scholarly journals ACUTE APPENDIX- STATISTICS ON PATIENTS IN SOUTHEAST REGION OF THE REPUBLIC OF NORTHERN MACEDONIA IN THE PERIOD FROM 2015 TO 2020

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.

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Mizuki Sata ◽  
Renzhe Cui ◽  
Chifa Chiang ◽  
Singeru Travis Singeo ◽  
Berry Moon Watson ◽  
...  

Abstract Background This study aimed to describe the status of alcohol consumption and drug use among young adults as well as their determinants. Methods We conducted a cross-sectional study of 356 young adults (aged 18 to 24 years) living in Palau in 2013. The prevalence of self-reported alcohol and marijuana usage were compared within and between sexes, age groups, ethnicities, and education levels. Results The proportion of current drinking was higher in people aged 21–24 than in those aged 18–20 (73.2% vs. 60.9%, p = 0.09 in men and 48.3% vs. 30.0%, p = 0.02 in women), while that of marijuana use did not differ between the age groups. The proportions of current drinking and marijuana use were higher in Palauan than in other ethnicities (current drinking: 70.6% vs. 40.6%, p = 0.005 in men and 38.8% vs. 16.6%, p = 0.04 in women; lifetime marijuana use: 80.0% vs. 52.9%, p = 0.02 in men and 56.1% vs. 30.6%, p = 0.09 in women). The proportion of frequent (3 times or more) marijuana users was higher for the lower educated than for the higher educated (62.5% vs. 32.1%, p < 0.001 in men and 33.9% vs. 24.4%, p = 0.12 in women). Conclusions Sex, age, ethnicity, and education were significant determinants of alcohol and marijuana use.


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 ◽  
Author(s):  
Peiying Yang ◽  
Yanran Ou ◽  
Hailin Yang ◽  
Xuyan Pei ◽  
Jiarui Li ◽  
...  

Background: Understanding the levels of health literacy among different groups is essential for better public health interventions targeting specific subgroups of the population. Additionally, this article explores the prevalence and influencing factors of the health literacy levels of different age groups during the COVID-19 epidemic.Methods: Multistage stratified cluster random sampling and the Probability Proportion to Size (PPS) method were used to select permanent residents aged 15–69 in Chongqing (54,706) for the questionnaire survey. The survey period is from July 2019 and July 2020. Single-factor analysis and logistic regression models were used to study the relationship between demographics, socioeconomic factors, other independent covariates, and health literacy.Results: The health literacy levels of residents declined with age, and there were significant differences in health literacy levels between age groups (χ2 = 3332.884, P &lt; 0.05). As far as the factors affecting health literacy level are concerned, high education and high income are the protective factors for health literacy level for residents of all ages. For adolescents (OR = 1.383, 95% CI: 1.217–1.571), young adults (OR = 1.232, 95% CI = 1.117–1.358), and middle-aged people (OR = 1.096, 95% CI = 1.017–1.182), residence in rural areas was a protective factor. In terms of the dimensions of health literacy, in particular, elderly health literacy in 2020 in Scientific Health Concepts, Safety and First Aid, Basic Medical Care decreased significantly compared with 2019.Conclusions: For adolescents, young adults, middle-aged people, to solve the problem of urban and rural health quality gap, we should not only use the geographical division, but also consider the social population and socio-economic differences. For the elderly, the following four dimensions of health literacy need to be paid more attention than those of other age: Basic Knowledge and Concepts, Scientific Health Concepts, Safety and First Aid, and Basic Medical Care. A lack of knowledge on the prevention and treatment of chronic diseases is the main reason for the recent decline in health literacy. And the health literacy among residents in major public health emergencies is needed.


2020 ◽  
Vol 17 (3) ◽  
pp. 58-66
Author(s):  
P. A. Korotkov ◽  
A. B. Trubyanov ◽  
A. A. Avdeeva ◽  
A. I. Gismieva

The article considers an econometric approach to the analysis of relation between the population morbidity rate depending on ecology and the environmental pollution index. Panel data are used in this approach.The purpose is to find quantitative relations between the state of the environment and public health under the differentiated man-caused load threatening public health in the Republic of Mari El. Materials and methods. The research methods are based on the approaches to correlation and regression analysis of the panel data. In order to identify the environmental pollution index statistically related to the morbidity rate, Pearson and Spearman's correlation coefficients were calculated. Then the regression models for the panel data were developed: a fixed-effect model and a random-effect model. The sources of the panel data are the following: Regional Statistics Office in the Mari El Republic (Maristat), Office of the Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing in the Mari El Republic (Rospotrebnadzor) and Ministry of Healthcare of the Mari El Republic. The data include six air and water pollution indexes and seven priority indicators of the population morbidity rate in 15 municipal districts of the Mari El Republic in the period of 2009–2017.Results. The analysis of the Pearson and Spearman's correlation coefficients helped to identify environmental pollution indexes closely related to the population morbidity rate. These indicators were used as input data of the panel regression model. Three statistically significant panel regression models were identified. They describe the impact of pollution of drinking water from the distributed network on bronchial asthma morbidity among 0–14-aged children diagnosed for the first time in their life; and the impact of emission into the atmosphere of pollutants from the point emission sources on gastritis and duodenitis morbidity among 15–17 aged teenagers diagnosed for the first time in their life.Conclusion. The identified models have biological plausibility. The ethiopathogenetic analysis confirms the possibility of existence of the identified relations. The statistically significant relations between environmental pollution and public health do not prove existence of cause-and-effect links between them. It is statistical demonstration of the hypothesis of their possible existence. This demonstration is an essential work stage to make the hypothesis a hard fact. In the future, it is proposed to use additional, more objective and integral evaluation of environmental quality, for example, the fluctuating asymmetry of bilateral features of biological objects.


Author(s):  
Alberto Aleta ◽  
Yamir Moreno

AbstractMost of the western nations have been unable to suppress the COVID-19 and are currently experiencing second or third surges of the pandemic. Here, we analyze data of incidence by age groups in 25 European countries, revealing that the highest incidence of the current second wave is observed for the group comprising young adults (aged 18-29 years old) in all but 3 of the countries analyzed. We discuss the public health implications of our findings.


2008 ◽  
Vol 48 (4) ◽  
pp. 329-332 ◽  
Author(s):  
B.L. Meel

Deaths by drowning are a serious public health problem worldwide. They are under-investigated and hence under-estimated. Drowning is an important and preventable cause of death. This paper aims to estimate the deaths by drowning in Mthatha area of South Africa. Records of the medico-legal autopsies in Umtata General Hospital (UGH) were reviewed from 1993 to 2004. All cases of unnatural death are brought by the police to UGH mortuary. Three hundred and forty-three cases of death as a result of drowning were recorded over a period of 12 years (1993-2004). There was an increased trend of drowning from 2.7 per 100, 000 in 1993 to 12 per 100, 000 in 2004. Males outnumbered females by 2.6:1. The incidence of drowning declines as age advances. The highest number (96) of victims was under ten years of age. Deaths due to drowning are increasing especially among male children and young adults.


2019 ◽  
Vol 91 (2) ◽  
pp. 12-15 ◽  
Author(s):  
Natalia Dowgiałło-Wnukiewicz ◽  
Piotr Kozera ◽  
Weronika Wójcik ◽  
Paweł Lech ◽  
Przemysław Rymkiewicz ◽  
...  

Introduction Acute appendicitis (AA) is the most common indication for emergency surgery and it occurs more often in children and young adults than in patients of advanced age. AA in older patients is a challenging surgical problem because of its atypical presentation. This study was performed to determine whether the age of a patient impacts the outcomes and whether laparoscopic appendectomy (LA) is a feasible method for treatment of patients > 65 years. Material and methods We performed a retrospective study of 355 patients with AA who were admitted to the Department of General, Minimally Invasive and Elderly Surgery in Olsztyn from 2014 to 2017. The patients were divided into three age groups: 18 to 40, 41 to 65 and >65 years. The histopathological diagnoses were divided into three types: simple AA, phlegmonous AA, and gangrenous AA. Results LA was performed in 96 % of young adults and in 67% of older patients. The patients older than 65 years had a higher preoperative white blood cell count counts, higher C-reactive protein (CRP) levels and had a longer length of stay (LOS) than younger patients (p=0.05, p=0.03, and p=0.03, respectively). We found a positive correlation among the CRP levels, open appendectomy (OA), and gangrenous appendicitis. Conclusions Patients older than 65 years more frequently underwent OA than LA, had higher preoperative CRP levels and had a longer LOS than did younger patients. Higher CRP levels were associated with a greater risk of gangrenous appendicitis. LA is a safe and feasible treatment method for patients older than 65 years.


2014 ◽  
Vol 71 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Gordana Dedic

Background/Aim. The complex multifactorial etiology of suicide suggests the need to consider gender differences when developing effective strategies for suicide prevention. The aim of this study was to examine the suicide rates and/or trends obtained for population as a whole, including gender differences in cases of committed suicide and to consider factors (age groups, education, employment, marital status, nationality and methods) associated with it in Serbia within 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 ICD-X Code, WHO 1992 (International Statistical Classification of Diseases and Related Health Problems 10th revision, World Health Organization). Statistical analysis was done by using the crude specific suicide rate. Results. Within the period 2006-2010 the total number of suicides in Serbia was 6,673, of which 71.9% were males and 28.1% females (male to female suicide ratio 2.56 : 1). Their average rate was 18.15 per 100,000 persons, namely, 26.85 per 100,000 for males and 9.92 per 100,000 for females. Suicide was most often committed by married males and females with high school education, retired, by the Serbs. The suicide rate in Serbia increased paralelly with the age of suicide committers and it was the highest in subjects of both genders aged over 75 years. The most common suicide method in males (62.78%) and in females (58.38%) was hanging and strangling. The second most common method in males was by firearm (18.65%) and in females poisoning (19.26%). Conclusions. Suicide prevention Programme should be primarily oriented toward the male population because it is more exposed to stress in the period of social transition, but males are still less ready to ask for doctor's help when having some problems with mental health.


1996 ◽  
Vol 169 (1) ◽  
pp. 81-85 ◽  
Author(s):  
Philip McLoone ◽  
Iain K. Crombie

BackgroundRates of self-poisoning fell during the 1980s, although recent reports suggest this trend may have reversed.MethodsData on all hospital discharges with a diagnosis of deliberate self-poisoning were obtained from the Information and Statistics Division of the NHS in Scotland. Rates of self-poisoning were investigated by overall trend, and for trends by age and by type of drug.ResultsDeliberate self-poisoning rates for men and women began increasing in the late 1980s, and did so steadily during the early 1990s. Because the rates are increasing faster in men, the traditional excess of self-poisoning among women is being eroded. For men rates increased in all age groups up to the age of 60, but the greatest rise occurred between ages 15–29. For women the increase was largely restricted to 15–24-year-olds, and rates fell among women over the age of 50. Self-poisoning with paracetamol increased most rapidly; in contrast to aspirin which showed little change. Opiate analgesics, antirheumatics, antidepressants and antipsychotics have also shown some increase in their use in both genders. There has been a substantial fall in the use of benzodiazepines in women, but little change among men.ConclusionRapid increases in self-poisoning particularly among young adults present a serious public health problem. Controlling this epidemic is made difficult because the principal drug involved, paracetamol, is readily available.


2014 ◽  
Vol 19 (5) ◽  
pp. 37-43
Author(s):  
T. V Amvroseva ◽  
N. V Poklonskaya ◽  
V. L Zueva ◽  
Z. F Bogush ◽  
K. L Dedyulya ◽  
...  

In the article there has been analyzed the current state of the problem of non-polio enteroviral infections (EVIs) in humans in the Republic of Belarus. There are reported clinical and epidemiological features of the development of the epidemic process, there is presented the dynamics of morbidity rate in the past decade, there is described the structure for the recorded in recent years EVIs in the context ofadministrative territories, clinicalforms, age groups, the impact of seasonal factors. The particular attention is given to the characteristic of disease outbreak with a description of its dominant pathogens. There are recommended the best ways of improving the surveillance of this group of infections.


Sign in / Sign up

Export Citation Format

Share Document