Hypertension in Russia: Changes Observed After 4 Years of a Comprehensive Health System Improvement Program in the Yaroslavl Region.

Rates of cardiovascular mortality and morbidity in Russia have been among the highest in Europe. A comprehensive health system improvement program targeting better diagnosis and control of hypertension was undertaken in the Yaroslavl Region of Russia. This initiative was a joint program between clinicians, the Department of Health and Pharmacy of the Yaroslavl Region, and Novartis Pharma LLC.

[Extent of radical interventions in cancer of the cardial portion of the stomach].

For the last 26 years operations have been performed on 528 patients for carcinoma of the cardiac portion of the stomach. In 392 of them extensive, combined and extensive-combined operations were fulfilled. These operations are considered by the authors to be referred to a group of conventionally radical operations.

[Extensive, combined and extensive-combined operations in cancer of the cardial portion of the stomach].

The authors present an analysis of the materials obtained in the clinic during a 21-year period. Among 438 patients subjected to radical surgery for cancer of the gastric cardia in 319 cases extensive, combined and extensive-combined surgical procedures were accomplished, their characteristics being described. The regular feature of cancer of this localization is its lymphogenic spread, and this fact together with esophageal involvement allows a consideration that for cancer of the cardia, in any stage but 1, all resections, as a rule, should be extensive, combined or both.