Tatyana G. Kamenskikh, Ekaterina V. Veselova, Igor O. Kolbenev, Darya P. Martynova
Objective: to conduct a comparative analysis of the parameters of the optic nerve head, retinal ganglion cells and microcirculation parameters in patients with primary open-angle glaucoma (POAG) of various stages in achieving the target intraocular pressure using the method of optical coherence angiotomography. Material and methods. 87 patients (87 eyes) with POAG were examined. Group 1 — 26 patients (26 eyes) with stage I POAG, group 2 — 19 patients (19 eyes) with stage II glaucoma, group 3 — 24 patients (24 eyes) with stage III glaucoma. Group 4 (control group) — 18 patients (36 eyes) without signs of glaucoma. Optical coherence tomography was performed on patients, angio-OCT scans 6.4x6.4 of the macula and optic nerve head were used. Results. The thickness of the nerve fiber layer (RNFL) was 94.00±10.54 urn in patients with stage I POAG, 48.00±1.00 urn and 41.00±1.73 urn in patients with stage II and III POAG, respectively, moreover, a more sensitive indicator is the RNFL in the lower peri-papillary zone (Inf RNFL). The thickness of the layer of retinal ganglion cells (RGCs) in patients with stage I POAG was 96.33±4.62 urn, with II — 70.33±1.53 urn, with III — 64.33±11.93 urn. The density of blood vessels in the area of the optic disc differed from the norm in patients with stages II and III of POAG (42.23±4.95 and 35.10±1.80, respectively). Conclusion. In patients with different stages of POAG, the greatest differences were found in RNFL in the lower segment, the area of the neuroretinal rim, the values of focal and global GCS loss, and the density of the vascular bed in the lower half of the peripapillary zone.
{"title":"Comparative analysis of optical coherent angiotomography in patients with primary open-angle glaucoma","authors":"Tatyana G. Kamenskikh, Ekaterina V. Veselova, Igor O. Kolbenev, Darya P. Martynova","doi":"10.15275/ssmj1902132","DOIUrl":"https://doi.org/10.15275/ssmj1902132","url":null,"abstract":"Objective: to conduct a comparative analysis of the parameters of the optic nerve head, retinal ganglion cells and microcirculation parameters in patients with primary open-angle glaucoma (POAG) of various stages in achieving the target intraocular pressure using the method of optical coherence angiotomography. Material and methods. 87 patients (87 eyes) with POAG were examined. Group 1 — 26 patients (26 eyes) with stage I POAG, group 2 — 19 patients (19 eyes) with stage II glaucoma, group 3 — 24 patients (24 eyes) with stage III glaucoma. Group 4 (control group) — 18 patients (36 eyes) without signs of glaucoma. Optical coherence tomography was performed on patients, angio-OCT scans 6.4x6.4 of the macula and optic nerve head were used. Results. The thickness of the nerve fiber layer (RNFL) was 94.00±10.54 urn in patients with stage I POAG, 48.00±1.00 urn and 41.00±1.73 urn in patients with stage II and III POAG, respectively, moreover, a more sensitive indicator is the RNFL in the lower peri-papillary zone (Inf RNFL). The thickness of the layer of retinal ganglion cells (RGCs) in patients with stage I POAG was 96.33±4.62 urn, with II — 70.33±1.53 urn, with III — 64.33±11.93 urn. The density of blood vessels in the area of the optic disc differed from the norm in patients with stages II and III of POAG (42.23±4.95 and 35.10±1.80, respectively). Conclusion. In patients with different stages of POAG, the greatest differences were found in RNFL in the lower segment, the area of the neuroretinal rim, the values of focal and global GCS loss, and the density of the vascular bed in the lower half of the peripapillary zone.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"79 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":"136364341","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}
Alexandr S. Demin, Andrey P. Sereda, Dmitrii G. Parfeev, Alexandr I. Avdeev, Alisagib A. Dzhavadov, Eduard D. Sulimov
Objective: to adapt the Russian version of the 1998 Oxford Knee Score (OKS) to assess the level of pain and function of the knee joint in patients both before and after primary knee arthroplasty. Material and methods. Validation and cross-cultural adaptation of the Russian version of OKS has been completed. A patient survey was conducted, and according to its results, the filling rates of both Russian-language versions of OKS were assessed, based on the criteria developed in the course of the current study. The following parameters were also evaluated in our study: validity, internal fit (Cronbach's a), reproducibility, ceiling/floor effect, filling rate, mean score, mean age of patients. Results. The study involved 200 patients hospitalized for primary knee arthroplasty. 167 of them (83%) were women, mean age 64.4 (SD 8.2) and 33 (17%) men, mean age 64 (SD 9.7). Validity index — 0.73, p<0.001, Cronbach's a — 0.864, reproducibility — 0.93 (0.76-0.98), ceiling effect in questions 1, 2, 3, 4; gender effect in questions 5, 7, 10, 11. Conclusion. The new Russian version of OKS, in comparison with the previous version, showed an improvement in the examined criteria for the comparison of the occupancy rates by 6, 9, 11 and 16%, respectively (p<0.05 for each of the criteria).
{"title":"Adaptation of the Russian version of Oxford Knee Score","authors":"Alexandr S. Demin, Andrey P. Sereda, Dmitrii G. Parfeev, Alexandr I. Avdeev, Alisagib A. Dzhavadov, Eduard D. Sulimov","doi":"10.15275/ssmj1902153","DOIUrl":"https://doi.org/10.15275/ssmj1902153","url":null,"abstract":"Objective: to adapt the Russian version of the 1998 Oxford Knee Score (OKS) to assess the level of pain and function of the knee joint in patients both before and after primary knee arthroplasty. Material and methods. Validation and cross-cultural adaptation of the Russian version of OKS has been completed. A patient survey was conducted, and according to its results, the filling rates of both Russian-language versions of OKS were assessed, based on the criteria developed in the course of the current study. The following parameters were also evaluated in our study: validity, internal fit (Cronbach's a), reproducibility, ceiling/floor effect, filling rate, mean score, mean age of patients. Results. The study involved 200 patients hospitalized for primary knee arthroplasty. 167 of them (83%) were women, mean age 64.4 (SD 8.2) and 33 (17%) men, mean age 64 (SD 9.7). Validity index — 0.73, p<0.001, Cronbach's a — 0.864, reproducibility — 0.93 (0.76-0.98), ceiling effect in questions 1, 2, 3, 4; gender effect in questions 5, 7, 10, 11. Conclusion. The new Russian version of OKS, in comparison with the previous version, showed an improvement in the examined criteria for the comparison of the occupancy rates by 6, 9, 11 and 16%, respectively (p<0.05 for each of the criteria).","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"79 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":"136364946","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}
Tatyana E. Romanova, Olga P. Abaeva, Sergey V. Romanov
Objective: to study the attitude of doctors and patients of the central district hospital to the use of digital medicine technologies. Material and methods. The study was conducted by a questionnaire survey. 43 doctors and 213 patients of the central district hospital were asked to assess the possibilities of digital tools in solving health problems, the degree of use of Internet platforms in the process of doctor-patient interaction, the level of influence of the Internet on patients' adherence to doctor's recommendations. Results. Only 14.0% of doctors and 5.2% of patients believe that digital technologies can help solve the problem of staff shortage. Currently, 65.1 % of doctors and 23.9% of patients use digital technologies in communication in the doctor-patient system. 55.8% of doctors stated the desire of patients to get information about treatment in Internet sources, but 97.7% of patients trust doctors more than recommendations on the Internet. Among the possible ways of using digital technologies in medicine, patients see the design of referrals (61.0%), prescriptions (50.2%), temporary disability sheets, certificates (29.6%). Conclusions. Most representatives of both the medical community and patients do not see digital technologies as a way to radically solve the problems of personnel shortage in rural areas: only 32.6% of doctors and 19.7% of patients consider it possible to increase the availability of medical care through telemedicine, only 23% of patients considered remote consultations to be in demand. First of all, the prospects of digitalization of healthcare, according to patients, are associated with the optimization of the issuance of documents in the provision of medical care.
{"title":"Attitude of doctors and patients of the central district hospital to using digital health technologies (based on the results of a medical and sociological study)","authors":"Tatyana E. Romanova, Olga P. Abaeva, Sergey V. Romanov","doi":"10.15275/ssmj1902180","DOIUrl":"https://doi.org/10.15275/ssmj1902180","url":null,"abstract":"Objective: to study the attitude of doctors and patients of the central district hospital to the use of digital medicine technologies. Material and methods. The study was conducted by a questionnaire survey. 43 doctors and 213 patients of the central district hospital were asked to assess the possibilities of digital tools in solving health problems, the degree of use of Internet platforms in the process of doctor-patient interaction, the level of influence of the Internet on patients' adherence to doctor's recommendations. Results. Only 14.0% of doctors and 5.2% of patients believe that digital technologies can help solve the problem of staff shortage. Currently, 65.1 % of doctors and 23.9% of patients use digital technologies in communication in the doctor-patient system. 55.8% of doctors stated the desire of patients to get information about treatment in Internet sources, but 97.7% of patients trust doctors more than recommendations on the Internet. Among the possible ways of using digital technologies in medicine, patients see the design of referrals (61.0%), prescriptions (50.2%), temporary disability sheets, certificates (29.6%). Conclusions. Most representatives of both the medical community and patients do not see digital technologies as a way to radically solve the problems of personnel shortage in rural areas: only 32.6% of doctors and 19.7% of patients consider it possible to increase the availability of medical care through telemedicine, only 23% of patients considered remote consultations to be in demand. First of all, the prospects of digitalization of healthcare, according to patients, are associated with the optimization of the issuance of documents in the provision of medical care.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"133 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":"136364948","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}
Daniil M. Puchinyan, Vladimir Yu. Ulyanov, Sergey E. Grishin, Ekaterina V. Gladkova
The article follows all milestones of professor Elena V. Karyakina's scientific career. Her research of the connective tissue biochemistry and designing of medical technologies aimed at improving the efficacy of treatment and surgical management in patients with rheumatoid arthritis and osteoarthrosis of larger joints made a significant contribution to the development of Russian experimental and practical rheumatology.
这篇文章遵循了Elena V. Karyakina教授科学生涯的所有里程碑。她的结缔组织生物化学研究和旨在提高类风湿关节炎和大关节骨关节病患者治疗和手术管理效果的医疗技术设计为俄罗斯实验和实用风湿病学的发展做出了重大贡献。
{"title":"Contribution of professor Elena V Karyakina to the progress of Russian rheumatology","authors":"Daniil M. Puchinyan, Vladimir Yu. Ulyanov, Sergey E. Grishin, Ekaterina V. Gladkova","doi":"10.15275/ssmj1902201","DOIUrl":"https://doi.org/10.15275/ssmj1902201","url":null,"abstract":"The article follows all milestones of professor Elena V. Karyakina's scientific career. Her research of the connective tissue biochemistry and designing of medical technologies aimed at improving the efficacy of treatment and surgical management in patients with rheumatoid arthritis and osteoarthrosis of larger joints made a significant contribution to the development of Russian experimental and practical rheumatology.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"11 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":"136364949","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 assess the impact of peri- and postmenopause and some social-demographic and medical factors on scales of the quality of life (QoL) of women living in Yerevan. Material and methods. Across-sectional study was conducted among 353 women in the >40 age group. WHQ (Women Health Questionnaire) was used for the assessment of quality of life. Results. Negative indicators in peri- and postmenopausal women compared to women with a regular cycle were revealed on the scales "Vasomotor disorders" (0.46±0.05 and 0.51±0.03 vs. 0.17±0.03, p<0.001) and "Anxiety/fears" (0.40±0.04 and 0.38±0.02 vs. 0.27±0.03, p=0.013). The difference only between the groups of postmenopausal women and those with a regular cycle was registered on the scales "Somatic symptoms" (0.53±0.02 vs. 0.49±0.04, p=0.003), "Memory and concentration of attention" (0.47±0.03 vs. 0.39±0.04, p=0.015), Sexual Behavior (0.43±0.03 vs. 0.21±0.03, p<0.001) and "Attractiveness" (0.37±0.03 vs. 0.24±0.04, p=0.015). The presence of chronic diseases had a negative impact on QoL. From socio-demographic characteristics, negative was impact of age, low level of education, lack of employment, unfavorable family and financial status. Conclusions. There was a deterioration in all indicators of the QoL, except "Depressed mood", "Sleep problem", "Menstrual symptoms", in women of peri- and postmenopausal age. Age, low level of education, lack of employment, unfavorable family and financial status, the presence of chronic diseases had a negative impact on the QoL of the study participants.
目的:探讨绝经前后及一些社会人口和医学因素对埃里温妇女生活质量的影响。材料和方法。横断面研究在40岁年龄组的353名妇女中进行。WHQ(妇女健康问卷)用于评估生活质量。结果。在“血管舒缩功能障碍”(0.46±0.05和0.51±0.03 vs. 0.17±0.03,p < 0.001)和“焦虑/恐惧”(0.40±0.04和0.38±0.02 vs. 0.27±0.03,p=0.013)两项指标上，围绝经期和绝经后妇女与月经正常的妇女相比表现为阴性。在“躯体症状”(0.53±0.02 vs. 0.49±0.04,p=0.003)、“记忆和注意力集中”(0.47±0.03 vs. 0.39±0.04,p=0.015)、性行为(0.43±0.03 vs. 0.21±0.03,p<0.001)和“吸引力”(0.37±0.03 vs. 0.24±0.04,p=0.015)方面记录了绝经后妇女组与正常周期妇女组之间的差异。慢性疾病的存在对生活质量有负面影响。从社会人口特征来看，年龄、教育程度低、缺乏就业、家庭和经济状况不佳的影响是负面的。结论。除"情绪低落"、"睡眠问题"、"月经症状"外，围绝经期和绝经后妇女生活质量的所有指标都有所恶化。年龄、受教育程度低、缺乏就业、家庭和经济状况不佳、存在慢性疾病对研究参与者的生活质量有负面影响。
{"title":"Assessment of the quality of life in peri- and postmenopausal women living in Yerevan based on Women's Health Questionnaire","authors":"Lilia R. Mirzoyan, Sergey N. Simonov","doi":"10.15275/ssmj1902174","DOIUrl":"https://doi.org/10.15275/ssmj1902174","url":null,"abstract":"Objective: To assess the impact of peri- and postmenopause and some social-demographic and medical factors on scales of the quality of life (QoL) of women living in Yerevan. Material and methods. Across-sectional study was conducted among 353 women in the >40 age group. WHQ (Women Health Questionnaire) was used for the assessment of quality of life. Results. Negative indicators in peri- and postmenopausal women compared to women with a regular cycle were revealed on the scales \"Vasomotor disorders\" (0.46±0.05 and 0.51±0.03 vs. 0.17±0.03, p<0.001) and \"Anxiety/fears\" (0.40±0.04 and 0.38±0.02 vs. 0.27±0.03, p=0.013). The difference only between the groups of postmenopausal women and those with a regular cycle was registered on the scales \"Somatic symptoms\" (0.53±0.02 vs. 0.49±0.04, p=0.003), \"Memory and concentration of attention\" (0.47±0.03 vs. 0.39±0.04, p=0.015), Sexual Behavior (0.43±0.03 vs. 0.21±0.03, p<0.001) and \"Attractiveness\" (0.37±0.03 vs. 0.24±0.04, p=0.015). The presence of chronic diseases had a negative impact on QoL. From socio-demographic characteristics, negative was impact of age, low level of education, lack of employment, unfavorable family and financial status. Conclusions. There was a deterioration in all indicators of the QoL, except \"Depressed mood\", \"Sleep problem\", \"Menstrual symptoms\", in women of peri- and postmenopausal age. Age, low level of education, lack of employment, unfavorable family and financial status, the presence of chronic diseases had a negative impact on the QoL of the study participants.","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":"136364941","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}
Marina V. Erugina, Irina L. Krom, Galina Y. Sazanova, Diana D. Balakina, Denis O. Arkhipov, Renata T. Nurieva
Objective: to identify the features of oncological examination in dental practice. Material and methods. A survey of patients (n=417) and dentists of various specialties (n=402) was conducted to identify the practice and features of preventive oncological examination of the lips, oral cavity and pharynx. Results. When questioning, 50% of patients noted the incomplete implementation of various constituent elements of a comprehensive oncological examination of the lips, oral cavity and pharynx when visiting a dentist. When questioning dentists, it was revealed that 33% of respondents conduct oncological examinations. Conclusion. According to the results of a sociological study of patients and dentists, a discrepancy between the volume of preventive oncological examination of the lip, oral cavity and pharynx was revealed with the algorithm recommended by the World Health Organization. The Procedure for providing medical care to adults with dental diseases approved by the Ministry of Health of the Russian Federation regulates preventive examinations once every six months, but does not determine the purpose of the examination —the identification of visual forms of malignant neoplasms and precancerous diseases. The card of an outpatient dental patient (Form №043u) requires amendments regarding the inclusion of an algorithm for conducting oncological examination in it.
{"title":"Dentists' and patients' opinion on the oncological examination of the lip, oral cavity and pharynx","authors":"Marina V. Erugina, Irina L. Krom, Galina Y. Sazanova, Diana D. Balakina, Denis O. Arkhipov, Renata T. Nurieva","doi":"10.15275/ssmj1902170","DOIUrl":"https://doi.org/10.15275/ssmj1902170","url":null,"abstract":"Objective: to identify the features of oncological examination in dental practice. Material and methods. A survey of patients (n=417) and dentists of various specialties (n=402) was conducted to identify the practice and features of preventive oncological examination of the lips, oral cavity and pharynx. Results. When questioning, 50% of patients noted the incomplete implementation of various constituent elements of a comprehensive oncological examination of the lips, oral cavity and pharynx when visiting a dentist. When questioning dentists, it was revealed that 33% of respondents conduct oncological examinations. Conclusion. According to the results of a sociological study of patients and dentists, a discrepancy between the volume of preventive oncological examination of the lip, oral cavity and pharynx was revealed with the algorithm recommended by the World Health Organization. The Procedure for providing medical care to adults with dental diseases approved by the Ministry of Health of the Russian Federation regulates preventive examinations once every six months, but does not determine the purpose of the examination —the identification of visual forms of malignant neoplasms and precancerous diseases. The card of an outpatient dental patient (Form №043u) requires amendments regarding the inclusion of an algorithm for conducting oncological examination in it.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"22 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":"136364943","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 E. Halyuta, Svetlana B. Mokhnacheva, Irina G. Dugina, Anastasia D. Kutarenko, Alina A. Fomina
Objective: to determine the species composition of pathogens of acute odontogenic inflammatory processes of the jaws in children, to determine the sensitivity and resistance of the isolated microflora to antibiotics of various groups, as well as to determine the dependence of the characteristics of the clinical course of the disease on the type of dominant pathogen. Material and methods. The analysis of the results of microbiological methods for the study of exudate from purulent odontogenic foci of 900 children, due to periostitis and osteomyelitis of the jaws, was carried out. Results. In 65.6% of cases, the causative agent was Pyogenic streptococcus or group A beta-hemolytic streptococcus (BHSA) ith a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %) and the highest percentage of resistance to macrolides (41%). Streptococcus viridans (6.1%), Streptococcus pneumoniae (4.3%) and others were also isolated; mixed microflora (14.3%). The syndrome of endogenous intoxication of the body was manifested in 56% of cases by fever, in 38% by leukocytosis, in 57.4% by accelerated ESR. There was no statistically significant difference in the degree of endogenous intoxication in groups with different types of streptococcus. Conclusions. The cause of the inflammatory process of the jaws in 65.6% of cases was BHSA with a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %).
{"title":"Microbiological aspects of acute odontogenic osteomyelitis in children","authors":"Elena E. Halyuta, Svetlana B. Mokhnacheva, Irina G. Dugina, Anastasia D. Kutarenko, Alina A. Fomina","doi":"10.15275/ssmj1902145","DOIUrl":"https://doi.org/10.15275/ssmj1902145","url":null,"abstract":"Objective: to determine the species composition of pathogens of acute odontogenic inflammatory processes of the jaws in children, to determine the sensitivity and resistance of the isolated microflora to antibiotics of various groups, as well as to determine the dependence of the characteristics of the clinical course of the disease on the type of dominant pathogen. Material and methods. The analysis of the results of microbiological methods for the study of exudate from purulent odontogenic foci of 900 children, due to periostitis and osteomyelitis of the jaws, was carried out. Results. In 65.6% of cases, the causative agent was Pyogenic streptococcus or group A beta-hemolytic streptococcus (BHSA) ith a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %) and the highest percentage of resistance to macrolides (41%). Streptococcus viridans (6.1%), Streptococcus pneumoniae (4.3%) and others were also isolated; mixed microflora (14.3%). The syndrome of endogenous intoxication of the body was manifested in 56% of cases by fever, in 38% by leukocytosis, in 57.4% by accelerated ESR. There was no statistically significant difference in the degree of endogenous intoxication in groups with different types of streptococcus. Conclusions. The cause of the inflammatory process of the jaws in 65.6% of cases was BHSA with a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %).","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"29 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":"136365303","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 compare the characteristics of the periodontal condition in three categories of patients: smokers of electronic cigarettes, smokers of tobacco heating systems and non-smokers, taking into account age and gender. Material and methods. A comprehensive analysis of 1754 patient-smoker records was carried out: 1122 — electronic cigarettes (ES), 632 —tobacco heating systems (SNT). Data from 566 non-smokers were used as a control group (GC). Patients of all groups were divided into subgroups depending on age and gender. The clinical condition of the periodontium was assessed by dental indices and indicators. Statistical data analysis was performed using Microsoft Excel and Statistica 64 ver. 20.0 programs. Results. Gingivitis prevailed in the groups of persons with ES, SNT and GS. The frequency of gingivitis in the ES group decreases with age, while in the SNT group it increases. Among HS patients, gingivitis was recorded in all age groups. The frequency of acute periodontitis was highest in patients of the ES and SNT groups aged 35-39 years. In the Civil Code — at the age of 30-34 years. The frequency of gingivitis and acute periodontitis in persons of the SNT and ES group is more pronounced in women. In GS, these figures are almost equal. The frequency of registration of chronic localized periodontitis in persons of the SNT group is more pronounced in women, in the ES group these figures are higher in men. The frequency of registration of chronic general periodontitis in persons of all groups is more pronounced in women. Conclusion. The results of the study proved that the use of ES and SNT is a negative factor causing the occurrence of periodontal diseases.
{"title":"Influence of electronic cigarettes and tobacco heating systems on the periodontal condition in patients of different age and gender","authors":"Alexey A. Kishkan","doi":"10.15275/ssmj1902140","DOIUrl":"https://doi.org/10.15275/ssmj1902140","url":null,"abstract":"Objective: to compare the characteristics of the periodontal condition in three categories of patients: smokers of electronic cigarettes, smokers of tobacco heating systems and non-smokers, taking into account age and gender. Material and methods. A comprehensive analysis of 1754 patient-smoker records was carried out: 1122 — electronic cigarettes (ES), 632 —tobacco heating systems (SNT). Data from 566 non-smokers were used as a control group (GC). Patients of all groups were divided into subgroups depending on age and gender. The clinical condition of the periodontium was assessed by dental indices and indicators. Statistical data analysis was performed using Microsoft Excel and Statistica 64 ver. 20.0 programs. Results. Gingivitis prevailed in the groups of persons with ES, SNT and GS. The frequency of gingivitis in the ES group decreases with age, while in the SNT group it increases. Among HS patients, gingivitis was recorded in all age groups. The frequency of acute periodontitis was highest in patients of the ES and SNT groups aged 35-39 years. In the Civil Code — at the age of 30-34 years. The frequency of gingivitis and acute periodontitis in persons of the SNT and ES group is more pronounced in women. In GS, these figures are almost equal. The frequency of registration of chronic localized periodontitis in persons of the SNT group is more pronounced in women, in the ES group these figures are higher in men. The frequency of registration of chronic general periodontitis in persons of all groups is more pronounced in women. Conclusion. The results of the study proved that the use of ES and SNT is a negative factor causing the occurrence of periodontal diseases.","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":"136364340","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}
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