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The scientific exposition of the malign tumour detection peculiarities in rural population


Author: Elena Palancuc
Degree:doctor of medicine
Speciality: 14.00.33 - Social Medicine and Management
Year:2007
Scientific adviser: Tudor Grejdianu
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Scientific consultant: Ion Mereuţa
doctor habilitat, professor, State University of Medicine and Pharmacy "Nicolae Testemitanu"
Institution:
Scientific council:

Status

The thesis was presented on the 19 September, 2007
Approved by NCAA on the 18 October, 2007

Abstract

Adobe PDF document0.35 Mb / in romanian

Thesis

CZU 616 - 006 + 614.2

Adobe PDF document 1.21 Mb / in romanian
160 pages


Summary

This publication represents a complex research of the malign tumours detection peculiarities in rural population. For this reason, the level and the structure of the morbidity and mortality through malign tumours have been studied, integrally for the national level and selectively in two rural rayons (Orhei and Hânceşti) – selected through “Euclidian distance” calculation method. The results of the survey have evidenced trends of the morbidity and mortality through malign tumours, have determined the early and tardy detection of the neoplasm diseases, have assessed the level of the oncology knowledge of the population and have measured the time offered to the cancer prophylaxis problem by the family doctor. The level of prevalence through malign tumours during the period 2000 – 2005, has changed in the studied territories – at the national level prevalence through cancer decreased 1.2 times, in the rayon Orhei – 1.4 times, and in the rayon Hânceşti the prevalence through cancer increased 1.2 times. The analysis of the incidence indicators through malign tumours has evidenced a progressive increase in the rayon Orhei, where incidence has increased 1.7 times, but in the rayon Hânceşti incidence’s increase in 2005 comparatively with the year 2000 was only 1.2 times. At the same time, the level of incidence through malign tumours at the national level remained the same. In the period 2000 – 2005, the mortality level through malign tumours has increased in the rayon Orhei 1.3 times, in the rayon Hânceşti the mortality has increased 2.2 times. The level of mortality through cancer at the national level has decreased 1.1 times in 2005 comparatively to the year 2000.

The assessment of the oncology knowledge level of the rural population (rayons Orhei and Hânceşti) has evidenced an insufficient knowledge of the risk factors in malign tumours occurrence and evolution at the interviewed people. According to the obtained results – 64.1±2.4% answered affirmatively to the questions regarding knowledge of cancer risk factors: in the rayon Orhei – 76.7±2.5%, and in the rayon Hânceşti – 47.1±4.4%. Answers like “No” and “Don’t know” represented 35.9±3.1% (Orhei – 23.3±4.5%, Hânceşti – 52.9±4.1%).

The estimation of the emotional response of the patients at cancer diagnosis shows us that 42.7% of the patients with cancer have presented automatic negative thoughts with catastrophic character; 50.4% have presented automatic negative thoughts with depressive character; 3.8% have had a passive behaviour regarding illness adaptation and 3.1% have presented an active behaviour regarding illness adaptation