[Theory and practice of infrastructure reorganization of the entire system of public health].
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Biomedical subjects
Publications and source records attributed to V A Piskunov.
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The author validates the urgent need for improvement in the organizational form of conducting functional studies in neurological patients under conditions of increasing requirements for such studies. He shows inadequacy of the existing organizational form of providing care to neurological patients in ECG rooms. An original methodological approach to the organization of corresponding units (rooms) in the framework of neurological departments of hospitals is proposed.
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The results of a study carried out at basic health service institutions in 7 cities of the country and dealing with the forms, occurrence, character and duration of psychopathological symptoms in patients with acute poisonings are presented. The annual scope and expenses of a psychiatrist's consultative work at a specialized division are determined. It was found desirable to have one staff psychiatrist per each 50 patients treated at the division. The initial prerequisites and method of calculating that rate are described.
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A device operating by the principle of local negative pressure has been developed and patented in Russia. Its trial in 122 patients with erectile insufficiency in combination with conservative treatment showed that positive effect may be reached in patients subjected to partial intracavernous restorative surgery of the penis with unsatisfactory outcome.
Unsatisfactory results of surgical management of venous erectile failure are attributed to difficult selection of relevant patients. The operation is to be performed in patients with isolated distal venous outflow. The diagnosis of occult proximal or mixed outflow may be made at dynamic cavernosography with loading test on the device for stimulation of erection. After obtaining the erection and removal of the constriction ring, distal venous outflow is blocked, thus creating the conditions for detection of occult proximal venous outflow. Surgical treatment (ligation of the dorsal vein or its insertion under tunica albuginea) is indicated only for patients free of mixed venous outflow.