Publications by authors named "Slepykh N"

The data of the study of sociological and expertise survey of physicians of surgery profile and anaesthesiologists-reanimators is presented. The Delphi technique was applied to determine the qualitative degree of interrelationship of elements? Characteristics in the functioning of the anaesthesiologic service. These studies are topical because of serious issues of anaesthesiologic service in the territories with lower density of population settlement to be resolved through the enhancement of its overall functioning.

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The investigation includes results of treatment of 456 elderly and senile patients. The patients were divided into 3 groups. The main group consisted of 178 patients treated with live bacterial preparation sporobacterin included in the complex therapy.

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The medical technological, administrative and statistic information received from data base of annual medical statistical reports, operating statements of corresponding department heads, results of expertise of 5 municipal curative preventive institutions are considered. The analyzed data relates to medical care provided to the patients suffering with diseases of cardiovascular organs and neurological, traumatological, neuro-surgical and surgical pathology. The algorithm and design matrix are developed for planning the amount of beds in the reanimation and intensive care clinic departments up to 2015.

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A dynamic prognostication scheme was elaborated with respect to a potential demographic situation among the adult population on the basis of a study of prevalence of severe surgical diseases of the abdominal cavity. It makes it possible to plan a further surgical-service promotion, to forecast potential complications and to define measures of how to cut the number of such complications.

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In 89 rats with experimentally induced mechanical jaundice the infectious process was modeled by intragastric administration of E. coli and B. subtilis.

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Peculiarities of penetration of living bacterial cultures of Bacillus strain into the structures of the abdominal wall, their positive influence upon the reparative regeneration of surgical wounds were studied in experiments in 240 rats. It was found the living bacterial preparation to be expedient to use as an antagonist of pyogenic infection for purulent postoperative wounds and in order to prevent its development. The clinical antiinflammatory and stimulating the reparative process effects of sporobacterin were studied in 50 patients with infectious wound complications after urgent and scheduled operations.

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Epidemiological investigations were carried out in 2328 children in the districts of the Orenburg district. Iodine deficiency was detected in the children living in the districts having low concentrations in the water and foodstuffs. There was a deviation of immunological parameters from the normal values in the children of the same districts.

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A retrospective analysis of 854 case histories of patients who died in surgical hospitals of Orenburg Province from 1996 till 1998 has shown that 67% of the patients had infectious complications including 32.5% of suppurations of the postoperative wounds. Other causes of complications and lethality were established.

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The analysis of 70 cases of surgical treatment for intraoperative injuries and cicatricial strictures of extrahepatic bile ducts was carried out. In 25 patients surgical procedure was restorative and in 45--reconstructiver. Most common causes of corrective operations were: iatrogenic injuries of extrahepatic bile ducts (14) and cicatricial strictures of hepaticocholedochal duct due to intraoperative trauma (31).

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