Medico-social aspects of invalidity and morbidity in children population with endocrine system diseases
Olga V. Miachina , Sergei N. Puzin , Alexander N. Pashkov , Dmitry I. Esaulenko
Medical and Social Expert Evaluation and Rehabilitation ›› 2020, Vol. 23 ›› Issue (2) : 8 -11.
Medico-social aspects of invalidity and morbidity in children population with endocrine system diseases
Investigation realized in Voronezh found that the level of general disability was 11.09 ± 0.56 per 1000 children, and the level of first-time disability was 1.38 ± 0.18 per 1000 children, which is lower than in Russia as a whole. In the age structure of disability persons from 5 to 9 years old are dominated, and by gender trait — boys. Primary morbidity level in children is higher than in adolescents: 1407.68 ± 86.60 and 1281.33 ± 162.25 per 1000 children, respectively. According to the primary morbidity level, 15 ranking places were allocated. Endocrine system diseases occupy 12 and 9 rank places in children and adolescents, respectively. Prevalence of endocrine system diseases was 4.32 ± 0.78 and 14.94 ± 2.71 per 1000 children in this age group. There is an increase in endocrine pathology by 3.5 times with age. It was investigated that children and adolescents suffering from endocrine system diseases (type 1 diabetes, AIT, obesity) are characterized by adaptation processes decrease, regulatory mechanisms imbalance and energy disorders (p < 0.05 compared to the control group of healthy individuals), which is detected by bioelectrography of exhaled air condensate. The obtained data can be used in preparation of complex programs for prevention of morbidity and disability of children and medical and social rehabilitation of disabled children in Voronezh and in other territories.
disability / morbidity / endocrine system diseases / children with disabilities
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