Groups Of Causes Research Articles

On the issue of reliability of power transmission (on the example of the branch of PJSC Rosseti Volga – Penzaenergo)

The article is a continuation of a series of publications focusing on the analytical assessment of specifics of power transmission in various structural divisions of PJSC Rosseti and is dedicated to the consideration of specific features of electric energy transport in the PJSC Rosseti Volga – Penzaenergo branch electric networks over the period of 2018 – 2023. The characteristic of the structural and balance state of the company's electrical networks for the period under study is presented. Based on the data published in the open press, the analysis of the number of emergency shutdowns and their consequences in electric networks of all levels of rated voltage was carried out. In accordance with the accepted classification, the intensity of these outages was analyzed depending on the amount of electrical energy undersupplied to consumers. The percentage ratio of the value of electrical energy not delivered as a result of emergency shutdowns is analyzed according to the accepted criteria of the intensity level of these failures. It was found that the smallest number of failures of extreme intensity accounts for more than 25% of undelivered electrical energy. The percentage ratio of the amount of electricity not delivered as a result of emergency outages is compared with losses of electricity as a result of unauthorized connections. Specific groups of causes of emergency shutdowns have been identified and the percentage ratio of the number of failures due to these causes to the total number of failures during the period under study has been determined. General scientific methods and methods of numerical analysis were used in the study. The technologies of Excel, Paint 3D software shells, MATLAB graphics editor, as well as author's software solutions were used as a tool base. The results obtained may be of interest to the management of the power grid structures of the Russian Federation, as well as to engineers and researchers engaged in research in the field of improving the reliability of power supply to consumers.

Socioeconomic inequalities in avoidable mortality: results from the Italian nationwide cohort

Abstract Background Inequalities in avoidable mortality have been well evaluated in many European countries. We aimed to assess the association between socioeconomic status and avoidable mortality in Italy. Methods The nationwide closed cohort of the 2011 Census of Population and Housing was followed up for 2012- 2019 mortality. Outcomes of preventable and of treatable mortality were evaluated among people aged 30-74. Exposures were education level and residence macro area (North-West, North-East, Center, South-Islands). Adjusted mortality rate ratios (MRRs) were estimated through multivariate quasi-Poisson regression models, by sex and group of causes, taking into account age at death and macro area of residence. Relative index of inequalities (RII) was estimated for preventable, treatable, and non-avoidable mortality and for some specific causes. Results The cohort consisted of 35,708,459 residents (48.8% men, 17.5% aged 65-74), 34% with a high school diploma, 33.5% living in the South-Islands; 1,127,760 deaths were observed, of which 65.2% for avoidable causes (40.4% preventable and 24.9% treatable). Inverse trends between education level and mortality were observed for all causes; comparing the least with the most educated groups, a strong association was observed for preventable (males MRR = 2.39; females MRR = 1.65) and for treatable causes of death (males MRR = 1.93; females MRR = 1.45). Highest RII were observed for HIV/AIDS and alcohol-related diseases (both sexes), drug-related diseases and tuberculosis (males), and diabetes mellitus, cardiovascular diseases, and renal failure (females). Higher risks of preventable and of treatable mortality were found for those living in the South-Islands. Conclusions We documented relevant socioeconomic inequalities in avoidable mortality in Italy, especially in the Southern regions. They represent a possible missed gain in health and suggest a reassessment of priorities and definition of health targets with the lens of equity. Key messages • An inverse socioeconomic gradient in avoidable mortality was observed in Italy, both for preventable and for treatable mortality, with geographical heterogeneity. • Greatest social disparities were found in mortality for causes strongly associated with risk behavior and for which it is possible to identify risk factors on which to intervene.

Contemporary issues of the birth trauma

Background. Birth trauma is a group of diseases caused by mechanical factors during childbirth. Birth trauma is an interdisciplinary problem, affecting various fields of medicine, such as obstetrics, pediatrics, child neurology and other sciences. Birth trauma occupies an important place in the structure of perinatal morbidity and mortality. Birth injuries of newborns during vaginal birth occur in 3.6% of cases, during cesarean section — in 1.2%. However, at present, despite a comprehensive study of the problem, the incidence of birth trauma in newborns remains high. Along with obstetric birth trauma, spontaneous birth trauma also occurs — not associated with any obstetric care.Purpose of review. To summarize and analyze the available data on the causes of birth trauma in newborns depending on the type of birth injury.Materials and methods. The review includes published data over the past 10 years regarding the study of the causes of the main types of birth injuries in newborns. The literature search was conducted in Web of Science, Google Scholar, PubMed, and ELibrary databases.Results. The problem of fetal-pelvic disproportion in the genesis of the development of risk factors for maternal-fetal trauma remains relevant. Fetal macrosomia is one of the most significant factors in birth trauma. The most common skull injury in newborns is cephalohematoma. According to the mechanism of occurrence, birth trauma is divided into spontaneous — occurring during physiological childbirth — and obstetric — associated with any obstetric benefits. The degree of configuration of the fetal head plays a significant role in the pathogenesis of birth trauma. Birth trauma is considered as a systemic reaction on the part of the newborn’s body, which leads to a breakdown of compensatory and adaptive mechanisms and the development of critical damage to the central nervous system and is differentiated from birth damage, which includes only local changes.Conclusion. To search for preventive measures aimed at preventing birth injuries in newborns, it is necessary to systematize the groups of causes that influence the increased risk of birth injury. Timely assessment of the pathological configuration of the fetal head is extremely important when deciding on the advisability of using obstetric aids during vaginal operative delivery, since it is an early predictor of the formation of fetal-pelvic disproportion — a significant factor in birth trauma in the newborn. In recent years, taking into account the active study of molecular genetic mechanisms in the genesis of the formation of various pathological conditions, the search for various genetic and epigenetic factors that influence the risk of developing birth traumatic injuries in a newborn against the background of individual susceptibility to the effects of any physical factors during childbirth.

W poszukiwaniu przyczyn wyrażania niechęci wobec dzieci w internecie

The article aims to highlight the phenomenon of adults expressing resentment towards children and to try to reach its causes. The subject of the study consists of the statements of internet users perceived through the prism of linguistic discourse analysis. The author distinguishes three groups of causes: cultural (individualism, freedom in way of life, egocentrism), social (child-centrism vs. loss of social contact with the child) and psychological (individual). Cultural reasons relate to the fact that people nowadays value freedom and don’t want to make sacrifices for children who they consider a disturbance to their orderly, ideal way of life and individualistic mindset. Social causes come in the form of two seemingly opposing ideas. The first is about protest against pressure to have and to like children, alongside the priority given to families with children. The second is about the loss of social contact with the child, caused by the change in the family model and the privatization of motherhood. Psychological causes are of an individual nature; they may be related to trauma and various hypersensitivities and often manifest in expressions of disgust towards children. The author draws attention to the normalization of rude language behavior and the escalation of expressed resentment, which raises questions about the possibility of age discrimination.

Közúti közlekedési balesetben megsérült gyalogosok számának csökkentési lehetőségei

Összefoglalás. A közlekedési balesetekben sérült személyek, valamint a baleset miatti anyagi károk jelentős mértékű társadalmi-gazdasági veszteségértéket képviselnek. Kutatásommal célom a közlekedés biztonságosabbá tételéhez szükséges kulcsterületek feltárása és a lehetséges potenciális beavatkozási területek meghatározása volt. Munkám során a 2016–2020 közötti közlekedési balesetek adatait elemeztem leíró statisztikai módszerrel. Megállapítottam, hogy a leginkább kritikus pont a gyalogosok közlekedése. Azokban a balesetekben, ahol volt gyalogos sérült, a balesetek két okcsoportja dominál: gyalogosok hibája (34,3%), valamint a járművezetők gyalogosok részére történő elsőbbségadásának elmaradása (38,1%). Az eredmények lehetőséget adnak a további célirányos vizsgálatokra, valamint a hatékony beavatkozásokra. Summary. Transport is an essential part of everybody lives. The aim of transport users is to make their journeys without accidents in the shortest possible time, while optimising their individual resources and inputs. The number of people injured in road traffic accidents with personal injury and the material damage caused by a significant socio-economic loss. By preventing accidents, it is clear that the costs and resources spent on road accidents can be reduced. Therefore, I started my research by determining the share of road user groups in the number of accidents, the number of people injured and the amount of economic loss value associated with accidents. I analysed road accidents between 2016 and 2020. By the accident analysis, I found that among vulnerable road users, the proportion of pedestrians and cyclists injured was extremely high. Injuries in these two transport modes accounted for more than half of the injuries in cars. By calculating the loss value, I found that the damage to the national economy caused by pedestrian injuries was significant. In my research, by analysing the causes of accidents, I found that in accidents where there was a pedestrian injured, two groups of causes dominate: pedestrian error (34.3%) and drivers not giving priority to pedestrians (38.1%). Examining the accident data, it was evident that the number of pedestrian accidents due to pedestrian error is very high, so I continued my research in the area of other activities of pedestrians while walking. I measured pedestrians in 10 locations in Budapest. During the measurements, I recorded and analysed data of 11536 persons. The average rate of distraction was 54.3%, which means that one in two pedestrians is doing some other activity while walking. The most frequent activity was talking to another pedestrian (29.8%), but phone use (15.7%) and head/earphone use (13.5%) were also very significant. My research results so far show that if we want to improve pedestrian safety, we need to reduce accidents caused by pedestrians’ own fault and increase drivers’ willingness to give priority to pedestrians. My research plans also include investigating ways to reduce pedestrian errors, increasing pedestrian awareness and examining pedestrian-driver interactions in more depth. I already have results in this area, but my aim is to identify target areas (including human, infrastructure, vehicle field) for my research that can be implemented in practice, thus helping to improve pedestrian safety and road safety.

A methodological framework for attributing the burden of animal disease to specific causes.

The Global Burden of Animal Diseases provides an analytical framework to measure the overall health of various farmed animal populations, to estimate the farm-level burden of different diseases, incorporating production losses due to morbidity and mortality as well as health expenditure, and to identify the wider economic and human health impacts of animal disease. Attributing the burden of animal diseases to specific causes or groups of causes requires methodological choices, including the classification of diseases and the resulting health states that manifest in loss of production. The aim of this article is to address the key challenges in the process of estimating farm-level disease burden, including ambiguity in terminology, data availability and collation, and adjustments for comorbidity. Using infection with zoonotic Brucella spp. in small ruminants as an aetiological cause of disease and abortion as a sequela of multiple diseases, practical examples of the framework are provided. Cause-specific attribution of the burden of animal disease captures temporal and spatial trends, an understanding of which is essential for planning, monitoring and evaluating animal health programmes and disease interventions.

Decomposition of life expectancy differentials with (and without) conditions by educational attainment for major groups of causes in contemporary Spain: where is the advantage?

IntroductionHealthy life expectancy is higher among individuals with higher socioeconomic standing. However, it is unclear whether such advantage is attributable to longer (i.e., mortality advantage) or to healthier (morbidity advantage) lifespans across different health conditions.ObjectiveEstimate the contribution of mortality and morbidity components in differences in condition-free life expectancies (CFLE) and life expectancy with conditions (LEWC) for five major groups of conditions by sex and educational attainment, instead of using a global indicator of morbidity.MethodsUsing the Sullivan Method, we computed remaining life expectancies at age 40 and 65, CFLE, and LEWC and applied a stepwise decomposition technique, using national health surveys along with mortality data, in a cross-sectional analysis.ResultsAn educational gradient was present in almost all conditions, with different intensities. For females, morbidity was the main contributor to educational differences in health expectancies, but mainly in the older age groups. For males, the drivers behind higher health expectancies for high-educated males were evenly distributed across mortality and morbidity between ages 40 and 65, but after that, the mortality gradient vanished between high-educated and middle-educated individuals.DiscussionThe changing contribution of the mortality and morbidity gradient for different conditions across age-groups brings evidence to adequately plan health policies to mitigate health gaps and improve quality of life of the populations in a lower social standing.

The analysis of age dynamics of causes of mortality of population of elderly age groups as reserve of maintaining population of older able-bodied age

The article analyzes age dynamics of initial causes of death according to records in medical death certificates of population of older age groups. Materials and methods. The records of causes of death of 34.914 persons aged 60 years and older were used as primary source of information. The initial cause of death was determined according to the ICD-10 rules. The rate of registration by reason of death was calculated as intensive value per 100 deaths in concrete age and sex group. Each cause was coded according to the ICD-10 rules (revision 2014-2016). The belonging to group was determined by first character (letter) in four-digit code that corresponded to the Class. On the basis of analysis of structure of causes of death, the group A of causes that included five Classes of ICD-10, determined 81.4% of all deaths in population aged 60 years and older. Two Classes: "Diseases of the circulatory system" (Class IX) and "Neoplasms" (Class II) determine in all studied age groups more than a half of all deaths (from 55% to 71% of males and from 59% to 67% in females) and namely they determine mortality rate in older age groups. There are no gender differences in age characteristics of registration rate in these groups (p > 0.05), however age dynamics differ. In case of diseases of circulatory system initial cause of death is increase rate of registration at increasing of age. In case of neoplasms at increasing of age decrease of registration rate as initial cause of death is established. At that, rate of decline is higher than rate of increase that determines certain decrease of structural significance of combined contribution of these two groups of causes at increasing of age. The Group B of causes, including three Classes of ICD-10 "Respiratory diseases" (Class X), "Diseases of the digestive system" (Class XI) and "Diseases of the nervous system" (Class VI), determined in overall 11.9% of all deaths in population aged 60 years and older. The age dynamics of causes of death of population of older age groups exists for certain groups of causes and it should be considered in organizing medical care of population of older age groups.

Mortality rates for men and women from cerebrovascular and nervous diseases in the regions of Russia in 2013 and 2022

In recent years, researchers have noted an increase in mortality from neurodegenerative diseases and a decrease in mortality from strokes. There have been no studies comparing mortality from these causes in the regions of the Russian Federation.Aim: comparative analysis of regional (age-) standardized death rate (SDR) among men and women from cerebrovascular diseases (CVD) and nervous system diseases (NSD) in 2013 and 2022 and discussion of factors influencing SDR.Materials and methods. Rosstat data obtained upon request were used. SDR was calculated using software (state registration number of computer program 216661114) using the European Standard Population using the direct standardization method per 100 thousand population; The average regional SDR values were calculated for the class of NSD and individual groups from this class, CVB (codes I60–69).Results. A decrease in the regional average SDR from CVD was revealed among men (218.09 ± 60.81 in 2013 and 159.41 ± 51.20 per 100 thousand people in 2022) and women (144.30 ± 39.33 and 103.51 ± 32.63 respectively) and the increase in SDR from LBP (19.77 ± 17.70 and 65.99 ± 56.67 for men, 10.99 ± 11.32 and 52.81 ± 46.13 for women). Only in 4 regions was there a decrease in SDR from both NSD and CVD in both men and women. The dispersion of regional SDRs from NSD and CVB in 2022 compared to 2013 increased by more than 10 times, which indicates a significant and growing regional variability of indicators. In the stroke group, the most significant decrease occurred from “Stroke not specified as hemorrhage or infarction” (code I64). The regional average contribution of acute stroke (codes I60–64) to the SCS from NSD and CVB (in total) decreased (in 2013 among women 51.57 ± 16.26 %, in 2022 33.96 ± 14.95 %; among men 54.0 ± 15.01 and 39.82 ± 14.26 respectively). Alzheimer’s disease makes a negligible contribution to mortality; In men in certain regions, alcohol-associated LBP is significant.Conclusions. Significant regional variability of SDR from individual groups of causes and a general trend towards a decrease in SDR from CVD and an increase in SDR from NSD were revealed, which is due to many factors. To eliminate the influence of different approaches to determining the cause of death, a unified protocol of criteria for their establishment is necessary.

Management of Amenorrhoea (Ihtibas-al-Tamth) in Unani System of Medicine: A Review

Menstrual patterns can be an indicator of overall health and self-perception of well-being. Amenorrhoea is the absence of menses in women of reproductive agewhich may be primary or secondary. Primary amenorrhoea refers to the absence of menarche at the age of 16 and secondary amenorrhoea is the cessation of menses for at least 6 months in already cycling women. Secondary amenorrhoea is more common than primary amenorrhea. Ihtibas al-Tamth (amenorrhoea) is defined in the Unani system of medicine as the absence of monthly bleeding for more than 2 months or a decrease in the quantity of menstrual blood. The etiologies of amenorrhoea may be considered categorically as outflow tract abnormalities, primary ovarian insufficiency, hypothalamic or pituitary disorders, other endocrine gland disorders, sequelae of chronic disease, physiologic, or induced. The causes of Ihtibas al-Tamth are related to Quwwat Dafia al-Badan, Madda and Johar Khun-i-Hayd, or Ala Makhraj -i-Hayd. Su’-i-Mizaj Barid, Yabis, Harr or Harr wa Yabis, Su’-i-Mizaj Maddi or Sada can lead to Du’f al-Quwwat-i-Dafia. Abnormality in quality and quantity of Madda in Su’-i-Mizaj Maddi can also lead to ihtibas al-tamth. Amenorrhoea is not a diagnosis but a symptom indicating anatomical, genetic and neuroendocrine abnormalities. It can be determined by two different groups of causes: (a) anatomical defects of the genital organs; (b) endocrine dysfunctions. Both congenital and acquired anomalies in the structure of the uterus and vagina could produce amenorrhoea; nevertheless, in most patients, amenorrhoea is related to an ovarian malfunction. Symptoms usually associated with amenorrhoea are headache, nausea, back ache and lower abdominal pain, tiredness, and some respiratory problems. Main principle of treatment includes Tawleed-i-Dam, Tanqiya-i-Akhlat Ghaleeza, Talteef-i-Khilt, Tafteeh-i-Uruq Raham and Tahzeel if obesity is the cause. Surgical intervention if hymen is imperforated. Some regimenal therapies are also beneficial in amenorrhoea, such as Fasd-i-Safin, Hammam-i-Murattib and Hijama-i-Nariya on calf area. Some Unani drugs, which are beneficial in amenorrhoea, are Habb-i-Mudir, Safoof-i-Baboona, Kushta Faulad, and Safoof Muhazzil. In the present scenario, it is utmost important to educate the patients to live a healthy and hygienic life and to avoid those factors which cause amenorrhoea.

Специфические признаки потенциального вовлечения сотрудников уголовно-исполнительной системы Российской Федерации в преступления коррупционной направленности

<p style="text-align: justify;">The content of the article consists of the results of the theoretical analysis of scientific research, the authors of which focus on the problem of identifying signs of the involvement of law enforcement officers in corruption crimes and the practices of interaction with former law enforcement officers convicted of corruption crimes. The paper identifies groups of causes of corrupt behavior, through the prism of which the specific features of the professional activities of law enforcement officers and, in more detail, employees of the penitentiary system, contributing to such unlawful behavior, are analyzed. It is also noted that there is a similarity of former employees (corrupt criminals) in terms of destructive deviations with former employees of the penitentiary system convicted of common crimes. The authors pay special attention to such a personal quality as empathy. The article substantiates the need to consider empathy in the context of other personality traits as one of the signs indicating the presence of risks of corrupt behavior.</p>

Comparison across age groups of causes, circumstances, and consequences of falls among individuals living in Canada: A cross-sectional analysis of participants aged 45 to 85 years from the Canadian Longitudinal Study on Aging.

Falls are a leading cause of injury-related deaths and hospitalizations among Canadians. Falls risk has been reported to be increased in individuals who are older and with certain health conditions. It is unclear whether rurality is a risk factor for falls. This study aimed to investigate: 1) fall profiles by age group e.g., 45 to 54 years, 55 to 64 years, 65 to 74 years, 75 to 85 years; and 2) falls profiles of individuals, by age group, living in rural versus urban areas of Canada. Data (N = 51,338) from the Canadian Longitudinal Study on Aging was used to examine the relationship between falls and age, rurality, chronic conditions, need for medical attention, and fall characteristics (manner, location, injury). Self-reported falls within a twelve-month period occurred in only 4.8% (single fall) and 0.8% (multiple falls) of adults. Falls were not related to rural residence or age, but those with memory impairment, multiple sclerosis, as well as other chronic conditions such as mood disorder, anxiety disorder, and hyperthyroidism not often thought to be associated with falls, were also more likely to fall. Older individuals were more likely to fall indoors or fall while standing or walking. In contrast, middle-aged individuals were more likely to fall outdoors or while exercising. Type of injury was not associated with age, but older individuals were more likely to report hospitalization after a fall. This study shows that falls occur with a similar frequency in individuals regardless of age or urban/rural residence. Age was associated with fall location and activity. A more universally applicable multi-facted approach, rather than one solely based on older age considerations, to screening, primary prevention and management may reduce the personal, social, and economic burden of falls and fall-related injuries.

Direct and indirect impact of COVID-19 on life expectancy at birth in Chile in 2020

This article shows the direct and indirect impacts of COVID-19 on life expectancy in Chile in 2020, based on mortality statistics published in March 2023. To this end, a counterfactual mortality was estimated for 2020 without COVID-19; based on the pattern of mortality by cause of death from 1997 to 2019, mortality charts were created to calculate life expectancy from 2015 to 2020 and an estimation for 2020, and the difference between expected and observed life expectancy in 2020 was then separated by age group and cause of death. Life expectancy in 2020 interrupted the upward trend from 2015 to 2019, showing a decline of 1.32 years in men and 0.75 years in women compared to 2019. Compared to the estimated 2020, life expectancy was 1.51 years lower in men and 0.92 years lower in women, but the direct impact of COVID-19 on the decrease in life expectancy was greater (1.89 for men and 1.5 for women) in the 60-84 age group in men and the 60-89 age group in women. The direct negative impact of COVID-19 on life expectancy was partially mitigated by significant positive indirect impacts on two groups of causes of death: diseases of the respiratory system and infectious and parasitic diseases. This study shows the need to differentiate direct and indirect impacts of COVID-19, due to the implications for public health when the intensity of COVID-19 decreases and mobility restrictions are suspended.

Mortality trends and years of potential life lost due to suicide in adolescents.

To assess the trend in mortality rates and years of potential life lost (YPLL) due to suicide among adolescents in Northeast Brazil. This is an ecological time series study, with secondary data from 2011 to 2020 from the Mortality Information System for adolescents aged 10 to 19 years in the Northeast region of Brazil. Groups of causes from the 10th Revision of the International Classification of Diseases were included: X60-X84 (intentionally self-inflicted injuries), Y10-Y19 (poisoning of undetermined intent), and Y87 (sequelae of intentional self-harm). Mortality coefficients and frequency distribution by sociodemographic variables, place of occurrence, and method of suicide were estimates. YPLL were estimated by gender and age. Joinpoint regression analysis was used, and the annual percentage change (APC) was determined with 95% confidence intervals. A total of 2,410 deaths were recorded, with a predominance of adolescents aged between 15 and 19, males, of mixed-race, low schooling, and home was the main place of occurrence. The trend in the death rate was increasing in the Northeast (APC: 3.6%; p = 0.001), in girls aged 10 to 14 (APC: 8.7%; p = 0.003), in boys aged 15 to 19 (APC: 4.6%; p = 0.002) and in Bahia (APC: 8.1%; p = 0.012). Hanging/strangulation was the main method adopted by both sexes. The YPLL due to suicide were 11,110 in 2011 and 14,960 in 2020. The precociousness of suicide committed by girls and the increase in mortality among older adolescents are noteworthy, and specific preventive measures need to be adopted for these groups in order to reduce this preventable cause of death.

Establishing theoretical extreme values of a variation series presented by a normal distribution

The proposed methodology has been developed in order to focus on the search for a specific failed track element and rolling stock or other inconsistency, as well as the technological component of ensuring the transportation process (placement and fastening of cargo, formation of train composition, choice of train driving mode) on the quality of functioning, which depends on the prevention of gatherings. In the developed methodology, the types of technical component, technological components or the corresponding groups of causes of rolling stock derailments indicated above are called classes. The class distribution can be attributed to a statistical classification, i.e., during an internal investigation, the data of each class K (“path”, “wagon” and “locomotive”) They can be represented by a set of pnk parameters of the next descent, which are input data for solving the classification problem. The result of solving this problem should be the attribution or degree of involvement of each of the classes in a specific meeting.

ANALYSIS OF THE CAUSES OF VIRAL INJURIES THE WAYS OF YOGO'S DEGRADATION IN CURRENT REALITIES

In the presented work, an analysis of industrial injuries in recent years was carried out, taking into account the peculiarities of the modern period. The relevance of this work is due to the high level of industrial injuries and occupational diseases in Ukraine compared to the industrialized countries of the European Union. Data are given on the dynamics of the causes of accidents for the period from 2015 to 2022, taking into account changes in the classification of causes. The most injury-prone sectors of the economy in the above-mentioned period were considered and measures to reduce industrial injuries were proposed. Data for the study were taken from open sources of information. The analysis of the obtained results showed an unchanged leading position in the considered period of the organizational causes of accidents, despite the introduction of the fourth group of causes into the classifier. According to the results of the study, it was shown that the introduction of the fourth group of causes of accidents has an appropriate rationale, established patterns regarding the most trauma-hazardous branches of the economy in the years under review, and determined a low motivational component of occupational safety, which determines the predominance of organizational causes of industrial injuries. It was established that the reduction of industrial injuries is impossible without teaching occupational safety issues in higher education institutions by future heads of structural units and leading specialists. The need to improve occupational health and safety training for employees at all levels, as well as the use of mandatory professional selection and more thorough control over periodic preventive medical examinations, was noted.

Causes of death and reasons for euthanasia in necropsied dogs and their relationship with sex, age group and breed: a retrospective study

The objective of this study was to determine the occurrence of disease groups leading to death or euthanasia in dogs, as well as their dependence on factors such as sex, age group, and breed. The necropsy records from the Animal Pathology Department of the Federal University of Espírito Santo were reviewed from January 2016 to December 2020, resulting in 315 protocols. The groups of cause their death were based on the primary pathological process. The sex, age group, and breed of the dogs were associated with the groups of causes of death. As a result, the most frequent causes of death were: inconclusive (25,7%), infectious and parasitic diseases (22.2%), degenerative diseases (17.5%), neoplasms (15.9%), disorders caused by physical agents (8.9%) and other groups (9,8%). Only age group had an influence on death classifications (p < 0.0001), with puppies being positively associated with infectious and parasitic diseases and negatively associated with neoplasms and degenerative diseases. Elderly dogs had a negative association with infectious and parasitic diseases and a positive association with neoplasms. In conclusion, the deaths in this study occurred prematurely, especially those related to infectious and parasitic diseases.

Dysphagia in pediatric intensive care unit patients (review)

The known negative consequences of intensive care unit stays, summarized as the post-intensive care syndrome (PICS) and including swallowing disorders (dysphagia) are also encountered in pediatric practice.Materials and methods. The non-systematic review of literature sources was carried out. Domestic publications were searched in the database on the elibrary website, foreign publications – in PubMed, Google Scholar, Cichrane Library, Cyberleninka, ResearchGate databases in the period of 1990–2023. When analyzed for the query «Dysphagia in Children», 1,496 results were found, «Post-intensive care syndrome in children» – 82 results. We analyzed 142 full-text publications describing the causes, mechanisms, and clinical presentation of dysphagia in children whose swallowing disorders occurred after hospitalization in intensive care units or were associated with severe somatic diseases.Results. The review analyzes the causes, features of diagnosis and treatment of dysphagia in pediatric patients with PIСS. 5 groups of causes in the structure of PIСS that can lead to the development of dysphagia were considered: infectious-trophic, vegetative-metabolic, neuromuscular, emotional-cognitivecomplications and decreased quality of life compared to the premorbid level. Complications associated with the development of dysphagia lead to increased length of stay in intensive care and hospitalization, lead to the development of malnutrition, aspiration pneumonia and other complications. The mechanisms of dysphagia development in children in intensive care units were analyzed. The main ways of dysphagia progression in pediatric practice are determined.Conclusion. Clarification of the causes and understanding of the mechanisms of dysphagia development in conjunction with the implementation of rehabilitation programs can contribute to the improvement of clinical outcomes in children who have undergone a critical condition in the immediate post-discharge period and in the future.

Minimal Brain Dysfunctions (MBD): Causes, Clinical Symptoms - Deformity of The Feet, Knees, Hips, Pelvis and Spine Physiotherapy

In the pathology of children, from the orthopedic point of view, there commonly occur problems connected with the Syndrome of Contractures and Deformities described by Professor Hans May from Germany. His observations have been made between 1960 and 1980, additionally, in this subject, there are observations from Lublin (Tomasz Karski and Jacek Karski) from 1995-2023. The second group of causes of pathologies in children which if not properly treated, can also occur in adults leading to problems of locomotor system disorders connected with abnormalities of the Central Nervous System – Minimal Brain Dysfunction (MBD). This article is devoted to the MBD problems.

The Swedish intersectoral national public health policy: effects on child and adolescent health.

To improve health, intersectoral cooperation is often advocated. However, only few studies have reported health effects of this approach. Sweden has adopted a national public health policy (NPHP), which focuses on intersectoral primary prevention of disorders and injuries. To investigate the effects of the NPHP, on child and adolescent health in Sweden during the period 2000-19. In the first step, the most important improvements in disorders and injuries, assessed as DALYs and incidences, were identified using the GBD Compare database. In the second step, primary prevention methods for these disorders and injuries were identified. In the third step, the relative importance of various government agents for these preventive measures was assessed using Google searches. Out of 24 groups of causes of disease or injury, only two groups demonstrated an incidence decrease: neoplasms and transport injuries. Leukaemia neoplasms might be prevented by reducing parental smoking, reducing outdoor air pollution and having the mother take folate supplements before getting pregnant. Transport injuries might be prevented by speed restrictions, and physically separating pedestrians from vehicle transport. Most of the primary prevention work was done by government agencies, like the Swedish Transport Agency, which worked independently of the National Institute of Public Health. Governmental agencies outside the health carried out most of the effective primary preventive efforts, almost independently of the NPHP.