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Biomedical subjects

R A Galkin

Publications and source records attributed to R A Galkin.

At least 19 recordsLinked to original sources
PubMed2004

[Ultrasound duplex scanning in the assessment of the effectiveness of gravitation therapy and conservative treatment of patients with atherosclerosis obliterans of the lower extremities].

Ultrasound duplex scanning was used to compare the results of the treatment of 162 patients suffering from atherosclerosis obliterans of the lower extremities. It is to be noted that 50 patients were administered only gravitation therapy, 72 patients underwent a complex of treatment measures including, in addition to gravitation therapy, physiotherapy and drug treatment, and 40 patients received conservative treatment alone. The assessment criteria were the maximal systolic velocity of blood flow (V(max)), end diastolic mean, velocity (V(min)), mean maximal velocity (V(mean)), volume velocity of blood flow (V(vol)), ankle/brachial index (ABI), and index of regional perfusion (IRP), proposed by us and representing the percent ratio of the volume velocity of blood flow to the minute heart volume (MHV). It has been revealed in the course of the treatment that the best clinical outcome was recorded in patients who received a complex of treatment measures. The use of gravitation therapy alone provided better treatment results as compared to those obtained in patients administered standard conservative therapy. Of all the indicators used, only V(mean), V(vol), ABI and IRP are of the clinical significance. However, the most significant information on the segmental blood flow was obtained on the assessment of the IRP whose values did not depend on the changes in central hemodynamics. In contrast to the ABI, the advantage of the IRP lies in the possibility of blood flow assessment in different segments and arteries of the extremities. So, the use of the quantitative indicators of ultrasound duplex scanning and, first of all, of the IRP, allows an objective evaluation of the segmental blood flow and may serve one of the significant criteria of the treatment effectiveness.

Adult↗
PubMed2003

[The use of gravitation overloading in the treatment of obliterative atherosclerosis of lower extremity arteries].

The article sums up results of treatment of 152 patients with obliterating atherosclerosis of the lower extremity arteries which were exposed to 2-3 G gravitation overloading made in a centrifuge of a short radius in direction head--pelvis. The gravitation overloading in the regimen followed were not found to have negative effects of central hemodynamics. Peripheral circulation was noted to considerably improve which is confirmed: 1) by clinical data showing 2-5 times longer distance of painless walking; 2) by the data of ultrasound dopplerography manifested as larger volume rate of blood flow and regional perfusion index; 3) by thermographic explorations evidencing the recovery of the thermoprophile of the legs and feet. Thus, the application of gravitation overloading is a new effective method of conservative treatment of patients with the pathology in question.

Aged↗
PubMed1998

[The use of a microsurgical precision technic for applying a gastroduodenal anastomosis in a Billroth-I gastric resection].

Advantages of the formation of gastroduodenal anastomosis using the microsurgical precision technique as compared to the two-row interrupted Albert-Lembert suture and the one-row suture of Pirogov-Mateshuk were established in an experimental investigation in 63 dogs. The article describes the precision suture technique proposed by the authors which was used in Billroth-I resection of the stomach in 15 patients. It was shown that the use of the precision suture resulted in healing by the first intention type, without motor evacuatory disorders and with shorter time of hospital treatment.

Adult↗
PubMed1997

[Efficient accomplishment of anastomosis in gastrointestinal operations].

In experimental study (40 dogs) variant of precisional (microsurgical) suture and anastomosis was developed, which was successfully carried out in clinical practice in 72 patients with various diseases of gastro-intestinal tract. For precisional formation of gastro-intestinal and bowel anastomoses magnifying optics, atraumatic suturing material and microsurgical instruments were used. Separately were sutured by knot sutures gastric or bowel serosa (external layer) and musculosubcutaneos layer of these organs together with mucous membrane tangentially, without its penetrating puncture (internal layer). The developed precisional method of formation of the anastomoses promotes healing of gastro-intestinal wound by primary intention and may be recommended for wider practical application.

Adult↗
PubMed1991

[The issue of paid medical care].

The paper deals with the problem of improving the relationships between the state system of public health and medical cooperatives and cost-accounting organizations with a view of increasing the efficiency and quality of health care delivery. It has been shown that the paid system of health care delivery is assuming ever greater importance. On the basis of one's own investigations and practical measures introduced in the Samara region, recommendations are given to improve the cooperation between the Department of Health and medical cooperatives, an analysis is made of the reasons for insufficient development of paid system of health care in the country.

Delivery of Health Care↗
PubMed1990

[Experience with socio-psychological evaluation of the activities of public health administrators].

The study deals with new approaches to the selection, improvement and training of leading and managerial staff in the system of public health. This task is of exceptional significance in the course of transition to the new economic mechanism in public health. The psychometric methods of studying the personality of health leaders permit us to optimize and objectify the entire process of work with management staff, to select ones which are most suitable for this role, to avoid unnecessary expenses, to recognize the potentials and aptitudes of each manager.

Administrative Personnel↗
PubMed1990

[Problem of evaluation of new economic mechanism in public health (data from the Kuibyshev district)].

The two-stage sociological survey of public opinion has become an integral and, as the whole course of work showed, important part of the introduction of new economic mechanism into public health with a view of its optimization. However, it should be stressed that such a survey of public opinion is only one part of our complex programme. It seems to us that the most prospective survey appears to be the study of psychological aspects of management under new economic conditions. We are convinced that the knowledge of "human factor" and proper decision-making process under transition to the new economic methods of management would enable our followers to avoid many difficulties we have met with.

Attitude of Health Personnel↗
PubMedDate not supplied

[Role of teaching practices in the training of nurses for primary health care centers].

The role of "training practice" in the formation of teams of specialists of the reformed primary health care is discussed. Innovation models of a "general practitioner" ("family doctor"), "family office manager", "general practice nurse" are mastered at "experimental" sites of an organization experiment. The philosophy of a tutor in general practice, individual requirements of students, and regulations of training are defined. Scheme of information of all interested persons and organizations on the alterations is presented. Prospects in development of primary health and social care of the family are outlined on the basis of general practices in the Samara region.

Education, Nursing↗
PubMedDate not supplied

[Development of hospital-substituting forms of medical care in the Samara region].

Development of hospital-substituting forms of medical care in the Samara region is discussed, 13% of patients treated at hospitals were rendered medical care through hospital-substituting institutions, which resulted in economy of 137 million roubles. The authors make their suggestions on optimizing statistical forms of files and records to be used in registration of medical care at day-time hospitals.

Adult↗
PubMedDate not supplied

[Organization of medical and social hospital care of elderly persons in Russia].

Hospital forms of medicosocial care of elderly and senile subjects in Russia are reviewed on the basis of published reports and authors' data. Together with outpatient forms, hospital forms of care of the elderly have been widely used of late and are functioning within the framework of public health and social protection systems. Integration of medical and social services in the sphere of health protection of the elderly is emphasized.

Aged↗