[Optimization of trauma care to victims of older age groups with fractures of the proximal femur.].

The objective of the study was to improve the treatment outcome of patients of older age groups with fractures of the proximal femur by developing an algorithm for providing medical care while taking into account the nature of a fracture and the comorbid background of a patient. The article describes approaches to the choice of tactics and techniques of medical assistance to patients of older age groups with fractures of the proximal femur. 4 491 patients with fractures of the proximal femur who had been treated at the Hospital for War Veterans in Saint Petersburg from 2010 to 2019 were included for analysis.

[Differential diagnosis of diabetes mellitus in adults: assessment of immunogenetic markers of insulin dependence].

To assess immunogenetic markers of insulin dependence (IMID), 117 patients with diabetes mellitus of the adults (DMA) were examined. Of them, 97 patients (77 females and 20 males, 41 and 10 obese, respectively) were insulin dependent and 20 (8 males and 12 females) had classic diabetes mellitus (DM) type 2. All the analysed immunogenetic markers (genotype SS/SS, alleles 04*, 0301 in HLA-DQ*A2, haplotype A1*0301-B1*0302) were associated most often with insulin-dependent DMA.