Articles from rubric: «Population and healthcare»
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2021 № 4 REMOTE EFFECT OF IMMUNOPROPHYLATICS OF INFECTIOUS DISEASES ON THE APPEALS OF CHILDREN TO THE POLYCLINIC
The structure of complaints about diseases of 28,432 children aged 0 to 14 years was studied, for the period from 2006 to 2019 to a medical organization against the background of vaccination. The data of the medical information system were used. To compare the distributions of values in vaccinated and unvaccinated children, the “copy-pairs” method and the nonparametric Mann-Whitney test were used. It was found that the analysis of data over a long period of time, allows you to identify special effects. Thus, the vaccinations given to children do not lead to a decrease in the number of visits for diseases, but lead to changes in the structure of visits by children in ICD‑10 classes. In unvaccinated children, the proportion of requests for diseases of the genitourinary system, infectious and parasitic diseases is significantly higher than in vaccinated children. Starting from the age of 4 years, the proportion of vaccinated children with diseases of the digestive system is higher than that of unvaccinated children.
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2021 № 4 DYNAMICS OF THE INCIDENCE OF DIABETES MELLITUS AMONG CHILDREN IN THE RUSSIAN FEDERATION FOR 2014–2018 YEARS
Diabetes mellitus among children is one of the urgent health problems due to high morbidity and disability.
Objective – establishing the main trends in the incidence of children.
Materials and methods. A statistical analysis of the data of reporting forms of federal statistical observation No. 12 “Information on the number of diseases registered in patients living in the service area of a medical organization” for the period from 2014 to 2018 was carried out.
Results. During the analyzed period, the incidence of diabetes mellitus in the Russian Federation among children aged 0–17 years increased by 28,1%. In dynamics for 2014–2018 the primary incidence of diabetes among children aged 0–17 years in the Russian Federation increased by 15,5%. In 94,9% of cases of diabetes in children account for type I diabetes. In dynamics for 2014–2018 it grew by 26,2%.
Conclusion. The results of the analysis of diabetes mellitus among children indicate the need for the development of primary prevention of type I in children and raising public awareness of a healthy lifestyle in children -
2019 № 1 The main trends in the incidence of injuries, poisoning and some other effects of external causes in the constituent entities of the Russian Federation
Injuries, poisonings and some other causes of external causes make an indisputable significant contribution to the morbidity structure of the population of the Russian Federation. Despite the decline in the share of morbidity from external causes for 2005–2016, this cause still consistently occupies the second ranking position, causing enormous economic, and knowing a high level of violent mortality, and medico-demographic damage. Despite the positive trend of reducing the incidence of external causes, a number of subjects of the Russian Federation with extremely high values, as well as negative growth dynamics, were identified. For 2005–2016, the most negative trend in the increase in incidence from external causes was found in the Moscow Region, the Kurgan Region, the Altai Territory, the Bryansk Region, the Republic of Sakha. Of particular interest to the organizers of health care should be those areas of the Russian Federation in which low incidence rates are registered, and a positive trend of decline. It is necessary to analyze the systems of organization of medical care and medical prophylaxis, and to use subjects with the lowest incidence rates from external causes as an example in order to improve measures aimed at reducing morbidity.
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2018 № 9 Morbidity of adult population with acute cerebrovascular diseases and mortality from them
Relevance: the progress achieved in the treatment of stroke is now evident, but the prevalence of this pathology, both in Russia and throughout the world, remains at a high level. The aim of the study was to To analyze the incidence of adult cerebrovascular diseases in the adult population and mortality from them in the Russian Federation for the period from 2012 to 2016. Materials and methods: the incidence of acute cerebrovascular diseases among adults was based on data from a form of federal statistical observation. Statistical, analytical and descriptive methods of statistical analysis are used in the work. Results: the increase in the total incidence of acute cerebrovascular diseases among the population aged 18 and over is 13,6%. However, a 2,1% increase in deaths from intracerebral and intracranial hemorrhage was noted. Conclusion: an increase in the total incidence of acute cerebrovascular diseases among the population aged 18 years and older by 13.6% and deaths from intracerebral and intracranial hemorrhage by 2,1%. Against this background, the mortality of adults from acute cerebrovascular diseases decreases. In their structure of cerebrovascular diseases more
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2018 № 8 Base trend on number of Russian children (aged 0–14) require for medical supervision in 2000–2015 years
Growth of Russian children’s incidence is confirmed with many special researches. As has shown the anal¬ysis of Federal statistical observation (form No. 12) for 2000–2015 years, in Russia the number of children at the age of 0–14 years require for medical supervision has grown from 302,6 to 309,0 cases for 1000 per population of the corresponding age (2,1%). The highest increase took place on classes: new growths (105,3%), congenital anomalies (malformations) (63,0%), injuries, poisonings, etc. (56,3%). Decrease in number of the children (0–14 years) require for medical supervision is noted on the following classes: pregnancy, childbirth and postnatal period (–70,0%), separate conditions of the perinatal period (–60,6%), some infectious and parasitic diseases (–59,5%), mental disorders and disorders of behavior (–43,1%). The balance of number of the studied group of children for 2015 year is 6,1% at the expense of bigger number registered (55,3%), in comparison with number of struck off the register (49,2%). At the same time the maximum plus balance was observed on the following classes of diseases: separate conditions of the perinatal period (46,5%), injuries, poisonings, etc. (80,0%), diseases of respiratory organs (21,3). The minus balance of number is noted on classes: some infectious and parasitic diseases (–11,6%), mental disorders and disorders of behavior (–2,4%). The number of children require for medical supervision in Russia for the studied period has grown. As soon as, the health of children and teenagers defines health of future nation, its preservation is an important task, which real¬ization demands development of measures for treatment of diseases of this contingent, and, above all – holding preventive actions with definition of their address introduction (school, the house, healthcare institutions).
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2018 № 8 Analysis of death rates related to hemoblastosis in the population of St. Petersburg for the period of 1990–2016 and the forecast up to 2026
The authors have analyzed the level and dynamics of mortality in the population of St. Petersburg from malignant neoplasms of lymphoid, hematopoietic and related tissues in the period from 1990 to 2016 and made a forecast for the period of up to 2026. It was established that in 2016 St. Petersburg ranked 3rd in terms of the level of mortality from hemoblastoses among the constituent entities of the Russian Federation. The mortality of men exceeded the mortality of women. The period under study was found to have a death rate decrease by 46.3%, which is due to the introduction of highly effective therapeutic and diagnostic technologies into clinical practice. According to the forecast, the probable reduction in the death rate by 2026 compared to 2016 is 21.1%. As the cost of therapeutic and diagnostic technologies is growing, the work on the enhancement of the results of treatment of hemoblastoses and further reduction of mortality rates from these diseases needs to be done in a comprehensive manner, at the state level
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2018 № 8 Transfusion of blood: there are fewer recipients than it seems
It is known that in 2016 a total of 1,196,633 patients of Russian clinics received blood transfusion. The correctness of these data is questionable, since Table 3200 of Report Form 30 does not imply a summation of transfusion of different blood components. In 2 hospitals, the number of blood recipients receiving different transfu¬sion products was determined. It is established that about 25% of patients receive complex transfusion therapy with various kinds of blood components. Summation of data on the number of recipients of different transfusion products (Table 3200 of Form 30) leads to a distorted result, 30% higher than the actual number of patients who received a blood transfusion.
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2018 № 5 Nosological structure of mortality from diseases of the circulatory system of the population in three age groups of the population of the Russian Federation
The article discusses the influence of errors in coding the causes of death and the inadequate filling of death certificates on the statistics of mortality from circulatory system diseases. Using the example of the ABC-anal¬ysis of the nosological structure of mortality in the Russian Federation from the circulatory system diseases in three age groups in 2014, the possibility of using this approach to optimize prevention and treatment programs to reduce mortality from this pathology is being considered