[The surgical treatment of aneurysms of the abdominal aorta].

Based on an experience with treatment of 107 patients with aneurysms of the abdominal aorta subjected to planned or urgent operations the authors discuss the problems of the clinical course, diagnosis, indications for operative treatment, the technique of operative interventions and their results. In planned operations lethality was 4.1%, in ruptures of the aneurysm-64.

[The advanced training of the therapists in a local medical association without interrupting their performance of service obligations as a variant in the postgraduate raising of qualifications on a permanent basis].

A new approach to continuous medical education of district physicians implies 4-5 annual (100-120 teaching periods) which are delivered to groups of 10 medical professionals for 4 days a week. The education is intended annually for 50 district therapists and other specialists and is especially helpful if outpatient service is organized according to the team principle (obstetrician, pediatrician, therapist). The lectures cover present-day advances in medical practice and research with special emphasis to borderline conditions.

[Fund for social development of regional health care coalitions in the conditions of collective bargaining].

The introduction of economic incentives, the utilization of a fund for social development of institutions considerably increased the intensification of labour, improved health care indicators and the accessibility of health care for the population. The expedient form of work appeared to be collective bargaining which considerably expanded the rights of the leader and collective. ++ Interdepartmental cost-accountable relations with the future introduction of ++intra-structural cost-accountable relations is a prospective form of health services administration and management.