AGE-RELATED ASPECTS AND GENDER DIFFERENTIATION OF PRIMARY DISABILITY DUE TO THYROID CANCER IN THE ADULTS POPULATION OF MOSCOW

Author(s):  
А.В. Гречко ◽  
Г.Э. Погосян ◽  
С.Н. Пузин ◽  
М.А. Шургая

Представлены результаты анализа первичной инвалидности вследствие рака щитовидной железы у взрослого населения Москвы в период 2015-2019 гг. Выявлено увеличение численности впервые признанных инвалидами (ВПИ) вследствие данной патологии. В структуре первичной инвалидности по возрасту преобладали инвалиды пожилого возраста. Превалирующим гендерным контингентом ВПИ были женщины. Установлено, что в контингенте ВПИ преобладающее число инвалидов имели умеренную (II) степень выраженности нарушений основных функций организма. В то же время, выявлена гендерная дифференциация по тяжести стойких нарушений функций организма у инвалидов. В контингенте мужчин ВПИ удельный вес лиц с выраженной (III) и значительно выраженной (IV) степенью нарушения функции системы крови и иммунной системы и с выраженной степенью нарушения функции эндокринной системы и метаболизма был выше по сравнению с контингентом женщин ВПИ. Определено, что основными видами ограничений жизнедеятельности были ограничение способности к самообслуживанию, к трудовой деятельности, к передвижению и общению (преобладала I степень ограничений жизнедеятельности, p<0,05). Рак щитовидной железы в связи с быстрыми темпами роста заболеваемости и инвалидности является важной задачей охраны здоровья населения. Изучение показателей инвалидности у населения необходимо для разработки рациональных мер медико-социальной реабилитации больных, страдающих раком щитовидной железы, и для осуществления медико-социальной профилактики инвалидности. The results of the analysis of primary disability due to thyroid cancer of the adult population of Moscow in the period 2015-2019 are presented. An increase in the number of peaple newly recognized as disabled (PNRD) due to this pathology was revealed. In the age structure of primary disability elderly people was dominated. The predominant gender contingent of the PNRD were women. It was found that the predominant number of PNRD had a moderate impairment (II degree) of the basic functions of the body. At the same time, gender differentiation in the severity of persistent impairment of the body functions among disabled was revealed. In the contingent of disabled men the proportion of persons with severe (III degree) and complete (IV degree) impairment of the function of the blood system and the immune system and with a severe impairment of the function of the endocrine system and metabolism was higher compared to the contingent of disabled women. It was determined that the main types of capacity limitations were self-care, work, moving and communicate limitations (the first degree of difficulties in life areas prevailed (p<0,05). Thyroid cancer, due to the rapid growth of morbidity and disability, is an important public health concern. The study of disability indicators of the population is necessary for the development of rational measures of medical and social rehabilitation of patients suffering from thyroid cancer, and for the implementation of medical and social prevention of disability.

Sexes ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. 20-39
Author(s):  
Sean M. McNabney

With approximately two-thirds of the United States adult population classified as overweight or obese, obesity remains a critical public health concern. Obesity not only contributes to several health complications including type 2 diabetes mellitus and cardiovascular disease, but the condition is also associated with sexual dysfunction in both women and men. Despite evidence linking obesity and its concomitant pathophysiology to sexual problems, the potential roles of psychosocial factors such as body image are understudied. This narrative review evaluates the research linkages between obesity and sexual dysfunction, with particular attention to the potential effects of body image dissatisfaction. A literature search of biomedical and psychological databases was used to identify research pertaining to obesity, sexual function, and/or body image constructs. The pathophysiological effects of obesity on sexual function are well-documented in mechanistic studies and animal trials, often with corroboration in human clinical samples. However, very few studies examine obesity, body image, and sexual function in tandem. Body image dissatisfaction appears to independently impinge upon the sexual response cycle and mental health outcomes, irrespective of body weight. While obesity is often associated with negative body image appraisal, it is unclear whether these constructs exert additive, synergistic, or antagonistic effects on sexual responsivity. Additionally, overweight/obese individuals who exhibit higher levels of body image satisfaction or self-confidence appear to be protected from the deleterious effects of obesity on sexual satisfaction, at least to some extent. Greater reliance upon conceptual/theoretical models from the body image literature may better clarify the relationships between these constructs.


Author(s):  
G.E. Pogosyan ◽  

Among socially significant diseases that are characterized by high prevalence rates, malignant neoplasms occupy the leading positions. Thyroid cancer is the most common malignant neoplasm of the endocrine system. Purpose of the study. Analysis of recurrent disability due to thyroid cancer in the adult population in Moscow (2015–2019). Materials and research methods. The structure of repeated disability due to thyroid cancer by sex, age and disability group was studied. The dynamics of the number of the PPI contingent was traced and the level of repeated disability due to this pathology was determined. The number of observations was 4660 PPI. Research results. It was found that in the structure of repeated disability due to thyroid cancer, women predominated by gender. The trend towards an increase in the number of PPI took place in all major age groups of the adult population. The prevalence of PPI with group III disability, the proportion of which was 66.0% (PPI with group II – 32.5%, PPI with group I – 1.5%). The visibility indicator in 2019 in relation to 2015 (taken as 100%) was equal in the general contingent of PPI among disabled people of group I – 142.9%, group II – 374.1%, group III – 249.3% ...


2021 ◽  
Vol 11-12 (221-222) ◽  
pp. 2-7
Author(s):  
Moldir Yerlankyzy ◽  
◽  
Sauirbay Sakhanov ◽  
Dulat Turebayev ◽  
Dariyana Kulmirzayeva ◽  
...  

Thyroid cancer (TC) is the most wide spread malignant tumor of the endocrine glands. According to the International Agency for Research on Cancer, more than 586,200 new cases of TC were registered in the world in 2020. However spatial arrangement of this disease indicates a different distribution of this pathology all over the world. The aim to assess the peculiarities of the incidence of TC in Kazakhstan. Materials and methods. The study was retrospective – the study period was 10 years (2009-2018). The material for the study was data of new cases of TC. In the research were used descriptive and analytical methods of oncoepidemiology. Results and discussion. We found out that the average age of patients with TC in women (51.8±0.2 years) were less than in men (53.2±0.5 years). The crude rate and standardized incidence rates in women (5.4±0.40/0000 and 5.1±0.370/0000, respectively) were higher than in men (0.9±0.10/0000 and 1.1±0.10/0000, respectively). Age-related indicators of the incidence of TC were characterized by a peak in 60-69 years – 4.21±0.200/0000 in men and 15.37±1.210/0000 in women. Trends in morbidity tended to increase in both women (Tg=+7.8%) and men (Tg=+5.0%). Conclusion: Age and gender features of TC incidence were established in the whole country. The obtained data are recommended for use in planning anti-cancer activities. Key words: thyroid cancer, incidence, Kazakhstan.


2014 ◽  
Vol 9 (4) ◽  
pp. 9-14 ◽  
Author(s):  
RP Sah ◽  
A Kumar ◽  
RK Bhaskar

Background Arm span is the most reliable anthropometric measurement to predict the stature of an individual. Age and sex have to be taken into account to the best to predict height from arm span. It is useful in predicting age related loss in stature and in identifying individuals with disproportionate growth abnormalities and skeletal dysplasia. Objective The present study was under taken to measure the stature as well as arm span and to determine whether there is any correlation between the stature and the arm span Method This cross sectional type of descriptive study was carried out with a total number of 400 Nepalese adult population consisting of 225 Nepalese male adults and 175 female adults aged between 25 to 45 years. Stature and arm span were measured directly from the subjects by using anthropometric technique by a measuring tape. The data taken were statistically analyzed by computation to find out its normative value. The relationship between body height and arm span were determined using simple correlation coefficients. Then a linear regression analysis was performed to examine the extent to which arm span can readily predict body height Results The results have shown male of Birgunj are 167.39± 6.170 cm tall and have arm span of 168.01±7.659 cm, while female of Birgunj are 155.61±6.894 cm and have arm span of 159.25±6..362cm. The results obtained are substantially alike in other populations, since arm span was too close to body heights in male and greater in female. Conclusion The body height and arm span correlates well in males but not in females. This confirms the necessity for developing separate height models for each population and different sex. Journal of College of Medical Sciences-Nepal, 2013, Vol-9, No-4, 9-13 DOI: http://dx.doi.org/10.3126/jcmsn.v9i4.10231


Author(s):  
S. G. Gevorkyan ◽  
I. P. Loginov ◽  
Sergey Zinovievich Savin

The article presents the results of a comprehensive study of assessing the quality of mental health of the younger generation of the Far North and Amur ethnic groups living in the Khabarovsk Region. A survey of 110 adolescents aged 10–14 years, including 67 representatives of indigenous people, was conducted; the results of the medical and social survey and the parameters of the psychological and physical components of health were studied. The obtained data indicate the presence of age and gender features of mental health of the younger generation of indigenous peoples, including the formation of social and psychophysiological functioning, under conditions of deprivation against the background of influence of intense age-related psychosomatic adjustment of the body and active socialization of the personality of adolescents.


2020 ◽  
Vol 176 ◽  
pp. 01014
Author(s):  
Nataliya Zavorokhina ◽  
Olga Chugunova ◽  
Olga Feofilaktova

In connection with the emerging global trend of an increase in the number of elderly people, an increase in morbidity and age-related changes occurring in the body, including a deterioration in taste and olfactory sensitivity, there is a need to provide rational nutrition for this category of citizens. The aim of the study was to model the formulations of gerontological drinks with enhanced flavor with a low glycemic index, with enhanced functional properties and containing the stevioside-curcumin complex.The study was carried out in the city of Yekaterinburg in three stages: investigated the taste and olfactory sensitivity in people aged 25-40 years and 65-90 years, investigated the effect of stevia extracts on the solubility of curcumin, simulated samples of drinks. It was found that the recognition of tastes in people in the age group of 65-90 years is worse in comparison with people in the age group of 25-40 years: for salty - by 37.8%, for sour - by 39.0%, for bitter - by 64 , 0%, for sweets by 6.0%. Olfactory sensitivity is 25.9% worse. Disease sensitivity is significantly affected by the disease: sensitivity is worse in diseases of the digestive system by 22.9%, circulatory system - by 26.8%, endocrine system - by 25.2%, genitourinary system - by 26.1%. To enhance the flavor intensity, yeast extract and the stevioside-curcumin complex obtained by extraction of curcumin from turmeric rhizome powder with long ethyl alcohol using stevioside were added to the drinks. It was found that with the addition of stevioside in an amount of 8%, the maximum yield of curcumin was observed — 14.33 ± 0.3 mg / ml. Then they developed model samples of drinks, the sweetness profile of which is close to that of sugar, the aftertaste is 3 times longer, the taste intensity is 15% higher, antioxidant activity is 5.7 times more than that of a competitor.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1881-1887
Author(s):  
Sushma B ◽  
Karthik Ganesh Mohanraj

In the present modern mechanical world, humans are living like a machine without proper food at the right time, without sleep at the right time or even without any relaxation. There is a concept that even food stands next to sleep for a human's life. Sleep plays a major role in human life for the proper functioning of the brain. Any disturbances in sleep for prolonged duration or period may create serious effects in the body and its functioning. Sleeplessness is known clinically as insomnia, a sleep-related disorder wherein the affected people have problems in sleeping. They may have difficulty falling asleep or staying asleep as long as desired. Hypersomnia, on the other hand, is a neurological disorder of excessive times spent sleeping or excessive sleep. It can have many possible causes and problems with functioning. The study setting is done using online Google forms, including 100 participants. The sampling method is a random sampling method. Well-structured questionnaires were prepared and circulated among those 100 participants. According to the results, 74% of the adults who took the survey are aware that insomnia is sleeplessness. More than 50% of the adults feel that insomnia and hypersomnia lead to death, and 53% of the adults believe that insomnia and hypersomnia are age-related. It can be concluded that awareness of such sleep disorders can be helpful for future generations.


2020 ◽  
Vol 9 (7) ◽  
pp. 2199
Author(s):  
Jesús Cebrino ◽  
Silvia Portero de la Cruz

Common mental disorders (CMD) represent a serious, growing public health concern, especially in women. The aims of this study were to report the prevalence of CMD among the adult population in Spain, to analyze the time trends from 2006 to 2017 and to explore the associations between CMD and gender, in relation to the perceived environmental and sociodemographic problems and clinical factors. A nationwide cross-sectional study was conducted including 48,505 participants aged 16 to 64 years old who had participated in the Spanish National Health Surveys in 2006, 2011/2012 and 2017. A logistic regression analysis was performed to identify the variables associated with CMD by gender. The prevalence of CMD was 20.4% in 2006, 20.8% in 2011/2012 and 16.9% in 2017 (p = 0.36). In women, the probability of having a CMD was higher in widowed or separated/divorced compared with single individuals and as the perception of distressing noise levels from outside the home increased. The probability of CMD was lower as the level of education increased in men. Foreigners and those with limitations due to health problems, chronic conditions and worse perceived health were more likely to suffer from a CMD in both women and men.


2021 ◽  
Vol 24 (2) ◽  
pp. 33-40
Author(s):  
Gagik E. Pogosyan ◽  
Andrey V. Grechko ◽  
Sergey N. Puzin ◽  
Marina A. Shurgaya ◽  
Servir S. Memetov

BACKGROUND: The most common malignant neoplasm of the endocrine system is thyroid cancer. In Russia, as in other countries of the world, the incidence rate is steadily increasing. Thus, it is extremely important to assess the problem of health disorders due to thyroid cancer within the framework of socially significant disability caused by malignant neoplasms in the Russian Federation. AIMS: To analyze the spectrum of types and degree of disability in people with disabilities due to thyroid cancer. MATERIAL AND METHODS: The article presents the results of the analysis of the spectrum of the main types of disability in the general contingent of disabled people due to thyroid cancer among the adult population of Moscow (20152019). RESULTS: The dynamics of disability both in the contingent of first recognized and in the contingent of re-recognized disabled people (VPI and PPI) was characterized by an increase in the number of disabled people and the transformation of the structure of general disability. There is a clear change in the ratio towards an increase in the share of PPI from 55.1% in 2015. up to 68.0% in 2019, while the share of VPI decreased from 44.9% in 2015 to 32.0% in 2019. The predominant gender cohort was women, and the age category was the elderly. The main types of life restrictions were the restriction of the ability to self-serve (98.6% of the VPI and 97.9% of the PPI), to work (94.7% of the VPI and 94.6% of the PPI) and to move (21.3% of the VPI, 21.8% of the PPI). A low proportion of restrictions on the ability to control ones behavior, learning, communication and orientation was revealed (0.31.2%). The first degree of disability prevailed in the contingents of VPI and PPI (p 0.0001). In the contingent of men, the proportion of disabled people with the third degree of disability was higher compared to the contingent of women. CONCLUSION: Dynamic assessment of the degree of severity of functional disorders and associated life restrictions should be carried out at all stages of medical and social rehabilitation in order to monitor the effectiveness of medical and rehabilitation measures, assess the quality of life and prevent progression (secondary prevention of disability).


Author(s):  
С.Д. Глазуненко ◽  
Г.И. Плющев

Разработана методика определения биологического возраста человека по показателю интегрального индекса работоспособности. Основу предложенной методики составляют научные исследования, в которых физическая работоспособность является интегральным выражением функциональных возможностей организма. Она входит в понятие физического здоровья и характеризуется рядом объективных факторов: антропометрические показатели; мощность, ёмкость и эффективность механизмов энергопродукции; состояние опорно-двигательного аппарата, эндокринной системы; функциональные возможности мышц и вегетативных систем и т.д. Иными словами физическая работоспособность характеризует уровень биологического состояния организма, то есть биологический возраст человека. Методика опирается на возрастные показатели физической работоспособности, соответствующие научно обоснованным нормативам комплекса «ГТО» (6 тестов «золотого» значка: бег 60 метров с низкого старта; кросс: юноши – 3 км, девушки – 2 км; сгибание-разгибание рук в упоре от гимнастической скамейки; наклон вперёд, стоя на гимнастической скамейке: руки – ниже плоскости скамейки; прыжки с места двумя ногами), как научно обоснованным. Суммарный показатель этих контрольных упражнений, выраженный в очковом эквиваленте, является интегральным индексом работоспособности и отражает биологический возраст человека. Практическая значимость данной методики заключается в том, что можно определить уровень биологического соответствия возрасту обучающихся, уровень физического развития (в норме или отстаёт). Используя оздоровительные программы, можно наблюдать за процессом торможения старения организма или процессом омоложения. A methodology for determining the biological age of a person in terms of the integral index of working capacity has been developed. The basis of the proposed methodology was scientific researches in which physical working capacity was an integral expression of the functional capabilities of the body. It is included in the concept of physical health and is characterized by a number of objective factors: anthropometric measures, power, capacity and efficiency of energy production mechanisms, condition of the musculoskeletal system, endocrine system, capability of muscles and autonomic systems, etc. In other words physical working capacity characterizes the level of the biological state of the body that is the biological age of a person. The methodology is based on age-related indicators of physical working capacity corresponding to theoretically grounded standards of the GTO complex (6 tests of the "golden" pin: 60 meters race from a crouch start, cross: boys – 3 km, girls – 2 km; dip up from gymnastic bench, leaning forward standing on the gymnastic bench: arms – below the plane of the bench; standing long jump) as scientifically based. The total indicator of these control exercises expressed in points equivalent is an integral index of working capacity and reflects the biological age of a person. The practical significance of this technique lies in the fact that it is possible to determine the level of biological compliance with the age of students, the level of physical development (normal or behind). Using sanatory programs one can observe the process of braking of aging of the body or the process of rejuvenation.


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