[The evaluation of narcological care effectiveness].

The problem of community narcotization, the increase of number of individuals using drugs and other psychic active substances, the shortening of remittance duration of the narcological patients, the increase of the lethal outcomes numbers in patients with various dependencies because of general somatic complications of main disease, the increase of numbers of women involved into drug dependency problems, call for searching new progressive technologies in narcological care management, including the new approaches in the assessment of the effectiveness of implementing activities. The multifactorial analysis application as a methodological evaluation tool is quite relevant nowadays.

[Medical aid in urgent alcohol-associated conditions].

The facts that the clinical manifestations of alcohol-associated urgent conditions are polymorphic, and that terms traditionally used by doctors to characterize these conditions are diverse, determine objective difficulties in rendering medical aid in such situations. However, the number of urgent alcohol-associated conditions grows every year. Analysis of diagnostic errors demonstrates that 30% of doctor's errors are subjective.

[The efficacy of x-ray endovascular interventions in hepatic lesions and diseases].

Experience in roentgenovascular interventions was summed up for 14 patients aged 17 to 38 (11 men and 3 women). Indications for them were closed liver damages (6), life-threatening hemorrhage resulting from repeated operations for liver echinococcosis (1), primary hepatocellular cancer (4), liver hemangioma (2), metastases of melanoma to the liver (1). Hemostatic sponge, Gianturco's spiral, 60% glucose solution in combination with aminocaproic acid were used as embolizing agents.

[Roentgeno-endovascular occlusion as a method of hemostasis in abdominal trauma].

Under analysis is the authors' experience with roentgen-endovascular occlusions (REO) in 18 patients with closed injuries of the abdomen with massive hemorrhage. The embolization of spleen vessels was made in 8 patients, hepatic vessels--in 5 patients, renal vessels--in 3 patients and iliac artery branches--in 2 patients. In 10 cases REO was used as an independent method for arrest of hemorrhage and in 8 patients--for the preoperative preparation of the patients.

[Emergency angiography in the diagnosis of nonpenetrating injuries of the abdominal organs].

On the basis of 87 urgent angiographies in 65 patients the diagnosis of injuries of parenchymatous organs is described. The patients are divided into 4 groups: 1-contusion of the organ, 2-subcapsular and central hematomas, 3-transcapsular ruptures and fragmentation of the organ, 4-multiple injuries. Urgent angiography helps to make the exact diagnosis, to establish the character of injuries and to choose the method of treatment of the patients and the operation technique.