Tuberculosis incidence today is an urgent health care problem and one of the leading causes of mortality in Ukraine and the world, therefore research into the factors that cause morbidity is important for the prevention of the spread of the disease.In the 20th century, O. L. Chyzhevsky, who is the founder of heliobiology and heliosociology, proved with numerous studies the influence of solar activity on epidemic diseases, in particular, flu, plague, cholera, typhus, etc. We continue his research by studying the effect of solar activity on epidemic and non-epidemic diseases, accidents, mortality, etc.A close connection between the average annual fluctuations of solar activity and the dynamics of tuberculosis incidence was revealed. Moreover, the effect is exerted by the magnetic Wolff numbers, that is, the polarity of the solar magnetic fluxes is important. This influence causes the 22-year duration of the tuberculosis cycle. A model of linear dependence was built, which takes into account the 5-year lag in the dynamics of morbidity relative to solar activity. This model contains an autoregressive variable which takes into account the dependence of the incidence on its value in the previous year. Based on this model, an incidence forecast was made, according to which the incidence is expected to increase in the next four years. The experience of forecasting the influence of solar activity on the state of health, psyche and behavior of people, which is published weekly in the newspaper «Narodne slovo» of the Kropyvnytskyi, is demonstrated.
A retrospective analysis of 150 clinical cases of surgical treatment of lumbar herniated discs in patients who underwent endoscopic transforaminal microdiscectomy has been performed. This technique allows minimally invasive insertion of the endoscope into the spinal canal under local anaesthesia to decompress the nerve root by removing hernial protrusion under visual control. However, this technique is not universal and cannot be applied to all patients. Considerable practical experience has shown that the surgeon may encounter certain technical difficulties in cases of cranial or caudal sequester migration and in some cases the access at L5-S1 level is difficult due to the high standing of the iliac crest. However, if there are correct indications, this technique allows solving the problem of radicular compression syndrome in a short time.It is noted that endoscopic transforaminal microdiscectomy is a modern minimally invasive technique that has a number of advantages over open microdiscectomy: minimal damage to soft tissues and minimal contact with nervous structures; does not require general anesthesia, can be performed under local anesthesia, which is fundamental for people of the older age group and somatically burdened patients with comorbid pathology; x good visualization of intracanal structures under optical magnification reduces the risk of nerve root damage; minimal risk of infectious complications; direct access to the extrusion through the natural foraminal opening; coagulation of epidural vessels using a radio frequency electrode with a working temperature of up to 42 degrees Celsius reduces the risk of epidural fibrosis, unlike a traditional electrocoagulator; quick postoperative recovery reduces the number of days of incapacity for work.