Regional features of the incidence of the lower extremities varicose in Kazakhstan

2021 ◽  
Vol 7-8 (217-218) ◽  
pp. 2-7
Author(s):  
Nurbek Igissinov ◽  
◽  
Shyryn Kenzhebekova ◽  
Saken Kozhakhmetov ◽  
Mirsaid Izimbergenov ◽  
...  
Keyword(s):  
Varicose Veins ◽  
Lower Extremities ◽  
Incidence Rates ◽  
Annual Growth Rate ◽  
Regional Features ◽  
Icd 10 ◽  
The Republic ◽  
Biomedical Statistics ◽  
First Time

Diseases of the cardiovascular system remain an important medical and social problem throughout the world, since the prevalence, features of the clinical course and outcomes lead to a significant decrease in the quality of life. The study of the geographic variability of varicose veins of the lower extremities (hereinafter – VLE) can expand the understanding of this problem. Objective. To assess the regional features of the incidence of VLE in Kazakhstan for 2009-2018. Material and methods. The material for the study was the data of the Ministry of Health of the Republic of Kazakhstan – annual form No. 12, concerning VLE (ICD 10 – I83) for 2009-2018. A retrospective study using descriptive and analytical methods of biomedical statistics was used as the main method. Results and discussion. For 2009-2018 in the republic 158 151 cases of VLE were registered for the first time, of which 37 670 (23.8%) in men and 120 481 (76.2%) in women. The average annual incidence rate of VLE (both sexes) in the republic was 91.6±9.6 per 100,000 of the total population (95% CI=72.8-110.30/0000). The lowest incidence rates of VLE in the entire population were established in Aktobe region – 28.1±1.40/0000 (95% CI=25.4-30.80/0000). Very high incidence rates (both sexes) were detected in North Kazakhstan region (130.5±7.60/0000, 95% CI=115.6-145.40/0000) and in Astana city (163.0±11.00/0000, 95% CI=130.6-195.40/0000). Conclusions. The study showed a preliminary assessment of VLE incidence in the republic, identifying regions of low and high frequency, trends of VLE morbidity. In dynamics, morbidity rates tended to grow. With the equalization of the incidence rates of VLE, the average annual growth rate was Т=+12.5%. Keywords: varicose veins of the lower extremities, incidence, Kazakhstan.

THE LEVEL AND STRUCTURE OF MORBIDITY OF DISEASES OF SKIN AND SUBCUTANEOUS TISSUE

2019 ◽  
Vol 25 (2) ◽  
pp. 82-88
Author(s):  
Olga R. Mukhamadeeva ◽  
N. Kh Sharafutdinova ◽  
V. V Polunina ◽  
M. Yu Pavlova ◽  
M. V Borisov
Keyword(s):  
Atopic Dermatitis ◽  
Skin Diseases ◽  
Subcutaneous Tissue ◽  
Age Groups ◽  
Self Esteem ◽  
Incidence Rates ◽  
Republic Of Bashkortostan ◽  
Icd 10 ◽  
The Republic

According to research in Russia in 2016, the prevalence of diseases of the skin and subcutaneous tissue was 5871 cases per 100000 people, the incidence was 4259 cases per 100000 people. Severe chronic dermatoses significantly reduce the quality of life of patients and their families, the patients’ self-esteem suffers, their habitual lifestyle is disturbed. The purpose is to study the level dynamics and structure of the incidence of diseases of the skin and subcutaneous tissue of the population of the Republic of Bashkortostan for the period 2008-2017. The analysis of the structure and dynamics of the prevalence and the incidence of the ICD-10 class “Diseases of the skin and subcutaneous tissue” (L00-L99) in the Republic of Bashkortostan was carried out according to the FSN form No. 12 for 2008-2017, and a simulated forecast of the incidence rate up to 2022 was compiled. The study revealed a steady downward trend in the prevalence and the incidence of these diseases in the Republic of Bashkortostan for the period 2011-2017. Considering the prediction data, the trend towards a decrease in the incidence rates of skin diseases until 2022 will continue. On this background, the level of the prevalence of atopic dermatitis and psoriasis tends to increase, the incidence of atopic dermatitis tends to increase, and the incidence of psoriasis tends to decrease. The proportion of severe chronic dermatoses increased 1.5-2 times in all age groups. Thus, the analysis makes it necessary to improve the work on the organization of medical care for patients with chronic dermatoses and methods for their prevention.

Medication rationality in treating depression

2011 ◽  
Vol 18 (2) ◽  
pp. 92-96
Author(s):  
Liubov KAVALIAUSKIENĖ ◽  
Rimantas PEČIŪRA ◽  
Virginija ADOMAITIENĖ
Keyword(s):  
Social Sciences ◽  
Health Centre ◽  
Depression Treatment ◽  
Recurrent Depression ◽  
Family Doctors ◽  
The Social ◽  
The Republic ◽  
First Time ◽  
Relapse Rates

Background. The costs of depression treatment in Lithuania increase because of high depression relapse rates which indicate the necessity to evaluate first-time depression treatment rationality. The aim of this study was to evaluate the use of antidepressants according to the opinion of three groups of specialists (family doctors, psychiatrists and pharmacists) in order to assess the possibilities of a more rational use of depression treatment costs rationalizing opportunities. Materials and methods. Data on depression diagnoses were obtained from the Republic Psychiatric Health Centre. In 2009, 361 Lithuanian pharmacist, 317 family doctors and 280 psychiatrists were interviewed. The data were processed using the Statistical Package for the Social Sciences program. Results. In the study period (2004–2009), the volume of total depression diagnoses grew up by 12% and the number of relapsed depression diagnoses by 27%. Among family doctors, 13% still don’t launch depression treatment by themselves, and 62% of them refer patients to psychiatrists in cases of depression relapse. Those who prescribe a medicine all alone in most cases use sertraline, but even 38% of family doctors mention benzodiazepines. According to family doctors’ answers, 32% of them reevaluate the effect of medications in 4 weeks and 25% do not monitor it at all. More than 50% of pharmacists have noted that every day they are asked by patients for antidepressants without prescription. Conclusions. The abundance of cases of recurrent depression, recorded by family doctors, encourage to revise the preparedness of family doctors to treat this disease. The specialists’ opinion makes us to reevaluate and question the quality of depression treatment and to rationalize the efficiency of depression treatment in Lithuania as regards its both economic and social aspects. Keywords: depression treatment, antidepressants, depression relapse

scholarly journals A retrospective review of the contribution of rare diseases to paediatric mortality in Ireland

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Emer Gunne ◽  
Cliona McGarvey ◽  
Karina Hamilton ◽  
Eileen Treacy ◽  
Deborah M. Lambert ◽  
...  
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Healthcare Services ◽  
Incidence Rates ◽  
Hospital Death ◽  
Republic Of Ireland ◽  
Healthcare Planning ◽  
National Quality ◽  
Icd 10 ◽  
The Republic

Abstract Aims To ascertain the number of paediatric deaths (0–14 years) with an underlying rare disease in the Republic of Ireland between the years 2006–2016, and to analyse bed usage by a paediatric cohort of rare disease inpatients prior to in-hospital death. Background Rare diseases are often chronically debilitating and sometimes life-threatening diseases, with the majority (69.9%) of rare diseases being of paediatric onset. The Orphanet database contains information on 6172 unique rare diseases. Under-representation of rare diseases in hospital healthcare coding systems leads to a paucity of rare disease epidemiological data required for healthcare planning. Studies have cited variable incidence rates for rare disease, however the burden of rare diseases to healthcare services still remains unclear. This study represents a thorough effort to identify the percentage of child mortality and paediatric bed usage attributable to rare diseases in the Republic of Ireland, thus addressing a major gap in the rare disease field. Methods Retrospective analysis of paediatric death registration details for the Republic of Ireland in the 11-year period 2006–2016 from the National Paediatric Mortality Register. Data was subcategorised as Neonatal (0–28 days), Post Neonatal (29 days < 1 year) and older (1–14 years). Bed usage data (ICD-10 code, narrative and usage) of paediatric inpatients who died during hospitalisation from January 2015 to December 2016 was extracted from the National Quality Assurance Improvement System of in-patient data. Orphacodes were assigned to rare disease cases from ICD-10 codes or diagnostic narrative of both datasets. Results There were 4044 deaths registered from 2006–2016, aged < 15 years, of these 2368 (58.6%) had an underlying rare disease. Stratifying by age group; 55.6% (1140/2050) of neonatal deaths had a rare disease, 57.8% (450/778) post-neonatal, and 64% (778/1216) of children aged 1–14 years. Mortality coding using ICD-10 codes identified 42% of rare disease cases with the remainder identified using death certificate narrative records. Rare disease patients occupied 87% of bed days used by children < 15 years who died during hospitalisation from January 2015 to December 2016. Conclusion Additional routine rare disease coding is necessary to identify rare diseases within Irish healthcare systems to enable better healthcare planning. Rare disease patients are overrepresented in paediatric mortality statistics and in-patient length of stay during hospital admission prior to death.

scholarly journals Quality of Root Canal Fillings in a Bosnian Adult Population Treated in Public and Private Dental Clinics / Kvalitet Punjenja Kanala Korena Kod Odraslog Stanovništva U Bosni I Hercegovini Lecenih U Državnim I Privatnim Stomatološkim Klinikama

2016 ◽  
Vol 17 (1) ◽  
pp. 43-47
Author(s):  
Dajana Nogo-Zivanovic ◽  
Ljiljana Kulic ◽  
Irena Tanaskovic ◽  
Vladimir Ristic ◽  
Tatjana Kanjevac
Keyword(s):  
Root Canal ◽  
Adult Population ◽  
Endodontic Treatment ◽  
Technical Quality ◽  
Public And Private ◽  
Intensive Training ◽  
Dental Clinics ◽  
The Republic ◽  
First Time

Abstract The aim of this study is to examine the technical quality of root canal fillings in an adult population in the Republic of Srpska, Bosnia and Herzegovina, who were treated in public dental institutions and private dental clinics. Radiographs of faculty patients, aged 25-60 years old, who came for the first time were examined for the technical quality of root canal fillings. Patients with endodonticallytreated teeth were invited for an interview to reveal the providers of the endodontic treatment. The percentages of teeth with adequate length (p<0.01) and taper (p<0.01) in institutions of public health cases were significantly greater than those in private clinic cases. In addition, the frequency of teeth with adequate root canal fillings in patients treated in public dental institutions was significantly greater than those treated in private dental clinics (p<0.01). A significantly higher percentage of adequate canal fillings is present in teeth where endodontic treatment was performed in public dental institutions compared to private dental clinics. This result indicates the need to improve the quality of endodontic treatment through more intensive training for dentists in private practice.

QUALITY OF LIFE OF PATIENTS WITH THE LOWER EXTREMITIES VARICOSE VEINS

2020 ◽  
pp. 16-26
Author(s):  
V. N. Nikolenko ◽  
I. A. Vinokurov ◽  
S. N. Odinokova ◽  
G. V. Mnatsakanyan ◽  
R. Kh. Belkharoeva
Keyword(s):  
Quality Of Life ◽  
Varicose Veins ◽  
Lower Extremities

Quality assessment of Locata positioning system

2020 ◽  
Vol 14 (1) ◽  
pp. 95-112
Author(s):  
Igor Grgac ◽  
Rinaldo Paar
Keyword(s):  
Vertical Direction ◽  
Future Research ◽  
Phase Measurements ◽  
Augmented Reality System ◽  
Accuracy And Precision ◽  
Lower Accuracy ◽  
The Republic ◽  
High Level ◽  
First Time

AbstractGNSS has limitations or cannot be applied in specific environments with poor geometry like city streets, tunnels, bridges, quarries, mines, ports or in indoor environment in general. In 2003 Locata Corporation from Australia began with the development of a new, completely independent technology called Locata, which was designed to overcome the limitations of GNSS. Within the project “Wearable Outdoor Augmented Reality System for the Enrichment of Touristic Content” Locata system was implemented for the first time in the Republic of Croatia. The quality of the established LocataNet network and the quality of the Locata positioning are presented in this paper as the basis for future research of possibilities to use Locata in displacement measurement. Achieved positioning precision is in a range of few mm in the horizontal direction and up to a couple of cm in the vertical direction. Although high level of precision is achieved, the accuracy, i. e. the errors of positioning solutions are up to several cm. Among other things, the research presented in this paper is focused on the reasons for achieved lower accuracy that probably have their roots in the instability of the LocataLite transmitting antennas in the established LocataNet. They namely affect the estimated float ambiguities of carrier phase measurements. Potential of relative positioning is another topic of this research, because it could allow the fixing of ambiguities to integer values and result in increase of accuracy and precision of positioning.

scholarly journals Comparison of results of treatment varicose vein disease using a method of endovenous laser oblitetation with radial light guide and combined phlebectomy

2017 ◽  
Vol 16 (1) ◽  
pp. 16-20
Author(s):  
A. N. Galileeva ◽  
M. A. Parikov ◽  
V. B. Karpovich ◽  
A. A. Kotslova ◽  
V. V. Davydenko
Keyword(s):  
Quality Of Life ◽  
Varicose Vein ◽  
Varicose Veins ◽  
Lower Extremities ◽  
Term Efficacy ◽  
Results Of Treatment ◽  
Radial Fiber ◽  
Vein Disease

We compare the short- and long-term efficacy of endovenous laser oblitetation (EVLO) using a radial fiber with radial emission versus combined phlebectomy for the surgical treatment of varicose vein disease of the lower extremities. Participated 58 patients (46 females, 12 males) with ages ranging between 24 and 75 years with varicose vein disease of the lower extremities affecting the great saphenous vein (GSV) were prospectively enrolled in this observational trial. Patients were randomized to receive either combined phlebectomy - first group - 29 patients (33 extremities) or endovenous laser obliteration using a radial fiber-second group - 29 patients (36 extremities). A total of 69 extremities with functional classes C2 - 28 (40.58 %) cases, C3 - 30 (43.48 %) cases and C4 - 11 (15.94 %) cases according to CEAP classification were treated. Post-treatment CIVIQ-2 Questionnaire and VCSS scale, physical examination, duplex angioscan was conducted at 1st day, 1 week, 12 and 36 months later. The frequency of recurrence was assessed at one and three years after the surgery. 2nd group is characterized by higher quality of life in postoperative period. 100 % ablation in group with EVLO and 93.1 % - with combined phlebectomy. The frequency of recurrence presenting with new visible varicose veins was noted through 3 year in 8 patients (9 extremities) (34 %) from first group and in 4 patients (6 extremities) (21 %) from the second of 80 % examined patients. Endovenous laser obliteration has significant advantages in short-term efficacy: lower post-procedure pain, quicker rehabilitation period, possibility to carry out in outpatient settings, higher quality of life in long-term efficacy, lower frequency of recurrence.

scholarly journals Comparison of indicators of mental disorders among army conscripts and 18–19 year old men in the Republic of Belarus in 2003–2015

2020 ◽  
pp. 44-54
Author(s):  
D. A. Chernov ◽  
V. I. Evdokimov
Keyword(s):  
Mental Disorders ◽  
Incidence Rate ◽  
Behavior Disorders ◽  
Somatoform Disorders ◽  
Armed Forces ◽  
Incidence Rates ◽  
Icd 10 ◽  
The Republic ◽  
Old Men ◽  
And Behavior

Relevance. The mental health status of military personnel is an important factor in the combat readiness and combativity of the armies of the countries of the world. Intention. Analysis of the mental disorders among army conscripts and 18–19 year old men in Republic of Belarus in 2003–2015.Methodology. We studied the indicators of the general and primary morbidity of the personnel of the Armed Forces of the Republic of Belarus based on 3/MED reports from military units, where about 80% of the total number of conscripts served. The indicators of mental disorders in the population of Belarus are obtained from «1-psychiatry» and «1-narcology» state statistical forms (Ministry of Health). The incidence rate was determined per 1000 people.The indicators of mental health disorders were classified according to the groups (blocks) of Class V «Mental and behavioral disorders» of the International Classification of Diseases and Behavioral Disorders, 10th revision (ICD-10).Results and Discussion. The conducted medical and statistical studies showed that average annual levels of the general and primary morbidity among the conscripts with mental disorders in the Armed Forces in 2003–2015 were statistically significantly lower compared to 18–19 year old civilians in the Republic of Belarus. The overall incidence rates of mental disorders were (34.05 ± 1.05) and (111.98 ± 4.58)‰ (p < 0.001), the primary incidence rates were (17.26 ± 1.02) and (28.51 ± 1.26)‰, respectively (p < 0.001). Polynomial trends in the general and primary morbidity among military conscripts with mental disorders with different determination coefficients showed a decrease and among 18–19 year old men – an increase. In the structure of the studied medical and statistical types of mental morbidity among military conscripts from the Armed Forces of the Republic of Belarus, neurotic, stress-related, and somatoform disorders (group 5, F40–F48 according to ICD-10) and personality and behavior disorders in adulthood (7th group, F60–F69) were most common. Their total contributions were 85.4 and 78.5%, respectively, for the structure of the general incidence rate and the primary incidence rate. In military conscripts in 2003–2015, there was a decrease in the level and percentage of neurotic, associated with stress, and somatoform disorders in the overall structure of incidence of mental disorders. In the structure of the analyzed medical and statistical types of mental disorders among 18–19 year old men in the Republic of Belarus, mental and behavior disorders associated with the use of psychoactive substances (2nd group, F10–F19) and mental retardation (8th group, F70–F79) were most common. Their total contributions to the structure of the overall and primary incidence were 69.7 and 74.9%, respectively. Unfortunately, these mental disorders among 18–19 year old men in the Republic of Belarus in 2003–2015 tended to increase.Conclusion. The existing system of military medical examination of draftees, professional selection, along with distribution of personnel according to military registration specialties based on personal characteristics, professional preparedness and functional reserves of the organism, as well as medical support in the Armed Forces of the Republic of Belarus help to optimize the military professional adaptation of military conscripts and psycho-prevention of mental disorders.

scholarly journals Assessment of health and economic benefits of walking in the Republic of North Macedonia using Health Economic Assessment Tool (HEAT)

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Jansun Bukovetz ◽  
Kristina Shuntova ◽  
Igor Spiroski ◽  
Shaban Memeti
Keyword(s):  
Assessment Tool ◽  
Economic Value ◽  
Health Benefits ◽  
Population Group ◽  
Economic Assessment ◽  
Economic Benefits ◽  
Total Economic Value ◽  
The Republic ◽  
First Time

Walking as a form of physical activity has immense health benefits, but it also has economic benefits. Walking is a very efficient activity that prevents certain diseases and enables better quality of life of people who already have some disease.A considerable contribution of walking is detected in cardiovascular diseases, type 2 diabetes, obesity and chronic pulmonary diseases.The aim of this study was to make a health and economic assessment of the benefits of walking in the Republic of North Macedonia by using the Health and Economic Assessment Tool (HEAT).Materials and methods:Health Economic Assessment Tool is a relatively new tool, developed by WHO experts whose expertise is in the field of Public health and is able to calculate the health effects of regular walking and/or cycling. This study was based on using this tool for walking mode for the first time in the Republic of North Macedonia in a population group of 191 participants between the age of 20 to 73 years, with the average age of 35 years.Results:Besides the aforementioned health benefits, HEAT calculates the economic benefits of walking. The tool applied to 191 participants resulted in a total economic value of 108 808.8€ for one yearas well as reduction in mortality rate. Conclusion: We found that less than one fifth of our assessed population spends time in walking according to the WHO, CDC and AHA recommendations. The rest of them, more than four fifths are not following these recommendations. Our assessed population was relatively young, the average age being 35 years old, and the population was healthy, but still the results from this survey were not satisfying.

scholarly journals A Retrospective Review of the Contribution of Rare Diseases to Paediatric Mortality in Ireland

2020 ◽  
Author(s):  
Emer Anne Gunne ◽  
Cliona McGarvey ◽  
Karina Hamilton ◽  
Eileen Treacy ◽  
Deborah Lambert ◽  
...  
Keyword(s):  
Rare Disease ◽  
Rare Diseases ◽  
Healthcare Services ◽  
Incidence Rates ◽  
Hospital Death ◽  
Republic Of Ireland ◽  
Healthcare Planning ◽  
National Quality ◽  
Icd 10 ◽  
The Republic

Abstract Aims: To ascertain the number of paediatric deaths (0-14 years) with an underlying rare disease in the Republic of Ireland between the years 2006-2016, and to analyse bed usage by a paediatric cohort of rare disease inpatients prior to in-hospital death.Background: Rare diseases are often chronically debilitating and sometimes life-threatening diseases, with the majority (69.9%) of rare diseases being of paediatric onset. The Orphanet database contains information on 6172 unique rare diseases. Under-representation of rare diseases in hospital healthcare coding systems leads to a paucity of rare disease epidemiological data required for healthcare planning. Studies have cited variable incidence rates for rare disease, however the burden of rare diseases to healthcare services still remains unclear. This study represents a thorough effort to identify the percentage of child mortality and paediatric bed usage attributable to rare diseases in the Republic of Ireland, thus addressing a major gap in the rare disease field.Methods: Retrospective analysis of paediatric death registration details for the Republic of Ireland in the 11-year period 2006-2016 from the National Paediatric Mortality Register. Data was subcategorised as Neonatal (0-28 days), Post Neonatal (29 days < 1 year) and older (1-14 years). Bed usage data (ICD-10 code, narrative and usage) of paediatric inpatients who died during hospitalisation from January 2015 to December 2016 was extracted from the National Quality Assurance Intelligence System of in-patient data. Orphacodes were assigned to rare disease cases from ICD-10 codes or diagnostic narrative of both datasets.Results: There were 4044 deaths registered from 2006-2016, aged <15yrs, of these 2368 (58.6%) had an underlying rare disease. Stratifying by age group; 55.6% (1140/2050) of neonatal deaths had a rare disease, 57.8% (450/778) post-neonatal, and 64% (778/1216) of children aged 1-14 years. Mortality coding using ICD-10 codes identified 42% of rare disease cases with the remainder identified using death certificate narrative records. Rare disease patients occupied 87% of bed days used by children <15 years who died during hospitalisation from January 2015 to December 2016.Conclusion: Additional routine rare disease coding is necessary to identify rare diseases within Irish healthcare systems to enable better healthcare planning. Rare disease patients are overrepresented in paediatric mortality statistics and in-patient length of stay during hospital admission prior to death.

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