scholarly journals PREVALENCE OF THE GENERALIZED PERIODONTITIS IN PATIENTS WITH DIFFERENT GROUPS BLOOD IN DEPENDING ON AGE AND PERIODONTAL BIOTYPE

2020 ◽  
Vol 73 (1) ◽  
pp. 119-122
Author(s):  
Yurii L. Bandrivsky ◽  
Orysia O. Bandrivska ◽  
Roksolana Yu. Shkrebnyuk ◽  
Volodimira T. Dyryk
Keyword(s):  
Periodontal Disease ◽  
Blood Group ◽  
Comparison Group ◽  
Main Group ◽  
Number Of Patients ◽  
Periodontal Biotype ◽  
Initial Forms

The aim of the study was to investigate the prevalence of generalized periodontitis depending on age and biotype of periodontium. Materials and methods: We examined 855 males aged 20-55 years, who were divided into 2 groups: the main group – 570 surveyed with a generalized periodontitis, the comparison group – 285 dental healthy individuals.The diagnosis of generalized periodontitis was established by the classification Danilevsky M.F. (1994) and refined by using paraclinical indices. The periodontal biotype was determined using Hu-Friedy Colourvue Biotype Probe. Results: As a result of the conducted researches was establish, in the carriers of blood group O (I) and A (II), developed forms of generalized periodontitis were found, on average, 2.7 times more often than the initial forms of the disease. Instead, at the representatives of B (III) and AB (IV) groups blood the frequency of initial GP – I degree was on average, 1.2 times greater than the prevalence of developed forms of generalized periodontitis. Also as a result of our researches, we found that the cluster A1 had 39.30% patients, cluster A2 was found at 28, 77%, and cluster B – 31.93% of the total number of patients with generalized periodontitis. Conclusions: As a result of our research, it was found that in the carriers of the blood group O (I) and A (II), more advanced forms of generalized periodontitis were observed, which was confirmed by the presence of the biotype of the periodontal disease in the cluster A1 and A2.

scholarly journals CURRENT ASPECTS OF DIAGNOSTICS AND TREATMENT OF ACUTE BILLARIAN PANCREATITIS

2018 ◽  
Vol 14 (3-4) ◽  
pp. 74-79
Author(s):  
I.V. Kolosovych ◽  
B.H. Bezrodnyi ◽  
I.V. Hanol
Keyword(s):  
Acute Pancreatitis ◽  
Length Of Stay ◽  
Comparison Group ◽  
Abdominal Cavity ◽  
Main Group ◽  
Duct System ◽  
Results Of Treatment ◽  
Positive Clinical Effect ◽  
Number Of Patients ◽  
Comparative Group

Relevance. The article is devoted to the problem of diagnosis and treatment of acute biliary pancreatitis, which remains one of the most common surgical diseases of the abdominal cavity and accounts for 33.2% of the total number of patients with acute pancreatitis. Objective of the work is to improve the diagnosis and results of surgical treatment of patients with acute pancreatitis of biliary etiology. Materials and methods. The results of treatment of 264 patients with acute pancreatitis of biliary etiology are analyzed. Operative treatment was applied in 92 (34,8 %) patients: endoscopic operations were performed in 44 patients (16,7 %). Thus, in 10 (3,8 %) patients, endoscopic papilloprotectomy was performed with the auditory of the duct system and the extraction of concrements. In other cases, organo-preserving intervention was performed without disturbing the morphofunctional integrity of the sphincter apparatus of the duct system: the cannulation in 6 (2,3%) patients, mechanical (balloon) in 5 (1,9 %) cases, pharmacological (myogenic antispasmodic) dilatation of distal duct and a large duodenal papilla in 11 (4,2 %) patients. In residual choledocholithiasis, a technique of papillotomy under the control of choledochoscopy was proposed – 12 (4,54 %) patients. A comparative analysis of the effectiveness of the treatment of patients who used the "open" (comparative group) and noninvasive endoscopic interventions in the early disease (the main group) was performed. Results. So in the main group the length of stay in the hospital was 12±3,2 days, respectively, in the comparison group – 26±4,3 days. In 42 (95,4 %) patients who had undergone endoscopic surgery, a positive clinical effect, a rapid regress of the symptoms of acute pancreatitis was achieved. In two (4,5 %) patients in the main group, the course was complicated by the development of the abscess of the stuffing box, and puncture under ultrasound control was performed. In patients of the comparison group complications arose in 5 (41,6 %) patients, it is noteworthy that all of them had undergone operative interventions, which were limited only to the rehabilitation and drainage of the abdominal cavity, a stuffing box bag. The mortality rate among unopposed was 1,2 % (2 patients), and among the operated – 11,9 % (11 patients). Among prooperated patients who died, 81,8 % (9 people) were elderly patients. Conclusions. The use of minimally invasive endoscopic interventions in the early phase of the disease reduces the length of stay of patients in the hospital from 26±4,3 days (comparison group) to 12 3,2 days (main group) and the number of complications occurring by 37,1 % (P <0, 05). Application of the proposed method of papillotomy under the control of choledochoscopy makes it possible to reduce the risk of perforation of the wall of the duodenum with the development of peritonitis or retroperitoneal phlegmon by 1,2 % (P <0,05).

scholarly journals Biliary sludge: pathogenesis, etiology and drug therapy

2021 ◽  
Vol 93 (2) ◽  
pp. 179-186
Author(s):  
I. G. Bakulin ◽  
E. B. Avalueva ◽  
M. U. Serkova ◽  
T. E. Skvortsova ◽  
P. V. Seliverstov ◽  
...  
Keyword(s):  
Complete Resolution ◽  
Comparison Group ◽  
Contractile Function ◽  
Generic Drugs ◽  
Main Group ◽  
Therapeutic Effectiveness ◽  
High Effectiveness ◽  
Biliary Sludge ◽  
Number Of Patients

Aim. To evaluate the effectiveness of the use of ursodeoxycholic acid (UDCA) for the treatment of biliary sludge (BS) and to compare the therapeutic effectiveness of the German substance UDCA and generic drugs from other manufacturers. Materials and methods. The study involved 65 patients diagnosed with BS (K80.8). To assess the severity of BS, ultrasound of the gallbladder was performed before treatment, after 1, 3, 6 months during therapy, as well as an assessment of its contractility. All patients were randomized into 2 groups. Patients of the main group received UDCA Ursofalk (Germany) at a dose of 10 mg/kg for at least 6 months. Patients in the comparison group received UDCA (another manufacturer) at a dose of 10 mg/kg for at least 6 months. Results. After 3 months of follow-up, the number of patients with dissolved sludge in the main group was 87.1%, while in the comparison group 50%. In 71% of patients, the normalization of the lean volume of the gallbladder was noted, and in the comparison group only in 47.1%. After 6 months of follow-up, complete resolution of BS in the main group was observed in 93.5% of cases, and in the comparison group in 73.6% of cases. Conclusion. As a result of the study, the high effectiveness of Ursofalk during oral litolysis in patients with stage I GI (BS) in the first 3 months of therapy, as well as the normalization of the contractile function of the gallbladder, were noted.

scholarly journals Results of the optimization of diagnostic and treatment algorithm in patients with acute paraproctitis of anaerobic etiology

2019 ◽  
Vol 178 (3) ◽  
pp. 39-42
Author(s):  
K. I. Sergatskiy ◽  
V. I. Nikolsky
Keyword(s):  
Comparison Group ◽  
Treatment Algorithm ◽  
Main Group ◽  
Treatment Results ◽  
Treatment Methods ◽  
Group 4 ◽  
Number Of Patients ◽  
All Cause Mortality ◽  
General Number

The OBJECTIVEwas to analyze the treatment results of patients with acute anaerobic paraproctitis in 2009–2017.MATERIAL AND METHODS. The treatment results of 71 patients with acute anaerobic paraproctitis were analyzed. All patients were divided into 2 groups depending on the applied diagnostic and treatment methods.RESULTS. General number of patients who required several operative sanation was 47 (66.2 %). 9 (26.5%) patients died in the comparison group, 4 (10.8 %) patients died in the main group.CONCLUSION. The optimization of diagnostic and treatment algorithm in patients with acute anaerobic paraproctitis allowed to reduce the all-cause mortality in patients with acute paraproctitis from 1.2 to 0.5 % (p<0.01), and mortality in patients with acute anaerobic paraproctitis from 26.5 to 10.8 %.

scholarly journals The effectiveness of the use of anti-dysbiotic hepatoprotector in the complex treatment of patients with periodontal inflammatory diseases on the background of chronic non-calculous cholecystitis

2018 ◽  
Author(s):  
A. I. Furdychko ◽  
A. Yu. Buchkovska ◽  
M. A. Pasichnyk
Keyword(s):  
Periodontal Disease ◽  
Comparison Group ◽  
Inflammatory Diseases ◽  
Periodontal Diseases ◽  
Main Group ◽  
Control Group ◽  
Complex Treatment ◽  
Hepatobiliary System ◽  
The Difference ◽  
Calculous Cholecystitis

Summary. Inflammatory periodontal diseases continue to be one of the pressing problems of modern dentistry [1]. It is known that there is a close relationship between general-somatic pathology and diseases of the oral cavity [2]. The aim of the study – to learn the effectiveness of the use of anti-dysbiotic hepatoprotector in the complex treatment of patients with periodontal inflammatory diseases on the background of chronic non-calculous cholecystitis. Materials and Methods. The main (group 1) group consisted of 106 people who suffered from inflammatory periodontal disease (IPD) with concomitant chronic non-calculous cholecystitis (CNC). The comparison group included 92 patients with IPD without concomitant pathology (group 2). To compare the research results of the patients with IPD, 30 healthy teethed individuals without periodontal pathology and without somatic diseases (group 3 or the control group) were involved. The state of the hepatobiliary system in patients of the main group was assessed by the doctors of the Gastroenterology Department of Zolochiv District Hospital of Lviv region. Results and Discussion. The symptomatic HCG and the presence of solid and soft dental deposits were diagnosed in all patients. The Green-Vermillion’s index was the highest in patients from the main group (1.67±0.01); it was probably (p <0.05) higher than that in the comparison group (1.54±0.04), as well as in the control group (0.44±0.07). The PMA index in the subgroup 1A immediately after treatment decreased by 9.7 (p <0.001) times. The index of bleeding in the subgroup 1A decreased by 10.7 (p <0.001) times. The PMA index in the subgroup 1A immediately after treatment decreased by 10.4 (p <0.001) times. The index of bleeding in the subgroup 1A under the influence of the proposed therapy decreased by 6.5 (p <0.001) times.The difference regarding the data before treatment remained lower by 2.2 times and 2.0 (p <0.001) times, however, the difference between the subgroups 1A and 1B in 3 months and 6 months was already 2.1 times in both cases. Conclusions. It was found that the clinical course of inflammatory periodontal diseases was much more difficult in these patients. The presence of pathology in the hepatobiliary system in patients increases the risk of periodontal disease. Therefore, in order to improve the efficacy of treatment, it is advisable to use this antidysbiotic drug in the complex treatment, and the results obtained in 3 and 6 months after treatment indicate a long-lasting positive effect.

scholarly journals Optimization of Complex Sanatorium-resort Treatment for Patients with Chronic Insomnia by Including Transcranial Magnetic Therapy

2021 ◽  
Vol 20 (2) ◽  
pp. 118-125
Author(s):  
Alexander G. Goryaev ◽  
Tamara V. Kulishova
Keyword(s):  
Quality Of Life ◽  
Comparison Group ◽  
Main Group ◽  
Chronic Insomnia ◽  
Health Resort ◽  
Number Of Patients ◽  
Magnetic Therapy ◽  
Insomnia Severity ◽  
Epworth Scale

Aim. To determine the effectiveness of the transcranial magnetic therapy course inclusion in the sanatorium-resort treatment complex for patients with chronic insomnia. Material and methods. 122 patients with a verified diagnosis of chronic insomnia were examined, the average age was 54.0±0.92 years, of which 68.9% were women and 31.1% were men. The patients were divided into 2 randomized groups: 62 in the main group (who received health resort treatment complex and transcranial magnetic therapy) and 60 in the comparison group (an identical complex without transcranial magnetic therapy). All patients were evaluated for the index of insomnia severity, symptoms of impaired daytime functioning, daytime sleepiness on the Epworth scale, anxiety and depression on the HADS scale, vegetative tone, polysomnography data, and quality of life (SF-36). Results. As a result of the course of treatment, the average index of insomnia severity in the main group decreased from 20.3±0.32 to 13.0±0.38 (p<0.001), in the comparison group from 19.9±0.32 to 15.3±0.29 (p<0.001). Clinically, in addition to improving sleep quality, patients reported improved daytime functioning significantly more pronounced in the main group for most of the analyzed symptoms (p<0.05). A comparative analysis of the daytime sleepiness results assessment on the Epworth scale, anxiety and depression on the HADS scale before and after treatment showed a statistically significant positive trend more pronounced in the main group (p<0.05). The change in the indicators of vegetative tone in patients with chronic insomnia after treatment was expressed in a statistically significant decrease in the number of patients with sympathicotonia by 15.7% (p<0.05) and an increase in the number of patients with normotonic vegetative support by 17.4% (p<0.05). In the comparison group, the results were significantly worse (p<0.05). After the use of therapeutic complexes, there was a favorable reliable dynamic in the change in polysomnography indicators in patients of both groups, however, the positive result in the main group was more pronounced (p<0.05). the resulting positive assessment of the transcranial magnetotherapy application was a statistically significant improvement in the quality of life of patients in the main group (p<0.05). Conclusion. The inclusion of transcranial magnetotherapy in complex health resort treatment treatment can significantly improve the effectiveness of sleep disorders treatment and improve the quality of life of patients with chronic insomnia.

scholarly journals Long-term results of using the sclerotherapy in the epididymal cysts treatment

2021 ◽  
Vol 14 (1) ◽  
pp. 62-67
Author(s):  
D.V. Sarkisyan ◽  
◽  
I.V. Vinogradov ◽  
◽  
Keyword(s):  
Clinical Efficacy ◽  
High Efficiency ◽  
Comparison Group ◽  
Sperm Count ◽  
Main Group ◽  
Long Term Results ◽  
Obstructive Azoospermia ◽  
Number Of Patients ◽  
Reproductive Events

Introduction. In recent years, there has been an increase in the number of patients diagnosed with epididymal cysts (EC). A number of methods have been proposed for their treatment – open surgical interventions, aspiration of cyst contents, sclerotherapy, epididymal cystectomy. In the literature, there are separate works in which attempts were made to study the use of sclerotherapy in the treatment of EC. However, the presented messages are single, there are no data of comparative studies of the use of various methods of treatment of this pathology. The aim of the study was to study the clinical efficacy of sclerotherapy in the treatment of epididymal cysts in terms of long-term indicators. Aim – to study the clinical efficacy of sclerotherapy in the treatment of EC in terms of long-term indicators. Materials and methods. 82 patients with EC aged 18 to 45 years were included in 2 groups: in the treatment of 47 patients in the comparison group, a standard approach was used, in the treatment of 36 patients in the main group, the method of EC sclerotherapy was used. EC sclerotherapy included anesthesia, aspiration of the cyst contents and injection of sclerosant, under ultrasound guidance, puncture of the epididymal cyst was performed, its contents were evacuated, then sclerosant (ethoxysclerol 1% – 2.5 ml) was injected into the cyst cavity with an exposure of 5 min. Results. It was found that during sclerotherapy in the treatment of EC in patients of the main group after the treatment, the dynamics of spermogram indices was more favorable than in the comparison group. In the long-term period (after 6-12 months), these patients had significantly higher levels of ejaculate volume and sperm count, the rate of movement of motile spermatozoa and the proportion of progressively motile spermatozoa than in the comparison group. The use of the sclerosing method increases the clinical efficacy of EC treatment, while the frequency of reproductive events (pregnancy in female partners of patients who underwent sclerotherapy) is 2.7 times higher than in the group where standard surgery was performed. Discussion. Over the past two decades, different authors have proposed different types of sclerosing substances. A number of studies are presented in the literature, the results of which have demonstrated the effectiveness of aspiration and sclerotherapy in the treatment of benign scrotal cysts. A sufficiently high efficiency of EC sclerotherapy was shown. We also found that the use of the sclerotherapy method increases the clinical effectiveness of EC treatment, while the frequency of reproductive events significantly increases. Conclusion. Sclerotherapy is an effective and safe treatment for obstructive azoospermia caused by EC.

scholarly journals Prevention of peritoneal pelvic adhesion formation in women of reproductive age

2021 ◽  
Vol 5 ◽  
pp. 48-55
Author(s):  
T.H. Romanenko ◽  
P.F. Shaganov
Keyword(s):  
Postoperative Period ◽  
Comparison Group ◽  
Degradation Products ◽  
Traditional Approach ◽  
Adhesion Formation ◽  
Main Group ◽  
Reproductive Age ◽  
Women Of Reproductive Age ◽  
Tubal Infertility ◽  
Number Of Patients

The objective: a prevention of the peritoneal pelvic adhesions formation in women of reproductive age in the postoperative periodMaterials and methods. 132 women with tubal infertility were examined: І group – main one (n=68) and ІІ group – comparison group (n=64). In the postoperative period, the patients of the main group received treatment and prevention measures according to the developed approach (intraoperative administration of anti-adhesion gel 50 ml and 1 suppository of the tiotriazolin a day rectally from the 1st day after surgery for 14 days), and the comparison group – according to the traditional approach. 30 healthy women were examined as a control group.The level of fibrinogen, fibrinogen /fibrin degradation products (FDP), protein-bound hydroxyproline and free hydroxyproline were studied in blood. Pain syndrome was assessed on a 10-point scale.Results. An increase in fibrinogen and FDP levels in the plasma of all examined women were found. But in the main group the concentration of FDP from 4 hours after intervention was significantly higher (5.31±0.24 mg/l) compared to the comparison group (4.53±0.17 mg/l). The level of protein-bound hydroxyproline in the blood serum of the examined women demonstrated its significant increase in the comparison group 12 hours after surgery, with a maximum after 24 hours and maintaining the concentration in 1.9 times higher after 3 days (p<0.05). The level of free hydroxyproline in the main group was significantly (in 1.4–1.6 times) higher than in the comparison group.The increase of the fibrinolytic capacity (p<0.05) in the peritoneal fluid was found during postoperative period. The period of hyperemia in II group lasted 2 times longer than in I group. Also, II group predominates in the number of patients with hyperthermia for more than 3 days – 10 (15.6 %), compared with I group – 4 patients (5.8 %). The duration of stay in the hospital dominated in II group with a standard treatment regimen in the postoperative period – 3.1 %, compared with I group – 1.9 %.The patients after operation in I group evaluated postoperative pain on average by 1.8 points (p=0.00), in II group – at 3.6 points (p=0.06). Synthetic opioid analgesics and nonsteroidal anti-inflammatory drugs were administered intramuscularly for analgesia. The patients in II group required more injections per patient.Conclusions. The proposed approach is effective, pathogenetically reasonable and can be used as a pathogenetic prevention of adhesions formation in women of reproductive age.

scholarly journals Prevalence of Hypertensive Status in the Various Abo Blood Groups in the Presence of Periodontal Disease - A Pilot Project in the Western Region of Saudi Arabia

2020 ◽  
pp. 25-33
Author(s):  
Shreya Shetty ◽  
Mohammed Niazi ◽  
Khalid Hossam Shafik ◽  
Salem Elharazeen ◽  
Bakkar M. Alsalah ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Periodontal Disease ◽  
Blood Group ◽  
Systemic Disease ◽  
Pilot Project ◽  
Blood Groups ◽  
Abo Blood Groups ◽  
Blood Group A ◽  
Number Of Patients ◽  
Group A

Background: Both periodontal disease and hypertension individually, have been found to be linked to certain blood groups. However, the association of the blood groups to abnormal blood pressure and co-existing periodontal disease has not yet been explored. The objective of this study was to explore a possible association, if any among the three conditions. Materials and Methods: In this pilot project, a total of 300 patients were screened initially, of which, 270 patients (205 males and 65 females) with mean age range of 34.5 years from various ABO blood groups, with gingivitis / periodontitis were selected and their blood pressure was measured in a standardized manner with a digital automated BP monitor. Patients with any systemic disease or condition or consuming any kind of medications and smokers were excluded from the study. The data thus obtained was statistically analyzed to assess prevalence and associations. Results: Overall, blood group O(29.26%) reported the highest number of patients with abnormal blood pressure in the presence of periodontal disease followed by B(18.89%) and A(17.03%). No association was found with abnormal blood pressure and blood groups in the individual gingivitis and periodontitis groups. However, a significant association with abnormal blood pressure in males over females in blood group A and B in the gingivitis group and in blood group A in the periodontitis group was observed.(P<0.05). Conclusion: The presence of periodontal disease in certain ABO blood groups may predispose to abnormal blood pressure values or hypertension.

Thromboembolic complications prevention in the obstetric practice

2017 ◽  
pp. 19-24
Author(s):  
O.V. Grishchenko ◽  
◽  
V.V. Bobrytska ◽  
Keyword(s):  
Pulmonary Embolism ◽  
Comparison Group ◽  
Main Group ◽  
Control Group ◽  
Efficacy And Safety ◽  
Thromboembolic Complications ◽  
Moderate Risk ◽  
Obstetric Practice ◽  
Thrombotic Complications ◽  
And Control

The objective: To evaluate the clinical efficacy and safety of Enoxaparin-Pharmex for the prevention of thrombotic complications (pulmonary embolism) in the postoperative period in patients with moderate risk of these complications. Patients and methods. The study included 50 women after a caesarean section had an average degree of risk of pulmonary embolism. Patients were divided into the main group (n=25) and control group (n=25) in accordance with the treatment: patients of the main group received postoperative Еnoxaparin- Pharmex, group comparisons enoxaparin sodium (brand foreign manufacturer’s). Patients in both groups received the drug at a dose of 20 mg for 5 days, 1 time per day subcutaneously. Results. The research data analysis showed identity results of hemostasiogram of patients in the main group and the comparison group, no side effects after treatment in both groups. Conclusion. The clinical studies suggest the drug Enoxaparin-Pharmex is effective, safe LMWH, which can be used to prevent troboembolic complications, including post-operative treatment in obstetric practice. Spectrum of Enoxaparin-Pharmex can be extended to the prevention and treatment of thromboembolic conditions of varying severity with appropriate doses of the drug. Key words: Enoxaparin-Pharmex, prevention of pulmonary embolism.

Assessment of the impact of factors of the working environment on the health of workers in oil refining based on the analysis of morbidity

2020 ◽  
pp. 600-600 ◽  
Author(s):  
I. V. Ginko ◽  
T. M. Sushinskaya ◽  
A. L. Rybina
Keyword(s):  
Comparison Group ◽  
Main Group ◽  
Working Environment ◽  
Oil Refinery ◽  
Oil Refining ◽  
Production Environment ◽  
The Impact

Studies have been conducted to assess the impact of factors of the production environment on employees of the oil refinery ofJSC «Naftan». Significant differences with the comparison group on the indicators of SVT were revealed. Priority nosological forms of employees of the main group are identified.

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