Medical and statistical indicators of injuries among servicewomen in the armed forces of the russian federation (2003–2019)

2021 ◽  
Vol 23 (2) ◽  
pp. 139-154
Author(s):  
Vladimir V. Khominets ◽  
Vladimir I. Evdokimov ◽  
Pavel P. Sivashchenko ◽  
Alexander A. Vetoshkin ◽  
Valery V. Ivanov
Keyword(s):  
Negative Impact ◽  
Armed Forces ◽  
The Body ◽  
Statistical Classification ◽  
Medical Statistic ◽  
Leg Injuries ◽  
Health Related ◽  
International Statistical Classification ◽  
Statistical Indicators

To analyze the rates of injuries in servicewomen in the Russian Armed Forces with injuries in the leading groups for 17 years (20032019). We conducted a selective statistical analysis of reports on the health status of personnel in the form 3/MED of military units, in which about 80% of the total number of servicewomen served. Injury rates by medical statistic reporting were correlated with the 19th-grade groups Injury, poisoning and certain other consequences of external causes (S00T98) by the International Statistical Classification of Health-Related Diseases and Problems, 10th Review. The average annual rate of injuries (primary incidence) of servicewomen in 20032019 was 11.70 0.82, its share in the structure of primary morbidity for all classes of International Statistical Classification of Health-Related Diseases and Problems, 10th Review was 1.7 0.2%, hospitalizations 6.89 0.54 and 2.5 0.2%, days of labor-loss 239.5 17.8 and 3.7 .3%, dismissal 0.11 0.02 and 1.2 0.2%, mortality rate 22.87 4.41 per 100,000 servicewomen and 18.0 1.6%. The dynamics show a decrease in the level and proportion of injuries in the statistical reporting analyses. The most pronounced injuries in servicewomen were with knee and lower leg injuries (International Statistical Classification of Health-Related Diseases and Problems, 10th Review Chapter XIX, block 9, S80S89), ankle and foot injuries (block 10, S90S99), wrist and hand injuries (block 7, S60S69), head injuries (block 1, S00S09), elbow and forearm injuries (block 6, S50S59). The structure of the types of injuries to the areas of the body is presented. Conducted military-epidemiological evaluation of the negative impact of injuries on the health of servicewomen. The found medical and statistical indicators of traumatism can determine the safe conditions of activity, prevention of injuries, health-improving and rehabilitation measures among servicewomen.

Medical and statistical indicators of injuries among officers in the Armed Forces of the Russian Federation (2003–2019)

2020 ◽  
Vol 22 (4) ◽  
pp. 161-167
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko ◽  
V. V. Ivanov ◽  
V. V. Khominets
Keyword(s):  
Armed Forces ◽  
Health Problems ◽  
Professional Activity ◽  
Negative Consequences ◽  
Statistical Classification ◽  
Body Regions ◽  
Classification Of Diseases ◽  
International Statistical Classification ◽  
Statistical Indicators

Injury indicators for officers of the Armed Forces of Russia in 20032019 are analyzed. A selective statistical analysis of medical reports on the state of health of personnel according to the form of 3/МЕD military units was carried out, in which about 80% of the total number of officers of the Armed Forces of Russia served. Injury indicators by type of medical and statistical reporting were correlated with the groups in the 19th class Injuries, poisoning and some other consequences of exposure to external causes (S00-T98) of the International Statistical Classification of Diseases and Health Problems, 10th revision. The average annual level of injuries of officers from 2003 to 2019 was 17,591,37, their share in the structure of primary morbidity in all classes of the International Statistical Classification of Diseases and Health Problems, the 10th revision was 4,20,4%, the contribution to the structure of injuries of all servicemen of the Armed Forces of Russia was 32%. The average annual level of hospitalization, its share and contribution were 10,891,64, 6,10,5 and 26,3%, respectively. The average annual level of days of labor loss, their share and contribution amounted to 352,226,8, 8,40,7 and 33,8%, respectively. The average annual level of dismissal, its share and contribution were 0,380,70, 5,109 and 26%, respectively. The average annual mortality rate, its share and contribution amounted to 48,033,84 per 100 thousand officers, 39,61,9 and 40,7%, respectively. The dynamics show a decrease in the level and proportion of injuries in the structure of the analysed medical and statistical types of incidence. The level and structure of injury groups in the 19th grade of the International Statistical Classification of Diseases and Health Problems, the 10th revision, as well as the structure of types of injuries of body regions are presented. A military epidemiological assessment of the significance of injuries for negative consequences for the health of officers was designed. Structure and dynamics of injury circumstances structure are shown. Medical and statistical indicators of injuries among officers determine the strategy and tactics of safe conditions of military-professional activity, injury prevention, health and rehabilitation measures.

Die Wirksamkeit eines Frühinterventionsprogramms für Jugendliche mit Computerspiel- und Internetabhängigkeit: Mittelfristige Effekte der PROTECT+ Studie

2020 ◽  
Vol 48 (1) ◽  
pp. 3-14 ◽  
Author(s):  
Carolin Szász-Janocha ◽  
Eva Vonderlin ◽  
Katajun Lindenberg
Keyword(s):  
Internet Use ◽  
Health Problems ◽  
Reliable Change Index ◽  
Gaming Disorder ◽  
Statistical Classification ◽  
Reliable Change ◽  
Classification Of Diseases ◽  
International Statistical Classification

Zusammenfassung. Fragestellung: Das junge Störungsbild der Computerspiel- und Internetabhängigkeit hat in den vergangenen Jahren in der Forschung zunehmend an Aufmerksamkeit gewonnen. Durch die Aufnahme der „Gaming Disorder“ in die ICD-11 (International Statistical Classification of Diseases and Related Health Problems) wurde die Notwendigkeit von evidenzbasierten und wirksamen Interventionen avanciert. PROTECT+ ist ein kognitiv-verhaltenstherapeutisches Gruppentherapieprogramm für Jugendliche mit Symptomen der Computerspiel- und Internetabhängigkeit. Die vorliegende Studie zielt auf die Evaluation der mittelfristigen Effekte nach 4 Monaten ab. Methodik: N = 54 Patientinnen und Patienten im Alter von 9 bis 19 Jahren (M = 13.48; SD = 1.72) nahmen an der Frühinterventionsstudie zwischen April 2016 und Dezember 2017 in Heidelberg teil. Die Symptomschwere wurde zu Beginn, zum Abschluss der Gruppentherapie sowie nach 4 Monaten anhand von standardisierten Diagnostikinstrumenten erfasst. Ergebnisse: Mehrebenenanalysen zeigten eine signifikante Reduktion der Symptomschwere anhand der Computerspielabhängigkeitsskala (CSAS) nach 4 Monaten. Im Selbstbeurteilungsbogen zeigte sich ein kleiner Effekt (d = 0.35), im Elternurteil ein mittlerer Effekt (d = 0.77). Der Reliable Change Index, der anhand der Compulsive Internet Use Scale (CIUS) berechnet wurde, deutete auf eine starke Heterogenität im individuellen Symptomverlauf hin. Die Patientinnen und Patienten bewerteten das Programm zu beiden Follow-Up-Messzeitpunkten mit einer hohen Zufriedenheit. Schlussfolgerungen: Die vorliegende Arbeit stellt international eine der wenigen Studien dar, die eine Reduktion der Symptome von Computerspiel- und Internetabhängigkeit im Jugendalter über 4 Monate belegen konnte.

scholarly journals A betegség és a szociodemográfiai háttér hatása a cerebralis bénulásban szenvedő gyermekek életminőségére

2021 ◽  
Vol 162 (7) ◽  
pp. 269-279
Author(s):  
Melinda Fejes ◽  
Beatrix Varga ◽  
Katalin Hollódy
Keyword(s):  
Quality Of Life ◽  
Family Environment ◽  
Negative Impact ◽  
The Body ◽  
Life Questionnaire ◽  
Functional Difference ◽  
Healthy Children ◽  
Related Quality ◽  
Health Related

Összefoglaló. Bevezetés: A kutatócsoport 99 fő, cerebralis paresisben (CP) szenvedő gyermek (8–18 éves) önállóan közölt életminőségét értékelte, és az eredményeket összehasonlította egy 237 fős kontrollcsoport adataival, amelyek hasonló életkorú, egészséges általános populációhoz tartozó gyermekektől származtak. Célkitűzés: A kutatás célja annak megismerése volt, hogy a CP-ben szenvedő gyermekek hogyan vélekednek egészségi állapotukról és társadalmi helyzetükről. Módszer: Életminőség-kérdőív alkalmazása. Betegségspecifikus és társadalmi-demográfiai mutatók mérése, kiértékelése. Eredmények: Az CP-ben szenvedő gyermekek és szüleik az egészséggel kapcsolatos életminőséget rosszabbnak ítélték meg, mint társaik. Eredményeink azt mutatják, hogy a női nem, a rosszabb motoros funkció és a komorbiditások (epilepszia, incontinentia és intellektuális károsodás) negatív hatású. A szülői vélemény alkalmas volt proxyjelentésként a korreláció mért erőssége miatt. Figyelemre méltó, hogy az agyi bénulás típusai közül az egyoldali spasticus CP-ben szenvedő gyermekek életminőség-értéke a legalacsonyabb. A válaszadók valószínűleg a test két oldala között lévő funkcionális különbséget érezték. A szellemi fogyatékosság a betegpopuláció több mint felénél fordult elő. Testvéreik között a mentális betegség 5,7-szer gyakoribb. A CP-s gyerekek családi környezete sokkal hátrányosabb volt, mint az egészséges gyermekeké. A kutatás eredményei alapján megállapítható, hogy a szülő alacsonyabb iskolai végzettsége és munkaerőpiaci inaktivitása, valamint az egyszülős család a CP-s gyerekeknél szignifikánsan magasabb arányban fordult elő, és ezek a tényezők negatív hatást gyakoroltak az életminőségre. Következtetés: A fogyatékkal élő gyermekek életminőségét a betegség és a szociodemográfiai környezet egyaránt befolyásolja. Orv Hetil. 2021; 162(7): 269–279. Summary. Introduction: Self-reported health-related quality of life (HRQoL) of 99 children (8–18 years) with cerebral palsy (CP) was assessed and compared with 237, age-matched healthy control children from the general population. Objective: The aim was to find out the opinions of children with CP about their health status and social condition. Method: Assessment of quality of life questionnaire was carried out. Measurements of disease-specific and sociodemographic variables were done. Results: Children with CP and their parents rated HRQoL poorer than their counterparts. Our results show that female sex, worse gross motor function and comorbidities (epilepsy, incontinence and intellectual impairment) had negative impact. The parental opinion was suitable as proxy report because of the measured strength of the correlation. Among the types of CP, interestingly, children with unilateral spastic CP had the poorest HRQoL. They were likely to feel a functional difference between the two sides of the body. Intellectual disability occurred in more than half of our patient population. Among their siblings, mental illness is 5.7 times more common. The family environment was much more disadvantageous than in the case of healthy children. As our study shows, lower education, inactive status in the labour market and single-parent family occurred at a much higher rate and worsened the quality of life. Conclusion: Quality of life of children with disability was influenced by both the sociodemographic background and the disease. Orv Hetil. 2021; 162(7): 269–279.

scholarly journals Zmiany kryteriów w diagnozowaniu zaburzeń związanych z hazardem oraz uzależnień chemicznych i czynnościowych

2017 ◽  
Vol 12 ◽  
pp. 91
Author(s):  
Iwona Niewiadomska ◽  
Agnieszka Palacz-Chrisidis
Keyword(s):  
Mental Disorders ◽  
Health Problems ◽  
Statistical Classification ◽  
Addictive Disorders ◽  
Statistical Manual ◽  
Dsm V ◽  
Classification Of Diseases ◽  
Icd 10 ◽  
International Statistical Classification

Autorki poruszają kwestię zmian w kryteriach diagnostycznych dotyczących zaburzeń związanych z hazardem oraz uzależnień chemicznych i czynnościowych w literaturze przedmiotu. Prezentują też krótki przegląd kolejnych edycji podręczników międzynarodowych klasyfikacji, zarówno Diagnostics and Statistical Manual of Mental Disorders – DSM, jak i The International Statistical Classification of Diseases and Related Health Problems – ICD. W artykule przedstawiona jest również dyskusja badaczy na temat umiejscowienia zaburzeń związanych z hazardem w klasyfikacjach diagnostycznych. DSM-V umiejscawia zaburzenie hazardowe w kategorii „zaburzenia używania substancji i nałogów” (ang. Substance-Related and Addictive Disorders, DSM-V), w podkategorii „zaburzenia niezwiązane z substancjami” (ang. Non-Substace Related Disorders, DSM-V). Natomiast według nadal obowiązującego ICD-10, zaburzenie hazardowe pozostaje w obszarze zaburzeń kontroli i impulsów, pod nazwą „hazard patologiczny”.

scholarly journals Discretionary Surgery: A Comparison of Workers’ Compensation and Commercial Insurance

Hand ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 95-101 ◽  
Author(s):  
Bonheur A. T. D. van der Gronde ◽  
Tom J. Crijns ◽  
David Ring ◽  
Nina Leung
Keyword(s):  
Null Hypothesis ◽  
Claims Data ◽  
Anatomical Site ◽  
Workers Compensation ◽  
Statistical Classification ◽  
Commercial Insurance ◽  
Classification Of Diseases ◽  
International Statistical Classification ◽  
Procedure Codes

Background: Workers’ compensation is intended for injuries that occur at work and is expected to be mostly for trauma and mostly nondiscretionary conditions. We tested the null hypothesis that there is no difference in the ratio of likely discretionary to likely nondiscretionary surgery between patients treated under workers’ compensation compared with commercial insurance controlling for age, sex, and anatomical site for either traumatic or nontraumatic diagnoses. Methods: Using claims data from the Texas workers’ compensation database and Truven Health commercial claims we classified International Statistical Classification of Diseases and Related Health Problems, Ninth Revision, Clinical Modification (ICD-9-CM) diagnoses and procedure codes as likely discretionary or likely nondiscretionary, and as traumatic or nontraumatic. Ratios of likely discretionary to likely nondiscretionary surgery were calculated and compared. Results: Among patients treated under workers’ compensation, the ratio of likely discretionary to likely nondiscretionary surgery was significantly higher for traumatic diagnoses (0.57 [95% confidence interval, CI, = 0.56-0.61] vs 0.38 [95% CI = 0.37-0.40], P < .05) and significantly lower for nontraumatic diagnoses (9.4 [95% CI = 9.20-9.42] vs 13.2 [95% CI = 12.9-13.3], P < .05) compared with commercial insurance. Conclusions: Workers’ compensation often covers likely discretionary musculoskeletal surgery, and insurance type may influence treatment.

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