FIRST EXPERIENCE WITH OCCLUTECH PLD OCCLUDER TO CLOSE PARAVALVULAR LEAKS PROSTHETICS OF THE MITRAL VALVE. CASE REPORT.

This clinical case presents the results of using the Occlutech PLD occluder for transcatheter closure of a paravalvular leak (PVL) via a transapical approach in the remote period after mitral valve prosthetics. According to our results and to the literature, the procedure for closing the PVL of the mitral valve from a transapi¬cal approach using a special Occlutech PLD occluder is characterized by relative safety for patients, clinical effectiveness in terms of eliminating or reducing the degree of regurgitation and related symptoms.

ALGORITHM OF RADIOLOGICAL EXAMINATION OF PATIENTS IN THE PLANNING OF ORTHODONTIC TREATMENT OF INTERARCH RELATIONSHIP OF TEETH AND TEETH POSITION ANOMALIES.

Objective: The aim: To increase the efficiency of diagnosis and planning of orthodontic treatment of patients with interarch relationship of teeth and teeth position anomalies by developing an optimal algorithm for radiological research using cone-beam computed tomography (CBCT), teleroentgenography (TRG), orthopantomography (OPG).

Patients And Methods: Materials and methods: 1,460 patients with interarch relationship of teeth and teeth position anomalies were examined at the Department of Radiology of the P. L.

[Gerontological aspects of improving the quality of medical and social assistance to older displaced persons in the context of the COVID-19 pandemic in Ukraine.].

This work aimed to study the organization of medical-social services for the elderly internally displaced persons at the level of primary medico-sanitary aid (PMSA) in Ukraine, assessment of the main tasks and specifics of organization and provision of palliative and hospice care (PHC) under COVID-19 conditions. As a result of the sociological investigation, using the questionnaire methods and experts' evaluations, we have analyzed the socio-psychological characteristics of the elderly internally displaced persons, the specifics of their social adaptation, financing and medico-social servicing at the level PMSA, including structural modernization and optimization of organizational provision. The introduction of an affordable and economically viable system allows for the interaction of specialists from health care and social protection institutions, and optimizes compliance with the standards and principles of medical care.

[THE EFFECTIVENESS OF TREATMENT IN CHILDREN WITH RIGID FLATFEET AND DYSFUNCTION OF THE POSTERIOR TIBIAL TENDON].

The rigid form of longitudinal flatfeet is one of the most common deformities of the foot in children. Dysfunction of the posterior tibial tendon is one of the causes of rigid foot formation with the development of pain syndrome, degenerative-dystrophic changes in the tarsal bones and joints. In most of these cases, conservative treatment is ineffective, prompting the use of surgical methods of foot correction - subtalar arthroereisis.