Dermatovenerological service of Ukraine in the context of ongoing reform

2021 ◽  
pp. 11-15
Author(s):  
V.M. Volkoslavska ◽  
I.Ye. Namli
Keyword(s):  
Pediatric Patients ◽  
Subcutaneous Tissue ◽  
Social Situation ◽  
Day Hospital ◽  
Sexually Transmitted ◽  
Medical Institutions ◽  
Hospital Beds ◽  
The City ◽  
Regional Hospitals ◽  
Objective Study

The problems of preserving the dermatovenerological health of the population are extremely relevant for Ukraine, where diseases of the skin and subcutaneous tissue occupy the 5th place in the structure of morbidity. Objective — study of the structure of the dermatovenerological service in the context of reforming the healthcare system at this stage (end of 2021) and its characteristics. Materials and methods. The results of the analysis of the state of resources of medical institutions of communal ownership of dermatovenerological profile in Ukraine are presented. Results and discussion. Today, in Ukraine, the number of hospital beds for 24-hour hospitals for adults is 188 in the regions (Zaporizhzhia, Rivne, Kharkiv, Cherkasy) and 220 beds in Kyiv city, which is extremely insufficient. There are 24 beds for the pediatric patients in the regions (Luhansk, Rivne, Cherkasy) and in the city of Kyiv — 60. The number of day hospital beds for adults has significantly decreased — to 248 in the regions (Dnipropetrovs’k, Zaporizhzhia, Kyiv, Lviv, Poltava, Kherson, Cherkasy, Chernivtsi and Kramatorsk city), for pediatric patients — 61 (Dnipropetrovs’k, Kropyvnytskyi, Mykolaiv, Poltava regions). In 2021, 11 dermatovenerologic dispensaries were liquidated. Instead of them, dermatovenero­logic centers and subdivisions subordinate to regional hospitals were formed. Thus, there is an unfavorable restructuring of the bed fund of institutions providing dermatovenerological care. Conclusions. A decrease in the number of state and municipal institutions providing free dermatovenerological care will lead to the worsening of the epidemic situation, the spread of sexually transmitted infections and reduction of the availability of specialized dermatovenerological care for the population in a difficult economic and social situation.

scholarly journals The Differential Diagnosis of Sterile Pyuria in Pediatric Patients: A Review

2021 ◽  
Vol 8 ◽  
pp. 2333794X2199371
Author(s):  
Donald W. Bendig
Keyword(s):  
Differential Diagnosis ◽  
Pediatric Patients ◽  
Systemic Disease ◽  
Common Finding ◽  
Extensive Literature ◽  
Sexually Transmitted ◽  
Persistent Symptoms ◽  
Sterile Pyuria ◽  
Extensive Literature Search ◽  
Definition Of

Sterile pyuria is a common finding in pediatric patients. Literature describing the diagnoses as well as clinical characteristics of children with sterile pyuria is lacking. This review was performed to establish an evidence-based approach to the differential diagnosis by way of an extensive literature search. The definition of pyuria is inconsistent. The various causes of pediatric sterile pyuria identified were classified as either Infectious or Non-Infectious. Sub-categories of Infectious causes include: Viral Infection, Bacterial Infection, Other Infections (tuberculosis, fungal, parasitic), Sexually Transmitted Infections, Recent Antibiotic Therapy. Non-Infectious causes include: Systemic Disease, Renal Disease, Drug Related, Inflammation adjacent to Genitourinary Tract. Clinicians that encounter pediatric patients with sterile pyuria and persistent symptoms should consider the substantial differential diagnosis described in this study.

scholarly journals Quick and collaborative response to teenage pregnancies in a poor semi-rural area of Belgium

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Déom ◽  
L Ben Abdelhafidh ◽  
N Annez ◽  
C Glorie ◽  
M Roland
Keyword(s):  
Family Planning ◽  
Reproductive Health ◽  
Rural Areas ◽  
Sexual And Reproductive Health ◽  
Health Clinic ◽  
Local Health ◽  
Reproductive Health Services ◽  
Sexually Transmitted ◽  
Victims Of Violence ◽  
The City

Abstract Early pregnancies are often linked to precarious situations. Even if Belgium has seen a decrease in teenage pregnancies, in the former mining region of the Hainaut there are still twice as many births to young women under 20 compared to the national rate. Colfontaine is one of the poorest cities in Belgium. Last year, one of the local high schools counted 10 pregnant teenagers out of 450 students. Médecins du Monde was already present in the city at the time with a mobile health clinic called the Médibus. In response, we carried out a mapping of the local sexual and reproductive health actors. The lack of accessibility to social and health structures capable of welcoming teenagers anonymously and free of charge quickly emerged as a problem, the nearest family planning center being located 30 minutes away by bus. In September 2019, in partnership with 5 local health actors, we decided to reshape the Médibus into the Adobus in order to offer family planning consultations, health promotion and harm reduction activities at the high school once a week. In addition to offering health information services, we also aim to detect teenagers experiencing vulnerable situations such as addiction, violence, gender issues and refer them to appropriate services. Halfway through the project, we met 430 teenagers in 14 afternoons. The most common reasons for consultation (N = 310) were questions related to contraception for 29% and to sexually transmitted infections for 24,5%. 70,9% of teenagers received condoms and 13 girls were tested for pregnancy. One girl received a morning-after pill. 3 teenagers with addiction problems and 17 victims of violence were detected. The teams referred 18 teenagers to other services. The success of this outreach project confirms the need for information regarding sexual and reproductive health for teenagers living in precarious situations as well as the need to develop reachable and affordable sexual and reproductive health services in semi-rural areas. Key messages Outreach is an efficient approach to respond to teenagers’ needs in poor semi-rural areas. Outreach facilitated the detection of early pregnancies, addiction and violence issues among teenagers.

scholarly journals Does Penis Size Influence Sexual Behaviour of Men who Have Sex with Men?

2018 ◽  
Vol 35 (4) ◽  
pp. 311-319
Author(s):  
Milan Bjekić ◽  
Sandra Šipetić-Grujičić ◽  
Hristina Vlajinac ◽  
Ivana Dunić
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sexual Behaviour ◽  
Body Part ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Sexual Role ◽  
Sexually Transmitted ◽  
Penis Size ◽  
Sex With Men ◽  
The City

Abstract Penis size is a major body image concern for the majority of men in western nations, while in gay culture the penis has become a body part linked to sexual attractiveness and viability. The aim of this study was to reveal influence of the perceived penis size on sexual behaviour, condom use, sexually transmitted infections and men’s sexual positioning among men who have sex with men. In this cross-sectional study, the data were collected from consecutive men who have sex with men who attended Counselling for Sexually Transmitted Diseases at the City Institute for Skin and Venereal Diseases in Belgrade, Serbia. Out of 319 participants, 6.6% perceived their penis as "below average", 71.5% as "average", and 21.9% as "above average". In comparison with men with an average penis, men with below average penis were more frequently unsatisfied with their penis size (p < 0.05), more frequently lied to others about their penis size (p < 0.001) and took more frequently the passive sexual role (p < 0.05). Men with above average penis were more frequently satisfied with their penis size (p < 0.001), took more frequently the active sexual role (p < 0.01), they had more sexual partners (p < 0.05), more problems with a tight condom (p < 0.001) and more gonorrhoea/Chlamydia infections (p < 0.001) than men with an average penis. Perception of one’s penis size was associated with some aspects of sexual behaviour and the frequency of sexually transmitted diseases.

scholarly journals O Papel da Recreação e do Lazer na Inclusão Social de Adolescentes

2020 ◽  
Vol 21 (2) ◽  
pp. 147-153
Author(s):  
Virgilio Abrahão Junior ◽  
Julia Alejandra Pezuk
Keyword(s):  
Young People ◽  
Social Inclusion ◽  
Well Being ◽  
Social Program ◽  
Emotional Impact ◽  
Marginalized Youth ◽  
Recreational Activities ◽  
Sexually Transmitted ◽  
The Social ◽  
The City

Resumo Atualmente no Brasil é possível observar uma parcela da população jovens, principalmente nas classes sociais mais baixas, sujeitos a situações que acarretam maior susceptibilidade para se envolver com drogas, prostituição, crimes, gravidez e doenças sexualmente transmissíveis. Diversos fatores psicossociais são necessários para que os adolescentes passem pela adolescência sem a necessidade deste tipo de envolvimentos. A recreação e o lazer podem ser usados como instrumento para facilitar a inclusão social e ao mercado de trabalho de jovens marginalizados. O impacto emocional positivo do uso da recreação e do lazer favorece o bem-estar e auxilia na inclusão social de adolescentes, e possibilitam o uso dessas ferramentas para serem explorados em eventos e atividades recreativas. Nesse contexto, o presente trabalho tem como objetivo mostrar a importância do desenvolvimento de projetos sobre recreação e o lazer para a inclusão social de jovens. Para isso é relatada a experiência com o Programa Social realizado na cidade de Guarulhos/SP intitulado Programa Oportunidade ao Jovem, que busca a qualificação profissional dos jovens da cidade que se encontram em situação de risco e pobreza, e que estão em geral excluídos da sociedade. Mostramos aqui que a inclusão social por meio de programas sociais usando atividades recreativas facilita a inserção social de jovens marginalizados e devem ser consideradas nas políticas públicas. Pois ainda permitem que adolescentes em situação econômica precária tenham a possibilidade de exercer uma profissão na área de recreação ao término dos cursos dos programas, impactando significativamente na vida desses jovens.   Palavras-chave: Programa Social. Agente de Recreação. Políticas Públicas.   Abstract In Brazil it is possible to observe a portion of the young population, mainly in the lower social classes, who are subject to situations that cause greater susceptibility to get involved with drugs, prostitution, crimes, pregnancy and sexually transmitted diseases. Several psychosocial factors are necessary for adolescents to go through adolescence without the need for this type of involvement. Recreation can be used as an instrument to facilitate social inclusion and the labor market for marginalized youth. The positive emotional impact of recreation favors well-being and assists in the social inclusion of adolescents and enables the use of these tools to be explored in events and recreational activities. In this context, this paper aims to show the importance of developing projects on recreation for the social inclusion of young people. For this, the experience with the Social Program carried out in the city of Guarulhos / SP entitled Programa Oportunidade ao Jovem, which seeks the professional qualification of young people in the city who are at risk and poverty, and who are in general excluded from society, is reported. We show here that social inclusion through social programs using recreational activities facilitates the social insertion of marginalized youth and should be considered in public policies. Because they still allow adolescents in a precarious economic situation to have the possibility of exercising a profession in the area of recreation at the end of the program courses, significantly impacting the lives of these young people   Keywords: Social Program. Recreation Agent. Public Policy.

scholarly journals EFFECT OF IRON IN DRINKING WATER ON THE MORBIDITY RATE IN THE POPULATION OF THE CITY OF OREL

2019 ◽  
Vol 96 (11) ◽  
pp. 1049-1053 ◽  
Author(s):  
Nataliya A. Egorova ◽  
N. V. Kanatnikova
Keyword(s):  
Drinking Water ◽  
Iron Content ◽  
Subcutaneous Tissue ◽  
Scale Up ◽  
Correlation Coefficients ◽  
Morbidity Rate ◽  
Human Organism ◽  
Urogenital System ◽  
High Iron Content ◽  
The City

The population of the city of Orеl consumes drinking underground water of Zadonsko-Optuhovsky and Voronezh-Livny aquifers with natural iron content, annual mean levels of which over the observation period from 2007 to 2015 exceeded the maximum allowable concentration (0.3 mg/l) by 1.03 to 1.43 times, with a maximum of 3.67 to 17.7 times. Although an elevated iron content in drinking water has been considered primarily in terms of organoleptic changes, several sanitary studies of recent years have revealed the prolonged use of water containing iron in concentrations, which exceed the maximum allowable ones, to scale up overall morbidity as well as the development of blood, skin and subcutaneous tissue diseases, musculoskeletal problems, digestive, urogenital system and allergic disorders. There are many reports concerning causes and the harm to human organism due to iron overload, and largely explanation of the possibility of developing the above types of pathology. The purpose of the study is to identify relationships between levels of total iron content in drinking water and the morbidity rate of the population of the city of Orel. Investigations were executed with the use a correlation analysis. For the period from 2007 to 2015, there were revealed direct correlation relationships between the annual average concentrations of iron in drinking water and the total morbidity rate of children and adults as well as 11 types of non-infectious pathologies, including diseases of the respiratory and urogenital system, atopic dermatitis, reactive arthropathies and eczema in children; diseases of blood and blood-forming organs, reactive arthropathies, gastritis and duodenitis in adolescents, stenocardia, cerebrovascular diseases, diabetes mellitus, gastritis, duodenitis and liver diseases in adults. The correlation coefficients amounted to from 0.66 to 0.86, with an accuracy of 0.01-0.05. These relationships may be causal in nature, as it was proved by similar results obtained in the Tula region, Primorsky Krai, and Sverdlovsk region where the population uses ground water with a high iron content. Apparently, it should be more careful in the assessment of the elevated iron content in drinking water from a hygienic viewpoint and must focus, among other things, on its possible causal relations with the morbidity rates of the population, rather than scrutinizing primarily its impact on the organoleptic water properties.

Tourist scams in the city: challenges for domestic travellers in urban China

2016 ◽  
Vol 2 (4) ◽  
pp. 294-308 ◽  
Author(s):  
Jing Li ◽  
Philip Pearce
Keyword(s):  
Social Situation ◽  
Urban China ◽  
Content Type ◽  
Tourist Attractions ◽  
The Social ◽  
Quality Of Products ◽  
The City ◽  
Directing Attention

Purpose The purpose of this paper is to identify dominant scams against domestic tourists in popular tourism cities in China. There are two questions of concern: what types of scams do domestic tourists experience and are the patterns of scams different between the capital and regional cities? The social situation framework was employed to interpret the outcomes. Design/methodology/approach A content analysis facilitated by Leximancer software was applied to 102 Chinese travel blogs reporting experiences of being scammed in Beijing, Hangzhou, Xi’an, Sanya and Guilin. Clear themes and concepts emerged from the analysis of these travel reviews and differences in scamming patterns between Beijing and regional cities were identified. Findings The most frequently reported scams in the capital Beijing were linked to the chaotic environment at tourist attractions and the misbehaviours of tour agents. By way of contrast scams involving manipulating the weight and quality of products purchased were more common in regional cities. The differences between Beijing and other locations may lie in the greater monitoring of fraudulent practices in the capital. Additionally, the role of shills (confederates of the scammer) was highlighted in many of the scams studied. Originality/value Scams include a slightly less serious but still troublesome set of problems accompanying major crimes and assaults. Rare research specifically focussed on tourist scams despite substantive work discussing crimes against tourists as general. Implications of the present study lie in enriching the literature on scams against tourists. The analysis of scams as a special type of social situation proved to be insightful in directing attention to facets of the interaction thus providing connections to previous work and directions for further study. It is also promising to be developed to inform strategic approaches to creating a safer tourism environment in cities.

Sex in the city

2019 ◽  
pp. 249-257
Author(s):  
Dinesh Bhugra ◽  
Antonio Ventriglio
Keyword(s):  
Sexually Transmitted Diseases ◽  
Sex Workers ◽  
Urban Areas ◽  
Human Life ◽  
Sexual Relationship ◽  
Geographical Proximity ◽  
Male And Female ◽  
Sexually Transmitted ◽  
Sexual Partnering ◽  
The City

Sexual acts form the basis of human life. In urban areas, both male and female sex workers and their mental health have been studied. The risks of resulting sexually transmitted diseases are higher and, consequently, physical and psychiatric comorbidity may be higher. The theory of sex markets focuses on sexual partnering and emphasizes that it is fundamentally a local process, meaning that the two people must live within reasonable geographical proximity to initiate and develop a sexual relationship that is physical. Of course, often people do indulge in cybersex, for which adequate electronic and WiFi facilities have to be available. Economic needs and perspectives may play a major role in transient sexual partnering.

scholarly journals Epidemiological profile of ICU patients at Faculdade de Medicina de Marília

2016 ◽  
Vol 62 (3) ◽  
pp. 248-254 ◽  
Author(s):  
Silene El-Fakhouri ◽  
Hugo Victor Cocca Gimenez Carrasco ◽  
Guilherme Campos Araújo ◽  
Inara Cristina Marciano Frini
Keyword(s):  
Formal Education ◽  
Subcutaneous Tissue ◽  
Statistical Treatment ◽  
Technical Information ◽  
Circulatory System ◽  
Study Data ◽  
Icd 10 ◽  
External Causes ◽  
Epidemiological Profile ◽  
The City

SUMMARY Objective: To characterize the epidemiological profile of the hospitalized population in the ICU of Hospital das Clínicas de Marília (Famema). Method: A retrospective, descriptive and quantitative study. Data regarding patients admitted to the ICU Famema was obtained from the Technical Information Center (Núcleo Técnico de Informações, NTI, Famema). For data analysis, we used the distribution of absolute and relative frequencies with simple statistical treatment. Results: 2,022 ICU admissions were recorded from June 2010 to July 2012 with 1,936 being coded according to the ICD-10. The epidemiological profile comprised mostly males (57.91%), predominantly seniors ≥ 60 years (48.89%), at an average age of 56.64 years (±19.18), with limited formal education (63.3% complete primary school), mostly white (77.10%), Catholic (75.12%), from the city of Marília, state of São Paulo, Brazil (53.81%). The average occupancy rate was 94.42%. The predominant cause of morbidity was diseases of the circulatory system with 494 admissions (25.5%), followed by traumas and external causes with 446 admissions (23.03%) and neoplasms with 213 admissions (11.00%). The average stay was 8.09 days (±10.73). The longest average stay was due to skin and subcutaneous tissue diseases, with average stay of 12.77 days (±17.07). There were 471 deaths (24.32%), mainly caused by diseases of the circulatory system (30.99%). The age group with the highest mortality was the range from 70 to 79 years with 102 deaths (21.65%). Conclusion: The ICU Famema presents an epidemiological profile similar to other intensive care units in Brazil and worldwide, despite the few studies available in the literature. Thus, we feel in tune with the treatment of critical care patients.

Memahami Transformasi Urban di Asia: Belajar dari Kasus Jakarta

2013 ◽  
Vol 15 (2) ◽  
pp. 102 ◽  
Author(s):  
Jo Santoso
Keyword(s):  
Social Relation ◽  
Social Situation ◽  
Social Institution ◽  
Asian Countries ◽  
Font Size ◽  
Growth Machine ◽  
Human Habitat ◽  
The Social ◽  
Urbanization Development ◽  
The City

<span style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt; font-family: 'Amasis MT','serif'; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-bidi-theme-font: minor-bidi; mso-ansi-language: EN-AU; mso-fareast-language: IN; mso-bidi-language: AR-SA;" lang="EN-AU">Urbanization is not a new phenomenon anymore, yet the ongoing worldwide urbanization now, seen from its dimension, acceleration, and complexity, is incomparable to the previous one. In many Asian countries, most people believe that creating a city as an economic growth machine is the only way to overcome the problem of urbanization development. This trend has pushed the cities away from their primary function as a human habitat which is built based on the coexistence among social groups that live there. One of the factors which likely aggravates the social situation, if the economic crisis happens, is the weakened social relation among the society due to the occurrence of global economic. In this paper discusses the three processes which serve as a catalyst to the process of city restructuring that are commodification, privatization and commercialization. The result of the development is that the city functions as a social institution is increasingly ignored and worsens the social inequality.</span>

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