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Ensuring The Quality of Healthcare Services in Medicine and Dentistry: The Role of Medical Education, Regulatory Requirements and Effective Practices 确保医学和牙科保健服务的质量:医学教育的作用、监管要求和有效实践
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.03.37
Kamila SerikovnaSeitkazina, Malik Burzakhanov, A. Yumashev, D.V. Dokhmila, Vitaliya Marshalova, Alexander Markov
The article examines the role of medical education, regulatory requirements and effective practices in ensuring the quality of healthcare services in medical practice and dentistry. The authors indicate that these factors directly affect the quality of medical care in any country of the world. By studying the structure of the issue, the researchers identify to what extent this or that indicator has an impact on increasing patient satisfaction with the medical services provided, on increasing awareness of medical workers of the work they perform on the medical care of the population. An important role, according to the authors, is played by the results of the assimilation of educational programs by future doctors, as well as the effectiveness of their activities in internship and residency. Special emphasis is placed on the need to develop communication and ethical skills in future therapists and dentists. Regulations and standards in the field of medicine, as noted in the work, also play an important role in the organization of high-quality patient care in medical organizations of different levels. Also, various innovations in the field of digitalization of the process of providing medical services play a leading role in the field of medical care, especially in the field of therapy and dentistry. It is for this reason that the study of best practices, as well as the experience of Russian and foreign colleagues, makes it possible to expand the scope of their activities by applying innovative tools and approaches in the field of patient treatment. In general, the prospects of these areas of improving the quality of patient care in the field of dentistry and therapy will not only achieve this goal, but also increase the pace of development of these medical fields, which will favorably affect, in general, the development of domestic medicine.
本文探讨了医学教育的作用,监管要求和有效的做法,以确保医疗实践和牙科保健服务的质量。作者指出,这些因素直接影响到世界上任何一个国家的医疗质量。通过研究问题的结构,研究人员确定了这个或那个指标对提高患者对所提供的医疗服务的满意度和提高医务工作者对其在人口医疗保健方面所做工作的认识的影响程度。根据作者的说法,未来医生对教育计划的吸收结果以及他们在实习和住院医生活动的有效性发挥了重要作用。特别强调的是需要发展沟通和道德技能在未来的治疗师和牙医。正如工作中所指出的,医学领域的法规和标准在不同层次的医疗机构中组织高质量的患者护理方面也发挥着重要作用。此外,提供医疗服务过程数字化领域的各种创新在医疗保健领域,特别是在治疗和牙科领域发挥着主导作用。正是出于这个原因,对最佳做法的研究以及俄罗斯和外国同行的经验,使其能够通过在患者治疗领域应用创新工具和方法来扩大其活动范围。总的来说,提高牙科和治疗领域患者护理质量的前景不仅会实现这一目标,而且会加快这些医疗领域的发展步伐,这将对国内医学的总体发展产生有利影响。
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引用次数: 0
Influence of Earth magnetic field on animal nervous system evolution 地球磁场对动物神经系统进化的影响
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.01.24
Kamila Ahmed, B. jaoui, W. Sahnoun, Noureddine Mechouk, H. Abdelmelek, Z. Bouslama
The aim of the present study was to demonstrate the impacts of earth magnetic field (ErMF) on animal nervous system evolution especially electric and histological properties of nerves. We have applied for the first time, as far as we know, a correlation betwen the influence of ErMF and temperature on supraconductor-like behavior in the siatic nerves of four species. Our question point to answer to the a possible link between magnetic change and climate change and to explain in part the possible implication of both parameters in animal nervous system adaptation and evolution. Our results seem to support the existence of a link between ErMF variation and superconductor-like behavior in nerves. The found link does not mean that the ErMF is fully responsible of the histological, electric properties of nerves and climate changes. The data reveal a decrease in nerve resistivity in chameleon and frog, chick and rabbit; showing a superconductor-like behaviour. Analysis of electrical properties demonstrated a clear grade shift at critical temperature (Tc) from poikilotherm (average of ΔT = 11.50) to homeotherm (average of ΔT = 38.00); indicating adaptive nerves changes during evolution confirmed by the increase of Schwann cells number.
本研究旨在探讨地磁场(ErMF)对动物神经系统进化的影响,特别是对神经的电特性和组织学特性的影响。据我们所知,我们首次应用了电磁场和温度对四种动物坐骨神经类超导体行为影响的相关性。我们的问题指向回答磁场变化和气候变化之间的可能联系,并部分解释这两个参数在动物神经系统适应和进化中的可能含义。我们的结果似乎支持在ErMF变化和神经超导体行为之间存在联系。发现的联系并不意味着ErMF对神经的组织学、电学特性和气候变化负有全部责任。数据显示变色龙、青蛙、小鸡和兔子的神经电阻率下降;表现出类似超导体的行为。电学性质分析表明,在临界温度(Tc)下,从准恒温(平均ΔT = 11.50)到恒温(平均ΔT = 38.00)有明显的等级变化;这表明进化过程中适应性神经发生了变化,雪旺细胞数量的增加证实了这一点。
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引用次数: 0
Principles and Advantages of New Drug Delivery Technologie 新型给药技术的原理与优势
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.03.02
Hussein Alkufi, Ahmed Salman, S. Taher
Advanced drug delivery systems offer undeniable benefits for drug delivery. In the past three decades, new methods have been proposed to develop a novel carriers for drug delivery. Nowadays, the major goal is to maximize therapeutic benefit while minimizing side effects. Drug delivery technique is clearly shifting from the micro to nanoscale. Nano-drug delivery systems (NDDSs) are the most promising approach utilized to improve the accuracy of drug delivery and the efficacy of drugs.In this narrative review article, we evaluate how delivery challenges associated with commercial marketed products and discuss newer DDS is being carried out to overcome these challenges .Different colloidal carrier systems such as carbon nanotube ,liposome , were being studied and extensively investigated.
先进的给药系统为给药提供了不可否认的好处。在过去的三十年里,人们提出了新的方法来开发一种新的药物递送载体。现在,主要的目标是使治疗效果最大化,同时使副作用最小化。药物输送技术显然正在从微观尺度向纳米尺度转变。纳米给药系统(NDDSs)是提高给药准确性和药物疗效最有前途的方法。在这篇叙述性的综述文章中,我们评估了与商业销售产品相关的递送挑战,并讨论了新的DDS是如何克服这些挑战的。不同的胶体载体系统,如碳纳米管,脂质体,正在被研究和广泛研究。
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引用次数: 0
Effect of In-Office Bleaching Agents on Three Different Esthetic Restorative Materials: An In Vitro Study 室内漂白剂对三种不同美学修复材料的影响:体外研究
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.03.29
Hisham Mostafa, F. Othman, Hanan Abouelseoud, Dalia M Abouelmagd, A. Naga
Objective: The purpose of this study was to evaluate the effect of two hydrogen peroxide concentrations, commonly used in In-Office bleaching, on the surface roughness and color change of different esthetic restorative materials. Materials and Methods: Sixty disc samples (10 mm in diameter and 2 mm in thickness) of the different restorative materials used were constructed following the manufacturers’ instructions. Samples were classified into three main groups (n=20) according to the type of restorative material: Group1: Microhybrid composite Filtek P90 Silorane, Group 2: IPS emax Press and Group 3: Vitadur Alpha porcelain. Each of the three groups was divided into two subgroups (n=10) (a and b) according to the type of bleaching agent used (Opalesence Xtra Boost 35% hydrogen peroxide (HP) and Zoom 2 25% HP respectively). Samples of subgroups were further divided into two equal divisions (n=5) according to the type of test performed (Roughness testing and Color assessment). Each sample was assessed for surface roughness and color change before bleaching so that each sample served as its own control. Surface roughness was examined using Environmental scanning electronic microscope (ESEM). Color measurements were made with spectrophotometer using CIELAB color scale. One sample from each subgroup was examined to confirm their crystalline phase before and after bleaching using X-Ray Diffraction. Results were statistically analyzed. Results: Significant differences in Ra values were observed between the unbleached and bleached samples, as well as between subgroups treated with Opalesence Xtra Boost and those treated with Zoom 2. The two bleaching agents had statistically significant effect on the color of restorative materials (P<0.05). Moreover, the color change was found to be significantly higher for the restorative materials treated with Opalesence Xtra Boost compared to Zoom 2, regarding their mean ΔE values. Conclusion: Highly concentrated in-office bleaching systems adversely affected the surface roughness and color of Filtek P90 Silorane, IPS e-max Press and Vitadur Alpha porcelain.
目的:评价两种过氧化氢浓度对不同美容修复材料表面粗糙度和颜色变化的影响。材料和方法:根据制造商的说明,制作60个不同修复材料的圆盘样品(直径10 mm,厚度2 mm)。根据修复材料的类型,将样品分为三组(n=20):第一组:微杂化复合材料Filtek P90 Silorane,第二组:IPS emax Press,第三组:Vitadur Alpha瓷。根据使用的漂白剂类型(分别为Opalesence extra Boost 35%过氧化氢(HP)和Zoom 2 25% HP),将三组中的每一组分为两个亚组(n=10) (a和b)。亚组样本根据测试类型(粗糙度测试和颜色评估)进一步分为两等分(n=5)。每个样品在漂白前都要评估表面粗糙度和颜色变化,这样每个样品都可以作为自己的对照。采用环境扫描电镜(ESEM)检测表面粗糙度。用CIELAB色标分光光度计测色。每个亚组的一个样品在漂白前后用x射线衍射检查以确认其结晶相。结果进行统计学分析。结果:在未漂白和漂白的样品之间,以及用Opalesence extra Boost处理的亚组和用Zoom 2处理的亚组之间,Ra值有显著差异。两种漂白剂对修复材料颜色的影响有统计学意义(P<0.05)。此外,与Zoom 2相比,使用Opalesence extra Boost处理的修复材料的颜色变化明显更高,其平均值为ΔE值。结论:高浓度的办公室漂白系统对Filtek P90 Silorane、IPS e-max Press和Vitadur Alpha瓷的表面粗糙度和颜色有不利影响。
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引用次数: 0
Prophylactic Measures in the Field of the Prevention of Intestinal Infections in Children and Adults 儿童和成人肠道感染预防领域的预防措施
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.01.02
Elena Tyurkina, Robert Chotchaev, Yana Paromova, Galina Godunova, P. Sergeev, A. Kokareva
The article discusses the features of prophylactic measures in the field of preventing the development of intestinal infections in children and adults. The author notes that taking proper measures on time in this area will reduce the dynamics of the spread of such diseases, as well as the number of cases of intestinal infections among people. The prevention measures which are considered in this work should be implemented in organizations, educational institutions and public places. This will reduce the cost of the consequences of the spread of various intestinal infections and preserve the health of adults and children, since the consequences of intestinal diseases can be significant for a person and cause the development of various systemic diseases of the gastrointestinal tract.
本文讨论了预防儿童和成人肠道感染发展的预防措施的特点。提交人指出,在这一领域及时采取适当措施将减少这类疾病的传播动态,并减少人群中肠道感染病例的数量。这项工作中考虑的预防措施应在组织、教育机构和公共场所实施。这将减少各种肠道感染传播后果的成本,并保护成人和儿童的健康,因为肠道疾病的后果对个人来说可能是重大的,并导致各种胃肠道全身性疾病的发展。
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引用次数: 0
Evaluation of Wound Healing Potential of ethanolic extract of Tridax Procumbens L. in clinical models 原藜醇提物在临床模型中的创面愈合潜力评价
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.02.04
A. Padmapriya, R. Priyadharshini, Palati Sindhuja
Wound healing is a complicated process in which the skin or the afflicted organ heals itself after an injury. In numerous animal models, scientific validation for the use of most of these botanical parts and species in the management and treatment of prenatal and postnatal complications has been reported. As a result of its bioactivity, biocompatibility, osteoconductivity, structural and chemical similarity to bone and teeth, host tissue bonding ability, and absence of inflammatory characteristic, it has the capacity to regenerate tissue. Our study aimed to identify the wound healing property of Tridax procumbens in Clinical models. In this study we have identified the various phytochemical activities such as cytotoxic effect, anti inflammatory, anti microbial, free radical scavenging and wound healing activity of tridax procumbens. It was found that Tridax procumbens accelerated the healing process by enhancing the epithelial regeneration of wounds. The potent activity of the herbal formulation can be attributed to the phyto-constituents present in the formulation enhance the wound healing effect. Additional research is necessary to understand both the target-based mechanism of action and other pharmacological effects
伤口愈合是一个复杂的过程,在这个过程中,皮肤或受伤的器官在受伤后自行愈合。在许多动物模型中,已经报道了在产前和产后并发症的管理和治疗中使用大多数这些植物部分和物种的科学验证。由于其生物活性、生物相容性、骨导电性、与骨和牙齿的结构和化学相似性、宿主组织结合能力以及无炎症特征,它具有再生组织的能力。我们的研究目的是在临床模型中鉴定原藜草的伤口愈合特性。在本研究中,我们鉴定了三甘树的多种植物化学活性,如细胞毒作用、抗炎、抗微生物、自由基清除和伤口愈合活性。结果表明,原藜通过促进创面上皮细胞的再生来促进创面愈合。草药配方的有效活性可归因于配方中存在的植物成分增强了伤口愈合效果。需要进一步的研究来了解基于靶标的作用机制和其他药理作用
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引用次数: 0
Investigation of the Causes and Ways of Reducing Injuries in Age-Related Patients with Multimorbidity 高龄多病患者减少损伤的原因及方法探讨
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.02.10
Lada Ratushnaya, Diana Gabelaia, Sofia Petrova, Tatiana Maksimenko, S. Barinov, Alexander Markov
The article investigates the causes and ways to reduce injuries in age-related patients with multimorbidity. The author points out that Multimorbid people are at significant risk of falls. These results require prioritization of falls as a public health problem with the need to integrate falls into existing geriatric healthcare programs. The combination of multimorbidity and proximal fracture leads to an increase in mortality, which strongly indicates the need for more comprehensive approaches to high-risk patients. Accordingly, there is a need for future research on the care of high-risk patients after a fracture and the study of the relationship between multimorbid clusters and other signaling events in the field of healthcare.
本文探讨了老年多病患者损伤的原因及减少损伤的方法。作者指出,患有多种疾病的人摔倒的风险很大。这些结果要求优先考虑跌倒作为一个公共卫生问题,需要将跌倒纳入现有的老年保健计划。多发病和近端骨折的结合导致死亡率增加,这强烈表明需要对高危患者采取更全面的治疗方法。因此,未来有必要对骨折后高危患者的护理进行研究,并研究多病聚集性与医疗保健领域其他信号事件之间的关系。
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引用次数: 0
A Case Series of Dyslipidemia Managed with Kutaki (Picrorhiza Kurroa Royle Ex Benth) 库塔基治疗血脂异常1例(Picrorhiza Kurroa Royle Ex Benth)
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.03.12
S. Wajpeyi, Vaishali Kuchewar, Ketki Wajpeyi
Background-Raised total cholesterol, high LDL-C, low HDL-C, and elevated triglycerides are all symptoms of dyslipidemia. It is included in metabolic disorders. It is a major component in causation of atherosclerosis, coronary artery disease and cerebrovascular disease. There is a 1-2 percent rise in the incidence of Coronary Heart Disease for every 1% increase in cholesterol level. As per Ayurveda, it can be considered as a Medadhatu Dushti that is “Medoroga”. Acharya Charaka described drugs having deepana, pachana, medohar, lekhana and strotoshodhaka properties for management of Medoroga. Kutaki (Picrorhiza kurroa Royle ex. Benth) can be used in such conditions due to its lekhana and medohar properties.Various animal research studies conducted on Kutaki proved its antihyperlipidemic and hepatoprotective property. Hence in this case series three patients of dyslipidemia were treated with single dravya Kutaki in tablet form. Case Report-All the three female patients, aged between 40 to 50 years, were treated with Kutaki tablet (500mg) two times a day in the morning and evening (8am-8pm) empty stomach with water for 60 days. After completion of treatment, assessment was done by comparing Serum lipid profile value as with baseline after completion of treatment. Observations and Result -All the three patients showed improvement in lipid values. There was no change in weight or BMI was noted. Conclusion-Hence, it can be concluded that Kutaki is safe and effective in dyslipidemia for normalization of lipid in the blood due to its lekhana, Kapha Medohara (alleviation of vitiated Kapha and Meda) properties.
背景:总胆固醇升高、低LDL-C、低HDL-C和甘油三酯升高都是血脂异常的症状。它包括在代谢紊乱中。它是导致动脉粥样硬化、冠状动脉疾病和脑血管疾病的主要成分。胆固醇水平每增加1%,冠心病的发病率就会增加1- 2%。根据阿育吠陀,它可以被认为是Medadhatu Dushti,即“Medoroga”。Acharya Charaka描述了具有deepana, pachana, medohar, lekhana和strotoshodhaka属性的药物用于治疗梅多罗加。库塔木(Picrorhiza kurroa Royle ex. Benth)由于其lekhana和medohar特性可以在这种条件下使用。各种动物实验证明了它的抗高脂血症和保护肝脏的特性。因此,在本病例中,三例血脂异常患者均以片剂形式服用单药。病例报告-所有3例女性患者,年龄在40至50岁之间,每天两次,早晚(上午8点至晚上8点)空腹加水治疗Kutaki片(500mg),持续60天。治疗结束后,通过比较治疗结束后的血脂值与基线值进行评估。观察与结果:3例患者血脂值均有改善。体重和身体质量指数没有变化。结论:库塔木因其lekhana、Kapha Medohara(减轻Kapha和Meda受损)的特性,对血脂异常的治疗是安全有效的。
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引用次数: 0
Determining Nursing Students’ Dominant Learning Styles and Evaluating the Affecting Factors Using Decision Tree Method 运用决策树法确定护生优势学习风格并评价影响因素
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.02.08
Didem mehmet, lknur rkbir, Bahar nba, I. l
Aim and Background: Identifying the learning styles is important to ensure full and effective learning in nursing students studying in a field that requires clinical practice and experience. For this aim, determined the dominant learning styles of nursing students and to evaluate the affecting factors using the decision tree method. Methods: The study was conducted with 421 students studying nursing at a university in Turkey. “CART”, “CHAID” and “QUEST” decision tree algorithms were used to evaluate the factors affecting learning styles. Results: Of the students, 48% had visual, 36% tactile, 9% kinesthetic, and 7% auditory learning styles. In the decision tree model, living place and university entrance scores were found to have statistically significant effects on learning styles (p<0.05). Conclusion: This study determined that nursing students predominantly had the visual learning style and that the living place was the variable with the most pronounced effect on learning style.
目的与背景:在需要临床实践和经验的护理专业学习中,识别学习风格对于确保充分有效的学习至关重要。为此目的,确定护生的主要学习风格,并采用决策树法评价其影响因素。方法:对土耳其一所大学护理专业的421名学生进行研究。采用“CART”、“CHAID”和“QUEST”决策树算法评价影响学习风格的因素。结果:48%的学生有视觉学习风格,36%的学生有触觉学习风格,9%的学生有动觉学习风格,7%的学生有听觉学习风格。在决策树模型中,居住地点和大学入学分数对学习风格的影响有统计学意义(p<0.05)。结论:本研究确定护理生以视觉学习风格为主,居住环境是影响学习风格最显著的变量。
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引用次数: 0
Anticariogenic activity of Rose Jasmine formulation mediated silver nanoparticles 玫瑰茉莉配方中纳米银的抗肿瘤活性
IF 0.6 Pub Date : 2023-01-01 DOI: 10.5455/jcmr.2023.14.01.26
S. Bhavesh, A. Arthanari, S. Rajeshkumar
Introduction: Rose (rosa canina) is one of the flowers that are much in demand by the community because besides being an ornamental flower it can also be used as a cosmetic base material. Metallic silver (Ag) is a resilient transition element that has been utilised for a long time in jewellery, coinage, and silverware due to its scarcity (ranking 67th in abundance among the elements) and alluring white metallic brilliance. Aim: To study the anticariogenic activity of Rose Jasmine formulation mediated silver nanoparticles. Materials and methods: Muller hinton agar were utilised to identify the zone of inhibition at different concentrations of the prepared extract mediated with silver nanoparticles. Results: It showed that the prepared extract had an average of zone of inhibition at 100ul of the prepared extract. Conclusion: The prepared extract mediated silver nanoparticles had good anticariogenic activity at 100ul concentration.
简介:玫瑰(rosa canina)是社会上需求量很大的花卉之一,因为除了作为观赏花卉外,它还可以用作化妆品的基础材料。金属银(Ag)是一种弹性过渡元素,由于其稀缺性(在元素丰度中排名第67位)和诱人的白色金属光泽,长期以来一直用于珠宝,铸币和银器中。目的:研究玫瑰茉莉花制剂中纳米银的抗肿瘤活性。材料和方法:利用Muller hinton琼脂鉴定不同浓度的银纳米颗粒介导的提取物的抑制区。结果:制备的提取物在100ul时具有平均的抑制带。结论:制备的提取物介导的银纳米颗粒在100ul浓度下具有良好的抗肿瘤活性。
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引用次数: 0
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Journal of Complementary Medicine Research
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