Aged and senile patients with primary glaucoma usually suffer from polypathy (on average, they have 6.3±0.6 concurrent somatic diseases). To reduce the risk of polypharmacy and the frequency of side effects in the treatment of POAG and AH patients, it is advised that the treatment includes oral selective beta-blockers able to provide target levels of arterial pressure and IOP. In this study, oral beta-blockers in POAG and AH patients enabled IOP reduction as great as 18.5%-26% of baseline values over a 1-year follow-up period.
The study was carried out to examine population health in large industrial center exemplified by Novokuznetsk for establishing risk zones and increasing efficiency of health care functioning and medical care quality. The efficiency is determined by increasing of reliability and integration of indices of population health and its particular categories for effective decision making, amelioration of awareness of specialists and quality of medical care. The article presents the results of analysis of health of working population of a large industrial center of Siberia as exemplified by Novokuznetsk according information data bases of the Kustovoii medical informational analytical center in relationship with environmental factors and indices of health care functioning. The indicator of "problemability" is developed and its application is presented related to establishment of risk zones for population health. The results of modeling of indices of population health and algorithms of support of decision making for the most problematic indices (health of newborns and disability) are presented. The health of schoolchildren, preschoolers and pedagogic workers is analyzed according information from sub-system "Pedagogic monitoring" sub-system. The results are presented concerning the clustering of educational organizations on main health risk factors. The results of study containing summarized analytical information about human environment, zones and categories of risk are to support timely decision making by mangers of all levels, increasing of role of healthy life style, amelioration of labor conditions, ecological and social environment, preservation and promotion of population health.
Objective: to compare the therapeutic possibility of the decompressiveviedecompressive with stabilization surgeries using the standard posterior and anterior retroperitoneal approaches in patients with combination of inherent and obtaining lateral stenosis and to demonstrate the adequacy of using. At the main group we removed the herniated disc with stabilization using anterior and posterior approaches – 82 patients. The control group was treated by standard microdiscectomy – 40 patients. More excellent and good results were in the main group where decompression was combined with stabilization, and at the same group were less negative results. The decompressive-stabilizing surgery with anterior interbody fusion is a pathogenetic and technically adequate treatment for combined lateral stenosis.
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