On the delivery of neurosurgical care in Moscow.

ABSTRACT. The article describes the basic pathogenetic mechanisms of uterine bleeding occurrence in patients with uterine leiomyoma (UL). The pathogenesis of this disease is difficult and multi-factorial. Significant changes in the architectonics of the uterine vasculature are noted. Modern approaches to management of patients with UL and uterine bleeding are discussed from a clinical point of view using conservative, minimally invasive and surgical methods of treatment. 

ABSTRACT. The review analyzes the possibility of multislice computed tomography (MSCT) and magnetic resonance imaging (MRI) use in the forensic examination of corpses of adults. We present the critical analysis of literature on post-mortem imaging in terms of forensic thanatology. The review is based on basic Internet resources: Scientific Electronic Library (elibrary), Scopus, PubMed. The review includes articles that discuss both advantages and limitations of post-mortem MSCT and MRI imaging in forensic examination of the corpse.

Through studying the available literature, the authors attempted to answer two questions: 1) which method was more suitable for the purposes of forensic examination of the corpse - MSCT or MRI; 2) whether the virtual autopsy replaced the traditional autopsy in the near future?

Conclusion: comprehensive study of the corpse often requires both imaging methods; in cases of death under mechanical damage, MSCT exceeds the range of possibilities of MRI; today, virtual autopsy cannot completely replace traditional autopsy in forensic science, since there are no convincing evidence-based comparative studies, as well as the legal framework of the method. 

SUMMARY. The article presents various aspects of enhanced external counterpulsation in treatment of patients with various cardiovascular diseases, including coronary heart disease, and also discussion on the possibility of widespread use of this method in clinical practice. The review also presents the evidence base of enhanced external counterpulsation use, and requirements for the safe and effective use of this method in patients with vascular diseases. 

ABSTRACT. Treatment of acute limb ischemia remains a serious problem in vascular surgery. There are both surgical and conservative therapies. Systemic thrombolysis is one of supplementing methods, and in some cases, it is the method of choice, especially when surgical therapy is not possible. The paper presents our experience of systemic thrombolytic therapy in the treatment of acute limb ischemia. 

BACKGROUND. Clotted hemothorax is the most common complication of the chest injury requiring surgical treatment in most patients.

MATERIAL AND METHODS. Videothoracoscopy was performed in 51 patients with complications of penetrating chest trauma in 2011–2012. Clotted hemothorax occured in 27 cases (52.9%).

RESULTS. It was found that the main cause of this complication was inadequate pleural drainage effect. Clotted hemothorax developed after drainage of the pleural cavity and primary surgical debridement in 12 patients (44.4%), in 8 patients (29.6%) after atypical thoracotomy and in 7 patients (25.9%) after typical thoracotomy. The average interval between operations was 8.1±5.0 days.

CONCLUSION. The best results of treatment for clotted hemothorax were achieved under the early detection of clotted hemothorax in case of thoracoscopic evacuation in the range from 3 to 7 days (4.7±2.1). Videothoracoscopy performed more than 7 days after detection may increase the volume of surgery, cause significant complications, and considerably prolong treatment. 

ABSTRACT. Modern approaches to creation of the quality system of medical care, and also relevance and features of its formation in service of an emergency medical service are covered in article. Key indicators (indicators) of quality of an emergency medical service, including, an integrated indicator of quality are developed. The theoretical and methodical bases of formation of a control system of quality in service of an emergency medical service including are developed: system process approach, a multilevel order of control, introduction of the automated technology of examination, development of indicators of quality and integrated indicators of quality. 

ABSTRACT. The authors present the clinic case: rare traumatic injury of the face with the big foreign body in the nose as a knife. 

The 65th birth anniversary of Sergey I. Kolesnikov.

The 65th birth anniversary of Vladimir I. Starodubov.

The 65th birth anniversary of Evgeniy G. Grigoriev.

The 80th birth anniversary of Petr A. Ivanov.

The 70th birth anniversary of Georgiy E. Belozerov.

The 60th birth anniversary of Yakov B. Brand.

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