Primary Source Of Information Research Articles

J.S. Bach’s method of playing the clavier and its transformation into modern piano pedagogy and performance

Music pedagogy as a practical field of activity has a long history. Having become professional, keyboard instruments - the organ, harpsichord – have a significantly longer lifespan than the pianoforte. Piano culture inherited not only the musical material of its great predecessors but also some valuable pedagogical instructions for the practical implementation of this material. Nowadays, these unique sources of information are sometimes regarded as archaic, relevant only to the instruments on which they were performed, but they still provide a key approach to thinking concerning musical material for its correct performance. Such valuable sources of information for modern piano performers include the theoretical works of F. Couperin, J.S. Bach and C.F.E. Bach. Understanding the primary sources of information concerning modern piano art regarding the achievements gained on the path of improving performance under the influence of reasonable pedagogy can significantly improve the culture of performance, which indicates the effectiveness of the teacher’s work.

Functional Ovulatory Menstrual Health Literacy Amongst Adolescent Females in Western Australia

Study objectiveTo assess the knowledge of ovulation and menstruation of adolescent females in Western Australia. MethodsA validated adolescent ovulatory menstrual health literacy questionnaire was used in a cross-sectional study, which included an open-response question inviting participants’ reflections. ResultsParticipants (n=297) were from two single sex and seven co-educational schools of varied socio-educational advantage. Mean chronological age was 15 years and mean gynaecological age was two years. The prevalence of dysmenorrhoea was 69%. Primary sources of information included mothers (91%), friends (61%) and, for post-menarcheal participants (n=274), mobile applications (52%). Most adolescents enjoyed finding out information about ovulatory menstrual health, and understood the information given to them. However, participants’ knowledge of ovulation, menstruation and their occurrence in the cycle were low. Attendance at a single sex or Catholic school or use of mobile applications did not confer a knowledge advantage overall (p<0.05), except for knowing the meaning of cervical mucus. Thematic content analysis of open-ended responses resulted in five themes, including normality, menstrual flow, charting, ovulation and dysmenorrhoea. ConclusionInadequate functional ovulatory menstrual health literacy hampers progression to acquiring complete health literacy. This has negative implications for progressing towards the interactive and critical ovulatory menstrual health literacy domains, which include providing an accurate menstrual history when engaging with healthcare providers.

Side effects and perceptions among young adults in Bangladesh following COVID-19 vaccination: a single center study

Background and objectives: COVID-19, caused by SARS-CoV-2, has led to a global pandemic with severe health, economic, and social impacts. Vaccination has emerged as a crucial mitigation strategy. Despite the pivotal role of COVID-19 vaccines in controlling the pandemic, vaccine hesitancy remains a significant concern globally, particularly among young adults. This study aimed to explore the side effects and perceptions of the young adults in Bangladesh following COVID-19 vaccination. Materials and methods: The study, conducted in April 2021 among 325 young Bangladeshi adults who received two doses of Sinopharm (BBIBP-CorV) vaccine against SAR-CoV-2. Participants completed a self-administered online questionnaire covering demographics, health history, post-vaccination adverse events, and perceptions about COVID-19 vaccine. A symptom scoring system, based on the interquartile range (IQR), was used to categorize the severity of the side effects. Data analysis utilized SPSS version 26.0, with appropriate tests for significance. Result: Total 325 participants (male - 64.6%, female - 68.9%) were enrolled. The mean age was 22 ± 1.6 years. Social media (43·1%) was the primary source of information about COVID-19. Vaccine related side effects were experienced by 40.9% and 47.1% participants following 1st and 2nd dose of vaccination respectively. Side effects were more prevalent after the second dose of vaccine, particularly in females (31·3% vs. 8·2%, p&lt;0·001). Common side effects included fatigue (41·6%), injection site pain/swelling (36·7%) and headache (32·6%). In over 50% of participants, symptoms appeared within 8 hours following both doses. Symptoms resolved by taking rest at home in majority of participants. Participants with comorbidity reported significantly higher rate of side effects after the first dose (61.8% vs. 37·3%, p &lt;0.05). Despite side effects, 69·8% felt reassured post-vaccination, 63·7% believed in its long-term safety, and 98·8% recommended vaccination to others. Conclusion: The Sinopharm COVID-19 vaccine was well-tolerated among young adults in Bangladesh. Though higher side effects after the second dose were observed in female participants, yet most maintained a positive perception, underscoring its acceptability and recommended vaccination to others. July 2024; Vol. 18(2):011. DOI:https://doi.org/10.55010/imcjms.18.023 *Correspondence: Md. Faizul Ahasan, Department of Pharmacology, Ibrahim Medical College, 1/A Ibrahim Sarani, Segunbagicha, Dhaka 1000, Bangladesh. Email: arronnoo_shuvro@live.com

Evaluating User Engagement in Online News: A Deep Learning Approach Based on Attractiveness and Multiple Features

Online news platforms have become users’ primary information sources. However, they focus on attracting users to click on the news and ignore whether the news triggers a sense of engagement, which could potentially reduce users’ participation in public events. Therefore, this study constructs four indicators by assessing user engagement to build an intelligent system to help platforms optimize their publishing strategies. First, this study defines user engagement evaluation as a classification task that divides user engagement into four indicators and proposes an extended LDA model based on user click–comment behavior (UCCB), using which the attractiveness of words in news headlines and content can be effectively represented. Second, this study proposes a deep user engagement evaluation (DUEE) model that integrates news attractiveness and multiple features in an attention-based deep neural network for user engagement evaluation. The DUEE model considers various elements that collectively determine the ability of the news to attract clicks and engagement. Third, the proposed model is compared with the baseline and state-of-the-art techniques, showing that it outperforms all existing methods. This study provides new research contributions and ideas for improving user engagement in online news evaluation.

Knowledge, attitude, and practice of medication use among pregnant women in Riyadh City: a cross-sectional study.

Medication use during pregnancy is limited by the scarcity of safety data for many drugs. The use of certain drugs during pregnancy can be teratogenic. Overestimating teratogenic medication risk could have serious consequences from drug non-adherence. Assessing and understanding the knowledge, attitude, and practice of medication use among pregnant women is crucial to optimizing the health of pregnant women and their fetuses. An observational cross-sectional study used convenience and snowball sampling with a self-administered online questionnaire in 562 pregnant women from Riyadh City. The questionnaire used was adapted from previously published surveys. The survey included sections on sociodemographic background, awareness of medication risks, medication use during pregnancy, sources of drug information, and statements from the Beliefs about Medicines Questionnaire (BMQ), both general and pregnancy-specific. Medication use during pregnancy was reported by 44.7%. The primary source for medication information for the majority was the physician. Over 58% indicated inadequate or inconsistent information about medication from physicians. Additionally, 65.7% confirmed not receiving sufficient or inconsistent information from pharmacists during medication dispensing. The responses to the questionnaire reveal a commendable level of knowledge and positive attitude and practice. However, variations could be found in these responses. Overall, no evident relationships were observed between predictors and responses, except in specific statements that indicated a positive association between beliefs and higher levels of education and youth. The results suggest a positive knowledge, attitude, and practice level. However, there was hesitancy and a restrictive attitude towards medication during pregnancy. The study identified inadequate education provided by healthcare professionals, thus presenting an area for improvement to enhance the safety and efficacy of medication use during pregnancy.

Adolescent girls’ perceptions of the COVID-19 infodemic in Sierra Leone: a qualitative study in urban, peri-urban and rural Sierra Leone

ObjectiveThis study aimed to identify the primary sources of COVID-19 health information for adolescent girls in Sierra Leone and evaluate their perceived trustworthiness and influence on their behaviour.DesignUsing a convenience...

Using a Knowledge and Awareness Survey to Engage and Inform a Community-Based Tuberculosis Intervention among Nomads in Adamawa State, Nigeria.

Nomadic populations are frequently isolated and vulnerable to diseases including tuberculosis (TB) and human immunodeficiency virus (HIV) due to limited access to health-related information and services, poverty, and social exclusion. We designed and implemented community-driven and -based outreach for TB and HIV based on the results of a TB knowledge, attitude, and practices (KAP) survey in Adamawa, Nigeria. We conducted a cross-sectional study on KAP among nomads using an adapted WHO survey. A TB and HIV community-level active case-finding intervention among nomadic populations was planned and delivered based on the KAP survey results. Among 81 respondents, 26 (32.1%) knew what caused TB. More than 60% reported no health facilities in their community. Radio and healthcare workers were primary sources of information on health. Using community input, we developed and broadcasted radio jingles to sensitize people to TB services. Outreach initiatives led to the verbal screening of 61,891 individuals and 306 were diagnosed with TB. Additionally, 4489 people underwent HIV testing, and 69 were HIV-positive, all of whom were linked to treatment. The results of KAP surveys can inform the design of evidence-based TB and HIV community-driven and -based case-finding interventions in rural Nigeria among nomadic populations.

Participatory Assessment of Agriculture Land and Vegetation Associated Issues and Possible Interventions in Gurage Zone, Ethiopia

Land degradation and depletion of natural forests made agriculture unsustainable and threaten communities and ecosystems as a whole. The objective of this participatory assessment was to identify researchable issues related to agricultural land and vegetation cover in Gurage zone. Accordingly, seven representative districts were selected and from each district two representative kebeles were purposively selected. Focus Group Discussion with farmers, development agents and subject matter specialists and direct observation were important primary sources of information. The survey result depicts in the Gurage zone land degradation, undulating steep slope topography, small and overwhelmed land tenure, inappropriate land use system, cultural landscape mismanagement, deforestation of indigenous trees and expansion of eucalyptus tree, and decreasing enset production are the major identified problems associated with land use and vegetation cover of the study area. In the mixed farming system, enset is produced as a homestead farm and its coverage is decreasing due to disease, lack of processing machines, and shortage of organic matter. Due to the expansion of eucalyptus and land use change, the majority of native trees are disappearing or decreasing in area coverage. Therefore, enset and eucalyptus require suitable policy attention. In the mountainous areas of Gurage; limited land availability, soil degradation, shortage of appropriate farm technologies, water scarcity, lack of knowledge for alpine agriculture and inconvenient topography for mechanized farming machines issues threaten agriculture of area. Despite the fact that there are few attempts to control land degradation; the issue still needs much attention. Appropriate agricultural technologies and knowledge suited for mountain agriculture, dense populations, enset-based farming systems, and small land tenure are important priority research focus areas for future research.

Data quality in Brazilian population-based cancer registries for gastrointestinal cancers

BackgroundPopulation-based cancer registries (PBCRs) are the primary source of information for cancer surveillance and monitoring. Currently, there are 30 active PBCRs in Brazil. The objective of this study was to analyze the data quality of five gastrointestinal cancers (esophagus, stomach, colorectal, liver, and pancreas) according to the criteria of comparability, validity, completeness, and timeliness in Brazilian cancer registries.MethodsThis study included data from Brazilian PBCRs with more than ten years of historical data starting in the year 2000, regardless of the type of defined geographical coverage (state, metropolitan region, or capital), totaling 16 registries. Brazilian PBCRs were evaluated based on four international data quality criteria: comparability, validity (accuracy), completeness, and timeliness. All cancer cases were analyzed, except for nonmelanoma skin cancer cases (C44) and five gastrointestinal tumors (esophageal cancer, stomach cancer, colorectal cancer, liver cancer, and pancreatic cancer) per cancer registry and sex, according to the available period.ResultsThe 16 Brazilian PBCRs represent 17% of the population (36 million inhabitants in 2021) according to data from 2000 to 2018. There was a variation in the incidence in the historical series ranging from 12 to 19 years. The proportion of morphologically verified (MV%) cases varied from 74.3% (Manaus) to 94.8% (Aracaju), and the proportion of incidentally reported death certificate only (DCO%) cases varied from 3.0% (São Paulo) to 23.9% (Espírito Santo). High-lethality malignant neoplasms, such as liver and pancreas, had DCO percentages greater than 30% in most cancer registries. The sixteen registries have more than a 48-month delay in data release compared to the 2022 calendar year.ConclusionThe studied Brazilian cancer registries met international comparability criteria; however, half of the registries showed indices below the expected levels for validity and completeness criteria for high-lethality tumors such as liver and pancreas tumors, in addition to a long delay in data availability and disclosure. Significant efforts are necessary to ensure the operational and stability of the PBCR in Brazil, which continues to be a tool for monitoring cancer incidence and assessing national cancer control policies.

Differences in burn injury knowledge among reproductive-age women attending an urban and a semi-rural hospital in Northwest Nigeria: A cross-sectional study

ObjectivesTo assess burn injury knowledge and its predictors among reproductive-age women attending an urban and a semi-rural hospital in Northwest Nigeria DesignA descriptive cross-sectional study SettingIt was conducted in the general and paediatric outpatient clinics of Aminu Kano Teaching Hospital in Kano (urban setting) and the general outpatient, paediatric outpatient and antenatal clinics of Federal Medical Centre Birnin Kudu (semi-rural setting). ParticipantIn 2021, 362 women aged 18–44 years were randomly selected from clinic attendees over six weeks. Of them, 217 were from the urban hospital. Data regarding their sociodemographic characteristics and knowledge of burn injuries was collected using a pretested, semi-structured interviewer-administered questionnaire. Outcome measureKnowledge of burn injuries ResultsAbout 83.4 %, 77.1 % and 77.6 % of respondents had adequate general, primary prevention and overall knowledge of burn injuries, respectively. Their mean overall knowledge score was 18.6 out of 24, but only 55.5 % had adequate first-aid knowledge. The study sites did not significantly differ in burns first-aid, prevention and overall knowledge scores. However, urban respondents were more ignorant about the cause of burns and knew that burn injuries could be fatal. More semi-rural respondents knew that flames and chemicals cause burn injuries. Predictors of overall knowledge were age, educational level, number of children in their household, previously seeing a burn-injured child, and primary source of burns-related information. ConclusionsThe proportion of respondents with adequate overall burn injury knowledge was high; however, knowledge gaps exist among them. Overall, their first-aid knowledge was relatively low. The urban and semi-rural respondents had no significant differences in first-aid, prevention, or overall knowledge of burn injuries. However, knowledge of the causes of burns and burn complications differed between the urban and semi-rural study locations. Therefore, the clinical settings of this study present opportunities for similar burn-related educational interventions.

Evaluating Burn First Aid Knowledge, Practices, and Confidence Levels Among the General Population in Aseer, Saudi Arabia.

Background and objectives Burns represents a significant public health issue globally and in Saudi Arabia, disproportionately affecting vulnerable groups. Prompt, evidence-based first aid improves outcomes. This study assessed burn first aid understanding, self-assurance, and information sources among Aseer Region residents. Methods A cross-sectional online survey was distributed to 386 individuals using a validated questionnaire, assessing understanding via a 10-item scale and confidence through Likert scales. Associations between variables were examined statistically. Results Most participants (85%; n=330) demonstrated poor first-aid comprehension, and only (1%; n=2) exhibited excellent knowledge. A history of burn exposure correlated with higher knowledge (p=0.039). The Internet was the primary information source (48%; n= 185). Confidence in assisting burn victims was generally low. Conclusions Significant gaps in foundational burn first aid knowledge were identified, necessitating targeted educational interventions disseminated via multiple modalities to strengthen emergency response and optimize outcomes in this region.

Awareness about Breast Cancer and Breast Self-Examination among Undergraduate Female Students at the University of Agadir, Morocco: A Cross-Sectional Descriptive Study.

Breast cancer is a pressing public health issue globally and in Morocco, with rising cases among women. This study aims to evaluate breast cancer awareness and self-examination practices among female university students, informing future educational interventions. A cross-sectional study surveyed 437 students at Ibn Zohr University, Agadir, using a questionnaire covering demographics, knowledge of breast cancer, risk factors, symptoms, and breast self-examination (BSE). Results showed high awareness of breast cancer (95.3%), with social networks and media being primary information sources. However, only 48.25% had intermediate knowledge levels, and BSE awareness was moderate (60.8%) with low practical skills (28.0%). Reasons for not performing BSE included lack of knowledge and discomfort. Significant associations were found between knowledge levels and age, year of study, study options, and information sources. Despite high awareness, there is a crucial need to enhance knowledge about breast cancer risk factors, symptoms, and BSE practices among young women in Morocco. Educational programs targeting university students are essential for promoting early detection and improving attitudes toward breast health.

First Record of Snakehead Gudgeon (Ophiocara porocephala) in Sorong, West Papua, Indonesia

Aims: As reported this paper, the new record of O. porocephala has helped to improved the knowledge of the species as it extends the distribution range. Study Design: Short Communication. Place and Duration of Study: This research was conducted from September to November 2021. Sampling was carried out in the Tampa Garam mangrove forest swamp located in Tampa Garam Village, Maldum Mes Distric, Sorong City. Methodology: The morphology of fishes has been the primary source of information for taxonomic and evolutionary studies. There were numerous characters available for morphological study. Results: O. porocephala had a horizontally and terminally wide mouth with a large enough distance from the posterior area of ​​the eye. O. porocephala had ideal eye spacing with small eyelids and large corneas, two dorsal fins and an anal fin each with a distance of 1 and 22mm between the dorsal fins, the anterior dorsal consists of spines fins, while the posterior was weak fins. Fish habitat was found in mangrove areas or in estuarine areas with a salinity of 11 ppt, small fish lived in shallow areas while larger fish lived in deeper areas. The brightness of the air when the fish were isolated was 100%. Oxygen levels at 4 mg/l. O. Porocephala obtained during the study, consisting of gender is 1 female and unidenified. Meanwhile, the fish size in the class 10,9-225,39 cm and gonad weight is 2,62 of female fish with categorie gonad maturity is 3. Conclusion: Based on the results of research, fish that live in mangrove areas are carnivorous, with large fish species having a total length of 18,4 cm and small fish less than 10 cm, further research needs to be carryout base on the feed habit and maturity of this fish.

Tinjauan Yuridis Pasal 20 Undang-Undang Nomor 35 tahun 2014 tentang Perlindungan Anak terhadap Kesejahteraan Anak

Child protection is an important need for the nation for the future. Children have human rights which must be respected and protected considering that they are at a vulnerable age. They have the right to grow and develop and be free from exploitation, violence or neglect. With good protection, you can ensure they are protected from dangers and can grow and develop in a good environment. The protection and welfare of children has become the responsibility of various instruments such as the family, community and state. Protection carried out by families and communities is implemented through a family approach based on moral values, while child protection by the state is carried out through policies or regulations that regulate this. The technique of research that was utilized in this study was a qualitative method, which involved conducting in-depth interviews to acquire this information. The data collected is comprehensive data, using both primary and secondary sources of information, which will be subjected to a methodical analysis in order to arrive at a conclusion based on the findings of the whole research.

Evaluating the Internet as a Source of Information for Patients With Hidradenitis Suppurativa: A Review of Websites' Content, Insights Into Engagement, and Access.

The Internet has become the primary information source for patients, with most turning to online resources before seeking medical advice. The aim of this study is to evaluate the quality of online information on hidradenitis suppurativa available to patients. The authors performed an Internet search using the search terms "hidradenitis suppurativa," "hidradenitis suppurativa treatment," "hidradenitis suppurativa surgery," and "acne inversa." They identified the initial 100 websites from Google, Yahoo, and Bing. Websites were evaluated based on the modified Ensuring Quality Information for Patients instrument. Of the 300 websites, 95 (31.7%) were incorporated after accounting for the exclusion criteria: duplicate entries, websites not pertinent to the subject matter, websites inaccessible due to location restrictions or necessitating user accounts for access, websites in languages other than English, and websites originating from scientific publications directed at a scientific audience rather than the general population. Ensuring Quality Information for Patients scores ranged from 5 to 30/36, with a median of 17. This analysis unveils a diverse array of websites that could confound patients navigating toward high-caliber resources. These barriers may hinder the access to top-tier online patient information and magnify disparities in referral rates, patient engagement, treatment satisfaction, and quality of life.

Reliability of predictive models based on the mesiodistal and buccolingual diameters of permanent canine teeth for sex estimation in forensic contexts: A systematic review and meta-analysis

This study aimed to assess the reliability of predictive models for sex estimation based on permanent canine size. A systematic literature review was performed by following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA). Six electronic databases were searched as the primary source of information. As a secondary source of information, a manual search was performed to identify additional relevant studies not captured in the initial search. After assessing the methodological quality and risk of bias with the Joanna Briggs Institute Critical Appraisal Tools for Systematic Reviews, the data were subjected to statistical tests for a meta-analysis of diagnostic test accuracy and Higgin’s I2 statistic to evaluate the heterogeneity between the eligible studies. The systematic search resulted in 21 studies for qualitative synthesis, and 13 of them were selected for quantitative analysis. The analysis of 25 univariate predictive models showed an estimated sensitivity of 77.2 % and specificity of 67.1 %. Meta-regression analyses were performed for dental arch, the type of diameter and dental region outcomes for these univariate predictive models. Dental arch (p = 0.029) and the dental region of measurement (p = 0.001) were significant modifiers. The analysis of 25 multivariate predictive models showed an estimated sensitivity of 82.6 % and specificity of 70.1 %. There were significant methodological limitations and substantial heterogeneity among the included studies. Based on the results, there is insufficient high-quality scientific evidence to support the safe use of predictive models based on permanent canine measurements as the exclusive method for sex estimation in forensic settings.

The Holocaust Propaganda Machine in Soviet Periodicals, 1941–1945

Abstract The USSR entered the Second World War with the world’s most powerful propaganda apparatus, having twenty years of experience and a state monopoly on truth.1 All publications were subjected to a three-tiered system of censorship: personal, editorial, and official, with the common line of censorship determined at the highest level. In the Soviet Union, there were five primary sources of official information: (a) periodical publications, (b) fictional literature, (c) journalistic writing, (d) films, and (e) radio broadcasts. The author examines the Russian language periodical press, which was the most widely available print material in the USSR. These sources were entirely aimed at Soviet readers, as opposed to Yiddish-language publications, which were in part intended to arouse sympathy in readers abroad.2 Verification of casualty statistics and authenticating the facts of this published information is not the purpose of this article, but rather the author seeks to challenge the assumption that the USSR suppressed or censored reporting on the Holocaust during the Second World War.

The relationship between the source of oral health information and dental caries: Findings from Child Dental Health Survey 2013 in England.

To determine the magnitude and shape of the relationship between dental caries experience and the source of oral health information in England. This was a cross-sectional study using the Child Dental Health Survey 2013 in England. Using a negative binomial model, the relationship between the number of decayed, missing, filled teeth (DMFT) of 12- and 15-year-old students and their primary source of oral health information was assessed. The sources of oral health information included parents, television, newspapers, the Internet, and social media. The adjusted model included age, sex, and the Index of Multiple Deprivation (IMD). R was used for data handling, analysis and reporting. Overall, 2,372 children were assessed (48.7% female, 48.6% 12-year-old). For the majority, the primary source of oral health information was their parents (89.5%) followed by the Internet (43.4%). Over nine-tenth of the participants had a DMFT = 0. The adjusted model showed that the prevalence rate of DMFT for the children whose primary source of information is their parents (0.45) or television (0.62) is lower than 1. The prevalence rate for the Internet (1.17) and social media (1.67) was higher than 1, but they were removed from the final model due to being non-statistically significant. Age and deprivation had a direct relationship with the prevalence rate of DMFT, meaning that 15-year-olds and children from more deprived areas had a higher prevalence rate of DMFT. Children whose primary source of oral health information was their parents or television had a lower DMFT. On the contrary, using the Internet or social media as the source of oral health information was associated with higher caries experience among schoolchildren.

Awareness of Diabetic Retinopathy among Patients with Diabetes Mellitus Attending the Tertiary Eye Hospital in Nepal: A Descriptive Cross-sectional Study

Abstract Introduction: Lack of knowledge of the need for regular diabetic retinopathy screening (DRS) has turned many patients in the advanced stage of DR before first eye check-ups. Unfortunately, data on the knowledge, attitude, and behaviour of diabetic patients with DR are not satisfactory in Nepal. Here, we aim to assess the factors predisposing to awareness levels in the Nepalese context. Methods: This was an observational cross-sectional study enrolling 369 diabetic patients visiting the Hospital for Children, Eye, ENT and Rehabilitation Services between March 2020 and February 2021 after obtaining ethical clearance from the Nepal Health Research Council. A convenience sampling technique was used. The questionnaire was utilized to assess basic demographic profiles, awareness about diabetic retinopathy, and sources of information on the need for diabetic eye check-ups. Results: The mean (standard deviation) age of diabetes mellitus (DM) patients was 56.26 (11.13) years. The age group of 40–59 years comprised more than half of the total patients. Awareness of DR was 86.7% in this study. Education level and the duration of DM were directly proportional to the awareness level. Healthcare workers or physicians were the primary sources of information on awareness. Conclusions: Awareness of poor visual consequences of DR among patients with diabetes in Nepal is relatively satisfactory. However, patients’ willingness to undergo retinopathy check-ups was not up to the mark. Therefore, we recommend finding out the barrier to poor compliance with diabetic retinopathy in the future. The consumer-focussed health educational interventions and physician-based skills and the DRS facility would improve the awareness level in Nepal.

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.