Morbidity In Class Research Articles

The dynamics of morbidity of adult population of The Russian Federation by diseases of ear and mastoid in 2018-2022

The purpose of the study is to assess dynamics of level of common and primary morbidity in class of diseases of ear and mastoid in adult population of the Russian Federation in 2018-2022. The analysis of morbidity indicators was carried out on the basis of data from statistical collections of Minzdrav of Russia and the Federal State Budget Institution "The Central Research Institute for Health Organization and Informatics of Minzdrav of Russia". It is established that in the Russian Federation, level of common and primary morbidity in class of diseases of ear and mastoid in adult population in 2018-2022 was decreasing and reached its lowest values in 2022 (2875.3 and 1760.8 cases per 100,000 of population respectively). The similar trend is observed in all Federal Okrugs of the Russian Federation. The increasing of level of common morbidity is established in 18 Subjects of the Russian Federation, with maximal increase in the Ivanovo Oblast (+17.0%). The increase of level of primary morbidity was noted in 21 Subjects of the Russian Federation, with maximal increase in the Penza Oblast (+35.0%). The most of Subjects of the Russian Federation are characterized by decreasing of both level of common morbidity with maximal decreasing the Republic of Adygei (-48.0%) and primary morbidity of adult population in class of diseases of ear and mastoid with maximal decreasing in the Republic of Tuva (-54.0%). The presented trends of indicators of morbidity in class of diseases of ear and mastoid are results of complex and multi-factorial processes. heir identification will permit to develop measures improving otorhinolaryngological care of population.

The effect of body mass index on the morbidity and outcomes of COVID-19 in Iranian patients with multiple sclerosis.

Background: It seems that patients with multiple sclerosis (MS) are at a higher risk for coronavirus disease 2019 (COVID-19) implications due to being subjected to immunomodulatory or immunosuppressive treatments. Besides, obesity as a risk factor may lead to more adverse consequences. The relationship between obesity and COVID-19 morbidity and outcomes in Iranian patients with MS still remains unclear. Methods: A cross-sectional study was conducted in Sina Hospital, Tehran, Iran. Patients with MS were asked to complete an online questionnaire in the Google Form format. Demographic information, clinical information including MS disease-related factors, COVID-19-related factors, and anthropometric information were recorded. Totally, 492 patients filled the questionnaire during two weeks in November 2021, by the response rate of 21.6%. Body mass index (BMI) was categorized based on the standard classification of the World Health Organization (WHO). The logistic regression was used to examine the risk of morbidity and chi-square test/one-way analysis of variance (ANOVA) was employed to determine the difference regarding severity and symptoms among groups. Results: In the fully adjusted model, the odds ratio (OR) of COVID-19 morbidity in class II obese participants was significantly 5.41 times higher than that in the normal BMI group [OR: 5.41, 95% confidence interval (CI): 1.00-29.09]. COVID-19 severity was significantly different among BMI groups (P = 0.024). Respiratory symptoms (P = 0.05) as well as gastrointestinal (GI) symptoms (P < 0.01) of COVID-19 were more prevalent among class I and class II obese patients compared with overweight, normal weight, and underweight groups. Moreover, no one in the class I and class II obesity groups reported COVID-19 morbidity without any symptoms (P = 0.04). Conclusion: The results of the current study support the view that obesity could play a key role in susceptibility to COVID-19 morbidity and severity of the symptoms in patients with MS. The findings recommended that neurologists pay more attention to patients' BMI during this pandemic.

Trends in general and primary morbidity among the able-bodied population of Moscow by class of diseases of the endocrine system, eating disorders and metabolic disorders

Introduction. Chronic non-communicable diseases (CNCDs) remain the most important medical and social problem and cause significant damage to the economy of the capital. In this situation prevention, early detection and timely treatment of diseases among the working-age population are of particular importance. In an urban environment, a person is constantly exposed to the following risk factors that negatively affect health: reduced physical activity and a sedentary lifestyle, high levels of stress, poor nutrition. The latter is also one of the reasons for the increase in the incidence of obesity and diabetes mellitus type 2 (hereinafter – DM2) and the prevalence of metabolic syndrome (hereinafter – MS). The purpose of the study was to assess the level and dynamics of the incidence of the working-age population of the city of Moscow by the class of endocrine diseases, DM2 and obesity in the administrative districts.&#x0D; Materials and methods. For the analysis data from medical organizations of the Moscow City Health&#x0D; Department on registered morbidity for 2017–2021 were taken. The method of direct ranking was used, the calculation of indicators of the dynamic series.&#x0D; Results. For the study period 2017–2021 in the city of Moscow, the overall morbidity rate of the workingage population in the endocrine diseases class increased by 36.4 %, DM2 – by 17 %, obesity – by 38,3 %. The primary morbidity rate of the working-age population in the endocrine diseases class decreased by 5,1%, DM 2 – by 24,7 %, obesity – by 45,9 %.&#x0D; The rates of general morbidity in the class of endocrine diseases and DM 2 decreased most rapidly in the Zelenograd administrative district (ZelAO) - 13.3% and 18%, respectively, and obesity – in the South-Western administrative district (SWAO) by 23.3%. The decrease in primary morbidity in the endocrine diseases class was most rapidly recorded in the North-Western Administrative District (NWAO) – by 36 %, DM 2 in the Eastern Administrative District (EAO) – by 50.4 %, obesity in the Troitsky and Novomoskovsk administrative districts&#x0D; (TiNAO) – by 83 %.

Maternal obesity in prolonged pregnancy: Labor, mode of delivery, maternal and fetal outcomes

IntroductionObesity is currently not a medical indication for elective induction of labor although obese patients may not be eligible for expectant management after 41 W G. Few data on labor and complications in this population undergoing prolonged pregnancy are known. The objective of our study was to evaluate labor, mode of delivery, maternal and fetal outcomes in prolonged pregnancy in obese patients compared to normal body mass index (BMI). Materials and methodsIt was a retrospective cohort study in patients who, after prolonged pregnancy gave birth to a single fetus, in cephalic presentation, between the first of January 2002 and December 31, 2018 in the Caen University Hospital Center. Patient’s characteristics were compared within each BMI class using uni- and multivariate analysis with regression logistics models. ResultsOverall, 9159 patients were included. Term of birth and spontaneous labor calculated rates were significantly increased in case of obesity (p < 0.001). The adjusted Odds Ratio (ORa) for induced labor in class III obesity was 1.73 [1.13−2.66]. After induction of labor, 83.0 % patients with normal BMI delivered vaginally versus 61.8 % in case of class III obesity (p < 0.001). The ORa for an emergency cesarean was 3.39 [2.04–5.63] and 1.78 [1.06−2.99] for neonatal morbidity in class III obesity. ConclusionMorbid obese patients do not belong to a low risk patient’s group when pregnancy is prolonged. Elective induction in case of morbid obesity may entail less risk than allowing the pregnancy to progress after 41 W G or even 39 W G. Further randomized prospective studies are nevertheless required.

The social economic indices of regions and population morbidity of myocardium infarction

In Russia, in recent decades, there were regional gapping in terms of social inequality and high level of morbidity and mortality in comparison with European countries. The high morbidity and mortality of population in the Russian Federation from diseases of circulatory system on one hand, and regional differences in terms of social economic status on the other hand, determined the purpose of the study. In order to evaluate relationship between social economic status of regions of the Russian Federation and incidence rate of myocardial infarction, the analysis was applied to standardized data of adult morbidity in classes of acute myocardial infarction and repeated myocardial infarction. Also was evaluated a number of social economic indices that reflect state and conditions of life of population. The statistical analysis was applied using MS Excel and Statistica 6 software. The critical significance level of null statistical hypothesis was established as p=0.05. When analyzing morbidity of adult population of Russia with acute and repeated myocardial infarction, significant regional differences were established. The seven factors were identified that statistically significantly affect morbidity rate of the adult population with myocardial infarction, which made it possible to divide the regions into four clusters, between which differences in morbidity rate of acute myocardial infarction were revealed. The analysis of morbidity of acute and repeated myocardial infarction established significant regional differences such as in 2017 7.7 times for acute myocardium infarction and 61 times for repeated myocardium infarction. The allocation of regional clusters depending on their social economic status allows to supplement regional and federal projects with risk-oriented technologies with purpose of decreasing morbidity of diseases of circulatory system.

The trends of population general morbidity in the subjects of the Central Federal Okrug of the Russian Federation

The article presents the results of analysis of indices of total morbidity of population of the Central Federal Okrug (CFD) of the Russian Federation in 2010-2017. The significant differences in indices of total morbidity between the CFD subjects in certain ICD-10 classes were established. The indices of total morbidity of population during study period (8 years) in the Central Federal District factually didn't altered, while dynamics of indices in other subjects was characterized by multidirectionality. The gap in levels of total morbidity of population in the subjects was significant: from 115,123.6 per 100,000 of population in the Kursk Oblast to 194,404.1 per 100,000 of population in the Orel Oblast. The significant difference in rates of increase/ decrease of indices is noted. Thus, in Moscow decrease rate made up to 10%, while in the Orel Oblast morbidity increased up to 13.1%. Besides, in 2017, the Orel Region took a leadership in rate of increasing of total morbidity in such classes of diseases as infectious and parasitic diseases (39.3%), diseases of blood and blood-forming organs (49.1%), diseases of endocrine system (59,1%), diseases of nervous system (26.8%), diseases of respiratory system (28.2%), diseases of musculoskeletal system (16%), malformations (56%). It is very likely that this trend developed under influence of demographic situation in the subject due to significant increasing of percentage of people older than able-bodied age. The city of Moscow occupies leading position in decreasing of rate of prevalence of diseases and last but one place in level of total morbidity being inferior only to the Kursk Oblast. Thus, in Moscow was noted the most significant decreasing of morbidity in classes of infectious and parasitic diseases (26%) and diseases of digestive system (20.6%). The diseases of blood and blood-forming organs (235.2 per 100,000 population) and mental disorders (2353.5 per 100,000 population) were registered the less. The main contribution into trends of increasing or decreasing of indices is made by persons aged 18 years and older (74.1%).

Analysis of Epidemiological Characteristics of Notifiable Diseases Reported in Children Aged 0⁻14 Years from 2008 to 2017 in Zhejiang Province, China.

This study aims to learn the characteristics of morbidity and mortality of notifiable diseases reported in children aged 0–14 years in Zhejiang Province in 2008–2017. We collated data from the China Information System for Disease Control and Prevention in Zhejiang province between 1 January 2008 and 31 December 2017 of children aged 0–14 years. From 2008 to 2017, a total of 32 types and 1,994,740 cases of notifiable diseases were reported in children aged 0–14 years, including 266 deaths in Zhejiang Province. The annual average morbidity was 2502.87/100,000, and the annual average mortality was 0.33/100,000. Male morbidity was 2886.98/100,000, and female morbidity was 2072.16/100,000, with the male morbidity rate higher than the female morbidity rate (χ2 = 54,033.12, p < 0.01). No Class A infectious diseases were reported. The morbidity of Class B infectious diseases showed a downward trend, but that of Class C infectious diseases showed an upward trend. There were 72,041 cases in 22 kinds of Class B infectious disease and 138 death cases, with a morbidity rate of 90.39/100,000, and a mortality rate of 0.17/100,000. There were 1,922,699 cases in 10 kinds of Class C infectious disease and 128 death cases, with a morbidity rate of 2412.47/100,000, and a mortality rate of 0.16/100,000. The main high-prevalence diseases included hand-foot-and-mouth disease (1430.38/100,000), other infectious diarrheal diseases (721.40/100,000), mumps (168.83/100,000), and influenza (47.40/100,000). We should focus on the prevention and control of hand-foot and mouth disease, other infectious diarrheal diseases, mumps and influenza in children aged 0–14 years in Zhejiang Province. It is recommended to strengthen epidemic surveillance and undertake early prevention and control measures in order to reduce the younger children incidence rate of infectious diseases. Immunization planning vaccines can help achieve a significant preventive decline of infectious diseases.

Effect of BMI on modality-specific outcomes in immediate breast reconstruction (IBR)—a propensity-matched analysis using the 2005-2011 ACS-NSQIP datasets

Obesity is a prevalent, multisystem disease emerging as a pervasive risk factor for surgical morbidity. This study aims to perform a modality-specific risk assessment of IBR outcomes using the World Health Organisation (WHO) obesity stratification. This study reviewed the 2005–2011 ACS-NSQIP databases, identifying encounters for either implant or autologous-based reconstruction. Patients were classified and compared based on WHO classification criteria for BMI, and complications were divided into any surgical, major surgical, wound, and medical complications. A total of 18,194 patients underwent IBR. Patients were Caucasian (76.1%) and middle aged (45–64 years) (62.4%), with an average BMI of 27.1 ± 6.3 kg/m2. A total of 14,585 patients underwent implant-based reconstructions. A multivariate logistic regression analysis of patient characteristics associated with autologous reconstruction revealed several independently associated factors, summarised in Table III. Our analysis revealed that reconstructive modality was not statistically associated with surgical morbidity in class I obese patients (OR = 1.21, p = 0.328), but was independently associated with progressively greater odds of surgical complications in class II (OR = 1.92, CI = 1.04–3.55, p = 0.036) and class III (OR = 2.71, CI = 1.14–6.46, p = 0.024). This study characterises the modality-specific risk of surgical and medical morbidity in patients undergoing IBR across BMI-stratified cohorts. The risk-adjusted models of early morbidity in IBR reveal a significant BMI-specific risk divergence that occurs at class II obesity cohorts and above. These data serve as a useful benchmark for early, modality-specific morbidity across BMI-stratified cohorts and can be used to better tailor preoperative risk counselling in patients considering autologous reconstructions.

Prevalence of Musculoskeletal Morbidities and its Impact on Quality of Life in Class IV Category Workers of Government Tertiary Care Hospital, Mumbai

Background: Every occupation is associated with one or more ill effects on health. Cumulative trauma disorder is a disorder (injury) that occurs through the buildup of trauma over time. The trauma can be acute (happening in an isolated event) or repetitive. It is the weakening of the body part through repeated trauma that finally causes it to break down. Aim: To find the prevalence of musculoskeletal morbidities and its impact on quality of life in Class IV category (ward boys and sweepers) working in tertiary care hospital. Objectives: To find the association between musculoskeletal morbidities and age, occupation, length of service, nature of work, psychological well-being and job satisfaction. Results: The study reveals 150 subjects with age from 23 - 57 years with the average 41.94 years. Out of total subjects 63% were ward boys and 37% were sweepers. The average length of service was 21.05 years. Low back was most common site of pain in ward boys. Pain in peripheral extremities like right hand, fingers, shoulder was common in sweepers. 82% of subject complains of musculoskeletal morbidity in age group of 36-46 years, while 71% in the age group of 25-35 years and 78% in the age group more than 46 years, thus aging has mild influence on the prevalence of the musculoskeletal morbidity. The musculoskeletal morbidities were reported 92%in heavy duty, 77% moderate duty and 20% light duty. The variation was found statistically significant. 81%-82% subjects were indecisive or dissatisfied about their jobs reported to have musculoskeletal morbidity. Among those who were satisfied with job 50% had the morbidity. Conclusion: The presence of musculoskeletal morbidity in class IV category workers of tertiary care hospital was directly related to occupation, length of service, nature of work, psychological wellbeing and job satisfaction. Occupation wise the most common site was low back and knee in ward boys and shoulder and hand, fingers in sweepers.

Morbidity of class II vs class III radical hysterectomy for primary treatment of cervical cancer

Morbidity of class II vs class III radical hysterectomy for primary treatment of cervical cancer