PRIORITY RECOMMENDATIONS FOR SOLVING THE PROBLEM OF CHILDREN OBESITY BASED ON THE RESULTS OF THE RESEARCH.

OBJECTIVE: The aim: Of the work was to study and evaluate the risk factors and the level of primary medical care for children with overweight and obesity. PATIENTS AND METHODS: Materials and methods: A sociological survey was conducted in main (413 persons) and control group (396 persons) and the copying from the history of the child's development (f.112/a) of 280 obese children was conducted. RESULTS: Results: It was defined that on the development of excess weight in children and adolescents, biological and social and hygienic factors had a significant impact (η ≥ 3%; p<0,001) and that the level of primary medical care for obese children (proved diagnosis of obesity in the history of the child (f. №.112/а) had only 61,7±2,7% of patients) was insufficient. CONCLUSION: Conclusions: Identification of comprehensive priority activities for solving problem of children overweight and obesity based on the results of conducted research were done.

Assessment of the quality of care for patients with myocardial infarction.

OBJECTIVE: The aim of the work was to study and evaluate the quality of medical care provided to patients with myocardial infarction. PATIENTS AND METHODS: Materials and methods: A sociological survey was conducted in 310 people with myocardial infarction and the copying of data from 318 statistical maps of patients who left the hospital. RESULTS: Results: It was defined that the majority of patients, 57.7 ± 2.8%, were not offered psychological rehabilitation, only 42.3 ± 2.8% were recommended the consultation of a psychologist; most of patients, 89.3±1.78%, were unaware of the possibility of self-monitoring of their health status after myocardial infarction and 10.7 ± 1.8% kept selfcontrol diaries; 88.4±1.9% of patients were under monitoring supervision, while 11.6 ± 1.9% were not under it. CONCLUSION: Conclusions: Identification of the quality of care makes it possible to optimize the system of providing health care for patients with myocardial infarction.

[Assessment of the life quality for patients with chronic pancreatitis].

OBJECTIVE: Introduction: The relevance of study, assessment and prediction of the life quality of patients with chronic pancreatitis to improve the provision of medical care and rehabilitation is high, since it allows to solve a number of important medical, social and economic problems of society. The aim: The aim: To study, evaluate and develop a model for the quality of life assessment in patients with chronic pancreatitis. PATIENTS AND METHODS: Materials and methods: The primary material was the results of a sociological study of patients with chronic pancreatitis conducted by the authors - 300 questionnaires. To achieve the goal of the study, a systematic approach with the use of medical-sociological, medical-statistical, bibli-semantic methods was used. RESULTS: Results: The average quality of life of patients with chronic pancreatitis was 55.73 ± 0.50%, among men - 58.67 ± 0.72%, among women - 53.15 ± 0.64%. As the age-specific rate increases, the quality of life index tends to decrease from 67.53 ± 0.90% in the group of men of 18-30 years to 46.27 ± 1.47% in the group over 70 years. In female patients, 63.21 ± 1.42% to 44.64 ± 0.85%, respectively. According to the data of the correlation-regression analysis, limitations in a psychological sphere has the most significant effect on the quality of life of patients with a coefficient of pair correlation of -0.742, then come restrictions in nutrition (rxy = -0.696), restrictions in a physical sphere (rxy = -0.651) and social sphere (rxy = -0.606). CONCLUSION: Conclusions: The proposed model of the quality of life assessment of a patient with chronic pancreatitis allows us to determine groups of limitations and to use it to predict the quality of life, and develop a set of measures aimed at improving the quality of life.