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Biomedical subjects

A A Kiselev

Publications and source records attributed to A A Kiselev.

At least 19 recordsLinked to original sources
PubMed1992

Economic aspects of health.

This study described in this article was undertaken to assess the possibility of getting a general picture of the public health situation to be used in such economically oriented models as cost-benefit, cost-effectiveness and cost-utility. Problems of data bases encountered in this assessment of various republics, regions and administrative entities are also considered. New mathematicodemographic statistical models and a family of potential factographic automated information reference systems (FAIRS) based on these models and designed to be utilized in projects, programmes and regional systems of public health are analysed.

Commonwealth of Independent States↗
PubMed1991

[The innovative process in public health institutions as mirrored by public opinion].

Problems related to innovations in the health care system and the susceptibility of medico-prophylactic institutions to advanced methodologies are discussed. Analysis of questionnaires has revealed the absence of a well-organized work for the introduction of innovations in the medical collectives, and a low interest in their introduction and exploration on the part of physicians and their authorities. The innovative activity is high enough in regional health units, but in those dealing with mass-scale medical care, rural in particular, introduction of new methodologies is much slower. At the same time, collectives of medical workers show their potential readiness to accept and explore the new advanced methodologies, which has not been realized due to the poor economic basis, low organizational level, and deficient resources. Ways to improve the process of introduction of innovative methodologies into clinical practice are offered for discussion.

Delivery of Health Care↗
PubMed1991

[The surgical procedure in acute calculous cholecystitis].

The conservative treatment in the cases of primary attack of acute calculous cholecystitis is not effective, this is one of the results of the analysis made on the basis of the experience of thirty years and treatment of 3520 patients with acute cholecystitis. Thus, 90% of such acute attacks turn into chronic, and frequently into relapse forms, besides this 75% of patients get complicated forms of illness already in the first year of treatment. Active surgical and medical tactics give the possibility to reduce the postoperative lethality by 6 times and the number of postoperative complications by more than 2.5 times.

Acute Disease↗
PubMed1988

[Myocardial reaction of the right ventricle to lung resection].

Right-sided pulmonectomy (resection of 63-65% of the lung parenchyma) in white noninbred rats resulted in development of chronic cor pulmonale, that develops according to the stages: I--from the time of the operation up to the 10th-15th days after the operation--the stage of acute disturbances and mobilization forces of the organism; II--from the 11th-15th up to the 90th day is the stage of a relative steady compensatory hypertrophy of the cardiac right ventricle; III--after the 90th day--the stage of decompensation. The hypertrophy of the right ventricle myocardium transfers into its dilatation. Amount of cardiomyocytes and their nuclei in 1 mg of the right ventricle tissue progressively decreases, quantity of multinuclear cardiomyocytes increases, ploidy of the nuclei changes: number of tetraploid nuclei decreases, octaploid nuclei appear. Lethality among the animals is 56%.

Animals↗