Saratovskii nauchnomeditsinskii zhurnal最新文献_第2页

Comparative analysis of optical coherent angiotomography in patients with primary open-angle glaucoma 光学相干血管断层扫描在原发性开角型青光眼中的比较分析

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902132

Tatyana G. Kamenskikh, Ekaterina V. Veselova, Igor O. Kolbenev, Darya P. Martynova

{"title":"Comparative analysis of optical coherent angiotomography in patients with primary open-angle glaucoma","authors":"Tatyana G. Kamenskikh, Ekaterina V. Veselova, Igor O. Kolbenev, Darya P. Martynova","doi":"10.15275/ssmj1902132","DOIUrl":"https://doi.org/10.15275/ssmj1902132","url":null,"abstract":"Objective: to conduct a comparative analysis of the parameters of the optic nerve head, retinal ganglion cells and microcirculation parameters in patients with primary open-angle glaucoma (POAG) of various stages in achieving the target intraocular pressure using the method of optical coherence angiotomography. Material and methods. 87 patients (87 eyes) with POAG were examined. Group 1 — 26 patients (26 eyes) with stage I POAG, group 2 — 19 patients (19 eyes) with stage II glaucoma, group 3 — 24 patients (24 eyes) with stage III glaucoma. Group 4 (control group) — 18 patients (36 eyes) without signs of glaucoma. Optical coherence tomography was performed on patients, angio-OCT scans 6.4x6.4 of the macula and optic nerve head were used. Results. The thickness of the nerve fiber layer (RNFL) was 94.00±10.54 urn in patients with stage I POAG, 48.00±1.00 urn and 41.00±1.73 urn in patients with stage II and III POAG, respectively, moreover, a more sensitive indicator is the RNFL in the lower peri-papillary zone (Inf RNFL). The thickness of the layer of retinal ganglion cells (RGCs) in patients with stage I POAG was 96.33±4.62 urn, with II — 70.33±1.53 urn, with III — 64.33±11.93 urn. The density of blood vessels in the area of the optic disc differed from the norm in patients with stages II and III of POAG (42.23±4.95 and 35.10±1.80, respectively). Conclusion. In patients with different stages of POAG, the greatest differences were found in RNFL in the lower segment, the area of the neuroretinal rim, the values of focal and global GCS loss, and the density of the vascular bed in the lower half of the peripapillary zone.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Adaptation of the Russian version of Oxford Knee Score 改编自俄罗斯版《牛津膝谱》

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902153

Alexandr S. Demin, Andrey P. Sereda, Dmitrii G. Parfeev, Alexandr I. Avdeev, Alisagib A. Dzhavadov, Eduard D. Sulimov

{"title":"Adaptation of the Russian version of Oxford Knee Score","authors":"Alexandr S. Demin, Andrey P. Sereda, Dmitrii G. Parfeev, Alexandr I. Avdeev, Alisagib A. Dzhavadov, Eduard D. Sulimov","doi":"10.15275/ssmj1902153","DOIUrl":"https://doi.org/10.15275/ssmj1902153","url":null,"abstract":"Objective: to adapt the Russian version of the 1998 Oxford Knee Score (OKS) to assess the level of pain and function of the knee joint in patients both before and after primary knee arthroplasty. Material and methods. Validation and cross-cultural adaptation of the Russian version of OKS has been completed. A patient survey was conducted, and according to its results, the filling rates of both Russian-language versions of OKS were assessed, based on the criteria developed in the course of the current study. The following parameters were also evaluated in our study: validity, internal fit (Cronbach's a), reproducibility, ceiling/floor effect, filling rate, mean score, mean age of patients. Results. The study involved 200 patients hospitalized for primary knee arthroplasty. 167 of them (83%) were women, mean age 64.4 (SD 8.2) and 33 (17%) men, mean age 64 (SD 9.7). Validity index — 0.73, p<0.001, Cronbach's a — 0.864, reproducibility — 0.93 (0.76-0.98), ceiling effect in questions 1, 2, 3, 4; gender effect in questions 5, 7, 10, 11. Conclusion. The new Russian version of OKS, in comparison with the previous version, showed an improvement in the examined criteria for the comparison of the occupancy rates by 6, 9, 11 and 16%, respectively (p<0.05 for each of the criteria).","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"79 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Attitude of doctors and patients of the central district hospital to using digital health technologies (based on the results of a medical and sociological study) 中心区医院医生和患者对使用数字卫生技术的态度(基于医学和社会学研究的结果)

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902180

Tatyana E. Romanova, Olga P. Abaeva, Sergey V. Romanov

{"title":"Attitude of doctors and patients of the central district hospital to using digital health technologies (based on the results of a medical and sociological study)","authors":"Tatyana E. Romanova, Olga P. Abaeva, Sergey V. Romanov","doi":"10.15275/ssmj1902180","DOIUrl":"https://doi.org/10.15275/ssmj1902180","url":null,"abstract":"Objective: to study the attitude of doctors and patients of the central district hospital to the use of digital medicine technologies. Material and methods. The study was conducted by a questionnaire survey. 43 doctors and 213 patients of the central district hospital were asked to assess the possibilities of digital tools in solving health problems, the degree of use of Internet platforms in the process of doctor-patient interaction, the level of influence of the Internet on patients' adherence to doctor's recommendations. Results. Only 14.0% of doctors and 5.2% of patients believe that digital technologies can help solve the problem of staff shortage. Currently, 65.1 % of doctors and 23.9% of patients use digital technologies in communication in the doctor-patient system. 55.8% of doctors stated the desire of patients to get information about treatment in Internet sources, but 97.7% of patients trust doctors more than recommendations on the Internet. Among the possible ways of using digital technologies in medicine, patients see the design of referrals (61.0%), prescriptions (50.2%), temporary disability sheets, certificates (29.6%). Conclusions. Most representatives of both the medical community and patients do not see digital technologies as a way to radically solve the problems of personnel shortage in rural areas: only 32.6% of doctors and 19.7% of patients consider it possible to increase the availability of medical care through telemedicine, only 23% of patients considered remote consultations to be in demand. First of all, the prospects of digitalization of healthcare, according to patients, are associated with the optimization of the issuance of documents in the provision of medical care.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"133 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contribution of professor Elena V Karyakina to the progress of Russian rheumatology Elena V Karyakina教授对俄罗斯风湿病学进展的贡献

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902201

Daniil M. Puchinyan, Vladimir Yu. Ulyanov, Sergey E. Grishin, Ekaterina V. Gladkova

引用次数: 0

Assessment of the quality of life in peri- and postmenopausal women living in Yerevan based on Women's Health Questionnaire 根据妇女健康问卷评估埃里温围绝经期和绝经后妇女的生活质量

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902174

Lilia R. Mirzoyan, Sergey N. Simonov

{"title":"Assessment of the quality of life in peri- and postmenopausal women living in Yerevan based on Women's Health Questionnaire","authors":"Lilia R. Mirzoyan, Sergey N. Simonov","doi":"10.15275/ssmj1902174","DOIUrl":"https://doi.org/10.15275/ssmj1902174","url":null,"abstract":"Objective: To assess the impact of peri- and postmenopause and some social-demographic and medical factors on scales of the quality of life (QoL) of women living in Yerevan. Material and methods. Across-sectional study was conducted among 353 women in the >40 age group. WHQ (Women Health Questionnaire) was used for the assessment of quality of life. Results. Negative indicators in peri- and postmenopausal women compared to women with a regular cycle were revealed on the scales \"Vasomotor disorders\" (0.46±0.05 and 0.51±0.03 vs. 0.17±0.03, p<0.001) and \"Anxiety/fears\" (0.40±0.04 and 0.38±0.02 vs. 0.27±0.03, p=0.013). The difference only between the groups of postmenopausal women and those with a regular cycle was registered on the scales \"Somatic symptoms\" (0.53±0.02 vs. 0.49±0.04, p=0.003), \"Memory and concentration of attention\" (0.47±0.03 vs. 0.39±0.04, p=0.015), Sexual Behavior (0.43±0.03 vs. 0.21±0.03, p<0.001) and \"Attractiveness\" (0.37±0.03 vs. 0.24±0.04, p=0.015). The presence of chronic diseases had a negative impact on QoL. From socio-demographic characteristics, negative was impact of age, low level of education, lack of employment, unfavorable family and financial status. Conclusions. There was a deterioration in all indicators of the QoL, except \"Depressed mood\", \"Sleep problem\", \"Menstrual symptoms\", in women of peri- and postmenopausal age. Age, low level of education, lack of employment, unfavorable family and financial status, the presence of chronic diseases had a negative impact on the QoL of the study participants.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Dentists' and patients' opinion on the oncological examination of the lip, oral cavity and pharynx 牙医及病人对唇部、口腔及咽肿瘤检查的意见

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902170

Marina V. Erugina, Irina L. Krom, Galina Y. Sazanova, Diana D. Balakina, Denis O. Arkhipov, Renata T. Nurieva

{"title":"Dentists' and patients' opinion on the oncological examination of the lip, oral cavity and pharynx","authors":"Marina V. Erugina, Irina L. Krom, Galina Y. Sazanova, Diana D. Balakina, Denis O. Arkhipov, Renata T. Nurieva","doi":"10.15275/ssmj1902170","DOIUrl":"https://doi.org/10.15275/ssmj1902170","url":null,"abstract":"Objective: to identify the features of oncological examination in dental practice. Material and methods. A survey of patients (n=417) and dentists of various specialties (n=402) was conducted to identify the practice and features of preventive oncological examination of the lips, oral cavity and pharynx. Results. When questioning, 50% of patients noted the incomplete implementation of various constituent elements of a comprehensive oncological examination of the lips, oral cavity and pharynx when visiting a dentist. When questioning dentists, it was revealed that 33% of respondents conduct oncological examinations. Conclusion. According to the results of a sociological study of patients and dentists, a discrepancy between the volume of preventive oncological examination of the lip, oral cavity and pharynx was revealed with the algorithm recommended by the World Health Organization. The Procedure for providing medical care to adults with dental diseases approved by the Ministry of Health of the Russian Federation regulates preventive examinations once every six months, but does not determine the purpose of the examination —the identification of visual forms of malignant neoplasms and precancerous diseases. The card of an outpatient dental patient (Form №043u) requires amendments regarding the inclusion of an algorithm for conducting oncological examination in it.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Microbiological aspects of acute odontogenic osteomyelitis in children 儿童急性牙源性骨髓炎的微生物学方面

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902145

Elena E. Halyuta, Svetlana B. Mokhnacheva, Irina G. Dugina, Anastasia D. Kutarenko, Alina A. Fomina

{"title":"Microbiological aspects of acute odontogenic osteomyelitis in children","authors":"Elena E. Halyuta, Svetlana B. Mokhnacheva, Irina G. Dugina, Anastasia D. Kutarenko, Alina A. Fomina","doi":"10.15275/ssmj1902145","DOIUrl":"https://doi.org/10.15275/ssmj1902145","url":null,"abstract":"Objective: to determine the species composition of pathogens of acute odontogenic inflammatory processes of the jaws in children, to determine the sensitivity and resistance of the isolated microflora to antibiotics of various groups, as well as to determine the dependence of the characteristics of the clinical course of the disease on the type of dominant pathogen. Material and methods. The analysis of the results of microbiological methods for the study of exudate from purulent odontogenic foci of 900 children, due to periostitis and osteomyelitis of the jaws, was carried out. Results. In 65.6% of cases, the causative agent was Pyogenic streptococcus or group A beta-hemolytic streptococcus (BHSA) ith a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %) and the highest percentage of resistance to macrolides (41%). Streptococcus viridans (6.1%), Streptococcus pneumoniae (4.3%) and others were also isolated; mixed microflora (14.3%). The syndrome of endogenous intoxication of the body was manifested in 56% of cases by fever, in 38% by leukocytosis, in 57.4% by accelerated ESR. There was no statistically significant difference in the degree of endogenous intoxication in groups with different types of streptococcus. Conclusions. The cause of the inflammatory process of the jaws in 65.6% of cases was BHSA with a high level of sensitivity to vancomycin (99%), fluoroquinolones (98%), beta-lactams (91 %).","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136365303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Influence of electronic cigarettes and tobacco heating systems on the periodontal condition in patients of different age and gender 电子烟和烟草加热系统对不同年龄和性别患者牙周状况的影响

Saratovskii nauchnomeditsinskii zhurnal Pub Date : 2023-06-30 DOI: 10.15275/ssmj1902140

Alexey A. Kishkan

{"title":"Influence of electronic cigarettes and tobacco heating systems on the periodontal condition in patients of different age and gender","authors":"Alexey A. Kishkan","doi":"10.15275/ssmj1902140","DOIUrl":"https://doi.org/10.15275/ssmj1902140","url":null,"abstract":"Objective: to compare the characteristics of the periodontal condition in three categories of patients: smokers of electronic cigarettes, smokers of tobacco heating systems and non-smokers, taking into account age and gender. Material and methods. A comprehensive analysis of 1754 patient-smoker records was carried out: 1122 — electronic cigarettes (ES), 632 —tobacco heating systems (SNT). Data from 566 non-smokers were used as a control group (GC). Patients of all groups were divided into subgroups depending on age and gender. The clinical condition of the periodontium was assessed by dental indices and indicators. Statistical data analysis was performed using Microsoft Excel and Statistica 64 ver. 20.0 programs. Results. Gingivitis prevailed in the groups of persons with ES, SNT and GS. The frequency of gingivitis in the ES group decreases with age, while in the SNT group it increases. Among HS patients, gingivitis was recorded in all age groups. The frequency of acute periodontitis was highest in patients of the ES and SNT groups aged 35-39 years. In the Civil Code — at the age of 30-34 years. The frequency of gingivitis and acute periodontitis in persons of the SNT and ES group is more pronounced in women. In GS, these figures are almost equal. The frequency of registration of chronic localized periodontitis in persons of the SNT group is more pronounced in women, in the ES group these figures are higher in men. The frequency of registration of chronic general periodontitis in persons of all groups is more pronounced in women. Conclusion. The results of the study proved that the use of ES and SNT is a negative factor causing the occurrence of periodontal diseases.","PeriodicalId":30092,"journal":{"name":"Saratovskii nauchnomeditsinskii zhurnal","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136364340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0