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EN
Demographic changes which took place in the 20th century clearly reveal progressive ageing of whole societies. This phenomenon influences the risk connected with calculating the products of insurance companies and pension funds, where calculated mortality is one of the most important factors. The paper presents the analysis of mortality changes in male and female populations in selected countries from Central Europe (the Czech Republic, Hungary, Poland and Slovakia) and from Western Europe (France, Italy, Spain and Sweden) in the period 1960-2006. The analysis of the mortality changes has been carried out with the use of variables proposed in 2007 by J. P. Morgan in his work Life Metrics - A toolkit for measuring and managing longevity and mortality risks. The data used for the analysis have been obtained from www.mortality.org. The van Broekhoven algorithm has been applied for smoothing crude mortality rates across different ages. The analysis of mortality changes in selected European countries in the period 1960-2006 has shown considerable differences in the changes of initial mortality rate. Apart from obvious differences in male and female mortality, significant differences in the dynamics of mortality between Western and Central European countries were revealed. The most significant differences in the change of graduated initial mortality rate have been observed for people above 40-45 from Central and Western European countries. The period of most striking disproportions in the change of graduated initial mortality rate were the years 1970-1990, which seems to be the result of the socioeconomic policy in Central European countries.
EN
Purpose: Burn injuries usually results in significant morbidity and mortality around the globe. The study was planned to throw light on exact nature of the incident of burn injury and to gain an insight into epidemiological determinants of burns patients. Materials and Methods: A cross-sectional descriptive study was conducted over a period of one year from May 2009 to April 2010. Universal sampling method was employed. All adult female burns patients above 18 years of age who were admitted in burns unit of a tertiary care hospital were included in the study. The patients or legally accepted guardians, in case of serious patients, who did not give consent were excluded from the study. Total number of study participants was 103. A Semi-structured questionnaire was used for obtaining socio-demographic details and details about burns injury. Statistical analysis was done using SPSS-17 version. Institutional Ethics committee approval (Committee for Academic Research Ethics (approval number): 037 / 2009) was obtained. Results: Flame burn was the most common cause of burns accounting for 80.6% of the total burns. Scald burn was seen in 17(16.5%) subjects and electric burn in only 3(2.9%) subjects. Overall case fatality rate was found to be 35%. Conclusion: Total body surface area burnt was found to be significantly associated with mode of burns, marital status, kitchen burns while mortality among burns victims was found to be significantly associated with duration of marriage, mode of burns, total body surface area involved, dowry given and presence of domestic violence
EN
The purpose of this work is to present an analysis of cribra orbitalia (CO) from the population of a medieval cemetery in Vilnius, Lithuania, dated between the end of the 13th to the beginning of the 15th centuries. The sample consisted of 208 individuals with sufficiently preserved orbits: 82 subadults and 122 adults. CO was correlated with sex, age-at-death, and three skeletal indicators of biological health: linear enamel hypoplasia, periostitis, and adult femur length as a proxy value for stature. Siler's and Gompertz-Makeham's parametric models of mortality as well as χ2 statistics were used to evaluate these relationships. Almost one-third of all analyzed individuals had signs of CO, including approximately 60% of the subadults. There was a very strong relationship between the age-at-death and incidence of CO, i.e., individuals with the lesion were dying much younger. The frequency of CO among the sexes was not statistically significant. On the other hand, CO had a negative effect only on adult males, i.e., males who had the lesion died at a younger age. Furthermore, CO and linear enamel hypoplasia were positively related for subadults, whereas no significant relationships were found among adults of corresponding sex. Incidence of periostitis and adult stature were not related to CO.
PL
Celem tej pracy była analizacribra orbitalia(CO) w populacji ze średniowiecznego Wilna (Litwa), zbadanej na podstawie próby szkieletów z cmentarzyska datowanego od końca XIII do początków XV wieku. Podstawowe charakterystyki paleodemograficzne tej próby (208 osobników, w tym 82 młodocianych) zawiera tabela 1. Zbadano korelację CO z płcią, wiekiem w chwili śmierci i trzema kostnymi wyznacznikami zdrowia - hipoplazją szkliwa zębowego (LEH), śladami zapalenia okostnej i wysokością ciała (dorosłych). Do oceny zależności wykorzystano parametryczne modele umieralności Silera i Gompertz-Makehama oraz statystykę χ2.Prawie 1/3 badanych osobników (32%)wykazywała CO, w tym 60% osobników młodocianych (zmarłych przed 15 rokiem życia). Ponadto analiza wykazała wysoką zależność między tą cechą a wiekiem w chwili śmierci - osoby ze śladami CO umierały znacznie młodziej (Fig. 1, 2). Może to sugerować, ze ważnym czynnikiem podnoszącym ryzyko zgonu wśród osobników młodocianych była anemia. Co więcej, jeśli nie są to ślady remodelowania, mogą one sugerować, że stresujące wydarzenia z dzieciństwa wpłynęły także pośrednio lub bezpośrednio na przeżywalność osób dorosłych. Choć u dorosłych kobiet CO występowały nieco częściej niż u mężczyzn, różnica nie była istotna. Z drugiej strony, CO miały negatywny wpływ tylko na dorosłych mężczyzn (umierali oni młodziej). Być może kobiety miały więc sprawniejszy układ odpornościowy. Innym wyjaśnieniem mogłaby być śmierć bardziej wrażliwych na ten czynnik dziewcząt w wieku młodocianym. CO pozytywnie korelowały z LEH u młodocianych, podczas gdy istotnych korelacji u dorosłych nie stwierdzono (tab. 2). Można sądzić, że młodociane i słabe osobniki z cechą CO, z większym prawdopodobieństwem miały LEH. Tak więc interakcje obu czynników sygnalizowanych obecnością cech CO i LEH mogły być odpowiedzialne za skracanie życia młodych osobników.Periostitisi wysokość ciała w badanej próbie nie wykazywały związku z CO (tab. 2).
EN
Political and socioeconomic transformation has significantly influenced demographic processes in Central and East Europe. This was mainly noticeable in behaviours and attitudes concerning forming and developing of families. With regard to the aforementioned behaviours, the populations of analysed countries have adopted to new conditions very quickly, and the demographic parameters have reached values that were almost identical as those in West Europe. The situation developed completely differently in the case of mortality and life expectancy. Differences between Central and East Europe, and West European countries, which were already visible at the beginning of 1990's, have been eliminated considerably slower. Even though, one can observe favourable transformations in life expectancy and the distribution of death causes in the Central and Eastern European countries. Those changes are especially apparent in countries which became members of the European Union in 2004.
EN
In this article we investigate the latest developments on life expectancy modeling. We review some mortality projection stochastic models and their assumptions, and assess their impact on projections of future life expectancy for selected countries in the EU. More specifically, using the age- and sex-specific data of 20 countries, we compare the point projection accuracy and bias of six principal component methods for the projection of mortality rates and life expectancy. The six methods are variants and extensions of the Lee-Carter method. Based on one-step projection errors, the Renshaw and Haberman method provides the most accurate point projections of male mortality rates and the method is the least biased. The Quadratic CBD model with the cohort effects method performs the best for female mortality. While all methods rather underestimate variability in mortality rates and life expectancy, the Renshaw and Haberman method is the most accurate.
EN
The goal of this study is to find covariates impacting most profoundly on the risk of death. Individuals aged 50 and more, observed in the Survey on Health, Ageing and Retirement in Europe, are examined. The data include 1,692 deceased individuals who took part in up to 3 waves of data collection. Our results, relying on the proportional hazard model, show that the impact of health and demographic factors on the risk of death is more pronounced than that of social factors. It is found that economic factors are statistically insignificant for the risk of death, checking other factors in the model.
XX
W. Lexis founded the continental direction of statistics which the Biometric school largely ignored. Bortkiewicz described his work but mostly without providing exact references. He criticized Lexis for paying too much attention to philosophical problems but mentioned Lexis’ merits: a test for the stability of statistical series (only much later rejected by Chuprov), the study of mortality and sex ratio at birth; the application of the law of large numbers. Lexis, as Bortkiewicz concluded, essentially contributed to the general theory of statistics.
EN
Introduction and aim. We aimed to investigate whether systemic immune inflammatory index (SII) and prognostic nutritional index (PNI) were associated with short-term mortality in geriatric patients with SARS-CoV-2.Material and methods. Our study was designed retrospectively. The data of patients that presented to a single center. The primary outcome of the study was the diagnostic value of SII and PNI in predicting 28-day mortality in geriatric patients with SARS-CoV-2 pneumonia. Results. 272 geriatric patients with SARS-CoV-2 included. The median PNI was 42.5, and the median SII was 687.6 (430–1404.2). In univariant analysis, PNI and SII has a significant relationship with mortality (p<0.001 and p=0.008, Mann-Whitney U test). PNI had an area under the curve (AUC) value of 0.680, which was significantly higher than that of SII (AUC: 0.6). The odds ratio of PNI (>40.1) and SII (<1.267) for 30-day mortality were determined as 1.12 , and 1. Conclusion. In conclusion, the blood tests used to calculate PNI and SII are routinely included in complete blood count and biochemistry tests that can be performed in every hospital. According to the results of the current study, the mortality group had significantly higher SII values and significantly lower.
EN
Introduction and aim. The aim of this study was to examine the usability of blood urea nitrogen to serum albumin ratio (BAR) as a prognostic predictor of in-hospital mortality in patients with gastrointestinal (GI) bleeding. Material and methods. The electronic medical records of the patients who applied to the emergency department due to upper GI bleeding during the study period were reviewed. The receiver operating characteristic (ROC) curve and the area under the curve (AUC) were used to evaluate each discriminant cut-off value to estimate mortality. Results. The study included 225 patients. The median (IQR) age of the patients was 75.0 (68.0–84.0) and 94 (41.8%) were female. AUC was determined as 0.784±0.055 (95% CI, 0.677–0.892) for BAR (p<0.001) in terms of in-hospital mortality. The cut-off value of BAR for this outcome was calculated as 16.26. In this cut-off value, sensitivity was 71.43%, specificity 82.84%, positive predictive value (PPV) 30.00% and negative predictive value (NPV) 96.57%. Conclusion. BAR is a useful tool that can be used to predict the in-hospital mortality of patients with GI bleeding. Patients with GI bleeding with a BAR above 16.26 will require more aggressive and timely intervention.
EN
The Digital Revolution is transforming the way in which we interact with one an-other and relate to experience. The superabundance and superfluity of the virtual world, the fleeting moment and instantaneous pleasure it provides, begin to prevail as a cultural value and determine an attitude of detachment and indifference that extends to all as-pects of our life. For Søren Kierkegaard this is a “demoniacal temptation” that leads to a life devoid of spiritual depth. In the midst of the undeniable bounties of technology, reflection on this paradoxical nature of the technological in our lives becomes an urgent task.
11
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EN
The paper deals with the analysis of the main trends of the world demographic development. A special attention is paid to the demographic situation in Russia which can be characterized as extremely contradictory. The article contains the reasoning for the necessity of keeping the Russians’ health as the main resource of the economy. The priority tasks aimed at the improvement of the future demographic situation in Russia have been formulated in the article.
Human Affairs
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2007
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vol. 17
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issue 1
54-70
EN
This paper examines mortality-the fact that we humans are all going to die-as an issue in philosophical anthropology, by applying a fourfold typology of some key forms of philosophical anthropology to the topic of death and mortality. First, this typology, originally suggested by Heikki Kannisto, is outlined; the mortality issue is, then, viewed from the perspective it opens. Finally, the challenges to our understanding of death and mortality that this perspective may help us meet are discussed. The treatment of mortality from the perspective of philosophical anthropology may make it more understandable in a manner that will highlight the importance of the concept of normativity in the philosophical examination of any such humanly relevant issue.
EN
Introduction. Pelvic exenteration (PE) is a curative or palliative radical surgical procedure applied for advanced or recurrent pelvic or perineal cancers. From 1948 to date, improvements in surgical techniques, including urinary conduits and pelvic reconstruction, have improved its morbidity and mortality. Aim. The present study reviews the evolution of PE, indications, complications and current results. Material and methods. Large case series and studies on PE were searched in PubMed, covering all years available, and recent applications of PE were reviewed. Results. Indications of PE are primary or locally advanced tumors (cervix. rectum. vulva. bladder), recurrence after radiotherapy (cervix), recurrence after primary resection (vulva, vagina, cervix, rectum) and palliative treatment for advanced tumors or pubic fistulas. Contraindication are distant metastases, involvement of iliac vessels, pelvic side-wall or para-aortic lymph nodes and invasion of sacrum proximal to S1/S2 or sciatic foramen. However, recent studies have reported more radical resections, including side-wall and vessels. Patient’s health condition and fitness are also important in decision-making. Conclusion. PE can be the last chance of cure or improving quality of life for advanced or locally recurrent pelvic cancers. 5-year survival rates with PE are better, but complications of such a radical surgery are still high, and should be improved.
EN
Introduction and aim. Acute cholecystitis is one of the most common hepatobiliary emergencies. We aimed to investigate the role of the initial hematological inflammatory index and systemic immuno-inflammation index in predicting short-term mortality in patients with acute cholecystitis. Material and methods. This study with a retrospective observational design was conducted at the emergency department of a tertiary teaching hospital. Patients admitted to our clinic between June 15, 2021, and March 15, 2022, according to the Tokyo criteria were included in the sample. The hematological inflammatory index and systemic immuno-inflammation index were calculated using the hematological test results of the patients evaluated at the emergency department. Survivor and non-survivor groups were formed according to all-cause 30-day mortality. The differences between survivor and non-survivor groups were investigated. Results. A total of 194 patients were included in the final analysis. The median age of the study population was 59 (25th–75th percentiles: 46.75–72) years. The rate of all cause-short-term mortality was 7.7. There were significant differences between the survivor and non-survivor groups in terms of the neutrophil count and the systemic immuno-inflammation index (p=0.007, 0.034, respectively; Mann-Whitney U test). No significant difference was found in the remaining laboratory parameters (lymphocyte count, platelet count, and hematological inflammatory index) (p=0.220, 0.489, 0.367 respectively; Mann-Whitney U test). Conclusion. The systemic immuno-inflammation index was determined to be significantly higher in the non-survivor group than in the survivor group among the patients with acute cholecystitis. However, there was no significant difference between these two groups in relation to the hematological inflammatory index
EN
Introduction and aim. Elderly patients with COVID-19 are at increased risk for adverse outcomes. This study aims to evaluate the prevalence of nonthyroidal illness syndrome (NTIS) in hospitalized patients with COVID-19 pneumonia, its independent impact on patients’ survival. Furthermore, to investigate selected inflammatory biomarkers in those patients and to determine whether they predict mortality associated with the disease. Material and methods. In this single-centered, retrospective study, the medical records of 53 patients with confirmed SARSCoV-2 infection who attended the provincial hospital between October 2020 and January 2021 were reviewed. Demographic data, laboratory values, comorbidities, treatments, and clinical outcomes were collected. We compared the data in survivor and non-survivor groups. Results. Of 393 adult patients with SARS-CoV-2 pneumonia, 53 (13,49%) met the inclusion criteria and were included. The median age was 72±12.2 years, 26 patients (49%) were men. The NTIS prevalence was 62.3% and showed a strong independent correlation with disease severity and mortality in COVID-19 patients (p=0.01). The interleukin-6, white blood cells, ferritin and neutrophil ratios also differed significantly statistically between survivors and non-survivors. Conclusion. NTIS and the lowering level of FT3 pose an independent prognostic marker of clinical deterioration and higher mortality in elderly patients with COVID-19.
EN
Coping with the prevention, diagnosis and therapy of cancers is a challenging medical task with continuing consequences for the development of population health status and economy of health in each country. The occurrence of cancers shows an upward trend in the world. A comprehensive fight against cancers should involve the spatial aspect which is best applied in the field of medical geography. The key indicators for the surveillance of cancers include mortality and incidence, but also prevalence. Incidence plays a more and more important role in the period of an increase in cancers. In the investigation of this issue specific analytical methods were used, such as spatial autocorrelation. Standardized cancer incidence in Slovakia was analyzed in the case of men and women. The years 1997, 2009 and the period 1997–2009 were chosen to compare the incidence. The results of partial analyses show the situation in districts of Slovakia from the perspective of incidence development and its spatial differentiation.
Anthropological Review
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2015
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vol. 78
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issue 3
269-287
EN
The movement of the baby boomers into the middle ages made the 45-65 age cohort the largest and the fastest growing segment of population in the first decade of the 21st century. This demographic expansion will have multiple consequences for ageing society. This paper aimed to provide an overview on biology of midlife transition. Physical characteristics, midlife-specific morbidity and mortality were described with focus to sexual dimorphism in physique and gender gap in mortality and morbidity. These characteristics made midlife a separate and unique stage of life. In-depth knowledge of this life stage may be useful in identifying and solving problems of ageing individuals and population.
EN
The connection between the rate of height loss in older people and their general health status has been well documented in the medical literature. Our study was aimed at furthering the characterization of this interrelationship in the context of health indices and mortality in a hospitalized population of Polish adults. Data were collated from a literature review and from a longitudinal study of aging carried out in the Polish population which followed 142 physically healthy inmates, including 68 men and 74 women, for at least 25 years from the age of 45 onwards. Moreover, cross-sectional data were available from 225 inmates, including 113 men and 112 women. These subjects were confined at the same hospital. ANOVA, t-test, and regression analysis were employed. The results indicate that the onset of height loss emerges in the fourth and five decade of life and there is a gradual acceleration of reduction of height at later stages of ontogeny in both sexes. Postmenopausal women experience a more rapid loss of height compared with men. The individuals who had higher rate of loss of height (≥3 cm/decade) tend to be at greater risk of cardiovascular events and all-cause mortality. In conclusion, our findings suggest that a systematic assessment of the rate of loss of height can be useful for clinicians caring for elderly people because of its prognostic value in terms of morbidity and mortality.
PL
Wydłużanie się trwania życia, obserwowane w ostatnich dekadach i przewidywane w kolejnych, prowadzi do zmiany relacji między okresem aktywności zawodowej i pobierania świadczenia emerytalnego. Jednorazowe zmiany polegające na podwyższeniu wieku uzyskiwania uprawnień emerytalnych nie rozwiązują problemu, lecz prowadzą po pewnym czasie do konieczności wdrażania kolejnych zmian. Celem niniejszego opracowania jest przedstawienie stosowanych rozwiązań, które — w różny sposób i w różnym zakresie — próbują umożliwiać dostosowanie wieku uzyskania uprawnień emerytalnych i wysokości świadczenia emerytalnego do zachodzących zmian umieralności.
EN
Rising life expectancy has been observed during the last decades and this trend is anticipated to continue. It is related to changes in relation between the length of professional activity and duration of being pensioner. One-time changes of the most important parameters of pension system don't solve the problem and result in need for further changes. The aim of the article is to present solutions existing in the sphere of pension adjustments in the European countries, where some automatic mechanisms of pension system adjustment to increaseing life expectancy are developed.
EN
ObjectivesThe objective of this research is to determine the change in outdoor air quality during the COVID‑19 related state of emergency resulting in a lockdown and the potential health benefits for the urban population.Material and MethodsDuring 53 days of the COVID‑19 related state of emergency with a lockdown (March 15–May 6, 2020) in the Republic of Serbia, as well as in the corresponding periods of 2018 and 2019, data on the daily sulfur dioxide (SO2), nitrogen dioxide (NO2), ground-level ozone (O3) and particulate matter (PM10 and PM2.5) concentrations were analyzed. The total mortality data were analyzed to estimate the impact of the COVID‑19 related lockdown measures on the burden of health in a given population, attributed to the outdoor air quality in the City of Novi Sad, using AirQ+ software.ResultsThe average daily concentrations of PM2.5, NO2, PM10 and SO2 were reduced by 35%, 34%, 23% and 18%, respectively. In contrast, the average daily concentration of O3 increased by 8%, even if the primary precursors were reducing, thus representing a challenge for air quality management. In the City of Novi Sad, a reduction in the average daily PM2.5 concentration of 11.23 μg/m³ was significant, which resulted in a quantified number of avoided deaths.ConclusionsAir pollution in the City of Novi Sad had a chance to be improved due to some preventive measures related to the infectious disease (the COVID‑19 related lockdown), which in turn was the mitigation measure to air pollution with positive public health effects. The confirmed positive effects of the improved air quality on public health could also include raising collective resistance to mass non-communicable and infectious diseases such as COVID‑19 and reducing economic costs.
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