scholarly journals LUNG CANCER - STATISTICAL ANALYSIS DATA IN A 5 YEAR PERIOD IN BITOLA, REPUBLIC OF NORTH MACEDONIA

2020 ◽  
Vol 8 (2) ◽  
pp. 108-117
Author(s):  
Jihe Zhu ◽  
Blagica Arsovska ◽  
Kristina Kozovska

Lung cancer is one of the most common and deadly malignancies in the world, which is characterized by uncontrolled division and growth of malignant cells in the pulmonary parenchyma. For the purposes of this paper was used data from the clinical hospital “Dr. Trifun Panovski'' in the Municipality of Bitola, Republic of North Macedonia  in the period of 2015-2019. The results show that the most of the cases are male with the leading age of about 55-64 years. However, the disease is becoming more common in the female population at a later age. Regarding the number of male patients treated in the Municipality of Bitola, it can be noted that the highest number of male patients was in 2018, and the lowest in 2017. Most female patients were treated in 2016 and the least in 2018. From the analysis of the Institute of Public Health, the highest number of male deaths in Bitola occurred in 2014 and the lowest in 2015 and 2018, among female patients, the highest number of deaths was in 2014, but the lowest in 2018. Death outcomes in Bitola represent about 6-7% of total number of deaths in the Republic of North Macedonia.

2021 ◽  
Vol 9 (05) ◽  
pp. 350-353
Author(s):  
Jihe Zhu ◽  
Blagica Arsovska ◽  
Kristina Kozovska

According to the data of the World Health Organization, globally, in 2018, 18 million new cases of cancer were registered, of which 2.09 million (11.6%) were diagnosed with lung cancer and 9.6 million deaths, of which 1.76 million (18.4) are in lung cancer. The overall standardized incidence rate by age is 25% higher in men than in women. Statistical data taken from the Center for public health – Shtip,  shows that lung cancer is more common in men and more common in people aged 55-65, while in women there is no dominance of a certain age group. The total number of newly registered cases of lung cancer in Stip for 2016 is a total of 25. In 2017 the total number is 35 of which 30 of the patients are men, most of them are aged 55 to 65 years. In 2018 the total number is 22. The total number of newly registered cases of lung cancer in Shtip for 2019 is 7 of which are all registered in men, most are aged 45 to 54 and 65 to 75 years. Due to the frequency of this type of cancer, it is important to raise the awareness in people to prevent or detect the disease early, which improves the chances for a better prognosis and a better outcome of treatment.


Mediscope ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 75-81
Author(s):  
Farhana Ferdaus ◽  
Refat Zahan ◽  
Md Abdur Rahman ◽  
Shahin Chowdhury

Globally, 10% of the world population is elderly people and it is expected to increase to 21% in the year 2051. In the year 2002, the number of elderly people in the world was estimated to be 605 million, which is expected to rise to more than 1.2 billion by the year 2025. This crosssectional study was conducted to and out the health-related quality of life and risk factors among elderly population in the selected rural population of Shyamnagar Upazila of Satkhira District. Data was collected from both the male and female population, aged 60 years and above, during February to June 2018. Purposive sampling technique was used to collect data from 50 respondents by face to face interview with semi-structured questionnaire. In the study, the mean age of elderly was male 63 (±2.95) years, and female 61.8 (±2.04) years. Other socio-demographic factors among elderly were as follows: 20 (40%) of elderly were illiterate, 15 (30%) of elderly were doing business, 21 (42%) were doing farming. 40 (80%) of elderly were married. The study also reported the five most common disease co-morbidities for elderly which included: 71.43% male and 28.57% female had hypertension while 72.22% of male and 27.78% of female patients were already treated, 68.75% male and 31.25% female had diabetes mellitus and 100% of them were treated, 50% of male elderly and 50% of female elderly were suffering bone and joint pain/arthritis and 60% of them were received treatment, hearing impairment found among 100% of male while two-third of patients received treatment, one-third of female and two-third of male elderly suffered from poor vision; however, only one-third of female patients were treated. On the basis of these findings, it can be recommended that there is a need to develop geriatric health-care services. Mediscope Vol. 7, No. 2: July 2020, Page 75-81


2020 ◽  
Vol 75 ◽  
pp. 189-204
Author(s):  
Robert Socha

The problems raised in this article focus on the issues related to the solutions adopted by the Polish legislator as to the protection of the state border in the context of an international threat. The author presents the legal conditions related to the probability of temporary reintroduction of border control for persons crossing the state border regarded as an internal border of the European Union in the event of a threat to public health. The background for these considerations are legal regulations concerning the change in the organization of the protection of the state border of the Republic of Poland, as introduced due to the World Health Organization’s announcement of the pandemic caused by the SARS-CoV-2 coronavirus leading to the COVID-19 disease.


2021 ◽  
Vol 9 (10) ◽  
pp. 112-117
Author(s):  
Jihe Zhu ◽  
Blagica Arsovska ◽  
Kristina Kozovska

In this research the analyzed data were obtained from the Department of Social Medicine of the Center for Public Health at PHI General Hospital - Strumica for patients with acute appendicitis from Strumica and from the department for Statistics of the Center for Public Health at PHI General Hospital - Gevgelija for patients with acute appendicitis from Gevgelija. 361 people diagnosed with acute appendicitis were analyzed in the period from 2015 to 2020. According to the results most of the patients were hospitalized in 2015 (20.2%) and 2016 (20.2%). The majority of respondents are aged 0-24 years (67.5%), while males have a higher risk of developing this disease (55, 9%). in 2017 the number was 40 (14.9%), in 2018, 43 (16%), and in 2019 the number of hospitalized with acute appendicitis was 40 (14.9%), equal to that in 2017. The average age at hospitalization is 23.4 years, 22.8 years for men and 24 years for women. In the number of hospitalized people belonging to the first three age groups from 0 - 24 years, 25-44 years and 45-54 years (0-54), there is a higher prevalence of male (57.4%) compared to female patients (42.6%), while the number of hospitalized patients belonging to the age groups of 55-64, 65-74 and over 74 years there is a higher representation of female (58.3%) compared to male patients (41.7%). The average morbidity rate per 10,000 inhabitants in the Southeast region is 4.1, with an average rate of 3.5 in Gevgelija and an average rate of 4.8 in Strumica per 10,000 citizens. The incidence of acute appendicitis is highest in children, adolescents and young adults, and continuously decreases with age.


Author(s):  
Aikan Аkanov ◽  
Тilek Меimanaliev ◽  
Аizhan Кyzayeva ◽  
Ainur Кumar ◽  
Gulzhakhan Kashafutdinova

We have analyzed human resources in healthcare of Kazakhstan over 1985-2011, and determined general trends and regularities. By the level of provision with physicians, Kazakhstan ranks as one of the leaders in the world, at the same time there have been a deficit of physicians in the Republic over the last 20 years, particularly in rural areas. As per its regions, there is an irregularity in the physicians provision rate: the most part of specialists is concentrated in cities – Almaty and Astana, there is a deficit of physicians in the Almaty, Коstanai, North-Kazakhstan and Jambyl Oblasts. The effective use of human resources will enable to optimize expenditure for the public health and to improve the medical service quality.


2021 ◽  
Vol 39 (15_suppl) ◽  
pp. e18744-e18744
Author(s):  
Metin Pehlivan ◽  
Adnan Aydiner

e18744 Background: The COVID-19 infection, declared as a pandemic by WHO in March 2020, continues its effects all over the world. Cancer patients also get COVID infection and in some patients this infection is mortal. In our study, we examined the course of COVID-19 infection in patients who actively or in the past used Everolimus. Methods: Patients who used everolimus actively or in the past were examined in our study. Patients who survive after the first cases seen in Turkey March 11, 2020 ; were evaluated in terms of whether they had COVID-19. Demographic characteristics and primary malignancies of the patients were examined. Patients who had COVID-19 infection and died were identified. Results: Our study consists of 50 patients in total. 14 (28%) of the patients were male and 36 (72%) were female. The average age of the patients is 56.72 (28-82), the average age of the male patients is 52.8 (28-80) and the average age of the female patients is 57.58 (36-82). 17 of the patients were treated for breast cancer, 11 for neuroendocrine tumor, 7 for tuberous sclerosis, 5 for renal cell carcinoma, 4 for thymic carcinoma, 2 for thymoma, 2 for ovarian ca, 2 for perivascular ecrine tumor. While it is the most common breast cancer in women (47.2% of female patients), neuroendocrine tumor is the most common in male patients (35.7% of male patients). While 13 patients were actively using everolimus (26%), 37 patients (74%) had discontinued everolimus treatment for 1 year or more.5 of our patients were diagnosed with COVID-19 infection (10% of all patients). 2 of these five patients are actively using everolimus. Of those diagnosed with COVID-19, 3 are women and 2 are men.The average age of the patients is 50.08 (43-66). While 3 patients had mild illness (60%), 2 patients (40%) died. One of the deceased patients is female and one is male. The female patient had a history of using everolimus for breast cancer, while the male patient died at the age of 52 while actively using everolimus for thymoma. Conclusions: Everolimus is a MTOR inhibitor used in many malignancy treatments. In our study, we found that 10% of our patients had COVID infection and 2 of our patients died due to COVID-19. In the group that discontinued everolimus treatment for a year or more, 1 patient died due to COVID-19, and 1 patient in the group still receiving everolimus treatment. Studies with larger patient populations are needed to determine whether everolimus carries an additional risk of COVID-19 infection.


Author(s):  
MADHURI KULKARNI ◽  
ANANT PATIL

Objective: The objective of this study was to analyze demographics, management pattern, and clinical outcomes in patients with organophosphorus poisoning. Methods: In this subgroup analysis of retrospective data of patients admitted in intensive care unit (ICU) with a diagnosis of acute organophosphorus poisoning, demographic details, pattern of use of medicines, dose of atropine and pralidoxime (PRAM), duration of ICU stay, and clinical outcomes were analyzed. Results: A total of 92 patients with organophosphorus poisoning (mean age 34.7 years; male 69 [75%]) were included. The age of male patients was more than female patients (36.2 vs. 30.0 years; p=0.047). Atropine and PRAM were given to all patients. Ondansetron was used in all patients, whereas ranitidine was used in 91 (98.9%) patients. The mean total dose of atropine in male and female population was 99.5 mg and 89.0 mg, respectively (p=0.298). The mean total dose of PRAM in male and female population was 12.2 mg and 12.0 mg, respectively (p=0.772). There was no difference in the mean (standard deviation) duration of stay in ICU between male patients and female patients (7.6 [4.5] vs. 6.4 [3.9] days; p=0.249). A total of 61 (66.3%) patients were transferred to the ward, whereas 30 (32.6%) died. Conclusion: Atropine and PRAM are the primary drugs for the treatment of organophosphorus poisoning. Ondansetron and ranitidine are useful drugs for the treatment of vomiting and gastric irritation, respectively, in these patients.


1988 ◽  
Vol 85 (2) ◽  
pp. 194-196 ◽  
Author(s):  
Bruce E. Johnson ◽  
Seth M. Steinberg ◽  
Ruby Phelps ◽  
Margaret Edison ◽  
Stephen R. Veach ◽  
...  

2021 ◽  
Vol 2 (3) ◽  
pp. 295-301
Author(s):  
Ivana Stašević-Karličić

In order to preserve and improve public health, guided by the recommendations of the World Health Organization (WHO), the Clinic for Mental Disorders Dr Laza Lazarević, in cooperation with the Ministry of Health of the Republic of Serbia, developed a strategy for mental healthcare during the COVID-19 pandemic. This paper briefly presents some specific activities that the Clinic for Mental Disorders Dr Laza Lazarević has carried out during the current COVID-19 pandemic.


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