Nadezhda L. Erokina, Alexander V. Lepilin, Yuri M. Raigorodsky, Galiya R. Bakhteeva, Tatiana V. Rogatina, Svetlana S. Savelyeva
Objective: to analyze the clinical effectiveness of apparatus rehabilitation in patients with maxillofacial pathology. Review writing methodology. The review of 15 publications is given in the article, where the results of research work of the employees of the Department of Dentistry of Surgical and Maxillofacial Surgery of V. I. Razumovsky Saratov State Medical University in the development of rehabilitation methods for patients with maxillofacial pathology during the period of thirty years (from 1995 to 2022) are presented. Employees of the Department of Dentistry of Surgical and Maxillofacial Surgery have substantiated the use of apparatus rehabilitation methods in the treatment of patients with the most widespread maxillofacial pathology. Conclusion. With the participation of staff of the Department of Dentistry of Surgical and Maxillofacial Surgery were created apparatus rehabilitation for physiotherapy, which meet the requirements of our time, which showed high efficiency in treating patients with the most common in the practice of the doctor's pathology of maxillofacial region. Patents for apparatus rehabilitation and methods of treatment of patients with head and neck diseases were received.
{"title":"Analysis of clinical effectiveness of hardware rehabilitation in patients with maxillofacial area pathologies (review)","authors":"Nadezhda L. Erokina, Alexander V. Lepilin, Yuri M. Raigorodsky, Galiya R. Bakhteeva, Tatiana V. Rogatina, Svetlana S. Savelyeva","doi":"10.15275/ssmj1902136","DOIUrl":"https://doi.org/10.15275/ssmj1902136","url":null,"abstract":"Objective: to analyze the clinical effectiveness of apparatus rehabilitation in patients with maxillofacial pathology. Review writing methodology. The review of 15 publications is given in the article, where the results of research work of the employees of the Department of Dentistry of Surgical and Maxillofacial Surgery of V. I. Razumovsky Saratov State Medical University in the development of rehabilitation methods for patients with maxillofacial pathology during the period of thirty years (from 1995 to 2022) are presented. Employees of the Department of Dentistry of Surgical and Maxillofacial Surgery have substantiated the use of apparatus rehabilitation methods in the treatment of patients with the most widespread maxillofacial pathology. Conclusion. With the participation of staff of the Department of Dentistry of Surgical and Maxillofacial Surgery were created apparatus rehabilitation for physiotherapy, which meet the requirements of our time, which showed high efficiency in treating patients with the most common in the practice of the doctor's pathology of maxillofacial region. Patents for apparatus rehabilitation and methods of treatment of patients with head and neck diseases were received.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: identification of variability in the size and shape of the sacrum of men and women of the Middle and Lower Volga regions. Material and methods. Macerated sacrums 21 men aged 18-75 and 21 women aged 22-85. Osteometry was performed according to the method of V. P. Alekseev. Results. In the sacrum of men, the sagittal diameter (by 3 mm, p<0.001) and width of the body of the first vertebra (by 4 mm, p=0.003), height (by 8 mm, p=0.006) and width (by 5 mm, p<0.001) predominate) ear-shaped surfaces, the lower width of the sacrum (by 7 mm, p=0.007). In the sacrums of women, the upper width of the pelvic surface (by 7 mm, p=0.008) and the sagittal diameter of the sacral canal (by 1 mm, p=0.007) predominate. The index of narrowing of the sacrum as a whole (63.8% in men, 58.5% in women) and the index of narrowing in the lower part (75.5% in men, 69% in women) demonstrate a high level of statistical significance of differences (by 5.3%, p=0.001, and 6.5%, p=0.008, respectively). Conclusion. The revealed variability in the size and shape of the sacrum of men and women of the Middle and Lower Volga regions lies in the large size of the body of the first vertebra and ear-shaped surface of the male sacrum, which is less narrowed in the lower part than the female one, while in women the sacrum has a greater degree of narrowing from top to bottom.
目的:鉴定伏尔加河中下游地区男女骶骨大小和形状的可变性。材料和方法。浸渍骶骨21名男性18-75岁，21名女性22-85岁。骨测量采用V. P. Alekseev方法。结果。在男性的骶骨中，矢状面直径(增加3毫米，p= 0.001)和第一椎体的宽度(增加4毫米，p=0.003)，高度(增加8毫米，p=0.006)和宽度(增加5毫米，p= 0.001)占主导地位，骶骨的下宽度(增加7毫米，p=0.007)。在女性的骶骨中，骨盆表面的上宽度(增加7毫米，p=0.008)和骶管的矢状直径(增加1毫米，p=0.007)占主导地位。骶骨整体狭窄指数(男性63.8%，女性58.5%)和骶骨下段狭窄指数(男性75.5%，女性69%)差异具有高度统计学意义(分别为5.3%，p=0.001和6.5%，p=0.008)。结论。伏尔加河中下游地区男女在骶骨大小和形状上的差异在于，男性第一椎体体积较大，骶骨呈耳形，下半部分的狭窄程度低于女性，而女性骶骨从上到下的狭窄程度更大。
{"title":"Variability in size and shape of male and female sacrum in the middle and lower Volga regions","authors":"Sergey A. Peregoroda, Alexander A. Zaichenko","doi":"10.15275/ssmj1902189","DOIUrl":"https://doi.org/10.15275/ssmj1902189","url":null,"abstract":"Objective: identification of variability in the size and shape of the sacrum of men and women of the Middle and Lower Volga regions. Material and methods. Macerated sacrums 21 men aged 18-75 and 21 women aged 22-85. Osteometry was performed according to the method of V. P. Alekseev. Results. In the sacrum of men, the sagittal diameter (by 3 mm, p<0.001) and width of the body of the first vertebra (by 4 mm, p=0.003), height (by 8 mm, p=0.006) and width (by 5 mm, p<0.001) predominate) ear-shaped surfaces, the lower width of the sacrum (by 7 mm, p=0.007). In the sacrums of women, the upper width of the pelvic surface (by 7 mm, p=0.008) and the sagittal diameter of the sacral canal (by 1 mm, p=0.007) predominate. The index of narrowing of the sacrum as a whole (63.8% in men, 58.5% in women) and the index of narrowing in the lower part (75.5% in men, 69% in women) demonstrate a high level of statistical significance of differences (by 5.3%, p=0.001, and 6.5%, p=0.008, respectively). Conclusion. The revealed variability in the size and shape of the sacrum of men and women of the Middle and Lower Volga regions lies in the large size of the body of the first vertebra and ear-shaped surface of the male sacrum, which is less narrowed in the lower part than the female one, while in women the sacrum has a greater degree of narrowing from top to bottom.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Igor E. Aznauryan, Alexander A. Shpak, Victoria O. Balasanyan, Satenik G. Agagulyan
Objective: to compare the effectiveness of new method of sensory fusion recovery in patients with personalized adjustment of the frequency of alternation of liquid crystal glasses (LCG) compared with the empirical selection of the frequency of alternation. Material and methods. The study included 39 patients with concomitant convergent strabismus with orthotropy and no sensory fusion after surgical treatment of strabismus, who were prescribed LCG. The glasses were programmed empirically at 2 Hz in 21 patients (empiric group), in 18 patients — using the developed formula for calculating the frequency of alternation of LCG (calculated group). The compared groups did not differ in gender, age, visual acuity, and other characteristics. Results. Recovery of sensory fusion occurred more often with LCG in calculated group (16 patients, 88.9%) than in empiric group (9 patients, 42.9%), the difference is highly reliable (p=0.001). Conclusions. Anew method for personalized selection of the frequency of alternating LCG using video oculography is more efficient than empirical programming for sensory fusion restoration in children after surgery for concomitant convergent strabismus.
{"title":"Comparison of sensory fusion recovery in different types programming of liquid crystal glasses","authors":"Igor E. Aznauryan, Alexander A. Shpak, Victoria O. Balasanyan, Satenik G. Agagulyan","doi":"10.15275/1902121","DOIUrl":"https://doi.org/10.15275/1902121","url":null,"abstract":"Objective: to compare the effectiveness of new method of sensory fusion recovery in patients with personalized adjustment of the frequency of alternation of liquid crystal glasses (LCG) compared with the empirical selection of the frequency of alternation. Material and methods. The study included 39 patients with concomitant convergent strabismus with orthotropy and no sensory fusion after surgical treatment of strabismus, who were prescribed LCG. The glasses were programmed empirically at 2 Hz in 21 patients (empiric group), in 18 patients — using the developed formula for calculating the frequency of alternation of LCG (calculated group). The compared groups did not differ in gender, age, visual acuity, and other characteristics. Results. Recovery of sensory fusion occurred more often with LCG in calculated group (16 patients, 88.9%) than in empiric group (9 patients, 42.9%), the difference is highly reliable (p=0.001). Conclusions. Anew method for personalized selection of the frequency of alternating LCG using video oculography is more efficient than empirical programming for sensory fusion restoration in children after surgery for concomitant convergent strabismus.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vladimir A. Chekhonatskiy, Oleg N. Dreval, Aleksandr V. Kuznetsov, Aleksandr V. Gorozhanin, Andrei A. Shestakov, Maksim M. Budanov, Larisa A. Sidneva
Objective: to demonstrate the result of successful treatment of a patient with cystic vestibular schwannoma. Currently, there is no single approach to choosing a surgical treatment method of cystic vestibular schwannoma. When choosing tactics, neurosurgeons are guided, as a rule, by the location of the tumor and the thickness of its walls. Emptying the cyst can also lead to a change in the existing relationship of the tumor with neighboring structures, especially with the facial nerve. The chosen method of treatment of this disease in the form of total removal of cystic vestibular schwannoma under the control of neurophysiological monitoring made it possible to achieve early activation of the patient and avoid postoperative complications, preserve the function the facial and trigeminal nerves involved in the tumor capsule.
{"title":"Surgical treatment of cystic vestibular schwannoma (clinical case)","authors":"Vladimir A. Chekhonatskiy, Oleg N. Dreval, Aleksandr V. Kuznetsov, Aleksandr V. Gorozhanin, Andrei A. Shestakov, Maksim M. Budanov, Larisa A. Sidneva","doi":"10.15275/ssmj1902159","DOIUrl":"https://doi.org/10.15275/ssmj1902159","url":null,"abstract":"Objective: to demonstrate the result of successful treatment of a patient with cystic vestibular schwannoma. Currently, there is no single approach to choosing a surgical treatment method of cystic vestibular schwannoma. When choosing tactics, neurosurgeons are guided, as a rule, by the location of the tumor and the thickness of its walls. Emptying the cyst can also lead to a change in the existing relationship of the tumor with neighboring structures, especially with the facial nerve. The chosen method of treatment of this disease in the form of total removal of cystic vestibular schwannoma under the control of neurophysiological monitoring made it possible to achieve early activation of the patient and avoid postoperative complications, preserve the function the facial and trigeminal nerves involved in the tumor capsule.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mikhail P. Khokhlov, Andrey B. Peskov, Elena E. Yudina, Tatyana S. Golubtsova, Irina R. Kerova, Svetlana A. Pribylova, Valeriy V. Gnoevykh
Objective: to evaluate the frequency, structure and severity of adverse events (AEs) likely associated with computerized electroacupuncture (CEAP) in the complex treatment of diseases of internal organs. Metodology of review. Nine own studies were analyzed, which involved 639 patients suffering from bronchial asthma (BA), chronic obstructive pulmonary disease (COPD) and irritable bowel syndrome (IBS). Patients of the main groups, in addition to standard therapy, received courses of CEAP according to a certain scheme. The frequency, severity, structure and relationship of AEs with CEAP were assessed. Conclusion. The use of CEAP in the treatment of patients with IBS is not associated with an increase in the number of AEs. The frequency of AEs, probably associated with the use of CEAP, did not exceed 2.5 cases per 100 people per one course of CEAP.
{"title":"Safety of using computer electroacupuncture in the treatment of internal diseases (systematic review)","authors":"Mikhail P. Khokhlov, Andrey B. Peskov, Elena E. Yudina, Tatyana S. Golubtsova, Irina R. Kerova, Svetlana A. Pribylova, Valeriy V. Gnoevykh","doi":"10.15275/ssmj1902164","DOIUrl":"https://doi.org/10.15275/ssmj1902164","url":null,"abstract":"Objective: to evaluate the frequency, structure and severity of adverse events (AEs) likely associated with computerized electroacupuncture (CEAP) in the complex treatment of diseases of internal organs. Metodology of review. Nine own studies were analyzed, which involved 639 patients suffering from bronchial asthma (BA), chronic obstructive pulmonary disease (COPD) and irritable bowel syndrome (IBS). Patients of the main groups, in addition to standard therapy, received courses of CEAP according to a certain scheme. The frequency, severity, structure and relationship of AEs with CEAP were assessed. Conclusion. The use of CEAP in the treatment of patients with IBS is not associated with an increase in the number of AEs. The frequency of AEs, probably associated with the use of CEAP, did not exceed 2.5 cases per 100 people per one course of CEAP.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"209 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: to present current data on the efficacy and safety of phakic intraocular lenses in keratoconus to correct ametropia in patients with stabilized keratoconus. Methods. The PubMed and Google Academy databases were used to search for articles. Queries were formulated taking into account the main topic of the review; the main key search phrases were: "phakic intraocular lenses", "keratoconus" in Russian and English. These keywords were used to find 72 articles. A total of 26 literature references published between 2003 and 2021 were used in this review. Conclusion. The studies presented so far indicate sufficient predictability and efficacy of the above technique. However, there are certain difficulties and possible side effects associated with this method. One of the main problems in the use of phakic intraocular lenses in patients with keratoconus is the difficulty in calculating the lens power, especially the toric component.
{"title":"Phakic intraocular lens implantation in patients with stabilized keratoconus: Current state of the issue (review)","authors":"Anton D. Kazantsev, Segrey V. Kostenev","doi":"10.15275/ssmj1902128","DOIUrl":"https://doi.org/10.15275/ssmj1902128","url":null,"abstract":"Objective: to present current data on the efficacy and safety of phakic intraocular lenses in keratoconus to correct ametropia in patients with stabilized keratoconus. Methods. The PubMed and Google Academy databases were used to search for articles. Queries were formulated taking into account the main topic of the review; the main key search phrases were: \"phakic intraocular lenses\", \"keratoconus\" in Russian and English. These keywords were used to find 72 articles. A total of 26 literature references published between 2003 and 2021 were used in this review. Conclusion. The studies presented so far indicate sufficient predictability and efficacy of the above technique. However, there are certain difficulties and possible side effects associated with this method. One of the main problems in the use of phakic intraocular lenses in patients with keratoconus is the difficulty in calculating the lens power, especially the toric component.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"209 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364339","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: To establish the effect of the administration of tartrazine for 60 days, as well as Mexidol® under these conditions, on the structural features of the parafollicular cells of the rat's thyroid gland at the electron microscopic level. Material and methods. Thirty white male rats weighing 200-210 g were divided into five groups six rats each. The Group I is the control; the Groups II and III — rats received tartrazine at a concentration of 750 and 1500 mg/kg for 60 days; the Groups IV and V — under similar conditions Mexidol® was administered at the rate of 50 mg/kg. Qualitative changes in parafollicular cells were studied using electron microscopy, and quantitative changes — by morphometry Results. The fine-grained or fibrous contents were detected in the cisterns of the rough endoplasmic reticulum, and areas of the destroyed matrix in some mitochondria after exposure to tartrazine. The ratio of area eu-chromatin/heterochromatin decreased in the Groups II and III by 5.7% and 56.9%, respectively, and the diameter of secretory granules — by 12.3% and 19%, respectively, compared with the Group I. The ratio of area euchromatin/het-erochromatin increased by 79.6% in Group V, and diameter of secretory granules — by 8.2% and 6.5% in the Groups IV and V respectively, compared with the data of the Groups II and III. Conclusions. The introduction of tartrazine in different doses for 60 days causes dose-dependent qualitative and quantitative changes in the ultrastructure of parafollicular cells, and the introduction of Mexidol® against this background causes a decrease in their severity.
{"title":"Electronic microscopic features of parafollicular cells of rat's thyroid gland after 60 days introduction of tartrazine and Mexidol®","authors":"Vladyslav I. Luzin, Vitaly N. Morozov","doi":"10.15275/ssmj1902194","DOIUrl":"https://doi.org/10.15275/ssmj1902194","url":null,"abstract":"Objective: To establish the effect of the administration of tartrazine for 60 days, as well as Mexidol® under these conditions, on the structural features of the parafollicular cells of the rat's thyroid gland at the electron microscopic level. Material and methods. Thirty white male rats weighing 200-210 g were divided into five groups six rats each. The Group I is the control; the Groups II and III — rats received tartrazine at a concentration of 750 and 1500 mg/kg for 60 days; the Groups IV and V — under similar conditions Mexidol® was administered at the rate of 50 mg/kg. Qualitative changes in parafollicular cells were studied using electron microscopy, and quantitative changes — by morphometry Results. The fine-grained or fibrous contents were detected in the cisterns of the rough endoplasmic reticulum, and areas of the destroyed matrix in some mitochondria after exposure to tartrazine. The ratio of area eu-chromatin/heterochromatin decreased in the Groups II and III by 5.7% and 56.9%, respectively, and the diameter of secretory granules — by 12.3% and 19%, respectively, compared with the Group I. The ratio of area euchromatin/het-erochromatin increased by 79.6% in Group V, and diameter of secretory granules — by 8.2% and 6.5% in the Groups IV and V respectively, compared with the data of the Groups II and III. Conclusions. The introduction of tartrazine in different doses for 60 days causes dose-dependent qualitative and quantitative changes in the ultrastructure of parafollicular cells, and the introduction of Mexidol® against this background causes a decrease in their severity.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"135 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elena I. Belikova, Denis V. Gatilov, Igor G. Ovechkin, Erika N. Eskina, Vladimir Ye. Yudin
Laser keratomileusis in situ (LASIK) is the most common refractive surgery in young patients, the goal of which is to provide high distance vision without the use of glasses. One of the topical aspects of assessing the clinical effectiveness of LASIK is the dynamics of the accommodative function of the eye, which is a professionally significant function of the visual analyzer in patients with visually stressful work (VSW). Three clinical cases are presented, reflecting various states of accommodation (normal, habitual excessive tension of accommodation, asthenic form of accommodative asthenopia), diagnosed (based on the method of objective accommodation and the "quality of life" questionnaire "Computer visual syndrome — 22" in patients with VSW before LASIK. It was determined that that LASIK for various degrees of myopia in patients with VSW requires a comprehensive consideration from the standpoint of diagnosis and (or) correction of accommodative asthenopia based on a personalized approach that takes into account the main types of asthenopia. Correct diagnostics provides adequate treatment from the standpoint of choosing both the actual method (physical factor) and the required optical, amplitude and time parameters of exposure.
{"title":"Accommodation disorders in patients with visually intensive labor before LASIK in myopia (clinical cases)","authors":"Elena I. Belikova, Denis V. Gatilov, Igor G. Ovechkin, Erika N. Eskina, Vladimir Ye. Yudin","doi":"10.15275/ssmj1902125","DOIUrl":"https://doi.org/10.15275/ssmj1902125","url":null,"abstract":"Laser keratomileusis in situ (LASIK) is the most common refractive surgery in young patients, the goal of which is to provide high distance vision without the use of glasses. One of the topical aspects of assessing the clinical effectiveness of LASIK is the dynamics of the accommodative function of the eye, which is a professionally significant function of the visual analyzer in patients with visually stressful work (VSW). Three clinical cases are presented, reflecting various states of accommodation (normal, habitual excessive tension of accommodation, asthenic form of accommodative asthenopia), diagnosed (based on the method of objective accommodation and the \"quality of life\" questionnaire \"Computer visual syndrome — 22\" in patients with VSW before LASIK. It was determined that that LASIK for various degrees of myopia in patients with VSW requires a comprehensive consideration from the standpoint of diagnosis and (or) correction of accommodative asthenopia based on a personalized approach that takes into account the main types of asthenopia. Correct diagnostics provides adequate treatment from the standpoint of choosing both the actual method (physical factor) and the required optical, amplitude and time parameters of exposure.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Vera V. Ryndina, Irina V. Pashina, Aleksey V. Breusov
Objective: to analysis of indicators of preventive medical examinations and dispenserization of the adult population of Kursk, districts and the Kursk region as a whole, development of medical and organizational measures to achieve planned indicators. Material and methods. Analysis of data from form 131 and copying of information from the summary reports of medical institutions by cluster analysis and grouping of indicators depending on the achievement of the plan, extensive indicators were calculated, the results are presented in bar charts. Results. All districts and cities of the Kursk region are divided into three clusters. The first cluster (at least one of the features must reach 100% fulfillment) included 6 districts. The second cluster (districts with the implementation of the plan from 50%) included 21 districts and three cities of the Kursk region. The third cluster (districts with the implementation of the plan up to 50%) included 1 district. Conclusion. The analysis made it possible to identify areas with a low level of completeness of coverage of the adult population with preventive medical examinations and dispenserization. In these areas, it is necessary to resume the work of volunteer detachments with the population to educate them in order to achieve the planned indicators.
{"title":"The results of periodic and dispensary medical examination of Kursk Region population in 2022","authors":"Vera V. Ryndina, Irina V. Pashina, Aleksey V. Breusov","doi":"10.15275/ssmj1902183","DOIUrl":"https://doi.org/10.15275/ssmj1902183","url":null,"abstract":"Objective: to analysis of indicators of preventive medical examinations and dispenserization of the adult population of Kursk, districts and the Kursk region as a whole, development of medical and organizational measures to achieve planned indicators. Material and methods. Analysis of data from form 131 and copying of information from the summary reports of medical institutions by cluster analysis and grouping of indicators depending on the achievement of the plan, extensive indicators were calculated, the results are presented in bar charts. Results. All districts and cities of the Kursk region are divided into three clusters. The first cluster (at least one of the features must reach 100% fulfillment) included 6 districts. The second cluster (districts with the implementation of the plan from 50%) included 21 districts and three cities of the Kursk region. The third cluster (districts with the implementation of the plan up to 50%) included 1 district. Conclusion. The analysis made it possible to identify areas with a low level of completeness of coverage of the adult population with preventive medical examinations and dispenserization. In these areas, it is necessary to resume the work of volunteer detachments with the population to educate them in order to achieve the planned indicators.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ruoshi Wang, Ildar F. Akhtyamov, Bulat G. Ziatdinov, Gulnara M. Faizrakhmanova
Objective: to assess the possible effect of excess body weight on the results of surgical treatment of osteoarthritis of the ankle. Material and methods. 134 patients with moderate to advanced ankle osteoarthritis who underwent supramallear osteotomy or ankle arthrodesis. Patients were divided into 4 groups according to Body Mass Index: A) underweight (BMI≤18.5 kg / m2), B) normal weight (18.530 kg / m2). All patients were followed up for more than 6 months. All patients were evaluated physically, as well as by VAS (Visual Analog Scale) and AOFAS (American Orthopaedic Foot and Ankle Society). Results. The AOFAS and VAS at 3 months and 6 months after surgery were significantly better in all four groups compared to the preoperative scores. A comparison of the preoperative AOFAS and VAS scores showed no significant difference between the four groups (p=0.505, p=0.779). A comparison of the AOFAS and VAS 6 months after surgery revealed no significant difference between the four groups (p=0.313, p=0.711). Conclusions. For the middle and late stages of osteoarthritis, regardless of the level of the patient’s Body Mass Index, supramalleolar osteotomy, as well as ankle arthrodesis, showed the greatest effectiveness. During the early rehabilitation period, an increase in Body Mass Index had no negative effect on pain and functional recovery after ankle surgery.
目的:探讨体重过重对踝关节骨性关节炎手术治疗效果的可能影响。材料和方法。134例中晚期踝关节骨性关节炎患者行踝上截骨术或踝关节融合术。根据体重指数将患者分为4组:A)体重过轻(BMI≤18.5 kg / m2)， B)体重正常(18.5<BMI≤25 kg / m2)， C)体重过重(25<BMI≤30 kg / m2)， D)肥胖(BMI≤30 kg / m2)。所有患者均随访6个月以上。所有患者均进行体格评估，并采用视觉模拟量表(VAS)和AOFAS (American Orthopaedic Foot and Ankle Society)。结果。4组患者术后3个月和6个月的AOFAS和VAS评分均明显优于术前。术前AOFAS评分与VAS评分比较，四组间差异无统计学意义(p=0.505, p=0.779)。术后6个月AOFAS与VAS比较，四组间差异无统计学意义(p=0.313, p=0.711)。结论。对于中晚期骨关节炎，无论患者的身体质量指数水平如何，踝上截骨术和踝关节融合术都显示出最大的效果。在康复早期，体重指数的增加对踝关节手术后的疼痛和功能恢复没有负面影响。
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