Implementation and impact analysis of a transitional care pathway for patients presenting to the emergency department with cardiac-related complaints.

Background: Cardiac-related complaints are leading drivers of Emergency Department (ED) utilization. Although a large proportion of cardiac patients can be discharged with appropriate outpatient follow-up, inadequate care coordination often leads to high revisit rates or unnecessary admissions. We evaluate the impact of implementing a structured transitional care pathway enrolling low-risk cardiac patients on ED discharges, 30-day revisits and admissions, and institutional revenues.

[Percutaneous laser irradiation of blood in the treatment of hemodynamic disorders in patients with vibration disease].

The article presents data on influence of percutaneous laser irradiation of blood on central and peripheral hemodynamics in 24 riveters facing vibration disease. Clinical improvement was seen in all the examinees. Rheography showed high efficiency of the method in the patients with initially increased vascular tone in hands (angiospastic syndrome), possible correction of disordered cerebral circulation.

[The correction of hemodynamic disorders with low-intensity infrared laser radiation in agricultural machinery operators with borderline arterial hypertension].

Data on the influence of low-intensity infrared laser on the central and peripheral hemodynamics in 76 agricultural machine operators facing transitory arterial hypertension are presented. Analysis revealed that low-intensity laser is more effective at the early stages of cardiovascular diseases. Low-intensity infrared laser exposure of reflexogenic zones can be effectively used to correct hemodynamic disorders in subjects facing transitory arterial hypertension.

[The prognosis of the course of psoriasis].

Analysis of the informative value of signs and prognostic coefficients for 35 clinical amnestic and laboratory parameters helped make up a prognostic table for the assessment of the severity of psoriasis course and therapy efficacy. After consecutive Wald's processing 28 signs were selected out of these 35. The prognostic threshold was calculated, that permitted distribution of the patients into groups with favorable and unfavorable course of psoriasis.

Is the gastrin response to secretin provocation a function of antral G-cell mass? Results in the hypergastrinemia of acid hyposecretion.

Some patients with hypergastrinemic achlorhydria may have false-positive secretin provocation as an exaggeration of the normal gastrin response to secretin, presumably related to an increased, or more responsive, antral G-cell mass. To test this hypothesis, we reviewed our experience with secretin provocation in normogastrinemic subjects with presumed normal antral G-cell mass (normal--17, duodenal ulcer--13) and in patients with hypergastrinemia related to changes in antral G-cells (vagotomy--5, hypochlorhydria--7, achlorhydria--10). Basal serum gastrin (mean +/- SEM) was progressively higher for each group; normal (42 +/- 3 pg/ml), duodenal ulcer (53 +/- 4 pg/ml), vagotomy (226 +/- 54 pg/ml), hypochlorhydria (346 +/- 92 pg/ml), achlorhydria (844 +/- 100 pg/ml).