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MEDICINE

ISSN 2227-6017 (ONLINE), ISSN 2303-9868 (PRINT), DOI: 10.18454/IRJ.2227-6017
ЭЛ № ФС 77 - 80772, 16+

A STUDY OF THE QUALITY OF TREATMENT VIA FULL DENTURES

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The article discusses a subjective assessment of the quality of prosthetic treatment of patients with complete absence of teeth with the brachygnatic structure of the facial skeleton by means of a social survey. An analysis of the study featured in the article shows that patients whose dental arches were reconstructed according to individual craniometric parameters were more likely to note the effectiveness of the chewing function and the similarity of artificial teeth with their previously lost natural teeth than those whose treatment was carried out according to generally accepted methods.

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CONTEMPORARY ISSUES OF SANITARY AND HYGIENIC ASSESSMENT OF CADET HEALTH IN EDUCATIONAL ENVIRONMENT

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The article conducts an analysis of the contemporary scientific literature on the sanitary and hygienic assessment of the health status of cadets in the educational conditions. The relevance of the research in this area lies in the increase in the incidence and frequency of functional abnormalities in the state of health of children and adolescents. Analytically, the review of studies related to this topic demonstrates a lack of knowledge of the issue of health and sanitary conditions in the educational environment of cadet schools. The research related to the daily routine and conditions of the educational process in cadet educational institutions is outdated and does not fully reflect the age and functional capabilities of individual groups of children. Insufficient research has been conducted on the mechanisms of correcting disorders in the state of health of students.

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ACUTE PANCREATITIS IN HIV-INFECTED PATIENTS: THE CURRENT DEVELOPMENTS

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The current article collects and analyzes the available data about the pathogenesis, features of the diagnosis and course of acute pancreatitis in HIV-infected patients on the basis of the most cited foreign research works in recent years.

Patients with HIV / AIDS may be exposed to a wide range of acute pancreatitis development factors, such as opportunistic infections, neoplasms, and metabolic changes due to the use of antiretroviral drugs. With the introduction of combined antiretroviral drugs, new metabolic disorders, such as hepatic steatosis and lactic acidosis, also have a toxic effect on the pancreas.

The analysis was performed based on the signs of differences from the population without HIV infection, the presence of HAART, laboratory and morphological characteristics, comorbidity for viral hepatitis, the degree of immunosuppression, as well as gender differences. The course of pancreatitis in patients with HIV and in the general population was also compared.

As a result, the study forms the most relevant research issues on this topic.

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AN ANALYSIS OF CONFLICT SITUATIONS WITH ELDERLY PATIENTS WHEN APPLYING FOR GENERAL MEDICAL SERVICES IN A POLYCLINIC

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The aim of the study is to conduct a sociological analysis of the causes of conflict situations that arise in patients of older age groups when applying for general medical services to surgical specialists. To achieve this goal, the authors conduct a study that involves 211 patients of older age groups who were treated in a polyclinic by surgical specialists. As a result of the conducted research, the study finds that the main cause of conflicts can be called poor organization, which is confirmed by the fact that the conflicts most often occurr with registry employees and were associated with long waiting periods for receiving medical documents. At the same time, the majority of respondents were satisfied with medical care, while the conflicts with doctors were associated with defects in the organization of medical care. In order to prevent conflict situations in polyclinics, the authors propose the introduction of a number of measures. Undoubtedly, the first direction of conflict prevention and resolution is to improve the legal culture and, as a result, to develop adequate models of behavior of doctors and nurses in accordance with the current socio-economic conditions and legal civil acts. The second direction is to increase the level of medical reception culture, medical ethics, and medical professionalism. The third direction is the staffing of polyclinics with qualified secondary and junior medical personnel.

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RISK CRITERIA FOR IRON DEFICIENCY

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The condition of iron deficiency is a widespread phenomenon found in all countries of the world and knowing this pathology is important in the practice of a doctor of any specialty. Iron deficiency anemia (IDA) accounts for 30% of such conditions, while latent iron deficiency (LID) accounts for close to 70%. Anemia is diagnosed on the basis of classical hematological criteria. LID is difficult to diagnose due to the disorders of iron metabolism with the absence of criteria for anemia. It is important to identify a group of people to screen for such conditions. At the initial stage, screening includes a clinical examination using a questionnaire, an assessment of the level of hemoglobin, red blood cell indices, and the identification of persons suspected of developing the conditions under study. The next step is to determine the level of serum ferritin (SF).

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ADVANTAGES OF SALIVA DIAGNOSTICS IN WOMEN OF REPRODUCTIVE AGE WITH HYPERANDROGENISM USING DEHYDROEPIANDROSTERONE

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The current article presents a study of the sensitivity and specificity of the diagnosis of dehydroepiandrosterone (DHEA) in saliva in comparison with blood serum in women of reproductive age with hyperandrogenism. Saliva diagnostics of steroid hormones by liquid chromatography and tandem mass spectrometry Liquid chromatography-mass spectrometry (LC-MS) is a new promising research method in laboratory gynecology and endocrinology. LC-MS allows for overcoming the shortcomings of the biochemical study of venous blood and improving the accuracy of diagnosing hyperandrogenism. The article features a single-stage comparative study involving women of reproductive age with hyperandrogenism. To confirm the genesis of hyperandrogenism, blood serum and a morning saliva sample were analyzed via LC-MS. The study proves the preservation of the specificity of identifying DHEA in the morning saliva sample in comparison with the indicator of DHEA in venous blood, and also demonstrates a higher sensitivity of this method of saliva diagnostics in relation to DHEA.

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THE PROBLEM OF NORM AND PATHOLOGY IN INTERNAL MEDICINE RESEARCH

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

Among the many problems of modern medical science, there is hardly a more controversial concept than the “norm-pathology” discussion. These are key concepts the correct understanding of which makes it possible for the further development of medical science. To understand these important concepts, it is necessary to use the strategic achievements of modern general scientific thought.

The current article presents a brief analysis of the application of the most important methodological scientific approaches to the problem under study. It also proves the necessity to distinguish between morphological and functional aspects of norm and pathology. The article concludes that the state of tissue homeostasis is the material basis for the normal state of the body or the development of a pathological process.

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CONTAMINATION OF WATER BODIES WITH EGGS, HELMINTH LARVAE, AND CYSTS OF PATHOGENIC INTESTINAL PROTOZOA IN ASTRAKHAN OBLAST

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The aim of the study. To study and analyze the sanitary and parasitological state of water bodies of Astrakhan Oblast for the period from 2016 to 2020.

Materials and methods. During this period, laboratory studies were conducted on the territory of Astrakhan Oblast of 43329 samples taken from various environmental objects, of which 1.02% (442 samples) were deemed unsatisfactory.

Results. During the period from 2016 to 2020, the departments of the Federal State Budgetary Institution took 38,393 samples from various environmental objects and performed 76786 studies. The number of unsatisfactory samples in this group amounted to 0.9% (363 samples). The share of samples taken from environmental objects of Astrakhan Oblast makes up 88.6% of all the samples taken during sanitary and parasitological studies performed during the period under study.

The share of water samples tested for parasitic indicators in the structure of all environmental samples amounted to 5.8% (2507 samples).

Water was collected from various water bodies, such as centralized water supply facilities, surface reservoirs, swimming pools, and wastewater. The sediment of waste water was also studied.

The study presents the following results. The presence of strongylid larvae in the water of the centralized water supply indicates poor-quality disinfection of this water object. The presence of pinworm eggs and dysentery amoeba cysts in the water of swimming pools indicates that this object was visited by persons infected with these parasitoses. The presence of eggs, larvae and cysts of pathogenic protozoa in water samples taken from surface reservoirs indicates contamination of these objects with the feces of infected people (eggs of ascarids, opisthorchis, cysts of dysentery amoeba, blastocysts) and/or animals (toxocara eggs, larvae of strongylids) or contamination of the water of surface reservoirs with sewage. The presence of eggs and larvae of helminths as well as cysts of pathogenic intestinal protozoa in wastewater and sewage sludge indicates poor-quality disinfection treatment of these objects.

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BRONCHIECTATIC DISEASE IN A 13-YEAR-OLD CHILD (CLINICAL CASE DESCRIPTION)

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

Introduction. Modern pediatrics is actively researching bronchiectasis in children, while the research on the epidemiology of bronchiectasis in children have not been conducted in the Russian Federation. The total statistical data on the prevalence of nosological forms corresponding to the ICD10 codes J44 (other chronic obstructive pulmonary disease) and J47 (bronchiectasis) in children from 0 to 14 years of age are as follows: 98.3 per 100,000 in 2010 and 89.3 per 100,000 in 2011. The formation of bronchiectasis in children is associated with congenital anomalies of lung development and passive smoking within families. One of the reasons for the formation of bronchiectasis is cystic fibrosis, this is due to dilation and hypertrophy of the bronchial mucosal glands, goblet cells, and metaplasia of the bronchial epithelium. In some cases, the disease is associated with inadequate treatment of inflammatory lung diseases and untimely diagnosis of acute pneumonia. Constant supervision from specialists, daily therapy, the need for rehabilitation treatment, restrictions in the educational process, and the choice of profession of a child with bronchiectasis are necessary to maintain the quality of life of patients. The aim of the study is to demonstrate a clinical case of bronchiectasis in a 13-year-old boy. Methods: the study provides an example of a clinical case of cystic bronchiectasis in a 13-year-old child based on the outpatient card of the Yakutsk polyclinic No. 1 and the inpatient card of the Republican Hospital No. 1 of the National Center of Medicine. Results: the child is observed to have frequent episodes of SARS, bronchitis, and tonsillitis as well as having a cough for 4 months. The child hospitalized twice in the pulmonology department of the Republican Hospital No. 1 of the National Center of Medicine (RB No. 1 NCM) where a thorough examination of the patient was carried out. The child was diagnosed with acute stage of cystic bronchiectasis with a predominant lesion of the right lung with cystic bronchiectases in S4, pronounced form and S8 of the left lung. Concomitant diseases: J 30.4 Allergic rhinitis. Pollinosis. Aggravation. J 35.1 Chronic tonsillitis. Not in exacerbation. As a result of the therapy, the patient’s condition improved. Discussion: this clinical case demonstrates the need for timely diagnosis and adequate therapy in children with bronchiectasis.

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STRUCTURE CHARACTERISTICS OF MANDIBULAR CANAL BASED ON CONE BEAM COMPUTED TOMOGRAPHY

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The study examines the structural characteristics of the mandibular canal relative to the tips of the roots of the teeth, the projection of the mental foramen, the size of the bone tissue between the mandibular canal and the edge of the alveolar arch, the base of the lower jaw, vestibular and oral mandibular canal. The research is based on the X-ray data of cone beam computed tomography involving 50 people. The study finds that compared to women, men have a greater distance from the mandibular canal to the apex of the root of the tooth 4.5, a greater height of the bone between the edge of the alveolar arch and the mandibular canal in the area of the teeth 3.5, 4.6, 3.7, 4.7, 4.8, as well as greater height between the base of the lower jaw and the mandibular canal in the area of the teeth 4.5, 3.6, 3.7, 4.7, 3.8. The authors also determine that in more than half of the cases, the mental foramen opens mesial to the 2 premolar. The data obtained allow for the improvement of the planning stages of implantation, augmentation, and endodontic treatment.

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STRATEGY OF PHYSICAL THERAPY IN SANATORIUM TREATMENT OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBIDITIES

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The formation of nosological syntropies that cause new multi-level systemic disorders poses problems for doctors of interaction, both between specialists and between approaches to therapy. Today’s reality, along with rapidly changing conditions of the external environment of functioning, determines the need for the formation of effective tactics of restorative treatment. Non-drug technologies gain a particular importance for various pathologies and comorbidities Practitioners of sanatoriums often face the issues of comorbidity and combined pathology. Simultaneous treatment of several diseases requires strict consideration of the combination of physical factors and compliance with the rules of rational physiotherapy. The authors of the article find it interesting to consider the management tactics of patients with chronic obstructive pulmonary disease with comorbidities who are admitted to sanatorium treatment and to propose a strategy for treatment with physical factors.

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ARTERIAL HYPERTENSION IN NEWBORNS AND YOUNG CHILDREN

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

Arterial hypertension is considered to be one of the most common pathologies in adults, while in children it is a rare pathology due to the complexity of diagnosis. There are many questions that arise upon finding arterial hypertension in a newborn concerning the etiology, the clinic of hypertension, as well as the need to determine the scope and algorithm of diagnosis and treatment. This article is intended to provide answers to these questions. The topic of arterial hypertension in newborns and young children is rarely analyzed in the scientific medical literature. This makes it necessary to inform doctors about this problem and present the etiopathogenetic side of the disease in relation to the chosen age.

The purpose of this scientific review is to provide recent information on the etiology of the disease, the clinical aspect, methods of laboratory, instrumental diagnostics and tactics of treatment of newborns and young children with arterial hypertension.

Materials and methods: the review is written on the basis of bibliographic sources of the last three years (2017-2020), which makes the review on this issue relevant and up-to-date. However, there are references in the text of the review to the sources dating from 1992, 1987, the systematic review from 1980 to 2015, and the 2016 manual of the European Society. When writing the article, the authors attempt to provide as much information as possible in accordance with the goal: on the etiology of the disease, the clinical aspect, methods of laboratory and instrumental diagnostics, and tactics of treatment of newborns and young children with arterial hypertension. The volume of information corresponds to the given sources of literature.

Conclusion: it is necessary to involve pediatricians and doctors of other specialties in the discussion and development of common Russian criteria for identifying high-risk groups of hypertension among newborns and young children based on the analysis of modern scientific data to determine publicly available methods of diagnosis and treatment, as well as their further implementation in clinical practice.

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AN EVALUATION OF THE EFFECTIVENESS OF TRABECULOTOMY BASED ON THE DATA OF THE OPHTHALMOLOGICAL DEPARTMENT OF THE N. S. KOROTKOV KURSK CITY HOSPITAL

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The aim of the study is to evaluate the effectiveness of trabeculotomy performed in primary open angle glaucoma (POAG) in terms of compensating for the level of intraocular tension and reducing the number of postoperative complications, as well as to identify the correlation between the stage of POAG, the level of intraocular pressure (IOP) and the amount of ease of outflow of intraocular fluid, in which the decision was made to perform a trabeculotomy. The material for this study was a sample of 90 patients with POAG that underwent operations. The research methods include conventional examinations for glaucoma. The study demonstrates that trabeculotomy was performed in the initial, advanced and late stages of the glaucoma process with a relatively high level of ease of outflow and a lower level of true IOP compared to deep sclerectomy and led to complete compensation of the level of intraocular tension, as well as allowed for achieving a low level of postoperative complications.

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A RETROSPECTIVE ANALYSIS OF THE CONTAMINATION OF ENVIRONMENTAL OBJECTS WITH EGGS AND LARVAE OF HELMINTHS AND CYSTS OF PATHOGENIC INTESTINAL PROTOZOA

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

The aim of the study is to conduct a retrospective analysis of the sanitary and parasitological state of environmental objects (soil, water, swabs from hard surfaces) on the territory of the Astrakhan region for the period from 2014 to 2018.

Materials and methods. During the analyzed period, 39,674 samples from environmental objects (soil, water, swabs) were examined, of which 1.2% (457 samples) did not meet sanitary and parasitological standards.

Results. In the period from 2014 to 2018, 2,928 water samples were delivered to the laboratory and examined, of which 4.2% (123 samples) did not meet the norm since they contained the eggs and larvae of helminths as well as cysts of pathogenic intestinal protozoa.

In most cases, 33.5% of water samples were taken from swimming pools, 29.1% from surface reservoirs, and 25.1% from drinking water, all of which were then delivered to the laboratory. Also, samples of wastewater amounted to 11.4%, while sewage samples equaled 0.9%.

Sewage sludge was also investigated, which accounted for 0.9% (27 samples), of which 37.0% (10 samples) were contaminated with parasites.

In addition to water samples, 4,740 soil samples (11.9%) were examined. The percentage of samples that did not meet the norm was 7.0% (332 samples). The parasites found included Toxocara canis eggs, Strongyloides stercoralis larvae, Ascaris lumbricoides, Enterobius vermicularis, Opisthorchis felineus eggs, Entamoeba histolytica cysts, and taeniidae oncospheres.

Also, during the analyzed period, the research included the analysis of swabs from hard surfaces – 32006 samples (80.7%). The number of samples that did not meet the norm was 0.01% (2 samples). Enterobius vermicularis eggs were found in all samples (2014 and 2015).

Conclusions: The maximum number of samples both positive and negative for the presence of parasites was observed in 2014 and 2018. The presence of Strongyloides stercoralis larvae and Toxocara canis eggs on environmental objects (water and soil) indicates contamination of these objects with animal feces. The presence of Enterobius vermicularis eggs in the swabs indicates that these objects were polluted by enterprise employees with enterobiosis. The presence of helminth eggs (ascarididae, opisthorchis, Diphyllobothrium latum, taeniidae oncosphere) and cysts of pathogenic intestinal protozoa (dysentery amoeba) in the soil and water indicates contamination of these objects with human feces or sewage water.

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ON THE INFLUENCE OF NON-DRUG CORRECTION METHODS ON THE ADAPTIVE CAPABILITY MANAGEMENT IN UNIVERSITY STUDENTS

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

Studying at universities is associated with intensive mental activity, and according to various sources, 20-32% of students are in a state of moderate and severe stress due to studying. This makes it necessary to search for optimal non-drug methods for correcting functional shifts observed under the influence of stress of this etiology. The article presents the results of a study of the adaptive capabilities of 150 students (19-20 years old) under the influence of the following non-drug methods: music therapy and a complex of dynamic morning exercises. The research of adaptive mechanisms was based on the study of heart rate variability, while the psychoemotional component of the response was determined by the results of the Lüscher color test. The results of the study demonstrate the positive effect of non-drug treatment agents on the body and its adaptive capabilities. The overall level of psychoemotional state remained at the same level; however, all the subject showed a significant decrease in the level of anxiety.

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PREVALENCE OF TOBACCO SMOKING AMONG MEDICAL STUDENTS

Posted in 2021, Issue №6 (108) June 2021, MEDICINE | 0 comments

Smoking is a leading risk factor for many cardiovascular and bronchopulmonary diseases and the cause of cancer deaths. The current study conducts a survey among third-year students of the educational institution “Astrakhan State Medical University” using an anonymous questionnaire, involving a total of 100 people (girls – 72%, boys – 28%) aged 20 to 22 years. At the time of the survey, 15% of respondents smoked on a daily basis, 13% smoked occasionally, 22% tried, but do not smoke, 50% have never smoked. Smoking is a social problem, which makes it necessary to conduct active sanitary and educational work on the formation of a healthy lifestyle, teaching hygiene skills, and motivating the students to give up bad habits as a way of reducing the prevalence of smoking among students.

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THE RESURCH OF NATURAL KILLER ACTIVITY OF PERIFERAL BLOOD MONONUCLEAR CELLS IN VITRO AFTER METABOLIC CORRECTORS’ ACTIVATION

Posted in 2013, Issue October 2013, MEDICINE | 0 comments

The aim of the research was to investigate the NK-like cytotoxic properties of the peripheral blood mononuclear cells (PBMC), after succinate treatment in acute inflammation condition in vitro. The main objectives are to develop the method of functional activity evaluation and development of the model of functioning of PBMC, as well as the succinate evaluation as a biological response modifier on their cytotoxicity. The results can be used while choosing the correct way of PBMC stimulation either in vitro or in vivo with the help of metabolic correctors.

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MODERN VIEWS ON AETIOLOGY AND PATHOGENESIS OF TRIGEMINAL NEURALGIA

Posted in 2013, Issue October 2013, MEDICINE | 0 comments

Trigeminal neuralgia ( NTN ) is a common prosopalgia . Over the past decade, numerous studies have been devoted to the study of various aspects of the defeat of the trigeminal nerve. However, in this issue, there is still a lot of discussion and unresolved issues relating primarily to its main divisions – etiology , pathogenesis and principles of therapy. The analysis of the current literature on the etiology and pathogenesis of trigeminal neuralgia. A review of the literature shows that trigeminal neuralgia is caused by the nature of the different causes and requires further study of the issue.

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CAUSES OF LONG SUBFEBRILE PATHOLOGY IN CHILDREN

Posted in 2013, Issue October 2013, MEDICINE | 0 comments

The article describes the most frequent causes of subfebrile of unknown origin in children living in the territory of the Republic of Mordovia. The results of this work showed the presence of children with long subfebrile pathology of the gastrointestinal tract, upper respiratory tract and urinary organs.

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INFLUENCE OF METEOROLOGICAL CONDITIONS ON THE FREQUENCY OF HOSPITAL ADMISSION OF PATIENTS WITH ACUTE VIOLATION OF CEREBRAL CIRCULATION

Posted in 2013, Issue October 2013, MEDICINE | 0 comments

This article was reviewed Seasonal hospital admission of patients with acute violation of cerebral circulation and attempt to establish the relationship of the disease to weather factors.

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