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  • Ескіз
    Документ
    National trends in morbidity and mortality from circulatory system and cerebrovascular diseases and strokes
    (Wydawnictwo Aluna, 2022) Ognev, Victor A.; Mishchenko, Marina M.; Mishchenko, Alexander N.; Trehub, Pavlo O.
    The aim: To determine national trends in morbidity and mortality from diseases of the circulatory system, cerebrovascular diseases and strokes. 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: 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. 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.
  • Ескіз
    Документ
    Prevalence of anxiety and depression in patients after brain stroke
    (Державна наукова установа "Науково-практичний центр профілактичної та клінічної медицини" Державного управління справами, 2023) Mishchenko, Marina M.; Ognev, Victor A.; Mishchenko, Olexander M.; Ponomaryov, Volodymyr I.
    Introduction. WHO experts point to the urgency of the problem of cardiovascular diseases, among which the first places are occupied by cerebral strokes (CS). With CS there are significant changes in the socio-psychological activities of the patient and the personal psychological characteristics of the individual. Such changes provoke the development of certain psychological disorders, which are characterized by an oppressed state, a persistent depressive state, the development of anxieties and fears, obsessive fixation on the transferred disease and worries about one’s future, etc. That’s why, the study of psychological characteristics of patients after СS is a relevant problem of great importance, which determined the direction of our research.The aim: To investigate and analyze the prevalence of anxiety and depression in patients after CS.Materials and methods. Conducted a randomized controlled single- center prospective study case-control, which is based on the analysis of the results of psychological study of 300 patients after CS (main group) and 200 people of the control group for the period 2022-2023. The studied groups were randomized by age and gender. To study the psychological characteristics of patients after CS, we used two methods of diagnosing psychological conditions: the self-esteem scale of Spielberg Ch. D. and Khanin Yu.L. and the depression scale of Balashova T. I.Results. Probably (p<0.001) among the subjects of the main group compared to the control, a significantly higher frequency of occurrence of medium and moderate levels of reactive anxiety (RA), personal anxiety (PA) and levels of depression (LD) was determined, in contrast to low, which was more often detected among the persons control group. It was determined that the levels of RA, PA and depression were reliably significantly higher in the main group compared to the control group and characterized the presence of fairly significant moderate anxiety and mild depression of situational or neurotic origin.Conclusion. It has been proven probable (p<0.001) confirmation of the influence of an CS on the development of high levels of anxiety (both RA and PA) and depression.