NATIONAL TRENDS IN MORBIDITY AND MORTALITY FROM CIRCULATORY SYSTEM AND CEREBROVASCULAR DISEASES AND STROKES.

OBJECTIVE: The aim: To determine national trends in morbidity and mortality from diseases of the circulatory system, cerebrovascular diseases and strokes. PATIENTS AND METHODS: Materials and methods: Data from official sources of statistical information of Ukraine were used and systematic analysis and generalization of the obtained data was performed and trends in morbidity and mortality from diseases of the circulatory system, cerebrovascular diseases and strokes in Ukraine were calculated. RESULTS: Results: Were found tendencies to decrease of national levels of prevalence and primary morbidity in Ukraine for DCS (-16.3 % and -28.0 %), CVD (-22.8 % and 24.1 %) and strokes (-12.2 %) with significant trends (+83.9 %) of increase in primary incidence of strokes in 2010-2017 with fairly high and threatening levels for 2017 (respectively 22199563, 2521601 and 96978 - prevalence and 1725137, 290557 and 96978 - primary incidence). National levels of reduction of deaths from DCS in Ukraine from 440369 (2013) to 389348 (2019) with a trend of -11.6 % and a decrease in mortality due to CVD from 94267 (2013) to 76232 (2019) with a trend -19.1 % were found. CONCLUSION: Conclusions: The trends to reduce of national prevalence, primary morbidity and mortality rates in Ukraine for DCS, CVD and stroke are fully consistent with other global trends of reduction of these levels among world countries.

[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.