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Статті в журналах з теми "Morbidité digestive"
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GIDENNE, T., L. FORTUN-LAMOTHE, and S. COMBES. "Restreindre l’ingestion du jeune lapin : de nouvelles stratégies pour renforcer sa santé digestive et améliorer son efficacité alimentaire." INRAE Productions Animales 25, no. 4 (October 1, 2012): 323–36. http://dx.doi.org/10.20870/productions-animales.2012.25.4.3221.
Повний текст джерелаАнотація:
La restriction temporaire de l'ingestion du lapin après son sevrage est maintenant une stratégie d'alimentation couramment employée en cuniculture. L'objet de cette synthèse est de présenter les différents effets d'une limitation de l'ingestion sur la santé, la physiologie digestive et l'efficacité alimentaire du lapin en croissance. Même si une restriction alimentaire conduit à une croissance plus lente, ces stratégies sont désormais utilisées par plus de 85% des éleveurs français. En effet, elles permettent de réduire les risques de mortalité et de morbidité post-sevrage par troubles digestifs, par exemple par l'entéropathie épizootique du lapin. De plus, la conversion alimentaire est améliorée, plus particulièrement lorsque les lapins sont de nouveau alimentés librement, en raison d'une importante croissance compensatrice. Cette meilleure efficacité alimentaire est associée à un transit plus lent et à une meilleure digestion, bien qu'on observe des interactions avec la composition chimique de l'aliment. La physiologie digestive est par ailleurs peu modifiée, en particulier la morphométrie de la muqueuse intestinale, l’activité fermentaire et le microbiote caecal. La qualité de la viande est peu affectée par la restriction alimentaire, alors qu'on observe une baisse de l'état d'engraissement des carcasses et une légère dégradation du rendement à l'abattage. Les effets d'une limitation de l'ingestion sur le comportement et le bien-être animal sont discutés, sachant que le jeune lapin présente une adaptation très rapide aux stratégies de restriction. Ainsi, les stratégies de restriction peuvent améliorer la rentabilité de l'atelier cunicole, mais elles doivent être adaptées à chaque situation d'élevage.
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Diguisto, C., T. Hébert, J. Paternotte, I. Kellal, H. Marret, L. Ouldamer, and G. Body. "Laparoscopie robot-assistée pour endométriose colorectale : morbidité de la résection digestive et du shaving." Gynécologie Obstétrique & Fertilité 43, no. 4 (April 2015): 266–70. http://dx.doi.org/10.1016/j.gyobfe.2015.02.006.
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Rives-Lange, C., A. Challine, D. Danoussou, S. Katsahian, A. Ait Boudaoud, S. Gaujoux, B. Dousset, C. Carette, A. Lazzati, and S. Czernichow. "Impact de l’immunonutrition orale sur la morbidité postopératoire en chirurgie oncologique digestive : une étude de cohorte à l’échelle nationale." Nutrition Clinique et Métabolisme 33, no. 1 (March 2019): 77. http://dx.doi.org/10.1016/j.nupar.2019.01.366.
Повний текст джерела
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Blanc, P., and C. Breton. "Le court-circuit gastrique par cœlioscopie avec robot assistance au cours de la période d’apprentissage : étude prospective." Obésité 14, no. 3 (September 2019): 92–97. http://dx.doi.org/10.3166/obe-2019-0066.
Повний текст джерелаАнотація:
But de l’étude : Le court-circuit gastrique par cœlioscopie est le geste de référence en chirurgie bariatrique, la chirurgie robotique se développe en chirurgie digestive et bariatrique. Le but de ce travail est de rapporter les résultats de la chirurgie robotique bariatrique lors de la période d’apprentissage. Patients et méthodes : De septembre 2017 à septembre 2018, les 50 premiers courts-circuits gastriques par cœlioscopie avec robot assistance ont été analysés. La période d’apprentissage a été évaluée prospectivement par la durée opératoire, la durée moyenne de séjour et, le taux de complications précoces. Résultats : Il a été réalisé 50 courts-circuits gastriques avec anse en Y. Il s’agissait d’une chirurgie de première intention dans 39 cas, une chirurgie de révision dans 11 cas (6 après anneau périgastrique modulable, 5 après gastrectomie en manchon pour reflux gastro-œsophagien). Il y avait 43 femmes 7 hommes, l’âge moyen était de 43,8 ans (22-65) et, l’IMC moyen de 41,45 kg/m2 (35-55). La durée opératoire moyenne a été de 155,1 min. (90-252) en cas de chirurgie de première intention et, de 181,4 min. (124-252) en cas de chirurgie de révision. La durée moyenne de séjour a été de 3,4 jours (2-12) en cas de chirurgie de première intention et, de 4,5 jours (2-12) en cas de chirurgie de révision. Il n’y a eu aucune conversion, aucun décès. Le taux de complications a été de 12% en cas de chirurgie de première intention (5/39) de 45 % en cas de chirurgie de révision (5/11), le taux de réintervention précoce a été de 8%. Il n’y a eu aucune mortalité. Conclusion : A la condition de suivre une formation spécifique, et de sélectionner les premiers patients, la chirurgie bariatrique par cœlioscopie avec robot assistance est une technique réalisable sans augmenter la morbidité postopératoire et ceci même lors de la période d’apprentissage.
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Gidenne, T., L. Mirabito, N. Jehl, J. M. Perez, P. Arveux, A. Bourdillon, C. Briens, J. Duperray, and E. Corrent. "Impact of replacing starch by digestible fibre, at two levels of lignocellulose, on digestion, growth and digestive health of the rabbit." Animal Science 78, no. 3 (June 2004): 389–98. http://dx.doi.org/10.1017/s1357729800058793.
Повний текст джерелаАнотація:
AbstractFour diets were arranged using a 2 ✕ 2 factorial design with two levels of lignocellulose, a high ‘HF’ or a low level ‘LF’ (acid-detergent fibre (ADF) = 191 v. 155 g/kg), combined with two levels of starch replacing 50 g/kg of digestible fibre (DF = hemicelluloses + pectins), a high starch (low DF) ‘HS’ or a low starch (high DF) level ‘LS’ (starch = 193 v. 123 g/kg). Two trials were conducted to measure digestive efficiency and rate of passage, respectively. A third trial was performed in a network of six French experimental breeding units to measure growth and digestive health on 507 rabbits per diet. Foods were offered ad libitum from weaning to slaughter.No significant interactions were detected between the effect of the level of lignocellulose and the effect of starch replacement by DF, on rabbit digestion, performance or digestive health. A proportional increase of overall food digestibility (organic matter (OM) or energy) was observed with the decrease of ADF level. When 50 g/kg of DF was replaced by starch we observed a significant improvement of OM and energy digestibility ( + 0·03 units). The whole-tract mean retention time of particles was 21 h. It was significantly longer with a lower ADF level ( + 5·4 h for LF v. HF diets), and it tended to increase when DF was substituted by starch ( + 2·2 h for HS v. LS diets).Between weaning and slaughter, food intake was mainly affected by the ADF level (139 v. 130 g/day respectively for HF and LF diets) and to a lesser extent by the replacement of DF by starch (136·2 v. 133·4 g/day, respectively for LS and HS diets). The weight gain was only slightly higher for high starch (low DF) diets ( +1 g/day) without an effect of the ADF level.Between weaning and slaughter, morbidity and mortality rates (from acute diarrhoea) were significantly reduced with high-fibre diets (-6 and -4 units respectively), while the replacement of DF by starch had no significant effect.
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Mancini, Simone, and Gisella Paci. "Probiotics in Rabbit Farming: Growth Performance, Health Status, and Meat Quality." Animals 11, no. 12 (November 26, 2021): 3388. http://dx.doi.org/10.3390/ani11123388.
Повний текст джерелаАнотація:
The rabbit’s complex microbiota of the gastrointestinal tract (GIT) plays a critical role in feed digestion, in vitamin production, in fermentative activity with production of volatile fatty acids, and stimulation of immune response, as well as in the infection defence against pathogens and countering environmental stresses. To prevent digestive disorders of this fragile ecosystem, rabbit breeders adopt suitable diets supplemented with additives such as probiotics. Probiotics can interact with the host and with the other microflora leading to an increased health status. A review on the effects of probiotics on rabbit growth performance, health status, and meat quality was conducted to reduce the incidence of digestive diseases and enhance productive performance. Some authors observed that the supplementation of probiotics to the diet improved feed conversion ratio and growth and digestion coefficients, while other authors reported a lack of effect on the live performance. Benefits derived from the use of probiotics were observed on the mortality and the morbidity. The studies performed, to evaluate the effects of probiotic supplementation in diets on the immune response, showed variations in the results. Some authors reported no significant effect on haematological parameters, such as total protein, immunoglobulins, and IgG, while others observed a significant increase or decrease of the same parameters. Most of the research reported significant modifications of intestinal morphology and positive effects on the GIT microbiota, supporting the host’s natural defences. Regarding the carcass and meat quality, the studies reported only partial and opposing results.
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Miridzhanyan, G. M., and Nataliya V. Polunina. "THE DYNAMICS OF PREVALENCE OF DISEASES OF DIGESTIVE ORGANS IN POPULATION OF THE REPUBLIC OF ARMENIA." Medical Journal of the Russian Federation 23, no. 4 (August 15, 2017): 172–74. http://dx.doi.org/10.18821/0869-2106-2017-23-4-172-174.
Повний текст джерелаАнотація:
The article presents the results of analysis of morbidity of diseases of digestive organs шт the Republic of Armenia. It is established that in the Republic of Armenia during 1990-2015 primary morbidity of diseases of digestive organs in children population reliably increased up to 2.4 times and in adult population - up to 1.9 times. The leading diseases in the structure of primary morbidity among children population is gastroduodenitis (39.7%) and among adult population - gastritis (54.6%). In the Republic, the indices of total morbidity of diseases of digestive organs during the same period of time increased reliably from 57,5‰ to 100,3‰ in children population and from 50,9‰ to 60,2‰ adult population. At the same time, during last 15 years at stabilization of level of morbidity with temporary disability average duration of one case of disease with temporary disability up to 11.6% and primary disability up to 2.9%.
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Ibraeva, L. K., A. U. Amanbekova, N. M. Zhanbasinova, L. Sh Sexenova, D. H. Rybalkina, B. M. Salimbayeva, E. A. Drobchenko, and A. O. Gazizova. "Epidemiological aspects of morbidity in the class of digestive organs in Kazakhstan." Terapevticheskii arkhiv 90, no. 2 (February 15, 2018): 75–78. http://dx.doi.org/10.26442/terarkh201890275-78.
Повний текст джерелаАнотація:
Aim. To study epidemiological aspects of disease, class of diseases of the digestive system in the region of the relative risk in Kazakhstan. Materials and methods. Studied epidemiological parameters are first identified in the incidence and prevalence of class XI ICD in regions of Kazakhstan with the identification of risk relative to the average national level. In a dysfunctional region Kyzylorda region analyzed the performance of its regions and compared with data from medical examination of the population and the survey. Results. A significant excess of the average national incidence rate between 1990 and 2015, was noted for 3 of the 14 regions of Kazakhstan (West-Kazakhstan, Kyzylorda, Mangystau). According to the dynamics of the unfavorable situation on the high level of incidence currently is in the Kyzylorda region (COA). From the areas of the COA maximum, the incidence of diseases of the digestive system registered in Kazalinsk district which exceeded the level at RK 4.8 times. The data on examination and survey of the complaints of the population exceeded the epidemiological indicators. In the area identified as the leading neoplasms of the digestive system in the structure of cancer incidence and exceeded the national average on the related class of blood diseases. Unfavorable situation on the incidence of the digestive system in Kyzylorda region of Kazakhstan is associated with the cancer and blood diseases, this is partly due to the presence of pollutants in the environment.
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Gofti-Laroche, L., B. Gratacap-Cavallier, D. Demanse, O. Genoulaz, J. M. Seigneurin, and D. Zmirou. "Are waterborne astrovirus implicated in acute digestive morbidity (E.MI.R.A. study)?" Journal of Clinical Virology 27, no. 1 (May 2003): 74–82. http://dx.doi.org/10.1016/s1386-6532(02)00130-0.
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Bhattacharyya, B. K., S. Chowdhury, S. Das, S. Mukherjee, and D. Bhattacharjee. "Treatment of Pancreatic Exocrine Insufficiency with Enteric Coated Pancreatin Formulations: An Overview." International Journal of Pharmaceutical Sciences and Nanotechnology 6, no. 3 (November 30, 2013): 2125–30. http://dx.doi.org/10.37285/ijpsn.2013.6.3.3.
Повний текст джерелаАнотація:
Pancreatin is a mixture of several digestive enzymes produced by the exocrine cells of the pancreas. It is composed of amylase, lipase and protease. It is used to treat conditions in which pancreatic secretions are deficient, such as surgical pancreatectomy, pancreatitis and cystic fibrosis. Pancreatin products contain the pancreatic enzymes trypsin, amylase and lipase. The patients with pancreatic diseases often suffer from pancreatic exocrine insufficiency. In such condition pancreas does not secrete required amount of digestive enzymes for proper digestion to occur. Severe pancreatic insufficiency occurs in cystic fibrosis, chronic pancreatitis, tumors or after surgical resection. Thus pancreatic exocrine insufficiency may result in clinical manifestation of malnutrition, weight loss and steatorrhea leading towards the increased risk of morbidity and mortality. For the improvement of clinical symptoms, restriction of fat intake and pancreatic enzyme replacement therapy are recommended. The enzyme substitution therapy is very much challenging because the optimal enzyme dose is highly variable to mimic the physiological pattern of pancreatic exocrine secretion. Regulatory authorities have approved several pancreatic enzyme formulations in the form of enteric coated minimicrosphere which are now available commercially. This review focuses on the physiological considerations of pancreatic exocrine insufficiency and its treatment with enteric coated pancreatin formulations.
Дисертації з теми "Morbidité digestive"
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Gottrand-Aumar, Madeleine. "Complications digestives et facteurs de risque à court et moyen terme dans l’atrésie de l’œsophage." Thesis, Université de Lille (2018-2021), 2021. http://www.theses.fr/2021LILUS054.
Повний текст джерелаАнотація:
Les progrès des dernières décennies dans la prise en charge néonatale et chirurgicale des enfants présentant une atrésie de l’oesophage (AO) ont permis une amélioration significative de leur espérance de vie. Cependant une morbidité importante persiste - en particulier digestive - à court, moyen et long terme, même si la prévalence de ces complications et leurs facteurs de risque restent actuellement mal identifiés. L’objectif de ce travail était d’étudier chez les enfants nés avec une AO, en population, trois complications digestives et leurs déterminants à trois périodes différentes de l’évolution d’une AO.Le premier travail s’est intéressé à la prévalence du dumping syndrome (DS) à l’âge de 3 mois, à l’aide d’une étude prospective multicentrique (n=38). Les nouveau-nés bénéficiaient systématiquement d’une hyperglycémie provoquée par voie orale entre l’âge de 2,5 et 3,5 mois. La glycémie était évaluée de façon discontinue pendant 4 heures, ce qui permettait de repérer les hyperglycémies précoces et les hypoglycémies tardives. Trente pour cent des patients avaient un DS, sans association identifiée avec les signes cliniques observés. Aucun facteur associé au DS n’a pu être mis en évidence dans cette étude.Le deuxième travail s’est intéressé aux facteurs de risque de sténose de l’anastomose (SA) à 1 an, par une étude prospective longitudinale multicentrique en population (n=1082). Les données à la naissance et à un an étaient relevées grâce au registre national français de l’AO (RENATO). Vingt-trois pour cent des enfants présentaient une SA à l’âge de 1 an, et les seuls facteurs de risque de SA identifiés étaient chirurgicaux (anastomose sous tension et anastomose retardée).Le troisième travail a porté sur les facteurs de risque et l’histoire naturelle du reflux gastro-oesophagien (RGO) à l’âge de 6 ans, par une étude prospective longitudinale multicentrique d’une cohorte nichée dans le registre RENATO (n=286). Les données à 6 ans étaient relevées grâce au réseau des centres participant au registre, avec la même méthodologie que le registre. Un tiers des enfants présentaient un RGO à l’âge de 6 ans, et 20% d’entre eux en avaient été opérés. La présence d’un RGO à l’âge de 1 an, un antécédent de gastrostomie avant l’âge d’un an, le sexe masculin et la dénutrition étaient les 4 facteurs prédictifs de RGO à l’âge de 6 ans. Le RGO pouvait disparaître, persister ou apparaître de novo à l’âge de 6 ans.Ce travail a permis la description du DS, nouvelle complication fréquente observée à court terme dans l’AO, d’individualiser des groupes à risque de complication digestives à court et moyen terme (1 an pour les SA et 6 ans pour le RGO) et de décrire l’évolution naturelle à moyen terme du RGO. Ses perspectives sont d’étudier la physiopathologie du DS dans l’AO et de poursuivre le suivi de la cohorte nichée à 12-13 ans, afin de mieux décrire l’histoire naturelle et d’aider à repérer les populations à risque pour adapter le suivi et le traitement de ces patientsAdvances in neonatal and surgical management of children with oesophageal atresia (OA) over the last decades lead to a significant improvement in life expectancy. However, significant morbidity persists - in particular digestive - in the short, medium and long term, even if the prevalence of these complications and their underlying risk factors remain poorly identified. The aim of the thesis was to investigate digestive complications and their short- and medium-term determinants in children born with OA, at the level of the French population, by studying three complications occurring at three different ages.The first study focused on the prevalence of dumping syndrome (DS) at 3 months of age, through a prospective multicenter cohort (n=38). All newborns systematically underwent an oral glucose tolerance test between 2.5 and 3.5 months of age. Blood glucose levels were recorded discontinuously over a 4-hour period, in order to identify early hyperglycaemia and/or late hypoglycaemia. Thirty percent of the included patients had a DS, which did not correlate with the presenting clinical signs. No factors associated with DS could be identified.The second study focused on the risk factors for anastomotic stenosis (AS) at 1 year of age, through a prospective longitudinal multicenter population-based study (n=1082). Data at birth and at one year were collected from the French national registry for OA (RENATO). Twenty-three percent of OA patients had AS at 1 year of age, and the only risk factors identified were surgical (anastomosis under tension and delayed anastomosis).The third study focused on the risk factors and natural history of gastrooesophageal reflux disease (GORD) at the age of 6 years, through a prospective longitudinal multicenter study of a nested cohort from the RENATO registry (n=286). Data at 6 years were collected through the CRACMO network of centers of the registry, using the same methodology as for RENATO. One third of patients had GORD at the age of 6 years, 20% of whom underwent fundoplication. Presence of GORD at the age of 1 year, history of gastrostomy before the age of 1 year, male gender, and undernutrition were the 4 independent predictive factors of GORD at the age of 6 years. From the age of 1 year, GORD could disappear, persist, or appear de novo at the age of 6 years.This work allowed the description of DS, a new frequent short-term complication in OA, the identification of groups at risk for digestive complications in the short and medium term (at 1 year for AS and at 6 years for GORD) and the description of the natural evolution of GORD in the medium term. Its perspectives are to study the pathophysiology of DS in AO and to continue the follow-up of the nested cohort at 12-13 years, to better describe the natural history and to help to identify populations at risk, thereby allowing to adapt the follow-up and personalize treatment of these patients
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Rossini, Katherine Lynn. "Effects of Calfhood Respiratory and Digestive Disease on Calfhood Morbidity and First Lactation Production and Survival Rates." Thesis, Virginia Tech, 2004. http://hdl.handle.net/10919/10010.
Повний текст джерелаАнотація:
Calf health data and first lactation records for 2556 cows born in a commercial dairy herd between June 1998 and June 2001 were studied to determine the effects of calfhood disease on survival and performance. Operator-treated respiratory disease occurrences within the first year of life and digestive disease occurrences within the first 45 d of life were analyzed to determine their effects on calfhood morbidity, age at first calving, 305-d first lactation production, and mortality in first lactation. Of the 2556 records used, 2083 calves contracted respiratory or digestive disease at least once, 1254 calves had digestive disease only, 771 had respiratory disease only, and 191 calves had both diseases. Occurrence of calfhood digestive disease increased the chance of calfhood respiratory disease 2-fold. Age at first calving increased 0.53 mo with multiple occurrences of respiratory disease versus none. Calves born in the winter calved at 25.4 mo, whereas calves born in spring calved at 24.5 mo. Respiratory disease had the largest effect on calves born in the spring, resulting in 23.9 mo age at first calving for no occurrence and 25.4 mo for multiple occurrences. No significant effect of disease was detected for 305-d milk yield, fat yield, or SCC, but protein yield decreased by 0.05 kg/d with increased calf respiratory disease. Although calfhood disease had no influence on illness as a cow, disease-free calves had a 5% advantage in probability of remaining in the herd through 305-d, and an 8% advantage at 730-d compared with calves with 2 or more disease occurrences. In conclusion, calfhood occurrences of respiratory and digestive disease had a slight impact on age at first calving, depending on season of birth, and minimal impact on production performance through 305-d of first lactation. The occurrence of respiratory or digestive disease caused a decrease in survival rate from calving through 305-d in first lactation and 730 d after calving.Master of Science
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Raphoz, Anne-Laure Boissel Patrick. "Analyse de la morbi-mortalité dans un service de chirurgie digestive générale étude prospective sur 6 mois /." [S.l.] : [s.n.], 2007. http://www.scd.uhp-nancy.fr/docnum/SCDMED_T_2007_RAPHOZ_ANNE_LAURE.pdf.
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Gobbato, Luca. "Patients’ morbidity and root coverage outcomes by means of coronally advanced flap and the application of sub-eptithelial connective tissue graft with different surgical procedures." Doctoral thesis, Universitat Internacional de Catalunya, 2016. http://hdl.handle.net/10803/387224.
Повний текст джерелаАнотація:
Numerous surgical periodontal techniques have been introduced, over the years, to correct
labial, gingival recessions defects. Aesthetic concerns are usually the reason to perform
these procedures. The aim of this project was to evaluate by means of an image analysis
system the efficacy of two different surgical procedures with and without the use of a subepithelial
connective tissue graft for the treatment of miller class one and two maxillary
gingival recession. Therefore the aim of the first study was to compare the effectiveness of
root coverage with coronally advanced flap alone versus a connective tissue graft used in
combination with a coronally advanced flap in the treatment of single gingival recessions
by analyzing the data with an open source image-processing program.
The result of this study showed better outcomes in terms of recession reduction after 12
months when the coronally advanced flap was combined with the connective tissue graft.
Adjunctive application of a connective tissue graft under a coronally advanced flap
increased the probability of achieving complete root coverage in maxillary Miller Class I
and II defects (61.5% vs. 83.3%, p=0.38). The second article is a case demonstration of the
benefit attained using the CAF+CTG in order to meet the patient’s needs and fulfilling the
clinical outcomes.
More recently, several authors have proposed the application of a connective tissue graft
using a tunneling technique, which has recently gained popularity in periodontal
mucogingival therapy. However, there is scarce data available regarding postoperative
patient-centered outcomes after tunneling technique as compared to other surgical
procedures for the treatment of gingival recession. The aim of the second randomizedcontrolled
clinical trial was to compare the patient morbidity and root coverage outcomes
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of a connective tissue graft used in combination with a coronally advanced flap or tunneling
technique.
Fifty patients completed the study. Healing was uneventful for all test and control patients.
The connective tissue graft used in combination with a coronally advanced flap group
reported less pain or discomfort in all four sections of the questionnaire: Pain experienced
within the mouth as a whole, pain experienced throughout the day, pain experienced at
night and edema experienced after the surgery (p=0.002, p=0.001, p=0.001 and p=0,001,
respectively). Both treatments showed clinical efficacy in terms of root coverage as no
differences per groups were observed in percentage of root coverage (87% vs. 85%, p=704)
or patients with complete root coverage (60% vs. 52%, p=0.569).
The tunneling technique is associated with a greater incidence of pain and discomfort
compared to the connective tissue graft used in combination with a coronally advanced flap
in early postoperative periods, as well as longer chair time. Both treatments showed similar
clinical efficacy in terms of root coverage.
The results of this study may influence the surgeon’s choice on which root coverage
procedure perform considering the need of more chair time and more pain killer assumption
with the tunnel technique.
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Campillo, Soto Álvaro. "Validación y estudio prospectivo comparativo de la aplicabilidad de seis índices pronóstico internacionales de morbilidad y mortalidad en pacientes intervenidos de forma programada en un servicio de cirugía general y digestiva." Doctoral thesis, Universidad de Murcia, 2010. http://hdl.handle.net/10803/10747.
Повний текст джерелаАнотація:
Las tasas brutas de morbi-mortalidad no son indicadores fiables del resultado del producto sanitario, siendo necesario el uso de escalas de riesgo adjustadas por paciente y gravedad. En nuestro estudio se validaron 5 escalas de riesgo para predecir morbilidad y mortalidad en nuestros pacientes sometidos a cirugía programada (POSSUM, P-POSSUM, SAPS II, APACHE II, MODS y MPM). Tras la validación se aplicaron prospectivamente, demostrándose la utilidad de POSSUM y P-POSSUM para predecir morbilidad y mortalidad, por lo que se recomienda su uso en los servicios quirúrgicos.the use of raw tases to mesuring health results not only is innacuracy but also is dangerous, due to the fact that, the results in medicine depend on the ability of phisician, phisiological status, pre and postoperative cares and kind of intervention. The aim of our study is the validation and prospective aplication of 6 adjusted risk scores (POSSUM, P-POSSUM, SAPS II, APACHE II, MOD S and MPM). We can draw the following conclusions: POSSUM and P-POSSUM are POSSUM and P-POSSUM systems have a high reliability in application for measuring risk of mortality and morbidity in patients studied. APACHE II, SAPS II and MODS scores do not have good reliability in their application for predicting mortality in surgical patients. The use of the POSSUM and P-POSSUM systems is highly recommended in the surgery services to monitor and detect errors in clinical practice.
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Araújo, Marleny Novaes Figueiredo de. "Tratamento cirúrgico da doença de Crohn:estudo comparativo entre desfechos precoses após laparoscopia primária, laparoscopia repetida ou laparoscopia após laparotomia na recidiva." Universidade de São Paulo, 2017. http://www.teses.usp.br/teses/disponiveis/5/5168/tde-11052017-160736/.
Повний текст джерелаАнотація:
Introdução: o uso da videolaparoscopia na doença de Crohn (DC) teve seu início nos anos 90, com ressalvas à possível dificuldade técnica que a DC complexa ou recorrente poderia impor à sua realização. Diversos estudos ao longo das décadas de 90 e 2000 mostraram ser a mesma factível, quando comparada à laparoscopia para DC primária, além de demonstrarem maior benefício da laparoscopia comparada à cirurgia aberta/convencional nos casos de DC recorrente. Entretanto, não houve estudos sobre resultados cirúrgicos após repetidas ressecções laparoscópicas. Objetivo: avaliar resultados pós-operatórios em curto prazo no tratamento da DC, comparando pacientes submetidos a uma segunda ressecção intestinal laparoscópica e pacientes sem cirurgia prévia. Além disso, comparar os mesmos resultados pós-operatórios entre pacientes submetidos a uma segunda ressecção intestinal laparoscópica e pacientes sendo submetidos a laparoscopia para DC e história prévia de ressecção intestinal prévia por laparotomia. Materiais e métodos: foi realizado análise retrospectiva a partir de base de dados mantida prospectivamente de pacientes submetidos a laparoscopia para tratamento da DC no Hospital Beaujon, França, entre 2005 e 2010. Os desfechos analisados foram: conversão para cirurgia aberta, tempo operatório, taxa de enterotomias inadvertidas no intra-operatório, morbidade, necessidade de reintervenção (cirúrgica ou radiológica) e tempo total de hospitalização. Resultados: foram analisados 18 pacientes com laparoscopia prévia (grupo A), 90 pacientes sem cirurgia prévia (grupo B) e 26 pacientes com laparotomia prévia (grupo C). Em nossa análise principal, comparando os grupos A e B, vemos grupos semelhantes em relação a dados demográficos, exceto maior número de casos complexos no grupo A (83,3 vs 46,7%; p=0,005) e tipo de operação realizada (p < 0,001). Quanto aos resultados, apenas o tempo operatório foi significativamente mais longo no grupo A (180 minutos vs. 150 minutos; p=0,013). A taxa de conversão, enterotomia inadvertida, morbidade, necessidade de reintervenção e tempo de hospitalização foram similares entre os grupos. Em nossa segunda análise, entre os grupos A e C, não houve diferença significativa quanto aos mesmos resultados analisados. Conclusão: apesar de um maior tempo operatório, uma segunda ressecção laparoscópica mantém os mesmos benefícios vistos em uma ressecção intestinal laparoscópica primária. Os mesmos benefícios são vistos quando os resultados são comparados com pacientes submetidos previamente a uma ressecção intestinal por laparotomia, em especial quando nas mãos de equipe experienteIntroduction: the use of laparoscopy in Crohn\'s disease (CD) had its beginning in the 90s, despite the possible challenge of technical difficulty that the complex or recurrent CD could impose to its realization. Numerous studies over the decades of 90 and 2000 showed laparoscopy in recurrent CD to be feasible compared to laparoscopy for primary CD, and have also shown the benefits of laparoscopic compared to open conventional surgery in patients with recurrent CD. However, there were no studies on surgical outcomes after repeated laparoscopic resections. Objective: 1. to evaluate postoperative short-term results regarding surgical treatment of CD, comparing patients who underwent a second laparoscopic bowel resection and patients without prior surgery. 2. to compare the same postoperative results among patients who underwent a second laparoscopic bowel resection patients and patients undergoing laparoscopic resection with history of prior intestinal resection by laparotomy. Materials and methods: a retrospective analysis from prospectively maintained database of patients undergoing laparoscopy for treatment of CD in Hospital Beaujon, France, between 2005 and 2010, was performed. The outcomes analyzed were: conversion to open surgery, operative time, intraoperative inadvertent enterotomy, morbidity, need for re-intervention (surgical or radiological) and length of hospitalization. Results: 18 patients with previous laparoscopy (group A), 90 patients without previous surgery (group B) and 26 patients with previous laparotomy (group C) were included. In our main analysis, comparing the groups A and B, groups were similar in respect to demographic data, except number of complex cases in group A (83.3 vs 46.7%; p = 0.005) and type of surgery performed (p < 0.001). As for the results, operative time was significantly longer in group A (180 minutes vs. 150 minutes; p = 0.013). Conversion rate, inadvertent enterotomy, morbidity, need for re-intervention and hospital stay were similar between groups. In our second analysis, between groups A and C, there was no significant difference between groups regarding the same variables. Conclusion. In spite of a longer operative time, a second laparoscopic resection guarantees the same benefits seen in a primary laparoscopic bowel resection. The same benefits are kept compared to patients who underwent prior bowel resection by laparotomy, especially when in the hands of experienced staff
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Lacerda, Rui Claro Pereira de. "Impacto económico da diarreia neonatal em explorações extensivas de bovinos de carne no concelho de Moura." Master's thesis, 2014. http://hdl.handle.net/10437/5942.
Повний текст джерелаАнотація:
Orientação : Ângela
Dâmaso; co-orientação: Carlos Silva; responsabilidade externa: Alberto FernandesO tema abordado na minha dissertação incide sobre o impacto económico que a diarreia neonatal bovina tem em explorações extensivas de produção de bovinos de carne no concelho de Moura. A diarreia neonatal é uma doença multifactorial que envolve o animal, o ambiente, a nutrição e os agentes infecciosos, leva à perda anual de animais e, consequentemente, causa perdas económicas relevantes às explorações. Este trabalho de investigação consistiu em analisar as despesas de tratamento e outras associadas à diarreia neonatal bovina e calcular o impacto que estas têm no lucro das explorações. Para tal, foi realizado um inquérito a produtores de quatro explorações extensivas de gado bovino de aptidão de carne no concelho de Moura, de forma a obter dados de natalidade, de morbilidade e de mortalidade de vitelos de cada exploração, e ainda dos custos económicos relativos à produção, nomeadamente nutrição dos animais, mão-de-obra, valor de mercado dos vitelos, entre outros. Foi obtida uma amostra de 79 vitelos afetados por diarreia neonatal, pertencentes a uma população de 412 vitelos, dos quais se determinaram as taxas de natalidade, morbilidade e mortalidade. A taxa de natalidade nas quatro explorações foi bastante variável, nomeadamente 31% (n=150) na Exploração A, 94% (n=100) na Exploração B, 40% (n=6) na Exploração C e 100% (n=102) na Exploração D. A taxa de morbilidade variou entre 4% e 32%, tendo sido mais baixa na Exploração B e mais elevada na Exploração A. A taxa de mortalidade variou entre 1% (n=1) e 10% (n=6), tendo sido mais baixa na Exploração D e mais elevada na Exploração C. Os custos de tratamento da diarreia neonatal nas quatro explorações variaram desde cerca de 130€ na Exploração B a mais de 1200€ na Exploração A, contribuindo para perdas económicas nas explorações de entre 2% e 8%, nos anos de 2012 e 2013, respectivamente. Deste modo, concluiu-se que o impacto económico provocado pela diarreia neonatal pode ser bastante significativo na economia das explorações extensivas de bovinos de carne do concelho de Moura.
The topic of my dissertation is focused on the economic impact that bovine neonatal diarrhea has in extensive production of beef cattle farms, in the municipality of Moura, Portugal. Neonatal diarrhea is multifactorial, involving the animal, environment, nutrition and infectious agents, leading to the loss of animals, and consequently causing significant economic losses to the farms. This research aimed to analyze the treatment costs and other losses associated to bovine neonatal diarrhea, and also calculate the impact that these have on profit of farms. A survey was done to four producers of beef cattle extensive farms in the municipality of Moura, in order to obtain data related to natality, calf morbidity and mortality, and also economical costs related to production, namely animal nutrition, labor, market value of the calves, and others. A sample of 79 calves affected with diarrhea was obtained from a population of 412 born animals, and birth rates and morbidity and mortality rates were calculated. The birth rate in the four farms was quite variable, namely 31% in the Exploration A, 94% in the Exploration B, 40% in Exploration C and 100% in the Exploration D. The morbidity rate varied between 4% and 32%, having been lower in Exploration B and higher in Exploration A. The mortality rate ranging from 1% to 10%, and was lower at Exploration D and higher at Exploration C. The cost of treatment of diarrhea in neonatal farm ranged from about four 130 € in the Exploration B to more than € 1.200 in Exploration A, contributing to economic losses on holdings of between 2% and 8% in the years 2012 and 2013. Therefore, it was concluded that the impact caused by neonatal diarrhea can be very significant in the economy of beef cattle farms in the municipality of Moura.
Книги з теми "Morbidité digestive"
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Pediatric ICD-10-CM. American Academy of Pediatrics, 2015. http://dx.doi.org/10.1542/9781581109016.
Повний текст джерелаАнотація:
In this first edition, Pediatric ICD-10-CM: A Manual for Provider-Based Coding strives to bring to the pediatric provider, coder, and biller the most accurate and easy-to use manual on ICD-10-CM yet. Composed entirely with a pediatrics focus, this manual exclusively features codes and guidelines for physician- and provider-based coding, all in a simplified yet familiar format. The full draft of the ICD-10-CM code set comes in at well over 1,000 pages. This book condenses that large and potentially cumbersome book into 400 pages of the most relevant,pediatrics-related codes and guidelines. It also fully integrates into the tabular list specific chapter and code guidelines. Guideline are now included directly at the chapter and code level, ensuring that coders will always use the right codes in right circumstances Features include Integrated codes and guidelines Simplified yet familiar layout Tabular and indexed navigation Pediatric-focused and provider-based guidance And more... Contents Include: ICD-10-CM Official Guidelines for Coding and Reporting: FY 2015 Certain Infectious and Parasitic Diseases (A00-B99) Neoplasms (C00-D49) Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism (D50-D89) Endocrine, Nutritional and Metabolic Diseases (E00-E89) Mental, Behavioral and Neurodevelopmental Disorders (F01-F99) Diseases of the Nervous System (G00-G99) Diseases of the Eye and Adnexa (H00-H59) Diseases of the Ear and Mastoid Process (H60-H95) Diseases of the Circulatory System (I00-I99) Diseases of the Respiratory System (J00-J99) Diseases of the Digestive System (K00-K95) Diseases of the Skin and Subcutaneous Tissue (L00-L99) Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) Diseases of the Genitourinary System (N00-N99) Pregnancy, Childbirth, Certain Conditions Originating in the Perinatal Period (P00-P99) Congenital Malformations, Deformations and Chromosomal Abnormalities (Q00-Q99) Symptoms, Signs, and Abnormal Clinical and Laboratory Findings (R00-R99) Injury, Poisoning and Consequences of Certain Other External Causes (S00-T88) External Causes of Morbidity (V00-Y99) Factors Influencing Health Status and Contact With Health Services (Z00-Z99)
Частини книг з теми "Morbidité digestive"
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de Lacy, Antonio M., Salvadora Delgado, and Miguel A. Cuesta. "Is There Less Morbidity After Laparoscopic Surgery?" In Treatment of Postoperative Complications After Digestive Surgery, 35–46. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4354-3_6.
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Vermeulen, Christine, Willem A. Bemelman, and Miguel A. Cuesta. "Is There Less Morbidity After Fast-Track Surgery?" In Treatment of Postoperative Complications After Digestive Surgery, 47–52. London: Springer London, 2013. http://dx.doi.org/10.1007/978-1-4471-4354-3_7.
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Schultz, Markus J., and Peter E. Spronk. "The Effects of Hand-Washing, Restrictive Antibiotic Use and SDD on Morbidity." In Selective Digestive Tract Decontamination in Intensive Care Medicine: a Practical Guide to Controlling Infection, 99–110. Milano: Springer Milan, 2008. http://dx.doi.org/10.1007/978-88-470-0653-9_7.
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McFarland, Daniel C., and William S. Breitbart. "Gastrointestinal Cancers." In Psycho-Oncology, edited by Mark Lazenby, 189–95. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190097653.003.0027.
Повний текст джерелаАнотація:
Gastrointestinal (GI) cancers that originate from outside the colon and rectum are common and distressing for reasons distinct from colorectal cancer. The GI tract includes the uniquely contributory organ functionality of the pancreas, liver, and stomach, which manifest as distinct cancer types with unique morbidity associations. While digestion is certainly the primary quality-of-life issue that is disrupted during the cancer experience and trajectory, there are various other important quality-of-life issues to consider. Unfortunately, these noncolorectal GI cancers tend to carry a worse overall prognosis and the morbidity is greatly influenced by cancer type, anatomic location, and treatment regimen (local and systemic). Pancreatic, esophageal, gastric, and hepatobiliary cancers affect digestion, nutrient absorption, and weight management and can cause significant pain and other physical morbidity such as edematous states. Aside from the stress of physical morbidity or unique treatment side effects, pancreatic cancer has a unique relationship with depression that should be explored for its biological implications in causing depressive symptoms. In addition, patients may be distressed by the novelty or rarity of many of these noncolorectal GI cancers (e.g., cholangiocarcinoma) that may fall into an orphan disease category without well-studied treatment paradigms. Understanding the key characteristics of the primary types of noncolorectal GI cancers (i.e., pancreatic, gastric, esophageal, and hepatobiliary cancers) allows the psycho-oncology clinician to approach these patients with appropriate concern and caring for the primary issues with which they are toiling.
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Bosi, P., D. Luise, and P. Trevisi. "Improving gut function in pigs to prevent pathogen colonization." In Understanding gut microbiomes as targets for improving pig gut health, 399–434. Burleigh Dodds Science Publishing, 2022. http://dx.doi.org/10.19103/as.2021.0089.16.
Повний текст джерелаАнотація:
Intestinal pathogens causing either clinical or sub-clinical infections increase pig morbidity and (or) mortality, resulting in economic losses and wider socio-economic impacts on pig production. An optimally functioning gastrointestinal tract (GIT) is fundamental to combatting intestinal pathogen colonisation at all the stages of life. This requires successful development and maintenance of key gut functions: digestive function; the gastro-intestinal cell line barrier; gut-associated lymphoid tissue (GALT); and gut-associated microbiota. This chapter first discusses research on genes associated with pathogen resistance and porcine immune response. It then reviews risk factors associated with gut mucosa impairment as well as dietary strategies to control risk factors and improve gut functionality in preventing intestinal pathogen colonisation.
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Williams, Elizabeth A. "9. Food and Feeling: ‘Digestive Force’ and the Nature of Morbidity in Vitalist Medicine." In Vital Matters. Toronto: University of Toronto Press, 2012. http://dx.doi.org/10.3138/9781442694354-012.
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Nicolaescu, Alexandru, Șerban V.G. Berteșteanu, Raluca Grigore, Mihnea Cojocărița-Condeescu, Bogdan Popescu, Catrinel Simion-Antonie, Paula Bejenaru, and Simona Gloria Munteanu. "Pharyngocutaneous Fistulas Following Total Laryngectomy." In Wound Healing [Working Title]. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.97848.
Повний текст джерелаАнотація:
Total laryngectomy is still the final therapeutic solution in cases of locally advanced laryngeal cancer, as well as in cases of therapeutic failure of organ-sparing surgery or radiation therapy. Following excision of the larynx, the remaining pharynx is reconstructed to obtain continuity of the upper digestive tract. One of the most common complications in these patients, despite constant refinement of the procedure, is the development of a pharyngo-cutaneous fistula. These fistulas prolong hospital stay and often require a second surgical procedure, increasing morbidity and cost for the patient, while diminishing his quality of life. Some risk-factors have been identified, but only some may be corrected before surgery to lower this risk. Managing the fistula once present depends on multiple factors, essential being the size of the fistula as well as the position and concomitant factors, with options ranging from conservative measures to aggressive reconstructive surgery with local miocutaneous flaps. Modern vocal rehabilitation with T.E.P. (tracheo-esophageal puncture) and vocal prosthesis placement presents a new challenge – because of the risk of developing a tracheo-esophageal fistula, with an even higher risk for the patient because of tracheal aspiration. Understanding healing mechanisms of these structures is key to proper management of this complication.
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Sinharay, Ricky. "Gastroenterology." In Oxford Assess and Progress: Clinical Medicine. Oxford University Press, 2019. http://dx.doi.org/10.1093/oso/9780198812968.003.0011.
Повний текст джерелаАнотація:
Gastroenterology and hepatology encompass a vast array of organs that have diverse structure and function and are affected by a multitude of disease processes. Diseases of the digestive tract are a major cause of morbidity and mortality in the United Kingdom (UK) and worldwide. There have been great advances in our understanding, diagnosis, and management of gastrointestinal (GI) disease, and knowledge continues to develop at a great pace. Understanding the physiology and cellular and molecular events that drive pathological processes, as well as the development of sophisticated endoscopic and radiological tests, have transformed diagnostic capability. Therapeutic endoscopy has progressed to replace surgical management of common GI emergencies such as upper GI tract bleeding and decompressing biliary tract obstruction. However, as ever, there is still much work to be done. For example, the advances in biologic immunotherapy in inflammatory bowel disease has greatly improved patients’ quality of life and a reduction in the need for surgery, though the overall impact of these medications on the natural history of the disease is debatable at present. Hepatology is a greatly misunderstood specialty. The physiological changes that occur as cirrhosis and portal hypertension develop are the key to understanding all manifestations of a decompensating liver. Recently, there has been a significant increase in the prevalence of chronic liver disease in the UK, and as a result, hospital admissions have increased. Liver disease is the only major cause of death still increasing year on year, and twice as many people now die from liver disease than in 1991. The 2013 National Confidential Enquiry into Patient Outcome and Death (NCEPOD) of patients with alcohol- related liver disease (ARLD) found that less than half the number of patients who died from ARLD received ‘good care’, and avoidable deaths were identified. Allied to this, the enquiry shed light on a cultural pessimism regarding outcomes and prognosis of chronic liver disease and, in particular, ARLD from both the public and the medical profession as a whole. There is now a concerted drive towards improving awareness of chronic liver disease, and initial simple supportive treatments can greatly improve survival, more so than previously thought.
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Valentyna, Chorna, and Anatolii Shevchuk. "THE CURRENT STATE OF MENTAL HEALTH IN THE XXI CENTURY IN THE CONTEXT OF HEALTH CARE REFORM." In European vector of development of the modern scientific researches. Publishing House “Baltija Publishing”, 2021. http://dx.doi.org/10.30525/978-9934-26-077-3-1.
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The monograph provides a comparative analysis of the medical and demographic situation in Ukraine in recent years: population, birth and death rates, natural increase (decrease) in citizens, average life expectancy at birth, disability, morbidity. Also, an analysis of the Human Development Index in Ukraine and other countries according to the UN (2018) is carried out. From the investigation of the report of statistical data of the Ministry of Health of Ukraine on the structure of hospitalized patients in hospitals of Ukraine for 2019 adult population among all diseases: the first place has occupied by diseases of the circulatory system – 23.19% (including coronary heart disease – 10.93%, cerebrovascular diseases – 5.95%, angina – 4.02%), second place-diseases of the digestive system – 9.07%, third place belongs to tumors – 8.96%, fourth place respiratory diseases – 8.04%. At the same time, the state of mental health of the population of Ukraine is not insignificant, and according to the statistics of the Ministry of Health of Ukraine in 2019, cerebral and behavioral disorders amounted to 4.54% and diseases of the nervous system – 4.16%. The average length of stay of adult patients in psychiatric institutions is from 33.3 to 48.7 days in Ukraine compared to European countries in Lithuania up to 20.8 days, in the Republic of Poland up to 20.3 days. In Ukraine, the treatment of patients with mental disorders and behavior remained as in Soviet times, the Semashko health care model, the priority of inpatient treatment in the old premises that have been building in the XVIII-XIX centuries, and therefore there is a crisis in the field of mental health and mental health. The reform of mental health facilities in European countries has been completing in 2000, and they have moved to a multidisciplinary model for the treatment of the mentally ill. For people with changes in mental health, new Mental Health Centers have been building, and the old premises of psycho-neurological hospitals have been reconstructing for comfortable stay of patients, creation of "therapeutic, healing environment" for quick marriage, return of patients to society. A comparative description of the provision of medical workers in the field of health care in Ukraine with similar indicators of the EU countries is provided. The study aims to analyze the ways of reform in the EU and Ukraine, to show mistakes in the incomplete health care reform of Ukraine and examples of overcoming the crisis and improving the mental health of the population as in European countries. Ukraine should learn from the experience of other European countries by increasing funding for health care and prevention measures to reduce disease and improve the mental health of the population. One way to overcome the crisis is to have a strong link between the various Ministries of Social Policy, Health to provide timely health care to vulnerable populations and to stratify socio-demographic and lifelong mental health indicators as in the EU. It is possible to strengthen the mental health care system through highly institutionalized services to public/religious organizations that are more person/ patient-oriented.
Тези доповідей конференцій з теми "Morbidité digestive"
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Yazbeck, C., E. Aoude, Y. Yazbeck, and B. Akiki. "Mieux choisir le moment de la procédure diminue la morbidité de la Gastrostomie Percutanée Endoscopique (GPE)." In Journées Francophones d'Hépato-Gastroentérologie et d'Oncologie Digestive (JFHOD). Georg Thieme Verlag KG, 2018. http://dx.doi.org/10.1055/s-0038-1623336.
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Karpov, A., E. Badmaeva, and S. Antipov. "ORGANIZATION OF MEDICAL ASSISTANCE TO PERSONNEL OF REMOTE INDUSTRIAL SITES." In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-236-240.
Повний текст джерелаАнотація:
Abstract. Introduction. The organization of medical care for employees of remote industrial enterprises (remote healthcare) is an extremely important task and an urgent problem in the healthcare system as a whole. The correct organization and evidence-based approaches in the remote healthcare system will save the labor force, which forms the basis of the economic development of any country. Purpose: to evaluate the system of organizing medical care for employees of remote industrial facilities based on the analysis of the results of periodic medical examinations and medical evacuations. Research methods. The analysis of the results of periodic medical examination of a large mining enterprise in the period 2018-2021 was carried out. , and also analyzed the results of medical evacuations from industrial facilities in the period 2018-2020. (154 objects from 14 regions of the country). Taking into account the fact that the bulk of workers in remote industrial facilities are men employed in the main profile of the enterprise, women were excluded from the analysis. Results. According to the results of medical examinations, 18.6% were recognized as completely healthy in 2018, 6.6% in 2019, and 12.6% of workers in remote industrial facilities in 2021. The rest had one or another pathology. The structure of workers' diseases revealed during medical examinations was analyzed in accordance with ICD-10. In the structure of the morbidity of workers at remote industrial facilities, the first three places in descending order of rank are occupied by diseases of the digestive system, diseases of the eyes and adnexa, diseases of the nervous system (in 2018 -38.2%, 35.3%, 22%; in 2019 - 53.1%, 45.3%, 19.5%; in 2021 - 44%, 34.1% 15.8%, respectively). In addition, in 2021, the prevalence of risk factors in men and women was analyzed, the contribution of each of the factors was revealed (physical - 26.5%, smoking - 26%, alcohol - 11.1%). The number of medical evacuations was: 2,390 planned (61.5%) and 1,493 emergency (38.4%). In the structure of all evacuations of personnel of remote industrial facilities, BSK was in the lead, followed by injuries and poisoning, diseases of the digestive system and diseases of the respiratory system. The main reason for emergency evacuations was injuries and poisoning, 2nd and 3rd places were taken by BSK and diseases of the digestive system, respectively. In the group of workers under 39 years of age, the first three positions were occupied by injuries and poisoning, diseases of the digestive system and BSC, and in the group of older age intervals, BSC significantly prevailed, the second place was taken by injuries and poisoning, and the third - diseases of the digestive system. Conclusion. The results of the study and data analysis made it possible to identify the key components (human, informational, financial, educational, material resources) of remote health care and confirmed the importance and necessity of developing a unified concept of maintaining the health of personnel at industrial facilities located in hard-to-reach areas.
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Veselova, T. V., and D. V. Chentsov. "COMPARISON OF THE STRUCTURE OF MORBIDITY BY THE RESULTS OF PREVENTIVE MEDICAL EXAMINATIONS AND OF PROFESSIONAL MEDICAL EXAMINATIONS." In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-110-113.
Повний текст джерелаАнотація:
Abstract. The aim of the study was to compare the structure of morbidity revealed by the results of preventive medical examination with the structure of morbidity revealed by the results professional examination. Group 1 included 146 999 men aged 20-60, who underwent professional examination, group 2 - 424 770 men aged 21-60 who had undergone preventive medical examinations. In both groups, diseases of the circulatory system are in first place in terms of detection (group 1 – 24,37%, 2 – 41,41%). In second place in the course of preventive medical examinations are diseases of the endocrine system, nutritional disorders and metabolic disorders (16,94%), and in case of professional examination - diseases of the eye and its adnexa (15,46%). The third place in the course of professional examination is - diseases of the respiratory system (14,65%), with preventive medical examinations - diseases of the digestive system (9.83%). Since the diseases of the musculoskeletal system are not separately taken into account during the clinical examination, they are classified in the category «Other diseases». However, it should be noted that during the professional examination, this group of diseases is detected in 21% of cases. Taking into account the figures obtained for the detection of diseases of the musculoskeletal system, it seems important to focus the attention of occupational medicine specialists on this in order to develop and introduce measures to improve the health of the musculoskeletal system into corporate programs. These differences are associated with a different volume of research conducted for different types of medical examinations, as well as with the fact that a number of diseases of the circulatory system and the endocrine system are a contraindication for employment in contact with harmful labor factors. A higher level of detection of infectious pathology and neoplasms in case of professional examination requires a more thorough analysis.
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Vilinová, Katarína, and Jozef Kudlej. "Krajské mestá Slovenska v kontexte príčin smrti." In XXIV. mezinárodního kolokvia o regionálních vědách. Brno: Masaryk University Press, 2021. http://dx.doi.org/10.5817/cz.muni.p210-9896-2021-64.
Повний текст джерелаАнотація:
Interest in the health of the population is intensifying today. The main reasons include social, political and economic changes, but also the ongoing pandemic related to the spread of the COVID-19 virus. Due to many demographic changes in recent years, the study of the health status of the population emphasizes one of the demographic processes, which is mortality. The structure of the causes of death is very often monitored. After the stabilization of mortality and morbidity from infectious diseases in the eighties, civilization diseases such as circulatory system diseases and tumors came to the forefront of social interest in Slovakia. This indicator is also important in terms of the right direction in the field of regional development in relation to health care in individual regions. The aim of the paper is to characterize the structure of causes of death in regional cities of Slovakia. This paper will be based on data from the Statistical Office of the Slovak Republic for the period 1996-2017. The main methods used in the work will be methods of analysis, synthesis, as well as graphic and cartographic methods. In all regional cities of Slovakia, diseases of the circulatory system clearly dominated in men and women during the entire period under review. They were followed by cancer and external causes. The group of five most common causes was supplemented by diseases of the respiratory and digestive system.
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Roslaya, N. A., E. L. Bazarova, and I. S. Osherov. "AGE AND GENDER FEATURES OF FORMATION SOMATIC PATHOLOGIES AT INFLUENCE OF NOISE." In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-422-426.
Повний текст джерелаАнотація:
Abstract: Relevance. Noise is the most common harmful factor in the production of titanium alloys. The aim of the study is to identify age and gender features of the formation of general somatic morbidity associated with the impact of industrial noise at a large metallurgical enterprise. Scope and methods. The study compared the prevalence of chronic pathology of 4681 people who have contact with noise above 80 dBA, and those who are not exposed to noise using the methodology of occupational risk analysis of the Research Institute of Occupational Medicine. academician N. F. Izmerov according to the results of a periodic medical examination The results. The formation of general somatic pathology of many systems of the body under the influence of industrial noise occurs from the first years of operation. An increased risk of developing ear pathology was identified with work experience of more than 7 years. Men under the influence of noise had a significantly higher prevalence of diseases of the ear and digestive organs than women, with higher risks compared to those who were not exposed to noise and a medium to high relationship with working conditions. Conclusion. The revealed features of the formation of general somatic pathology under the influence of industrial noise allow us to recommend the introduction of health and rehabilitation programs from the first years of working in noise, even during the period of adaptation of young workers to the production environment.
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Bazarova, E. L., I. S. Osherov, and N. A. Roslaya. "THE FEATURES OF FORMATION SOMATIC PATHOLOGIES AT INFLUENCE OF LOCAL VIBRATION IN THE CONDITIONS OF METALLURGICAL MANUFACTURE." In The 16th «OCCUPATION and HEALTH» Russian National Congress with International Participation (OHRNC-2021). FSBSI “IRIOH”, 2021. http://dx.doi.org/10.31089/978-5-6042929-2-1-2021-1-48-53.
Повний текст джерелаАнотація:
Abstract: Relevance. Local vibration is a significant factor in the production environment of metallurgical production, which affects health and efficiency. The aim of the study is to identify the exposure, gender and age features of the formation of general somatic morbidity associated with the impact of local vibration in the production of titanium alloys. Scope and methods. The prevalence of general somatic pathology was compared in 2596 workers who have contact with local vibration, with varying degrees of harmfulness of working conditions, and non-exposed persons according to the results of periodic medical examination using the methodology of occupational risk analysis of the Research Institute of Occupational Medicine. academician N. F. Izmerov. Results. At comparison of prevalence of a somatic pathology at workers in contact to local vibration to not exhibited persons according to medical inspection, and at different degree of harm of working conditions, are revealed the raised risks of formation of diseases nervous, kostno-muscular, endocrine systems, respiratory organs, digestion, an ear, a skin, an arterial hypertensia, the mental frustration, the raised weight of a body, gynecologic diseases with a tendency of growth of the majority of them at the big levels of vibration, more often at small, less often - average degree of communication with working conditions. The frequency of pathology in exposed workers was higher in all age groups. Average degree of communication with working conditions of a gynecologic pathology at the age of 18-25 years was marked. At men frequency of a pathology of respiratory organs, digestion is revealed authentically big, than at women; an ear; skin at the big relative risks 1,2-1,3, of the raised arterial pressure and hyperglycemia. Conclusion. A higher frequency of visceral pathology of a number of body systems under the influence of local vibration of high levels may justify the need to develop differentiated preventive programs to minimize its negative impact, taking into account the identified features in sex and age groups.