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CONDITION OF HORMONAL STATUS OF THE BODY IN WHITE RATS UNDER THE EXPOSURE TO SODIUM FLUORIDE 氟化钠对大鼠体内激素状态的影响
Pub Date : 2019-06-19 DOI: 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.
我们计算研究了45只Wistar成年大鼠(雄性和雌性)在氟化钠影响下实验动物的激素状态,这些大鼠在中毒模型条件下每天早上空腹口服氟化钠溶液,剂量为20mg/kg。亚急性实验的持续时间为1.5个月,之后通过斩首对动物实施安乐死。用放射性同位素法对大白鼠血清中的激素状况进行了综合评价。结果显示,促卵泡激素和孕酮水平降低,甲状腺素、促肾上腺皮质激素、胰高血糖素、三碘甲状腺原氨酸、促甲状腺激素和降钙素水平升高,而胰岛素、生长抑素和血糖水平下降。大鼠血清中前列腺素PGE2、前列环素(6-keto-PGF1a)、白三烯B4含量增加,前列腺素PGE1、PGF2a和白三烯C4含量下降。在内分泌系统研究的各个层面上,已经发现肾上腺、甲状腺和交感-肾上腺结构的下丘脑-垂体皮质物质的功能活动发生了深刻的变化。通过分析检测到的激素状态变化,可以判断身体对氟中毒的非特异性反应,并反映保护性适应机制的状态,其中下丘脑、甲状腺和肾上腺发挥着重要作用。激素和组织激素浓度的动态变化反映了保护性适应机制的巨大压力,就结构和功能单位而言,这导致代谢过程的破坏,包括与氟中毒发展相关的代谢过程。激素平衡以及内分泌器官和系统功能的破坏导致生物体的代谢过程和免疫生物学反应发生深刻变化,削弱了保护性适应机制在维持稳态功能方面的作用。
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引用次数: 0
DIAGNOSTIC CRTITERIA OF ORTHODONTIC TREATMENT WITH EXTRACTION OF SOME TEETH 部分牙齿拔除正畸治疗的诊断价值
Pub Date : 2019-06-19 DOI: 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.
成人正畸治疗一直是一个困难的过程,它对牙槽牙的形态、功能、美观等因素都有一定的要求,而且牙槽牙定位的可能性有限。成人正畸矫正中最实际的问题之一是通过正畸拔牙。在有“弓发育”、骨骼增大和微型种植体概念的今天,拔牙治疗应由正畸治疗正确解释和确定,不应造成功能状态和面部美观,提供定性和稳定的治疗结果。此外,一些写在医疗协议上的牙齿的拔牙的必要性,使医生免受法律风险。研究的目的是建立Snagina的颌骨控制和诊断模型的形态学分析参数与Kim的侧位头测量的x线学参数之间的相关联系。调查对象为年龄在18 ~ 32岁(50岁),牙面异常1级及牙齿拥挤程度的成年患者。结果。虽然骨骼参数与上颌骨尖基宽度有关,但根据骨骼参数和牙槽参数进行拔牙治疗的适应症不同。用于评估某些牙齿拔除必要性和计划正畸治疗的骨骼和牙槽形态测量参数总是因人而异的。通过相关分析确定与CF相关的根尖基的单一参数是其在上颌骨上的宽度。CF中线与顶基宽度有直接的相关关系(r=0.52)。骨骼诊断和面部美学是现代正畸的主导因素。在治疗计划中,应先考虑美观和功能预后、面部骨骼结构以及牙槽参数。
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引用次数: 0
MODERN CONCEPTION AS TO THE FUNCTIONAL MORPHOLOGY OF THE OLFACTORY SYSTEM AND ITS CHANGES UNDER THE INFLUENCE OF SOME EXOGENOUS POLLUTANTS 嗅觉系统功能形态的现代概念及其在某些外源污染物影响下的变化
Pub Date : 2019-06-19 DOI: 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.
身体和环境之间的相互作用提供了人类生活的主要方面。嗅觉分析仪功能结构的研究在临床和实验研究中都发挥着重要作用,但其在人类中的特征问题还需要详细研究。本文介绍了嗅觉分析仪的结构和功能组织的现代数据。作为嗅觉分析仪中最复杂、研究最少的部件,嗅球的结构组织受到了特别关注。描述了嗅觉分析仪在某些疾病中的形态和功能变化,以及在不利环境因素的作用下的变化,同时强调了根据致病因素影响的性质,嗅觉分析仪损伤的发病机制的差异。通过这种方式,由于污染物的短期强烈影响,不可逆的萎缩性变化主要影响嗅觉上皮,从而在某种程度上阻止了毒素向其他分析仪结构的传播。相反,长期暴露于低剂量通常会保留嗅觉上皮的功能活性,而有害物质会穿透嗅觉分析器的中央单元。在这种情况下,在使用某些污染物的队列开始后很长一段时间后,可以诊断出嗅觉功能障碍。目前,关于外源毒素对动物实验模型嗅觉分析仪各部分影响的研究相当活跃。与此同时,人类嗅觉分析仪的各种结构部件在负面环境因素影响下的功能和形态变化问题仍然知之甚少,需要进一步的形态学和生物化学研究,以便能够进一步开发有效的治疗和预防手段。
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引用次数: 3
EUROPEAN POSITION ON CLINICAL PRACTICE OF EXTRACTION AND NONEXTRACTION THERAPY IN ORTHODONTICS 欧洲在正畸拔牙与非拔牙临床实践中的地位
Pub Date : 2019-06-19 DOI: 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.
正畸治疗是一个长期而困难的过程,需要医生和患者之间的依从性。这是一个复杂的过程,其持续时间随着从暂时咬合到永久咬合的过渡而增加。正畸治疗的主要因素是手术成本,因为有新的现代工具和设备。有几种方法可以减少正畸治疗:在换牙期间,这些是基于乳(临时)磨牙近中远端尺寸差异的矫正性牙齿拔除方法,以及Hotz方法,将其替换为前磨牙,是根据所选择的治疗策略拔除个别健康牙齿,在不使用药物的情况下使用各种物理治疗方法,并使用促进骨组织松弛的药物,结合积极的物理因素和其他与正畸矫治器的改进有关的因素。在正畸治疗中,导致许多病例中断矫正过程的最重要因素是其持续时间,在恒牙期长达2-3年。在正畸治疗中,一个更严重的问题与策略性选择拔牙或非拔牙治疗方法有关,那就是收到的临床结果的稳定性。只有具有稳定的治疗预后、形态和功能的临床优势的正畸治疗,才能作为选择正畸治疗管理的依据,使用一些健康的牙齿进行拔除。因此,儿童和成人的正畸治疗问题是咬合矫正中最重要的问题之一。这就是为什么手术涉及复杂的正畸治疗。一些恒牙的拔除是患者和正畸医生在考虑多种因素的情况下做出的协调决定。正畸医生必须在儿童机体的特殊性方面具有理论竞争力。尽管在欧洲和科学文献中使用了健康牙齿的外科手术进行正畸治疗,但拔出和非拔出治疗方法的选择仍有待讨论。需要新的诊断方法、现代正畸矫治器、面部的民族特征和其他特征来正确对待欧洲人的口腔正畸思想。
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引用次数: 0
ETIOPATHOGENESIS AND DIAGNOSTICS OF THE MANDIBULAR PERMANENT FIRST MOLARS RETENTION 下颌第一磨牙固位的病因及诊断
Pub Date : 2019-06-19 DOI: 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.
第一恒磨牙的出牙是非常重要的,因为它提供了面部生长的和谐和足够的咬合支持。这颗牙的长牙延迟会引起形态、功能和美学上的紊乱。包括下面部垂直尺寸减小、拮抗牙挤压、错牙合形成、滤泡囊肿形成、冠周炎症、相邻牙根吸收以及牙槽区功能问题等。因此,下第一恒磨牙固位的病因、发病机制、早期诊断及进一步治疗对现代正畸治疗具有重要意义。在文献综述中,提出了第一恒磨牙出牙的形态学和放射学诊断标准。研究的材料和方法。本文就下第一恒磨牙固位的病因、发病机制、早期诊断等方面的文献进行综述和分析。结果通过文献分析,发现有少量关于第一下恒磨牙破裂出牙的研究。在大多数情况下,它们以临床病例的形式出现。根据世界文献,下颌第一磨牙延迟出牙的发生率为0.01% ~ 0.04%。来自世界文献的数据表明,下第一磨牙潴留是一种多因素疾病。根据病因分为全身性和局部性。局部因素导致牙齿长牙延迟的原因包括:牙齿长牙通路受损、牙形异常、增生、囊肿和肿瘤导致的牙原移位、长牙空间丧失、牙龈纤维化、特发性疾病。全身性因素包括内分泌紊乱,如甲状腺功能减退、甲亢、甲状旁腺功能减退、佝偻病、颅面肥厚。在文献回顾形态和放射学诊断标准的第一恒磨牙的爆发障碍提出。因此,韩国科学家们建议在全景x光片上确定保留的深度、倾斜的角度和喷发的空间。本文综述了下颌骨第一恒磨牙固位类型的分类。
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引用次数: 2
CORRELATION RELATIONS OF CARISES AND SOCIO-HYGIENIC FACTORS 龋病与社会卫生因素的相关性研究
Pub Date : 2019-06-19 DOI: 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.
需要对调查问卷数据进行统计处理,运用相关分析对儿童进行客观筛查,并对家长进行访谈,以提高他们对预防龋齿和生活方式的认识。7-12岁儿童龋齿的出现受社会卫生因素的影响。在与家长的访谈中,发现多种因素的综合影响(即避免以预防或专业卫生为目的去看牙医、忽视额外的卫生工具和方法以及对这些工具和方法的认识不足、营养的规律性和平衡、对龋齿外观的病因缺乏认识、只在牙痛时才去看牙医、看牙医时感到焦虑)。对儿童的访谈表明,多种因素对龋齿的发生有影响。其中包括不愿为了预防而去看牙医、对龋齿外观的病因缺乏认识、只在牙痛时才去看牙医、在看牙医时感到焦虑、对其他卫生工具和方法认识不足。父母的认知和习惯对儿童龋病发展的综合影响远远高于儿童各自的特点。因此,通过对7-12岁儿童龋齿发生因素的分析,揭示了父母的饮食习惯、行为习惯和儿童的适当习惯与儿童口腔病理变化的发展,导致龋齿病变的传播之间存在着密切的关系。这就需要加强与家长的预防工作,旨在形成健康的生活习惯和口腔保健,以防止口腔和咀嚼器官病变。
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引用次数: 1
MODERN APPROACHES TO ANTIVIRULENT THERAPY OF DISEASES ASSOCIATED WITH STAPHYLOCOCCUS AUREUS 金黄色葡萄球菌相关疾病的现代抗病毒治疗方法
Pub Date : 2019-06-19 DOI: 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.
金黄色葡萄球菌是一种普遍存在的细菌病原体,它能够通过毒力因子对新的抗生素产生耐药性,毒力因子的主要功能是通过抑制宿主防御的免疫因子来传播疾病。它在住院部的广泛传播以及门诊对甲氧西林耐药的金黄色葡萄球菌的临床试用病房的存在,剥夺了医生控制感染的有效手段。MRSA引起的并发症导致住院和死亡率指标。本文的目的是分析S. ureus毒力的主要因素及其相互作用的途径,以及病原学和病理治疗的结果。细菌感染治疗的复杂性取决于预防和治疗细菌无法产生耐药性的疾病的替代方法。随着形成抗生素耐药性的一般机制,金黄色葡萄球菌产生许多个体毒力因子,模拟免疫反应,影响微生物的生存。金黄色葡萄球菌产生的毒力因子多种多样,不仅能引起细胞裂解,还能刺激组织排斥和破坏。重要的是要确定金黄色葡萄球菌引起的毒性的许多特定因素,具有改变先天性和适应性免疫反应的能力,包括补体活化的抑制,中性粒细胞中和,吞噬细胞抑制。抑制毒力因子的策略可以从使用小抑制剂分子或成熟的抗体到产生类毒素和毒力蛋白。极大的兴趣集中在那些对多种毒力因子具有交叉反应性的抑制剂,以及抑制剂,其主要目标是具有多用途活性的全局调节剂,例如agr操纵子。积极研究金黄色葡萄球菌引起的严重疾病的特异性替代抗病毒治疗方法可能解决后抗生素时代的许多问题和困难。
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引用次数: 0
PECULIARITIES OF SYSTEMIС INFLAMMATION OF LOW INTENSITY IN PATIENTS WITH STABLE CORONARY HEART DISEASE CONCURRENT WITH NON-ALCOHOLIC FATTY LIVER DISEASE 稳定型冠心病合并非酒精性脂肪肝患者systemiС低强度炎症的特点
Pub Date : 2019-06-19 DOI: 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.
目前,冠心病和非酒精性脂肪肝是乌克兰乃至世界的重大问题。肝功能障碍可促进冠心病的发生和发展。动脉粥样硬化的起始过程是一种低强度的慢性全身性炎症。这种关于动脉粥样硬化发展的观点是在过去二十年中形成的。本研究的目的是研究冠心病合并非酒精性脂肪性肝病患者低强度全身性炎症的特征/特点。这项研究涉及135名冠心病患者:稳定型心绞痛、I-II功能级、0-I心力衰竭合并非酒精性脂肪性肝病和30名健康人。我们检测了患者血液中细胞因子-TNFα和IL-10的水平,急性期反应物和凝血因子的含量,内皮功能障碍的标志是循环内皮微粒(CEM) CD32+ CD40+的量和单核外周血中IkBα基因NF-kB的表达水平。我们研究了单核细胞中IkBα mRNA基因的表达水平,反映了稳定型冠心病和冠心病合并NAFLD患者NF-kB转录活性水平显示,与稳定型冠心病患者相比,稳定型冠心病患者IkBα mRNA基因的表达显著增加88.5%。CEM CD32+ CD40+对内皮功能状态的分析表明,冠心病组和冠心病合并NAFLD组存在内皮功能障碍。比较冠心病合并NAFLD患者低强度全身炎症指标和内皮功能障碍标志物,合并合并NAFLD患者TNFα、急性期反应物、凝血纤维蛋白原因子及mRNA IkBα基因表达均显著升高,提示冠心病合并NAFLD患者较冠心病组整体低强度全身炎症水平升高。
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引用次数: 0
DIAGNOSTIC VALUE OF LABORATORY TESTS OF WOMEN IN THE DYNAMICS OF TREATMENT OF PERIODONTAL DISEASES CONCOMITANT WITH BACTERIAL VAGINOSIS 女性实验室检查对牙周病合并细菌性阴道病治疗动态的诊断价值
Pub Date : 2019-06-19 DOI: 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.
尽管有证据表明细菌性阴道病患者存在慢性全身炎症和炎症性营养不良牙周病,但由于缺乏明确的细菌性阴道疾病(BV)女性牙科筛查策略,导致治疗计划不足,因为没有考虑非典型触发因素,在非侵入性诊断中至关重要。在这方面,α-淀粉酶和分泌型IgA(sIgA)值得注意。研究的目的。本文旨在通过测定α-淀粉酶的动力学活性和sIgA浓度的变化,验证最近治疗育龄妇女细菌性阴道病的炎症性和炎症性营养不良牙周病的结果评估的诊断价值。材料和方法。对50名育龄妇女进行了检查。受试者根据其妇科状况分为几组:第一组(对照组)(n=10)包括阴道纯度为I和II级的女性;A组(n=15)包括经证实诊断为BV并接受常规治疗的女性;第一组-B(n=15)包括患有BV的女性,她们使用我们的专利治疗方案接受治疗,该方案考虑到了这组受试者口腔中存在的特定BV菌群。在口腔中,分析口腔液的氨基测试结果,并测定α-淀粉酶的动力学活性和sIgA浓度。采用聚合酶链式反应(PCR)方法检测口腔中是否存在阴道加德纳菌和阴道阿托菌。后果患有BV的女性的sIgA水平比没有BV的患者低30-45%。两组女性的口服sIgA浓度在治疗后都恢复了,但III-A组和III-B组在治疗后的结果有显著差异(III-B组受试者sIgA的结果比III-A组的值高1.33倍),表明考虑到口腔中BV病原体的存在的所提出的治疗方案具有更高的疗效。III-A组患者在治疗前口腔液氨基测试结果呈阳性的比例为73.3%,治疗后仅为53.3%,而III-B组受试者的初步结果为80%;治疗后,记录到下降到20%。结论。应用实验室方法检查女性局部耐药性的诊断价值足以作为炎症和炎症性营养不良牙周病伴细菌性阴道病患者牙周治疗结果的对照。
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引用次数: 0
SUSCEPTIBILITY OF PLANKTONIC AND FILM FORMS OF CANDIDA GLABRATA AND CANDIDA ALBICANS TO CATIONIC SURFACTANT ANTISEPTICS 光滑念珠菌和白色念珠菌浮游和膜状对阳离子表面活性剂防腐剂的敏感性
Pub Date : 2019-04-12 DOI: 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.
本研究的目的是研究浮游和膜状白色念珠菌和光滑念珠菌对阳离子表面活性剂防腐剂的敏感性。材料和方法。本研究以外科住院病人中分离的20株白色念珠菌和15株光滑念珠菌为研究对象。在Sabouraud液体营养培养基中,通过两倍系列稀释(大稀释)定量评估了研究菌株的浮游形式对防腐剂的敏感性。使用Christensen分光光度法(MtP试验“微量滴定板试验”)评估了临床菌株白色念珠菌和光滑念珠菌的生物膜形成特性。防腐剂对白色念珠菌和光滑念珠菌膜形式的影响是通过根据上述程序添加亚抑菌浓度的防腐剂复制生物膜和随后的分光光度法ODU评估来评估的。在本研究中,我们使用了基于阳离子表面活性剂的防腐剂,氯己定二葡糖酸酯0.05(氯己定KR,由PJSC“Khimfarmzavod”Chervona zirka“制造,乌克兰哈尔科夫(CHH))和十甲氧基新0.2(Decasan,由Yuria Farm LLC生产,乌克兰基辅(DCM))。后果根据研究结果,与白色念珠菌菌株相比,光滑念珠菌菌株对CHH的敏感性较低。此外,所研究的念珠菌代表中DCM的活性没有显著差异。与对CHH的易感性相比,光滑念珠菌的临床菌株对DCM更敏感。白色念珠菌菌株表现出中等的成膜特性,而光滑念珠菌则表现出较高的成膜性能。所研究的阳离子表面活性剂防腐剂对念珠菌临床菌株的成膜性能具有相同程度的活性。结论。阳离子表面活性剂防腐剂(CHH和DCM)对浮游和膜状白色念珠菌和光滑念珠菌具有抗真菌活性。
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引用次数: 1
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Problemi ekologiyi ta meditsini
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