scholarly journals Psychoemotional stress in somatically burdened oncological surgery patients as one of the factors of postoperative complications

2018 ◽  
Vol 5 (3) ◽  
pp. 117-125
Author(s):  
Yu. D. Udalov ◽  
A. V. Gordienko ◽  
A. S. Samoilov ◽  
M. V. Zabelin ◽  
S. A. Bakharev
Keyword(s):  
Age Groups ◽  
Health Department ◽  
Anxiety State ◽  
Oncological Surgery ◽  
Myocardial Infarc ◽  
Clinical Hospital ◽  
Before And After ◽  
Oncological Diseases ◽  
Moscow City ◽  
The City

Planned surgical interven ons account for more than half of all opera ons in the Russian Federa on, of which more than 20–30% are performed for oncological diseases. Characteris c is an increase in the number of operated pa ents in older age groups with severe concomitant pathology and a high percentage of postopera ve complica ons, including due to psychoemo onal pathology, which can be excluded or adjusted at the preopera ve stage.Purpose.Evalua on of the infl uence of the psychoemo onal state of the oncochirical soma cally burdened patient on the lethality and revealing the possibility of correc on of the psychoemo onal state at the preopera ve stage.Paents and methods. In the period from 2006 to 2016 in the departments of therapy and oncology of the Regional Clinical Hospital of the City Clinical Hospital No. 40 of the Moscow City Health Department, AI.Burnazyan The FMBA of Russia analyzed the treatment of 958 soma cally burdened pa ents with various oncopathology who underwent opera ve interven on in a planned manner. An analysis of the psychoemo onal state of pa ents before and aft er surgery was performed using Hamilton diagnos c scales.Results.After a retrospec ve evalua on, it was determined that prac cally all patients of the oncosurgical profi le undergo various psychoemo onal strains of varying strength and dura on, both before and after surgery. This can disrupt the blood fl ow in the organs andssues, and lead to various complica ons, which manifests itself in the form of hypoxia and ischemia, which, in turn, jus fy the development of postopera ve delirium and myocardial infarc on.Conclusions.Clear distinctions between the anxiety severity in groups on outcomes of hospitaliza on of the oncosurgical patient were determined, and the tendency of the rela onship between the level of the anxiety state and the postopera ve complica ons that had been ridden in the early postopera ve period in soma cally burdened pa ents was determined. Patients of the oncosurgical profi le without fail are shown psychopharmacotherapy in the pre- and postopera ve periods, depending on the revealed pathology.

scholarly journals COMPARATIVE ANALYSIS OF COST OF DRUG THERAPY OF THE MOST HIGH-COST ONCOLOGICAL DISEASES IN MOSCOW

2018 ◽  
Vol 8 (2) ◽  
pp. 12-20
Author(s):  
К. I. Poliakova ◽  
M. E. Holownia-Voloskova ◽  
M. Yu. Byakhov ◽  
T. N. Ermolaeva ◽  
A. G. Fisun ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Prostate Cancer ◽  
Drug Therapy ◽  
Health Department ◽  
Point Of View ◽  
Cancer Register ◽  
Number Of Patients ◽  
Oncological Diseases ◽  
Moscow City ◽  
Therapy Costs

Objectives.According to literature and experts, prostate cancer (PC), breast cancer (BC), colon cancer (CC), melanoma (MEL) and renal cell carcinoma (RCC) are the most high-cost oncological diseases. The aim of our study was to calculate the charges for each of these nosologies from the point of view of Moscow’s budget and compare them with each other.Methods.To assess the annual costs of drug therapy in Moscow in patients with PC, BC, CC, MEL and RCC there has been developed an analytical model in MS Excel software, considering the data of Cancer Register, as well as literature sources.Results.There has been estimated that if the costs of drug therapy for all five of assessed types of cancer are taken as 100 %, then the most costly is BC (41 % of costs), then MEL (20 %), RCC (15 %), CC (13 %) and PC (12 %). There has been also calculated, that if the number of patients with all five types of assessed cancer undergoing drug therapy, we would consider as 100 %, the highest percentage of them is in BC (50 % of all patients), then PC (36 %), CC (9 %), MEL (3 %) and RCC (1 %).Conclusions. The structure of drug therapy costs in patients with PC, BC, MEL, CC and RCC in Moscow shows that the most expensive is the treatment of patients with melanoma (for 3 % of patients Moscow City Health Department spends 20 % of charges) and RCC (1 % of patients spends 15 % of charges).

scholarly journals Imported cases, community action, policy and institutional systems drive Hong Kong’s COVID-19 experience

2020 ◽  
Author(s):  
Christian Joy P. Cruz ◽  
Rachel Ganly ◽  
Zilin Li ◽  
Stuart Gietel-Basten
Keyword(s):  
Hong Kong ◽  
Age Structure ◽  
Age Distribution ◽  
Age Groups ◽  
Health Department ◽  
Community Action ◽  
Younger Age ◽  
Imported Cases ◽  
City State ◽  
The City

This paper investigates the profile of COVID-19 cases in Hong Kong, highlighting the unique age structure of confirmed cases compared to other states. Whilst the majority of cases in most states around the world have fitted an older age profile, our analysis shows that positive cases in Hong Kong have been concentrated amongst younger age groups, with the largest incidence of cases reported in the 15-24 age group. This is despite the population’s rapidly ageing structure and extremely high levels of population density. Using detailed case data from Hong Kong’s Centre for Health Department and Immigration Department, we analyze the sex and age distribution of the confirmed cases along with their recent travel histories and immigration flows for the period January to April, 2020. Our analysis highlights Hong Kong’s high proportion of imported cases and large overseas student population in developing COVID-19 hotspot areas such as the United Kingdom. Combined with targeted and aggressive early policy measures taken to contain the virus, these factors may have contributed to the uniquely younger age structure of COVID-19 cases in the city. Consequently, this young profile of confirmed cases may have prevented fatalities in the city-state.

scholarly journals Increased mask adherence after important politician infected with COVID-19

PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261398
Author(s):  
Deborah A. Cohen ◽  
Meghan Talarowski ◽  
Olaitan Awomolo ◽  
Bing Han ◽  
Stephanie Williamson ◽  
...  
Keyword(s):  
Public Health ◽  
Age Groups ◽  
City Council ◽  
Age Group ◽  
Health Departments ◽  
Systematic Observation ◽  
Public Health Departments ◽  
Before And After ◽  
Race Ethnicity ◽  
The City

Objectives To quantify changes in adherence to mask and distancing guidelines in outdoor settings in Philadelphia, PA before and after President Trump announced he was infected with COVID-19. Methods We used Systematic Observation of Masking Adherence and Distancing (SOMAD) to assess mask adherence in parks, playgrounds, and commercial streets in the 10 City Council districts in Philadelphia PA. We compared adherence rates between August and September 2020 and after October 2, 2020. Results Disparities in mask adherence existed by age group, gender, and race/ethnicity, with females wearing masks correctly more often than males, seniors having higher mask use than other age groups, and Asians having higher adherence than other race/ethnicities. Correct mask use did not increase after the City released additional mask guidance in September but did after Oct 2. Incorrect mask use also decreased, but the percentage not having masks at all was unchanged. Conclusions Vulnerability of leadership appears to influence population behavior. Public health departments likely need more resources to effectively and persuasively communicate critical safety messages related to COVID-19 transmission.

scholarly journals Intergenerational interaction in health promotion: a qualitative study in Brazil

2003 ◽  
Vol 37 (4) ◽  
pp. 463-469 ◽  
Author(s):  
Elza Maria de Souza
Keyword(s):  
Social Capital ◽  
Qualitative Study ◽  
Elderly People ◽  
Age Groups ◽  
Well Being ◽  
Mutual Trust ◽  
Trust And Reciprocity ◽  
Before And After ◽  
The City ◽  
Intergenerational Interaction

OBJECTIVE: In 1994 a pilot intergenerational project was started in the city of Taguatinga, Brazil, to promote the well-being of both elderly and adolescent populations using reminiscence processes as a means of interaction. The purpose of the study is to evaluate the project from the participants' viewpoint and to improve the contribution of those age groups in building up social capital. METHODS: From November 1999 to April 2000 a qualitative study using focus groups technique was conducted. Using a discussion guide, 9 groups of students, ranging in age from 13 to 19 years old, and 3 groups of elderly aged 60 years and over were interviewed to collect data regarding their interaction before and after an intergenerational program. RESULTS: The main findings suggested a change in attitude of young people toward old age and elderly people. Participating elderly people reported improvement in their health status. For both age groups the findings suggested a better understanding between generations. CONCLUSIONS: It seems that reminiscence intergenerational activity contributes to building up mutual trust and reciprocity. These results seem to indicate this is an alternative for investing in social capital and improving participants' well-being. However, further work is needed to support these findings.

scholarly journals STUDYING AND ANALYSIS OF ONCOLOGICAL DISEASES AS ONE OF THE TYPES OF SOCIALLY SIGNIFICANT DISEASES, ON THE EXAMPLE OF THE DISTRICT CLINICAL HOSPITAL OF THE CITY OF KHANTY-MANSIYSK

2019 ◽  
Vol 20 (2) ◽  
pp. 139-142
Author(s):  
Elena Sergeevna Shulimanova ◽  
◽  
Egor Sergeevich Malinin ◽  
Elena Alekseevna Krivykh ◽  
Svetlana Alexandrovna Niiazova ◽  
...  
Keyword(s):  
Clinical Hospital ◽  
Oncological Diseases ◽  
The City

scholarly journals Work of Scientific and Practical Centre for Emergency Medical Care of Moscow City Health Department in Context of COVID-19 Pandemic

2020 ◽  
pp. 13-15
Author(s):  
S.A. Gumenyuk ◽  
◽  
A.M. Shchikota ◽  
V.I. Vechorko ◽  
◽  
...  
Keyword(s):  
Medical Care ◽  
Health Department ◽  
Road Accidents ◽  
Emergency Medical Care ◽  
Medical Evacuation ◽  
Department Of Health ◽  
Emergency Medical ◽  
Moscow City ◽  
The City

The activity is analyzed of specialists of the Scientific and practical centre for emergency medical care (CEMP) of Department of health of the city of Moscow (DZM) in the context of the COVID-19 pandemic. The structure of trips of CEMP teams in the fight against COVID-19 from March 1 to July 1, 2020 is presented. It is noted that although all the structures under the jurisdiction of the DZM, starting from March 2020, are working on high alert in connection with the threat of the spread of coronavirus, CEMP specialists continue to work on providing emergency medical care (EMP) and medical evacuation of victims of road accidents and other emergencies, as well as emergency somatic patients with various nosologies.

Experience of air medical teams of the Scientific and Practical Center for Emergency Medical Care of the Moscow City Health Department for 2015—2019

2020 ◽  
pp. 60-68
Author(s):  
S. A. Gumenyuk ◽  
S. A. Fedotov ◽  
V. I. Potapov ◽  
A. Yu. Sysoev
Keyword(s):  
Medical Care ◽  
Health Department ◽  
Disaster Medicine ◽  
Emergency Medical Care ◽  
Emergency Situations ◽  
The Past ◽  
Emergency Medical ◽  
Moscow City ◽  
Medical Teams ◽  
The City

Relevance. Due to busy roads of large cities and the resulting slow movement of ambulances with severely affected patients in need of specialized emergency care, new organizational technologies for medical evacuation support as well as modern means of transporting patients to qualified hospitals are required.Intention is to analyze activities of the aviation medical teams of the Scientific and Practical Center for Emergency Medical Care in Moscow in 2015-2019.Methodology. Using the automated information-analytical system “Disaster Medicine of the Moscow City”, activities of aviation medical teams over the last 5 years (2015-2019) were analyzed retrospectively in the Scientific and Practical Center of Emergency Medical Care. Ambulance helicopters are fully equipped to provide comprehensive intensive care for severely affected patients without noticeable deterioration of their condition, and utilization of this equipment was also assessed.Results and Discussion. Main stages of air ambulance formation in Moscow are described. Experience of aviation medical teams over the past 5 years in providing emergency medical care at the pre-hospital stage to those affected in emergency situations and severely ill patients is presented. The description of medical equipment of ambulance helicopters intended for providing emergency medical care to adults and children, including newborns, is given. The number of calls for aviation medical teams over the past five years is provided along with basic reasons and amount of night flights.Most often helicopters were used for transporting patients with severe concomitant and multiple injuries as a result of road accidents. Medical team composition of ambulance helicopters and the number of helipads on the territory of medical organizations of the city and the territories attached to Moscow are given.Conclusion. Based on the analysis of aviation medical teams activities, further ways to improve and develop the aviation medical service of the city of Moscow can be outlined to expand its use.

The influence of osteopathic correction on the rate of various rhythms of the body

2019 ◽  
pp. 64-71 ◽  
Author(s):  
A. E. Chernikova ◽  
Yu. P. Potekhina
Keyword(s):  
Heart Rate ◽  
Respiratory Rate ◽  
Age Groups ◽  
Biomechanical Properties ◽  
Dispersion Analysis ◽  
The Body ◽  
Body Tissues ◽  
Age Related ◽  
Significant Difference ◽  
Before And After

Introduction. An osteopathic examination determines the rate, the amplitude and the strength of the main rhythms (cardiac, respiratory and cranial). However, there are relatively few studies in the available literature dedicated to the influence of osteopathic correction (OC) on the characteristics of these rhythms.Goal of research — to study the influence of OC on the rate characteristics of various rhythms of the human body.Materials and methods. 88 adult osteopathic patients aged from 18 to 81 years were examined, among them 30 men and 58 women. All patients received general osteopathic examination. The rate of the cranial rhythm (RCR), respiratory rate (RR) heart rate (HR), the mobility of the nervous processes (MNP) and the connective tissue mobility (CTM) were assessed before and after the OC session.Results. Since age varied greatly in the examined group, a correlation analysis of age-related changes of the assessed rhythms was carried out. Only the CTM correlated with age (r=–0,28; p<0,05) in a statistically significant way. The rank dispersion analysis of Kruskal–Wallis also showed statistically significant difference in this indicator in different age groups (p=0,043). With the increase of years, the CTM decreases gradually. After the OC, the CTM, increased in a statistically significant way (p<0,0001). The RCR varied from 5 to 12 cycles/min in the examined group, which corresponded to the norm. After the OC, the RCR has increased in a statistically significant way (p<0,0001), the MNP has also increased (p<0,0001). The initial heart rate in the subjects varied from 56 to 94 beats/min, and in 15 % it exceeded the norm. After the OC the heart rate corresponded to the norm in all patients. The heart rate and the respiratory rate significantly decreased after the OC (р<0,0001).Conclusion. The described biorhythm changes after the OC session may be indicative of the improvement of the nervous regulation, of the normalization of the autonomic balance, of the improvement of the biomechanical properties of body tissues and of the increase of their mobility. The assessed parameters can be measured quickly without any additional equipment and can be used in order to study the results of the OC.

Lymph nodes detection and the mesorectal excision quality evaluation

2019 ◽  
Vol 98 (5) ◽  
pp. 200-206
Keyword(s):  
Lymph Nodes ◽  
Neoadjuvant Therapy ◽  
Quality Evaluation ◽  
Rectal Resection ◽  
Age Groups ◽  
Cooperative Groups ◽  
Mesorectal Excision ◽  
Proper Number ◽  
Before And After ◽  
And Gender

ntroduction: Detection and examination of proper number of lymph nodes in patients after rectal resection is important for next treatment and management of patients with rectal carcinoma. There are no clear guideliness for minimal count of lymph nodes, variant recommendations agree on the number of 12 (10−14) nodes. There are situations, when is not easy to reach this count, mainly in older age groups and in patients after neoadjuvant, especially radiation therapy. As a modality for improvement of lymph nodes harvesting seems to be establishing of defined protocols originally designed for mesorectal excision quality evaluation. Methods: The investigation group was formed by patients examined in 2 three-years intervals before and after implementation of the protocol. Elevation in count of harvested lymph nodes was rated generaly and in relation to age groups and gender. Results: The average count of lymph nodes increased from 10 to 15 nodes, in subset of patients whose received neoadjuvant therapy from 7 to al- most 14 nodes. The recommended number of lymph nodes was obtained in all investigated age groups. By the increased number of lymph nodes, rises also possibility of positive nodes found, that can lead to upstaging of the disease, in subset of patients whose received neoadjuvant therapy it is more than 4%. Conclusion: Our conclusions show, that forming of multidisciplinary cooperative groups (chiefly surgeon-pathologist), implementation of defined protocol of surgery, specimen manipulation and investigation by detached specialists lead to benefit consequences for further management and treatment of the patients with colorectal cancer.

EVALUATION OF THE EFFECTIVENESS OF NECK SHOULDER PAIN TREAMENT BY ACUPUNCTURE, MASSAGE AND TRADITIONAL MEDICINE REMEDY

2013 ◽  
pp. 110-117
Author(s):  
Thi Tan Nguyen
Keyword(s):  
Traditional Medicine ◽  
Shoulder Pain ◽  
Research Methodology ◽  
Pain Treatment ◽  
Central Hospital ◽  
Treatment Results ◽  
Good Account ◽  
Before And After ◽  
The City ◽  
Pain Patients

Objectives: To assess the effectiveness neck shoulder pain treatment by acupuncture, massage and traditional medicine remedy. Materials and Methods: 42 patients included in the inpatient and outpatient at the Department of Traditional Medicine, Hue Central Hospital and Traditional Medicine Hospital of Thua Thien Hue, was diagnosed as neck shoulder pain. Patients were treated with acupuncture, massage and medicine, according to the research methodology, assessing the results before and after treatment. Results: The age accounted for the highest proportion of 31-45 (42.49%), the second is between the ages of 46-60 (26.18%) and> 60 (26.18%). Incidence in the city (66.67%) than rural (33.33%) (p <0:05). Patients presented with neck shoulder pain (100%), together with the head pain, pain in the shoulder, arm numbness, movement restrictions tilted head bowed. Conclusion: good variety and accounted for 71.42% of which are quite good account of 14.28%, only 2.38% is poor. Results of good, high aged 31-45 (35.72%) and in patients with a course of treatment (66.66%). Key words: neck shoulder pain, acupuncture, massage, traditional medicine remedy.

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