scholarly journals Features of Primary Ocular Disability in the Krasnodar Region in 2016–2018

2021 ◽  
Vol 18 (4) ◽  
pp. 955-961
Author(s):  
A. S. Apostolova ◽  
A. V. Malyshev ◽  
A. A. Bashko ◽  
A. A. Sergienko ◽  
E. V. Kudryavceva

Purpose: to study the state and dynamics of changes in primary ocular disability in the period 2016–2018 by nosological forms. A complete retrospective study was made based on the data of the MSE (medical and social expertise) Bureau’s reporting documents. The following indicators of primary disability (per 10 thousand population) were registered from 2016 till 2018: among the adult population (18 years and older) 69,0–70,7–68,6 respectively; among the able-bodied population 42,8–44,1–41,1 respectively; among the population of retirement age — 125,1–126,4–124,6 accordingly. In the structure of primary disability of the adult population by severity for the period 2016–2018, the dynamics recorded an increase in the proportion of 1 group and 3 group with a decrease in the share of disability of 2 group. In the nosological structure of primary disability of the adult population in 2016–2017–2018, eye diseases account for 3 %, 3 % and 3.2 %, respectively, of all first recognized as disabled. There has been an increase in first-time applicants to the MSE Bureau. In the nosological structure of primary disability, the percentage of glaucoma patients over the past period is 47–33–32.5 % of the total number of primary disability for eye diseases, which determines the 1st rank. There is a progressive increase in the number of people with disabilities due to glaucoma of group 1 and group 2 throughout the study period. In the nosological structure of primary disability for 2016–2018 the percentage of patients with retinal diseases is 25–23–23.8 % of the total number of primary disability for eye diseases, which corresponds to the 2nd rank. There is a progressive increase in the number of disabled people in group 2. A low proportion of persons of working age in the structure of primary ocular disability was noted. A consistently high share of primary disability and a progressive increase in severe disability combined with an increase in persons of retirement age in the Krasnodar region forms an unfavorable forecast for an increase in the number of blind and visually impaired residents of the region.

Author(s):  
Lyudmila A. Karasaeva ◽  
A. Sh Kalichava ◽  
N. V Dubrovskaja ◽  
I. V Svetlichnaja

The article presents the medical and social characteristics ofprimary disability in the period from 2007 to 2009 and from 2013 to 2015. In the article there are presented medical-social characteristics of the primary disability over the periods from 2007 to 2009 and from 2013 till 2015. There were analyzed extensive and intensive indices of the primary disability which manifest as dynamics characteristics of the public health ofthe adult population of St. Petersburg. There were revealed clear cut downward trends in the number ofpersons for the first time recognized as disabled and the level of the primary disability in a major metropolis. There is established a consistent trend of the increase of specific weight of working-age persons for the first time recognized as disabled in the total number of the disabled adult population. In the compared periods there were revealed trends of increasing of the specific gravity of cases for the first time recognized as disabled at a young age. The use of indices obtained in the study can serve as the basis for the analysis and evaluation of the activities of the Bureau of the Socio-Medical Expertise in the modern conditions.


2018 ◽  
Vol 21 (3-4) ◽  
pp. 149-151
Author(s):  
S. N Puzin ◽  
Marina G. Nazaryan ◽  
P. M Arbukhanova ◽  
O. Yu Vertash

One of the priority medical and social problems at the present stage is the problem of disability and rehabilitation of patients and persons with disabilities due to eye diseases. The relevance of this problem is due to the significant prevalence of eye diseases, high level of disability of people of working age and reduced quality of life. The article analyzes the level of primary disability due to eye diseases in Moscow in different age groups among the adult population.


2013 ◽  
Vol 6 (2) ◽  
pp. 16-19
Author(s):  
Anastasiya Sergeevna Apostolova

A continuous statistical study of primary disability dynamics in ophthalmic patients during 2006–2011, according to the data from the branch # 7. For the entire observation period, a decrease in number of people first-time recognized as disabled was found. The nosologic structure of primary disability is shown, with glaucoma occupying the first place for the entire observation period, and myopia the second one during the last 5 years. Decreasing disability due to lens changes was found, from the second rank to the 6th one. An increase in primary disability due to AMD was recognized, moving AMD from the 10th place to the 3rd. A group analysis of patients, in whom glaucoma was a disabling condition, was performed. In 88–93% of cases, these persons were of retirement age. Higher prevalence of disability was noted among urban population. Among rural population in comparison with urban one, there were more group I and less group II disabled persons.


Author(s):  
В. Н. Дмитриев ◽  
М. А. Урусова ◽  
Н. А. Андреева ◽  
Т. В. Дмитриева

Проведен сравнительный анализ показателей первичной инвалидности вследствие болезней органов пищеварения у населения старше трудоспособного и трудоспособного возраста в Белгородской обл. в сравнительном аспекте с общероссийскими показателями за 8 лет. Определены ранговые места болезней органов пищеварения в структуре первичной инвалидности. Выявленные основные особенности и тенденции инвалидности представлены применительно к дальнейшей оптимизации оказания медико-социальной помощи и поддержки данного контингента инвалидов. The analysis of indicators of primary disability due to diseases of digestive organs among pension age and working-age population of the Belgorod region is carried out in comparative aspect with the national indicators during 8 years. Rank places of diseases of digestive organs in structure of primary disability were defined. The revealed main features and trends of disability, were investigated to further optimization of medico-social service and improved support to this contingent of disabled people.


2020 ◽  
Vol 66 (6) ◽  
pp. 2-2
Author(s):  
V.A. Perminov ◽  
◽  
A.V. Nagaytsev ◽  

The article presents results of the analysis of indicators of cancer incidence and primary disability due to malignant neoplasms among adult population of the Tomsk region in dynamics for 2015 - 2019, which indicate an upward trend (by 30.7%) exceeding the average indicators for the Russian Federation and the Siberian Federal District. Increased prevalence of malignant neoplasms among adult population of the Tomsk region over the period under study is due to better detection of malignant neoplasms (a 8.7% increase), as well as implementation of the new and improved methods of special anticancer treatment aimed at complete recovery and increased life expectancy of cancer patients. Malignant neoplasms were more often detected among urban population aged 65 and over (64.8%). The incidence rate of malignant neoplasms in the region progressed from 433.8 to 626.1 per 10 000 population due to increased detection of malignant neoplasms at the early stages (by 2.9%). The rate of advanced cases over the study period decreased by 1.5%. Since 2014, malignant neoplasms have been taking the lead in the structure of adults recognized as disabled for the first time. Indicators of primary disability in the adult population for the period 2015 - 2018 decreased, followed by the increase in 2019, however, the disability rate in all adult age groups remained below the similar indicators in Russia and the Siberian Federal District. Women, persons of the retirement age, and urban dwellers prevailed in this contingent of the disabled. The share of people of working age decreased from 38.4% to 35.2%. The share of people of the retirement age increased from 61.6% to 64.8%, respectively. Group II disability was the most often established, in dynamics, the share of the disabled with groups II and III decreased. There was a significant increase from 20.4% to 31.9% in the share of citizens who, during the initial examination, were established as group I. The main localizations of malignant neoplasms resulting in disability in 2015 - 2017 included mammary gland, larynx, trachea, bronchi and lungs, and female genital organs; and stomach and large intestine - in 2018 - 2019. The share of malignant neoplasms with multiple localizations increased from 1.8% to 5.2%.


2020 ◽  
Vol 23 (2) ◽  
pp. 42-45
Author(s):  
Alexander V. Kuzin ◽  
Elena M. Zaytseva ◽  
Vera N. Amirdzhanova ◽  
Sergey A. Makarov ◽  
Jahangir S. Agzamov ◽  
...  

Background. Alkaptonuria is an orphan, autosomal recessive disease in which clinical symptoms debut in adulthood and are characterized by progressive degenerative changes in large joints (knee, hip, shoulder) and the spine, often leading to the need for joint replacement. Developing changes often lead to persistent disability. The purpose of this study was to evaluate disability among adult patients with alkaptonuria. Materials and methods. The study included 46 adult patients (31 m 67.4% and 15 w 32.6%) with a reliable diagnosis of alkaptonuria at the age of 20 to 76 years (avg age 56.83 10.52). The assessment of the presence of a disability group at the time of patients treatment to a rheumatologist was carried out. Results. It turned out that disability was determined in 34 (75.6%) patients, there were no signs of persistent disability in 11 patients (24.4%). Among the patients who had signs of persistent disability, most often during the survey period, group 2 disability was established (61.8%), the differences between this and other groups were statistically significant (p 0.05). For the first time, disability in the study cohort of patients was established at the age of 31 to 59 years (the average age was 50.83 5.5 years). Conclusions. It is important to note that in the vast majority of cases, persistent disability occurs in patients who were of working age, which underscores the importance of alkaptonuria as a medical and social problem.


2019 ◽  
Vol 22 (1) ◽  
pp. 9-14
Author(s):  
Ganna M. Calacheva ◽  
Sergey P. Zapariy ◽  
Sergey N. Puzin

The analysis of primary disability as a result of diseases of the urinary system with the outcome of chronic kidney disease among the adult population of Moscow, the Central Federal District and the Russian Federation for the period 2015-2019 has revealed that the extensive indicators for the number of certified as disabled for the first time in Moscow is comparable in terms of primary disability in the Central Federal District and are lower than in the Russian Federation. Intensive indicators in Moscow are lower than in the Central Federal District and the Russian Federation. Extensive and intensive indicators of primary disability in Moscow, the Central Federal District, and the Russian Federation tended to increase. The age structure of the certified as disabled for the first time contingent as a result of diseases of the urinary system in Moscow, the Central Federal District and the Russian Federation do not differ significantly in values and dynamics among young and middle-aged population. The predominance of persons of retirement age was revealed with a tendency to increase their level. The severity of disability was dominated by I group of disabled people with a tendency to increase their specific weight. The second place was taken by disabled people of III group with a tendency to increase their share and a stable level of disability.


PLoS ONE ◽  
2022 ◽  
Vol 17 (1) ◽  
pp. e0261897
Author(s):  
Marlene Glatz ◽  
Regina Riedl ◽  
Wilfried Glatz ◽  
Mona Schneider ◽  
Andreas Wedrich ◽  
...  

Purpose To assess the prevalence and causes of visual impairment and blindness in a Central European country. The findings may have implications for the planning of further research and development of therapies in order to prevent blindness. Setting Department of Ophthalmology, Medical University of Graz, Austria. Design Retrospective, epidemiological study. Methods The database of the Main Confederation of Austrian Social Insurances was searched for patients with visual impairment, legal blindness or deaf-blindness. This database gathers data from patients of all insurance providers in the country who receive care due to visual impairment and blindness. To determine the prevalence of these conditions, the number of all entries recorded in February 2019 was evaluated. Additionally, all new entries between (January 1st,) 2017, and (December 31st,) 2018, were analysed for distinct characteristics, such as sex, the cause of blindness/visual impairment, and age. Since health care allowances can provide a considerable source of income (459.90€-936.90€ per month), good coverage of practically all patients who are blind and visually impaired in the country can be assumed. Results On February 2nd, 2019, 17,730 patients with visual impairments, blindness or deaf-blindness were registered in Austria, resulting in a prevalence of these diagnoses of 0.2% in the country. During the observational period from 2017 to 2018, 4040 persons met the inclusion criteria. Of these, 2877 were female (65.3%), and 1527 were male (34.7%). The mean age was 75.7 ± 18.0 years (median 82). Most patients (n = 3675, 83.4%) were of retirement age, while 729 (16.6%) were working-age adults or minors. In total, an incidence of 25.0 (95% confidence limit (CL) 24.3–25.8) per 100,000 person-years was observed from 2017 to 2018. A higher incidence was observed for females (32.2, 95% CL 31.0–33.3) than for males (17.7, 95% CL 16.8–18.5). Incidences where higher for males in lower age groups (e.g. 10–14 years: rate ratio RR = 2.7, 95% CL 1.1–6.8), and higher for females in higher age groups (e.g. 70–74 years: RR = 0.6, 95% CL 0.5–0.8). In total, the most frequent diagnoses were macular degeneration (1075 persons, 24.4%), other retinal disorders (493 persons, 11.2%) and inherited retinal and choroidal diseases (IRDs) (186 persons, 4.2%). Persons with IRDs were significantly younger compared to persons with macular degeneration or retinal disorders (IRDs: median 57, range 2–96 vs 83, 5–98 and 82, 1–98 years, p<0.001). For persons of retirement age, macular degeneration, other retinal disorders and glaucoma were the three most frequent diagnoses. In contrast, among working-aged adults and children, IRDs were the leading cause of visual impairment and blindness (103 persons, 14.1%). Conclusion These data show that IRDs are the leading cause of blindness and visual impairment in working-aged persons and children in Austria. Thus, these findings suggest to draw attention to enhance further research in the fields of emerging therapies for IRDs.


2016 ◽  
Vol 97 (4) ◽  
pp. 607-610
Author(s):  
I F Mukhanova

Aim. To study the state of the primary incidence and disability due to malignant neoplasms in the Republic of Bashkortostan and their structures.Methods. The comparative analysis of the primary incidence and disability rates due to malignant neoplasms among the adult population of the Republic of Bashkortostan for the period 2010-2014 was performed. The state of the primary incidence taking into account gender and place of residence was studied. The structure of primary disability of adult population taking into account age and degree of disability was analyzed.Results. Over the period 2010-2014 in the Republic of Bashkortostan a statistically significant reduction of primary incidence among the population and increase in the primary incidence due to malignant neoplasms by 14.6% was observed. The incidence is higher among urban residents than among rural population, in men it is higher than that in women. On average, one in four, who is recognized as disabled, suffers from malignancy. In the structure of disability of people suffering from malignant neoplasms, II degree of disability prevails. The reliable increase in the level of primary III degree disability due to malignant neoplasms is registered over time. The rate of disability caused by malignancy among people of retirement age is higher than among working-age people.Conclusion. The given data are indicative of the need to strengthen the strategy of primary prevention of malignant neoplasms.


2019 ◽  
pp. 80-86
Author(s):  
T. P. Skufina ◽  
S. V. Baranov

The presented study considers the susceptibility of gross domestic product (GDP) production to a shift in the number of the working-age population due to an increase in retirement age starting with 2019.Aim. The study aims to examine the quantitative assessments of GDP production in Russia with allowance for the changes in the number of the working-age population due to an increase in the actual retirement age.Tasks. The authors forecast the number of the working-age population with allowance for an increase in the retirement age; develop a model to establish a correlation between the number of the workingage population, investment in fixed capital, and GDP production; quantify the impact of the shift in the number of the working-age population on GDP production in Russia. Methods. This study is based on the results of modeling and long-term forecasting.Results. An economic-mathematical model to establish a correlation between the number of the working-age population, investment in fixed capital, and GDP production is presented. To specify the economic effects of a shift in the number of the working-age population due to an increase in the retirement age, Russia’s GDP production is forecasted for the “old” and “new” (increased retirement age) pension scheme. The forecast is provided for three variants of the number of the working-age population.Conclusions. It is found that with the “old” pension scheme with a lower retirement age GDP production across all three variants will decrease by 2036 compared to 2017. With regard to the “new” scheme that increases the retirement age, it is concluded that an increase in the retirement age is a factor that facilitates GDP production. However, its effect on economic growth will be insignificant.


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