[Modern trends in primary disability due to cerebrovascular diseases in a large city].

Aim: To study the primary disability due to cerebrovascular diseases (CVD) in St.-Petersburg for 13 years (from 2004 to 2016) according to the data of the medical-social expertise institution.

Material And Methods: Based on the official statistics, the prevalence, level and structure of primary disability due to CVD in St.

[Dynamics and structure of primary disability in persons of retirement age when applying to the Bureau of Medical and Social Expertise of Saint Petersburg from 2006 to 2017.].

The article presents data on primary disability in elderly and able-bodied people and older than able-bodied (retirement) age as a result of the survey of citizens in the Bureau of Medical and Social Expertise of Saint Petersburg in the period 2006-2017. The features of the level, structure, dynamics and distribution by groups of disability in retirement age are reflected. There was a significant increase in the level of disability in 2007, with a progressive decline to 2011 and a gradual decline until 2017.

Impact of Design on Emotional, Psychological, or Social Well-Being for People With Cognitive Impairment.

Aim: The objective of this article is to identify and analyze what is known about characteristics in and around the home that support well-being for those with cognitive impairment. This could provide direction for designers of homes in general, but specifically for designers trying to meet the needs of people with cognitive impairment.

Background: It has been established that there is a relationship between psychological well-being and a person's environment.

[Disability in the elderly owing to cerebrovascular diseases: the leading desadaptive syndromes].

The article presents data on the main desadaptive syndromes have disabilities due to cerebrovascular diseases in the elderly according to the results of analysis of medical expert documents the Bureau of medico-social examination of Saint-Petersburg in the period from 2010 to 2014. The characteristics of the level, structure, dynamics and distribution according to groups of disability due to cerebrovascular diseases in retirement were shown; clinical expert in the features of the population of older people with disabilities due to cerebrovascular diseases were analyzed. We revealed a consistent decrease in the number of persons with disabilities over 5 years, increase the proportion of persons with disabilities of group III and group I disabled.

[THE DYNAMICS AND STRUCTURE OF INDICATORS OF SECONDARY DISABILITY DUE TO CEREBROVASCULAR DISEASES IN THE ELDERLY IN ST. PETERSBURG IN THE PERIOD 2005-2014].

The article presents data about secondary disability due to cerebrovascular diseases in the elderly based on results of examination in the Bureau of medical-social expertise of Saint Petersburg in the period from 2005 to 2014. Тhe analysis revealed a high proportion of the disabled elderly in the structure of disability due cerebrovascular diseases; and the growth of the share of people with disabilities elderly in the analyzed period.

[Analysis of indicators of primary disability due to cerebrovascular diseases in people of retirement age according to the results of medical and social examination in St. Petersburg].

The article presents data on the primary disability due to cerebrovascular disease in elderly patients based on the results of the survey in the Bureau of Medical and Social Expertise of Saint-Petersburg from 2005 to 2014. The analysis showed a reduction in the indicators of primary disability due to cerebrovascular disease and the increase in the share of persons with disabilities of the first and third groups in its structure.

Older people's decisions regarding 'ageing in place': a Western Australian case study.

Aim: To investigate 'ageing in place' in terms of house, locality and support, related to the Western Australia members of National Seniors Australia.

Methods: A postal survey of 6859 members, followed by structured interviews with a subsample of respondents.

Results: A similar proportion of respondents (nearly 30%) had either moved house recently or not for at least 20 years.

A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia.

Background: Conventional percutaneous thermocoagulation of postgasserian fibers has shown high success rates, with significant residual morbidity.

Methods: This communication summarizes conclusions of multiple publications on our computerized mapping method and technique, and presents new data on short- and long-term results on trigeminal pain, including an actuarial analysis, complications.

Results: In TTN, 97.

A multiarray electrode mapping method for percutaneous thermocoagulation as treatment of trigeminal neuralgia. Technical note on a series of 178 consecutive procedures.

Background: We describe our method and mapping technique of the trigeminal nerve using a quadripolar electrode to minimize morbidity of percutaneous thermocoagulation as treatment of trigeminal neuralgia.

Method: Of 381 patients selected for postgasserian thermocoagulation, 178 consecutive procedures were carried out using, in most cases, our painless and ambulatory method and technique. All patients were preoperatively subjected to 3-dimensional constructive interference in steady-state magnetic resonance and magnetic resonance angiography.

Reducing unnecessary morbidity from percutaneous thermocoagulation in the treatment of trigeminal neuralgia--part C: a starting point for a somatotopic map of the human Gasserian ganglion.

Objectives: An original method and technique has been designed to reduce the significant morbidity associated with techniques currently used for percutaneous thermocoagulation in the treatment of trigeminal neuralgia. The current report deals with the mathematical and biostatistical analysis of verbal responses gathered using such a method in an attempt, as a starting point, to establish the somatotopic organization of the human gasserian ganglion.

Method: A correspondence analysis was used to validate verbal responses.

Reducing unnecessary morbidity from percutaneous thermocoagulation in the treatment of trigeminal neuralgia. Part B: a computerized protocol for quantitative analysis of data for radiofrequency thermocoagulation with the quadripolar electrode method and technique.

Objectives: An original method and technique was designed to reduce the still significant morbidity of percutaneous thermocoagulation in the treatment of trigeminal neuralgia. A critical part of this technique is the computerized analysis of data, which is the subject of this report.

Method: We fully describe the computerized program for data collection and analysis, which is designed to evaluate addressed and unaddressed aspects of trigeminal neuralgia using the quadripolar electrode method and technique.

The micrometric multiarray technique for percutaneous thermocoagulation of trigeminal neuralgia. Preliminary report.

This report describes the technical features and preliminary results of a multiple electrode array system designed to provide access to four different sites within one or more selected trigeminal divisions. At each segment, multiple clinical sensory and motor data are correlated with radiological landmarks in the individual patient with trigeminal neuralgia. The system consists of an outer needle, through which a multielectrode array is introduced.

Technological advances in the surgical management of trigeminal neuralgia.

For years, many controversies have arisen on the surgical management of trigeminal neuralgia and neuropathy. The purpose of this paper is to review most of the current surgical techniques for the management of trigeminal neuralgia and present our position on the current management of these situations.

[Retinopathy associated with acute pancreatitis].

Purtscher's retinopathy is a retinal lesion associated with different diseases such as cardiac aneurism, thoracic compression, bone fractures, post-trauma, pancreatitis and eclampsia. It consists in the appearance of white patches and retinal hemorrhage encircling an apparently normal optic disk. There is some controversy about its pathogenesis, but a probable cause for the development of this affection might be leukocyte emboli activated by complement.

A micrometric multiple electrode array for the exploration of gasserian and retrogasserian trigeminal fibers: preliminary report. Technical note.

The determination of the target for percutaneous thermocoagulation of the trigeminal rootlets has been generally based on the analysis of subjective clinical verbal and motor responses as assessed by freehand displacement of an electrode active at its straight or curved distal tip. In a previous report, we demonstrated that sensory and motor trigeminal evoked potentials are of practical value when attempting to localize the position of trigeminal electrodes. This report describes the technical features of a multiple electrode array designed to provide simultaneous access to various segments along a chosen trigeminal division or divisions, correlating at each segment clinical and electrophysiological data with radiological landmarks in the individual patient.

Sensory and motor trigeminal evoked potentials to localize the position of trigeminal electrodes.

Analysis of verbal responses to electrical stimulation of the trigeminal ganglion and rootlets has been the only method available so far to localize the electrode tip in the most appropriate trigeminal division or division segment, prior to thermocoagulation during percutaneous treatment for trigeminal neuralgia. A diversity of factors may lead to unreliable verbal responses, resulting in increased morbidity or even therapeutic failure. In an attempt to enhance the accuracy of electrode localization during Sweet's procedure, we describe an electrophysiological method complementary to clinical responses.