[COMPARATIVE STUDY OF THE TACTICS OF SURGICAL FIXATION WITH THE CLOSED INJURY OF THE CHEST: THE VIEW OF THE RESUSCITATOR, ECONOMIC ASPECTS].

The closed injury of chest with the breaks of edges is the vital problem of traumatology, anesthesiology and resuscitation For the change to conservative treatment with the aid of mechanical ventilation of lungs today come the methods of surgical fixation with the closed injury of chest. The conducted investigation showed the clinical and economic expediency of introducing the method of active surgical tactics.

[Fat embolism syndrome in skeletal trauma: particularities of the diagnosis, economic aspects and the role of non-invasive ventilation in intensive care].

The article deals with a multicenter study that demonstrates the possibility and feasibility of noninvasive ventilation in patients with skeletal trauma complicated wiith fat embolism syndrome. The authors found additional criteria for the severity of the condition of patients with trauma. Important criteria for the choose a type of ventilation (non-invasive and invasive) is the lack of consciousness, desynchronization of a patient with ventilator and the need for a specialized regimes or miorelaxation to synchronize with the respirator.

Medical students' involvement in outpatient clinical encounters: a survey of patients and their obstetricians-gynecologists.

Purpose: To study women's prior exposure to medical students during office visits, and the association between this and other factors in the likelihood of patients consenting to medical students' involvement in obstetrical-gynecological (ob-gyn) care. Physicians also were surveyed regarding their perceptions of patients' preferences.

Method: In 1999-2000, an anonymous questionnaire was distributed for one week to all women scheduled for an ob-gyn visit and to their providers at six community campuses of Michigan State University College of Human Medicine.

Female patients' preferences related to interpersonal communications, clinical competence, and gender when selecting a physician.

Purpose: In obstetrics and gynecology (ob-gyn), a physician's gender can affect patients' access to care as well as medical education curricula and career counseling. The authors focused on the importance that female patients place on various physician characteristics, and how this importance varied by patients' characteristics and compared for family practitioners, obstetrician-gynecologists, and surgeons.

Method: In 1999-2000, an anonymous questionnaire was distributed for one week to all women scheduled for an ob-gyn visit at six community campuses of Michigan State University College of Human Medicine.

Changes in rates of beta-blocker use in community hospital patients with acute myocardial infarction.

Objective: To examine changes in the rate of beta-blocker (BB) use at admission, in hospital, and at discharge between 1994 and 1995 (MICH I) and 1997 (MICH II) in patients with acute myocardial infarction (AMI).

Design: Comparison of two prospectively enrolled cohorts.

Setting: Five mid-Michigan community hospitals.