Features of cataract surgery in a public health institution during a pandemic

2021 ◽  
pp. 45-48
Author(s):  
Y.V. Kudryavtseva ◽  
◽  
L.V. Demakova ◽  
◽  
◽  
...  
Keyword(s):  
Public Health ◽  
Surgical Treatment ◽  
Cataract Surgery ◽  
Key Words ◽  
Waiting Times ◽  
Diagnostic Procedures ◽  
Health Institution ◽  
Regulatory Documents ◽  
Coronavirus Infection ◽  
Key Words Cataract Surgery

Purpose. To assess the effectiveness of the KGBUZ «KKOB» in the context of the pandemic of the new coronavirus infection COVID-19 using the example of cataract surgery. Material and methods. Based on regulatory documents aimed at preventing the spread of COVID-19, internal orders were issued that regulated the work of our institution. The actions of the clinic's services were regulated when a building was converted into a «covid hospital», as well as when employees of the institution were transferred to work in a covid hospital. Results. New rules for organizing and conducting medical and diagnostic procedures have been developed. The number of cataract surgeries decreased in 2020 and in the first half of 2021. The duration of the stay of patients with cataracts in a round-the-clock hospital decreased, amounting to 3 days. The waiting times for surgical treatment of cataracts have remained practically unchanged. Conclusion. Despite significant changes in the work of the clinic during the COVID-19 pandemic, the level of surgical treatment for cataracts has decreased slightly. Thanks to the measures taken to reconfigure the processes, it was possible to keep the work of the institution at an acceptable level. Key words: cataract surgery, COVID-19 pandemic.

Composition of the conjunctive microflora of the patients before outbulatory cataract surgery

2021 ◽  
pp. 42-44
Author(s):  
Y.V. Kudryavtseva ◽  
◽  
V.V. Podyninogina ◽  
L.V. Demakova ◽  
N.V. Ogorodova ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
Surgical Treatment ◽  
Cataract Surgery ◽  
Wide Spectrum ◽  
Gram Negative ◽  
E Coli ◽  
Normal Microflora ◽  
Mucous Membranes ◽  
Propionibacterium Granulosum ◽  
Key Words Cataract Surgery

Purpose. Study of the composition of the conjunctival cavity in healthy patients before elective outpatient cataract surgery. Material and methods. The contents of the conjunctival cavity were examined in 30 patients who were admitted to the ophthalmological departments of the Kirov Clinical Ophthalmological Hospital for the surgical treatment of cataracts as planned. Results. The growth of microflora was detected in 100% of the studied patients when examining crops from the conjunctiva. Most of the identified microorganisms are representatives of the normal microflora of the human skin and mucous membranes. Conclusion. 1. The structure of the conjunctival microflora in patients before elective cataract surgery has a wide spectrum – aerobes (Staphilococcus aureus, Staphilococcus epidermidis) and anaerobes (Propionibacterium granulosum), gram-positive (Corinebacterium spp.) and gram-negative (Klebsiella sp., E. coli, Pseudomonas aeruginosa) microorganisms, as well as fungi of the genus Candida. 2. The most common representatives of the conjunctival cavity microflora are Candida fungi (72.4%), E. coli (65.5%), Enterococcus sp. (55.2%), Klebsiella sp. (55.2%), Strp.pyogenes (51.7%), which should be taken into account when prescribing antibacterial therapy in the pre – and postoperative period. Key words: cataract surgery, conjunctival microflora.

ADDRESSING THE ISSUE OF СOVID-19, SARS-COV-2 VIRUS AND THE DISEASE

2020 ◽  
Vol 99 (6) ◽  
pp. 15-31
Author(s):  
A.A. Korenkova ◽  
◽  
E.M. Mayorova ◽  
V.V. Bahmetjev ◽  
M.V. Tretyak ◽  
...  
Keyword(s):  
Public Health ◽  
Immune Responses ◽  
Molecular Mechanisms ◽  
Herd Immunity ◽  
Significant Problem ◽  
Prevention Measures ◽  
Optimal Therapy ◽  
The World ◽  
Public Health Challenge ◽  
Coronavirus Infection

The new coronavirus infection has posed a major public health challenge around the world, but new data on the disease raises more questions than answers. The lack of optimal therapy is a significant problem. The article examines the molecular mechanisms of SARS-CoV-2 infection and the pathogenesis of COVID-19, special attention is paid to features of pathological processes and immune responses in children. COVID-19 leads to a wide diversity of negative outcomes, many of which can persist for at least months. Many of the consequences have yet to be identified. SARS-CoV-2 may provoke autoimmune reactions. Reinfection, herd immunity, vaccines and other prevention measures are also discussed in this review.

FEATURES OF OPHTHALMIC CARE FOR PATIENTS WITH COMPLICATED CATARACTS

2020 ◽  
pp. 84-89
Author(s):  
Inna Ivanovna Lapkina
Keyword(s):  
Health Care ◽  
Surgical Treatment ◽  
Postoperative Complications ◽  
Key Words ◽  
Outpatient Treatment ◽  
Practical Application ◽  
Unified Approach ◽  
Case Histories ◽  
High Prevalence

Today, around 50 million people worldwide suffer from cataracts, more than a half of them need surgical treatment. High prevalence of this pathology in Ukraine, the need to improve the provision of ophthalmic care to patients, and the reform of the health care system have made the research relevant. Concomitant diseases and special conditions of the eye increase the risk of intra− and postoperative complications, worsen the functional parameters of patients after surgery. In order to develop a unified approach to the treatment of complicated cataracts based on diagnostically related groups of patients, a retrospective analysis of case histories of patients with different variants of complications related to the condition of the lens itself, its ligament apparatus and other structures of the eye was conducted. In each case, the surgeon has to choose the appropriate modification of cataract phacoemulsification surgery. The study proposed the classification of cataract phacoemulsification modifications on the basis of the techniques and the sequence of operation stages, taking into account the classification of the degrees of turbidity of the lens, proposed by L. Buratto. It has been noted that in complicated cases, according to the indications of the patient, surgery may be performed on several modifications of cataract phacoemulsification. The developed classification made it possible to generalize the various variants of pathology and greatly facilitate the choice of tactics of surgical treatment in complicated cataracts. It can be used not only for practical application, but also for improving the qualification of trained professionals. The prospect of further research is to identify contraindications for outpatient treatment of the patients with complicated cataracts. Key words: cataract complication, classification of phacoemulsification modifications, diagnostically related groups.

TRATAMENTO CIRÚRGICO DE CANINO INCLUSO EM REGIÃO MENTUAL: RELATO DE CASO

2019 ◽  
Author(s):  
Rodrigo Figueiredo de Brito Resende
Keyword(s):  
Surgical Treatment ◽  
Key Words ◽  
Oral Surgery ◽  
Tooth Eruption ◽  
Points Of View ◽  
The Aesthetic ◽  
Relationship Of ◽  
Transverse Position

RESUMOO dente denominado incluso nada mais é que um dente retido ou impactado dentro do alvéolo dentário de maneira parcial ou completa que não conseguiu erupcionar por motivos patológicos ou simplesmente anatômicos após o período de rizogênese. O canino, em especial, é de suma importância sob os pontos de vista estético e funcional. O deslocamento do canino incluso ultrapassando, ou se aproximando da linha média antes da erupção dentária do mesmo, é mais frequente na mandíbula do que na maxila.  Este trabalho tem por objetivo descrever o caso de um paciente de 21 anos que apresentava um canino incluso na região mentual, em posição transversal, inicialmente visualizado em uma radiografia periapical e posteriormente submetido a radiografia com a técnica de Donavan. Através de uma radiografia oclusal, foi possível observar o posicionamento do dente para a vestibular mentoniana e íntima relação do dente retido com as raízes dos incisivos centrais decíduos do paciente. Foi realizada a extração do dente retido no mento, removendo o mesmo por completo sendo feitas osteotomias e odontossecções. O paciente está em acompanhamento clínico à 1 ano após o tratamento cirúrgico.Palavras – chave: Dente incluso; Cirurgia Oral; Imaginologia. ABSTRACTThe tooth inserted  is nothing more than a tooth retained or impacted within the dental socket partially or completely that failed to erupt for pathological or simply anatomical reasons after the period of rhizogenesis. The canine, in particular, is of the utmost importance from the aesthetic and functional points of view. The displacement of the canine, even surpassing or approaching the midline before tooth eruption, is more frequent in the mandible than in the maxilla. This work aims to describe the case of a 21 - year - old patient who had a canine included in the mental region, in a transverse position, which was initially visualized on a periapical radiograph and later submitted to radiography with the Donavan technique. An occlusal radiograph showed the positioning of the tooth for the mental vestibular and the intima relationship of the retained tooth with the roots of the patient's central deciduous incisors. Removal of the tooth retained in the denture was performed, removing the tooth completely and osteotomies and odontosections were performed. The patient is in clinical follow-up at 1 year after the surgical treatment. key words: Tooth included; Oral surgery; Imaginology.  

COVID-19: Analysis of statistics, a range of regulations and standard operating procedures

2021 ◽  
pp. 21-27
Author(s):  
O.A. Gizinger
Keyword(s):  
Statistical Data ◽  
Standard Operating Procedures ◽  
Diagnosis And Treatment ◽  
Regulatory Documents ◽  
Current Information ◽  
Standard Operating ◽  
Coronavirus Infection ◽  
Patient Studies

The article presents an analysis of current information on statistical data, a number of regulatory documents and standard operating procedures for vaccination and specific prevention of new coronavirus infection. The text of the article was compiled on the basis of an analysis of regulatory documents, the results of patient studies conducted at Laboratory Gemotest LLC, and version 10 of the Temporary Guidelines «Prevention, Diagnosis and Treatment of New Coronavirus Infection (COVID-19)», developed by leading Russian experts.

A United Kingdom Single Centre Review of the Impact of Extended Waiting Times in Scoliosis: The Effect of a Delay to Surgical Treatment of Greater Than 12 Months

2017 ◽  
Vol 17 (11) ◽  
pp. S331
Author(s):  
Morgan Jones ◽  
Matthew Newton Ede ◽  
Jwalant Mehta ◽  
Adrian Gardner ◽  
Jonathan Spilsbury ◽  
...  
Keyword(s):  
United Kingdom ◽  
Surgical Treatment ◽  
Waiting Times ◽  
Single Centre ◽  
The Impact

Impact of hydrological factors on human health and the spread of disease

2020 ◽  
Vol 58 (9) ◽  
pp. 72-76
Author(s):  
Solmaz Isaq Rzayeva ◽  
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Key Words ◽  
Human Health ◽  
Medical Geography ◽  
The State ◽  
Chemical Environment ◽  
Geographical Environment ◽  
Geochemical Factors

In the article in addition to the description of the state of hydrological and geochemical factors, related to the ecogeographic environment, the influence of the ecological-chemical environment on the spread of public health was revealed. The analysis of the influence of the medical-geographical environment on the occurrence and spread of diseases was given. Key words: hydrology, non-infection diseases, eco-geographical condition, endemic gaiter, infectious diseases, ecology geochemical, environmental, medical geography condition

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