Najirad ◽  
Hesam Mikaeili ◽  
Aziz Kamran

Background. Supernumerary tooth is defined as any extra tooth or odontogenic structure that is formed on normal dentition. Supernumerary teeth cause such problems as deficiency in tooth growth, ectopic growth, displacement, crowding, diastema, odontogenic cyst formation, decay of the adjacent tooth, malocclusion, and esthetic problems. This study was conducted aiming at determining epidemiology of supernumerary teeth in Ardabil city in 2020. Materials & Methods. In this retrospective descriptive analytical study, 5000 panoramic radiographs of patients referring to Rad and Baser Oral and Maxillofacial Radiology Centers were selected through multistage sampling method during 2015–2020. The data were collected by checklist and analyzed with using SPSS-21 and chi-squared, Fisher, and one-way ANOVA tests with a significance level less than 5%. Results. The prevalence of supernumerary teeth was estimated as 1.06% (n = 53), and no significant difference between the males and females was seen. Most supernumerary teeth were found in the distomolar (44.1%) and parapremolar (29.4%) locations. The majority of supernumerary teeth were present in the maxilla (73.5%) and were impacted (77.9%) and unilateral (71.7%). The number of supernumerary teeth was 68 cases and majority of patients (86.8%) had one supernumerary tooth. Conclusion. Supernumerary tooth in this study had a high prevalence compared to similar studies, and unlike most previous studies, the most common type of supernumerary tooth was distomolar. Early diagnosis and proper medical planning are essential for managing supernumerary teeth.


Author(s):  
Ika Fidianingsih ◽  
Nur Aisyah Jamil ◽  
Russy Novita Andriani ◽  
Wira Muhammad Rindra

Abstract Background A high prevalence of anxiety in the elderly often leads to decreased quality of life (QOL). A restrictive diet can increase the production of ketone bodies that encourage mood enhancement, neural protection and pain reduction. This study aimed to identify whether Dawood fasting could increase the QOL of the elderly by reducing anxiety. Methods This research was a quasi-experimental study involving a pretest–post-test control group design. The subjects were pre-elderly and elderly or healthy people aged more than 50, and a consecutive sampling method was employed. The fasting group observed the fast of Dawood, in which they abstained from eating, drinking, or having sexual intercourse from the break of dawn to dusk with the expressed intent to fast every other day. The fast was observed for 22 days (11 fasting days). Anxiety was examined using the Hamilton Rating Scale for Anxiety (HRS-A), while QOL was identified using the Indonesian version of the World Health Organisation Quality of Life (WHOQOL). Results A total of 48 respondents participated in this study with 24 respondents observing the fast of Dawood and 24 others not fasting. Results showed that the 22 days of Dawood fast reduced respondents’ complaints about anxiety by 4.37% and was significantly different from the non-fasting group (p=0.001). There was an increase in the QOL of the fasting group (p=0.019), although no significant difference was found when compared to the non-fasting group. Conclusions The fast of Dawood reduced anxiety in the pre-elderly and elderly.


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