[The becoming and development of the academic subject and scientific discipline "Public Health and Organization of Health Care". Report II (1963/1964-2023/2024) (to the Centenary of the Academician Yu. P. Lisitsyn Chair of public health and health care)].

The article considers formation of academic subject and scientific discipline "Public Health and Organization of Health Care" in Russia during 1963-2023. The role of Yu. P.

[The becoming and development of the academic subject and scientific discipline "public health and health care organization" (to the centenary of the academician Yu. P. Lisitsyn Chair of Public Health and Health Care). Report I (beginning of XX century - 1963)].

The article presents analysis of becoming of academic subject and scientific discipline "Public Health and Health Care Organization" in Russia from beginning of the 20th century to 1963. The special attention was paid to the role in their becoming and development that played the Chair of Public Health and Health Care Organization of the Pirogov Russian National Research Medical University that is celebrating its centenary in 2023-2024 academic year. The contribution into this process of its prominent scientists and heads is considered.

[Mathematical modeling of high-flow extra-intracranial bypass in the treatment of a complex cerebral aneurysm].

Background: Intracranial aneurysms (IAs) pose a high risk of spontaneous subarachnoid hemorrhage. In the most complex cases, the only way to exclude the aneurysm from the circulation is to perform a high-flow extracranial-to-intracranial bypass, thus creating a new bloodstream. This avoids severe ischemic complications; however, it requires careful consideration of individual anatomy and hemodynamic parameters.

[Brain retraction injury].

This review is devoted to various techniques for reduction of brain damage during retraction. Searching for reports was carried out in Russian and English languages using the PubMed database (=721) without restrictions on language, date and study design according to the following keywords: «brain retraction injury», «spatula brain retractors», «tubular brain retractors», «retractorless neurosurgery». Primary screening and exclusion of duplicate manuscripts allowed us to single out the main group of articles (=121).

[Resection of a giant fusiform aneurysm of the pericallosal artery with «hemi-bonnet bypass» procedure (case report and literature review)].

A 30-year-old woman with giant fusiform aneurysm of the azygos anterior cerebral artery is reported. Clipping of the aneurysm followed by modeling of pericallosal artery was performed in 2017. However, further enlargement of the aneurysm has been observed for subsequent 2 years.

[Analysis of local hemodynamics in complex aneurysms: an effect of the vessel arising from the dome or the neck].

Background: Assessment of rupture risk for intracranial aneurysms (IA) is a particular challenge in cases of so-called complex aneurysms due to their variable morphometric characteristics. Arterial branch arising from the dome or the neck of IA is one of the least explored features of complex aneurysms. The methods of computational fluid dynamics may be valuable to determine the influence of arterial branches of IA on local hemodynamics.

[Surgical revascularization of the brain in patients with acute ischaemic stroke].

Aim: The study was aimed at developing a surgical policy for patients presenting with acute ischaemic stroke induced by lesions of the intra- and extracranial arteries.

Patients And Methods: The patients were enrolled into the study resulting from the current practice of the Department of Emergency Neurosurgery of the Research Institute of Emergency Medicine named after N.V.

Virtual Planning of Extra-Intracranial Bypass with Numerical Investigation of Hemodynamics.

Planning of bypass surgery for patients with complex cerebral aneurysms is a very complicated task. It is important to take into consideration personal anatomy and hemodynamics and make additional investigations, but unfortunately, they don't give a guarantee of good postoperative results. Recent medical imaging and computational fluid dynamics (CFD) can be helpful for the prediction of effectiveness of selected surgical technique.

[The Social Hygienic Aspects of Prevention of Abortions].

The article presents results of analysis of medical social aspects of artificial abortion. It is established that women with abortion in anamnesis suffer of unsatisfactory health condition in 35.5% of all cases.

Minimally Invasive Surgical Treatment for Vertebral Artery Compression in a Patient with One-Sided Ponticulus Posticus and Ponticulus Lateralis.

Background: Kimmerle anomaly is characterized by ossification of the posterior atlanto-occipital membrane with formation of a complete or incomplete bony ridge in the area of the groove for the vertebral artery (VA) (ponticulus posticus [PP]). In some cases, the bony ridge may also be formed at the level of the VA emerging from the transverse process of the С1 vertebra (ponticulus lateralis [PL]). Simultaneous 1-sided formation of PL and PP is very rare.

[The Medical Social Efficiency of Rehabilitation of Patients Having Cerebral Stroke in Ambulatory Conditions].

The article substantiates efficiency of medical social rehabilitation activities in out-patient conditions on the basis of study of health conditions, life-style and medical care organization of patients with ischemic stroke. The obtained data demonstrated a higher efficiency of complex rehabilitation therapy. The efficient application of possibilities of out-patient polyclinic institution increases the level of physiological, psychological and social adaptation of patients.

Minimally invasive surgical treatment for Kimmerle anomaly.

Introduction: Kimmerle anomaly is the bony ridge between the lateral mass of atlas and its posterior arch or transverse process. This bony tunnel may include the V3 segment of the vertebral artery, vertebral vein, posterior branch of the C1 spinal nerve, and the sympathetic nerves, which results in the clinical symptoms of this disease. Reports on the surgical treatment of Kimmerle anomaly are rare.

[An effect of education and health literacy on the efficacy of rehabilitation of post-stroke patients].

Aim: To study an effect of education, health literacy and adherence to treatment on the efficacy of rehabilitation of post-stroke patients.

Material And Methods: The study included 1317 post-stroke patients. Information on education, health literacy and implementation of complex rehabilitation was obtained using anonymous survey.

[Assessing efficacy of carotid endarterectomy by means of intraoperative flowmetry].

Aim: The study was aimed at determining volumetric blood flow velocity (VBFV) through the internal carotid artery (ICA) and assessing functional outcomes of treatment of patients, taking into consideration the dynamics of VBFV before and after the operation.

Patients And Methods: The study comprised a total of 53 patients subjected to examination of VBFV through the ICA before and after carotid endarterectomy (CEA) assessed by means of flowmetry. Neurological deficit was evaluated by means of the NIHS Scale (the M NIHSS prior to operation equalling 2.

[Surgical prevention of ischaemic strokes by means of an extraintracranial microanastomosis (EICMA) in the carotid basin].

Background: Not less than 50% of all ischaemic strokes appear to occur resulting from pathology of extracranial arteries. Occlusions and stenoses are more commonly encountered in carotid arteries, with the incidence of occlusion of the internal carotid artery (ICA) ranging from 5 to 10% within the structure of all lesions of brachiocephalic arteries (BCA).

Aim: The study was aimed at assessing the results of a surgical procedure of extra-intracranial microanastomosis (EICMA) performed in patients presenting with occlusive and stenotic lesions of BCA at the Neurosurgical Department.

[ASSESSMENT OF CEREBRAL PERFUSION IN PATIENTS WITH HEMODYNAMIC ISCHEMIC STROKE UNDERGOING RECONSTRUCTIVE BRACHIOCEPHALIC ARTERY INTERVENTIONS].

The paper deals with the assessment of cerebral perfusion in patients in the acute period of acute cerebrovascular accident before and after revascularization surgery. It gives a clinical example of using contrast-free perfusion magnetic resonance imaging (MRI) in a patient with hemodynamic ischemic stroke. The use of this technique made it possible to determine indications for early carotid endarterectomy for the contralateral internal carotid artery and to evaluate positive postoperative changes in cerebral perfusion and the patient’s neurological status.

[The awareness of pediatricians about ethical legal issues of medical care provision].

The implementation of rights of under-age patients in medical institutions in many ways depends on level of awareness of pediatricians about availability and mechanisms of legal guarantees provided to them by law and hence depends quality of medical care of children population. The study was carried out to analyze opinions of pediatricians about issues of implementation of rights of patients. The results are presented concerning sociological survey of 261 pediatricians of the Samarskaia oblast.

[Operations of revascularization in surgery of cerebrovascular aneurysms].

Surgical revascularization of the brain is one of the most important trends in the development of neurosurgery. Restoration of adequate blood flow through pre- and intracerebral arteries promotes prevention and treatment of ischaemic lesions of the brain in various pathology. The present work was aimed at analysing the experience gained in performing revascularizing operations in patients with cerebral aneurysms at the department of neurosurgery.

[The use of extra-intracranial microanastomosis in the treatment of cerebral ischemia in patients with nontraumatic subarachnoid hemorrhage].

Objective: to evaluate the use of extra-intracranial microanastomosis (EICMA) in the treatment of brain ischemia in patients with nontraumatic subarachnoid hemorrhage (SAH).

Material And Methods: In the period from 01.01.

The use of combined revascularization surgery for successful elimination of a middle cerebral artery aneurysm.

Objective: The study objective is to present a clinical case of successful surgical treatment of a complex middle cerebral artery (MCA) aneurysm using various types of bypasses.

Material And Methods: A 59-year-old female patient presented with nontraumatic intracranial hemorrhage caused by rupture of a complex right MCA aneurysm. The anatomical features of the MCA aneurysm were identified using computed tomography (CT) in angiographic and 3D modes.

[The accessibility of high-tech medical care of newborns with surgical pathology in conditions of Far North].

The actual stage of development of public health rendering of specialized medical care is based on principles of generality, accessibility, addressness, qualitativeness, and effectiveness. However, the problem of rendering specialized medical care to population is one of most critical targets in district centers and requires immediate solution. The main mean of resolving this problem is re-hospitalization of patient in more large-scale medical institutions.

[The ninetieth anniversary of the Chair of Public Health and Health Care of the N.I. Pirogov Russian National Research Medical University].

The article presents the review of history of becoming, development and activities of the chair of public health and health care of The N.I. Pirogov Russian national research medical university.

[High-flow extracranial-intracranial (EC-IC) bypass surgery in a patient with giant right cavernous ica aneurysm].

To present the clinical case of successful extracranial-intracranial (EC-IC) high-flow bypass performance. Patient, female, 51 years old, was suffered from giant cavernous aneurysm of right internal carotid artery (ICA), presented with mass effect. The EC-IC high-flow bypass using radial artery was performed between M2 segment of right middle cerebral artery and right external carotid artery.

[Morphological, clinical, diagnostic features and the treatment of patients with giant brain aneurisms].

Retrospective analysis of treatment outcomes of 89 patients with GIAs, treated in Sklifosovsky Emergency Care Institute from 01.01.1992 till 30.