It should be noted that only 2 classes were observed a systematic reduction of the primary disease for 10 years-a class of diseases of the digestive system and diseases of skin and subcutaneous tissue. While the reverse trend in 2010 compared to 2006 to 2.8% in 2015 compared to 2010 and 10.3% was observed in the class of diseases of the digestive system and 10.3 percent respectively, and 29.7% in the class of diseases of the skin and subcutaneous tissue. In grade 5 had a decline of primary disease in the last 5 years (2010-2015): infectious and parasitic diseases of 9.9%, diseases of musculoskeletal system and connective tissue (27,5 per cent), congenital anomalies of development of 17.7%, neoplasms-in 1,5 times, diseases of the circulatory system-2,4 times. Due to the diferent growth rates and reduce the incidence of disease classes in dynamics for 10 years has changed and its structure, rank place. So, in 2006, the irst seven places were occupied by classes: 1st-diseases of the respiratory system 2-digestive organs, 3-diseases of the skin and subcutaneous tissue, 4-ediseases of the musculoskeletal and connective tissue, 5-e-eye disease, 6th disease of the nervous system 7 diseases of the genitourinary system certain conditions of the perinatal period. In 2015 there was a change of rank the irst 7 places-1 e-diseases of the respiratory system, 2 diseases of the nervous system, infectious and parasitic diseases, 3-e-a separate condition of perinatal period, 4th-diseases of the ear, 5-e-eye disease-6th-diseases of the musculoskeletal system and connective tissue 7 diseases of the genitourinary system and diseases of the digestive system. In dynamics for 10 years the most stable ranking places occupy diseases of respiratory organs (1 place), infectious and parasitic diseases(2nd place), eye disease (5th place), diseases of the genitourinary system (7th place). Other classes of diseases in dynamics for 10 years has been a space or leading (diseases of the nervous system, certain conditions of the perinatal period), or low (diseases of the digestive system, diseases of the musculoskeletal system and connective tissue). Thus, for 10 years, saved adverse trends in the growth of General and primary morbidity of children 0-14 years, which as a whole increased by 46% and 45.5%, respectively. The increased incidence is mainly due to the class leading rank places: diseases of the nervous system, diseases of the ear, diseases of the respiratory system, certain conditions of the perinatal period, infectious and parasitic diseases, which in 2015 is a signiicant frequency (80,9%) of the entire spectrum of diseases. Among certain classes there is a decrease in indicators (diseases of the digestive system; diseases of the skin), although the structure of these classes take up only about 5%. Conclusions. Overall, both components of morbidity (General and primary) have a tendency to increase in terms of time, what determined the ratings, the level and the structure of classes. The data obtained can be used in programs of preventive...
Амурский медицинский журнал №3 -4 (15 -16) 2016plasms, diseases of the nervous system, diseases of the eye and adnexa, diseases of the ear and mastoid process, diseases of respiratory organs diseases of digestive organs, diseases of the genitourinary system, injury and poisoning).In the dynamics of primary disease marked not stable indicators in 9 categories: neoplasms, diseases of blood and blood-forming organs and disorders of immune mechanism, endocrine, nutritional and metabolic disorders, diseases of the eye and adnexa, diseases of the circulatory system, diseases of digestive organs, diseases of the musculoskeletal system and connective tissue congenital malformations, diseases of the skin and subcutaneous tissue.It should be noted that growth of primary morbidity among adolescents in the classes of diseases of the nervous system, blood circulatory system and digestive system, indicates the unused reserves of primary prevention outpatient care, family and educational institutions.The analysis of morbidity rate in adolescents has allowed to deine in traic year on its leading rank place. So, 2006-2015 I ranked place was occupied by diseases of the respiratory system which accounted for 31.5 to 44%. of the diseases; rank II place -diseases of the musculoskeletal system and connective tissue, the proportion of which is of 20.0-9.9% of all morbidity. Diseases of the genitourinary system rank III take place, but share in common their incidence is much lower -7,6%-8,7%.Diseases of the endocrine system with 4-th place in 2006 moved to 5th place in 2015, losing to diseases of the eye and adnexa. Diseases of the digestive system, which occupies in the structure of morbidity in 2006. 5 place 10 years moved to 6th place.At the same time, diseases of the nervous system with 6-th place in 2006 become to 5th place in 2015, on the 7th place in 2006 -diseases of the eye, in 2015 -diseases of the endocrine system, and is a disease of the circulatory system, whose share is 4.1 %.In the far East region ranking places in 2010 took 6 classes: diseases of respiratory (34.3 percent), diseases of the digestive system (17.2 per cent), injury and poisoning (10.8 per cent), diseases of the eye and adnexa (7,0%), diseases of the musculoskeletal system (6%), diseases of the genitourinary system (5.2 percent), the amount of the contribution in the total morbidity amounted to 80.5%.In the city of Blagoveshchensk in 2010 ranked the leading places were: diseases of the respiratory system (39,4%), diseases of the musculoskeletal system and connective tissue (15.7%), eye disease (7,6%), diseases of the genitourinary system (7.0 percent), diseases of the circulatory system (5.8 percent), diseases of the nervous system (4.8%), amount of contribution in the total incidence rate was 80.3%.At the same time, starting in 2010, there was a feature of the structure of diseases in adolescents of the city of Blagoveshchensk in comparison with indicators of the far Eastern region and in Russia as a whole, where the leading ranks had classes respiratory ...
Abstract. Acute disseminated encephalomyelitis (ADEM) is an autoimmune inflammatory disease of the nervous system which can be characterized as widespread demyelization of the brain and spinal cord, which usually develops after infection or vaccination. ADEM takes a special place among the most frequent and severe forms of disseminated encephalomyelitis. In its pathogenesis, as well as in disseminated sclerosis, an important role is held by autoimmune reactions to myelin antigens.A typical pathological ADEM process is monophasic, i.e. acute with later recovery, which is the main diagnostic measure, which makes it possible to distinguish it from multiple sclerosis. ADEM is manifested by severe encephalopathy with pronounced cerebral and focal symptoms. In some cases, it's possible to see the recurrence of the disease, with an exact reiteration of the first attack symptoms, this is a recurrent ADEM. Rarely, there is possibility of ADEM re-attack, which manifests itself by the involvement of new brain areas and, of course, new clinical symptoms appearance, this is called multiphase ADEM.Objective. Analysis of the clinical case. Materials and methods. Literature analysis, clinical records.Here is an example of observation of the patient with recurrent ADEM.Patient G., female, 44 years old. By reason of the developed right-sided hemiparesis was taking treatment for ischemic stroke in the primary vascular center. On brain CT -there is hypodensitive area in the right parietal-temporal region. Released with improvement. In 2 months, weakness in the right limbs came back, also there was a walking shakiness. Examinated in the regional vascular center -in addition to focal symptoms as right-sided hemiparesis and static locomotor ataxia, attention was attracted by the presence of euphoria and decrease of criticism and cognitive functions. There was carried out a complex examination. On the brain MRI large pocket of demyelination in white matter, mainly periventricular were revealed. ADEM diagnosis was established, on the pulse therapy with methylprednisolone there was positive dynamics. MRI monitoring in 2 months -pockets reduction. In 4 months -the focal symptoms re-entered, there were bouts of short-term loss of consciousness without seizures. On MRI -decrease of the "old" pockets volume and a new one was revealed in the left temporal region. Considering the disease flow and examinations, the diagnosis is a multi-phase ADEM. Under the pulse therapy with glucocorticoids, there is positive dynamics, but cognitive and emotional disorders persisted.Conclusion. Despite the development of ADEM criteria, there are difficulties in its diagnosis, especially in the recurrent cases. It is necessary to carry out a differential diagnosis with systemic diseases, chronic neuroinfections and disseminated sclerosis. The study of the anamnesis, clinical and MRI-monitoring allows to clarify diagnosis, as it was in the given case.
Study of adolescent health, which is a labor reserve of the state, has great medical-social importance. The analysis of morbidity rate in adolescents of 15-17 years of the city of Blagoveshchensk in dynamics for 10 years (2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015) is presendent. The tendency for the growth in disease prevalence and incidence is shown (45.8% and 82.1 percent). Leading place is ranked over 10 years and remains in classes of respiratory diseases, infectious and parasitic diseases. There is a signiicant increase of diseases of the nervous system, respiratory system, digestive system, genitourinary system, injury and poisoning in the total and primary morbidity of adolescents. The obtained data determined the incidence, the rankings, structure that can be used in Pediatrics and related disciplines.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.