Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.06
I. Bagmut, I. Kolisnyk, S. Kryzhna, A. Titkova, Liudmyla Svyrydenko
We calculated studied the state of the hormonal status in experimental animals under the influence of sodium fluoride in 45 adult rats (males and females) of the Wistar population, which were orally administered a solution of sodium fluoride at a rate of 20 mg / kg of weight daily in the morning on an empty stomach, under the model conditions of intoxication. The duration of the subacute experiment was 1.5 months, after which the animals were euthanized by decapitation. Comprehensive assessment of the hormonal status in white rats was carried out by radioisotope methods in the serum. The results showed reduced levels of folliculotropin and progesterone, increased levels of thyroxine, adrenocorticotropin, glucagon, triiodothyronine, thyrotropin and calcitonin, while insulin, somatostatin and serum glucose levels decreased. There was no change in the dynamics of the content of sex hormones - luteotropin, prolactin, testosterone compared with the control (P> 0.05). Furthermore, in the blood serum of rats, there was an increase in the levels of prostaglandin PGE2, prostacyclin (6 keto-PGF1a), leukotriene B4 and a decrease in the concentrations of prostaglandins PGE1, PGF2a and leukotriene C4. At all levels of the study of the endocrine system, deep shifts in the functional activity of the hypothalamus-pituitary-cortical substance of the adrenal glands, thyroid gland, and sympatho-adrenal structures have been identified. Analysis of the detected changes in the hormonal status allows judging the nonspecific reaction of the body to fluoride intoxication and reflects the state of the protective-adaptive mechanisms, in which the hypothalamus, the thyroid gland and the adrenal glands play a large role. Changes in the dynamics of concentrations of hormones and histohormones reflected a significant stress of the protective-adaptive mechanisms, which, in terms of structural and functional units, led to disruption of metabolic processes, including those associated with the development of fluoride intoxication. Disruption of the balance of hormones and functioning of the endocrine organs and systems entails profound changes in the metabolic processes and the immunobiological reactivity of the organism, weakening the action of the protective-adaptive mechanisms in maintaining the homeostatic function.
{"title":"CONDITION OF HORMONAL STATUS OF THE BODY IN WHITE RATS UNDER THE EXPOSURE TO SODIUM FLUORIDE","authors":"I. Bagmut, I. Kolisnyk, S. Kryzhna, A. Titkova, Liudmyla Svyrydenko","doi":"10.31718/MEP.2019.23.3-4.06","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.06","url":null,"abstract":"We calculated studied the state of the hormonal status in experimental animals under the influence of sodium fluoride in 45 adult rats (males and females) of the Wistar population, which were orally administered a solution of sodium fluoride at a rate of 20 mg / kg of weight daily in the morning on an empty stomach, under the model conditions of intoxication. The duration of the subacute experiment was 1.5 months, after which the animals were euthanized by decapitation. Comprehensive assessment of the hormonal status in white rats was carried out by radioisotope methods in the serum. The results showed reduced levels of folliculotropin and progesterone, increased levels of thyroxine, adrenocorticotropin, glucagon, triiodothyronine, thyrotropin and calcitonin, while insulin, somatostatin and serum glucose levels decreased. There was no change in the dynamics of the content of sex hormones - luteotropin, prolactin, testosterone compared with the control (P> 0.05). Furthermore, in the blood serum of rats, there was an increase in the levels of prostaglandin PGE2, prostacyclin (6 keto-PGF1a), leukotriene B4 and a decrease in the concentrations of prostaglandins PGE1, PGF2a and leukotriene C4. At all levels of the study of the endocrine system, deep shifts in the functional activity of the hypothalamus-pituitary-cortical substance of the adrenal glands, thyroid gland, and sympatho-adrenal structures have been identified. Analysis of the detected changes in the hormonal status allows judging the nonspecific reaction of the body to fluoride intoxication and reflects the state of the protective-adaptive mechanisms, in which the hypothalamus, the thyroid gland and the adrenal glands play a large role. Changes in the dynamics of concentrations of hormones and histohormones reflected a significant stress of the protective-adaptive mechanisms, which, in terms of structural and functional units, led to disruption of metabolic processes, including those associated with the development of fluoride intoxication. Disruption of the balance of hormones and functioning of the endocrine organs and systems entails profound changes in the metabolic processes and the immunobiological reactivity of the organism, weakening the action of the protective-adaptive mechanisms in maintaining the homeostatic function.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43481543","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.04
О. Makarova
Orthodontic treatment for adults is always difficult process, which requires morphological, functional, aesthetic factors and limited possibilities of dentoalveolar teeth positioning. One of the most actual issues of orthodontic correction in adults is teeth extractions by orthodontic. Nowadays, when there is a concept of «arch development», skeletal enlargement and miniimplants, treatment with extraction should be correctly explained and determined by orthodontic treatment and should not be caused to functional status and face aesthetics, which provides qualitative and stabile result of treatment. Besides, necessity of teeth extraction of some teeth which are written in medical protocol, secures a doctor from law risks. The aim of the investigation was to establish correlative link between parameters of morphometric analysis of control and diagnostic models of jaws by Snagina and roentgenologic parameters of lateral cephalometry by Kim. Adult patients aged from 18 to 32 years old (50) by the 1st class of dentofacial abnormalities and the degree of teeth crowding were involved in the investigation. Results. Indications to treatment with teeth extraction by skeletal and dentoalveolar parameters are different, although there is connection between skeletal parameters and the width of apical basis of maxilla. Skeletal and dentoalveolar morphometric parameters that are used for evaluation of extraction necessity of some teeth and planning for orthodontic treatment is always individual. Done correlation analysis determined that single parameter of apical basis that correlates with CF is its width on the maxilla. CF has direct correlative connection of midline (r=0.52) with width of apical basis. Skeletal diagnosis and facial aesthetics is leading factor in modern orthodontics. During treatment plan one should orient into aesthetic and functional prognosis, structure of facial skeleton, and after that dentoalveolar parameters.
{"title":"DIAGNOSTIC CRTITERIA OF ORTHODONTIC TREATMENT WITH EXTRACTION OF SOME TEETH","authors":"О. Makarova","doi":"10.31718/MEP.2019.23.3-4.04","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.04","url":null,"abstract":"Orthodontic treatment for adults is always difficult process, which requires morphological, functional, aesthetic factors and limited possibilities of dentoalveolar teeth positioning. One of the most actual issues of orthodontic correction in adults is teeth extractions by orthodontic. Nowadays, when there is a concept of «arch development», skeletal enlargement and miniimplants, treatment with extraction should be correctly explained and determined by orthodontic treatment and should not be caused to functional status and face aesthetics, which provides qualitative and stabile result of treatment. Besides, necessity of teeth extraction of some teeth which are written in medical protocol, secures a doctor from law risks. The aim of the investigation was to establish correlative link between parameters of morphometric analysis of control and diagnostic models of jaws by Snagina and roentgenologic parameters of lateral cephalometry by Kim. Adult patients aged from 18 to 32 years old (50) by the 1st class of dentofacial abnormalities and the degree of teeth crowding were involved in the investigation. Results. Indications to treatment with teeth extraction by skeletal and dentoalveolar parameters are different, although there is connection between skeletal parameters and the width of apical basis of maxilla. Skeletal and dentoalveolar morphometric parameters that are used for evaluation of extraction necessity of some teeth and planning for orthodontic treatment is always individual. Done correlation analysis determined that single parameter of apical basis that correlates with CF is its width on the maxilla. CF has direct correlative connection of midline (r=0.52) with width of apical basis. Skeletal diagnosis and facial aesthetics is leading factor in modern orthodontics. During treatment plan one should orient into aesthetic and functional prognosis, structure of facial skeleton, and after that dentoalveolar parameters.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41787002","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.09
A. Shkodina, R. Hrinko, I. Starchenko
The interaction between a body and an environment provides the main aspects of human life. The study of the functional structure of the olfactory analyzer plays an important role both in clinical and in experimental studies, but the question of its features in humans needs detailed research. The paper presents the modern data of the structural and functional organization of the olfactory analyzer. Particular attention is paid to the structural organization of olfactory bulbs as most complicated and least studied component of the olfactory analyzer. The morphological and functional changes of the olfactory analyzer are developing in some diseases and in action of adverse environmental factors are described while the accentuation is placed on the differences of the mechanism in the pathogenesis of damage to the olfactory analyzer, depending on the nature of the influence of pathogenic factors. In this way as the result of short-term intense effects of the pollutant, irreversible atrophic changes are primarily affected to the olfactory epithelium, thus, to some extent, preventing the spread of the toxin to other analyzer structures. Conversely, a long-term exposure to low doses usually retains the functional activity of the olfactory epithelium, while harmful substances penetrate the central unit of the olfactory analyzer. In such cases, the olfactory dysfunction can be diagnosed after a long time after the start of the cohort with certain pollutants. Currently, studies of the influence of exogenous toxins on various parts of the olfactory analyzer on animal experimental models are quite active. At the same time, the issue of functional and morphological changes in various structural components of the human olfactory analyzer under the influence of negative environmental factors remains poorly understood and requires further morphological and biochemical studies, in order to be able to further develop effective therapeutic and prophylactic means.
{"title":"MODERN CONCEPTION AS TO THE FUNCTIONAL MORPHOLOGY OF THE OLFACTORY SYSTEM AND ITS CHANGES UNDER THE INFLUENCE OF SOME EXOGENOUS POLLUTANTS","authors":"A. Shkodina, R. Hrinko, I. Starchenko","doi":"10.31718/MEP.2019.23.3-4.09","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.09","url":null,"abstract":"The interaction between a body and an environment provides the main aspects of human life. The study of the functional structure of the olfactory analyzer plays an important role both in clinical and in experimental studies, but the question of its features in humans needs detailed research. The paper presents the modern data of the structural and functional organization of the olfactory analyzer. Particular attention is paid to the structural organization of olfactory bulbs as most complicated and least studied component of the olfactory analyzer. The morphological and functional changes of the olfactory analyzer are developing in some diseases and in action of adverse environmental factors are described while the accentuation is placed on the differences of the mechanism in the pathogenesis of damage to the olfactory analyzer, depending on the nature of the influence of pathogenic factors. In this way as the result of short-term intense effects of the pollutant, irreversible atrophic changes are primarily affected to the olfactory epithelium, thus, to some extent, preventing the spread of the toxin to other analyzer structures. Conversely, a long-term exposure to low doses usually retains the functional activity of the olfactory epithelium, while harmful substances penetrate the central unit of the olfactory analyzer. In such cases, the olfactory dysfunction can be diagnosed after a long time after the start of the cohort with certain pollutants. Currently, studies of the influence of exogenous toxins on various parts of the olfactory analyzer on animal experimental models are quite active. At the same time, the issue of functional and morphological changes in various structural components of the human olfactory analyzer under the influence of negative environmental factors remains poorly understood and requires further morphological and biochemical studies, in order to be able to further develop effective therapeutic and prophylactic means.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43426649","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.08
V. D. Kuroiedova, A. Petrova, Y. Rud'
Orthodontic treatment is a long-lasting and difficult process which requires compliance between doctor and patient. It is a complex process, duration of which increases with transition from temporary to permanent bite. The main factor of orthodontic treatment is the cost of the procedure because there are new and modern tools and equipment. There are several ways to reduce orthodontic treatment: in the period of changing teeth, these are methods of corrective teeth extraction, based on the difference in the mesial-distal dimensions of milk (temporary) molars and method Hotz, replacing them with premolars, is the removal of individual healthy teeth according to the chosen treatment strategy bite disorders, compact osteotomy, the use of various physiotherapeutic methods without drugs and with the use of agents that promote bone tissue relaxation in combination with active physical factors and others related to the improvement of orthodontic appliances. The most significant factor in orthodontic treatment, resulting in a number of cases of interrupting the correction process, is its duration, up to 2-3 years in the period of permanent teeth. One more serious problem in orthodontic treatment associated with strategic choice of extraction or nonextraction method of treatment is stability of received clinical results. Only therapeutic prognosis of stabile morphological and functional clinical advantages of orthodontic treatment can be a basis for choice of orthodontic treatment management with the use of extraction of some healthy teeth. So, the problem of orthodontic treatment both in children and adults is one of the most important in bite correction. That’s why surgeries are involved in complex orthodontic treatment. Extraction of some permanent teeth is coordinated decision between patient and orthodontist considering the number of factors. Orthodontist must be theoretically competitive in the peculiarities of child’s organism. Despite the use of surgery of healthy teeth in orthodontic treatment in European and scientific literature the choice of extraction and nonextraction method of treatment has been yet discussable. New diagnostic methods, modern orthodontic appliances, national peculiarities of face and other features are needed for correct European thought in orthodontist.
{"title":"EUROPEAN POSITION ON CLINICAL PRACTICE OF EXTRACTION AND NONEXTRACTION THERAPY IN ORTHODONTICS","authors":"V. D. Kuroiedova, A. Petrova, Y. Rud'","doi":"10.31718/MEP.2019.23.3-4.08","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.08","url":null,"abstract":"Orthodontic treatment is a long-lasting and difficult process which requires compliance between doctor and patient. It is a complex process, duration of which increases with transition from temporary to permanent bite. The main factor of orthodontic treatment is the cost of the procedure because there are new and modern tools and equipment. There are several ways to reduce orthodontic treatment: in the period of changing teeth, these are methods of corrective teeth extraction, based on the difference in the mesial-distal dimensions of milk (temporary) molars and method Hotz, replacing them with premolars, is the removal of individual healthy teeth according to the chosen treatment strategy bite disorders, compact osteotomy, the use of various physiotherapeutic methods without drugs and with the use of agents that promote bone tissue relaxation in combination with active physical factors and others related to the improvement of orthodontic appliances. The most significant factor in orthodontic treatment, resulting in a number of cases of interrupting the correction process, is its duration, up to 2-3 years in the period of permanent teeth. One more serious problem in orthodontic treatment associated with strategic choice of extraction or nonextraction method of treatment is stability of received clinical results. Only therapeutic prognosis of stabile morphological and functional clinical advantages of orthodontic treatment can be a basis for choice of orthodontic treatment management with the use of extraction of some healthy teeth. So, the problem of orthodontic treatment both in children and adults is one of the most important in bite correction. That’s why surgeries are involved in complex orthodontic treatment. Extraction of some permanent teeth is coordinated decision between patient and orthodontist considering the number of factors. Orthodontist must be theoretically competitive in the peculiarities of child’s organism. Despite the use of surgery of healthy teeth in orthodontic treatment in European and scientific literature the choice of extraction and nonextraction method of treatment has been yet discussable. New diagnostic methods, modern orthodontic appliances, national peculiarities of face and other features are needed for correct European thought in orthodontist.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41612242","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.10
H. V. Voronkova, L. V. Smagliuk, A. Karasiunok
The eruption of the first permanent molars is very important as it provides the harmony of the growth of the face and sufficient occlusion support. A delay in the eruption of this tooth can cause morphological, functional and aesthetic disturbances. These include reduced vertical size of the lower face, extruding the antagonist teeth, malloclusion formation, follicular cyst formation, pericoronal inflammation, and roots resorbtion of the adjacent teeth, as well as functional problems of dentoalveolar area, etc. In this regard, the issue of etiology, pathogenesis, early diagnostics and further treatment of lower first permanent molars retention is very relevant for modern orthodontics. In the literary review, morphological and radiological diagnostic criteria of eruption of first permanent lower molars have been presented. Materials and methods of the research. The article reviews and analyzes literature on the etiology, pathogenesis, early diagnostics of retention of the lower first permanent molars. Results The analysis of the literature pointed to a small number of studies regarding the disrupted eruption of first lower permanent molars. In most cases, they are presented as clinical cases. According to the world literature, the prevalence of delayed eruption of the first molar of the mandible was 0.01% to 0.04%. Data from the world literature indicate that the retention of the lower first molar is a polyfactoral disease. According to the etiological factors authors distinguish general and local. Local factors causing delay in teeth eruption include impaired pathway for teeth eruption, abnormality of the tooth form, hyperplasia, displacement of the rudiment because of the cyst and the tumour, loss of space for eruption, gingival fibrosis, idiopathic conditions. Systemic factors include endocrine disorders such as hypothyroidism, hyperthyroidism, hypoparathyroidism, rickets, craniofacial hypertrophy. In the literary review morphological and radiological diagnostic criteria of eruption disturbance of the first permanent lower molars are presented. Thus, the Korean scientists proposed to determine the depth of the retention, the angle of inclination and the space for their eruption on panoramic radiographs. The review presents the classification of retention types for the first permanent molars of the mandible.
{"title":"ETIOPATHOGENESIS AND DIAGNOSTICS OF THE MANDIBULAR PERMANENT FIRST MOLARS RETENTION","authors":"H. V. Voronkova, L. V. Smagliuk, A. Karasiunok","doi":"10.31718/MEP.2019.23.3-4.10","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.10","url":null,"abstract":"The eruption of the first permanent molars is very important as it provides the harmony of the growth of the face and sufficient occlusion support. A delay in the eruption of this tooth can cause morphological, functional and aesthetic disturbances. These include reduced vertical size of the lower face, extruding the antagonist teeth, malloclusion formation, follicular cyst formation, pericoronal inflammation, and roots resorbtion of the adjacent teeth, as well as functional problems of dentoalveolar area, etc. In this regard, the issue of etiology, pathogenesis, early diagnostics and further treatment of lower first permanent molars retention is very relevant for modern orthodontics. In the literary review, morphological and radiological diagnostic criteria of eruption of first permanent lower molars have been presented. Materials and methods of the research. The article reviews and analyzes literature on the etiology, pathogenesis, early diagnostics of retention of the lower first permanent molars. Results The analysis of the literature pointed to a small number of studies regarding the disrupted eruption of first lower permanent molars. In most cases, they are presented as clinical cases. According to the world literature, the prevalence of delayed eruption of the first molar of the mandible was 0.01% to 0.04%. Data from the world literature indicate that the retention of the lower first molar is a polyfactoral disease. According to the etiological factors authors distinguish general and local. Local factors causing delay in teeth eruption include impaired pathway for teeth eruption, abnormality of the tooth form, hyperplasia, displacement of the rudiment because of the cyst and the tumour, loss of space for eruption, gingival fibrosis, idiopathic conditions. Systemic factors include endocrine disorders such as hypothyroidism, hyperthyroidism, hypoparathyroidism, rickets, craniofacial hypertrophy. In the literary review morphological and radiological diagnostic criteria of eruption disturbance of the first permanent lower molars are presented. Thus, the Korean scientists proposed to determine the depth of the retention, the angle of inclination and the space for their eruption on panoramic radiographs. The review presents the classification of retention types for the first permanent molars of the mandible.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42982505","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.03
L. Kaskova, T. B. Mandziuk, L. P. Ulasevych, L. Korovina
There is a demand in statistical processing of questionnaire data and objective screening of children with the usage of correlation analysis as well as interview with parents in order to increase their awareness about caries prevention and lifestyle. The emergence of caries in children 7-12 years of age is influenced by socio-hygienic factors. During the interview with parents, the effect of a combination of factors was found (i.e. avoiding referring to a dentist for the purpose of prevention or professional hygiene, neglecting the additional hygienic tools and methods and low awareness about them, regularity and balance of nutrition, lack of awareness concerning etiology of caries appearance, referring to a dentist only in case of toothache, anxiety during a visit to a dentist. Interview with children showed the impact of a combination of factors on the occurrence of caries. Among them are evasion of referring to a dentist for the purpose of prevention, lack of awareness concerning etiology of caries appearance, referring to a dentist only in case of toothache, anxiety during a visit to a dentist, low awareness concerning additional hygienic tools and methods. The combined effect of parental awareness and habits on the development of caries in children is much higher than the effect of the respective peculiarities of children. Thus, the analysis of caries appearance factors in children aged 7-12 years reveals the existence of close relationships between the alimentary, behavioral habits of parents and the appropriate habits of children and the development of pathological changes in the oral cavity of children which leads to the propagation of carious lesions. This requires improvement of preventive work with parents aimed at formation of healthy lifestyle habits and oral health care in order to prevent pathology of oral cavity and masticatory apparatus.
{"title":"CORRELATION RELATIONS OF CARISES AND SOCIO-HYGIENIC FACTORS","authors":"L. Kaskova, T. B. Mandziuk, L. P. Ulasevych, L. Korovina","doi":"10.31718/MEP.2019.23.3-4.03","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.03","url":null,"abstract":"There is a demand in statistical processing of questionnaire data and objective screening of children with the usage of correlation analysis as well as interview with parents in order to increase their awareness about caries prevention and lifestyle. The emergence of caries in children 7-12 years of age is influenced by socio-hygienic factors. During the interview with parents, the effect of a combination of factors was found (i.e. avoiding referring to a dentist for the purpose of prevention or professional hygiene, neglecting the additional hygienic tools and methods and low awareness about them, regularity and balance of nutrition, lack of awareness concerning etiology of caries appearance, referring to a dentist only in case of toothache, anxiety during a visit to a dentist. Interview with children showed the impact of a combination of factors on the occurrence of caries. Among them are evasion of referring to a dentist for the purpose of prevention, lack of awareness concerning etiology of caries appearance, referring to a dentist only in case of toothache, anxiety during a visit to a dentist, low awareness concerning additional hygienic tools and methods. The combined effect of parental awareness and habits on the development of caries in children is much higher than the effect of the respective peculiarities of children. Thus, the analysis of caries appearance factors in children aged 7-12 years reveals the existence of close relationships between the alimentary, behavioral habits of parents and the appropriate habits of children and the development of pathological changes in the oral cavity of children which leads to the propagation of carious lesions. This requires improvement of preventive work with parents aimed at formation of healthy lifestyle habits and oral health care in order to prevent pathology of oral cavity and masticatory apparatus.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42299847","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.07
T. Kryuchko, O. Tkachenko, N. Kuzmenko, I. N. Nesina, S. M. Tanianska, I. A. Kolenko, M. O. Melnyk
Staphylococcus aureus is a universal bacterial pathogen, which is able to develop the resistance to new antibiotics, by means of virulence factors, whose main function is the spread of diseases by inhibiting the immune factors of host defense. Its wide spread at in-patient departments and also the presence of clinical probationary wards Staphylococcus aureus, resistant to methicillin at out-patient departments, deprive the doctors of effective means for control of the infection. Complications caused by MRSA lead to hospitalization and indices of lethality. The aim of the paper is to analyze the main factors of S. аureus virulence and ways the of its interaction as a result of etiological and pathogenetic treatment. Complexity of treatment of bacterial infections is determined by alternative ways of prevention and treatment of diseases to which bacteria are not able to develop resistance. Along with general mechanisms that form antibiotic resistance, S. aureus produces many individual virulence factors that model the immune response, affecting the survival of the microorganism. The virulence factors produced by S. aureus are diverse and have the ability not only to cause cell lysis, but also to stimulate tissue rejection and destruction. It is important to determine that many specific factors of virulence caused by S. aureus, have ability to change both congenital and adaptive immune reactions including inhibition of complement activation, neutrophils neutralization, phagocytes inhibition. Strategies for inhibiting virulence factors can range from using small inhibitor molecules or full-fledged antibodies to creating toxoids and virulence proteins. Great interest is focused upon those inhibitors that have cross-reactivity with respect to multiple virulence factors, as well as inhibitors, the main target of which is a global regulator with multi-purpose activity, for example, agr operon. Active research into the specific alternative antivirulent treatments for severe diseases caused by S. aureus can potentially settle a number of problems and difficulties of post-antibiotic era.
{"title":"MODERN APPROACHES TO ANTIVIRULENT THERAPY OF DISEASES ASSOCIATED WITH STAPHYLOCOCCUS AUREUS","authors":"T. Kryuchko, O. Tkachenko, N. Kuzmenko, I. N. Nesina, S. M. Tanianska, I. A. Kolenko, M. O. Melnyk","doi":"10.31718/MEP.2019.23.3-4.07","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.07","url":null,"abstract":"Staphylococcus aureus is a universal bacterial pathogen, which is able to develop the resistance to new antibiotics, by means of virulence factors, whose main function is the spread of diseases by inhibiting the immune factors of host defense. Its wide spread at in-patient departments and also the presence of clinical probationary wards Staphylococcus aureus, resistant to methicillin at out-patient departments, deprive the doctors of effective means for control of the infection. Complications caused by MRSA lead to hospitalization and indices of lethality. The aim of the paper is to analyze the main factors of S. аureus virulence and ways the of its interaction as a result of etiological and pathogenetic treatment. Complexity of treatment of bacterial infections is determined by alternative ways of prevention and treatment of diseases to which bacteria are not able to develop resistance. Along with general mechanisms that form antibiotic resistance, S. aureus produces many individual virulence factors that model the immune response, affecting the survival of the microorganism. The virulence factors produced by S. aureus are diverse and have the ability not only to cause cell lysis, but also to stimulate tissue rejection and destruction. It is important to determine that many specific factors of virulence caused by S. aureus, have ability to change both congenital and adaptive immune reactions including inhibition of complement activation, neutrophils neutralization, phagocytes inhibition. Strategies for inhibiting virulence factors can range from using small inhibitor molecules or full-fledged antibodies to creating toxoids and virulence proteins. Great interest is focused upon those inhibitors that have cross-reactivity with respect to multiple virulence factors, as well as inhibitors, the main target of which is a global regulator with multi-purpose activity, for example, agr operon. Active research into the specific alternative antivirulent treatments for severe diseases caused by S. aureus can potentially settle a number of problems and difficulties of post-antibiotic era.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42551648","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.01
Yu. I. Manusha, Y. Kazakov, Т. Trybrat, K. Ischeykin, Юрій Михайлович Казаков, Юлія Іванівна Мануша, Тетяна Анатоліївна Трибрат, Костянтин Євгенович Іщейкін
Nowadays, coronary heart disease and non-alchoholic fatty liver disease are significant problems in Ukraine and world. Functional liver disorders potentiate the development and progression of CHD. The initiation process of atherosclerosis is a chronic systemic inflammation of low intensity. This view on atherosclerosis development has been forming during the past two decades. The aim of the research was to study the features/characteristics of systemic inflammation of low intensity in patients with coronary heart disease in combination with non-alcoholic fatty liver disease. The research involved 135 people with CHD: stable angina, I-II functional class, 0-I heart failure in combination with non-alcoholic fatty liver disease and 30 healthy individuals. We examined patients in terms of blood levels of cytokines -TNFα and IL-10, the content of the acute phase reactant and the coagulation factor, the marker of endothelial dysfunction is the amount of circulating endothelial microparticles (CEM) CD32+ CD40+ and the expression level of IkBα gene NF-kB in mononuclear peripheral blood. We studied the level of expression of the mRNA gene of IkBα in mononuclear cells, which reflects the level of transcriptional activity of NF-kB in patients with stable coronary artery disease and CHD in combination with NAFLD showed a significant increase in the expression of the mRNA gene of IkBα by 88.5% compared to patients with stable stable coronary heart disease. The analysis of the functional state of the endothelium with help of CEM CD32+ CD40+ has shown the presence of endothelial dysfunction in the groups of patients with CHD and CHD in combination with of NAFLD. Comparison of the indicators of systemic inflammation of low intensity and marker of endothelial dysfunction in patients with CHD in combination with NAFLD revealed a significant increase of TNFα, acute phase reactant and coagulation fibrinogen factor and expression of the mRNA IkBα gene in patients with comorbidity, indicating an increase the level of systemic inflammation of low intensity in patients with CHD in combination with NAFLD as compared with the group of patients with CHD.
{"title":"PECULIARITIES OF SYSTEMIС INFLAMMATION OF LOW INTENSITY IN PATIENTS WITH STABLE CORONARY HEART DISEASE CONCURRENT WITH NON-ALCOHOLIC FATTY LIVER DISEASE","authors":"Yu. I. Manusha, Y. Kazakov, Т. Trybrat, K. Ischeykin, Юрій Михайлович Казаков, Юлія Іванівна Мануша, Тетяна Анатоліївна Трибрат, Костянтин Євгенович Іщейкін","doi":"10.31718/MEP.2019.23.3-4.01","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.01","url":null,"abstract":"Nowadays, coronary heart disease and non-alchoholic fatty liver disease are significant problems in Ukraine and world. Functional liver disorders potentiate the development and progression of CHD. The initiation process of atherosclerosis is a chronic systemic inflammation of low intensity. This view on atherosclerosis development has been forming during the past two decades. The aim of the research was to study the features/characteristics of systemic inflammation of low intensity in patients with coronary heart disease in combination with non-alcoholic fatty liver disease. The research involved 135 people with CHD: stable angina, I-II functional class, 0-I heart failure in combination with non-alcoholic fatty liver disease and 30 healthy individuals. We examined patients in terms of blood levels of cytokines -TNFα and IL-10, the content of the acute phase reactant and the coagulation factor, the marker of endothelial dysfunction is the amount of circulating endothelial microparticles (CEM) CD32+ CD40+ and the expression level of IkBα gene NF-kB in mononuclear peripheral blood. We studied the level of expression of the mRNA gene of IkBα in mononuclear cells, which reflects the level of transcriptional activity of NF-kB in patients with stable coronary artery disease and CHD in combination with NAFLD showed a significant increase in the expression of the mRNA gene of IkBα by 88.5% compared to patients with stable stable coronary heart disease. The analysis of the functional state of the endothelium with help of CEM CD32+ CD40+ has shown the presence of endothelial dysfunction in the groups of patients with CHD and CHD in combination with of NAFLD. Comparison of the indicators of systemic inflammation of low intensity and marker of endothelial dysfunction in patients with CHD in combination with NAFLD revealed a significant increase of TNFα, acute phase reactant and coagulation fibrinogen factor and expression of the mRNA IkBα gene in patients with comorbidity, indicating an increase the level of systemic inflammation of low intensity in patients with CHD in combination with NAFLD as compared with the group of patients with CHD.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46291407","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}
Pub Date : 2019-06-19DOI: 10.31718/MEP.2019.23.3-4.05
T. Petrushanko, A. Krutikova, E. Krutikova
The lack of clear dental screening strategy for women with bacterial vaginosis (BV) leads to inadequate treatment planning, since atypical triggering factors are not considered, despite the given evidence for the presence of chronic generalized inflammatory and inflammatory-dystrophic periodontal diseases in patients with BV. The analysis of the oral fluid, especially its protective properties, is crucial in the noninvasive diagnostics. In this regard, alpha-amylase and secretory IgA (sIgA) are noteworthy. The aim of the research. The paper was aimed at verification of the diagnostic value of the assessment of the outcomes of the recent treatment of inflammatory and inflammatory-dystrophic periodontal diseases in women of reproductive age with bacterial vaginosis by determining the changes in the kinetic activity of alpha- amylase and sIgA concentration. Material and Methods. 50 women of reproductive age have been examined. The subjects were assigned into groups according to their gynecological status: Group I (control) (n=10) included women with the I and II degree of purity of the vagina Group II (n=10) included carriers of Gardnerella vaginalis without diagnosed bacterial vaginosis ; Group ІІІ-A (n=15) included women with verified diagnosis of BV who received conventional treatment; Group IІІ-B (n=15) included women with BV, who received treatment using our patented treatment regimen that takes into account the presence of specific BV-microflora found in the oral cavity in this group of subjects. In the oral cavity the results of the amino-test of the oral fluid were analyzed and kinetic activity of alpha-amylase and sIgA concentration was determined. The presence of Gardnerella vaginalis and Atopobium vaginae in the oral cavity was determined by the polymerase chain reaction (PCR) method. Results. The sIgA level of women with BV was by 30-45% lower as compared to the value of patients without BV. Concentration of oral sIgA in both groups of women was restored after treatment, but the results of the III-A and III-B groups after treatment significantly differed (the result of sIgA in subjects of Group III-B was by 1.33 times higher than the value of Group III-A), indicating the higher efficacy of the proposed treatment regimen, which takes into account the presence of etiological agents of BV in the oral cavity. The results of the amino test of oral fluid were positive in patients of Group III-A before treatment in 73.3%, after treatment only in 53.3%, while in the subjects of Group III-B the initial result was 80%; after treatment, a decrease to 20% was registered. Conclusions. The diagnostic value of the applied laboratory methods for examination of local resistance in women is sufficient for mass use as a control of the results in periodontal treatment of patients with inflammatory and inflammatory-dystrophic periodontal diseases concomitant with bacterial vaginosis.
{"title":"DIAGNOSTIC VALUE OF LABORATORY TESTS OF WOMEN IN THE DYNAMICS OF TREATMENT OF PERIODONTAL DISEASES CONCOMITANT WITH BACTERIAL VAGINOSIS","authors":"T. Petrushanko, A. Krutikova, E. Krutikova","doi":"10.31718/MEP.2019.23.3-4.05","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.3-4.05","url":null,"abstract":"The lack of clear dental screening strategy for women with bacterial vaginosis (BV) leads to inadequate treatment planning, since atypical triggering factors are not considered, despite the given evidence for the presence of chronic generalized inflammatory and inflammatory-dystrophic periodontal diseases in patients with BV. The analysis of the oral fluid, especially its protective properties, is crucial in the noninvasive diagnostics. In this regard, alpha-amylase and secretory IgA (sIgA) are noteworthy. The aim of the research. The paper was aimed at verification of the diagnostic value of the assessment of the outcomes of the recent treatment of inflammatory and inflammatory-dystrophic periodontal diseases in women of reproductive age with bacterial vaginosis by determining the changes in the kinetic activity of alpha- amylase and sIgA concentration. Material and Methods. 50 women of reproductive age have been examined. The subjects were assigned into groups according to their gynecological status: Group I (control) (n=10) included women with the I and II degree of purity of the vagina Group II (n=10) included carriers of Gardnerella vaginalis without diagnosed bacterial vaginosis ; Group ІІІ-A (n=15) included women with verified diagnosis of BV who received conventional treatment; Group IІІ-B (n=15) included women with BV, who received treatment using our patented treatment regimen that takes into account the presence of specific BV-microflora found in the oral cavity in this group of subjects. In the oral cavity the results of the amino-test of the oral fluid were analyzed and kinetic activity of alpha-amylase and sIgA concentration was determined. The presence of Gardnerella vaginalis and Atopobium vaginae in the oral cavity was determined by the polymerase chain reaction (PCR) method. Results. The sIgA level of women with BV was by 30-45% lower as compared to the value of patients without BV. Concentration of oral sIgA in both groups of women was restored after treatment, but the results of the III-A and III-B groups after treatment significantly differed (the result of sIgA in subjects of Group III-B was by 1.33 times higher than the value of Group III-A), indicating the higher efficacy of the proposed treatment regimen, which takes into account the presence of etiological agents of BV in the oral cavity. The results of the amino test of oral fluid were positive in patients of Group III-A before treatment in 73.3%, after treatment only in 53.3%, while in the subjects of Group III-B the initial result was 80%; after treatment, a decrease to 20% was registered. Conclusions. The diagnostic value of the applied laboratory methods for examination of local resistance in women is sufficient for mass use as a control of the results in periodontal treatment of patients with inflammatory and inflammatory-dystrophic periodontal diseases concomitant with bacterial vaginosis.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49274680","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}
Pub Date : 2019-04-12DOI: 10.31718/MEP.2019.23.1-2.06
M. Faustova, G. Loban, O. Nazarchuk, M. Ananieva
The aim of the study was to investigate the sensitivity of planktonic and film forms of C. albicans and C. glabrata to cationic surfactant antiseptics. Materials and methods. The study was based on investigating 20 clinical strains of C. albicans and 15 C. glabrata isolated from surgical inpatientsю. The sensitivity of planktonic forms of investigated strains to antiseptic agents was quantitatively evaluated by two-fold serial dilutions (macrodilution) in Sabouraud liquid nutrient medium. Biofilm-forming properties of clinical strains C. albicans and C. glabrata were assessed by using the Christensen’s spectrophotometric method (MtP-test “microtiter plate test”). The influence of the antiseptics on C. albicans and C. glabrata film forms was assessed by the reproduction of the biofilms according to the above-described procedure with adding antiseptics in sub-bacteriostatic concentrations and the subsequent spectrophotometric ODU assessment. In the study we used antiseptics based on cationic surfactants, chlorhexidine digluconate 0.05 (Chlorhexidine-KR, manufactured by PJSC “Khimfarmzavod “Chervona zirka"”, Kharkiv, Ukraine (CHH)) and decamethoxin 0.2 (Decasan, produced by Yuria-Farm LLC ", Kyiv, Ukraine (DCM)). Results. According to the research results, lower sensitivity of C. glabrata strains to CHH was found, compared to the sensitivity of C. albicans strains. In addition, the activity of DCM in the investigated representatives of Candida spp. did not differ significantly. Clinical strains of C. glabrata were more susceptible to DCM compared to their susceptibility to CHH. C. albicans strains showed medium film-forming properties, while C. glabrata - high. The investigated cationic surfactant antiseptics possessed the same degree of activity on the film-forming properties of clinical strains of Candida spp. Conclusions. Cationic surfactant antiseptics (CHH and DCM) possess antifungal activity against planktonic and film forms of C. albicans and C. glabrata.
{"title":"SUSCEPTIBILITY OF PLANKTONIC AND FILM FORMS OF CANDIDA GLABRATA AND CANDIDA ALBICANS TO CATIONIC SURFACTANT ANTISEPTICS","authors":"M. Faustova, G. Loban, O. Nazarchuk, M. Ananieva","doi":"10.31718/MEP.2019.23.1-2.06","DOIUrl":"https://doi.org/10.31718/MEP.2019.23.1-2.06","url":null,"abstract":"The aim of the study was to investigate the sensitivity of planktonic and film forms of C. albicans and C. glabrata to cationic surfactant antiseptics. Materials and methods. The study was based on investigating 20 clinical strains of C. albicans and 15 C. glabrata isolated from surgical inpatientsю. The sensitivity of planktonic forms of investigated strains to antiseptic agents was quantitatively evaluated by two-fold serial dilutions (macrodilution) in Sabouraud liquid nutrient medium. Biofilm-forming properties of clinical strains C. albicans and C. glabrata were assessed by using the Christensen’s spectrophotometric method (MtP-test “microtiter plate test”). The influence of the antiseptics on C. albicans and C. glabrata film forms was assessed by the reproduction of the biofilms according to the above-described procedure with adding antiseptics in sub-bacteriostatic concentrations and the subsequent spectrophotometric ODU assessment. In the study we used antiseptics based on cationic surfactants, chlorhexidine digluconate 0.05 (Chlorhexidine-KR, manufactured by PJSC “Khimfarmzavod “Chervona zirka\"”, Kharkiv, Ukraine (CHH)) and decamethoxin 0.2 (Decasan, produced by Yuria-Farm LLC \", Kyiv, Ukraine (DCM)). Results. According to the research results, lower sensitivity of C. glabrata strains to CHH was found, compared to the sensitivity of C. albicans strains. In addition, the activity of DCM in the investigated representatives of Candida spp. did not differ significantly. Clinical strains of C. glabrata were more susceptible to DCM compared to their susceptibility to CHH. C. albicans strains showed medium film-forming properties, while C. glabrata - high. The investigated cationic surfactant antiseptics possessed the same degree of activity on the film-forming properties of clinical strains of Candida spp. Conclusions. Cationic surfactant antiseptics (CHH and DCM) possess antifungal activity against planktonic and film forms of C. albicans and C. glabrata.","PeriodicalId":32911,"journal":{"name":"Problemi ekologiyi ta meditsini","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46368631","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}