Vol 25, No 4 (2019)

Articles
SANATION OF PATIENTS MOUTH IN DENTAL ORGANIZATIONS OF PRIVATE HEALTH CARE SYSTEM
Smirnova L.E., Vagner V.D.
Abstract
Oral sanitation - a set of measures aimed at curing diseases of the organs and tissues of the mouth, including the treatment of dental caries, its complications, non-carious lesions and professional hygiene or preparation of the mouth for further orthodontic and orthopedic treatment. Sanation of the mouth can be considered as an indicator of the quality of medical care, as it is a planned result of the treatment of the whole body. However, this indicator is not subject to accounting and analysis in private medical organizations, as a result of which statistical data on the true situation of dental disease and the effectiveness of treatment are unreliable. We conducted a study on the activities of four private dental organizations to achieve the effectiveness of treatment of patients. Evaluation of the scope and cost of work performed, complete rehabilitation of the mouth, carried out the certificate of completion. The collection of data on the structure of dental morbidity by turnover was studied by the medical records of the dental patient. The reason for the refusal to continue treatment before the rehabilitation of the mouth was studied by interviewing (telephone survey) of patients carried out by employees of private dental organizations (medical registrars). The activities of medical organizations, regardless of ownership, should include an in-depth analysis of statistical information, which is part of the management process in health care, ensuring the strengthening of public health and the effectiveness of the health system. Statistics reveal problems, priorities and challenges for the rational use of human, financial and logistical resources. In this regard, all offices of the organization must provide statistical data on their activities to the appropriate authorities and a range of socio-economic measures aimed at the final result of the dental Wellness of the population, strengthen the health and well-being of the person through the reorganization of the mouth.
Medical Journal of the Russian Federation. 2019;25(4):194-198
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HEALTH FEATURES OF WOMEN OF REPRODUCTIVE AGE
Turbine Y.O., Polunina N.V., Polunin V.S.
Abstract
The relevance of the study. In Russia, the number of women of reproductive age makes up 38% of the total female population, there is a negative natural increase in the population. The aim is to study the medical and social aspects of the health of women of childbearing age (18-45 years). Materials and methods:the study of observed women was conducted for three years (2016-2018) according to medical records and questionnaire results in Moscow. The results. The majority of observed women are working, the average age of births by a woman of a child was 25-29 years, more than 80% of women performed abortion, 20.8% of women have gynecological diseases: pathology of the endometrium of the uterus and ovarian (44% and 27% respectively), 12% - had complications of pregnancy and childbirth, irregular menstrual cycle have 55.3% of women. For every woman, on average there are 1.3 diseases, the most common disease is respiratory diseases. In terms of health, women observed are almost evenly distributed to women with good health 35%, with satisfactory health - 37%, with poor health - 28%. The conclusion. In order to improve the health of the women observed and increase their medical activity, preventive interviews were conducted among them on the formation of a healthy lifestyle, which is advisable to conduct constantly.
Medical Journal of the Russian Federation. 2019;25(4):199-201
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HEALTH-RELATED QUALITY OF LIFE MEASUREMENT USING EQ-5D-3L QUESTIONNAIRE
Aleksandrova E.A., Khabibullina A.R.
Abstract
Health-related quality of life is becoming the standard measure of personal well-being and human’s health worldwide. Indicators of the population quality of life allow taking into account the subjective incidence, which is often overlooked during routine medical care. In Russia, the health-related quality of life is becoming particularly relevant in connection with the problems of an ageing population, the development of national strategies and programs in the social and healthcare systems, and the increasing prevalence of chronic diseases. The basis of the HRQoL measurement should be based on a proven and reliable methodology that generates comparable estimates of human well-being. Like any complex subjective indicator, HRQoL does not have an unambiguous direct method of measurement. The aim of this paper is a comprehensive description of the methodology for conducting and presenting the results of the study of the HRQoL using the European Quality of Life Questionnaire, EQ-5D. The paper discusses the measurement of HRQoL as a critical component of a modern health care system, describes in detail the administration of HRQoL data using the EQ-5D-3L questionnaire, and provides a methodology for analyzing and presenting the collected data in studies of population and patient health. We address the discussion to clinicians, healthcare providers, and researchers dealing with the problems of studying and measuring the health-related quality of life.
Medical Journal of the Russian Federation. 2019;25(4):202-209
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IS THERE A CONNECTION BETWEEN PYLORIC HELICOBACTER INFECTION AND METABOLIC DISORDERS?
German S.V., Modestova A.V., Zykova I.E., Nikitin I.G.
Abstract
Relevance. There are numerous publications of foreign authors about relationship between Pyloric Helicobacter (H. p.) infection with several gastroduodenal diseases, including metabolic disorders. Russia is one of the countries with high prevalence of H. p. infection and metabolic disorders. Determining their relationship is important for both prevention and treatment of metabolic disorders. Purpose - study the possibility of relationship between H. p. infection and type 2 diabetes, dyslipidemia, overweight and obesity. Methods and materials. The study included 1487 working residents of Moscow and the Moscow region, 931 men and 556 women, aged 21 to 77 years (median - 46). H. p. infection was diagnosed by detecting antibodies to IgG bacteria in the blood serum. In 698 infected individuals, the presence of a CagA strain, a marker of virulence of the bacterium, was studied using ELISA. Serum levels of basal glucose, total cholesterol, low-density lipoprotein cholesterol, high-density lipoprotein cholesterol, triglycerides were studied, and the body mass index was determined. Results. Infection was discovered in 1348 people (90.6%), CagA positive - 392 (56.2%). Type 2 diabetes was diagnosed in 77 people, 74 - H. p. positive (5.5% ), and 3 - H. p. negative (2.1%). CagA was studied for 31 persons with diabetes. CagA-positive bacterial strain was determined in 22 cases out of 31 (70.1%, p <0,05 by criterion χ²). Dyslipidemia was detected in 175 persons (11.8%), 165 persons H. p. positive (12.2%), 10 - H. p. negative (7.2%) (p>0,05, by criterion χ²). Among H. p. positive, overweight was registered in 884 cases (65.6%), in H. p. negative - in 74 cases (53.2%) (p<0,05 by criterion χ²). Conclusion. In the presence of H. p. infection, the prevalence of metabolic abnormalities increases, which indicates a possible connection between them.
Medical Journal of the Russian Federation. 2019;25(4):210-214
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DIAGNOSIS AND PREVENTION OF PERIODONTAL DISEASE IN PATIENTS WITH MANDIBULAR FRACTURES
Khelminskaya N.M., Gankovskaya L.V., Goncharova A.V., Kravets V.I.
Abstract
The article discusses the diagnosis, prognosis and prevention of periodontal disease in patients with jaw fractures, where the wearing of orthopedic construction acts as a provoking factor in the formation of pathological changes in the periarticular tissues in patients of working age.
Medical Journal of the Russian Federation. 2019;25(4):215-219
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ORTHOSIS MANAGEMENT OF CHILDREN WITH SPASTIC FORMS OF CEREBRAL PALSY: COMPARATIVE ANALYSIS OF THE INITIAL FILLING OF THE INDIVIDUAL REHABILITATION AND HABILITATION PROGRAM AND RECOMMENDATIONS OF THE MEDICAL AND TECHNICAL COMMISSION
Koltsov A.A., Dzhomardly E.I., Vladimirova O.N.
Abstract
Introduction. Cerebral palsy (CP) is one of the most common neurological causes of childhood disability. In patients with cerebral palsy, the underlying disease is often complicated by secondary orthopedic disorders, for the prevention of which orthopedic methods of treatment, including orthoses and other technical means of rehabilitation (TMR) are widely used. Funding for orthosis is carried out from the Federal budget on the basis of an individual program of rehabilitation and habilitation (IPRH) of a disabled child. IPRH, in turn, is filled in taking into account the appointments of the attending physician of the orthopedist. Purpose. To analyze the compliance of recommendations on orthosis, initially introduced in the IPRH, and clinical recommendations of the medical and technical commission (MTC) of the rehabilitation Center for disabled children with spastic forms of cerebral palsy. Materials and methods. Conducted a prospective analysis of IPRH and MTK findings was made in a group of 63 disabled children aged 2 to 17 years, formed by random sampling. All patients were divided into 5 groups depending on the level of motor activity in accordance with the classification of GMFCS. Results. There were statistically significant differences (p < 0.05) between the number of orthoses initially introduced into the IPRH and the recommended MTK with a fluctuation of the visibility index depending on the group (GMFCS) from 38.9% to 56.0%. Summary. All groups noted the need for orthopedic equipment recommended by the MTC and not included primarily in the IPRH, which suggests the need for a multidisciplinary approach to the selection of TMR, including orthoses for children with spastic forms of cerebral palsy. The level of motor activity is an important expert factor in the formation of IPRH recommendations: with a decrease in the level of motor activity, the number and range of orthoses required for the patient increases. The maximum number of orthoses is recommended for additional introduction in IPRH, noted in patients in groups 3 and 5 of GMFCS.
Medical Journal of the Russian Federation. 2019;25(4):220-225
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PECULIARITIES OF DIAGNOSIS OF TUBERCULOSIS IN HIV-INFECTED IN THE REPUBLIC OF KARELIA
Markelov Y.M., Pakhomova E.V.
Abstract
The features of clinical and radiological forms of tuberculosis (TB) and the informativeness of various methods of etiological diagnosis of TB among 175 patients with co-infected HIV + TB for the period 2001-2017 in the Republic of Karelia (RK) were studied. Timely execution of PCR diagnostics reliably reduces the likelihood of a lethal outcome in patients with a co-infection, as it made it possible to quickly detect not only the presence of MBT, but also determine multidrug resistance (MDR) and prescribe adequate chemotherapy on the first day of detection, which significantly reduces the risk of death. It was established that among patients with co-infection with HIV + pulmonary TB, decay cavities in the lung tissue were detected less frequently (40.7%), however, bacteria excretion was significantly more frequent (68.3%) than among patients with pulmonary TB in the Republic of Kazakhstan (data f.8).It has been established that improving the organization of sputum collection can significantly increase (by no less than 20%) the incidence of MBT in patients with pulmonary TB and HIV infection, which is important in the rapid diagnosis of TB and the appointment of adequate therapy, especially considering that among patients ½ (50.5%) co-infection of MBT had MDR.
Medical Journal of the Russian Federation. 2019;25(4):226-229
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EMBRYONAL AND POSTNATAL HISTOGENESIS OF TEETH IN RATS UNDER CONDITIONS OF THE ENVIRONMENT
Kamilov K.P., Taylakova D.I., Nikolskaya I.A.
Abstract
Experimentally have been revealed that environmental contamination by pesticides, dioxides of sulphur and nitrogen disorders the processes of tissue differentiation of teeth and ossifications of jaw bones in embryos. The results of this are tardy teething and anomalous development of the teeth and jaw bones in postembryonic periods. Goal of the work was to identify the features of embryonic development of rats as a whole, as well as embryonic and postnatal development of their dentoalveolar system under conditions of intrauterine exposure to some chemicals polluting the environment. Material and methods. Pesticides, hexachlorane and fosalone, as well as sulfur dioxide and nitrogen dioxide, which are the main components of harmful emissions from oil refineries, have been selected as polluting chemicals. The experiments were performed on non-matured mature white female rats with a body weight of 170-180 g. Results.It is found that prenatal exposure of toxic substances (pesticides, sulfur and nitrogen dioxides) leads to impaired fetal and postnatal development of offspring, which are shown to the maximum extent in combined toxicity of pesticides and dioxides. It was also revealed that combined intrauterine intoxication substantially interferes with the tooth tissue differentiation and jaw bones of the fetus, resulting in the delayed eruption and abnormal development of the teeth in the postnatal period.
Medical Journal of the Russian Federation. 2019;25(4):230-233
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METABOLIC SYNDROME - THIS IS SERIOUS!
Turkina T.I., Shcherbo S.N., Vaganov P.D.
Abstract
Metabolic syndrome is a complex of metabolic, hormonal and clinical disorders that are risk factors for the development of cardiovascular diseases, which are based on insulin resistance and compensatory hyperinsulinemia. The main mechanisms of the effects of chronic hyperinsulinemia on blood pressure are given, and the main symptoms and manifestations of the metabolic syndrome are given. The most common variant of dyslipidemia in the metabolic syndrome is the lipid triad.
Medical Journal of the Russian Federation. 2019;25(4):234-237
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THE FEATURES OF MEDICAL CARE TO FOREIGN CITIZENS STUDYING IN RUSSIAN UNIVERSITIES
Khodorovich M.A., Fomina A.V.
Abstract
This article discusses the main issues of legislative and legal aspects of the provision of primary health care, emergency, including specialized medical care to foreign citizens who are studding in state, municipal and non-state organizations of higher education of the Russian Federation on various programs. The paper comprehensively analyzes the legal nuances of medical support for foreign students compared to their Russian counterparts. The rights and obligations of foreign citizens studying in Russian universities, as well as the possibilities for them to receive full medical care in the Russian Federation are described in detail and step by step. According to the results of the analysis, the authors propose a number of measures for the possibility of equal medical care for foreign students in relation to their Russian colleagues. The analysis was based on regulatory documentation on this topic.
Medical Journal of the Russian Federation. 2019;25(4):238-241
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CLINIC, DIAGNOSIS AND TREATMENT OF CONGENITAL NEVUS COMEDONICUS
Khelminskaya N.M., Goncharova A.V., Kravets V.I., Gureshidze M.A.
Abstract
The article discusses the diagnosis, clinical course, treatment options and a clinical example of a rare disease of camedon nevus.
Medical Journal of the Russian Federation. 2019;25(4):242-244
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SOKOLOV EVGENY IVANOVICH (TO THE 90TH ANNIVERSARY OF HIS BIRTH)
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Medical Journal of the Russian Federation. 2019;25(4):245-245
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KUKES VLADIMIR GRIGORYEVICH (TO THE 85TH ANNIVERSARY OF THE BIRTH)
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Medical Journal of the Russian Federation. 2019;25(4):246-246
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