Philosophy of prognosis in surgery
Abstract
The author using a multidisciplinary approach (involving philosophy, mathematics, applied statistics and psychology) has solved a number of theoretical issues of clinical surgery in this article. On the basis of the philosophical (theoretical and, therefore, universal) definition of risk he describes the features of decision-making in routine and emergency surgery, proves the theoretical possibility of predicting the outcomes of the planned surgical intervention and the inability to anticipate the results of emergency surgery.
About the Author
N. A. Kuznetsov
I.M. Sechenov MSMU
Russian Federation
Russian Federation
Nikolaj Anatolievich Kuznetsov, PhD, associate prof. of the chair of faculty surgery № 1 of the therapeutic faculty
6–1 B. Pirogovskaya str., Moscow, 119992
8 (499) 248–75–66
References
1. Hippocrates. Selected books / Trsl. from greek by V.I. Rudnev; comm. by V.I. Karpov. Vol. 1. M.-L. «Biomedgiz». 1936. 736 p.
2. Miller T.A. European literature of Antiquity. Greek literature of the classical period (V–IV centuries B.C.). Prose // The History of World Literature in nine volumes. Vol. 1. M. «Nauka». 1983. P. 381–382.
3. Nedostup A.V. Atrial fibrillation (modern aspects of pathogenesis, clinical manifestations, treatment, prognosis). MD diss. M. 1987. 427 p.
4. Konchalovsky M.P. Selected works. M. «Medgiz». 1961. 347 p.
5. Vasilenko V.Kh. Medical prognosis. Dushanbe. «Donish». 1982. 108 p.
6. Kant I. Works in six volumes. Vol. 6. M. 1966. P. 423.
7. Betyaev S.K. Prognostics: the fi rst steps of science // Vopr. fi losofi i. 2003; 4: 3–13.
8. Mendeleev D.I. Principles of chemistry. Vol. 1–2. 13-th ed. M.-L.: «GTTL». 1947. 473 p.
9. Shevchenko Yu.L., Shikhverdiev N.N., Otochkin A.V. Prognosis in cardiac surgery. St. Petersburg. «Piter Publishing». 1998. 208 p.
10. Tarasova S.A. Mathematical methods of forecasting in medicine // Aktual’nye problem i perspektivy prepodavaniya po matematike. Kursk. 2013: 162–165.
11. Algin A.P. Risk and its role in public life. M. 1989. 187 p.
12. Malinovsky N.N., Leontyeva N.S., Meshalkin I.N., Ovchininsky N.N. Degree of operational risk (the method of clinical assessment and practical signifi cance) // Khirurgiya. 1973; 10: 32–36.
13. Dyachenko P.K., Galkin V.V. Method for the determination and classifi cation of surgical risk // Vestn. khir. 1975; 7: 75–79.
14. Glushkov V.A. On the medical risk and emergency // Klin. khir. 1988; 5: 48–50.
15. Doletsky S.Ya. Risk in surgical and general terms // Khirurgiya. 1992; 2: 3–11.
16. Doletsky S.Ya. Comments on the article written by N.A. Kuznetsov et al. «Operational risk: some problems and methods of analysis» // Khirurgiya. 1991; 11: 99–100.
17. Kuznetsov N.A. Risk situation and the urgent need of surgery (a lecture) // Khirurgiya. 1994; 3: 53–55.
18. Kuznetsov N.A. The diseases of heart and pericardium. In: Surgical diseases: A textbook / Ed. by A.F. Chernousov. M. «GEOTAR-Media». 2010. Ch. 16. P. 528.
19. Gavrilenko A.V., Lisitsky D.A. A prediction of the results of reconstructive operations on the vessels of the lower limbs. M. <MNPI>. 2001. 75 p.
Review
Views:
242
Email this article 