Notes

Co-infection of ST2IP carbapenem-resistant Acinetobacter baumannii using SARS-CoV-2 inside the sufferers accepted to a Tehran tertiary word of mouth hospital.
In the United States, medical volunteers are generally protected by the Aviation Medical Assistance Act of 1998. There is no equivalent law governing international travel, and legal jurisdiction depends on the patient's and medical professional's countries of citizenship and the country in which the aircraft is registered.The article presents comparisons of planned and normative and actual data on medical care in otorhinolaryngology, analysis of the normative number of otorhinolaryngologists according to the current orders of the Ministry of Health of Russia. selleck chemicals llc It is concluded that it is necessary to amend modern regulatory documents.The procedures for the provision of medical care in otorhinolaryngology and audiology-otorhinolaryngology contain a large number of requirements. The actualization of the orders has not been carried out for a long time, which is due to the lack of methodological formalized approaches for the formation of hypotheses regarding expedient changes. The article proposes an analysis of the results of state control, which will allow the formation of specific proposals for assessment by experts in the framework of the process of updating the procedures for the provision of medical care.
To analyze the effectiveness of the formalized mechanism for updating the Procedures for the provision of medical care to the population in the field of otorhinolaryngology, approved by the orders of the Ministry of Health of Russia.

In this work, an analysis has been carried out, during which the provisions of the regulatory enactments of the Procedures for the provision of medical care in the field of otorhinolaryngology were inveiolations in terms of the lack of identical positions of the equipment standards may indicate excessive requirements and should be evaluated and interpreted by experts with a decision to change the provisions of the procedure for the provision of medical care.Scleroma is a chronic infectious disease characterized by developing inflammation nye granulomas, mainly of the upper respiratory tract, with subsequent scarring. The reasons for the development of scleroma remain unclear, but it is generally accepted that the gram-negative coccal bacterium Klebsiella rhinoscleromatis (pas-Volkovich's loch - Frisch) is the causative agent of this disease. Endemic in the spread of scleroma is considered There are tropical and temperate zones such as Africa, Asia, Eastern Europe, South America and Central America. Features of development scleroma in the present case and the complexity of the diagnosis caused by atypical, the rapid development of the disease, the greater prevalence of the process (including the orbit), with the transition to the soft tissues of the cheek bone and upper jaw, which is not typical for scleroma. The process was primarily localized in the left maxillary sinus and mimicked sinusitis. The presence of radicular cysts and darkening of the left maxillary sinus on radiographs, taking into account the clinical picture of the disease, were interpreted incorrectly, which led to the establishment of an incorrect diagnosis and subsequent surgical interventions. More targeted and consistent examination of histo-the logical material obtained after three surgical interventions made it possible to identify the characteristic signs scleroma, establish the correct diagnosis and prescribe effective treatment. In our case, we applied Ciprofloxacin course for 3 months at a maximum daily dose of 2000 mg in combination with probiotics. During treatment, it was noted a significant improvement in the patient's well-being, facial pains became less intense, a decrease in the volume of ma tissues of the left cheek and improved nasal breathing.According to literature, the average age of children with unilateral atresia of the choan is six years nine months. Unilateral complete atresia of the choan makes it difficult to diagnose early the initial diagnosis can be established in the second year of life and later, already at school age. In Russian and foreign literature in recent years, cases of diagnosing congenital atresia of choanomas in older children are known, the maximum age of children is 17-18 years, it is noted that such cases are very rare. The article describes the case of congenital unilateral complete bone atresia of the choan in a woman of 30 years. The patient underwent a complete otorhinolaryngological examination and endoscopic choanotomy with the installation of a silicone stent in the hole formed.A description of a clinical case of oligosymptomatic pharyngitis associated with Neisseria gonorrhoeae is presented. On the example of oligosymptomatic localized gonococcal pharyngitis in a sexually active young man, included in the risk group for extragenital forms of sexually transmitted infections, an advantage has been shown molecular biological diagnostic method. Study of the spectrum of microflora of the oropharynx and urethra with assessment sensitivity to antibacterial drugs of representatives of the genus Neisseria isolated during mixed infection oropharynx, demonstrated that non-pathogenic Neisseria species are resistant to cephalosporins III-IV generations. Unrecognized forms of oropharyngeal gonococcal infection, as a consequence of the complications of clinical and diagnostic identification when patients refer to an otolaryngologist or dermatovenerologist, can serve a reservoir of resistant N. gonorrhoeae and a source of intractable gonococcal infection.A rare observation of ossifying fibromyxoid tumor of the larynx in a 23-year-old young man is presented. Surgical intervention, performed in two stages, provided a positive result. With dynamic observation of this patient for three years, continued growth and tumor recurrence were not observed. Due to the fact that ossifying fibromyxoid tumor is rare, differs in the complexity of differential diagnosis and an uncertain prognosis of the course of the disease, registration and dispensary observation of patients with this pathology is necessary.The goal of this paper is to review the pharmacological profile of betahistine and evidence for using it in the treatment of common vestibular disorders. Betahistine is a weak agonist for histamine H1 receptors and strong antagonist for histamine H3 receptors. It demonstrates the maximum benefit in different types of peripheral vertigo, especially in Meniere's disease. The best results in decreasing intensity of vertigo, frequency of attacks and stimulation of vestibular compensation were obtained in daily dose 48 mg during 3 months. In benign paroxysmal positional vertigo betahistine is used to treat residual dizziness after successful treatment of otolithiasis and to reduce the severity of vertigo during repositioning maneuvers. In vestibular neuritis betahistine stimulates central compensation during vestibular rehabilitation. A new once-daily drug formulation of modified-release betahistine is non-inferior to traditional and has a comparable safety profile, and could improve patient adherence. The implication of betahistine in the treatment of central vestibular disorders is under-researched.
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