THE AIM OF OUR INVESTIGATION: To study the dynamic of morbidity level of pancreas in Udmurt Republic (UR) and to prognose it for nearest years.
We used the official statistic materials of Republic medical information-analytic center for 2001-2011 yy. In analyses of received data we used trend models and statistic method.
We found that during analyzing period (2001-2011) common morbidity of pancreas in UR increased as well as primary--on 246% and 92% correspondently, especially in rural population. Morbidity of adult urban population is significantly higher than. By trend model method we can prognose raising of pancreas for nearest 5 years till the level of Russian one and higher.
The tendency to increasing of pancreas diseases morbidity in UR was revealed for last 10 years. Prognosing rise of morbidity, more in rural population, requires to organize active prophylactic measures.
The incidence and causes of gastroenterological diseases in the population of Udmurtia are analyzed. Factors of risk of such diseases were defined and the "portraits" of patients with gastric and hepatic diseases designed. The quality of medical care rendered to the said patient population was assessed. The results of the study helped develop a republican program aimed at improvement of gastroenterological service and at prevention of diseases of the organs of digestion.
We studied the dynamics of morbidity of the digestive apparatus including peptic ulcer, gastritis, duodenitis and mortality in the Udmurt Republic from 1992 to 2002. We revealed the decrease of morbidity of the digestive apparatus and stable data for peptic ulcer but the increase of mortality from the digestive apparatus pathologies on the whole and from complications of peptic ulcer. The mortality from the digestive apparatus diseases and peptic ulcer is forecasted to increase in the next years if the same social and economic conditions are preserved and there are no changes in the health-care system.
Gastroenterological examination of 910 adolescents in rural outpatient clinic revealed gastroduodenal disorders (gastritis, erosive gastrobulbitis, gastroduodenitis, gastroduodenal ulcer) in 101 of them (11.1%). Immediate and long-term responses showed that anti-relapse treatment on the individual basis may appear highly beneficial for adolescents with gastrointestinal diseases.
THE AIM OF OUR INVESTIGATION: siuay me level or moroiaity or cnolelimiasis and its dynamic in adult and children population of Udmurt Republic.
We used the materials of state statistic registration documentation. We took into account the average population of Udmurt Republic, data of cholrlithiasis morbidity and the quantity of registrated cases of disease. To reveal tendency of cholelithiasis morbidity we spent the regressive analysis with using of trend models.
We found that during analyzing period (2005-2009) common morbidity of cholelithiasis in Udmurt Republic exceeds the same data in Russian Federation. Morbidity of adult urban population is significantly higher than in rural population. The cholelithiasis morbidity increases at the age of 41-60 years. In children population we marked significant raising of primary cholelithiasis morbidity. CONCLUSION. It was revealed that cholelithiasis morbidity in Udmurt Republic remains high. Due to this information we have possibility to determine medical and prophylactic measures.
To make prognosis of ulcer morbidity and lethality from its complications for the near future basing on the trends in ulcer morbidity and lethality for the last 10 years; to assess ulcer patients' followup quality and coverage.
Time series statistics of general, primary ulcer morbidity and lethality from ulcer complications in the Udmurt republic for the last 10 years have been analysed as well as expert evaluation of the treatment quality and follow-up of ulcer patients by 156 outpatients' cards and 118 disease histories.
General and primary gastrointestinal ulcer incidence in Udmurt republic in 1992-2001 decreased significantly but ulcer morbidity did not change. Lethality from ulcer complications rose 1.8-fold. The predicted lethality rise in 2003-2006 proved valid.
If social and economic conditions in the republic do not change and public health service reforms remain low effective, further deterioration of the above lethality is predicted.