Age and professional characteristics of loss of work time by middle medical personnel]

Wast of working time and distraction from basic duties over a period of one year in different age and professional groups of the paramedical personnel were studied in 2 regions and 1 territory of the RSFSR. The investigation showed that on all occasions and on account of all causes the waste of productive time and distraction from primary duties occurred among the personnel of young age. In senior age groups this figures were noted to be on decline. Essential age-specific features common to the frequency and duration of lost working time and distraction from basic duties were found to be associated with temporary incapacitation, leaves of absence due to pregnancy and confinement, care of children, etc. The existence of a definite connection of the factors under study and posts occupied by paramedical workers was established.     

Malignization of pyloric ulcer

214 patients with pyloric ulcer were examined. All of them underwent endoscopic examination of the upper parts of the gastrointestinal tract. Malignant pyloric ulcer was detected in 20 patients; 19 of them were operated on. Histological examination of the resected material established malignant transformation of chronic ulcer in 9 patients out of 20 (4.4% of all cases of chronic pyloric ulcer). A concept of pylorobulbaric ulcer is suggested. It was found that this type of ulcer may undergo malignant transformation, too. Endoscopy proved to be the major diagnostic method in identification of malignant pyloric ulcer. The results of endoscopic examination with aiming biopsy provide the basis for determining the extent of surgical procedure. Endoscopic symptoms of malignant pyloric ulcer are discussed. It is noted that the latter were absent in one third of cases. No malignancies were detected in those cases during surgery, either.