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Optimization of protocols of management of patients with generalized periodontitis at the background of cardiovascular disease 心血管疾病背景下广泛性牙周炎患者管理方案的优化
Pub Date : 2021-08-19 DOI: 10.22141/ogh.2.2.2021.237652
O. V. Kopchak, H. F. Biloklytska, O. V. Asharenkova, K. A. Yanishevskyi
Many researchers have proven the relationship between periodontal disease and somatic pathology. Analysis of the data obtained from 348 patients showed that patients under the age of 49 were most often diagnosed with various forms of gingivitis — 36.3–51.65 % and generalized periodontitis (GP) I–II degree — 48.35–59.42 %. However, in patients aged 50–69 years, GP was the predominant disease and accounted for 93.2 %, with 56.03 % of patients having concomitant cardiovascular disease (CVD). Our studies showed that despite the significant prevalence of periodontal disease in patients with CVD, they did not systema-tically visit dentists for treatment. Our studies demonstrated a significant role of autoimmune processes in the formation and progression of chronic generalized periodontal disease in patients with concomitant comorbid conditions, in particular with cardiovascular disease. The data obtained by us demonstrated that one of the important autoantigens that determine the forms of syste-mic inflammatory response and progression of local and systemic endothelial dysfunction in GP with CVD is heat shock proteins. Taking this into consideration, a new differentiated approach to the treatment of GP in CVD was developed based on a new concept of pathogenesis. Pathogenetic therapy of GP in CVD is based on the simultaneous treatment of diseases (including the regenerative method of therapy) taking into account the severity of pathological processes that have an aggravating course. Interdisciplinary integration of dentists and cardiologists will optimize management protocols considering the presence and severity of somatic pathology and, therefore, will improve the quality of GP treatment in conditions of comorbidity.
许多研究者已经证实了牙周病和躯体病理之间的关系。对348例患者资料的分析显示,49岁以下的患者最常被诊断为各种形式的牙龈炎(36.3 - 51.65%)和全身性牙周炎(GP) I-II度(48.35 - 59.42%)。然而,在50-69岁的患者中,GP是主要疾病,占93.2%,56.03%的患者伴有心血管疾病(CVD)。我们的研究表明,尽管牙周病在心血管疾病患者中非常普遍,但他们并没有系统地去牙医那里接受治疗。我们的研究表明,自身免疫过程在慢性广泛性牙周病的形成和进展中具有重要作用,特别是在伴有心血管疾病的患者中。我们获得的数据表明,决定GP合并CVD的全身性炎症反应形式和局部和全身内皮功能障碍进展的重要自身抗原之一是热休克蛋白。考虑到这一点,基于新的发病机制概念,开发了一种新的区分治疗心血管疾病GP的方法。GP在CVD中的病理治疗是基于疾病的同时治疗(包括再生治疗方法),同时考虑到具有加重过程的病理过程的严重程度。考虑到躯体病理的存在和严重程度,牙医和心脏病专家的跨学科整合将优化管理方案,因此,将提高全科医生在合并症条件下的治疗质量。
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引用次数: 0
Pharmacotherapy in dentistry: analysis of the use of drugs in dentistry in 2021 牙科药物治疗:2021年牙科药物使用分析
Pub Date : 2021-08-19 DOI: 10.22141/ogh.2.2.2021.237654
I. Mazur, Anastasia Levchenko, M. Stadnyk
Background. Every year the pharmaceutical market of Ukraine is replenished with new modern medicines, and the rationality of their use remains an urgent problem for doctors around the world. The introduction of a large number of drugs on the pharmaceutical market and the use in the practice of dentists is relevant not only in providing medical professionals with timely and complete information on the clinical efficacy of the drug, but also the features of use, safety, and possible side effects. The purpose of the study was a monitoring, comparative analysis of the results of prescriptions of pharmaceuticals and oral care products by dentists of Ukraine in 2021. Materials and methods. A survey of dentists and analysis of the results of the study was conducted under the auspices of the public organization “Association of Dentists of Ukraine”, a group of companies “MedExpert”, and the Ukrainian rating agency. The study enrolled 4026 respondents — dentists from all regions of Ukraine. There were 70.25 % of women and 29.75 % of men among the respondents. According to the demographic distribution, the largest number of respondents was from the city of Kyiv (1003 people), Lviv (577 people), Kyiv (482 people) regions, the smallest — from Kirovohrad (16 people) and Luhansk (14 people) regions. The study was phased, by filling out a questionnaire prepared by the NGO “Association of Dentists of Ukraine” during scientific and practical events, conferences of professional schools for dentists, online in the first half of 2021. The subject of the study was to determine the purpose of the main pharmaceutical drugs and oral care products. Respondents were dentists of various specialties, mostly of therapeutic and surgical profile. Results. Studies have shown that dentists widely use pharmaceuticals in their daily practice; a significant number of dentists regularly prescribe antibacterial drugs, namely combined antibiotics — ciprofloxacin with tinidazole (48.36 %), penicillin (40.86 %), metronidazole (34.53 %). For pain reduction, a large proportion of dentists uses nonsteroidal anti-inflammatory drugs from the group of nimesulide (85.89 %). Almost all dentists in their daily practice use tools for local treatment of infectious and inflammatory processes: chlorhexidine (82.51 %), metrogil-dent (67.51 %), local anti-inflammatory drugs (holisal) (47.54 %). The purpose of oral care products — kinds of toothpaste, rinses, toothbrushes was analyzed. Conclusions. The results of the analysis of the prescriptions of pharmaceuticals and oral care products testify to their widespread introduction in daily practice by dentists, informing dentists about modern pharmaceuticals and oral care products, data on their indications and contraindications, the likely interaction of pharmaceuticals that will affect the achievement of highly effective treatment results.
背景。乌克兰的医药市场每年都有新的现代药物补充,其使用的合理性仍然是世界各地医生面临的一个紧迫问题。大量药物在医药市场上的引入和牙医在实践中的使用,不仅与向医疗专业人员提供有关药物临床疗效的及时和完整的信息有关,而且与使用特点、安全性和可能的副作用有关。该研究的目的是对乌克兰牙医在2021年开具的药品和口腔护理产品处方的结果进行监测和比较分析。材料和方法。在公共组织“乌克兰牙医协会”、一组公司“MedExpert”和乌克兰评级机构的主持下,对牙医进行了调查并分析了研究结果。这项研究招募了4026名受访者——来自乌克兰所有地区的牙医。女性占70.25%,男性占29.75%。根据人口分布,最多的受访者来自基辅市(1003人)、利沃夫(577人)、基辅(482人)地区,最少的受访者来自基罗沃拉德(16人)和卢甘斯克(14人)地区。该研究分阶段进行,通过填写由非政府组织“乌克兰牙医协会”在科学和实践活动期间准备的调查问卷,即牙医专业学校会议,于2021年上半年在线进行。本研究的主要目的是确定药品和口腔护理产品的主要用途。受访者是不同专业的牙医,主要是治疗和外科。结果。研究表明,牙医在日常执业中广泛使用药物;相当一部分牙医定期开具抗菌药物,即环丙沙星联合替硝唑(48.36%)、青霉素(40.86%)、甲硝唑(34.53%)。为了减轻疼痛,很大比例的牙医使用尼美舒利组中的非甾体类抗炎药(85.89%)。几乎所有的牙医在日常执业中都使用局部治疗感染和炎症过程的工具:氯己定(82.51%),美吉牙(67.51%),局部抗炎药(holisal)(47.54%)。分析了口腔护理用品的用途——牙膏、漱口水、牙刷的种类。结论。对药物和口腔护理产品处方的分析结果证明了牙医在日常实践中广泛使用它们,向牙医通报了现代药物和口腔护理产品,其适应症和禁忌症的数据,以及可能影响实现高效治疗结果的药物相互作用。
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引用次数: 1
Five steps to obtaining a medical practice license for a private dental practitioner or dental institution 获得私人牙科医生或牙科机构的医疗执业执照的五个步骤
Pub Date : 2021-08-19 DOI: 10.22141/ogh.2.2.2021.237895
A. Nyzhnyk
The paper considers the keystones of obtaining a medical practice license by dentists of any specialties who want to begin the private medical practice in any organizational and legal form. To obtaining a license, a dentist must pass a certain preliminary stage: to choose organizational and legal form, to find necessary premises, equipment, and materials, to find qualified medical staff, get a sanitary-epidemiological inspection act, and to prepare documents for the Ministry of Health of Ukraine. At this stage, a future licensee faces some difficulties, because the regulatory requirements are often contradictory, and to process them you need to study a significant number of regulations. However, in case of careful preparation, obtaining a license for medical practice is a fairly simple process, if the future licensee considers all the requirements of applicable law in the preparatory stage.
本文考虑了任何专业的牙医想要以任何组织和法律形式开始私人医疗实践的关键因素。要获得执照,牙医必须通过一定的初步阶段:选择组织和法律形式,找到必要的场所、设备和材料,找到合格的医务人员,获得卫生流行病学检查法,并为乌克兰卫生部准备文件。在这个阶段,未来的持牌人面临一些困难,因为监管要求往往是相互矛盾的,为了处理它们,你需要研究大量的法规。但是,如果仔细准备,如果未来的被许可人在准备阶段考虑到适用法律的所有要求,则获得医疗执业许可证是一个相当简单的过程。
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引用次数: 0
Interprofessional interaction to achieve optimal oral health 跨专业互动,实现最佳口腔健康
Pub Date : 2021-08-19 DOI: 10.22141/ogh.2.2.2021.237658
I. Suprunovych, I. Mazur
Unrestrained progress in medical science, the development of innovative technologies necessitates continuous professional development not only of dentists but also of general practitioners. The Ukrainian Dental Association together with the lea-ding general practitioners has already held the III Ukrainian Congress that aims to improve the professional competence of doctors.
医学科学的飞速发展,创新技术的发展不仅需要牙医的专业发展,也需要全科医生的专业发展。乌克兰牙科协会与领先的全科医生已经举行了第三届乌克兰大会,旨在提高医生的专业能力。
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引用次数: 4
Facial pain in dentistry 牙科的面部疼痛
Pub Date : 2021-08-19 DOI: 10.22141/ogh.2.2.2021.237656
O. L. Tovazhnianska, S. Khlyebas
The lecture describes the most common variants of facial pain that occur in the clinical practice of a dentist. The peculiarities of the clinical picture are given, which allows differentiating them between themselves and with dental pain syndromes. The main causes of facial pain are revealed, and the place of dental problems and diseases among them is shown. The main directions of prosopalgia treatment are given. A clinical case of facial pain in a patient with complicated caries is presented.
讲座描述了最常见的面部疼痛的变种,发生在牙医的临床实践。临床图片的特点是给予,这允许区分他们自己和牙痛综合征。揭示了面部疼痛的主要原因,并指出了其中牙齿问题和疾病的位置。给出了体痛治疗的主要方向。一个临床病例面部疼痛的病人与复杂的龋提出。
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引用次数: 0
COVID-19 and influenza: main differences between clinical symptoms COVID-19与流感:临床症状的主要区别
Pub Date : 2021-06-01 DOI: 10.22141/ogh.2.1.2021.227062
V. Boyko
This review analyzes the clinical symptoms, differential diagnosis of COVID-19 and influenza to facilitate clinical diagnosis of both diseases. The development of the COVID-19 epidemic occurred with an exponential growth of the incidence due to the high contagiousness of the virus, asymptomatic carriage. The situation was aggravated by the contagiousness of the patient in the last 2–3 days of the incubation period (before clinical manifestations), which made it difficult to isolate patients and contacts in a timely. The spectrum of damage to the organs and systems is constantly expanding with a more detailed study of the clinical course of COVID-19. Sometimes, the manifestations of COVID-19 persist even during the period of convalescence, which cause a decrease in the performance and quality of life of patients. The article discusses neurological manifestations, gastrointestinal symptoms and features of pneumonia in COVID-19. The clinical features of influenza and the main differences in the clinical course from COVID-19 are also demonstrated.
本文对新冠肺炎和流感的临床症状、鉴别诊断进行分析,以促进两种疾病的临床诊断。新冠肺炎疫情的发展是由于病毒的高传染性和无症状携带者,发病率呈指数增长。患者在潜伏期最后2-3天(临床表现前)具有传染性,使情况进一步恶化,难以及时隔离患者和接触者。随着对COVID-19临床病程的更详细研究,对器官和系统的损害范围不断扩大。有时,COVID-19的表现甚至持续到恢复期,导致患者的表现和生活质量下降。本文讨论了COVID-19肺炎的神经学表现、胃肠道症状和特征。并阐述了流感的临床特征及与新冠肺炎临床病程的主要区别。
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引用次数: 0
Dear colleagues! 亲爱的同事们!
Pub Date : 2020-02-01 DOI: 10.22141/ogh.1.1.2020.214836
V. Tsymbaliuk
Welcome back! I hope you all had an enjoyable and restorative winter break. I have a number of updates as we get ready to begin the spring semester: " Racisms' Adaptations Since the Civil Rights Movement, " Gore Auditorium. All welcome. Please join us for both events. Robin's talk will help us continue to think about what is happening on campuses across the country and ways forward. o Tues 1/19-Thurs 1/21: Campus-wide Conversations to Acknowledge Lived Experiences. Please join us at one of the following times where students, faculty, staff and alums are invited to open a space to acknowledge and enter into conversations about different lived experiences that exist on our campus. What is it really like to live, learn, and work at Westminster? Morning, afternoon, and evening sessions have been scheduled to accommodate school and work schedules. Information from these sessions will be used by the Culture Initiative group to inform short and long term planning. If you are not able to join us at one of these times, there will be a web opportunity for your input (details will be communicated as they are set). (we are still working on start time and location for this-once set, it will be updated at the link above). o Fri 1/22: Day of service activity in partnership with the Office of Civic Engagement/ Promise South Salt Lake's After-School Program. The service activity is scheduled from 2-4 p.m. in the Bassis Center and other locations across campus. • Follow-up from the December Faculty Meeting. At the December faculty meeting, the students that joined us asked to meet with the President. That meeting happened before winter break. Students expressed concerns about/had questions on 5 main topics: student recruiting (John Baworowsky will be at the Diversity Council meeting on 1/15 to answer questions), student retention, presence of a diversity center/ " safe " spaces on campus, long term goals, and short term goals. In addition they asked about faculty recruiting and our College diversity and inclusion statement. The campus-wide conversations about lived experiences (above) and diversity and inclusion website (below) are a start. This is not being communicated in any way to indicate that our work is done, but rather to give us all a working knowledge of where we are. Once the conversations about lived experiences have taken place, the notes will go to the group working on the culture initiative and …
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引用次数: 0
Dear colleagues! 亲爱的同事们!
Pub Date : 2020-02-01 DOI: 10.22141/ogh.1.1.2020.214839
I. Mazur
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引用次数: 0
Dear colleagues! 亲爱的同事们!
Pub Date : 2020-02-01 DOI: 10.22141/ogh.1.1.2020.214838
S. Schnayder
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引用次数: 0
Вихід у світ нового видання «Українська наукова стоматологічна школа: історичні нариси»
Pub Date : 2020-02-01 DOI: 10.22141/ogh.1.1.2020.214840
.. No authors
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引用次数: 0
期刊
Oral and General Health
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