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The state of hormonal balance in puberty girls with menstrual function disorders on the background of obesity 肥胖背景下月经功能障碍青春期女生的激素平衡状况
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.2
A. Borshulyak, O. Andriets, Y. Tsysar, A. Andriets
Menstrual disorders in puberty girls against the background of hormonal imbalance occupy a significant place in the structure of gynecological pathology since in the future, they can lead to stable and irreversible changes in the formation of the reproductive system.The purpose of the work - to study the state of hormonal balance in puberty girls against the background of obesity.Material and methods. 79 adolescent girls with impaired menstrual function on the background of obesity were examined and treated. All subjects were also given a comprehensive examination to determine the level of hormones in the blood serum.Results. It was found that obese adolescent girls have a clear difference in the severity of hyperandrogenic disorders of carbohydrate metabolism and insulin resistance.Conclusion. A clear relationship between the formation of menstrual function and the state of gonadotropic function of the pituitary gland is established. Changes in the hormonal profile of puberty girls were found against the background of obesity, namely hyperleptinemia and leptin resistance, which were corrected by non-drug and drug therapy.
以激素失衡为背景的青春期女孩月经失调在妇科病理结构中占有重要地位,因为在未来,它们会导致生殖系统形成的稳定和不可逆的变化。这项工作的目的是研究青春期女孩在肥胖背景下的荷尔蒙平衡状态。材料和方法。对79例以肥胖为背景的月经功能受损的青春期少女进行了检查和治疗。所有受试者还接受了全面的检查,以确定血清中的激素水平。肥胖少女在糖代谢高雄激素性障碍的严重程度和胰岛素抵抗方面存在明显差异。月经功能的形成与垂体促性腺功能状态之间存在明确的关系。青春期女孩的激素谱变化是在肥胖的背景下发现的,即高瘦素血症和瘦素抵抗,这通过非药物和药物治疗得到纠正。
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引用次数: 0
Comparative analysis of the structural topography of the mandibular canal in case of bone atrophy using computed tomography 骨萎缩时下颌管结构形貌的计算机断层对比分析
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.12
A. Oshurko, I. Oliinyk, N. Kuzniak, K. Yakovets
Objective. The place of CT should be noted in the study of bone tissue, which allows us to establish the features of the structural topography of the left and right mandibular canals in relation to its structures, get information about the structure of the external and internal cortical plates and determine densitometric values that indicate qualitative characteristics that reflect the type of bone density, even in its age dynamics.Aim of the research. The analysis of structural topographic features of the human mandibular canal in case of bone atrophy caused by terminal dentition defects. Material and methods. The paper provides morphometric studies in absolute values, as well as the location of the human mandibular canal with acquired adentia in the form of terminal dentition defects after paraclinical examination of digital records of 243 CT cone-digital images, which were scanned by the Vatech PaX-I 3D Green extra-oral radiography system with a scan size range of 16x9 cm, a focal spot of 0.5 mm (IEC60336) of a 14-bit gray scale with a size of 0.2/0.3 voxel. Results. The obtained average absolute values characterize the existing qualitative morphological transformations, although they require statistical analysis, but can be used in making clinical decisions on the rehabilitation of patients by dental implantation, osteosynthesis, or the use of other maxillofacial reconstructive operations. Conclusions. In case of preserved dental rows (the first group of studies) the topography of the right mandibular canal approaches the lingual surface on the ≈1.5 mm, which is limited only by the cortical layer of bone tissue, in case of acquired terminal dentition defects - ≈3.8 mm. The "morphological transposition" for the left mandibular canal in the first comparison group is ≈ 2.1 mm, however, in individuals with acquired terminal defects - ≈ 3.05 mm, with a distance to the middle from the outer cortical layer of the lingual surface of bone tissue.
目标。在骨组织研究中应注意CT的位置,它使我们能够建立与其结构相关的左右下颌管结构地形特征,获得有关内外皮质板结构的信息,并确定密度测量值,这些值表明反映骨密度类型的定性特征,甚至在其年龄动态中。研究的目的。末端牙列缺损致骨萎缩的人下颌骨管结构地形特征分析。材料和方法。本文对Vatech PaX-I 3D Green口外x线摄影系统扫描的243张CT锥形数字图像的数字记录,扫描尺寸范围为16x9 cm,焦斑为0.5 mm (IEC60336), 14位灰度,大小为0.2/0.3体素,通过临床旁检查,提供了形态计量学的绝对值研究,以及以终牙列缺陷形式出现的人下颌管的位置。结果。获得的平均绝对值表征了现有的定性形态学转变,虽然需要进行统计分析,但可以用于临床决策患者是否通过种植牙、植骨或使用其他颌面重建手术进行康复。结论。在保留牙列的情况下(第一组研究),右侧下颌管的地形接近舌面≈1.5 mm,仅受骨组织皮质层的限制,在获得性终牙列缺陷的情况下-≈3.8 mm。第一个对照组左侧下颌管的“形态转位”为≈2.1 mm,然而,对于获得性末端缺陷的个体-≈3.05 mm,距离骨组织舌面外皮质层到中间的距离。
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引用次数: 0
Arterial hypertension in rare endocrine pathology: practical observation 动脉性高血压罕见的内分泌病理:实际观察
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.18
P. Liashuk, R. Liashuk
The article is devoted to the problem of arterial hypertension due to the rare pathology caused by excessive production of adrenal hormones on the example of its own clinical observations: ectopic ACTH-dependent Cushing's syndrome, primary aldosteronism, androsteroma, pheochromocytoma of the bladder. The issue of timely diagnosis and adequate treatment of these diseases remains one of the urgent tasks of clinical medicine.
本文结合自己的临床观察,以异位acth依赖性库欣综合征、原发性醛固酮增多症、雄甾瘤、膀胱嗜铬细胞瘤为例,探讨肾上腺激素过量引起的罕见病理引起的动脉高血压问题。及时诊断和适当治疗这些疾病仍然是临床医学的紧迫任务之一。
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引用次数: 1
Odontogenic stem cells and their prospects in practical use (literature review) 牙源性干细胞及其应用前景(文献综述)
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.20
O. Godovanets, Т. Kitsak, K. Halchuk, E. Sauka
Objective. To analyze the latest literature data on the possibilities of using stem cells of odontogenic origin in the practice of regenerative medicine.Material and methods. The bibliosemantic method was applied, and the structural-logical analysis of the received data was carried out. Electronic databases such as PubMed, MEDLINE, Scopus, Web of Science and EMBASE were used for modern scientific literature searching by keywords «regenerative medicine», «regenerative dentistry», «dental mesenchymal stem cells», «stem cell therapy», «dental pulp stem cells».Results. Stem cells derived from the maxillofacial area differ in origin, differential activity and obtaining source. These cell populations have significant potential for cell line differentiation. It is possible to establish their origin by identifying the expression of stem cell markers during the process of receiving a new pure culture. Scientific research in the field of regenerative medicine has shown that the use of stem cells for therapeutic purposes has a positive therapeutic effect on the illnesses of the gastrointestinal tract, musculoskeletal system, and dental diseases of various etiologies. However, further studies of the possibilities to use these cells during the stages of clinical trials remain relevant.Conclusions. To sum up, based on the literature’s analysis, there is a significant interest in scientific and practical medicine for stem cells of odontogenic origin because there are perspectives for their use both in dentistry and in other branches of medicine.
目标。分析牙源性干细胞在再生医学实践中应用可能性的最新文献资料。材料和方法。采用文献语义学方法,对接收到的数据进行结构逻辑分析。利用PubMed、MEDLINE、Scopus、Web of Science和EMBASE等电子数据库,检索关键词为“再生医学”、“再生牙科”、“牙间充质干细胞”、“干细胞治疗”、“牙髓干细胞”等现代科学文献。颌面部干细胞在来源、分化活性和获得来源等方面存在差异。这些细胞群具有显著的细胞系分化潜力。在接受新的纯培养过程中,可以通过鉴定干细胞标记物的表达来确定它们的来源。再生医学领域的科学研究表明,将干细胞用于治疗目的,对各种病因的胃肠道疾病、肌肉骨骼系统疾病和牙科疾病具有积极的治疗效果。然而,在临床试验阶段使用这些细胞的可能性的进一步研究仍然相关。综上所述,基于文献的分析,牙源性干细胞在科学和实用医学上有很大的兴趣,因为它们在牙科和其他医学分支中都有应用的前景。
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引用次数: 0
Efficiency of use of bone augmentation materials based on multipotent mesenchymal stromal cells of adipose tissue before dental implantation in patients of study groups 研究组患者牙种植前基于脂肪组织多能间充质细胞的骨增强材料的使用效率
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.1
A. Bambuliak, N. Kuzniak, L. Lopushniak, R. Dmytrenko, O. Boichuk
Objective. To determine the effectiveness of bone augmentation materials based on multipotent mesenchymal stromal cells of adipose tissue, which were used to fill bone defects during dental operations before dental implantation in patients of the study groups.Materials and methods. Examination and treatment with dental implants were performed on 140 patients who had previously undergone surgery to increase the bone volume of the alveolar processes of the jaws with the use of various bone augmentation materials. All patients were divided into three groups: I (main) group – 49 people (35.0%), in whom the material “Colapan–L” was used to restore the bone tissue of the alveolar processes; II (main) group – 62 patients (44.29%), in whom the augmentation of bone defects was performed using our proposed composition: the drug “Colapan–L”, multipotent mesenchymal stromal cells of adipose tissue and platelet-rich plasma; group III (control) – 29 patients (20.71%) in whom wound healing occurred under a blood clot (spontaneous).Results. It was found that in patients in whom a combination based on multipotent mesenchymal stromal cells of adipose tissue, the drug “Colapan–L”and platelet-rich plasma was used to fill bone defects, peri-implant tissues were completely restored after dental implantation.Conclusions. The effectiveness of our proposed osteoplastic combination based on multipotent mesenchymal stromal cells of adipose tissue, the drug “Colapan–L” and platelet-rich plasma in patients was confirmed by the positive dynamics of the periodontal index PMA, Schiller–Pissarev test. The use of bone augmentation materials based on multipotent mesenchymal stromal cells of adipose tissue during dental operations improves the regenerative and reparative properties of the bone tissue of the jaws, facilitates the postoperative course and reduces the duration of inpatient treatment of patients.
目标。目的:确定基于脂肪组织多能间充质细胞的骨增强材料在研究组患者植牙前牙科手术中骨缺损的填充效果。材料和方法。我们对140名患者进行了牙种植体的检查和治疗,这些患者之前曾接受过手术,使用各种骨增强材料增加下颌牙槽突的骨体积。所有患者分为三组:I(主要)组49例(占35.0%),采用Colapan-L材料修复牙槽突骨组织;II(主要)组:62例(44.29%)患者,使用我们提出的组合:药物“Colapan-L”,脂肪组织的多能间充质基质细胞和富血小板血浆;第三组(对照组)29例(20.71%)伤口愈合发生在血凝块下(自发)。结果发现,以脂肪组织多能间充质细胞为基础,结合药物“Colapan-L”和富血小板血浆修复骨缺损的患者,种植体周围组织完全修复。我们提出的基于脂肪组织的多能间充质间质细胞、药物“Colapan-L”和富血小板血浆的骨成形术组合的有效性得到了牙周指数PMA、席勒-皮萨列夫测试的积极动态证实。在牙科手术中使用基于脂肪组织的多能间充质间质细胞的骨增强材料,提高了颌骨骨组织的再生和修复性能,促进了术后进程,缩短了患者的住院时间。
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引用次数: 0
Effectiveness of lipin administration in a comprehensive treatment of community-acquired pneumonia associated with Covid-19 脂质综合治疗Covid-19相关社区获得性肺炎的有效性
Pub Date : 2021-12-29 DOI: 10.24061/2413-0737.xxv.4.100.2021.11
Yu. Novychenko, O. Khukhlina, S. Kovalenko, I. Dudka
Objective. Тo investigate the effectiveness of Lipin-Biolik therapy on a clinical course of moderate pneumonia associated with COVID-19 as a supplement to the basic therapy at the Department of Pulmonology. Materials and methods. 94 case histories of institutional patients who were treated at the Department of Pulmonology, Chernivtsi Regional Clinical Hospital during 2020-2021 were examined. The patients were divided into two groups: 66 individuals with viral-bacterial pneumonia of a moderate severity associated with COVID-19 (the main group). Their treatment included antibiotics, anticoagulants and intravenous injection of Lipin solution. The control group included 28 patients suffering from pneumonia who received antibiotics and anticoagulants only.Results. Condition of patients after treatment improved in both groups, but in the main group, it was faster than in control one (4-5 faster): shortness of breath decreased, D-dimer in the blood reduced, high blood pressure and the temperature came to normal values, О2 saturation improved. Moreover, by the chest X-ray findings carried out three weeks after treatment, the patients from the main group presented a faster decrease of infiltration areas in the lungs and formation of stable fibrous changes, respectively.Conclusions. The results presented in the article confirm a high effect of Lipin (liposomal forms of natural phosphatidylcholine) for the treatment of viral pneumonias in practical work of a pulmonologist with the aim to reduce the risk of fibrosis formation in the lung tissue, the risk of clot formation and as surfactant-protective therapy.
目标。Тo研究Lipin-Biolik疗法作为肺部内科基础治疗的补充疗法对COVID-19相关中度肺炎临床病程的有效性。材料和方法。对2020-2021年期间在切尔诺夫茨地区临床医院肺病科治疗的94例住院患者的病历进行了检查。患者分为两组:66例与COVID-19相关的中度病毒性细菌性肺炎患者(主要组)。他们的治疗包括抗生素、抗凝血剂和静脉注射Lipin溶液。对照组包括28例肺炎患者,仅接受抗生素和抗凝剂治疗。两组患者治疗后病情均有改善,但主组比对照组快(4-5):呼吸短促减轻,血液中d -二聚体降低,血压、体温恢复正常,О2饱和度改善。治疗3周后的胸部x线显示,主组患者肺部浸润面积减少较快,纤维组织形成稳定。文章中提出的结果证实了Lipin(天然磷脂酰胆碱的脂质体形式)在肺科医生的实际工作中治疗病毒性肺炎的高效果,目的是降低肺组织纤维化形成的风险,血栓形成的风险,并作为表面活性剂保护治疗。
{"title":"Effectiveness of lipin administration in a comprehensive treatment of community-acquired pneumonia associated with Covid-19","authors":"Yu. Novychenko, O. Khukhlina, S. Kovalenko, I. Dudka","doi":"10.24061/2413-0737.xxv.4.100.2021.11","DOIUrl":"https://doi.org/10.24061/2413-0737.xxv.4.100.2021.11","url":null,"abstract":"Objective. Тo investigate the effectiveness of Lipin-Biolik therapy on a clinical course of moderate pneumonia associated with COVID-19 as a supplement to the basic therapy at the Department of Pulmonology. Materials and methods. 94 case histories of institutional patients who were treated at the Department of Pulmonology, Chernivtsi Regional Clinical Hospital during 2020-2021 were examined. The patients were divided into two groups: 66 individuals with viral-bacterial pneumonia of a moderate severity associated with COVID-19 (the main group). Their treatment included antibiotics, anticoagulants and intravenous injection of Lipin solution. The control group included 28 patients suffering from pneumonia who received antibiotics and anticoagulants only.Results. Condition of patients after treatment improved in both groups, but in the main group, it was faster than in control one (4-5 faster): shortness of breath decreased, D-dimer in the blood reduced, high blood pressure and the temperature came to normal values, О2 saturation improved. Moreover, by the chest X-ray findings carried out three weeks after treatment, the patients from the main group presented a faster decrease of infiltration areas in the lungs and formation of stable fibrous changes, respectively.Conclusions. The results presented in the article confirm a high effect of Lipin (liposomal forms of natural phosphatidylcholine) for the treatment of viral pneumonias in practical work of a pulmonologist with the aim to reduce the risk of fibrosis formation in the lung tissue, the risk of clot formation and as surfactant-protective therapy.","PeriodicalId":9270,"journal":{"name":"Bukovinian Medical Herald","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88784872","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}
引用次数: 0
Topographic and anatomical characteristics of the bladder neck in early fetuses 早期胎儿膀胱颈的地形解剖学特征
Pub Date : 2021-11-29 DOI: 10.24061/2413-0737.xxv.3.99.2021.14
D. Proniaiev, I. Kashperuk-Karpiuk, V. Proniaiev, S. Riabyi
Aim. To determine macro-and microscopic anatomical characteristics and the dynamics in topographic and anatomical interactions of the bladder neck with adjacent organs and structures at the beginning of the fetal period. Material and methods. The study was carried out on 70 fetal specimens. The age of subjects included in the study was determined according to the tables of B.M. Patten, B.P. Khvatova, Yu.N. Shapovalov based on measurements of the parietal-calcaneal length (PCL), taking into account the Instructions for determining the perinatal period, live birth, and stillbirth criteria, approved by Order of the Ministry of Health of Ukraine No. 179 dated March 29, 2006. To achieve this goal, the following methods of anatomical research were used: anthropometry - to determine the age of the studied subjects; injection of arterial vessels with subsequent dissection under the control of a microscope – to study the peculiarities of the blood supply to the vesicoureteral segment; radiography - to determine the skeletotopy of the vesicoureteral segment; macro-microscopy – to explore the anatomical relationships of the components of the vesicoureteral segment, their structure, shape, position; histological – to study the structure of the wall of the vesicoureteral segment; morphometry – to determine the morphometric parameters of the vesicoureteral segment; 3-D reconstruction method – to study the spatial structure of the vesicoureteral segment; statistical – to analyze and establish the reliability of differences in organometric parameters.Results. Skeletopically, the projection of the vesicoureteral junction of early fetuses is located at the level of the upper third of the pubic symphysis. At the beginning of the perinatal period in female fetuses, the bladder neck (6.9 ± 2.6 mm) is longer than in male fetuses (6.4 ± 2.4 mm). Based on the analysis and generalization of the research results, it is substantiated that at the beginning of the fetal period, the internal urethral sphincter can be formed: a) by two loops of the outer longitudinal layer; b) the ring of the circular layer and the front bundles of the outer longitudinal layer; c) anterior bundles of the outer longitudinal layer and transverse bundles of the inner longitudinal layer within the trigone of urinary bladder; d) a ring of the circular layer, thickened in the anterolateral sections.Conclusions. Considering the topographic and anatomical characteristics of the angio- and myoarchitectonics of the vesicoureteral segment, we believe that its role as a physiological sphincter of the lower urinary tract is provided by the interaction of the vascular and muscle components. The vascular component of the sphincter apparatus of the vesicoureteral segment is provided by veins located in three layers: 1) cavernous-like veins of the submucosa; 2) veins of the muscular membrane; 3) veins of tunica adventitia. The second anatomical component of the sphincter function of the vesicoureteral segment
的目标。确定胎儿期初期膀胱颈部与邻近器官和结构的宏观和微观解剖特征以及地形和解剖相互作用的动力学。材料和方法。这项研究是在70个胎儿标本上进行的。研究对象的年龄根据B.M. Patten, B.P. Khvatova, y.n.。Shapovalov根据对顶骨-跟骨长度(PCL)的测量,同时考虑到2006年3月29日乌克兰卫生部第179号命令批准的关于确定围产期、活产和死产标准的说明。为了实现这一目标,使用了以下解剖学研究方法:人体测量-确定研究对象的年龄;显微镜下注射动脉血管并解剖研究膀胱输尿管段血供的特点x线摄影-确定膀胱输尿管段的骨骼形态;宏观显微镜-探索膀胱输尿管段各组成部分的解剖关系,它们的结构、形状、位置;组织学——研究膀胱输尿管段管壁的结构;形态计量学-测定膀胱输尿管段的形态计量学参数;三维重建方法-研究膀胱输尿管段的空间结构;统计-分析和建立有机物计量参数差异的可靠性。结果。从骨骼上看,早期胎儿膀胱输尿管交界处的投影位于耻骨联合上三分之一的水平。围产期开始时,女胎膀胱颈(6.9±2.6 mm)比男胎(6.4±2.4 mm)长。通过对研究结果的分析和归纳,证实了在胎儿期初期,内尿道括约肌可以形成:a)外纵层的两个环;B)圆形层的环和外侧纵向层的前束;C)膀胱三角区外纵层前束和内纵层横束;d)环状层,在前外侧切片增厚。考虑到膀胱输尿管段血管和肌肉结构的地形和解剖学特征,我们认为其作为下尿路生理括约肌的作用是由血管和肌肉成分的相互作用提供的。膀胱输尿管段括约肌的血管成分由三层静脉提供:1)粘膜下层的海绵状静脉;2)肌膜静脉;3)外膜静脉。膀胱输尿管段括约肌功能的第二个解剖组成部分是肌肉功能,以尿道内括约肌为代表。
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引用次数: 0
Risk factors of deforming osteoarthritis in the family doctor practice 家庭医生实践中变形性骨关节炎的危险因素
Pub Date : 2021-11-29 DOI: 10.24061/2413-0737.xxv.3.99.2021.8
A. Lehkun, L. Sydorchuk, A. Zaremska
Osteoarthritis (OA) is the most common bone and joint pathology, affecting, according to the American College of Rheumatology ACR (2019), about 302 million people worldwide and is the leading cause of disability in the elderly.Objective. To investigate the role of additional risk factors in patients with OA in the practice of family physicians for secondary prevention.Material and methods. A retrospective analysis of 50 outpatient records and electronic medical records (EMC) of patients with OA for 2019-2020 was performed: 30 women, 20 men; aged 35-75 years. Concomitant risk factors were studied by epidemiological analysis: obesity / overweight, burdensome family history, traumatic factor, occupational exposure.Results. The respiratory and circulatory systems diseases dominate in the structure of the primary morbidity of the Northern Bukovina inhabitants in 2020. The incidence of bone and joint is 4.04% in the general structure, which does not differ significantly from the European average. The structure of the primary morbidity of the bone and joint sphere is dominated by arthrosis and deforming OA (DOA). The injuries and occupational factors dominated in structure of DOA risk factors at the age under 50, but after 50 years – obesity and burdened heredity prevailed, with a significant impact of the occupational factor. Absence of injuries in the anamnesis and occupational factors reduce the risk of DOA 8 and 3.5 times, respectively (p<0.05). Age over 60 years increases the relative risk of DOA 2.5 times as much (p=0.013), especially in women to almost 4 times.Conclusions. Additional risk factors should be considered in patients with DOA for secondary prevention.
骨关节炎(OA)是最常见的骨骼和关节病理,根据美国风湿病学会(ACR)(2019)的数据,全球约有3.02亿人受其影响,是导致老年人残疾的主要原因。目的:探讨家庭医生在OA患者二级预防实践中其他危险因素的作用。材料和方法。回顾性分析2019-2020年OA患者的50例门诊记录和电子病历(EMC):女性30例,男性20例;年龄35-75岁。流行病学分析了伴随危险因素:肥胖/超重、繁重的家族史、创伤因素、职业暴露。2020年,呼吸和循环系统疾病在布科维纳北部居民的主要发病结构中占主导地位。骨关节在一般结构中的发病率为4.04%,与欧洲平均水平无明显差异。原发性骨和关节球发病的结构以关节畸形和骨关节炎(DOA)为主。50岁以下人群DOA危险因素结构以损伤和职业因素为主,50岁以后以肥胖和遗传负担为主,职业因素影响显著。无损伤的记忆和职业因素分别使DOA发生风险降低8倍和3.5倍(p<0.05)。年龄超过60岁使DOA的相对危险度增加2.5倍(p=0.013),尤其是女性增加近4倍。对于DOA患者,应考虑其他危险因素进行二级预防。
{"title":"Risk factors of deforming osteoarthritis in the family doctor practice","authors":"A. Lehkun, L. Sydorchuk, A. Zaremska","doi":"10.24061/2413-0737.xxv.3.99.2021.8","DOIUrl":"https://doi.org/10.24061/2413-0737.xxv.3.99.2021.8","url":null,"abstract":"Osteoarthritis (OA) is the most common bone and joint pathology, affecting, according to the American College of Rheumatology ACR (2019), about 302 million people worldwide and is the leading cause of disability in the elderly.Objective. To investigate the role of additional risk factors in patients with OA in the practice of family physicians for secondary prevention.Material and methods. A retrospective analysis of 50 outpatient records and electronic medical records (EMC) of patients with OA for 2019-2020 was performed: 30 women, 20 men; aged 35-75 years. Concomitant risk factors were studied by epidemiological analysis: obesity / overweight, burdensome family history, traumatic factor, occupational exposure.Results. The respiratory and circulatory systems diseases dominate in the structure of the primary morbidity of the Northern Bukovina inhabitants in 2020. The incidence of bone and joint is 4.04% in the general structure, which does not differ significantly from the European average. The structure of the primary morbidity of the bone and joint sphere is dominated by arthrosis and deforming OA (DOA). The injuries and occupational factors dominated in structure of DOA risk factors at the age under 50, but after 50 years – obesity and burdened heredity prevailed, with a significant impact of the occupational factor. Absence of injuries in the anamnesis and occupational factors reduce the risk of DOA 8 and 3.5 times, respectively (p<0.05). Age over 60 years increases the relative risk of DOA 2.5 times as much (p=0.013), especially in women to almost 4 times.Conclusions. Additional risk factors should be considered in patients with DOA for secondary prevention.","PeriodicalId":9270,"journal":{"name":"Bukovinian Medical Herald","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89494974","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}
引用次数: 0
Immunosupressive activity of opportunist pathogens of the infectious-inflammatory process in the urinary tract of men with calculous pyelonephritis 肾盂肾炎患者泌尿道感染-炎症过程中机会性病原体的免疫抑制活性
Pub Date : 2021-11-29 DOI: 10.24061/2413-0737.xxv.3.99.2021.16
L. Sydorchuk, O. Gavrilyuk, S. Deineka, A. Mikheev, R. Sydorchuk, O. Blinder, I. Sydorchuk
Objective - identification of pathogens of the infectious-inflammatory process of the urinary tract in men with calculous pyelonephritis, antilysozyme, anticomplementary, anti-immunoglobulin activity and inhibitory effect on the phagocytic activity of peripheral blood neutrophils.Material and methods. 34 strains of opportunistic taxa were isolated and identified by bacteriological method from 30 sick men aged 31 to 65 years (mean age 48.8 ± 4.27 years). These bacteria have antilysozyme, anti-complementary and anti-immunoglobulin activity, as well as the suppressive effect of supernatants of cultures of calculous pyelonephritis pathogens on the phagocytic activity of neutrophils in the peripheral blood of patients. The determination of the anti-complementary activity of bacteria was carried out using the principle, which includes testing the protective action of bacteria and their metabolic products against the growth of an indicator strain in the presence of a bactericidal substance (complement of blood serum). The antilysozyme activity of pathogens was investigated by a photometric method. Anti-immunoglobulin activity was studied by the method described in the work of I.S. Gaidash et al. Results. The majority of 27 (79.41%) isolated strains of Enterobacteriaceae (84%) and facultative anaerobic and aerobic gram-positive cocci (E. faecalis, S.saprophyticus) (66.67%) exhibit antilysozyme activity of varying degrees. The highest antilysozyme activity was found in the isolated strains of K. pneumoniae, 8.14% lower – in E. coli. Most (64.71%) of isolated strains of Enterobacteriaceae (68%) and gram-positive cocci (55.56%) from the urinary tract of men with calculous pyelonephritis exhibit anti-complementary activity. All isolated and identified taxa exhibit inhibitory activity against immunoglobulins of the main classes: Ig M, Ig G, and Ig A. K.pneumoniae inhibits immunoglobulins of all major classes, the concentration of Ig M decreases under the influence of this taxon by 22.36%, Ig G - by 26.88% and Ig A - by 19.61%.Conclusions. Opportunistic pathogens (E. coli, K. pneumoniae, P. mirabilis, E. cloaceae, S. marcescens, E. faecalis, S. saprophyticus) of the infectious-inflammatory process of the urinary tract in men with calculous pyelonephritis exhibit different levels of antilysozyme, anti-complementary activity; reduce the function of immunoglobulins Ig G (by 21.60%), Ig A (by 21.49%) and Ig M (by 14.30%), inhibit the phagocytic activity of neutrophilsby 15.74%, their capturing ability- by 22.59%.
目的-鉴别肾盂肾炎男性尿路感染-炎症过程的病原菌、抗溶菌酶、抗补体、抗免疫球蛋白活性及对外周血中性粒细胞吞噬活性的抑制作用。材料和方法。从30例31 ~ 65岁男性患者(平均年龄48.8±4.27岁)中分离鉴定机会性类群34株。这些细菌具有抗溶菌酶、抗补体和抗免疫球蛋白活性,并且结石肾盂肾炎病原菌培养上清液对患者外周血中性粒细胞的吞噬活性有抑制作用。细菌抗补体活性的测定采用该原理,其中包括检测细菌及其代谢产物在杀菌物质(血清补体)存在下对指示菌株生长的保护作用。用光度法测定病原菌的抗溶菌酶活性。采用I.S. Gaidash等人的方法研究了抗免疫球蛋白活性。结果。分离得到的27株肠杆菌科细菌(84%)和兼性厌氧、好氧革兰氏阳性球菌(粪肠杆菌、腐生杆菌)(66.67%)中,绝大多数(79.41%)具有不同程度的抗溶菌酶活性。肺炎克雷伯菌的抗溶菌酶活性最高,大肠杆菌的抗溶菌酶活性低8.14%。结石性肾盂肾炎患者尿路分离的肠杆菌科(68%)和革兰氏阳性球菌(55.56%)多数(64.71%)表现出抗补体活性。所有分离和鉴定的分类群对Ig M、Ig G和Ig A等主要类免疫球蛋白均有抑制作用,肺炎链球菌对Ig M、Ig G -和Ig A -均有抑制作用,其中Ig M、Ig G -和Ig A -的浓度分别下降22.36%、26.88%和19.61%。路缘致病菌(大肠杆菌、肺炎克雷伯菌、神奇假单胞菌、cloaceae、粘质链球菌、粪球菌、腐生链球菌)在肾盂肾炎男性尿路感染-炎症过程中表现出不同水平的抗溶菌酶、抗补体活性;免疫球蛋白Ig G(21.60%)、Ig A(21.49%)和Ig M(14.30%)功能降低,嗜中性粒细胞吞噬活性降低15.74%,捕获能力降低22.59%。
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引用次数: 0
Prevention of pregnancy complications and delivery at low placentation 妊娠并发症和低胎盘分娩的预防
Pub Date : 2021-11-29 DOI: 10.24061/2413-0737.xxv.3.99.2021.13
S. Pecheriaha, I. Marynchyna
Objective is to evaluate the effectiveness of the developed method of preventing pregnancy complications with low placentation from early gestation.Material and methods. We have examined 119 pregnant women with low placentation. This diagnosis was made at 6-7 weeks of gestation on the basis of echographic research. The main group consisted of 64 pregnant women with low chorionic location who underwent prevention from pregnancy complications in early gestation by the complex of medicines developed by us and a control group -55 women with low placentation who had not undergone complications prophylaxis from early gestational periods. The prophylactic complex included Luteina, ginkgo biloba extract, folio and biolectra. To assess the effectiveness of the therapy in the study groups, we analyzed the course of pregnancy in early and late gestation, as well as complications of pregnancy and delivery.Results. The frequency of pregnancy pathologies in the main group, where the prevention of pregnancy complications from early gestation with low placentation, was significantly lower than in the control group. According to the study, the risk of abortion with bleeding and without bleeding in the first and second trimesters significantly decreased in the main group of pregnant women (p<0.05). In the third trimester of gestation in the group where the prevention of pregnancy complications was significantly reduced, the incidence of preterm birth, premature detachment of the low-lying placenta, fetoplacental dysfunction, fetal developmental delay syndrome and fetal distress during pregnancy (p<0.05). Also, in the main group there was a lower percentage of premature births and births that ended by cesarean section.Conclusions. 1. The place of attachment of the placenta in the uterine cavity is closely related to its function, the development of placental dysfunction, pregnancy and delivery. 2. Studies have shown the effectiveness of our proposed comprehensive drug prevention of complications of pregnancy with low placentation, which in turn has led to improved pregnancy and delivery and has become an effective means of preventing placental dysfunction.
目的评价该方法在早期预防低胎盘妊娠并发症中的应用效果。材料和方法。我们检查了119例低胎盘孕妇。这个诊断是在妊娠6-7周的超声检查基础上做出的。主要组为64例低绒毛膜位置孕妇,在妊娠早期采用我们开发的药物组合预防妊娠并发症;对照组为55例低胎盘孕妇,在妊娠早期未采用并发症预防。预防复合物包括黄黄素、银杏叶提取物、叶组合和生物提取物。为了评估治疗在研究组中的有效性,我们分析了妊娠早期和晚期的妊娠过程,以及妊娠和分娩的并发症。主组的妊娠病理发生率,即预防低胎位妊娠并发症的发生率明显低于对照组。研究显示,主组妊娠早期和中期有出血和无出血流产的风险显著降低(p<0.05)。妊娠并发症预防显著降低组妊娠晚期早产、低胎盘早脱离、胎胎盘功能障碍、胎儿发育迟缓综合征、妊娠期胎儿窘迫发生率均显著降低(p<0.05)。同时,在主组中早产和剖宫产的比例较低。1. 胎盘在子宫腔中的附着位置与其功能、胎盘功能障碍的发生、妊娠和分娩密切相关。2. 研究表明,我们提出的药物综合预防低胎盘妊娠并发症的有效性,进而改善妊娠和分娩,成为预防胎盘功能障碍的有效手段。
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引用次数: 0
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Bukovinian Medical Herald
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