BACKGROUND In 2007 the Georgian government introduced a full state-subsidized Medical Insurance Program for the Poor (MIP) to provide better financial protection and improved access for socially and financially disadvantaged citizens. Studies evaluating MIP have noted its positive impact on financial protection, but find only a marginal impact on improved access. To better assess whether the ef...

from 20 patients with bladder injury due to war trauma, three patients were in critical condition because of extensive bladder injury associated with rectosigmoid injury and septicemia. in these three patients, early supravesical diversion was undertaken using ileal conduit. after stabilization of the patients' condition, undiversion was performed successfully, bringing the patients back t...

Neurologic complications of critical illness require extensive clinical and neurophysiologic evaluation to establish a reliable prognosis. Many sequelae of intensive care unit (ICU) treatment, such as delirium and ICU-acquired weakness, although highly associated with adverse outcomes, are less suitable for prognostication, but should rather prompt clinicians to seek previously unnoticed persis...

The affectiveness of dispensary records has been studied by examining ambulance 460 patients with chronical illnesses. following results defined: recovered 2.1%, satisfactory 70.2%, stabile 2,2%,disability 4.5%,the illness got worse 2.5%.