scholarly journals Medical and Social Problems of the Health State of Children in a Crisis Life Situation in Kyrgyzstan

2021 ◽  
Vol 7 (7) ◽  
pp. 157-163
Author(s):  
T. Abdullaev ◽  
N. Siezdbekova ◽  
A. Aralbaeva

This work is devoted to the study of medical and social problems of the health status of children in a crisis life situation. The results of the study of children in the age structure and gender structure have been determined. Shown are medical and social problems that affect the incidence, physical and neuropsychic development of children.

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Zahra Azizi ◽  
Valeria Raparelli ◽  
Colleen M Norris ◽  
Khaled El Emam ◽  
Louise Pilote ◽  
...  

Background: Stroke is one of the most common cerebrovascular diseases causing permanent disability, and decreased quality of life (QoL). Both sex and gender have been reported to be associated with health outcomes. Gender, unlike biological sex, encompasses the psycho-socio-cultural roles, behaviors and identities of men, women, and gender-diverse people. Hypothesis: To examine the association between sociocultural gender, biological sex and health status among stroke survivors in the Canadian population. Methods: Data from cycles 2013-2014 and 2015-16 (n=237,121) of the Canadian Community Health Survey (CCHS) were analyzed. The primary endpoint of the study was Health Utility Index (HUI), a measure of health status and QoL. This index measures a range of health domains (i.e. vision, hearing, speech, ambulation, dexterity, emotion, cognition, and pain) and ranges between -0.36 (severe health state) to 1 (perfect health state). A gender score was computed based on the Genesis-Praxy method, using a principal component analysis-derived propensity score method. The final gender scores ranging from 0 to 1 (higher score identifying characteristics traditionally ascribed to women) included household size, perceived life stress, education, sense of belonging to community, marital status, and income. All statistical analyses were performed using R (V.4.0.2) with survey design. Results: Amongst 3,773 (1.1%) stroke survivors in two cycles, 47.8% were female and a majority were older than 50 years (85.3%). Overall, 76.4% of the stroke survivors had moderate to severe HUI (<=0.88), however, this rate was higher in females (82.5% vs 70.2%, P<0.001). Median gender score was 0.49 [0.46-0.55]. Higher gender scores (OR=12.5, 95%CI=1.4-116.2, P=0.02) and female sex (OR=1.8, 95%CI=1.2-2.8, P=0.002) were independently associated with moderately to severely diminished health status (HUI) in a model adjusted for age, and comorbidities (i.e. hypertension, diabetes, heart disease, and history of cancer). Conclusion: Characteristics traditionally ascribed to women’s gender and female sex were associated with poorer health status in stroke survivors. Gender-related factors must be targeted for improving the health status of patients suffering from stroke.


2007 ◽  
Vol 17 (S4) ◽  
pp. 44-53 ◽  
Author(s):  
Andrew M. Atz ◽  
Meryl S. Cohen ◽  
Lynn A. Sleeper ◽  
Brian W. McCrindle ◽  
Minmin Lu ◽  
...  

AbstractBackgroundChildren born with heterotaxy syndromes have poorer outcomes compared with children born with comparable cardiac lesions requiring similar surgical palliation. Heterotaxy has been reported as a separate risk factor for mortality and increased morbidity in a series of Fontan operations reported from single centres. Little is known, however, about the functional state of surviving patients with heterotaxy following a Fontan operation.MethodsIn the multicentric cross-sectional study carried out by the Pediatric Heart Network of 546 survivors of the Fontan procedure, the patients, aged from 6 to 18 years, underwent evaluation by echocardiography, exercise testing, electrocardiography, magnetic resonance imaging, and functional health status questionnaires compiled by the patients and their parents. Heterotaxy was identified in 42 patients (8%). Medical and patient characteristics were compared between those with heterotaxy and the remaining 504 patients who did not have heterotaxy.ResultsPatients with heterotaxy had their Fontan procedure performed at a later age, with a median of 3.9 years versus 2.8 years (p = 0.001) and had volume-unloading surgery performed later, at a median age of 1.4 versus 0.9 years (p = 0.008). These patients had significantly different ventricular and atrioventricular valvar morphology, as well as a higher incidence of systemic and pulmonary venous abnormalities. They had a higher incidence of prior surgery to the pulmonary veins, at 21 versus 0.4%. The type of Fontan procedure was different, but no difference was detected in length of stay in hospital, or the number of postoperative complications. Sinus rhythm was less common, at 44 versus 71%, (p = 0.002), and history of atrial arrhythmias more common, at 19 versus 8%, (p = 0.018) in those with heterotaxy. Echocardiography revealed a greater degree atrioventricular valvar regurgitation, lower indexed stroke volume, and greater Tei index. Exercise performance, levels of brain natriuretic peptide in the serum, and summary and domain scores from health status questionnaires, were not different from those not having heterotaxy.ConclusionsThe study illustrates a profile of characteristics, medical history, functional health state, and markers of ventricular performance in patients with heterotaxy after the Fontan procedure. Despite obvious anatomic differences, and some differences in echocardiography and heart rhythm, there were no important differences in exercise performance or functional health state between these patients and other survivors of the Fontan procedure.


Author(s):  
О.А. Бадов

Важнейшим фактором, влияющим на состояние здоровья населения, является демографический. В связи с этим, исследование показателей естественного движения насе- ления, динамики численности и многих других являются основополагающими при определе- нии перспектив развития системы здравоохранения и многих других социальных объектов и услуг, так или иначе связанных с населением и поддержанием его здоровья на должном уров- не. Особый интерес представляют исследования динамики рождаемости и смертности за сравнительно большие промежутки времени, включающие в себя какие-либо события, так или иначе повлиявшие на рождаемость и смертность населения. В настоящей статье исследуется территориальная дифференциация рождаемости и смертности населения России в период 2005-2018 гг. Поскольку статья имеет полимасштаб- ный характер: демографические элементы рассматриваются по федеральным округам Рос- сии, ее регионам и, отдельно, по регионам Северо-Кавказского ФО. С целью возможности сопоставления регионов с различными географическо-социальными по- казателями (площадь, численность населения и т.д.) были применены относительные пока- затели (число рождений и смертей за год на 1000 жителей). Результатом исследований явилось выявление территориальной дифференциации основных демографических показателей населения России за 2005-2018 гг. и определение особенностей их влияния на состояние здоровья людей и структуру системы здравоохранения. The most important factor infl uencing the health status of the population is demographic factor. In this regard, the study of indicators of the vital movement of the population, population dynamics and many others are fundamental in determining the prospects for the development of the health care system and many other social facilities and services, one way or another related to the population and maintaining its health at the proper level. Of particular interest are studies of the dynamics of fertility and mortality over relatively long periods of time, including any events that somehow infl uenced the birth and mortality of the population. This article examines the territorial differentiation of the birth and death rates of the population of Russia in 2005-2018. Since the article is of a poly-scale nature, demographic elements are considered for the federal districts of Russia, its regions and, separately, for the regions of the North Caucasus Federal District. In order to be able to compare regions with different geographical and social indicators (area, population, etc.), relative indicators were used (the number of births and deaths per year per 1000 inhabitants). The result of the research was the identifi cation of territorial differentiation of the main demographic indicators of the population of Russia for 2005-2018 and determining the characteristics of their impact on the health status of people and the structure of the health care system.


2013 ◽  
Vol 14 (4) ◽  
pp. 731-737 ◽  
Author(s):  
Reem Saleem Tubaishat ◽  
Zain A Malkawi ◽  
Zakereyya S Albashaireh

ABSTRACT Aim The aim of this study to determine the influence of smoking on self-reported oral health status among university students. Materials and methods Voluntary sample of 669 adults of 18 to 26 years old were invited to participate in the study. They were asked to read a self-designated questionnaire and a covering letter which explained the purpose of the study. The questionnaire addressed self-reported demographics, oral hygiene and smoking habits; knowledge about smoking and its effects on oral health. Data were statistically analyzed using Chi-square test to determine statistically significant differences across the oral health status. Results The sample included 340 (56.7%) males and 240 (43.3%) females; 56.8% of the subjects were nonsmokers; 43.2% were current smokers, and 17.5% smoke argileh. Almost 24.7% of subjects started smoking because of emotional effects; 66.9% did not smoke because of its harm to health. The percentage of subjects with dental plaque on their teeth was 27.1%, and with calculus was 27.9%, and with stains was 26.9%. About 35.5% of the subjects brushed their teeth once daily. Statistically, significant association was proven between smoking and gender (p < 0.01); and smoking and halitosis (p < 0.01). Conclusion Smoking is significantly related to esthetics, calculus, tooth stains, halitosis, gingival bleeding, and gender with p < 0.01, p < 0.01, p < 0.01, p < 0.01, p = 0.05, and p < 0.01 respectively. How to cite this article Tubaishat RS, Malkawi ZA, Albashaireh ZS. The Influence of Different Factors on the Oral Health Status of Smoking and Nonsmoking Adults. J Contemp Dent Pract 2013;14(4):731-737.


2019 ◽  
Author(s):  
Yaye He ◽  
Jiangong Wang ◽  
Liangyuan Zhao

Abstract Background: To assess the awareness regarding sports rehabilitation among residents of Taiyuan. Method: From September 27, 2018 to March 29, 2019, 1200 residents who met the inclusion/ criteria were selected using convenient sampling method. The population was surveyed by self-designed questionnaires, and single factor and two-category logistic regression analysis (stepwise forward method) was used to identify the factors influencing awareness of mass sports rehabilitation in Taiyuan. Results: A total of 1200 questionnaires were issued, of which 1167 were collected and 1101 were valid. The corresponding recovery and effective recovery rates were 97.25% and 94.34% respectively. The overall rate of awareness of exercise rehabilitation was 80.7%, and education level, occupation, income and health status were significant influencing factors (R<0.05). The results of two-class logistic regression analysis showed that age, occupation, education level, income level and health status were the influencing factors affecting the public's perception of the sports rehabilitation concept (R<0.05), whereas gender, occupation, education level and health status influenced understanding of the establishment of the rehabilitation department in Taiyuan (R<0.05), and gender, age, education level and health status affected understanding of the types of patients receiving rehabilitation (R<0.05). Conclusion: There is a high general awareness regarding sports rehabilitation, and is influenced by various socio-economic factors.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N Lemonjava ◽  
K Antia ◽  
M Lobjanidze ◽  
T Lobjanidze

Abstract Background A number of refugees and asylum seekers have increased dramatically in recent years. More than 250 million people worldwide are considered as refugees (United Nations High Commission for Refugees, 2018), among whom more than 50% are children. General health and especially psychological health of the refugee and asylum seeking children are an emerging, however, not well explored issues. In this study, we aimed to review the literature on the psychological health of refugee children. Methods We performed a literature search and descriptive analysis of studies published until July 2019, through MEDLINE and Science Direct databases. We identified literature on psychological health state of refugee and asylum seeking children. We analysed results of 16 studies. Results The study found that refugee children are facing severe psychological health issues, such as Post-traumatic stress disorder (PTSD), depression, anxiety, sleep disorders, behavioural problems. We identified 3 phases of psychological trauma and stress among refugee children: stress due to conflict in their home countries, stress during migration, and upon the arrival to host country. Our analysis reviled integration difficulties such as racism and bulling as important stress factors for the refugee children. Studies found that prevalence of PTSD is more than 54% among refugee children residing in Norway, significantly higher than in reference population. The studies identified the need of regular mental health assessment and preventive care, psychological counselling services for the refugee children. All included studies showed significantly higher stress among refugee children when compared to local children in host countries. Conclusions Rehabilitation services and follow-up supportive programs should be implemented to improve the mental health status of refugee children; these interventions will also contribute to their better integration. Key messages Screening and regular monitoring provided by host countries healthcare system is crucial to identify high risk children. More research is needed to better investigate the psychological health state and needs of refugee children.


1991 ◽  
Vol 21 (2) ◽  
pp. 505-513 ◽  
Author(s):  
Christa Zimmermann-Tansella ◽  
Stefano Donini ◽  
Marcello Lattanzi ◽  
Orazio Siciliani ◽  
Cesare Turrina ◽  
...  

SYNOPSISThe main aim of this study was to construct logistic models of emotional distress (defined as a GHQ-30 score of 6 or greater) in a community sample of 226 men and 225 women. The independent variables included were: sociodemographic characteristics, physical health status, social problems and undesirable life events. Univariate comparisons showed that in both sexes undesirable life events and social problems were associated with emotional distress; in men the presence of physical symptoms and widowed, separated or divorced status also showed such an association. Separate logistic regression models for men and women confirmed the importance of undesirable life events and social problems as predictors for emotional distress. In women there was also a significant interaction effect between the two variables on emotional distress. Sociodemographic characteristics and physical health status did not exert a statistically significant effect in these models.


2013 ◽  
Vol 68 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Flora I Matheson ◽  
Katherine L W Smith ◽  
Rahim Moineddin ◽  
James R Dunn ◽  
Richard H Glazier

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