scholarly journals THE ANALYSIS OF INDICATORS OF FINAL DISCREPANCIES AND FORENSIC DIAGNOSES IN CASES OF DEATH FROM DISEASES

2019 ◽  
Vol 5 (2) ◽  
pp. 11-15
Author(s):  
A. V. Maksimov ◽  
S. A. Kuchuk

The article presents the results of the analysis of the dynamics of the discrepancy between the final and forensic diagnoses in the Moscow region in cases of death from diseases for the period 2014–2018. The scope of the study was 3114 cases of deaths in hospitals of medical organizations and aimed at forensic research to determine the cause of death. The study found that in the Moscow region over the past five years there has been an improvement in the diagnosis of diseases of the circulatory system, respiration, digestion, tumors and tuberculosis. In the analyzed period of time there was a decrease in the specific weight of the discrepancy of diagnoses in cases of death from diseases from 63.7 % to 48.4 %.

2021 ◽  
Vol 937 (2) ◽  
pp. 022018
Author(s):  
N Bugrov ◽  
P Rudenko ◽  
S Tresnitskiy ◽  
N Sapego ◽  
N Sakhno ◽  
...  

Abstract In the distal part of the gastrointestinal tract of animals and its lumen bacteria and parietal microorganisms of the mucous membrane contribute to primary and secondary metabolism and actively interact with populations of host immune cells and influence them in their own way. Mentioned parts of the organism represent the largest, and still insufficiently studied, reservoir of microbiota. Therefore, the analysis of the specific weight of dysbacteriosis in cats, the study of the etiology and features of the course, as well as an attempt to classify this syndrome in cats, will allow us to develop more effective approaches to their correction. The aim of this article was to analyze the dysbacteriosis distribution in cats according to the veterinary reporting of three clinics in the Moscow region over the past five years (2016-2020). The influence of age, sex, and season on the manifestations of dysbacteriosis was revealed.


Author(s):  
Hany Aref ◽  
Magd Zakaria ◽  
Hossam Shokri ◽  
Tamer Roushdy ◽  
Ahmed El Basiouny ◽  
...  

Egypt, a low–middle-income country, is the most populated nation in the Middle East. In Egypt, the overall crude prevalence rate of stroke is high (963/100,000 inhabitants), and the incidence of stroke annually is approximately 150 000 to 210 000. The official national statistics indicate that diseases of the circulatory system, including stroke, are the primary cause of death in Egypt, where stroke accounts for 6.4% of all deaths and ranks third after cardiovascular and gastrointestinal diseases. Although the number of deaths attributed to stroke have declined in many countries, in Egypt, it was relatively unchanged in the past 10 years.


Author(s):  
Alyt Oppewal ◽  
Josje D. Schoufour ◽  
Hanne J.K. van der Maarl ◽  
Heleen M. Evenhuis ◽  
Thessa I.M. Hilgenkamp ◽  
...  

Abstract We aim to provide insight into the cause-specific mortality of older adults with intellectual disability (ID), with and without Down syndrome (DS), and compare this to the general population. Immediate and primary cause of death were collected through medical files of 1,050 older adults with ID, 5 years after the start of the Healthy Ageing and Intellectual Disabilities (HA-ID) study. During the follow-up period, 207 (19.7%) participants died, of whom 54 (26.1%) had DS. Respiratory failure was the most common immediate cause of death (43.4%), followed by dehydration/malnutrition (20.8%), and cardiovascular diseases (9.4%). In adults with DS, the most common cause was respiratory disease (73.3%), infectious and bacterial diseases (4.4%), and diseases of the digestive system (4.4%). Diseases of the respiratory system also formed the largest group of primary causes of death (32.1%; 80.4% was due to pneumonia), followed by neoplasms (17.6%), and diseases of the circulatory system (8.2%). In adults with DS, the main primary cause was also respiratory diseases (51.1%), followed by dementia (22.2%).


Author(s):  
Bal Kishan Gulati ◽  
Damodar Sahu ◽  
Anil Kumar ◽  
M. V. Vardhana Rao

Background: Life expectancy is a statistical measure to depict average life span a person is expected to live at a given age under given age-specific mortality rates. Cause-elimination life table measures potential gain in life expectancy after elimination of a specific disease. The present study aims to estimate potential gain in life expectancy by gender in urban India after complete and partial elimination of ten leading causes of deaths using secondary data of medical certification of cause of death (MCCD) for the year 2015.Methods: Life table method was used for estimating potential gain after eliminating diseases to the tune of 25%, 50%, 75% and 100%.Results: Maximum gain in life expectancy at birth estimated from complete elimination of diseases of the circulatory system (11.1 years in males versus 13.1 years in females); followed by certain infectious and parasitic diseases (2.2  versus 2.1 years); diseases of the respiratory system (2.2 versus 2.1); injury, poisoning and certain other consequences of external causes (1.1 versus 0.7); neoplasms (0.9 versus 1.0); endocrine, nutritional and metabolic diseases (0.8 versus 0.9); diseases of the digestive system (0.8 versus 0.4); diseases of the genitourinary system (0.6 versus 0.6); diseases of the nervous system (0.4 versus 0.4); and diseases of blood & blood forming organs and certain disorders involving the immune mechanism (0.2 versus 0.3 years).Conclusions: Elimination of the circulatory diseases resulted into maximum gain in life expectancy. These findings may have implications in setting up health goals, allocating resources and launching tailor-made health programmes.


Author(s):  
Elena Nikolaevna Chernyavskaya

The object of this research is the methods used in design practices of post-Soviet time to give historical appearance to landscapes of former estates of Moscow region, which faded away, i.e. the methods of historicization. The landscapes under review are being protected by the government as the objects of Moscow cultural heritage, and designated as museums (reserve museums) and public parks. The subject of this research is disclosure of the essence of these methods and their assessment from the perspective of alignment with historical primary sources, implementation, proliferation, and attractiveness. The author conducts systematization of methods in accordance to the degree of conformance to the historical realities, and divides them into the following groups: 1) that provide accurate reproduction of historical forms, 2) that create similarities, 3) that create new forms. Each group is divided into subgroups. By frequency of application, the leading place belongs to the methods of first group, which are aimed at reproduction of the shapes of buildings and structures. The rest two methods focus on reviving the memory of the past. The application is attributed to new construction, which can be assessed as landscape evolution and a modern artistic phenomenon. The methods of second group lead to landscape development in spirit of historicism, while the methods of third group – to the development of territory based on modern vision of the past. The conducted analysis is valued for the general outlook upon the process of preservation of one of the most complex types of cultural heritage of Moscow.


Curationis ◽  
1981 ◽  
Vol 4 (2) ◽  
Author(s):  
D Nieman

In the Republic of South Africa, ischaemic heart disease is the main cause of death amongst Whites in the age group 20 — 65 years. The percentage for ischaemic heart disease of all deaths from diseases of the circulatory system for Whites in the age group 25 — 34 is 63% for males and 21% for females. In the age group 35 — 44 the percentages are 77% for males and 34% for females (22, p.1025).


2017 ◽  
Vol 25 (2) ◽  
pp. 129-135 ◽  
Author(s):  
Aliasghar A Kiadaliri ◽  
Björn E Rosengren ◽  
Martin Englund

ObjectivesTo investigate temporal trend in fall mortality among adults (aged ≥20 years) in southern Sweden using multiple cause of death data.MethodsWe examined all death certificates (DCs, n=2 01 488) in adults recorded in the Skåne region during 1998–2014. We identified all fall deaths using International Statistical Classification of Diseases (ICD)-10 codes (W00-W19) and calculated the mortality rates by age and sex. Temporal trends were evaluated using joinpoint regression and associated causes were identified by age-adjusted and sex-adjusted observed/expected ratios.ResultsFalls were mentioned on 1.0% and selected as underlying cause in 0.7% of all DCs, with the highest frequency among those aged ≥70 years. The majority (75.6%) of fall deaths were coded as unspecified fall (ICD-10 code: W19) followed by falling on or from stairs/steps (7.7%, ICD-10 code: W10) and other falls on the same level (6.3%, ICD-10 code: W18). The mean age at fall deaths increased from 77.5 years in 1998–2002 to 82.9 years in 2010–2014 while for other deaths it increased from 78.5 to 79.8 years over the same period. The overall mean age-standardised rate of fall mortality was 8.3 and 4.0 per 1 00 000 person-years in men and women, respectively, and increased by 1.7% per year in men and 0.8% per year in women during 1998–2014. Head injury and diseases of the circulatory system were recorded as contributing cause on 48.7% of fall deaths.ConclusionsThere is an increasing trend of deaths due to falls in southern Sweden. Further investigations are required to explain this observation particularly among elderly men.


2012 ◽  
Vol 39 (3) ◽  
pp. 496-503 ◽  
Author(s):  
DEBORAH C.C. SOUZA ◽  
AUGUSTO H. SANTO ◽  
EMILIA I. SATO

Objective.To analyze the mortality profile related to systemic lupus erythematosus (SLE) in the state of São Paulo, Brazil.Methods.For the 1985–2007 period, we analyzed all death certificates (n = 4815) on which SLE was listed as an underlying (n = 3133) or non-underlying (n = 1682) cause of death. We evaluated sex, age, and the causes of death, comparing the first and last 5 years of the period, as well as determining the observed/expected death ratio (O/E ratio).Results.For SLE as an underlying cause, the mean age at death was 35.77 years (SD 15.12) and the main non-underlying causes of death were renal failure, circulatory system diseases, pneumonia, and septicemia. Over the period, the proportional mention of infectious causes and circulatory system diseases increased, whereas renal diseases decreased. For SLE as a non-underlying cause of death, the most common underlying causes of death were circulatory, respiratory, genitourinary, and digestive system diseases, and certain infections. The overall death O/E ratio was > 1 for renal failure, tuberculosis, septicemia, pneumonia, and digestive system diseases, as well as for circulatory system diseases at < 50 years of age, particularly acute myocardial infarct.Conclusion.Unlike in developed countries, renal failure and infectious diseases are still the most frequent causes of death. The increase in SLE deaths associated with infection, especially pneumonia and septicemia, is worrisome. The judicious use of immunosuppressive therapy together with vigorous treatment of cardiovascular comorbidities is crucial to the successful management of SLE and to improving survival of patients with SLE.


2017 ◽  
Vol 4 (2) ◽  
pp. 54
Author(s):  
Gustavo Iago Silva Bezerra ◽  
Érico Bezerra De Sena ◽  
Kelly Cristina Gomes Alves

Introdução: As Doenças Crônicas Não Transmissíveis (DNCT) representam a principal causa de morte no mundo, principalmente em populações de baixa renda. Destacam-se as doenças do aparelho circulatório, respondendo, no Brasil, por 31% do total de óbitos. Objetivos: Identificar os óbitos por doenças do aparelho circulatório e investigar os fatores de risco em Palmas, Tocantins, no período de 2011 a 2013. Métodos: Trata-se de um estudo transversal e descritivo. Os dados foram coletados dos relatórios de óbitos por Doenças do Aparelho Circulatório da Secretaria Municipal de Saúde de Palmas ocorridos em 2011 a 2013. As variáveis utilizadas foram causa básica de óbito, idade, raça/cor, escolaridade e sexo. Foram determinados as taxas de mortalidade e o perfil dos óbitos através do programa estatístico SPSS versão 22.0. Resultados: A taxa média da mortalidade por doenças do aparelho circulatório foi 76,04 óbitos/100.000 habitantes, com concentração dos óbitos na faixa etária de 70 anos ou mais, no sexo masculino, raça/cor parda, baixa escolaridade e em indivíduos casados. Conclusão: No período estudado observou-se aumento na taxa de mortalidade por doenças do aparelho circulatório em Palmas. Além disso, uma parcela significativa dos óbitos ocorreu precocemente, com menos de 70 anos, indicando a necessidade de intensificação das ações promotoras da saúde e preventivas para as doenças crônicas.Palavras-chave: Mortalidade prematura; doenças cardiovasculares; doenças crônicas; Determinantes Sociais da Saúde. ABSTRACT Introduction: The Chronic Non communicable Diseases for the main cause of death in the world, especially in low-income populations. Highlights include circulatory diseases, accounting for 31% of all deaths in Brazil. Objective: To identify deaths from circulatory diseases system and investigate the profile of the deaths in Palmas, Tocantins, in the period from 2011 to 2013. Methods: This is a cross-sectional descriptive study. Data were collected from death reports by circulatory diseases system of the Town Health Secretary of Palmas that took place in 2011-2013 and its records. The variables used were the basic cause of death, age, race/color, education and gender.  The mortality rate and profile of the deaths were determined through the statistical program SPSS version 22.0. Results: The mortality diseases of the circulatory system have an average in the three years to 76.04 deaths per 100,000 inhabitants, with a concentration of deaths in the age group of 70 years and over, in males, brown-skinned, low education level and in married individuals. Conclusion: In the studied period, there was an increase in the mortality rate due to diseases of the circulatory system in Palmas. In addition, a significant number of deaths occurred early, less than 70 years of age, indicating the need for intensification of preventive and health-promoting actions focused on chronic diseases. Keywords: Mortality premature; Cardiovascular Diseases, Social Determinants of Health.


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