ANALYSIS OF THE MAIN INDICATORS CHARACTERIZING MEDICAL CARE FOR CHILDREN WITH CANCER IN SAINT-PETERSBURG AND IN THE LENINGRAD REGION IN 2013-2017

2019 ◽  
Vol 65 (1) ◽  
pp. 77-82
Author(s):  
Maksim Rykov ◽  
Ivan Turabov ◽  
Yuriy Punanov ◽  
Svetlana Safonova
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Statistical Data ◽  
Leningrad Region ◽  
Children With Cancer ◽  
Health Committee ◽  
The Government ◽  
Delivery Of Medical Care ◽  
One Year ◽  
The One

Background: St. Petersburg is a city of federal importance with a large number of primary patients, identified annually. Objective: analysis of the main indicators characterizing medical care for children with cancer in St. Petersburg and the Leningrad region. Methods: The operative reports for 2013-2017 of the Health Committee of the Government of St. Petersburg and the Health Committee of the Leningrad Region were analyzed. Results. In 2013-2017 in the Russian Federation, 18 090 primary patients were identified, 927 (5.1%) of them in the analyzed subjects: in St. Petersburg - 697 (75,2%), in the Leningrad Region - 230 (24,8%). For 5 years, the number of primary patients increased in St. Petersburg - by 36%, in the Leningrad Region - by 2,5%. The incidence increased in St. Petersburg by 18,1% (from 14,9 in 2013 to 17,6 in 2017 per 100 000 of children aged 0-17). The incidence in the Leningrad Region fell by 4.9% (from 14.4 in 2013 to 13.7 in 2017). Mortality in 2016-2017 in St. Petersburg increased by 50% (from 2 to 3), in the Leningrad Region - by 12,5% (from 2,4 to 2,7). The one-year mortality rate in St. Petersburg increased by 3,9% (from 2,5 to 6,4%). In the Leningrad Region, the one-year mortality rate decreased from 6,5% in 2016 to 0 in 2017. The number of pediatric oncological beds did not change in St. Petersburg (0,9 per 10,000 children aged 0-17 years) and the Leningrad Region (0). In St. Petersburg patients were not identified actively in 2016-2017; in the Leningrad Region their percentage decreased from 8,7 to 0. The number of oncologists increased in St. Petersburg from 0,09 to 0.12 (+33,3%), in the Leningrad Region - from 0 to 0,03. Conclusion: Morbidity in St. Petersburg and the Leningrad region is significantly different, which indicates obvious defects in statistical data. Patients were not identified during routine preventive examinations which indicate a low oncologic alertness of district pediatric physicians. Delivery of medical care for children with cancer and the statistical data accumulation procedures should be improved.

Cities of Federal Significance: Analysis of the Main Indicators Characterizing Medical Care for Children with Cancer in 2013–2017. An Ecological Study

2018 ◽  
Vol 5 (2) ◽  
pp. 91-99
Author(s):  
Maxim Yu. Rykov ◽  
Ivan A. Turabov ◽  
Yurij A. Punanov ◽  
Svetlana A. Safonova
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Statistical Data ◽  
Moscow Region ◽  
Leningrad Region ◽  
Children With Cancer ◽  
Health Committee ◽  
Delivery Of Medical Care ◽  
One Year ◽  
The One

Background: Moscow and St. Petersburg are cities of federal significance with the largest number of children and consequently a large number of primary patients identified annually.Objective: Our aim was to analyze the main indicators characterizing the delivery of medical care for children with cancer in cities of federal significance.Methods: The operative reports for 2013–2017 of the Department of Health of Moscow, the Ministry of Health of the Moscow Region, the Health Committee of the Government of St. Petersburg, and the Health Committee of the Leningrad Region were analyzed.Results. In 2013–2017 in the Russian Federation, 18 090 primary patients were identified, 2734 (15.1%) of them in the analyzed subjects: in Moscow — 1315 (7.3%), in the Moscow Region — 492 (2.7%), in St. Petersburg — 697 (3.9%), in the Leningrad Region — 230 (1.3%). For 5 years, the number of primary patients increased in Moscow by 18.1%, in St. Petersburg — by 36%, in the Leningrad Region — by 2.5%. In the Moscow Region, the number of primary patients decreased by 2.3%. The incidence in Moscow increased by 5.3% (from 11.3 per 100 000 of children aged 0–17 in 2013 to 11.9 in 2017), in St. Petersburg — by 18.1% (from 14.9 in 2013 to 17.6 in 2017). The incidence in the Moscow Region fell by 20% (from 11.8 in 2013 to 9.4 in 2017), in the Leningrad Region by 4.9% (from 14.4 in 2013 to 13.7 in 2017). Mortality in 2016–2017 in Moscow decreased by 37.5% (from 6.4 per 100 thousand children’s population 0–17 years to 4), in the Moscow Region — by 50% (from 2 to 1), in St. Petersburg increased by 50% (from 2 to 3), in the Leningrad Region — by 12.5% (from 2.4 to 2.7). The one-year mortality rate in Moscow increased by 3.7% (from 8.3% in 2016 to 12% in 2017), in the Moscow Region — by 3.5% (from 5.4 to 8.9% %), in St. Petersburg — by 3.9% (from 2.5 to 6.4%). In the Leningrad Region, the one-year mortality rate decreased from 6.5% in 2016 to 0 in 2017. The number of pediatric oncological beds did not change in the Moscow Region (0.4 per 10,000 children aged 0–17 years), St. Petersburg (0.9), and the Leningrad Region (0). In Moscow and St. Petersburg patients were not identified actively in 2016–2017; in the Moscow Region, their percentage decreased from 34.2 to 7.3, in the Leningrad Region — from 8.7 to 0. In Moscow, the number of pediatric oncological beds increased by 50% (from 0.6 to 0.9). The number of oncologists increased in the Moscow Region from 0.009 per 10 000 children aged 0–17 years to 0.06 (66.7%), in St. Petersburg from 0.09 to 0.12 (+33.3%), in the Leningrad Region — from 0 to 0.03. In Moscow, the number of pediatric oncologists decreased from 0.13 to 0.11 (-15.3%).Conclusion: Defects of statistical data were revealed. Patients were not identified during routine preventive examinations which indicate a low oncologic alertness of district pediatric physicians. Delivery of medical care for children with cancer and the statistical data accumulation procedures should be improved.

scholarly journals MORBIDITY AND MORTALITY RATE FROM MALIGNANT TUMORS IN CHILDREN IN THE RUSSIAN FEDERATION OVER 2011-2016

2017 ◽  
Vol 22 (6) ◽  
pp. 322-328 ◽  
Author(s):  
Maxim Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Mortality Rates ◽  
Diagnostic Methods ◽  
Morbidity And Mortality ◽  
Oncological Diseases ◽  
The Russian Federation ◽  
One Year ◽  
The One

Introduction Planning the medical care management for cancer children is based, inter alia, on epidemiological data: morbidity and mortality rates in children with malignant neoplasms. Material and methods. The data of the public health care executive authorities of the constituent entities of the Russian Federation have been analyzed. These reports included data on morbidity, mortality, one-year mortality rates, and the period of the medical care delivery for children with oncological diseases in subjects. Results. Over past 6 years, the number of primary patients, identified annually (by 2011 - 3230, 2016 - 3875) increased by 20%; the number of patients under observation was increased by 34.8% (2011 - 17,958, 2016 - 24,207). The incidence increased by 9.8%: from 12.2 per 100,000 (0-17 years) in 2011 to 13.4 in 2016. The standardized mortality rate in 2011-2013 was 4 (per 100 thousand. 0-19 years), in 2014-2016 - 3.6 (per 100 thousand. 0-17 years). The one-year mortality rate decreased by 2%: from 10.8% in 2011 to 8.8% in 2016, the number of actively identified patients increased by 1.4% (in 2007 - 3.8%, in 2016 - 5.2%), the one-year mortality rate decreased by 5.9% (2007 - 14.7%, 2016 - 8.8%). Among causes of death the first place was occupied by leukemia, the second one - by tumors of the brain and spinal cord, the third - sarcomas of soft tissues. Conclusion. The noted dynamics demonstrates an increase in the detectability of oncological diseases in children, therefore, it indicates to the improvement of diagnostic methods. Taking into consideration the average world morbidity rate to account of 15 per 100 thousand children, it is possible to forecast a further increase in the incidence (detectability) of up to 4 500 primary patients by 2022. Thus, at present, an annual underreport is about 700(16%) patients. A low percentage of actively identified children shows the insufficient training of primary care physicians (district pediatricians) in pediatric oncology.

scholarly journals Factors that affect the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population

2021 ◽  
Vol 28 ◽  
pp. 221049172110569
Author(s):  
Pui M Chung ◽  
Bolton KH Chau ◽  
Esther C-S Chow ◽  
Kwok H Lam ◽  
Nang MR Wong
Keyword(s):  
Mortality Rate ◽  
Lower Limb ◽  
Chinese Population ◽  
Major Amputation ◽  
Lower Limb Amputation ◽  
Hong Kong Chinese ◽  
Limb Amputation ◽  
The Mean ◽  
One Year ◽  
The One

Introduction Lower limb amputation has significant morbidity and mortality. This study reviews the potential factors affecting the one-year mortality rate after lower limb amputation in the Hong Kong Chinese population. Methods Cases with lower limb amputations (toe, ray, below-knee, and above-knee amputations) from a regional hospital from January 2016 to December 2017 were recruited. Amputations due to trauma were excluded. The one-year mortality rate and the potential risk factors (age, sex, length-of-stay, multiple operations, extent of surgery (minor vs. major), medical comorbidities including (1) end-stage renal failure (ESRF), (2) cardiac diseases, (3) ischemic heart disease, (4) peripheral vascular disease and (5) diabetes mellitus) were analyzed by multiple logistic regression using Matlab 2018a. Results A total of 132 patients were recruited (173 operations). The one-year mortality rate was 36.3%. The mean age at death was 72.2 years. The results of the regression analysis showed patients having ESRF (β = 2.195, t 120 = 3.008, p = 0.003) or a major amputation (including above- or below-knee amputation) (β = 1.079, t 120 = 2.120, p = 0.034), had a significantly higher one-year mortality. The remaining factors showed no significant effect. The one-year mortality rate in ESRF patients was 77.8%; while the one-year mortality rate without ESRF was 29.8%. The mean age at death in the ESRF group was 62.9 years; while that without ESRF was 76.1 years. The one-year mortality for patients with major amputation was 45.8% while that for minor amputation was 20.4%. Conclusion ESRF and major amputation are factors that increase the one-year mortality rate after lower limb amputation.

Coverage of Government and Judiciary Relationship: A Study of Urdu and English Newspapers of Pakistan

2020 ◽  
Vol 14 (4) ◽  
pp. 131-139
Author(s):  
Behramand Durrani ◽  
◽  
Riffat Alam
Keyword(s):  
Content Analysis ◽  
Supreme Court ◽  
Research Study ◽  
Government Performance ◽  
Time Period ◽  
The Media ◽  
The Government ◽  
One Year ◽  
The One ◽  
National Reconciliation

This present study analyzes the role played by the media during the controversy between Government of Pakistan and its Supreme Court in 2012. This study is particularly focused on the issues pertinent to the National Reconciliation Ordinance (NRO) case. It employed content analysis as research study and quantitatively examined the columns in the Pakistani newspapers; including, Dawn and Daily Jang for the one year time period in the year 2012. A conflicting relationship has been found between the government and judiciary concerning the National reconciliation ordinance (NRO). It was concluded that Dawn and Daily Jang, both newspapers, follow the same agenda about the NRO issue as both of these newspapers offered negative coverage of this issue. Compared to Jang, Dawn was more inclined to the negative framing of judiciary, and Jang was inclined to the negative reporting of government performance. Hence, the Pakistani Print media has framed the issues negatively between the government and the judiciary. Frequent negative slants were observed in Urdu newspaper as compared to English newspaper.

Abstract TP318: The Circumstances and Consequences of Post-stroke Falls

Stroke ◽  
2013 ◽  
Vol 44 (suppl_1) ◽  
Author(s):  
Arlene A Schmid ◽  
H. Klar Yaggi ◽  
Nicolas Burrus ◽  
Vincent McClain ◽  
Charles Austin ◽  
...  
Keyword(s):  
Medical Care ◽  
Mental State ◽  
Fall Prevention ◽  
Secondary Analysis ◽  
Stroke Recovery ◽  
Large Trial ◽  
Post Stroke ◽  
Falling Asleep ◽  
One Year ◽  
The One

Introduction: Three-quarters of people with stroke sustain a fall. Fall risk and risk for injury persists into the chronics phases of stroke recovery. Currently, the circumstances surrounding post-stroke falls are not well understood; identifying these circumstances is a key step in the development of fall prevention programs. Likewise, the consequences of falls during the chronic phases of stroke are largely unexplored. Objectives: The objectives of the study were to identify the circumstances and consequences of post-stroke fall events. Methods: This is a secondary analysis of data derived from a large trial. To be included in the trial and these analyses, participants had to have survived a stroke and had a diagnosis of hypertension or blood pressure >140/90 mmHg. Demographics and stroke characteristics were recorded. Patients were asked about falls prospectively over the one-year study period. Once a fall event was identified, chart review and interviews were used to obtain information regarding circumstances and consequences of the fall. Fall circumstances were separated into intrinsic/personal and environmental categories including: falls with activity; falls with movement; falls due to trips or slips; falls related to a physical or mental state; location of the fall; and the season when the fall occurred. Consequences of falls were classified according to type of injury (laceration, fracture) and medical care received. Results: A total of 53 of the 225 (33%) participants reported a fall; 70% of falls occurred at home and 40% of falls were associated with impaired physical or mental state (e.g., falling asleep and falling out of a chair or inattention to tying shoes, or forgetting to use a device). Additionally, 21% of falls were associated with activities, 21% with mobility, and 34% with slips or trips. The majority of people who fell sustained an injury (72%); injuries ranged from bruising to fractures and 55% of those with an injury sought medical care (32% to emergency). Conclusion: Post-stroke falls are associated with an alarming rate of injury and healthcare utilization. Targeting mental and physical states may be key to fall prevention programming for people with chronic stroke.

Muslim Brotherhood will struggle to recover in Egypt

2020 ◽  
Keyword(s):  
Muslim Brotherhood ◽  
Political Islam ◽  
The Political ◽  
Economic Management ◽  
Content Type ◽  
Critical View ◽  
The Government ◽  
One Year ◽  
The One ◽  
State Functions

Significance Cairo’s aversion to political Islam has seen it dismantle the aging leadership of Egypt’s Muslim Brotherhood (MB), most of whom are either dead, in prison or scattered. The remaining members are divided, with many taking a highly critical view of the MB’s activities during the one-year presidency of Mohammed Morsi. Impacts Poor economic management has led to growing resentment from Egypt’s poor and those outside the political and military elite. The government will continue to force media to adopt state-sanctioned positions and terminology when reporting on the MB. The MB threat allows the authorities to repress public dissatisfaction with the economy or other state functions and responsibilities.

scholarly journals An Observational Study of Venoplasty in Patients with Multiple Sclerosis

2013 ◽  
Vol 40 (2) ◽  
pp. 203-209 ◽  
Author(s):  
W. Pryse-Phillips ◽  
M. Stefanelli ◽  
K. Murphy-Peddle ◽  
B. Barrett
Keyword(s):  
Multiple Sclerosis ◽  
Observational Study ◽  
Newfoundland And Labrador ◽  
Clinical Status ◽  
Venous Occlusion ◽  
Initial Report ◽  
Canadian Provinces ◽  
The Government ◽  
One Year ◽  
The One

Rationale:It is estimated that some hundreds of Canadian patients with multiple sclerosis (MS) have journeyed abroad to avail themselves of ‘liberation therapy’ (venoplasty) following the initial report by Zamboni et al in 2009. That study also led to public pressure upon Departments of Health in Canadian Provinces to fund the procedure. The present study was done in order to advise the Government of Newfoundland and Labrador as to whether or not it should do so.Methods:We conducted an observational study of 30 MS subjects who had submitted to venoplasty, using objective, semi-objective and subjective measures.Results:Significant subjective improvement was reported by half of the subjects at three months, although the degree of perceived improvement was less at 12 months. The objective and semi-objective tests employed did not indicate improvement in any area over the one-year follow-up period. Seven of the 29 subjects in whom CT venography was performed at the end of the study year were found to have uni- or bilateral occlusion or >50% stenosis of at least one cervical draining vein, but they showed no deterioration in their clinical status compared to those in whom no venous occlusion nor stenosis was found.Conclusion:No objective improvement was found at one year in thirty MS subjects who had undergone venoplasty, although many reported a degree of subjective benefit.

scholarly journals Medical care for children with cancer in the Siberian Federal District

2019 ◽  
Vol 18 (1) ◽  
pp. 5-12
Author(s):  
M. Yu. Rykov
Keyword(s):  
Mortality Rate ◽  
Medical Care ◽  
Russian Federation ◽  
Federal District ◽  
Siberian Federal District ◽  
Children With Cancer ◽  
Aim Analysis ◽  
Incidence And Mortality ◽  
Hospital Beds ◽  
The Russian Federation

background. The analysis of the quality of medical care for children with cancer is based on statistical data. Evaluation of the results obtained is also the basis of the strategy for the development of medical care for this category of patients. aim: analysis of the main parameters characterizing medical care for children with cancer in the Siberian Federal District. material and methods. The reports for 2017 on the health protection of 11/12 (91.6 %) constituent entities of the Russian Federation belonging to the Siberian Federal District were analyzed (Irkutsk Region did not provide data). results. In 2017 the number of children aged 0–17 years was 3 722 470, the number of pediatric hospital beds for children with cancer (ages 0–17 years) was 260 (0,7 per 10,000), and the average number of bed-days per year was 342.2. In 3 (25 %) constituent entities of the Russian Federation, there were no departments of pediatric oncology and in 1 (8,3 %) there were no hospital beds for children with cancer. The number of physicians, who specialized in children’s cancer was 49, of them 32 (65,3 %, 0,08 per 10,000, ages 0–17 years) had a certificate of a pediatric oncologist. In 1 (8,3 %) constituent entity of the Russian Federation, there were no pediatric oncologists. For children aged 0–17 years, the cancer incidence rate was 11.7 per 100,000 children, the cancer mortality rate was 2,2 per 100,000, and one-year mortality rate was 7,4 %. 188 (43,2 %) primary cancer patients were referred to medical institutions of the Federal District, and 17 (3,9 %) primary patients left the territory of the Russian Federation. conclusion. The low incidence and mortality rates can be explained by the lost of reliable follow-up data. It is advisable to introduce electronic health record systems. For reliable estimation of hospital bed supply for children with cancer and percent of patients referred to medical centers for treatment, it is necessary to carry out a clinical audit. Deficiency of pediatric oncologists should be eliminated by reforming the training of medical personnel.

scholarly journals Reasons and Associated Problems for Not Replacing Lost Teeth: A Cross-sectional Survey

2018 ◽  
Vol 11 (2) ◽  
pp. 965-969
Author(s):  
Parthasarathy Natarajan ◽  
Seenivasan Madhankumar ◽  
Karthigeyan Jeyapalan ◽  
Shanmuganathan Natarajan ◽  
V. Anand Kumar ◽  
...  
Keyword(s):  
Dental Treatment ◽  
Missing Teeth ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Posterior Teeth ◽  
Medical College ◽  
Male Patients ◽  
The Government ◽  
One Year ◽  
The One

To find out and to understand the reasons and the associated problems for not substituting the lost teeth and to make an attempt in reducing the possible cause of not replacing the missing teeth. A total of 300 patients who had visited to the Faculty of Dental Sciences, Sri Ramachandra Medical college & research institute with aged above 25 years with as a minimum of one missing teeth (excluding third molars) not replaced for more than three months and have visited the Institute other than for replacement of the missing teeth were selected. The study includes a predesigned and structured questionnaire containing seven (closed end) questions and followed by clinical examination recording the number and positions of the missing teeth. All the data were statistically analyzed. Statistical analysis shows the 42% of the patients find economical reason as the main hurdle for the replacement of the teeth followed by 33% of patients finds lack of time and remaining 25% of the patients are unaware of replacing the missing teeth. The 62% of male patients were found to be not pleased with their existing oral condition in terms of mastication of food & whereas 61% of female patients were found to be not satisfied with the aesthetics of the present dentition. Out of the various reasons, the economic reasons was the key reason for non- replacement of missing teeth. The patients having missing posterior teeth had more than the one-year duration of edentulousness. It can be suggested that, to reduce the economic burden in replacing the missing teeth, the Government of India and the insurance providers can include the dental treatment in their list of treatment covered by the health insurance.

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