Osteopathic status of patients of different age groups with postural disorders

Author(s):  
N. N. Kalashnikova ◽  
A. V. Naumov ◽  
E. E. Naumova

Introduction. In recent years, there has been a signifi cant increase in number and severity of spinal pathologies among the adult population of the Russian Federation. From 80 to 100 % of the adult population experience pain of different intensity in different parts of the spine after sitting for a long time. Modern treatment of patients with postural disorders does not always lead to positive results. In some cases it even causes progression of the disease. As a general rule, the existing methods of treatment do not take into account the concept of the integrity of the human body, which is fundamental for osteopathic treatment.Goal of research - to determine the incidence of somatic dysfunctions in patients of different age groups with postural disorders and to develop recommendations in order to optimize osteopathic correction taking into account patients’ age and type of postural disorder.Materials and methods. The study of the osteopathic status of patients of 3 age groups from 6 to 16 years, from 17 to 26 years and from 27 to 55 years was performed. The type of postural disorder in accordance with Stoffel classifi cation rules was determined with the use of computer optical tomography. Results. The study shows the infl uence of traumatic injuries on the formation of various types of postural disorders as well as the structure of the osteopathic status depending on the age and types of postural disorders.Conclusion. The analysis of the medical history data allowed to assume that traumatic impact may induce formation of various types of postural disorders. Patients’ age infl uences the structure of the dominant somatic dysfunctions. The incidence of somatic dysfunctions depends on the type of postural disorder.

2019 ◽  
Vol 26 (3) ◽  
pp. 5-13
Author(s):  
S. P Mironov ◽  
N. A Es’kin ◽  
T. M Andreeva ◽  
E. V Ogryzko ◽  
E. A Shelepova

Purpose: to study the dynamics of traumatism, to analyze the injury structure as well as the structure of mortality from external causes in adult population of the Russian Federation. Material and methods. Injury mortality and injury morbidity in adults were analyzed on the basis of official statistical data for the period 2013-2017. Results. The decline of indices with preservation of gender differences as well as the differences in both the age groups and between the urban and rural population was noticed. Conclusion. Development of complex preventive regional program is necessary to the decrease of traumatism and its negative sequels.


2020 ◽  
Vol 9 (5-6) ◽  
pp. 779-786
Author(s):  
N. P. Galina ◽  
A. Ya. Mindlina ◽  
R. V. Polibin

Over the last years, incidence of vaccine-preventable infections tended to increase both in Russia and multiple European countries due to diverse reasons, including loss of alertness in medical workers to ensure proper quality of immunization. Currently, vaccination is considered to be the most efficient means for preventing infectious diseases. However, vaccination efficacy is directly related to population coverage and proper timeframe for its application.Materials and methods. Diphtheria, tetanus, measles and hepatitis B vaccination coverage and timeframe were analyzed for population of Russia, Moscow as well as the three pediatric and adult out-patient hospitals.Results. It was found that compared to adults, pediatric subjects were vaccinated better. However, in case of 95% or higher coverage against all infections, shortcomings in vaccination timeframe were uncovered. In 2017, despite pediatric subjects should be vaccinated against diphtheria and tetanus at the age of 3-to-6 months, coverage was as low as 46.9% in Russia, 48.7% in Moscow that ranged in some polyclinics from 21.8% in 2012 down to 1.7% in 2017. Moreover, this situation was even more unfavorable in case of revaccination program. In particular, it was found that at the age of 18 months only 50, 54, and 49–55% underwent revaccination in the Russia, Moscow 54%, and some out-patient hospitals, whereas at the age of 7–14 years in Russia there were revaccinated up to 97% population. Likewise, at the age of 6 months there were covered with vaccination against hepatitis B as few as 49% population in Russia and Moscow, whereas more than 90% coverage was achieved only at the age of 1 year. Immunization coverage reaching more than 85% of adult population against hepatitis B is superior to diphtheria and tetanus. Immunization coverage against measles in Russia at all age groups was over 90% population. Thus, it is necessary to optimize activities on adhering to vaccination timeframe, as decline in quality of vaccination inevitably leads to elevated incidence rate of vaccine-preventable infections. This and vaccination coverage might be adjusted by introducing a Preventive Vaccination Surveillance and Reporting Automated System in the Russian Federation.


2019 ◽  
Vol 60 (1) ◽  
pp. 23-27
Author(s):  
Nina S. Prilipko

The study was carried out to determine requirements of adult population of Russia in medical rehabilitation in hospital conditions depending on age groups. To determine requirements of country population in medical rehabilitation in hospital conditions the age-specific indicators derived from data massive from three territories were standardized on population and morbidity in Russia in 2010. The number of hospitalized patients being in need of medical rehabilitation in hospital conditions was determined as indicator characterizing requirements of population in medical rehabilitation in hospital conditions. The age-specific requirements of adult population in medical rehabilitation in hospital conditions was determined and analyzed on the basis of number of cases of annual hospitalization for medical rehabilitation in hospital conditions according main classes and particular diseases. The largest number ofpatients being in need of medical rehabilitation in hospital conditions goes to elder age groups 60-69 years (874.7 cases per 10 000 of population) and 70 years and older (1346.3 cases per 10 000 of population). The least number of this kind of patients goes to age group of 18-29 years (106.2 cases per 10 000 of population). The proposed calculated number of cases of hospitalization of adult population for medical rehabilitation in hospital conditions can be implemented by executive authorities of subjects of the Russian Federation in health care sector of any territory for determining requirements ofparticular region in medical rehabilitation with consideration for age structure of population.


2021 ◽  
Vol 2 (1) ◽  
pp. 5-10
Author(s):  
M. N. Bantyeva ◽  
E. M. Manoshkina ◽  
Yu. Yu. Melnikov

Improving organizational approaches of medical rehabilitation is one of the important directions in Russian healthcare system.Aim. To determine the age-specific rates of adult population requirements in outpatient medical rehabilitation in Russia.Material and methods. The article provides data on the estimated age-specific rates of population requirements in outpatient medical rehabilitation, determined by expected attendance of a rehabilitation physician by classes of diseases and individual diseases according to the ICD-10 codes. For the study, the adult population was divided into 6 age groups (18-29, 30-39, 40-49, 50-59, 60-69 and 70 and older). Medical experts, taking into account the stage of the disease and the severity of the patient’s condition, have developed indications for outpatient medical rehabilitation immediately after the treatment of acute conditions, exacerbation of chronic diseases, the consequences of injuries and operations. And also the type of rehabilitation (inpatient or outpatient) was determined. Taking into account these indications, competent experts decided on the need and duration of further medical rehabilitation of patients after hospitalization.Results. The age-specific rates of population requirements in outpatient medical rehabilitation were determined and analyzed. The number of visits to a rehabilitation physician was calculated according to the main classes and some individual diseases. The largest number of persons in need of outpatient medical rehabilitation naturally falls on the older age groups 60-69 years (3917,5 visits per 1000 population) and 70 years and older (4716,9 visits per 1000 population), while the smallest — the patients 18-29 years old (832,2 visits per 1000 population). This is due to the fact that in older age groups the number of diseases requiring outpatient medical rehabilitation both in inpatient and outpatient settings is increasing. In other age groups, the need for medical rehabilitation per 1000 population was as follows: 985,6 visits per year in the 30-39 age group; 1672,0 — in the 40-49 age group; 2713,1 — in the 50-59 age group.Conclusion. Based on the data obtained, the healthcare executive authorities in the subjects of the Russian Federation can calculate the population requirements in outpatient medical rehabilitation in region, taking into account age composition and the estimated number of visits to a rehabilitation physician by the adult population.


Author(s):  
V. A. Kovalev ◽  
N. N. Filatov ◽  
M. N. Loktionova ◽  
T. G. Frolovskaya ◽  
A. V. Linok ◽  
...  

Aim. Norovirus infection (NVI) epidemiological characteristics evaluation in Moscow at municipal and district levels. Materials and methods. A retrospective analysis of NVI incidence rate was conducted according to the 2009 - 2016 state statistical reporting forms data. Results. In 2009 - 2016 NVI incidence rate has a trend to increase in Moscow, either at municipal and district levels. NVI cases were registered among children mostly (78% in the SEAD of Moscow, 80% in Moscow and 81% in Russia), at the same time adults proportion of NVI incidence rate increased significantly (up to 42,7% in Moscow and 13,9% in the Russian Federation) by 2016. The morbidity dynamics in different child population age groups was effected by the outbreaks cases. Totally in 2011 - 2016 33 outbreaks were registered in Moscow (24,3% from all acute diarrheal infection outbreaks in Moscow for the same period), where 64,3% with nonpercutaneous channel of infection and 35,7% alimentary. Outbreaks were more often recorded in children’s organized collectivity (69,7%). Conclusion. Nowadays in Moscow there is an NVI incidence increase trend is evidenced, with an increase of the adult population proportion in morbidity structure. At this stage, main contribution to group morbidity was made by children 7 - 14 and 15 - 17 years old. One of the reasons for the NVI incidence rate growth in Moscow (2016) could possibly be the lack of effective prevention measures. Actually, specific NVI diagnostics provided only in outbreaks, due to the lack of routine diagnostic tools. The main reason for the NVI group morbidity effective disease area formation is still sanitary and anti-epidemic regime violation at sites and facilities.


2021 ◽  
Vol 8 (5) ◽  
pp. 296-303
Author(s):  
V. V. Semerikov ◽  
N. V. Yuminova ◽  
N. O. Postanogova ◽  
L. V. Sofronova

The aim. The article highlights the current state of the problem of mumps in the world and the Russian Federation.Materials and methods. The materials of the study were electronic resources WHO infection control, Cohrane, Elsevier, ScienceDirect, CDC infection diseases database, PubMed, eLibrary, CyberLeninka. The research methods were the analysis and generalization of scientific literature. The assessment is presented by the immunological structure of the population in different age groups to mumps (n = 593) in the study area (2018) according to the data of the Center for Hygiene and Epidemiology in the Perm Territory.Results. The spread of mumps is found to be widespread and uneven in different regions of the world in the form of sporadic cases and large epidemic outbreaks, despite the world practice of vaccine prevention of mumps. Analysis of the immunological structure to mumps in different age groups revealed a fairly high number of seronegative individuals (the largest number was found among adults aged 20–39 years) in the study area (2018). A decrease in the tension of post-vaccination immunity is the main cause for the emergence of an outbreak among the adult population, in addition to vaccination failures among vaccinated children. The immune defenses created by the vaccine strain do not have the same intensity and duration as with natural infection, and some genotypes of “wild” variants of the mumps virus can break through the immune barrier and cause disease. Antigenic differences between vaccine and circulating strains, low inoculation dose can weaken immunity and reduce the effectiveness of mass vaccine prevention.Conclusion. Ways of solving the problem were proposed to forestall an unfavorable epidemic situation with mumps.


2020 ◽  
Vol 5 (6) ◽  
pp. 257-261
Author(s):  
Yu. O. Slynko ◽  

The presence of dentition defects and the choice of modern methods of restoring their integrity remains a topical issue in domestic and foreign dentistry. On the other hand, much attention is paid to imaging methods for examination of secondary defects of teeth, dentition, which are widely used to clarify the diagnosis, determine the plan and prognosis of treatment. The purpose of our research was to continue the study of the structural characteristics of small defects of the dentition in adults of Kharkiv based on the results of the analysis of X-ray examination. Material and methods. Orthopantomograms of 1269 patients (aged from 18 to 84 years) were analyzed, and X-rays were performed on a fifth-generation Dental Computed Tomography Vereviewepocs 3D R100 (Morita, Japan) between May 2017 and May 2019. The primary material was divided into 12 age groups according to the age of the patients, taking into account the WHO recommendation (1988). The analysis of the structure of small dentition defects in Kharkiv residents was carried out depending on such characteristics of dentition defects as the presence of included (limited) defects or final (unlimited) defects and their simultaneous presence in the patient. Results and discussion. The analysis of orthopantomograms of 1269 people revealed that the number of final small defects of the dentition was 4.29 times less with such limited defects (respectively 18.88% and 81.12%, p <0.05). On the basis of gender, statistical significance in the distribution between limited and unrestricted small dentition defects was generally not found (p> 0.05), but in the vast majority of cases, women who had these variants of defects were still more than men. We also noted that if the prevalence of included small defects of dentition became maximum at the age of 35 to 39 years, the final defects reached such a level only in old age, which may be associated with an increase in the number of teeth that are already contraindicated for conservative endodontic treatment and they were subject to removal. The results of this study coincided with the general trends in the development and structure of small defects of the dentition in the population of different regions of Ukraine. Conclusion. The obtained data can be a theoretical basis for the organization of orthopedic care and the choice of adequate to modern requirements methods of treatment of dental patients, especially young people, with the presence of small defects of the dentition


2016 ◽  
Vol 15 (4) ◽  
pp. 4-12 ◽  
Author(s):  
L. S. Karpova ◽  
N. M. Popovtseva ◽  
T. P. Stolyarova ◽  
K. A. Stolyarov ◽  
A. A. Sominina ◽  
...  

Goal of the work - comparison of the epidemic process in the epidemic of 2016 and during the 2009 pandemic in the cities of Russia. Comparative data of the incidence of influenza and acute respiratory viral infections, hospitalization and mortality in different age groups of children (0 - 2, 3 - 6 and 7 -14 years) and adults (15 - 64 and 65 years of age) from 59 cities collaborating with 2 National Centers for influenza to the WHO in Russia, for the period from the 2009 pandemic and epidemic 2016. For the epidemic of 2016, as the 2009 pandemic was characterized by mono etiology (influenza virus A(H1N1)pdm09, the simultaneous occurrence of the peak of the epidemic in all age groups, the same percentage admitted to hospital with a diagnosis of "influenza"; involvement of the adult population and school children in the cities. The epidemic of 2016 was different: less involvement of children up to 6 years, higher development rate, the spread on the territory of Russia - from the West to the East, shorter duration of the epidemic in the country (12 and 17 weeks) and in the cities by population average (4.6 and 6.8 weeks), less morbidity for the period of the epidemic in cities (5.4 and 8.5%) and the country (9.6 and 14.4%), greater frequency of hospitalization but lower mortality from influenza in an average of 1.7 times.


Author(s):  
Yu. E. Moskalenko ◽  
T. I. Kravchenko ◽  
Yu. V. Novozhilova

Introduction. Slow fl uctuations in the volume and pressure of liquids in the cranial cavity have been known for a long time and have been studied for more than 100 years. However, their quantitative indicators and their practical signifi cance remain unclear until now due to the diffi culties of research. Nevertheless, it was found that they were connected with the brain activity, which made it possible to use them as one of the physiological indicators in studying the problems of manned space fl ights. Goal of research — to study the possibility of using spectral analysis of slow fl uctuations of the volume of liquids inside the cranium in order to realize the quantitative assessment of their indicators with the use of modern microelectronics and computer technology.Materials and methods. In order to solve this problem we created a complex, in which rheoencephalograph-RG-01 («Mizar») was used as a converter-modulator of physiological signals into electrical oscillations. The device was connected with the ADC (Firm «ADIstrument»), Its software allows to calculate the spectrogram with a sampling rate of 128 kHz. Studies were conducted on volunteers of younger, middle and older age groups. The respiratory rate and the electrocardiography were registered together with the rheoencephalography. Electrodes were fi xed on the volonteers′ fronto-mastoid area.Results. Slow fl uctuations the cranium representan independent physiological phenomenon. The most considerable and valuable were fl uctuations in 0,1–0,3 Hz. It was found that current frequency of 100 or 200 kHz and frequency for quantization of 80–100 kHz was optimal for performing their spectrograms. The structure of such diagram consists of 4–7 peaks with amplitude of 0,4–0,7 units compared with REG pulse amplitude. They depend on age and are characterized by hemispheric asymmetry. Spectral diagrams of slow fl ucation inside cranium are representing inpendent physiological phenomenon. These fl uctuations are not connected by common origin, with heart activity and respiration. They are connected by nature with brain activity and PRM.Conclusion. Can be an informative method for diagnostic and assessment of general status of osteopathic patients well as for the assessment of mechanisms of action of some osteopathic techniques.


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