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Introduction: The development and application on novel concepts that integrally describe physical, psychological, emotional, social health, environmental factors, life values and personal skills was analyzed in the article. The aim of the article was to analyze the latest methodological approaches of life quality and health assessment. Results: The article deals with the peculiarities of life quality definition formation and role of its subjective and objective components. The life quality models that based on objective and subjective indicators, related to the health and social well-being was analyzed. The health indicators that provide critical information about population health and prevention programs were characterized and divided into 4 groups - medical and demographic, behavioral, administrative, related to physical and social environment. The problem of research methods development that would useful for comparing the health related life quality in different countries, and creation of normative databases for various regions and determination life-style long-term impact on physical and mental health was studied. The peculiarities of quantitative evaluation in international methods (Index of Social Health, Physical Quality of Life Index, Human Developed Index, Health related Quality of Life Index, World Health Organization Quality of Life index, Happiness adjusted life-years) were analyzed. Conclusions: For a quantitative evaluation of the population life quality significant is selection of single definition, model with structural parts (domains) that include psycho-physical and physical health of people, their life values (micro level) and the socio-economic development of the society (macro level).
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Introduction Surgical treatment and radiotherapy can prolong the life expectancy of women with breast cancer but also might have side effects on heart rate variability. Currently breast cancer treatment has contributed to significant improvements in survival rate, but negative effects on the psycho-emotional state and functionality of the autonomic nervous system of these interventions in women is high. We aimed to investigate the heart rate variability features in breast cancer survivors who have varied attitudes towards the disease. Material and methods Heart rate variability analysis, determination of various attitudes towards the disease, and mathematical statistical methods. The survey of 110 breast cancer survivors was conducted utilizing Type of Attitude Toward The Disease questionnaire. The women were executed radical mastectomy and adjuvant radiation treatment for breast cancer. Patients aged between 56 and 60 years. Results The results of our study showed that patients with a rational type of attitude towards disease had statistically (p<0.05) better parameters of heart rate variability. Values of standard deviation of the N-N interval, root mean square of successive differences, total power, high-frequency range, and stress index were much better in patients with rational type of attitude as compared with the women who had intrapsychic and interpsychic attitudes. Conclusions These data show that identified features of various attitudes towards the disease in breast cancer survivors clarify the necessity for particular attention to their heart rate variability parameters.
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