Pub Date : 2021-01-01DOI: 10.25005/2074-0581-2021-23-4-510-519
A. I. Vvedenskiy, A. Zudin
Objective: To study the attitude of medical professionals to providing healthcare services through telemedicine platforms. Methods: The following methods of scientific knowledge were used: literature-based analysis on the research problem; thematic data synthesis and grouping of similar data; secondary analysis of sociological data; the results of the author's medicosociological research on the topic "Telemedicine in everyday clinical practice". Results: The results showed that factors hindering the development of the telemedicine market have resulted in the development of specific most popular among Russians areas, namely, medical consultations online. Healthcare professionals providing outpatient and inpatient care are increasingly involved in delivering telemedicine services. However, their professional preparedness level for this is variable, as well as the attitude towards remote ways of working using digital technologies. Conclusion: The combination of advantages and disadvantages of telemedicine makes it possible to predict its growth, but not a complete replacement of the traditional healthcare system soon. Keywords: Telemedicine, digital platforms, online consultations, medical care, communication format.
{"title":"DOCTORS’ ATTITUDE TO TELEMEDICINE","authors":"A. I. Vvedenskiy, A. Zudin","doi":"10.25005/2074-0581-2021-23-4-510-519","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-4-510-519","url":null,"abstract":"Objective: To study the attitude of medical professionals to providing healthcare services through telemedicine platforms. Methods: The following methods of scientific knowledge were used: literature-based analysis on the research problem; thematic data synthesis and grouping of similar data; secondary analysis of sociological data; the results of the author's medicosociological research on the topic \"Telemedicine in everyday clinical practice\". Results: The results showed that factors hindering the development of the telemedicine market have resulted in the development of specific most popular among Russians areas, namely, medical consultations online. Healthcare professionals providing outpatient and inpatient care are increasingly involved in delivering telemedicine services. However, their professional preparedness level for this is variable, as well as the attitude towards remote ways of working using digital technologies. Conclusion: The combination of advantages and disadvantages of telemedicine makes it possible to predict its growth, but not a complete replacement of the traditional healthcare system soon. Keywords: Telemedicine, digital platforms, online consultations, medical care, communication format.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317985","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-4-595-608
A. Shukri, E. M. Nogovitsina
Traumatic brain injury (TBI) is one of the leading causes of death and disability in those aged under 40 years. Therefore, research in this area of neurosurgery is highly relevant. The review presents insights on current trends in TBI neurosurgery, emphasising severe forms management. Literature review of English and Russian language peer-reviewed publications relating to various forms of TBI showed three main research areas: 1) evolution of surgical techniques with the development toward minimally invasive approaches with equipment and materials modification/development; 2) search for reliable assessment tools to predict the patient's condition in the early and remote postoperative periods; 3) evaluation of the effectiveness of multimodal approaches for diagnosing brain pathology. Keywords: Traumatic brain injury, TBI, severe TBI, surgery, neurosurgery, methods, biomarkers.
{"title":"RECENT ADVANCES IN NEUROSURGICAL INTERVENTION FOR SEVERE TRAUMATIC BRAIN INJURY","authors":"A. Shukri, E. M. Nogovitsina","doi":"10.25005/2074-0581-2021-23-4-595-608","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-4-595-608","url":null,"abstract":"Traumatic brain injury (TBI) is one of the leading causes of death and disability in those aged under 40 years. Therefore, research in this area of neurosurgery is highly relevant. The review presents insights on current trends in TBI neurosurgery, emphasising severe forms management. Literature review of English and Russian language peer-reviewed publications relating to various forms of TBI showed three main research areas: 1) evolution of surgical techniques with the development toward minimally invasive approaches with equipment and materials modification/development; 2) search for reliable assessment tools to predict the patient's condition in the early and remote postoperative periods; 3) evaluation of the effectiveness of multimodal approaches for diagnosing brain pathology. Keywords: Traumatic brain injury, TBI, severe TBI, surgery, neurosurgery, methods, biomarkers.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317651","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-1-124-129
R. Z. Yuldoshev, А.А. Khodzhamkulov, D.SH. Nuraliev, A.SH. Abdulloev
The article presents a case of a combination of stomach cancer and jejunal diverticulosis in a 71-year-old female patient. Stomach cancer was diagnosed preoperatively both clinically and by instrumental (endoscopic and radiological) and pathomorphological methods. During the surgery, jejunal diverticulosis was accidentally revealed. Considering the stomach cancer resectability and the presence of diffuse intestinal diverticulosis, resection of the proximal jejunum, distal subtotal gastrectomy, Roux-en-Y gastroenteroanastomosis, and D2 lymphadenectomy were performed. The immediate postoperative period was complicated by perforation of the anterior wall of the resected stomach, and defect was urgently sutured. Control X-ray examination showed that both the stomach and gastroenteroanastomosis were normal, the passage of contrast through the jejunum was satisfactory. The patient was discharged home on the 12th day in satisfactory condition.
{"title":"SIMULTANEOUS SURGICAL TREATMENT OF STOMACH CANCER AND JEJUNAL DIVERTICULOSIS","authors":"R. Z. Yuldoshev, А.А. Khodzhamkulov, D.SH. Nuraliev, A.SH. Abdulloev","doi":"10.25005/2074-0581-2021-23-1-124-129","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-124-129","url":null,"abstract":"The article presents a case of a combination of stomach cancer and jejunal diverticulosis in a 71-year-old female patient. Stomach cancer was diagnosed preoperatively both clinically and by instrumental (endoscopic and radiological) and pathomorphological methods. During the surgery, jejunal diverticulosis was accidentally revealed. Considering the stomach cancer resectability and the presence of diffuse intestinal diverticulosis, resection of the proximal jejunum, distal subtotal gastrectomy, Roux-en-Y gastroenteroanastomosis, and D2 lymphadenectomy were performed. The immediate postoperative period was complicated by perforation of the anterior wall of the resected stomach, and defect was urgently sutured. Control X-ray examination showed that both the stomach and gastroenteroanastomosis were normal, the passage of contrast through the jejunum was satisfactory. The patient was discharged home on the 12th day in satisfactory condition.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317867","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-1-107-112
N. Toktogulova
A review of the available literature has shown that the current epidemic of nonalcoholic fatty liver disease (NAFLD) is closely related with the widespread prevalence of metabolic risk factors worldwide, such as obesity, type 2 diabetes, and dyslipidemia. In parallel with the increasing availability of effective antiviral drugs, NAFLD is rapidly becoming the most common cause of chronic liver disease in Western countries, and a similar trend is expected in Eastern countries in the coming years. This epidemic and its aftermath have prompted experts from around the world to identify effective strategies for the diagnosis, management and treatment of NAFLD. Various scientific associations from America, Europe and the Asia-Pacific region have offered recommendations based on the most recent data on NAFLD. These recommendations are consistent with the key elements of NAFLD management, but at the same time, there are significant differences in some critical points. We have identified clinical guidelines from 8 different scientific societies with a worldwide reputation, and tried to conduct a systematic and comparative analysis of the presented protocols. Differences were noted in: definition of NAFLD, screening for NAFLD in high-risk patients, a non-invasive test proposed to diagnose NAFLD and identify NAFLD patients with severe fibrosis, follow-up protocols, and finally, treatment strategy
{"title":"SYSTEMATIC REVIEW WITH COMPARATIVE ANALYSIS OF RECOMMENDATIONS FOR THE DIAGNOSIS OF NONALCOHOLIC FATTY LIVER DISEASE","authors":"N. Toktogulova","doi":"10.25005/2074-0581-2021-23-1-107-112","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-107-112","url":null,"abstract":"A review of the available literature has shown that the current epidemic of nonalcoholic fatty liver disease (NAFLD) is closely related with the widespread prevalence of metabolic risk factors worldwide, such as obesity, type 2 diabetes, and dyslipidemia. In parallel with the increasing availability of effective antiviral drugs, NAFLD is rapidly becoming the most common cause of chronic liver disease in Western countries, and a similar trend is expected in Eastern countries in the coming years. This epidemic and its aftermath have prompted experts from around the world to identify effective strategies for the diagnosis, management and treatment of NAFLD. Various scientific associations from America, Europe and the Asia-Pacific region have offered recommendations based on the most recent data on NAFLD. These recommendations are consistent with the key elements of NAFLD management, but at the same time, there are significant differences in some critical points. We have identified clinical guidelines from 8 different scientific societies with a worldwide reputation, and tried to conduct a systematic and comparative analysis of the presented protocols. Differences were noted in: definition of NAFLD, screening for NAFLD in high-risk patients, a non-invasive test proposed to diagnose NAFLD and identify NAFLD patients with severe fibrosis, follow-up protocols, and finally, treatment strategy","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317519","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-3-410-417
M. Malikov, F. B. Bokiev, O. Khudoydodov, F. Khamidov, I. Khomidov, N. A. Makhmadkulova
A literature review on the types of hernias of the anterior abdominal wall (HAAW) is presented. The analysis shows that HAAW are the most common pathology among abdominal surgical diseases. The factors contributing to development of ventral recurrent and postoperative HAAW are summarized. Statistical data indicating their incidence are presented, the causes of the pathology recurrence are considered. Different aspects of development of the abdominal compartment syndrome and septic purulent wound complications are discussed, and the influence of various complications on the outcome of surgical interventions are considered. Keywords: Recurrent ventral hernia, postoperative ventral hernia, intraabdominal hypertension, abdominal compartment syndrome, tension-free hernioplasty.
{"title":"FACTORS PREDISPOSING TO RECURRENT VENTRAL HERNIA","authors":"M. Malikov, F. B. Bokiev, O. Khudoydodov, F. Khamidov, I. Khomidov, N. A. Makhmadkulova","doi":"10.25005/2074-0581-2021-23-3-410-417","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-410-417","url":null,"abstract":"A literature review on the types of hernias of the anterior abdominal wall (HAAW) is presented. The analysis shows that HAAW are the most common pathology among abdominal surgical diseases. The factors contributing to development of ventral recurrent and postoperative HAAW are summarized. Statistical data indicating their incidence are presented, the causes of the pathology recurrence are considered. Different aspects of development of the abdominal compartment syndrome and septic purulent wound complications are discussed, and the influence of various complications on the outcome of surgical interventions are considered. Keywords: Recurrent ventral hernia, postoperative ventral hernia, intraabdominal hypertension, abdominal compartment syndrome, tension-free hernioplasty.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317786","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-4-532-541
V. Rumyantsev, G. Frolov, A. Blinova, Y. Karasenkov, E. V. Bityukova
Objective: To study the structural arrangement of the copper-calcium hydroxide (CCH), a commercially available dental paste used in aqueous suspension, as well as a new antimicrobial nanodrug based on CCH and a hydrosol of copper nanoparticles and copper (II) oxide. Methods: Dental paste Cupral® manufactured by "Humanchemie GmbH" (Germany) was investigated. Immediately prior to the study, it was diluted with either distilled water or a hydrosol of copper nanoparticles and copper (II) oxide in a ratio of 1:2. The hydrosol was obtained in the Department of Physical Chemistry laboratory at the National University of Science and Technology "MISiS", using the method of condensation of low-temperature plasma in a spark discharge. The microstructure of the obtained samples was analyzed using a transmission electron microscope (TEM), LEO 912 AB OMEGA (Carl Zeiss, Oberkochen, Germany). Results: Dilution of CCH with a hydrosol of copper nanoparticles and copper (II) oxide results in forming a complex nanosized composite structure. Nanoparticles in the dispersed phase penetrate the surface layers of CCH particles, which are crystalline hydrates of copper (II) oxide and calcium oxide. Conclusion: The discovered phenomenon could be helpful in the design of a new technology of nanoimpregnation of the tooth root dentin in endodontic and periodontal treatment, which does not require additional electrophoresis. Keywords: Endodontics, periodontology, nanotechnology, copper-calcium hydroxide, electron microscopy.
目的:研究市售的水悬浮液型氢氧化钙铜(CCH)牙膏的结构，以及基于CCH和纳米铜-氧化铜(II)溶胶的新型纳米抗菌药物。方法:对德国“Humanchemie GmbH”公司生产的牙膏Cupral®进行研究。在研究之前，用蒸馏水或铜纳米颗粒和氧化铜(II)的纯溶胶按1:2的比例稀释。该纯溶胶是在中国科学技术大学物理化学系实验室采用低温等离子体火花放电冷凝的方法制备的。采用透射电子显微镜(TEM)， LEO 912 AB OMEGA (Carl Zeiss, Oberkochen, Germany)分析所得样品的微观结构。结果:用铜纳米粒子和氧化铜(II)的纯溶胶稀释CCH，形成复杂的纳米级复合结构。分散相的纳米颗粒穿透CCH颗粒的表层，CCH颗粒是氧化铜(II)和氧化钙的结晶水合物。结论:该现象可用于设计一种不需要额外电泳的牙根纳米浸渍技术，用于根管和牙周治疗。关键词:牙髓学，牙周学，纳米技术，氢氧化钙铜，电子显微镜。
{"title":"ELECTRON MICROSCOPIC PROPERTIES OF A NEW ANTIMICROBIAL NANODRUG BASED ON COPPER-CALCIUM HYDROXIDE COMPOUND","authors":"V. Rumyantsev, G. Frolov, A. Blinova, Y. Karasenkov, E. V. Bityukova","doi":"10.25005/2074-0581-2021-23-4-532-541","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-4-532-541","url":null,"abstract":"Objective: To study the structural arrangement of the copper-calcium hydroxide (CCH), a commercially available dental paste used in aqueous suspension, as well as a new antimicrobial nanodrug based on CCH and a hydrosol of copper nanoparticles and copper (II) oxide. Methods: Dental paste Cupral® manufactured by \"Humanchemie GmbH\" (Germany) was investigated. Immediately prior to the study, it was diluted with either distilled water or a hydrosol of copper nanoparticles and copper (II) oxide in a ratio of 1:2. The hydrosol was obtained in the Department of Physical Chemistry laboratory at the National University of Science and Technology \"MISiS\", using the method of condensation of low-temperature plasma in a spark discharge. The microstructure of the obtained samples was analyzed using a transmission electron microscope (TEM), LEO 912 AB OMEGA (Carl Zeiss, Oberkochen, Germany). Results: Dilution of CCH with a hydrosol of copper nanoparticles and copper (II) oxide results in forming a complex nanosized composite structure. Nanoparticles in the dispersed phase penetrate the surface layers of CCH particles, which are crystalline hydrates of copper (II) oxide and calcium oxide. Conclusion: The discovered phenomenon could be helpful in the design of a new technology of nanoimpregnation of the tooth root dentin in endodontic and periodontal treatment, which does not require additional electrophoresis. Keywords: Endodontics, periodontology, nanotechnology, copper-calcium hydroxide, electron microscopy.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318011","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-1-78-84
A. V. Blinova
Individual oral hygiene is the key element of the complex programs, developed for prevention of caries and inflammatory periodontal diseases. The industry of care cosmetic, especially dental care cosmetic, is so sensitive to modern conceptions and scientific achievements. It tries to use them to create more effective and commercially successful products. Incorporation of nanoparticles into dental composites, disinfected solutions for irrigation of root canals, bioactive covers for titanium and zirconium implants no longer cause skepticism. Using nanoparticles in cosmetic formulations allows us to achieve high filling and active surface area, and therefore, improve cleaning and antimicrobial properties. The aim of this review is to study the promising and already existing areas for using nanotechnologies for prevention of dental disorders. First of all, we are interested in the creation of new oral hygiene products. The samples of nano-containing toothpastes, mouthwashes, mousses and adhesive films, already presented on the market, demonstrate a high remineralizing potential, and with regular use, they are apparently able to provide a prolonged bacteriostatic effect. At the same time, currently there is no information in the public science press about the general or local toxic effects, caused by these biologically active drugs.
{"title":"NANOTECHNOLOGY: FINDING NEW SOLUTIONS FOR PREVENTIVE DENTISTRY","authors":"A. V. Blinova","doi":"10.25005/2074-0581-2021-23-1-78-84","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-78-84","url":null,"abstract":"Individual oral hygiene is the key element of the complex programs, developed for prevention of caries and inflammatory periodontal diseases. The industry of care cosmetic, especially dental care cosmetic, is so sensitive to modern conceptions and scientific achievements. It tries to use them to create more effective and commercially successful products. Incorporation of nanoparticles into dental composites, disinfected solutions for irrigation of root canals, bioactive covers for titanium and zirconium implants no longer cause skepticism. Using nanoparticles in cosmetic formulations allows us to achieve high filling and active surface area, and therefore, improve cleaning and antimicrobial properties. The aim of this review is to study the promising and already existing areas for using nanotechnologies for prevention of dental disorders. First of all, we are interested in the creation of new oral hygiene products. The samples of nano-containing toothpastes, mouthwashes, mousses and adhesive films, already presented on the market, demonstrate a high remineralizing potential, and with regular use, they are apparently able to provide a prolonged bacteriostatic effect. At the same time, currently there is no information in the public science press about the general or local toxic effects, caused by these biologically active drugs.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317593","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-3-342-351
N. A. Zaripov, J. Dodkhoev, S. M. Abdullozoda, R. Jamolova
Objective: To assess the specific non-motor symptoms of Parkinson disease (PD) at its early (preclinical) stages using the NMSQuest scale. Methods: The respondents were divided into 2 groups. The first (main) group included 43 patients with confirmed PD at the age of 51-79 years, on average 66.18±7.79 years. PD duration in the main group ranged from 7 to 28 years (12.65±4.86). The following forms of PD were identified: mixed form – 28 patients (65.1%), akinetic-rigid form – 9 patients (20.9%) and trembling form – 6 patients (13.9%). The second group (control) included 28 individuals without signs of neurodegenerative diseases, including PD, and other severe somatic pathologies. Their age ranged from 47 to 81 years (64.75±10.05). The following concomitant disorders (initial stages, compensated forms) were found in the patients of the 2nd group: arterial hypertension – in 13 patients (46.4%), diabetes mellitus – 9 patients (32.1%); osteoarthritis – 6 patients (21.4%). Results: Non-motor signs of PD, such as hypersalivation, decreased sense of smell, difficulty swallowing, memory impairment, constipation, increased sweating, difficulty walking and loss of self-confidence were significantly more often noticed in the main group, which indicated that they were typical for the patients with PD. It can be assumed that these symptoms could predict the development of PD during the latent and prodromal periods of the disease. Conclusion: Undoubtedly, the motor symptoms that occur in PD exert a significant negative affect on the lifestyle of patients. However, the non-motor symptoms of the disease should not be overlooked. Although many scientists associate the non-motor symptoms of PD with the aging process, our study showed that the use of screening scales confirmed their specificity for PD and correlation with its duration. At the same time, statistical analysis showed that a number of symptoms are characteristic only of PD, while the rest are associated with the natural aging process. Keywords: Parkinson disease, early stage, non-motor symptoms, screening scales, NMSQuest.
{"title":"NON-MOTOR SYMPTOMS OF PARKINSON DISEASE","authors":"N. A. Zaripov, J. Dodkhoev, S. M. Abdullozoda, R. Jamolova","doi":"10.25005/2074-0581-2021-23-3-342-351","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-342-351","url":null,"abstract":"Objective: To assess the specific non-motor symptoms of Parkinson disease (PD) at its early (preclinical) stages using the NMSQuest scale. Methods: The respondents were divided into 2 groups. The first (main) group included 43 patients with confirmed PD at the age of 51-79 years, on average 66.18±7.79 years. PD duration in the main group ranged from 7 to 28 years (12.65±4.86). The following forms of PD were identified: mixed form – 28 patients (65.1%), akinetic-rigid form – 9 patients (20.9%) and trembling form – 6 patients (13.9%). The second group (control) included 28 individuals without signs of neurodegenerative diseases, including PD, and other severe somatic pathologies. Their age ranged from 47 to 81 years (64.75±10.05). The following concomitant disorders (initial stages, compensated forms) were found in the patients of the 2nd group: arterial hypertension – in 13 patients (46.4%), diabetes mellitus – 9 patients (32.1%); osteoarthritis – 6 patients (21.4%). Results: Non-motor signs of PD, such as hypersalivation, decreased sense of smell, difficulty swallowing, memory impairment, constipation, increased sweating, difficulty walking and loss of self-confidence were significantly more often noticed in the main group, which indicated that they were typical for the patients with PD. It can be assumed that these symptoms could predict the development of PD during the latent and prodromal periods of the disease. Conclusion: Undoubtedly, the motor symptoms that occur in PD exert a significant negative affect on the lifestyle of patients. However, the non-motor symptoms of the disease should not be overlooked. Although many scientists associate the non-motor symptoms of PD with the aging process, our study showed that the use of screening scales confirmed their specificity for PD and correlation with its duration. At the same time, statistical analysis showed that a number of symptoms are characteristic only of PD, while the rest are associated with the natural aging process. Keywords: Parkinson disease, early stage, non-motor symptoms, screening scales, NMSQuest.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317687","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-3-379-385
S. V. Miklyaev, O. M. Leonova, A. V. Sushchenko, A. V. Novikov
Objective: Analysis of the results of a questionnaire survey of patients who applied for periodontal treatment. Methods: 157 patients who applied for periodontal care were surveyed, and the patients were divided by gender and age. The survey questions were divided into blocks to reduce the survey time and simplify the analysis of the results. Additional methods measuring oral hygiene were the Simplified Oral Hygiene Index (OHI-S), Community Periodontal Index of Treatment Needs (CPITN), Sulcus bleeding index (SBI, Mühlemann and Son), papillarymarginal alveolar index (PMA). Results: The proportion of mild periodontitis cases significantly decreased from the age group 20-29 to the age group 60 and above, 70.8% to 0%, respectively (p<0.01). In contrast, moderate and severe periodontitis cases increased in the younger to the senior age groups, from 25.0% to 47.1% and from 4.2% to 52.9%, respectively (p<0.01). At the same time, the peak prevalence of moderate periodontitis was in patients aged 40-49 years (51.2%). The return visits rates statistically significantly increase with age – from 0% of return visits in patients aged 20-29 to 82.2% in the patients over 60 years of age (p<0.01). The proportion of smoking patients decreased with age from 58.3% to 47.0%. However, the peak prevalence of smoking patients (62.8%) was in a group of patients aged 40-49 years (p<0.01). Changes in oral hygiene indices and periodontal indices (OHI-S, CPITN, PMA and SBI) were statistically insignificant (p>0.05) and showed only a growth trend with increasing age. In addition, it was found that women more often (51.6%) sought this dental care than men (48.4%). Conclusion: Periodontal care outpatient visits rates increase in younger to senior age groups, associated with an increase in the severity of the inflammatory periodontal disease. At the same time, for young patients (from 20 to 39 years old), the priority was the elimination of cosmetic defects during periodontal treatment. It should also be noted that not only early visits for periodontal care influence the treatment results but also smoking cessation. Keywords: Survey , outpatient visits rates, periodontal care, motivation.
目的:对申请牙周治疗的患者进行问卷调查。方法:对157例牙周保健患者进行调查，按性别、年龄进行分组。为了减少调查时间和简化结果分析，将调查问题分成块。其他测量口腔卫生的方法还有简易口腔卫生指数(OHI-S)、社区牙周治疗需求指数(CPITN)、沟出血指数(SBI, m hlemann and Son)、乳头状边缘牙槽指数(PMA)。结果:轻度牙周炎患者比例在20 ~ 29岁年龄组明显低于60岁及以上年龄组，分别为70.8%和0% (p0.05)，且仅随年龄增长呈上升趋势。此外，还发现女性(51.6%)比男性(48.4%)更经常地寻求这种牙科护理。结论:牙周护理门诊诊断率在年轻到老年年龄组增加，与炎症性牙周病的严重程度增加有关。同时，对于年轻患者(20 - 39岁)，在牙周治疗中优先考虑的是消除美容缺陷。还应注意的是，不仅牙周护理的早期访问影响治疗效果，而且戒烟。关键词:调查，门诊就诊率，牙周护理，动机。
{"title":"SOCIAL SURVEY ON PERIODONTAL CARE OUTPATIENT VISITS RATE","authors":"S. V. Miklyaev, O. M. Leonova, A. V. Sushchenko, A. V. Novikov","doi":"10.25005/2074-0581-2021-23-3-379-385","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-379-385","url":null,"abstract":"Objective: Analysis of the results of a questionnaire survey of patients who applied for periodontal treatment. Methods: 157 patients who applied for periodontal care were surveyed, and the patients were divided by gender and age. The survey questions were divided into blocks to reduce the survey time and simplify the analysis of the results. Additional methods measuring oral hygiene were the Simplified Oral Hygiene Index (OHI-S), Community Periodontal Index of Treatment Needs (CPITN), Sulcus bleeding index (SBI, Mühlemann and Son), papillarymarginal alveolar index (PMA). Results: The proportion of mild periodontitis cases significantly decreased from the age group 20-29 to the age group 60 and above, 70.8% to 0%, respectively (p<0.01). In contrast, moderate and severe periodontitis cases increased in the younger to the senior age groups, from 25.0% to 47.1% and from 4.2% to 52.9%, respectively (p<0.01). At the same time, the peak prevalence of moderate periodontitis was in patients aged 40-49 years (51.2%). The return visits rates statistically significantly increase with age – from 0% of return visits in patients aged 20-29 to 82.2% in the patients over 60 years of age (p<0.01). The proportion of smoking patients decreased with age from 58.3% to 47.0%. However, the peak prevalence of smoking patients (62.8%) was in a group of patients aged 40-49 years (p<0.01). Changes in oral hygiene indices and periodontal indices (OHI-S, CPITN, PMA and SBI) were statistically insignificant (p>0.05) and showed only a growth trend with increasing age. In addition, it was found that women more often (51.6%) sought this dental care than men (48.4%). Conclusion: Periodontal care outpatient visits rates increase in younger to senior age groups, associated with an increase in the severity of the inflammatory periodontal disease. At the same time, for young patients (from 20 to 39 years old), the priority was the elimination of cosmetic defects during periodontal treatment. It should also be noted that not only early visits for periodontal care influence the treatment results but also smoking cessation. Keywords: Survey , outpatient visits rates, periodontal care, motivation.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317747","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 : 2021-01-01DOI: 10.25005/2074-0581-2021-23-3-386-394
V. V. Savgachev, I. Litvinov
Objective: To optimize prevention of postoperative complications of closed calcaneus fractures (CCF), considering prediction of risk factors (RF) for their development. Methods: The case histories of 490 patients with CCF were studied for the period 2010-2020. Among them there were 25 women (5%), and 465 men (95%), their age ranged from 18 to 70 years; 94% of patients were having recent trauma. Postoperative complications were diagnosed in 183 cases (37%), such as dislocation of metal parts of prosthesis (14%); osteomyelitis of the calcaneus (9%); trophic disorders, particularly skin necrosis (21%); suppuration of the postoperative wound and osteosynthesis zone (51%); fistulae and tendinitis (5%). For the analysis of risk pathology, RFs and the potential for their realization were evaluated. The data reduction procedure was performed using calculation of the correlation coefficient τ. The final assessment of the identified predictors was carried out using the logistic regression method. A protocol for managing patients with risk assessment of complications at each stage has been developed. Results: Statistically significant RFs were revealed, such as edema in the fracture zone on the day of surgery and three days later, odds ratio (OR) =0.07 [CI: 0.015-0.294]; lack of antibiotic prophylaxis before surgery, OR=0.053 [CI: 0.006-0.402]; serious comorbidities, OR=0.252 [CI: 0.108-0.586]; significant changes in laboratory tests, OR=0.137 [CI: 0.056-0.327]; significant changes in the follow up tests, OR=0.12 [CI: 0.038-0.42]; failure to perform an X-ray after surgery, OR=0.095 [CI: 0.031-0.286]; lack of prevention of thromboembolic complications, OR=0.02 [CI: 0.038-0.38]; the quality of the recommendations presented in the discharge summary, OR=0.073 [CI: 0.038-0.142]; hard physical labor, OR=0.009 [CI: 0.002-0.044]. In 45 cases, a patient management protocol was used with risk assessment of complications at each stage, as a result of which no complications were noted in 96% of cases. Conclusion: The presented comprehensive approach to the prevention of complications based on consideration of the individual characteristics of the patient and the use of multidimensional modeling can effectively reduce the incidence of complications and may help even a novice specialist in choosing of proper treatment tactics. Keywords: Fracture of the calcaneus, risk factors, prophylaxis, complications, prognosis.
{"title":"PREVENTION OF POSTOPERATIVE COMPLICATIONS OF CALCANEUS FRACTURES","authors":"V. V. Savgachev, I. Litvinov","doi":"10.25005/2074-0581-2021-23-3-386-394","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-386-394","url":null,"abstract":"Objective: To optimize prevention of postoperative complications of closed calcaneus fractures (CCF), considering prediction of risk factors (RF) for their development. Methods: The case histories of 490 patients with CCF were studied for the period 2010-2020. Among them there were 25 women (5%), and 465 men (95%), their age ranged from 18 to 70 years; 94% of patients were having recent trauma. Postoperative complications were diagnosed in 183 cases (37%), such as dislocation of metal parts of prosthesis (14%); osteomyelitis of the calcaneus (9%); trophic disorders, particularly skin necrosis (21%); suppuration of the postoperative wound and osteosynthesis zone (51%); fistulae and tendinitis (5%). For the analysis of risk pathology, RFs and the potential for their realization were evaluated. The data reduction procedure was performed using calculation of the correlation coefficient τ. The final assessment of the identified predictors was carried out using the logistic regression method. A protocol for managing patients with risk assessment of complications at each stage has been developed. Results: Statistically significant RFs were revealed, such as edema in the fracture zone on the day of surgery and three days later, odds ratio (OR) =0.07 [CI: 0.015-0.294]; lack of antibiotic prophylaxis before surgery, OR=0.053 [CI: 0.006-0.402]; serious comorbidities, OR=0.252 [CI: 0.108-0.586]; significant changes in laboratory tests, OR=0.137 [CI: 0.056-0.327]; significant changes in the follow up tests, OR=0.12 [CI: 0.038-0.42]; failure to perform an X-ray after surgery, OR=0.095 [CI: 0.031-0.286]; lack of prevention of thromboembolic complications, OR=0.02 [CI: 0.038-0.38]; the quality of the recommendations presented in the discharge summary, OR=0.073 [CI: 0.038-0.142]; hard physical labor, OR=0.009 [CI: 0.002-0.044]. In 45 cases, a patient management protocol was used with risk assessment of complications at each stage, as a result of which no complications were noted in 96% of cases. Conclusion: The presented comprehensive approach to the prevention of complications based on consideration of the individual characteristics of the patient and the use of multidimensional modeling can effectively reduce the incidence of complications and may help even a novice specialist in choosing of proper treatment tactics. Keywords: Fracture of the calcaneus, risk factors, prophylaxis, complications, prognosis.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317758","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}
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