Vol 4, No 2 (2007)

The paper discusses the notion of compliance in dentistry, the influence of social and psychological factors on compliance. Traditional views of patients' attitudes to treatment as well as new views meeting the modern requirements of medical ethics and medical law are reviewed. Issues of dentists' professional competence in their interactions with patients are discussed.

A new clinical situation in purulent surgery connected to the increased occurrence of atypical pyoinflammatory diseases is taking shape now. In the survey the causes of atypical and chronic inflammatory diseases of maxillofacial region are analyzed.

In this study we analyzed the correlation between biochemical parameters of blood, HCV RNA level, ultrasonic image of liver tissues and morphological changes of liver structure. No dependence between histological changes (inflammation and fibrosis in liver tissue) in both viral and non-viral chronic hepatitis and biochemical parameters of blood, fibrosis ultrasonic characteristics of a liver and an HCV RNA level was noted. A necessity of liver biopsy by ultrasonic control as the most informative and safe method for today is justified.

The effect of laser, microwave and EHF-radiation on the viability and morphology of Tr. vaginalis in conditions of growing it continually in liquid media is investigated. It is shown that all kinds of radiations in therapeutic dozes promote an increase in the quantity of cells. The irradiation of culture results in a change of the form and in a loss of mobility of Trichomonas. However, this does not indicate a decrease in their viability as cells preserved their ability for intensive reproduction. Various dozes of radiations have no mutagen action on DNA, which calls for revision of these physiotherapeutic methods of treatment of trichomoniasis.

The study revealed that the dynamics of changes of the total lumen of subepicardial portions of the main heart veins in the system of coronary sinus in people of early mature age correlates with their topography as well as with various variants of their distribution

There is no universal classification of hepato-renal failure in surgical patients nowadays which makes it difficult to make clinical diagnosis and choose adequate methods of treatment. For the purpose of developing an up-todate classification applicable to clinical practice, 1057 patients with AASP were studied. In 398 (37,6 %) cases hepatorenal syndrome (HRS) developed. Development of classification of HRS was based on the main etiopathological factors, nosological form and presence of additional etiopathological factors (i.e. acute intestinal failure, peritonitis and biliary hypertension). In classification of HRS the time of development of HRS was considered, 3 degrees of severity were distinguished, patients with primary failure of liver or kidney were noted. Development of classification of HRS in patients with abdominal surgical pathology (AASP), taking into consideration modern criteria of hepato-renal failure, is applicable to scientific analysis. This classification can be used in working with patients with different acute abdominal surgical diseases and increases the effect of treatment.

Degenerative-dystrophic disorders of the locomotor system play a leading role among all orthopedic diseases. The authors of this paper put forward a method of treatment with an enzymatic drug, caripazym, administered to with electrophoresis and phonophoresis. This approach helps to reduce the time of arresting pain syndrome and of rehabilitation, decreases the risk of complications and recurrence of the disease.

A method of hi-tone therapy for treating children with spastic forms of infantile cerebral paralysis based on determining dosimetric parameters by means of alternating cellular microelectrophoresis (ACM) was elaborated and put into clinical practice. Electrokinetic parameters of erythrocytes in peripheral blood, as well as dosimetric parameters of hitone therapy were determined and worked out. This contributed to optimization of treatment outcomes in children with spastic forms of infantile cerebral paralysis of different age groups.

Our objective was to study hypotensive therapy efficiency at early periods of observation of patients with arterial hypertension associated with type II diabetes mellitus depending on the type of left ventricular remodelling. There has been detected a direct correlation between the hypotensive effect and the myocardium mass of the left ventricle and a negative correlation between the relative ventricle wall thickness and the index of the area of diastolic blood pressure. No dependence between hypotensive effect and the geometry type of the left ventricle in patients with arterial hypertension associated with type II diabetes mellitus was detected.

We carried out an analysis of anatomobiological parameters of eyes in primary closed-angle glaucoma with relative pupillary block and normal eyes. We estimated the degree of reliability of prognosis of primary closed-angle glaucoma with RLP test and with the author's original prognostic method based on ophthalmobiometric factors.

The paper presents features of clinical-laboratory stages of manufacturing orthodontic devices (positioners, trainers) from thermoplastic materials on the basis of ethylene vinyl acetate. We show casting parameters of thermoplastic material "Flexidi" (Italy) for manual and automatic casting machines. Indications for application of thermoplastic materials of varying rigidity in prosthetic clinical practice are discussed.

The effect of ultralow temperatures on the structure of fibrous dysplasia, metaphyseal fibrous defect, bone cysts is investigated. Fragments of this newgrowth, obtained from 29 patients, were exposed to instillation and contact cryotherapy. The temperature of tissue processed varied from -42 to -134 ºС. The achieved destruction and devitalisation of pathological tissue was estimated by morphometrical calculation of the amount of killed elements. There was impairment of cell membranes and stroma of connective tissue. The count of destroyed cellular elements of the cyst membranes varied from 20 up to 60 % upon contact cryotherapy and instillation processing with nitrogen. Necrosis of cells of fibroblastic leneage was up to 40 % upon contact cryotherapy and up to 30-35 % upon instillation cryotherapy. The obtained data make it possible to increase the destruction of tumor cells upon resection of tumour-like lesions of bones. Cryodestruction and resection of bone excludes excessive radical surgery.

A way of defining occlusal relationship on plaster models of the jaws in dynamics of orthodontic treatment was developed. On the basis of the obtained data a technique of functional grinding of antagonists is proposed.