COMPARATIVE ANALYSIS OF INCIDENCE AND MORTALITY FROM GASTRIC CANCER AMONG THE POPULATION OF EUROPE AND UKRAINE.

OBJECTIVE: The aim: To study the incidence and mortality from gastric cancer in Europe and Ukraine. PATIENTS AND METHODS: Materials and methods: Using statistical and medico-epidemiological methods, the analysis of the database of the National Cancer Registry of Gastric Cancer and Global cancer statistics 2018. RESULTS: Results: Gastric cancer remains an important cancer worldwide and is responsible for over 1,000,000 new cases in 2018 and an estimated 783,000 deaths, making it the fifth most frequently diagnosed cancer and the third leading cause of cancer death. Among men, it is the most commonly diagnosed cancer and the leading cause of cancer death in several countries of Europe, including Ukraine. Incidence rates are markedly elevated in Central/Eastern Europe, whereas the rates in Northern Europe are generally low. In the dynamics of the last decade, the primary incidence of gastric cancer has shown a tendency to decrease, as in Ukraine, from 25.5 per 100 thousand population in 2010 to 19.5 similar cases in 2019, which is -23.5% visibility) and in the Chernivtsi region (on -22.3% visibility). In Ukraine, as well as in Europe, the incidence and mortality of gastric cancer in men is 2 times higher than in women. CONCLUSION: Conclusions: Incidence and mortality rates have declined in Europe in the past decades. Trends in the ten-year dynamics of reducing the incidence and mortality of gastric cancer in Ukraine prove the effectiveness and feasibility of introducing preventive measures at the state level in the future.

Integrated estimation of the demographic situation in ukraine - forecast for the future.

OBJECTIVE: Introduction: The demographic situation in the country is largely due to the state of the economy and reflects the medical and social conditions of the population, which in turn testify to the state of the economy, the health care system, education, culture, and other factors. The aim: Analysis and comparison of the demographic situation in Ukraine with the EU countries, forecast for the future. PATIENTS AND METHODS: Materials and methods: The statistical materials of the Center for Medical Statistics of the Ministry of Health of Ukraine 2012-2016 were processed. A medical-statistical analysis of the system's performance indicators for the five components carried out; an assessment of the performance of the health system according to the WHO approach with certain modifications used. RESULTS: Review: Having analyzed the statistics of the last years in Ukraine, the birth rate in 2017 decreased as compared to 2016, in January-April 2017 there was a natural decrease in the population, while migration processes in Ukraine exceeded immigration beyond its borders. In connection with the antiterrorist operation in the east of the country and the beginning of active hostilities in the region, the population was significantly reduced to 43 million people. Life expectancy has also changed, and today the average life expectancy in Ukraine is 71 years (66 years are men, 75 are women). CONCLUSION: Conclusions: It is necessary to concentrate efforts on solving current problems - economic birth control, adequate social protection of families with children and the elderly, promoting a healthy lifestyle, ensuring the availability of quality medical care and education, which in turn will ensure an increase in the duration of a full active life.

Effect of prolonged and intermittent treatment on the clinical course of peptic ulcer.

OBJECTIVE: Introduction: The number of patients with peptic ulcer increases annually. According to published data, patients with peptic ulcer constitute about 15% of those hospitalized with gastrointestinal diseases. The aim: That is why we set the task to evaluate the methods of preventive treatment and to choose the most effective one. PATIENTS AND METHODS: Materials and methods: For this purpose, we selected 103 patients with peptic ulcer without severe exacerbations and complications from one region (main group) and 101 patients from another region (control group) for observations. Making diagnosis was based on the study of complaints, anamnestic data, physical examination of the patient, evaluation of the functional state of the gastroduodenal system, as well as the X-ray and endoscopic examination. The sources of the study were medical records of outpatients, control cards for dispensary surveillance, registers of temporary disability records, sick leave records and others. RESULTS: Results: Most patients, from both the main and control groups, who were on prophylactic treatment, noticed that they had an increased working capacity, normalized sleep, better appetite and fewer dyspeptic disorders. Patients in the main group for two years were on prolonged prophylactic treatment according to the method that we had developed. by us. Patients in the control group received an intermittent preventive treatment twice a year (in spring and autumn). In the complex of therapeutic measures the following were used: dietary recommendations, antacids, cholinolytics, multivitamins, etc. CONCLUSION: Conclusions: Prolonged prophylactic treatment is an effective means to combat exacerbations and complications of peptic ulcer and can be recommended for implementation in practice.