Análise da Taxa de Mortalidade geral no estado Paraná, 2014 a 2018/ Analysis of the general mortality rate In the State of Paraná, 2014 To 2018

2021 ◽  
Vol 7 (7) ◽  
pp. 75426-75437
Author(s):  
Mariane Catarina Tavares Salton ◽  
Letícia Bugoni Daneluz ◽  
Geisa dos Santos Luz
Pathogens ◽  
2021 ◽  
Vol 10 (5) ◽  
pp. 520
Author(s):  
Roberto Cárcamo-Calvo ◽  
Carlos Muñoz ◽  
Javier Buesa ◽  
Jesús Rodríguez-Díaz ◽  
Roberto Gozalbo-Rovira

Rotavirus is the leading cause of severe acute childhood gastroenteritis, responsible for more than 128,500 deaths per year, mainly in low-income countries. Although the mortality rate has dropped significantly since the introduction of the first vaccines around 2006, an estimated 83,158 deaths are still preventable. The two main vaccines currently deployed, Rotarix and RotaTeq, both live oral vaccines, have been shown to be less effective in developing countries. In addition, they have been associated with a slight risk of intussusception, and the need for cold chain maintenance limits the accessibility of these vaccines to certain areas, leaving 65% of children worldwide unvaccinated and therefore unprotected. Against this backdrop, here we review the main vaccines under development and the state of the art on potential alternatives.


PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 891-891
Author(s):  
Arnold S. Goldstein ◽  
Henry H. Mangurten

The article by Froehlich and Fujikura1 on the prognosis of single umbilical artery is a much needed and highly informative addition to the literature. It presents a great deal of information and some important implications as to future management. We question the mortality rates quoted. They are given as percentages, and include stillbirths and neonatal deaths, i.e., perinatal mortality. The figure given as the general mortality rate is 3.8% or 38 per 1,000 births. Previous figures cited for perinatal mortality in the United States have varied from approximately 19 per 1,000 to approximately 26 per 1,000.2-4 We wonder how the figure of 38 per 1,000 was determined.


2021 ◽  
Vol 21 (4) ◽  
pp. 797-803
Author(s):  
Andres Joaquin Guarnizo Chávez ◽  
Nathaly Alejandra Romero Heredia

Introduction: Adolescent suicide is a public health problem that has been neglected due to the pandemic and confinement. Objective: To describe the characteristics of adolescent suicide, during the period of confinement due to pandemic in the year 2020 in Ecuador. Method: An observational, descriptive, cross-sectional, retrospective study was carried out, with the information from the database of violent deaths of the Ministry of Government, from March 17 to September 13, which lasted through the state of emergency. The analysis was carried out by province, sex, age, suicide method and frequency in days after the event occurred. The suicide mortality rate (per 100,000 inhabitants) was estimated for each province. Results: During confinement due to a state of emergency in 2020 in Ecuador, 97 suicides were registered among adolescents between 10 and 19 years of age. The highest number was estimated in males between 15 and 19 years of age, with the most frequent age being 19. The most frequent day of removal of corpses was on Mondays, and the preferred mode of suicide was by hanging with 81 reported cases. followed by intoxication and poisoning. Conclusions: No increases were found in the suicide mortality rate during the state of emergency in 2020. However, it must be considered that the context of COVID-19 has increased the burden of psychological suffering, which may lead adolescents to think about suicide.


Author(s):  
Hanna Svydlo ◽  
◽  
Iryna Sierova ◽  

Due to the difficult socio-economic situation and worsening of demographic situation, including the consequences of hostilities and ongoing occupation of the part of Ukraine, today the importance of population study and the research on the factors influencing its changes is increasing. During the study of demographic processes on the basis of a thorough analysis, strategic decisions relevant to the use and reproduction of the country's labour potential, stimulation of the birth rate, reduction of mortality, increase of natural population growth, prevention of depopulation processes, providing effective employment and improvement of social protection of the people are made. The demographic factor is one of the determinants for ensuring sustainable and safe development of the country, and the issue of demographic development should be considered as a factor and at the same time as a result of the functioning of the state. The main purpose of the study is to identify trends in the changes of the main indicators characterizing demographic processes in the country. Methodologically and informationally, this paper is based on the scientific works, the materials from reccurent publications and Internet, the laws and regula-tions and the data of the State Statistics Service of Ukraine and Ptoukha Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine. The methods used in the study are structural and dynamic analysis, comparison and generalization of the data collected by the State Statistics Service of Ukraine and Ptoukha Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine. During a study of a phenomenon or a process, first of all, the categorical apparatus is determined. Based on the purpose of the study, the concept of reproduction and natural movement of the population is defined and their theoretical description is given. This paper considers the reproduction of the population as the historically and socio-economically conditioned process of constant and continuous renewal of hu-man generations. Since the natural movement of the population is a process analysis of the birth and death of people, this paper considers such types of population reproduction as archetype, traditional type, transitional type and modern type. For the analysis of the natural movement of the population as a component of demographic safety, the following indicators were evaluated: average life expectancy at birth; depopulation rate; the overall mortality rate of the country's population; in-fant mortality (child mortality up to the age of 1); total birth rate; net reproduction rate; marriage rate; divorce rate. The findings of the analysis show that the main rea-son of the worsening of demographic situation is decrease in the birth rate and in-crease in the mortality rate. Currently, the birth rate in Ukraine is largely limited by both economic factors (insufficient wages, shortage of jobs) and social factors (changes in reproductive habits and norms expressed in the popularity of single-parent families). The analysis revealed socio-economic factors influencing the demo-graphic situation in Ukraine.


2006 ◽  
Vol 75 (4) ◽  
pp. 625-630 ◽  
Author(s):  
V. Večerek ◽  
V. Šímová ◽  
M. Malena ◽  
E. Voslářová ◽  
M. Malena

The aim of this study was to determine the general effect of calf diseases on the mortality rate in connection with a journey distance and, furthermore, to determine the tendency of development in this field. During the period of 1997 - 2004 inspectors of the State Veterinary Administration in the Czech Republic recorded the number of healthy calves transported for standard slaughter and numbers of calves that died in connection with this transport; furthermore, they recorded numbers of diseased calves transported for emergency slaughter and numbers of calves that died in connection with this transport. The calf mortality rate in connection with transport for standard slaughter and in connection with transport for emergency slaughter was 0.026% (29/113144) and 3.266% (2260/69207), respectively. The mortality rate during transport for emergency slaughter is considerably higher, an expression in the form of a ratio index is 127.4. The total number of calf deaths during transport for slaughter significantly increased (p < 0.01) due to calf diseases. The effect of the journey distance on calf mortality in connection with transport was manifested as follows: during transport up to 50 km the recorded mortality rate was 0.019% for standard slaughter and 3.029% for an emergency one. In case of a longer journey distance, up to 200 km, a higher mortality rate was detected, namely 0.110% for standard slaughter and 5.177% for an emergency one. Due to diseases the number of calf deaths during transport up to 50, 100 and 200 km significantly increased (p < 0.01). A long-term tendency concerning increase or decrease of calf disease effect on the mortality rate in calves during transport for slaughter depending on individual years of the period monitored was not proved. Calf disease significantly decreases calf welfare during their transport for slaughter and considerably increases number of calves that died in connection with transport for slaughter.


2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  

Background: Cerebral hemorrhage represents 10% to 15% of all strokes, with the worst prognosis and the highest rate of morbimortality. Objectives: To analyze the panorama of conservative treatment procedures for cerebral hemorrhage in the State of São Paulo and correlate it with the current epidemiology. Methods: observational, descriptive and cross-sectional collection of conservative treatment data for cerebral hemorrhage, available at DATASUS website, from January 2008 up to December 2020 - evaluating the number of hospitalizations, public spending, complexity, mortality rate, deaths, permanence and character of care. Results: 15,327 hospitalizations were observed for such procedures in this period, representing a total expenditure of R$ 30,258,539.39. 2008 was the year with the highest number of hospitalizations (1,373), and 2020 was the year with the greatest expenditure (R$ 3,008,526.38). 552 of the were elective and 14,606 were urgent, with 4,102 occurring in the public sector and 4,510 in private one. All 15,327 considered to be of medium complexity. The mortality rate was 29.68, corresponding to 4,549 deaths, 2009 was the year with the highest mortality, 33.33 and 2008 the lowest, 24.33. Mortality rate was lower in elective procedures (15.40 versus 30.48 in urgent ones) and when carried out in public sector (27.16 versus 30.07 in private care). The hospital stay was 11.0 days, with a cost of R$ 1,974.20. Conclusion: The conservative treatment of cerebral hemorrhage represents a procedure of medium complexity with a long period of hospital stay. Higher mortality was observed in emergency care and the private sector.


2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Juliana de Souza Rosa ◽  
Patrick de Abreu Cunha Lopes ◽  
Bárbara Tisse da Silva ◽  
Heloá Santos Faria da Silva ◽  
...  

Background: Polyradiculoneuritis is considered to be the biggest cause of flaccid paralysis in the world and even after the progression phase, some patients may present with disabling residual deficits, both sensory and motor. Objectives: Analyze the current panorama of treatment procedures for acute demyelinating polyradiculoneuritis performed in the State of São Paulo and correlate the current epidemiology with the results obtained. Methods: A literature review and an observational, descriptive and transversal data collect on treatment for acute demyelinating polyradiculoneuritis, available at DATASUS from January 2008 to December 2020, and articles available at Scielo and PubMed. Results: There were 7,917 hospitalizations, representing a total expenditure of R$ 9,392,552.04, 2009 being the year with the highest number of hospitalizations (809) and 2017 with the highest amount spent during the period (R$ 967,284.65). 805 are elective and 7,109 are urgent, with 1,736 occurring in the public sector and 3,506 in the private sector. All of them were considered medium complexity. The total mortality rate was 1.57, corresponding to 124 deaths, 2019 being the year with the highest mortality rate, 2.94, and 2015 with the lowest rate, 0.53. The mortality rate for elective procedures was 0.99 compared to 1.63 for urgent procedures, whereas in the public sector it was 1.61 compared to 1.23 for the private sector. The average total hospital stay was 8.3 days, with an average cost of R$ 1,186.38. Conclusion: It is important to correctly notify the procedures performed, improving the epidemiological analysis and directing investments in health more appropriately.


2021 ◽  
Author(s):  
Paulo Roberto Hernandes Júnior ◽  
Bruno Carvalho Brandão ◽  
Juliana de Souza Rosa ◽  
Heloá Santos Faria da Silva ◽  
Patrick de Abreu Cunha Lopes ◽  
...  

Background: Chronic subdural hematoma is a common type of intracranial hemorrhage with a greater predominance in the elderly. Objectives: To analyze the current panorama of surgical treatment procedures for chronic subdural hematoma performed in the State of São Paulo and to correlate the current epidemiology with the results obtained. Methods: A literature review and an observational, descriptive and transversal data collect on surgical treatment was carried out, available from January 2008 to December 2020 and articles available in Scielo, Lilacs and PubMed. Results: There were 15,148 hospitalizations for surgical procedures for the treatment of chronic subdural hematoma, representing a total expenditure of R$ 45,365,258.21, with 2018 being the year with the highest number of hospitalizations (1,418) and with the highest amount spent during the period (R$ 4,570,334.28). 678 of them were elective while 11,671 were urgent. 3,820 were carried out in public care and 4,317 in private one. All of them were considered medium complexity. Mortality rate was 9.20, corresponding to 1,393 deaths, with 2020 the year with the greatest mortality, 10.24, and 2013 with the lowest, 8.00. The mortality rate for elective procedures was 10.18 compared to 9.63 for urgent procedures, whereas in the public sector it was 8.09 compared to 9.73 for the private sector. The average total hospital stay was 8.7 days, with an average cost of R$ 2,994.80. Conclusion: There is a greater number of hospitalizations in the urgency and private sector and a higher mortality rate in elective procedures and in the private sector.


Author(s):  
S. S. Aleksanin ◽  
E. V. Bobrinev ◽  
V. I. Evdokimov ◽  
A. A. Kondashov ◽  
N. A. Mukhina ◽  
...  

Relevance. Russia has high mortality rates in general and among the working-age population, with dominating effects of external causes.Intention– To study rates and structures of the medical-statistical indicators of mortality due to diseases and the effects of external causes in the employees of the State Fire Service of the EMERCOM of Russia over 20 years from 1996 to 2015.Methods.Annual population under study averaged (108.8 ± 6.2) thousand people, or about 80% of all the employees of the State Fire Service of Russia who had special military ranks. Operating staff comprised 53.4%, other employees – 46.6%. Mortality rates were calculated per 100 thousand employees of the State Fire Service of Russia. Data on the mortality of working-age men in Russia was obtained on the website of the Federal Statistics Service of Russia (Rosstat) [http://www.gks.ru/]. The unification of accounting and analysis of indicators was achieved using the International Statistical Classification of Diseases and Related Health Problems, the 10th revision (ICD-10). Results and Discussion. Mortality rate among employees of the State Fire Service of the EMERCOM of Russia in 1996–2015 was (116.9 ± 5.7) deaths per 100 thousand employees per year vs 11 times higher mortality rate among the working-age male population of Russia: (1063.9 ± 33.7) deaths per 100 thousand men (p < 0.001). The mean age of the deceased employees of the State Fire Service of Russia was (44.5 ± 0.3) years, with overall mean age (36.9 ± 1.6) years (p < 0.001). The leading causes of death among employees of the State Fire Service of Russia (from more to less significant) were injuries and other effects of external causes (ICD-10 chapter XIX), diseases of the circulatory system (chapter IX) and neoplasms (II), diseases of the digestive system (XI) and diseases of the respiratory system (X). Mortality rates from these causes per 100 thousand employees per year amounted to (63.3 ± 33.7), (32.6 ± 2.7), (7.1 ± 0.6), (5.3 ± 1.0) and (5.0 ± 0.9) deaths; in cause-of-death structure – 54.2, 27.9, 6.0, 4.5 and 4.3%, respectively. The mortality rate from suicide among working-age Russian men was 6.4 times higher than that of firefighters – (66.0 ± 4.1) and (10.3 ± 1.1) deaths per 100 thousand men, respectively. However, in the overall cause-of-death structure, this cause accounted for a larger share in employ ees of the Russian State Fire Service (6.2 vs 8.8%). Statistically significant difference (p < 0.05) was found when comparing occupational fatalities among the operating personnel of the State Fire Service of Russia and working population in Russia: (14.9 ±1.4) deaths per 100 thousand employees per year vs (11.6 ± 0.7) deaths per 100 thousand workers per year. Mortality rates of firefighters were calculated in the Federal districts and regions of Russia. For a number of causes of death in firefighters, there is a significant contribution of occupational factors, which require further research.Conclusion.There is a low alertness for identifying neoplasms and crisis conditions in firefighters. Focusing on the leading diseases, behavioral disorders, prevention of injuries, poisoning and other effects of external causes will improve health and reduce mortality of employees of the State Fire Service of Russia.Authors declare the absence of existing and potential conflicts of interest concerning the article publication. 


SKETSA BISNIS ◽  
2020 ◽  
Vol 7 (2) ◽  
pp. 130-137
Author(s):  
Khoirul Huda

One of the objectives of the state being established is to protect life and advance the welfare of the nation, so the government is obliged to help fulfill the basic rights of society. The high mortality rate for mothers and newborns is not just a matter of fate, but something that is done by humans. The maternal and newborn mortality rate in Indonesia is the highest compared to other countries in ASEAN. In response to this, the Pasuruan Regency Government responded by making a policy in the form of the establishment of the Penakib Forum which has a vision to make Pasuruan district a safe, safe and pleasant place for every pregnant woman. and newborns. This forum consists of all cross-sectoral components, namely consisting of the health office, referral hospitals, puskesmas, village midwives, health cadres, and community organizations in Pasuruan Regency. This vision is in accordance with the regional medium-term development plan (RPJMD) for 2018 - 2023 which carries the vision "The realization of a Prosperous, Maslahat and competitive Pasuruan Regency". ______________________________________________________________________ Negara didirikan salah satu tujuannya adalah untuk melindungi  kehidupan dan memajukan kesejahteraan bangsa, maka pemerintah berkewajiban membantu memenuhi hak-hak dasar dasar masyarakat. Tingginya angka kematian ibu dan bayi baru lahir bukan sekedar bicara takdir, namun ada suatu kesalahan yang dilakukan oleh manusia. Angka kematian ibu dan bayi baru lahir di Indonesia tertinggi dibandingkan dengan negaralain di ASEAN.menganggapi hal tersebut Pemerintah Kabupaten Pasuruan merespon dengan membuat kebijakan dalam bentuk pendirian Forum penakib yang memiliki visi untuk mewujudkan Kabupaten Pasuruan menjadi tempat yang aman, selamat dan menyenangkan bagi setiap ibu hamil dan bayi baru lahir. Forum  ini terdiri dari seluruh komponen lintas sektoral, yaitu terdiri dari dinas kesehatan, rumah sakit rujukan, puskesmas, bidan desa, kader kesehatan, serta organisasi masyarakat yang ada di Kabupaten Pasuruan. Visi ini sesuai dengan rencana pembangunan jangka menengah daerah (RPJMD) tahun 2018 - 2023 yang mengusung Visi “ Terwujudnya Kabupaten Pasuruan yang Sejahtera, Maslahat dan berdaya saing”.


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