scholarly journals Potential of the neurosurgical treatment of symptomatic temporal epilepsy

2018 ◽  
Vol 9 (3) ◽  
pp. 60-65
Author(s):  
K. G. Airapetov ◽  
A. A. Glazkov ◽  
A. H. Al-Khammadi ◽  
E. V. Prinsovskaya ◽  
M. V. Nikolaenko
Keyword(s):  
Medical Care ◽  
High Technology ◽  
Temporal Epilepsy ◽  
Modern Methods ◽  
Neurosurgical Treatment

A combination of the appropriate epilepsy service and modern methods of microneurosurgery allow realization of an effective high technology medical care to patients with symptomatic temporal epilepsy.

Changing Infant Mortality: The Need to Spend More While Getting Less

PEDIATRICS ◽  
1984 ◽  
Vol 73 (6) ◽  
pp. 862-866
Author(s):  
Bernard S. Bloom
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Medical Technology ◽  
Social Economic ◽  
High Technology ◽  
Live Births ◽  
Potential Benefits ◽  
Expectant Mothers ◽  
Unlimited Access ◽  
Low Levels

A steady decline of infant and maternal mortality has been recorded for as long as these statistics have been collected. Much of the improvement has been due to reductions in infectious diseases and to social, economic, and public health improvements over the years. The major portion of mortality reductions took place before there were any important effects of medical care. However, there is increasing evidence suggesting that important benefits, can still be gained from medical technology. But, with infant mortality at low levels (between 7 and 12/1,000 live births in high-income countries) the wide use of high technology to effect further reductions guarantees escalating medical care expenditures. With pressures mounting to control costs, what will society be willing to give up in order to make this care available? From where will funds come to utilize costly existing and new medical technology so that all expectant mothers and newborns needing it may have essentially unlimited access in order to reap potential benefits?

Healthcare in Vietnam

2020 ◽  
pp. 71-75
Author(s):  
Elena Vladimirovna Frolova
Keyword(s):  
Alternative Medicine ◽  
Medical Care ◽  
Manual Therapy ◽  
Animal Origin ◽  
Educational Institutions ◽  
Childhood All ◽  
Surgical Interventions ◽  
Modern Methods ◽  
Natural Components ◽  
Methods Of Treatment

Since childhood, all of us are familiar with the Vietnamese balm "Golden Star", which at one time was used to treat literally everything, from headaches to inflammation at the site of an insect bite. Meanwhile, Vietnamese medicine, which has been forming for centuries, is distinguished by this approach - a minimum of surgical interventions, a maximum use of natural components: plants, mushrooms, extracts of animal origin, as well as the widespread use of acupuncture, moxibustion, various types of massage, manual therapy. In Vietnam, the achievements of traditional medicine are closely intertwined with modern methods, and at the same time, about 30% of cases of medical care are accounted for non-traditional methods of treatment. It should be noted that classes in alternative medicine are included in the compulsory curriculum in medical higher educational institutions.

scholarly journals Provision of prophylactic medical care in St Petersburg under new socioeconomic conditions

2009 ◽  
Vol 15 (2) ◽  
pp. 214-217
Author(s):  
N. Paskar ◽  
I. V. Larina ◽  
E. N. Parizchkaya ◽  
O. N. Simonova
Keyword(s):  
Medical Care ◽  
New Technology ◽  
High Technology ◽  
Medical Examination ◽  
Economic Conditions ◽  
Socioeconomic Conditions ◽  
Healthy State

The problem of a new technology and quality of prevention as the medical examination of the population is the most actual in the new socio-economic conditions. The results of additional medical examination of the working citizens of St Petersburg during 2006-2008 years are presented. To evaluate the demand and the type of the medical care required, including high technology, the groups of people according to the healthy state were specified.

scholarly journals Organization of Medical Care at the Vascular Surgery of Pre-Stroke Disorders and Emergency Neurosurgical Care Ward

2019 ◽  
pp. 85-89
Author(s):  
O. A. Ivantsov
Keyword(s):  
World War Ii ◽  
Vascular Surgery ◽  
Medical Care ◽  
Vascular Pathology ◽  
High Tech ◽  
World War ◽  
The Past ◽  
Modern Methods ◽  
The Disabled ◽  
Care Ward

The article analyses the organization and results of the activities of the Vascular Surgery of Pre-Stroke Disorders and Emergency Neurosurgical Care Ward, founded at Gomel Regional Clinical Hospital of the Disabled of World War II in 2015, to provide medical care to patients with vascular pathology. It gives the data on the bed fund, staffing and personnel potential of the ward, facilities for complex and high tech surgery, lists modern methods applied in the treatment of patients with vascular disorders. The article summarizes the prospects of the treatment and rehabilitation of this category of patients at the new ward taking into account the experience which has been accumulated for the past three years of its existence.

When Does Regionalization of Expensive Medical Care save Money?

2001 ◽  
Vol 14 (2) ◽  
pp. 116-124 ◽  
Author(s):  
Terri J. Menke ◽  
Nelda P. Wray
Keyword(s):  
Medical Care ◽  
Resource Sharing ◽  
High Technology ◽  
Medical Costs ◽  
Accurate Assessment ◽  
Empirical Estimates ◽  
Unused Capacity ◽  
Cost Implications ◽  
The Cost

Regionalization of expensive, high-technology medical care is often proposed as a way to reduce medical costs. Most empirical estimates of the cost implications of regionalization suffer from methodological shortcomings. Here, we discuss all the factors that must be taken into account to produce an accurate assessment of how regionalization changes costs. These factors include the following: (1) The extent of resource sharing among different services; (2) The extent of unused capacity; (3) Whether regionalized facilities have high, low or average costs; (4) Costs of a regionalized system, including transporting patients to the regionalized facilities, coordinating care between the referring and regionalized providers, and out-of network care; (5) The effect of regionalization on the volume of care; and (6) whether a short- or long-term view is taken.

scholarly journals 衛生保健體制改革: 理性與現實的選擇

1999 ◽  
Vol 2 (1) ◽  
pp. 5-26
Author(s):  
Zhizheng DU
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medical Care ◽  
Small Group ◽  
Health Care Reform ◽  
Health Care Costs ◽  
High Technology ◽  
Public Health Care ◽  
Basic Health ◽  
Care Costs

LANGUAGE NOTE | Document text in Chinese; abstract also in English.衛生保健制度改革之艱難，主要在於要在諸多因素發展勢頭的相互硑撞中維持衛生保健工作的良性發展。衛生保健改革目標的設定，應當着眼於現實，但又必須顧及長遠。為此，它應當是首先有利於為更多的人群提供最基本的保健服務，同時又 能有力地控制保健費用的增長，有利於控制疾病的發生。只着眼於開源或節流，或者只強調衛生服務組織自身的營運，都可能使衛生保健產生更多的麻煩。多方位的雙層或多層的體制是使衞生保健工作適應各方需要的理想構思，它包含多種雙層或多種多層的內涵。在衛生資源有限的情況下，配給是保證為更多的人群提供保健的有效措施，救援則是其重要的補充。現行的醫療服務體系與為最廣大的人群提供基本的醫療保健服務不適應，也與抑制醫療費用上漲的要求不適應，必需有較大力度的改革。衛生保健改革的選擇，必須是道德的，同時又是理性而現實的。Health care costs soar and become unbearable everywhere in the world. This is not only a problem faced by developed Western countries. It is also a difficult issue for the third world countries such as China. China's health care system needs reform. On the one hand, a great number of people have not been covered by any basic health insurance. On the other hand, however, critical care medicine in high-technology hospitals in urban areas consumes tremendous public health care resources for a very small group of patients. This essay argues that China should appropriately establish multiple goals for its health care reform, based on ethical and reasonable deliberations on China's actual health care situation.First, rationing is crucial in containing health care costs. Public health care resources are limited. It is impossible to satisfy all medical needs for all people at all times. This is especially the case for mainland China, where public resources that can be invested in medical care are scarce. An appropriate goal of China's health care reform should be to provide basic, not luxury, health care for the people. Some luxury medical procedures must be left to individuals for purchase through their own resources.Second, a basic level of health care must be ensured to most people, even if it is impossible to ensure to everyone. It is important for everyone to understand that providing the best care for everyone is practically impossible. The best a government can do is to provide some level of basic care. However, the goal here must be the basic health of all or most people, rather than total care for a small group of people.Third, an appropriate pattern of China's health care should be prevention-oriented and ordinary-treatment-oriented, rather than high-technology-medicine-oriented. Since the early 1980s, many hospitals have relied on high-technology medicine to deal with diseases and to earn more income for themselves at the same time. But high-technology medicine is not panacea, though it is extremely costly. Inexpensive medical prevention is often more effective than high-technology medical procedures.Finally, a rule of rescue should be established in society. Society ought to provide some help for those who need special expensive medical care (such as organ transplantation) and are not able to afford it. The rule of rescue guides our efforts in this direction. Society should organize and establish special foundations to help people in this regard.DOWNLOAD HISTORY | This article has been downloaded 21 times in Digital Commons before migrating into this platform.

scholarly journals MODERN EFFECTIVE TREATMENT OF BRAIN METASTASES OF SKIN MELANOMA. THE EXAMPLE OF CLINICAL OBSERVATION

2021 ◽  
Vol 20 (2) ◽  
pp. 53-60
Author(s):  
M. I. Kurzhupov ◽  
A. V. Shabunin ◽  
K. S. Titov ◽  
E. L. Slobina ◽  
D. N. Grekov
Keyword(s):  
Radiation Therapy ◽  
Targeted Therapy ◽  
Brain Metastases ◽  
Anticancer Therapy ◽  
Skin Melanoma ◽  
Term Survival ◽  
Modern Methods ◽  
Neurosurgical Treatment ◽  
The Brain ◽  
Methods Of Treatment

Introduction. Melanoma of the skin has the highest potential for metastasis to the brain, ranking 15th in the frequency of occurrence among all malignant tumors – it is in third place in the incidence of intracerebral metastases. Modern methods of treatment of metastases of skin melanoma to the brain include neurosurgical treatment, radiation therapy and radiosurgery, antitumor drug therapy, including targeted therapy, immunotherapy and chemotherapy. The article discusses the indications for different methods of treatment, provides data on patient survival when using these methods of treatment alone or in combination. Additionally, a clinical case of long-term survival of a patient with skin melanoma with progression in the form of extra- and intracranial metastasis is discussed.Purpose. Evaluation of the result of using modern methods of antitumor treatment in real clinical practice in a patient with skin melanoma metastases in the brain. Materials and methods. On a clinical example, a possible sequence of an individual approach to the treatment of a patient with extracranial and intracerebral metastases of skin melanoma based on modern methods of treatment and examination is considered.Results. The use of modern methods of anticancer therapy has increased the overall survival and disease-free survival of patients with metastases of skin melanoma to the brain and reduces the need for neurosurgical interventions. As a confirmation of this, the life expectancy of the patient after the progression of skin melanoma in the form of metastases to the brain against the background of all the antitumor treatment carried out to date was 5.5 years, while neurosurgical treatment was not carried out at the request of the patient, although it was shown, but were used the possibilities of modern anticancer therapy, including sequential radiation therapy, targeted therapy and immunotherapy.Conclusion. Modern methods of anticancer therapy can significantly increase the survival rate of patients with melanoma brain metastases and individualize the treatment plan.

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