[The application of registries of accounts of mandatory medical insurance for analysis of compliance of anti-tumor treatment to clinical recommendations].

The article describes the principles of choosing parameters to be included into account registry of mandatory medical insurance system in 2019. The parameters should be applied for retrospective analysis of anti-neoplasm treatment of solid tumors in adults for accordance with clinical recommendations. It is proposed to extend account registries of mandatory medical insurance system with additional 13 parameters, reflecting both tumor type and course of disease and stages of medical care as well.

[The hearing function in the one-year old children with intrauterine growth retardation evaluated by two objective audiological methods].

The objective of the present study was to collect objective information about the hearing function in the prematurely born infants suffering intrauterine growth retardation (IUGR). The audiological examination of 77 patients at the age of 12 months was performed using two different methods making use of distortion product otoacoustic emission (DPOAE) and evoked auditory steady state responses (ASSRs). Hearing disorders were diagnosed in the children presenting with grade II and III IUGR born prior to the 34th week of pregnancy. The results of the study indicate that the children with grade II and III intrauterine growth retardation born earlier than the 34th week of pregnancy are at risk of developing hearing impairment and should be under dynamic audiological observation with the use of two objective methods, namely DPOAE and ASSR.

[Changes in auditory function during first 6 months in premature children with intrauterine growth retardation].

AIM: To define an influence of intrauterine growth restriction to forming of hearing function of preterm infants. PATIENTS AND METHODS: The audiological test by the method of distortion product otoacoustic emission (DPOAE) was performed 3 times (during supposed dates of birth; 3 months old; 6 months old) in 136 premature children born while different gestation periods. Children were divided into 2 groups: premature children with intrauterine growth restriction (IUGR) and premature children with normal weight for their gestation age (normotrophy). RESULTS: During checkup in supposed date of birth of children with IUGR, DPOAE was detected less than children with normotrophy and with the same gestation period. Test results in all 3 months old premature children of gestation period less than 32 weeks were significantly lower in comparison with children of another date of gestation. Results in 6 months old children with IUGR and with normotrophy were almost identical. In 17% of children with IUGR born at term gestation less than 32 weeks of auditory function is not available. Children with normotrophy from the same subgroup lack of auditory function were noted in 12% of cases. CONCLUSIONS: Premature children with IUGR maturing of auditory function is likely not to end in 6 months and can continue after 6 months.