Modern Management: Methods of Managing the Clinical and Diagnostic Center «Med-Art» with a Patient Orientation and Resource Saving

In modern conditions, the effectiveness of the functioning of any medical organization is determined not only by the availability of the latest equipment and qualified personnel, but also by the introduction of innovative technologies in medicine and management

Emergencies in diseases of the circulatory system in the adult population of the Khabarovsk Territory: the current status and trends Part 3. Acute disorders of cerebral circulation

The indicators of morbidity of the adult population of the Khabarovsk Krai with diseases of the circulatory system and mortality from them in 2002–2019 have been studied. Special attention is paid to urgent pathology – acute coronary syndrome and acute disorders of cerebral circulation. It was found that acute coronary syndrome and acute disorders of cerebral circulation in the region account for about 75–85% of all newly diagnosed diseases of the circulatory system – ischemic heart disease, cerebrovascular diseases; they give up to 32% of deaths from diseases of the circulatory system

Local antibiotic therapy for endoprosthesis site infection (Literature review)

Endoprosthetics of joints has firmly taken its place in a number of orthopedic interventions in the treatment of diseases of the musculoskeletal system. Unfortu-nately, with an increase in the number of operations, the number of complications that develop at various stages of treatment does not decrease. Deep infections in the area of the endoprosthesis (paraprosthetic infection) are especially difficult in treatment, since only 20% of patients, and mainly in early forms of complications, manage to save the implant. The incidence of infectious complications at the stationary stage in specialized endoprosthetics centers does not exceed 1% during primary operations, but their number, as a rule, multiplies several years after the intervention. The most common treatment option for paraprosthetic infection is staged revision arthroplasty. The authors of the review conduct a comparative analysis of the effectiveness of one- and two-stage treatment options. The latter is based on the use of bone cement spacers impregnated with antibiotics.

Genetically modified objects: myths and reality. Transgenic foods in human nutrition

The questions of the use of genetically modified organisms in human practical activity, the peculiarities of technology, the positive aspects for agricultural activity and the role of GMOs in medicine are discussed. Transgenic foods in human nutrition: opinions of their supporters and opponents

Social rehabilitation of patients after stroke

Disability after stroke is still a significant medical and social problem. The disease changes the social position of a person and puts forward new personal and social problems. Resocialization is one of the most important tasks of rehabilitation helping in overcoming the problems

Using the Bosniak classification from the perspective of current clinical guidelines: the role of multiparameter ultrasound

Kidney cystic formations are a common finding during ultrasound, computed tomography and magnetic resonance imaging. Most kidney cysts are benign, however, in 5–7 % of cases, renal cell carcinoma can be represented by a complex cystic formation. The Bosniak classification allows you to determine the risk of a malignant process and, depending on the assignment of the resulting image to a category, plan treatment tactics. The classification was initially based on the characteristics of cysts according to computed tomography data. Other methods of radiation imaging, such as magnetic resonance imaging and ultrasound, are now also used to characterize complex cystic lesions. The article provides data on the assessment of renal cystic formations according to the Bosniak classification according to modern clinical guidelines, including the use of multiparametric ultrasound

Micropulse cyclophotocoagulation – a new approach to the surgical treatment of glaucoma

The article studies the clinical efficacy and safety of the use of micropulse cyclophotocoagulation (MCPC) in the treatment of patients with glaucoma. The analysis of the results of performing mCPK in 121 patients with glaucoma was carried out. The Maklakov IOP level before surgery averaged 32.4 ± 3.8 mm Hg. Various laser and surgical antiglaucomatous interventions were previously performed on 83 eyes. The observation period was 1 year. MPCP was performed using a Cyclo G6 Glaucoma Laser System console and a MicroPulseParsPlanaProbe (MP3) probe (Iridex Corporation, USA). All operations were carried out without complications. On the first day after surgery, the IOP level in all eyes decreased to an average of 21.7 ± 1.9 mm Hg. Thus, MCPC is an effective and safe operation for normalizing IOP in patients with primary openangle glaucoma and primary angleclosure glaucoma, an acute attack with a followup period of 1 year

Harmful health effects of snus consumption

From a pharmacological point of view, snus is an addictive nicotine-containing substance that also contains carcinogenic nitrosamines. The level of nicotine in the blood of a snus user and a tobacco smoker is approximately the same. Dentists, educators, social workers, parents, as well as consumers of snus are poorly informed about the consequences of its use for health, including for the oral cavity. The article contains materials on the dangers of snus consumption on general somatic health, as well as on precancerous lesions and neoplasms of the oral cavity resulting from snus use, and ways to detect changes in the oral mucosa in the early stages of snus consumers.

Infectious morbidity in the Khabarovsk Krai in 2020

The article analyzes the infectious morbidity of the population of the Khabarovsk Krai in 2020. It is concluded that in the structure of infectious morbidity the prevailing nosological form is the group of airborne infections and the group of intestinal infections of viral etiology. A sporadic incidence of natural focal infections is recorded

Management training for chiefs of medical organizations

The article is devoted to the management training of chiefs of medical organizations, in which a paradigm change has taken place: from the organizer of health care to the manager of health care. The author reveals topical problems and offers his own vision of their solution. The main aspects of this process are the formation of a manager's model, the creation of a system for training and formation of a personnel reserve, continuous training of these categories, as well as the introduction of an assessment of the quality and effectiveness of managers' activities. The author pays close attention to the technology and resource provision of managerial training for chiefs of medical organizations at the Postgraduate Institute for Public Health Workers