Saratov JOURNAL of Medical and Scientific Research

Lotsmanov Yu.F.

Saratov State Medical University n.a. VI. Razumovsky, Faculty of Medicine, Student

Paracentetic Access to Sensory Root of Tri-geminus: Anatomic and Topographic Features

Year: 2012, volume 8 Issue: №3 Pages: 785-790
Heading: Narcology Article type: Review
Authors: Chekhonatsky A.A., Skulovitch S.Z., Ushakov D.A., Lotsmanov Yu.F.
Organization: Saratov State Medical University
Summary:

Anatomic and topographic features of middle cranial fossa which should be taken into account during paracentetic access to sensory root of trigeminus are examined in the article. It is substantiated that treatment of trigeminus neuralgia needs bounded influence on sensory root of trigeminus. The authors based the idea of paracentetic access to sensory root of trigeminus through for. ovale. Such possible complexities and specific features as: probable confluence of for. ovale with other holes, calcification of ligamentous apparatus, and presence of holes due to this process should be considered during surgery.

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Problems and solutions on issues of medical care quality in community-acquired pneumonia in hospitals of Saratov region

Year: 2011, volume 7 Issue: №2 Pages: 368-372
Heading: Health Service Organization Article type: Original article
Authors: Erugina M.V., Grozdova T.Yu., Savinov V.A. Sazanova G.Yu.,Dolgova E.M., Lotsmanov Yu.F., Ushakov Yu.V.
Organization: Saratov State Medical University
Summary:

Qualitative assessment of diagnostics and treatment of patients with community-acquired pneumonia (CAP) was carried out in ten therapeutic departments of urban and district hospitals of Saratov region, using quality indicators (Qls). Each case of CAP was assessed in expert health care quality (HCQ) card according to the diagnostic and treatment quality federal standards and the basic Ql. The application of Ql in CAP patients allowed revealing the following: low CAP agent isolation rate; late hospitalization of CAP patients; low frequency of sputum bacteriological and bacterioscopic investigations prior to antibiotic therapy; insufficient frequency of step-by-step introduction of antibiotics. Recommendations on CAP patients dispenserization were not properly prescribed; recommendations on vaccination were absent. The basic measures of HCQ improvement are as follows: organizing for each CAP patient therapeutic and diagnostic quality control according to Ql; quick administrative decisions; using of HCQ expertise during the first 2-3 days of treatment to correct diagnosis and treatment; optimizing hospital diagnostic resources (laboratory and instrumental) and rational pharmacotherapy

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