The study of scoliosis in young people

Violations of posture, including scoliosis, are common diseases of the musculoskeletal system. According to official statistics, scoliosis is detected in 10% of children. It can also occur in adults. This pathology tends to be more spread. Therefore, the problem of early diagnosis and prevention of scoliosis becomes relevant

What is the association between sickness absence, mortality and morbidity?

This paper examines the area-level relationships in England and Wales between sickness absence (‘incapacity benefit’), mortality and morbidity. It uses a random sample of incapacity benefit claims, and population counts of mortality and Census morbidity for local government districts. Although there is little correspondence between sickness absence claims by specific cause and mortality, all cause sickness absence has a strong relationship with all cause mortality (male r 0.74, p=0.00; female r 0.64, p=0.00) and it also has a very strong relationship with the Census measures of morbidity: LLTI (male r 0.98, p=0.00; female r 0.97, p=0.00) and ‘not good health’ (male r 0.99, p=0.00; female r 0.96, p=0.00). Incapacity benefit claims by all causes has the potential to provide an ongoing measure of area-level health in England and Wales

Polish Medical Society of Radiology and Polish Society of Rheumatology recommendations for magnetic resonance imaging of musculoskeletal disorders in rheumatology

This document presents the recommendations of the Polish Medical Society of Radiology (PLTR) and the Polish Society of Polish Society of Rheumatology (PTR) regarding the standards of collaboration between radiologists and rheumatologists so as to optimize the diagnostics and treatment of patients with rheumatic diseases of the musculoskeletal system, including rheumatoid arthritis and spondyloarthropathies

MUSCULOSKELETAL DISORDERS IN MIDWIVES IN HOSPITALS

The work of the midwives is highly demanding and responsible, as well as associated with significant load on the musculoskeletal system. The aim of the study was to follow the frequency and localization of musculoskeletal disorders and diagnosed diseases of the musculoskeletal system among midwives working in hospitals. Methods The study included 176 midwives with an average age of 48.9 ± 13.1 years working in hospitals in the city of Sofia. An adapted questionnaire was applied to collect information for musculoskeletal symptoms and physician-diagnosed diseases. Data were processed with the statistical package SPSS 20.0.Results and Discussion The incidence of musculoskeletal complaints was high. The most common complaints were in the lower back (67.7%), followed by the back (61.1%), neck (56.3%) and shoulders (50.3%). Diagnosed diseases of the musculoskeletal system were consistent with the complaints. The analysis of the data showed that poor working conditions, frequent work in uncomfortable working postures with bending, twisting and stretching increased the frequency of musculoskeletal complaints.Conclusion The results point to further study of the ergonomic characteristics of workplaces and work movements and the organization of the work process in order to improve working conditions and protect the health of midwives working in hospitals.

Revisiting the mortality of France and Italy with the multiple-cause-of-death approach

In this paper, we use the multiple cause-of-death approach to compare the mortality profiles of France and Italy in 2003. Our analysis leads to a substantial re-evaluation of the role played by certain conditions in the process leading to death. Regarding the associations of causes, we distinguish three patterns that are common to both countries. The numerous similarities that emerge from the comparison of the two countries are a clear indication that, contrary to what is generally thought, misreporting by the certifying physicians generally do not distort the observation.cause of death, France, international comparisons, Italy, mortality, multiple causes of death

Physical rehabilitation in complex therapy of osteoarthrosis

Osteoarthritis (OA) is the most common form of joint damage and occupies a leading position among all diseases of the musculoskeletal system. At the present stage, the treatment of patients with knee osteoarthritis joints is a complex process that includes both medication and non-medication methods of exposure. IN in recent years, interest in complex methods of influence in the treatment of patients with this pathology. The incidence of osteoarthritis increases sharply with age, reaching a third of the population in old and senile age. Joint osteoarthritis refers to degenerative diseases. From this it follows that its main cause is a violation of metabolic processes in the body and a deterioration in the nutrition of the articular tissues, which leads to their degeneration, delayed regeneration and progressive aging (destruction). An increase in the life expectancy of the world's population, physical inactivity and an increase in the number of overweight people lead to an increase in the number of patients suffering from diseases of the musculoskeletal system, including osteoarthritis. Considering the lack of specific pharmacological treatment of osteoarthritis, as well as the growing number of patients with this pathology, it became necessary to search for proven technologies of physical and rehabilitation medicine

The Effect of Drug Vintage on Survival: Micro Evidence from Puerto Rico's Medicaid Program

Using micro data on virtually all of the drugs and diseases of over 500,000 people enrolled in Puerto Rico's Medicaid program, we examine the impact of the vintage (original FDA approval year) of drugs used to treat a patient on the patient's 3-year probability of survival, controlling for demographic characteristics (age, sex, and region), utilization of medical services, and the nature and complexity of illness. We find that people using newer drugs during January-June 2000 were less likely to die by the end of 2002, conditional on the covariates. The estimated mortality rates are strictly declining with respect to drug vintage. For pre-1970 drugs, the estimated mortality rate is 4.4%. The mortality rates for 1970s, 1980s, and 1990s drugs are 3.6%, 3.0%, and 2.5%, respectively. The actual mortality rate is about 16% (3.7% vs. 4.4%) lower than it would have been if all of the drugs utilized in 2000 had been pre-1970 drugs. Estimates for subgroups of people with specific diseases display the same general pattern.

Prioritization and patients' rights: Analysing the effect of a reform in the Norwegian Hospital Sector

The right to equal treatment, irrespective of age, gender, ethnicity, socio-economic status and place of resident, is an important principle for several health care systems. A reform of the Norwegian hospital sector may be used as a relevant experiment for investigating whether centralization of ownership and management structures will lead to more equal prioritization practices over geographical regions. One concern was variation in waiting times across thecountry. The reform was followed up in subsequent years by some other policy initiatives that also aimed at reducing waiting lists. Prioritization practice is measured by a method that takes departure in recommended maximum waiting times from medical guidelines. We merge the information from the guidelines with individual patient data on actual waiting times. This way we can monitor whether each patient in the available register of actual hospital visits has waited shorter or longer than what is considered medically acceptable by the guideline. The results indicate no equalisation between the five new health regions, but we find evidence of more equal prioritization within four of the health regions. Our method of measuring prioritizations allows us to analyse how prioritization practice evolved over time after the reform, thus covering some further initiatives with the same objective. The results indicate that an observed reduction in waiting times after the reform have favoured patients of lower prioritization status, something we interpret as a general worsening of prioritization practices over time.Prioritization; waiting time; hospital reform

Ефективність комбінованої терапії з використанням мелоксикаму (Локсідолу) і Кокарніта в лікуванні пацієнтів з хронічними захворюваннями опорно-рухового апарату в період загострення

Стаття присвячена питанням лікування хронічних захворювань опорно-рухового апарату в період загострення. Приділено увагу вибору препарату групи нестероїдних протизапальних засобів та препарату метаболічної дії. Наведені дані дослідження ефективності та безпеки комплексного призначення мелоксикаму (Локсидолу) та Кокарніту. The article deals with the issues of treatment for chronic diseases of the musculoskeletal system during the period of exacerbation. Attention was paid to the choice of a drug from the group of non-steroidal anti-inflammatory agents and a drug with metabolic action. Data are presented on the studies of the efficacy and safety of the combined administration of meloxicam (Loxidol) and Cocarnit

Morbidity Pattern Among Out-Patients Attending Urban Health Training Centre in Srinagar

The current study was designed to identify the morbidity pattern of out-patients attending Urban Health Training Centre in an urban area of a medical college in Srinagar, Pauri Garhwal district, Uttarakhand, North India. The present study record-based retrospective study was conducted among the out-patients attending the regular clinic at the Urban Health Training Centre, of a medical college in Srinagar city of Uttarakhand State of North India during the study period of one year in 2014. Data was retrieved from the OPD registers maintained at the clinic. Data was collected pertaining to socio-demographic profile, morbidity details and treatment pattern. Diseases were identified using the International Classification of Diseases (ICD-10) code. Descriptive analysis was done. During the study period, a total of 9343 subjects attended the OPD. Among them, majority of them (60%) were females. More than half (56 %) belonged to the age group of 35-65 year age-group. The association of disease classification was found to be statistically significant with respect to gender. The leading morbidity of communicable disease was found to be certain infectious and parasitic diseases especially Typhoid whereas musculoskeletal system and connective tissue disorders were the most common cause among morbidity due to NCDs. Out of all, typhoid was found to cause maximum of morbidity among the subjects. The present study highlights the morbidity pattern of communicable and NCDs among the population of hilly areas of Garhwal, Uttarakhand India. Priority should be preferred for the regular tracking of diseases in terms of preventive and promotive aspects. Morbidity in the out- door clinics reflects the emerging trend of mixed disease spectrum burden comprising communicable and non-communicable diseases