scholarly journals EVALUATION OF CLINICAL ASPECTS OF APPEARANCE OF TEETH NONCARIOUS DEFECTS IN BROXISM PATIENTS

Author(s):  
A. A Zubkova ◽  
Vitaliy Yu. Skorikov ◽  
M. S Grishechkin ◽  
E. V Izhnina

Purpose - to study the etiology, prevalence, clinical course, functional examination and treatment of non-carious lesions located in the cervical area of patients with bruxism. Materials and methods. A prospective study of 200 outpatient cards of dental patients at the dental clinic of the Federal State Budgetary Educational Institution of Higher Medical Education of the KMGU of the Ministry of Health of Russia (Kursk) and Federal State Budgetary Educational Institution of Higher Medical Care of the Kuban State Medical University of the Ministry of Health of Russia (Krasnodar) in the age range from 18 to 55 years, whose average age was 38 ± 6.7 years. We studied the localization of cervical defects, etiological factors of occurrence, and also conducted an electromyographic study of the chewing muscles at rest, when the jaws were compressed and when chewing. Results. When studying the localization of cervical defects in different functional groups of teeth, defects in the cervical area of premolars were noted in 41 patients - 57%, in 18 - on canines (25%), in 10 - on incisors (13.8%), in 3 - on molars (4.2%). It was revealed that the trigger mechanism was a number of factors: partial loss of teeth (20 patients were diagnosed with partial absence of teeth of both jaws - Kennedy class III-IV without correct orthopedic treatment), 17 respondents had flattened occlusal surfaces of teeth after therapeutic treatment, 31 were diagnosed abrasion of varying severity and localization, in all patients - a violation of occlusal relationships. In 56 patients (77.77 %) a combination of several etiological factors was noted. A comparative analysis of EMG indices of paired masticatory muscles in the studied group showed that before the start of dental treatment, patients had uncontrolled bursts of bioelectric activity (BEA) in opposite muscles from opposite sides, an increase in the amplitude of muscle contractions during compression in both muscles (mostly in actually chewing ), decrease in the amplitude of muscle contractions during compression due to the rapid fatigability of muscles at rest. Conclusion. Thus, questions of etiology are still open and subject to further study. Of the many known causes, the most common are violation of occlusal relationships, muscular parafunctions, external traumatic factors, etc. The appearance of bruxism is associated with a significant risk of disturbing the occlusal relationship with a subsequent increase in the load on the tooth enamel. In this regard, a rational comprehensive dental treatment of patients with the studied combined pathology should be carried out after conducting electromyographic studies with samples of “rest”, “compression” and “chewing” strictly in accordance with the indications and timing of dynamic observation at least 1 time in 3 months.

2020 ◽  
pp. 26-35
Author(s):  
Sergey Babanov

Diseases of the kidneys and urinary tract, primarily of toxic and chemical etiology, constitute a large proportion of occupational diseases. Various production factors of both chemical and physical nature can cause the development of nephropathies. Sergey Babanov, Doctor of Medicine, Professor, Head of the Department of occupational diseases and clinical pharmacology at the Federal State-Funded Educational Institution of Higher Education Samara State Medical University of the Ministry of Health of the Russian Federation, chief freelance specialist in occupational pathology at the Ministry of Health of the Samara region, speaks about occupational diseases of the kidneys and urinary tract associated with the exposure to chemical and physical factors.


Author(s):  
Nataliya Vladimirovna Chirkova ◽  
M. N Babeshko ◽  
A. N Morozov ◽  
I. V Koretskaya

The article presents data on the relevance of use of adhesive materials when using removable laminar prostheses under various conditions prosthetic bed in patients with complete absence of teeth; on the development of optimal formulations and methods of making adhesive compositions for removable laminar dentures, modified with silver ions, with pronounced antimicrobial activity, bioinertness and high fixing properties to improve fixation and stabilization of removable partial dentures complete dentition in the period of adaptation of patients to newly manufactured prostheses and in the process further their use; and described in detail a number of studies on the physico-mechanical characteristics of the developed material on the basis of technical laboratories: Federal state budgetary educational institution of higher professional education «Voronezh state medical University named after N. N. Burdenko» Ministry of health of the Russian Federation, company for the production of dental materials «Celite» (Voronezh); and in clinical practice: on the basis of the dental clinic of the «VSMU them. N. N. Burdenko» Ministry of health of Russia and in private dental clinics, under which was revealed quite pronounced fixing properties of the modified compositions in relation to the base removable laminar denture and tissues of the prosthetic bed, when proven to this antibacterial activity and bioinertness developed material, thereby clearly defines the relevance of the use of the adhesive composition, modified with silver ions, as an effective means to improve the fixation and stabilization of removable partial dentures in the oral cavity of patients with complete absence of teeth, contributing to more comfortable with their further operation.


Author(s):  
D.D. Grigorieva ◽  
◽  
M.I. Mikheev ◽  
V.P. Potamskaya ◽  
◽  
...  

The article discusses the features of the medical ethos of residents of the Federal State Budgetary Educational Institution of Higher Education of the Tver State Medical University of the Ministry of Health of Russia. Some of the basic components that form the ethos of a doctor are indicators of the degree of freedom, responsibility, discipline, self-discipline and self-responsibility. In this regard, a psycho-diagnostic study was carried out aimed at determining the external and internal modes of responsibility of residents in the context of the COVID-19 pandemic. The processing, analysis and interpretation of empirical data was carried out on the basis of the Center for Psychological Support of the Federal State Budgetary Educational Institution of Higher Education of the Tver State Medical University of the Ministry of Health of Russia. The study made it possible to conduct a qualitative analysis, determine the degree and forms of discipline. Egoism, individualism, mercantilism are secondary qualities that regulate, discipline the activities of a specialist. The experience of the current challenges of the COVID-19 pandemic requires strengthening the humanitarian, bioethical and general cultural components in the training of medical workers at all levels, both through the assimilation of abstract principles and through interactive forms such as social and psychological trainings, master classes, etc.


The article analyzes the dynamics of the indicators of target enrollment and education at the Federal State Budget Educational Institution of Higher Education of the Far Eastern State Medical University of the Ministry of Health of Russia for the period from 2013 to 2018, a comparative assessment of the passing score for the places of targeted enrollment and the main places depending on the specialty (training direction) was made, average mark of a unified state exam (USE) was analyzed; the agreements on targeted training with the assessment of measures of social support were analyzed, as well as proposals were formulated to improve the activities of targeted training of medical personnel.


2020 ◽  
Vol 92 (3) ◽  
pp. 193-201
Author(s):  
O. A. Bortniuk ◽  

The article is devoted to the issues related to the phenomenon of “aging society”. The relevance of creating a barrier-free environment for the elderly is dictated by the current demographic trend towards an increase in life expectancy, an increase in its quality. The number of centenarians with functional impairments (senile dementia, Parkinson’s and Alzheimer’s) who require care at a qualitatively new level is increasing. Innovative form of organizing the leisure of the elderly «Kindergarten for the elderly people» is considered as one of the ways to solve the problem. Based on the data of a study conducted by the Federal state budgetary educational institution of higher education of the Far-Eastern state medical university of the Ministry of Health of Russia in 2020, identified the need to create a social institution «Kindergarten for the elderly people». The article notes the need for older people to adapt to the changing conditions of their life in the society saturated with gadgets and information.


2021 ◽  
pp. 6-10
Author(s):  
Oksana A. Gizinger

The pathogenetic rationale for the use of «Prolom Voda» produced in the Republic of Serbia is presented. Research conducted at the accredited testing center of natural healing resources of the Federal State Budgetary Institution «Russian Scientific Center for Restorative Medicine and Balneology» of the Ministry of Health of Russia 9 accreditation certificate No. pH in the alkaline range.


Author(s):  
V. I. Ignatov ◽  
Y. V. Kataev ◽  
V. S. Gerasimov ◽  
N. K. Baulin

The paper is devoted to the analysis of the state of the equipment recycling system in Russia and the issues of improving the legislative framework that accompanies it. The role of state structures in solving the problems of forming a resource-saving ecooriented system for the disposal of decommissioned equipment is reflected. To analyze the work in the field of waste management, to reflect the state of the legislative framework for the existing system of recycling equipment in Russia and abroad, to make recommendations for its improvement. Problems with waste appear when, in the process of production and consumption of substances, objects (equipment), he/she becomes unnecessary for their owners, their owner tries to get rid of this object in the most accessible way. According to numerous information, the disposal of equipment in Russia is mainly carried out (black waste collectors), which control more than 60 % of the scrap of non-ferrous and ferrous metals, so the solution to the problem of creating an effective system for the disposal of equipment becomes not just relevant, but vital for our state. The scientific community in Russia is constantly conducting research on the creation and implementation of a system for the disposal of decommissioned equipment, so, for example, MADI scientists proposed a regional car recycling system for implementation, the scientists of the Federal State Budgetary Educational Institution FNAC VIM also developed a regional system for the disposal of agricultural recycling equipment. In order to quickly solve the problem of working out a general strategy for creating an effective system of recycling equipment in Russia, taking into account the revision of the legislative framework, it is advisable to "run-in" it at the industry level, for example, in the agroindustrial complex, with subsequent replication in other industries.


Author(s):  
E. P. Golubinskaya ◽  
T. G. Filonenko ◽  
A. V. Kubyshkin ◽  
Y. A. Ermola ◽  
M. A. Kalfa ◽  
...  

Tuberculosis (TB) is a socially significant disease for the entire world community. An important challenge in successfully combating this infection is the avalanche increase in the number of drug-resistant tuberculosis. Currently, among the reasons for the development of pulmonary tuberculosis, a complex of etiological and pathogenic factors contributing to the disruption of the immune response to M. tuberculosis and the formation of secondary immunological failure (SIF) accompanying the disease are of particular importance. However, the issues of discoordination of cellular components of the local immune system of the lungs leading to T-cell deficiency, as well as the ineffectiveness of the B-cell link, reduction of lymphocyte proliferative activity and activation of apoptosis, cytokine imbalance and activation of immunosuppression mechanisms are not fully studied and have a scattered nature, which does not allow us to assess the overall picture of violations. The goal: determining the immunophenotype of lymphocyte population in lung tissue biopsy specimens of patients with various forms of secondary tuberculosis depending on resistance in case fibrosecavernous tuberculosis (FCT). The material in the study was pulmonary tissue fragments of 30 patients with the verified diagnosis of FCT, and distributed in 2 main groups: resistant forms of secondary tuberculosis (n = 15) and 15 patients not resistant forms of secondary tuberculosis. The standard histological method was used. Immunohistochemically panel of markers included CD68, CD4, CD8, CD20, CD138. The study was conducted at the Center for the collective use of scientific equipment «Molecular Biology» of the Medical Academy named after S.I. Georgievsky in the framework of the grant № ВГ 09/2019, supported by federal state autonomous educational institution of higher education «V.I. Vernadsky Crimean Federal University». The results of the study have shown that in the conditions of secondary tuberculosis, regardless of resistance, the formation of local immunodeficiency with an immune response along the Th-2 pathway is determined. The prevalence of cytotoxic lymphocytes in the area of specific granulation tissue and the draining bronchus indicated the prolongation of inflammation and its transfer to the latent phase. The increase in the number of T-helpers and activated plasma cells can serve a reliable prognostic and diagnostic marker for the reactivation of the tuberculosis process.


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