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Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)最新文献

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Influence of factors of systemic inflammation and endothelial dysfunction in somatic pathologies on the success of dental implantation (literature review) 躯体病变中的全身炎症和内皮功能障碍因素对植牙成功率的影响(文献综述)
Pub Date : 2023-12-07 DOI: 10.18499/2070-9277-2023-26-3-73-84
Alexander V. Guskov, Alexander A. Oleynikov, Alexander A. Nikiforov, Valeria G. Logunkova, Dmitry G. Zhukovets, Oksana A. Laut, Tatiana A. Vasileva
In the presented literature review, the issue of the influence of general somatic factors associated with diseases of the cardiovascular and endocrine systems on the success of dental implantation was studied. The issues of the relationship of systemic inflammatory processes and periodontal status with the dental health of patients with background pathologies associated with an imbalance of pro- and anti-inflammatory cytokines, insulin and glucose in the blood in diabetes mellitus and obesity, factors of endothelial dysfunction in atherosclerosis, hypertension and coronary heart disease are highlighted. Based on the analyzed information, it was confirmed that poor-quality history taking, the lack of a thorough diagnostic examination (biochemical blood test, coagulogram, reaction to the presence of specific infections and viral diseases), ignoring the need to correct existing local and systemic inflammatory phenomena before dental implantation can lead to a violation the process of osseointegration, the occurrence of peri-implantitis, implant rejection reactions. In this regard, it can be concluded that when planning complex dental treatment, attention should be paid not only to local dental symptoms, but also to the general history and laboratory data, which will improve the quality of dental implantation.
在提交的文献综述中,研究了与心血管和内分泌系统疾病相关的一般体质因素对种植牙成功率的影响问题。重点讨论了全身炎症过程和牙周状况与患者牙齿健康的关系问题,这些患者的病理背景与促炎细胞因子和抗炎细胞因子的失衡、糖尿病和肥胖症患者血液中的胰岛素和葡萄糖、动脉粥样硬化、高血压和冠心病患者的内皮功能障碍因素有关。根据所分析的信息,可以确认,病史采集质量不高、缺乏全面的诊断检查(血液生化检验、凝血图、对特定感染和病毒性疾病的反应)、忽视牙科种植前纠正现有局部和全身炎症现象的必要性,都会导致骨结合过程受到破坏、发生种植体周围炎、种植体排斥反应。因此,可以得出这样的结论:在计划复杂的牙科治疗时,不仅要注意局部牙科症状,还要注意一般病史和实验室数据,这将提高牙科种植的质量。
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引用次数: 0
THE SIGNIFICANCE OF BACTERIOSCOPY IN THE COMPLEX OF DIAGNOSTICS OF COMPLICATED FORMS OF DENTAL CARIES OF PATIENTS WHO PREVIOUSLY HAVE COVID-19 细菌学检查在对曾患过龋齿的患者进行复杂龋齿综合诊断中的重要性-19
Pub Date : 2023-12-07 DOI: 10.18499/2070-9277-2023-26-3-41-46
Anna L. Ermolovich, Eleanora G. Borisova, V. A. Zheleznyak, Julia A. Khrustaleva
The issues of the complexity of diagnosing diseases of the pulpoperiodontal complex of teeth of patients who had previously recovered from COVID-19, as well as the need to select the most adapted algorithm for the treatment of pathology, depending on the clinical manifestations in the oral cavity, were studied. An increase in the activity of opportunistic microorganisms, which normally do not show activity in the oral cavity, gives rise to the development of various pathologies of hard tissues of the teeth, the pulp and periodontium. The expediency and necessity of including in this category of patients, in addition to the standard dental examination, also additional examination methods (for example, blood test, bacterioscopy, bacteriological tests, testing of the microvasculature, and others) before the start of any dental treatment. Emphasis is placed on the elimination of a certain type of microorganism, identified with the help of additional examination methods, thereby preventing the occurrence of long-term complications after endodontic treatment of the tooth.
研究了诊断曾患 COVID-19 疾病的患者牙髓牙周复合体疾病的复杂性,以及根据口腔临床表现选择最适合的病理治疗算法的必要性。通常在口腔中并不活跃的机会性微生物活性的增加会导致牙齿硬组织、牙髓和牙周出现各种病变。因此,在任何牙科治疗开始前,除了标准的牙科检查外,还需要对这类患者进行其他检查方法(如血液检查、细菌学检查、细菌学检查、微血管检查等)。重点是消除借助附加检查方法确定的某类微生物,从而防止牙髓治疗后发生长期并发症。
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引用次数: 0
Investigation of the effect of fixing zinc-phosphate cements on the tissues surrounding a fixed denture structure 研究固定磷酸锌水门汀对固定义齿结构周围组织的影响
Pub Date : 2023-12-07 DOI: 10.18499/2070-9277-2023-26-3-14-18
Anton S. Valynov, Natalia V. Chirkova, Mikhail A. Kryuchkov, Natalia V. Primacheva, M. N. Bobeshko
Despite the rapid development of orthopedic dentistry and the release of a large number of materials used to fix fixed structures, it is impossible to single out among them an ideal one for every case. There are several classes with significantly different characteristics. Even representatives of the same group have significant differences in properties, which is associated with continuous work on the recipe to adapt to modern requirements. Every orthopedic dentist tries to choose for himself a material that satisfies all parameters, used in dental practice as a fixing fixed structures. He pays special attention not only to the convenience of working with cements or their physico-chemical, physico-mechanical properties, but also to its bioinertness and biocompatibility. To assess the effect of fixing materials on surrounding tissues, a comparative assessment was carried out with the measurement of the toxicity index of materials and the papillary-marginal-alveolar index (PMA).
尽管牙科矫形技术发展迅速,并推出了大量用于固定结构的材料,但要在这些材料中挑选出适合每种情况的理想材料是不可能的。有几类材料具有明显不同的特性。即使是同一类的代表材料,其特性也有显著差异,这与不断研究配方以适应现代要求有关。 每一位牙科矫形医师都试图为自己选择一种能满足所有参数的材料,用于牙科实践中的固定结构。他不仅要特别注意水门汀的工作便利性或其物理化学、物理机械性能,还要注意其生物惰性和生物相容性。 为了评估固定材料对周围组织的影响,通过测量材料的毒性指数和乳头-边缘-牙槽指数(PMA)进行了比较评估。
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引用次数: 0
INVESTIGATION OF THE ADHESIVE ABILITY OF ZINC-PHOSPHATE CEMENTS TO THE DENTIN OF THE TOOTH 研究磷酸锌水门汀对牙齿牙本质的粘附能力
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-31-35
Anton S. Valynov, Angelina S. Ivanina
Improving the reliability of fixing fixed orthopedic structures of dentures is an urgent issue at all times. Due to the increase in the variety of materials in the modern world, the choice for dentists has become even more difficult. Various types of fixing materials are used in the clinic, and their choice depends on the specifics of the clinical situation and the material of the structure from which it is made. One of the types of cements are zinc-phosphate, which are used in practice for a long time and are characterized by sufficient adhesion strength. Representatives of this group have become less popular in the orthopedic dental clinic, since its properties are considered insufficiently satisfactory. Undoubtedly, any fixing material has both pros and cons. It is possible to get high-quality treatment with a dental prosthesis in the oral cavity if the fixing materials are correctly selected, the principles of preparation are observed and a high-quality adhesive protocol is performed. The article describes a study of the adhesive ability of individual zinc-phosphate cements, which was carried out in laboratory conditions at the technical base of LLC "Tselit" Voronezh. 30 teeth of the chewing group were used, which were divided into groups according to the use of materials: "NeoDent" LLC Celit, "VISCIN" LLC Raduga-R, "Adhesor" SpofaDental (Czech Republic). The strength of adhesion was studied using the method - shear test, which determines the strength of the connection of dentine tissue with zinc-phosphate cement.
在任何时候,提高固定假牙矫形结构的可靠性都是一个亟待解决的问题。由于现代材料种类的增加,牙医的选择变得更加困难。临床上使用的固定材料种类繁多,其选择取决于临床情况的具体情况和结构的材料。 其中一种是磷酸锌水门汀,这种水门汀在实践中使用已久,具有足够的粘接强度。这一类水门汀在牙科矫形诊所已不太流行,因为人们认为其性能不够令人满意。毫无疑问,任何固定材料都有利有弊。如果能正确选择固定材料、遵守预备原则并执行高质量的粘接方案,就有可能在口腔中获得高质量的牙科修复治疗。 文章介绍了在沃罗涅日 "特塞利特 "有限责任公司技术基地实验室条件下进行的单个磷酸锌水门汀粘接能力研究。研究使用了咀嚼组的 30 颗牙齿,并根据材料的使用情况将其分为不同的组别:"NeoDent "Celit有限责任公司、"VISCIN "Raduga-R有限责任公司、"Adhesor "SpofaDental(捷克共和国)。 采用剪切试验的方法对粘附强度进行了研究,该方法可确定牙本质组织与磷酸锌水门汀的连接强度。
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引用次数: 0
EFFECTIVENESS OF TREATMENT OF CHRONIC GENERALIZED PERIODONTITIS USING PHOTODYNAMIC AND ANTI-INFLAMMATORY THERAPY 利用光动力疗法和消炎疗法治疗慢性泛发性牙周炎的效果
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-15-22
Fatima S. Khubaeva, S. Garazha, E. Grishilova, E. Nekrasova, Ekaterina E. Ilyina
Inflammatory periodontal diseases remain an unsolved problem of modern medicine due to the high prevalence and insufficient effectiveness of treatment. The study examined the effectiveness of photodynamic and anti-inflammatory therapy in the treatment of chronic generalized periodontitis of moderate severity. The study material was the results of a comprehensive dental examination and treatment of 90 patients aged 30 to 49 years. For treatment, Asepta balm, photodynamic therapy (FotoSan 630 device), etoricoxib (Arcoxia) were used for follow-up periods of up to six months using periodontal indices. The high efficiency of treatment of chronic generalized periodontitis of moderate severity with a combination of photodynamic and anti-inflammatory therapy has been proven. This combination increased the effectiveness of treatment, compared with single-component antimicrobial therapy by 29.9%.
炎症性牙周病由于发病率高、治疗效果不佳,一直是现代医学尚未解决的问题。该研究探讨了光动力疗法和抗炎疗法在治疗中度慢性泛发性牙周炎中的有效性。研究材料是对 90 名 30 至 49 岁患者进行全面牙科检查和治疗的结果。在治疗过程中,使用了 Asepta 香膏、光动力疗法(FotoSan 630 设备)、依托考昔(Arcoxia),并使用牙周指数进行了长达 6 个月的随访。事实证明,联合使用光动力疗法和抗炎疗法治疗中度慢性泛发性牙周炎的疗效很好。与单一成分的抗菌疗法相比,这种组合疗法的疗效提高了 29.9%。
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引用次数: 0
OBTAINING THE EXTRACT OF CHELIDONII MAJORIS L. AS A COMPONENT OF TOPICAL PREPARATIONS IN THE THERAPY OF PSORIASIS 获取大叶诃子提取物作为治疗银屑病的外用制剂成分
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-52-55
E. I. Ryabinina, Elena E. Zotova, Elena I. Peleshenko, Ekaterina S. Nasonova
Psoriasis is one of the most common dermatological diseases that significantly reduces the quality of life of patients. At the same time, about 70% of them need the use of external therapy. The aim of the study was to increase the degree of extraction of active substances from plant materials in order to improve the therapeutic properties of topical preparations for the treatment of psoriasis. For the treatment of psoriasis, it is necessary to use highly concentrated alkaloid extracts of celandine; for this, an 80% solution of acetic acid was used as an extractant.
银屑病是最常见的皮肤病之一,严重降低了患者的生活质量。同时,约 70% 的患者需要使用外部疗法。这项研究的目的是提高从植物材料中提取活性物质的程度,以改善治疗银屑病的外用制剂的治疗特性。为了治疗银屑病,有必要使用高浓度的白屈菜生物碱提取物;为此,使用了 80% 的醋酸溶液作为提取剂。
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引用次数: 0
A-PRF AS AN ALTERNATIVE TO ALVEOLAR AUGMENTATION A-prf 作为牙槽骨隆起术的替代方法
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-4-8
Ruslan T. Ramazanov, Daniil A. Redkov, Nushuravan T. Gasanov, Ekaterina А. Lis
A dentist-surgeon performs a large number of different surgical procedures. Despite the fact that in the 21st century, the level of dental care is high, the number of tooth extractions has not decreased. The main component of surgical work is the extraction of a tooth. The article analyzes the clinical and radiological control of the process of socket regeneration using A-PRF technology, in addition, an assessment of the opinion of doctors on the use of this technique of hole preservation after removal was carried out. In his practice, a dental surgeon often encounters complications after a tooth extraction operation, and in order to avoid them, it is necessary to carry out a set of measures aimed at improving the rehabilitation period, optimizing the reparative process and improving the results of surgical treatment. Based on the results of our work, we found that this technique is not popular among doctors, although it shows good results. When using A-PRF clot, the period of socket epithelialization is reduced, and early formation of a bone pattern is observed, which we do not observe in patients in whom this technique is not used. In order not to carry out repeated surgical reception in the future, it is necessary to think about early conservation.
牙医外科医生要进行大量不同的外科手术。尽管 21 世纪的牙科保健水平很高,但拔牙的数量并没有减少。外科手术的主要内容是拔牙。 文章分析了使用 A-PRF 技术进行牙槽窝再生过程的临床和放射学控制,此外还评估了医生对使用这种拔牙后保留牙洞技术的意见。 牙科医生在实践中经常会遇到拔牙手术后的并发症,为了避免这些并发症,有必要采取一系列措施,以改善康复期,优化修复过程,提高手术治疗效果。 根据我们的工作结果,我们发现这种技术虽然效果不错,但并不受医 生欢迎。使用 A-PRF 凝块时,牙槽骨上皮化的时间会缩短,并能观察到骨形态的早期形成,而我们在未使用该技术的患者身上观察不到这一点。 为了避免今后重复接受手术,有必要考虑早期保存。
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引用次数: 0
XEROSTOMIA AS AN IDIOPATHIC SYMPTOM IN DENTISTRY 作为牙科特发性症状的口腔干燥症
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-36-41
Irina A. Belenova, Myra T. Kopbaeva, Olesya B. Popova, Olga A. Smazhko
The article presents an overview of modern scientific literature on the problem of xerostomia and its etiopathogenetic connection with various general somatic diseases. To date, often the treatment of xerostomia is carried out as an independent disease, due to the failure to identify the underlying pathology. Often, ignorance of the causal relationship of various diseases, both somatic and psycho-emotional, leads to an incorrect diagnosis at a dental appointment and, as a result, an incorrect treatment plan, which leads to a deterioration in the patient's condition and the occurrence of complications. In this connection, the task of a modern dentist becomes urgent to establish the true cause of the pathology of the oral cavity and provide highly qualified treatment, according to the obtained diagnostic data.
文章概述了有关口腔干燥症及其与各种普通躯体疾病之间病因病理联系的现代科学文献。迄今为止,由于未能找出潜在的病理原因,往往将口臭作为一种独立的疾病进行治疗。由于不了解各种疾病(包括躯体疾病和心理情绪疾病)之间的因果关系,往往会在牙科就诊时做出错误的诊断,从而导致错误的治疗方案,导致患者病情恶化和并发症的发生。因此,现代牙医的当务之急是确定口腔病变的真正原因,并根据获得的诊断数据提供高质量的治疗。
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引用次数: 0
EVALUATION OF THE EFFECTIVENESS OF PROFESSIONAL TRAINING OF PHARMACEUTICAL SPECIALISTS VORONEZH 沃罗涅日市制药专家专业培训效果评估
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-42-51
Elena F. Safonova, Lyudmila V. Rudakova, Elena A. Zheleznova, Yuliya O. Dyachenko-Kalyapina
The data of domestic and foreign literature characterizing the current state of pharmaceutical education are studied. The criteria for the effectiveness of the process of professional development of pharmaceutical industry specialists have been established. A sociological study of pharmaceutical workers on the demand and quality of pharmaceutical education received by them was conducted. Practical recommendations aimed at improving the process of professional development of pharmaceutical workers to improve the quality of pharmaceutical care are proposed.
研究了国内外有关医药教育现状的文献资料。确定了制药业专业人员职业发展过程有效性的标准。对医药行业从业人员所接受的医药教育的需求和质量进行了社会学研究。提出了旨在改善医药工作者专业发展进程以提高医药保健质量的实用建议。
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引用次数: 0
DETERMINATION OF ANTIBIOTICS CEPHALOSPORIN SERIES WITH PIEZOELECTRIC SENSORS IN WATER SOLUTIONS 利用压电传感器测定水溶液中的头孢菌素系列抗生素
Pub Date : 2023-07-13 DOI: 10.18499/2070-9277-2023-26-1-56-62
Olga K. Petrova, Irina I. Ivanova, Anna A. Shapovalova, A. Zyablov
The aim of the work was to create a piezoelectric sensor modified with a polymer with molecular imprints of cefuroxime for its subsequent determination in aqueous solutions. For the synthesis of MIP, we used a mixture containing a copolymer of 1,2,4,5-benzenetracarboxylic acid and 4,4'-diaminodiphenyl oxide produced by OJSC IIPP SPA Plastic (Moscow), as well as a solution containing template molecules. The resulting mixture was applied to the surface of the sensor electrode by stamping. After that, thermal imidization was carried out in an oven. Next, the sensors were cooled and placed in distilled water to remove the template. The resulting sensor was used to determine the content of the antibiotic cefuroxime in aqueous solutions using a calibration curve. For this, standard solutions of cefuroxime were prepared with concentrations of 1.0101 1.0107 g/dm3. The measurements made allowed us to conclude that with an increase in the antibiotic concentration in the analyzed solution, a decrease in the resonant frequency occurs. The calibration dependence is linear. The limit of detection of cefuroxime for the obtained sensor is 1.0105 g/dm3. To test the selectivity of the obtained sensor based on a polymer with molecular imprints, an analysis of an antibiotic similar in structure, cefazolin, was carried out. It has been established that the sensory system is selective only for the antibiotic that was used for the synthesis of MIP.
这项工作的目的是制造一种用带有头孢呋辛分子印迹的聚合物改性的压电传感器,用于随后在水溶液中测定头孢呋辛。在合成 MIP 时,我们使用了一种混合物,其中包含由 OJSC IIPP SPA Plastic(莫斯科)公司生产的 1,2,4,5-苯四甲酸和 4,4'-二氨基二苯氧化物的共聚物,以及一种含有模板分子的溶液。 产生的混合物通过冲压被涂在传感器电极表面。然后在烘箱中进行热亚胺化。然后,将传感器冷却并放入蒸馏水中去除模板。 制成的传感器可用于利用校准曲线测定水溶液中抗生素头孢呋辛的含量。为此,制备了浓度为 1.0101 1.0107 g/dm3 的头孢呋辛标准溶液。通过测量,我们得出结论:随着分析溶液中抗生素浓度的增加,共振频率会降低。校准关系是线性的。获得的传感器对头孢呋辛的检测限为 1.0105 g/dm3。为了测试基于带分子印记聚合物的传感器的选择性,对结构相似的抗生素头孢唑啉进行了分析。结果表明,该传感系统只对用于合成 MIP 的抗生素具有选择性。
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引用次数: 0
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Applied Information Aspects of Medicine (Prikladnye informacionnye aspekty mediciny)
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