scholarly journals Mortality from Surgical Conditions in Children: An Insight from a Tertiary-Level Government Hospital in Bangladesh

2020 ◽  
pp. 26-34
Author(s):  
Tanvir Kabir Chowdhury ◽  
S. M. Humayun Kabir ◽  
Md. Abdullah Al Farooq ◽  
Md. Khurshid Alam Sarwar ◽  
Rajib Khastagir ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Oesophageal Atresia ◽  
Developed Countries ◽  
Posterior Urethral Valves ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
African Countries ◽  
Mortality Trends ◽  
Female Ratio ◽  
Surgical Conditions

Aims: While the developed world has significantly reduced mortality from surgical conditions in children, there is lack of adequate data on the outcome of children’s surgical conditions in the developing world. This study aims at assessing the spectrum of mortalities from children’s surgical conditions in a low-middle income country (LMIC). Methods: Mortality data were collected for a period of 12 years (2008 to 2019) among 0 to12-year old children to analyse the diseases which had higher mortality trends, age -group specific mortality trends and categorize those according to body system. Results: Among a total of 30,301 admitted children, 1228 (4.05%) patients died. Among them 53.01% were neonates, 20.28% were infants and 26.71% were children.  Male to female ratio was 1.95:1. Mortality from neonatal surgical conditions was 24.21%. Infant mortality rate was 5.65% and child mortality rate was 1.41%. Neonatal surgical admission and mortality had a higher yearly trend. Anorectal malformation (ARM) was the most common cause of death (12.05%), followed by intestinal obstruction (11.40%) and gastroschisis (8.63%). Tracheo-oesophageal fistula/ oesophageal atresia (TOF/OA) had the highest mortality rate (83.33%), followed by gastroschisis (80.92%) and intestinal atresia (42.535) among the respective admissions. Other important causes of mortality were jejuno-ileal atresia (5.37%), trauma (5.05%), Hirschsprung disease (4.64%), intestinal perforation (4.48%), omphalocele (4.15%), burn (4.07%) and posterior urethral valves (PUV), 3.58%.   Conclusion: Overall mortality rate was much higher than developed countries and lower than some African countries. Neonatal mortality rate was very high and among them TOF/OA and gastroschisis had extremely high mortality rates.

Perbandingan Linieritas Dalam Pendeteksian Faktor-Faktor Yang Mempengaruhi Angka Kematian Bayi Di Provinsi Aceh

2019 ◽  
Vol 2 (2) ◽  
Author(s):  
Desfira Ahya ◽  
Inas Salsabila ◽  
Miftahuddin
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Linear Model ◽  
Health Workers ◽  
Additive Model ◽  
Infant Mortality Rate ◽  
Mortality Data ◽  
Important Indicator ◽  
Penalized Spline ◽  
Aceh Province

Angka Kematian Bayi/ Infant Mortality Rate (IMR) merupakan indikator penting dalam mengukur keberhasilan pengembangan kesehatan. Nilai IMR juga dapat digunakan untuk mengetahui tingkat kesehatan ibu, kondisi kesehatan lingkungan dan secara umum, tingkat pengembangan sosio-ekonomi masyarakat. Penelitian ini bertujuan untuk memperoleh model IMR terbaik menggunakan tiga pendekatan: Model Linear, Model Linear Tergeneralisir dan Model Aditif Tergeneralisir dengan basis P-spline. Sebagai tambahan, berdasarkan model tersebut akan terlihat variabel yang mempengaruhi tingkat kematian bayi di provinsi Aceh. Penelitian ini menggunakan data jumlah kematian bayi di tahun 2013-2015. Data dalam penelitian ini diperoleh dari Profil Kesehatan Aceh. Hasil menunjukkan bahwa model terbaik dalam menjelaskan angka kematian bayi di provinsi Aceh tahun 2013-2015 ialah Model Linear Tergeneralisir dengan basis P-spline menggunakan parameter penghalusan 100 dan titik knots 8. Faktor yang sangat mempengaruhi angka kematian ialah jumlah pekerja yang sehat.   Infant mortality rate (IMR) is an important indicator in measuring the success of health development. IMR also can be used to knowing the level of maternal health, environmental health conditions and generally the level of socio-economic development in community. This research aims to get the best model of infant mortality data using three approaches: Linear Model, Generalized Linear Model and Generalized Additive Model with Penalized Spline (P-spline) base. In addition, based on the model can be seen the variables that affect to infant mortality in Aceh Province. This research uses data number of infant mortality in Aceh Province period 2013-2015. The data in this research were obtained from Aceh’s Health Profile. The results show that the best model can be explain infant mortality rate in Aceh Province period 2013-2015 is GAM model with P-spline base using smoothing parameter 100 and knots 8. Factor that high effect to infant mortality is number of health workers.

scholarly journals The effect of the quality of institutions on the relationship between public health expenditure and the infant mortality rate: evidence from the PVAR (X) and PSTR approaches

2021 ◽  
Vol 1 (1) ◽  
pp. 16-35
Author(s):  
Arthur Evariste KOUASSI ◽  
Ya Assanhoun Guillaume KOUASSI ◽  
Nogbou Andetchi Aubin AMANZOU
Keyword(s):  
Public Health ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Health Expenditure ◽  
Infant Mortality Rate ◽  
African Countries ◽  
Important Indicator ◽  
Institutional Variables ◽  
Public Health Expenditure ◽  
Sub Saharan

Infant mortality is a major health problem in developing countries. It is an important indicator of a country's public health as it goes hand in hand with socio-economic conditions and many others. Public health spending has been committed to reducing this scourge. This has led to the completion of numerous studies which have yielded mixed results. The main objective of this study is to test the effect of public health expenditure (% GDP) on the infant mortality rate, taking into account the role that institutional quality can play. To achieve this, we use two approaches which are the autoregressive vector panel model with exogenous variables (PVAR (X)) and the smooth threshold regression model (PSTR) on annual data covering the period 2002-2016 and covering 37 African countries. Sub-Saharan. Our main results through the PVAR (X) reveal that in the absence of institutional variables, public health expenditure has a negative and significant effect on the infant mortality rate, whereas, in the presence of the various institutional variables, this effect is still negative but is no longer significant. Our results show that the presence of institutions halves the weight of public health expenditure in explaining the infant mortality rate. In addition, our results show through the PSTR that there is a certain level of institutional qualities that these countries must achieve for public health expenditure to positively affect infant mortality rates. These thresholds oscillate for all the institutional variables around 7%. Taking institutional variables into account will help reduce infant mortality in Sub-Saharan African countries.

scholarly journals Health Care Expenditure and GDP in African Countries: Evidence from Semiparametric Estimation with Panel Data

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Zhike Lv ◽  
Huiming Zhu
Keyword(s):  
Health Care ◽  
Panel Data ◽  
Panel Data Analysis ◽  
Health Care Expenditure ◽  
Large Body ◽  
Developed Countries ◽  
Infant Mortality Rate ◽  
African Countries ◽  
Per Capita ◽  
The Relationship

A large body of literature studies on the relationship between health care expenditure (HCE) and GDP have been analyzed using data intensively from developed countries, but little is known for other regions. This paper considers a semiparametric panel data analysis for the study of the relationship between per capita HCE and per capita GDP for 42 African countries over the period 1995–2009. We found that infant mortality rate per 1,000 live births has a negative effect on per capita HCE, while the proportion of the population aged 65 is statistically insignificant in African countries. Furthermore, we found that the income elasticity is not constant but varies with income level, and health care is a necessity rather than a luxury for African countries.

Commanding the “Be Fruitful and Multiply” Directive: Reproductive Ethics, Law, and Policy in Israel

2010 ◽  
Vol 19 (3) ◽  
pp. 363-371 ◽  
Author(s):  
DANIEL SPERLING
Keyword(s):  
Exchange Rate ◽  
Mortality Rate ◽  
Life Expectancy ◽  
Developed Countries ◽  
Infant Mortality Rate ◽  
Gdp Per Capita ◽  
Reproductive Ethics ◽  
Live Births ◽  
Law And Policy ◽  
Per Capita

As of June 2009, Israel’s population was 7,424,400 people, 5,604,900 of which were Jewish, 1,502,400 were Arabs, and approximately 317,200 had no religion or are non-Arab Christians. Established in 1948, Israel is a highly urban and industrialized country. Its gross domestic product (GDP) per capita (based on exchange rate) is US$23,257, positioning it among the European developed countries. Life expectancy is 79 years for males and 82 years for females, with infant mortality rate of 4 cases per 1,000 live births. Of Israel’s GDP, 7.7% is spent on health.

scholarly journals Colorectal Adenocarcinoma in East Africa: A Narrative Literature Review

2020 ◽  
pp. 1-11
Author(s):  
Richard Wismayer
Keyword(s):  
East Africa ◽  
Colorectal Adenocarcinoma ◽  
Significant Proportion ◽  
Developed Countries ◽  
East African ◽  
African Countries ◽  
Female Ratio ◽  
Male Female Ratio ◽  
The Usa ◽  
Narrative Literature Review

This paper is a review of work done on colorectal adenocarcinoma in East Africa showing geographic spread, age and sex ratios, clinical presentation, management and predominant histopathology. A steady increased incidence of CRC in East African countries is currently being documented however this is associated with a higher CRC-associated morbidity and mortality. Whilst the male: Female ratio varies between 1.2:1 to 1.88:1, up to 38% of CRC diagnosis are in patients younger than 40 years, in contrast to only 1.9% of CRC patients in Western developed countries such as the USA. Generally rectal carcinoma is more common than colon carcinoma and abdomino-perineal resections are commonly performed in up to between 54% - 71% due to the advanced stage of presentation of rectal tumours in East Africa. The late stage presentation and delayed effective treatment in East Africa may result in a higher morbidity in CRC patients. Interestingly there is a significant incidence of mucinous adenocarcinoma sub-groups compared to Western developed countries which carry a poor prognosis. A significant proportion of CRC patients have been found to have histological and demographic features which suggest that MSI-tumours and these tumours are more common in younger patients. However only a few authors have looked at the possibility of mismatch repair mutations in the genetic aetiopathogenesis of colorectal adenocarcinoma in East Africa.

INFANT DEATH RATE DROPS WHILE RACE GAP WORSENS

PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 173-173
Author(s):  
J. F. L.
Keyword(s):  
United States ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Disease Control ◽  
Low Birthweight ◽  
Developed Countries ◽  
The United States ◽  
Infant Mortality Rate ◽  
Control And Prevention ◽  
Centers For Disease Control

ATLANTA—The U.S. infant mortality rate dropped to a record low, but black babies died at more than twice the rate of whites, and the gap is growing, health officials reported Thursday. For every 1,000 births in 1990, 9.2 babies died before age 1, down from 9.8 in 1989, the Centers for Disease Control and Prevention said. It credited most of the drop to a new way of treating the underdeveloped lungs that kill thousands of premature and underweight babies. The rate in 1990, the most recent year for which data are available, propelled the United States up two notches—to 20th place—in UNICEF's ranking of infant mortality in 23 developed countries. Japan has the world's best rate, 5 per 1,000. Despite the new lung treatment, 38,351 babies died in 1990, down from 39,655 in 1989. The District of Columbia had by far the deadliest rate, 20.7. Vermont had the lowest rate, 5.4. The mortality rate for black infants was 18, compared with 7.6 for whites, and the disparity is growing, the CDC said. Low birthweight was the leading killer of black babies, while birth defects claimed more white babies. Vt. is best Infant mortality rates in 1990, from the Centers for Disease Control and Prevention. Numbers are per 1,000 live births: • Connecticut, 7.9 • Maine, 6.2 • Massachusetts, 7.0 • New Hampshire, 7.1 • New York, 9.6 • Rhode Island, 8.1 • Vermont, 5.4, the nation's lowest rate • United States, 9.2

Baby’s First Cry:A Prognostic Study by Varmam Therapy

2019 ◽  
Vol 4 (1) ◽  
Author(s):  
Deiva Priyananth ◽  
Dr.N. Shonmugam
Keyword(s):  
Developing Countries ◽  
Mortality Rate ◽  
Infant Mortality ◽  
Birth Asphyxia ◽  
Developed Countries ◽  
Infant Mortality Rate ◽  
Live Births ◽  
New Born

This paper presents the efficacy and importance of Varmam application and treatment applied on new born to prevent Birth Asphyxia. In this study Varmam technique was tried to prevent birth asphyxia by bringing about the first cry in a baby. This is one of the main causes for Infant mortality. It is much more in developing countries. In India out of 25 million infants born every year, 3 - 5% experience birth asphyxia, which amounts to almost 7,50,000 infants. Infant mortality rate is 57 out of every 1000 live births in India, which is comparatively higher than developed countries. One of the main causes is birth asphyxia.

scholarly journals Maternal cumulative prevalence measures of child mortality show heavy burden in sub-Saharan Africa

2020 ◽  
Vol 117 (8) ◽  
pp. 4027-4033 ◽  
Author(s):  
Emily Smith-Greenaway ◽  
Jenny Trinitapoli
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Age Groups ◽  
Infant Mortality Rate ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
African Countries ◽  
Sub Saharan ◽  
Offspring Mortality ◽  
Cumulative Prevalence

We advance a set of population-level indicators that quantify the prevalence of mothers who have ever experienced an infant, under 5-y-old child, or any-age child die. The maternal cumulative prevalence of infant mortality (mIM), the maternal cumulative prevalence of under 5 mortality (mU5M), and the maternal cumulative prevalence of offspring mortality (mOM) bring theoretical and practical value to a variety of disciplines. Here we introduce maternal cumulative prevalence measures of mortality for multiple age groups of mothers in 20 sub-Saharan African countries with Demographic and Health Surveys data spanning more than two decades. The exercise demonstrates the persistently high prevalence of African mothers who have ever experienced a child die. In some African countries, more than one-half of 45- to 49-y-old mothers have experienced the death of a child under age 5, and nearly two-thirds have experienced the death of any child, irrespective of age. Fewer young mothers have experienced a child die, yet in many countries, up to one-third have. Our results show that the mIM and mU5M can follow distinct trajectories from the infant mortality rate (IMR) and under 5 mortality rate (U5MR), offering an experiential view of mortality decline that annualized measures conceal. These measures can be adapted to quantify the prevalence of recurrent offspring mortality (mROM) and calculated for subgroups to identify within-country inequality in the mortality burden. These indicators can be used to improve current understandings of mortality change, bereavement as a public health threat, and population dynamics.

scholarly journals Mortality trends for young adults in Sweden in the years 2000–2017

2021 ◽  
pp. 140349482110008
Author(s):  
Gunnar Ågren ◽  
Sven Bremberg
Keyword(s):  
Young Adults ◽  
Mortality Rate ◽  
Western Europe ◽  
Causes Of Death ◽  
Mental Health Problems ◽  
Mortality Data ◽  
Mortality Trends ◽  
The Usa ◽  
Self Harm ◽  
Be The Change

Aim: Mental health problems in young people seem to be on the rise and more so in Sweden than in other locations. The aim was to compare the development of mortality rates for young adults in Sweden with Western Europe in total. Methods: Young adults were defined as individuals aged 20–34 years and the study period was 2000–2017. Mortality data were derived from the Institute of Health Metrics and Evaluation. Results: During the period 2000–2017, the mortality rate in young adults in Sweden stayed about the same, while in Western Europe as a whole the mortality rate decreased by 42%. The leading explanation for the unfavourable Swedish development was deaths due to drug use, mainly opioids, which increased by 60% during this period. The other major causes of death decreased both in Sweden and Western Europe, but decreased more slowly in Sweden. The differences in the rate of decrease between Sweden and Western Europe were for self-harm (27%), transport injuries (12%), unintentional injuries (31%) and for neoplasms (23%). The unfavourable development in Sweden resembled the development in the USA. Conclusions: The risks of four of the five leading causes of death in this age group were affected by the individuals’ social conditions. The unfavourable mortality development in young adults in Sweden was mainly due to substance use. A contributing cause might be the change in the Swedish healthcare system that introduced competition between providers, which might have encouraged providers to prescribe opioids.

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