CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC) in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable

CHANGES IN THE COSTS OF HYPERTENSIVE CRISIS THERAPY DUE TO OPTIMIZATION OF DRUG SUPPLY IN THE PRE-ADMISSION CARE

Aim. To assess the changes in the costs of treatment of patients with hypertensive crisis (HC) in pre-admission care in Moscow from 2005 to 2010. Material and methods. Comparative analysis of the treatment costs was performed depending on outcomes in patients with HC at Moscow Emergency Medical Care Station named after A.S. Puchkov. HC arresting excluding the need of admission was taken into account in addition to antihypertensive effect and safety in evaluation of pre-admission care efficacy. Results. Introduction in practice of modern algorithms of emergency pre-admission care, supply of ambulance crews with modern antihypertensive drugs reduced the rate of admission from 71% in 2005 to 44% in 2010 among patients with HC. Total savings amounted to 403,691,808 rubles. Conclusion. Introduction of modern technologies in the emergency pre-admission care for patients with HC is economically reasonable.</p

Investigation of structural stability, physical and mechanical properties of nitrogen-free and nitrogen-containing austenitic alloys of the Fe-Cr-Mn system at low temperatures

The mechanical characteristics of the Fe-Cr-Mn and Fe-Cr-Mn-0.15 N systems have been studied at 77 K (for 20 - 50 % Mn and 0 - 15 % Cr). The phase diagrams of these alloys were plotted on cooling to 77 K and after deformation at this temperature. As the comparative analysis shows, in the 0.15 N alloys, the relative elongation, compression and impact strength decrease with a simultaneous increase in the yield strength and ultimate strength. In the N$_2$ - containing alloys the stability of $\gamma$-phase becomes stronger

The Main Factors of Air Pollution on the Coast of Batumi and Kobuleti

ბუნებრივი პროცესებისა და ადამიანის ზემოქმედება სხვადასხვა ტერიტორიალურ დონეზე სხვადასხვაგვარად ვლინდება. რეგიონალური სისტემების დონეზე ბუნება შეიძლება ჩაითვალოს მდგრად კატეგორიად, რომელსაც ადამიანის ზეგავლენა პრაქტიკულად ვერ არღვევს. ლოკალურ დონეზე - ბუნებრივი გარემო განიცდის მნიშვნელოვან ცვლილებებს და მთავარ ამოცანად რჩება ლანდშაფტში წარმოქმნილი ცვლილებების „რეგულირება“. საქალაქო პირობებში, განსაკუთრებით კი, საკურორტო ზონაში როგორც წესი, ბუნებრივი ელემენტები გარდაქმნილი და სახეშეცვლილია, ამიტომ უმთავრესი მნიშვნელობა ენიჭება ანთროპოგენული დაბინძურების შედეგად ხელოვნური გარემოს მართვა