Paemi Sino最新文献

{"title":"NON-MOTOR SYMPTOMS OF PARKINSON DISEASE","authors":"N. A. Zaripov, J. Dodkhoev, S. M. Abdullozoda, R. Jamolova","doi":"10.25005/2074-0581-2021-23-3-342-351","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-342-351","url":null,"abstract":"Objective: To assess the specific non-motor symptoms of Parkinson disease (PD) at its early (preclinical) stages using the NMSQuest scale. Methods: The respondents were divided into 2 groups. The first (main) group included 43 patients with confirmed PD at the age of 51-79 years, on average 66.18±7.79 years. PD duration in the main group ranged from 7 to 28 years (12.65±4.86). The following forms of PD were identified: mixed form – 28 patients (65.1%), akinetic-rigid form – 9 patients (20.9%) and trembling form – 6 patients (13.9%). The second group (control) included 28 individuals without signs of neurodegenerative diseases, including PD, and other severe somatic pathologies. Their age ranged from 47 to 81 years (64.75±10.05). The following concomitant disorders (initial stages, compensated forms) were found in the patients of the 2nd group: arterial hypertension – in 13 patients (46.4%), diabetes mellitus – 9 patients (32.1%); osteoarthritis – 6 patients (21.4%). Results: Non-motor signs of PD, such as hypersalivation, decreased sense of smell, difficulty swallowing, memory impairment, constipation, increased sweating, difficulty walking and loss of self-confidence were significantly more often noticed in the main group, which indicated that they were typical for the patients with PD. It can be assumed that these symptoms could predict the development of PD during the latent and prodromal periods of the disease. Conclusion: Undoubtedly, the motor symptoms that occur in PD exert a significant negative affect on the lifestyle of patients. However, the non-motor symptoms of the disease should not be overlooked. Although many scientists associate the non-motor symptoms of PD with the aging process, our study showed that the use of screening scales confirmed their specificity for PD and correlation with its duration. At the same time, statistical analysis showed that a number of symptoms are characteristic only of PD, while the rest are associated with the natural aging process. Keywords: Parkinson disease, early stage, non-motor symptoms, screening scales, NMSQuest.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317687","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}

{"title":"SOCIAL SURVEY ON PERIODONTAL CARE OUTPATIENT VISITS RATE","authors":"S. V. Miklyaev, O. M. Leonova, A. V. Sushchenko, A. V. Novikov","doi":"10.25005/2074-0581-2021-23-3-379-385","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-379-385","url":null,"abstract":"Objective: Analysis of the results of a questionnaire survey of patients who applied for periodontal treatment. Methods: 157 patients who applied for periodontal care were surveyed, and the patients were divided by gender and age. The survey questions were divided into blocks to reduce the survey time and simplify the analysis of the results. Additional methods measuring oral hygiene were the Simplified Oral Hygiene Index (OHI-S), Community Periodontal Index of Treatment Needs (CPITN), Sulcus bleeding index (SBI, Mühlemann and Son), papillarymarginal alveolar index (PMA). Results: The proportion of mild periodontitis cases significantly decreased from the age group 20-29 to the age group 60 and above, 70.8% to 0%, respectively (p<0.01). In contrast, moderate and severe periodontitis cases increased in the younger to the senior age groups, from 25.0% to 47.1% and from 4.2% to 52.9%, respectively (p<0.01). At the same time, the peak prevalence of moderate periodontitis was in patients aged 40-49 years (51.2%). The return visits rates statistically significantly increase with age – from 0% of return visits in patients aged 20-29 to 82.2% in the patients over 60 years of age (p<0.01). The proportion of smoking patients decreased with age from 58.3% to 47.0%. However, the peak prevalence of smoking patients (62.8%) was in a group of patients aged 40-49 years (p<0.01). Changes in oral hygiene indices and periodontal indices (OHI-S, CPITN, PMA and SBI) were statistically insignificant (p>0.05) and showed only a growth trend with increasing age. In addition, it was found that women more often (51.6%) sought this dental care than men (48.4%). Conclusion: Periodontal care outpatient visits rates increase in younger to senior age groups, associated with an increase in the severity of the inflammatory periodontal disease. At the same time, for young patients (from 20 to 39 years old), the priority was the elimination of cosmetic defects during periodontal treatment. It should also be noted that not only early visits for periodontal care influence the treatment results but also smoking cessation. Keywords: Survey , outpatient visits rates, periodontal care, motivation.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317747","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}

{"title":"PREVENTION OF POSTOPERATIVE COMPLICATIONS OF CALCANEUS FRACTURES","authors":"V. V. Savgachev, I. Litvinov","doi":"10.25005/2074-0581-2021-23-3-386-394","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-386-394","url":null,"abstract":"Objective: To optimize prevention of postoperative complications of closed calcaneus fractures (CCF), considering prediction of risk factors (RF) for their development. Methods: The case histories of 490 patients with CCF were studied for the period 2010-2020. Among them there were 25 women (5%), and 465 men (95%), their age ranged from 18 to 70 years; 94% of patients were having recent trauma. Postoperative complications were diagnosed in 183 cases (37%), such as dislocation of metal parts of prosthesis (14%); osteomyelitis of the calcaneus (9%); trophic disorders, particularly skin necrosis (21%); suppuration of the postoperative wound and osteosynthesis zone (51%); fistulae and tendinitis (5%). For the analysis of risk pathology, RFs and the potential for their realization were evaluated. The data reduction procedure was performed using calculation of the correlation coefficient τ. The final assessment of the identified predictors was carried out using the logistic regression method. A protocol for managing patients with risk assessment of complications at each stage has been developed. Results: Statistically significant RFs were revealed, such as edema in the fracture zone on the day of surgery and three days later, odds ratio (OR) =0.07 [CI: 0.015-0.294]; lack of antibiotic prophylaxis before surgery, OR=0.053 [CI: 0.006-0.402]; serious comorbidities, OR=0.252 [CI: 0.108-0.586]; significant changes in laboratory tests, OR=0.137 [CI: 0.056-0.327]; significant changes in the follow up tests, OR=0.12 [CI: 0.038-0.42]; failure to perform an X-ray after surgery, OR=0.095 [CI: 0.031-0.286]; lack of prevention of thromboembolic complications, OR=0.02 [CI: 0.038-0.38]; the quality of the recommendations presented in the discharge summary, OR=0.073 [CI: 0.038-0.142]; hard physical labor, OR=0.009 [CI: 0.002-0.044]. In 45 cases, a patient management protocol was used with risk assessment of complications at each stage, as a result of which no complications were noted in 96% of cases. Conclusion: The presented comprehensive approach to the prevention of complications based on consideration of the individual characteristics of the patient and the use of multidimensional modeling can effectively reduce the incidence of complications and may help even a novice specialist in choosing of proper treatment tactics. Keywords: Fracture of the calcaneus, risk factors, prophylaxis, complications, prognosis.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317758","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}

{"title":"THE EFFECTIVENESS OF OZONE THERAPY FOR ARTERIAL HYPERTENSION AND CONCOMITANT GASTROPATHY IN MINERS","authors":"A. R. Kudasheva, A. Khusainova, F. A. Urmantseva","doi":"10.25005/2074-0581-2021-23-1-18-24","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-18-24","url":null,"abstract":"To evaluate the effectiveness of ozone therapy in the combination of arterial hypertension (AH) and gastropathy in miners.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317878","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}

{"title":"EFFECT OF INTRACAMERAL IMPLANTATION OF PLASMA-MODIFIED POLYLACTIC ACID FILMS ON THE COURSE OF IN VIVO-INDUCED BULLOUS KERATOPATHY","authors":"E. Filippova, N. M. Ivanova, V. Pichugin","doi":"10.25005/2074-0581-2021-23-1-32-38","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-32-38","url":null,"abstract":"To determine the effect of intracameral implantation of polylactic acid (PLA) films modified in low-temperature atmospheric pressure plasma on the course of in vivo-induced bullous keratopathy (BK).","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"130 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317891","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}

{"title":"COMPARATIVE CLINICAL AND PHARMACOECONOMIC ANALYSIS OF THE EFFICACY OF MODERN COMBINATION THERAPY IN PATIENTS WITH PRIMARY KNEE OSTEOARTHRITIS, STAGES I-III","authors":"A. Davlatzoda, Y. Saidov, K. Makhmudov, R. Jamolova","doi":"10.25005/2074-0581-2021-23-4-520-531","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-4-520-531","url":null,"abstract":"Objective: To study and comparatively evaluate the clinical and cost-effectiveness of modern structure/disease modifying anti- osteoarthritis drugs (S/ DMOADs) and hyaluronic acid (HLA) in modern intensive treatment of the primary knee osteoarthritis (KOA), stages I-III. Methods: A comparative clinical and pharmacoeconomic analysis (PEA) of the effectiveness of a 6-month course of modern S/DMOADs (Structum®, Artra®) in combination with intra-articular HLA preparations (Ostenil®) and symptom-modifying drugs (SMDs) including non-steroidal anti-inflammatory drugs (NSAIDs) and glucocorticoids (GCs) was conducted in 103 patients with primary KOA, stages I-III. Results: At the end of the study (after 6 months), in patients with primary KOA, stages I-III, a statistically significant improvement in all clinical, laboratory and instrumental parameters reflecting the severity and activity of the disease was verified. The gains were most clearly observed in patients with early stages of KOA (I-II). Conclusion: Treatment with modern S/DMOADs (Structum®, Artra®) and HLA preparations (Ostenil®) and, symptomatically with (NSAIDs and GCs intraarticularly) in primary KOA patients, I-III stages demonstrates positive changes in all clinical and laboratory parameters (mainly in early stages of the disease). In addition, and no less critical, it considerably limits the use of NSAIDs. Therefore, treatment with Structum® of patients with early primary KOA is the most cost-effective. Keywords: Primary osteoarthritis, knee joints, pharmacoeconomic analysis, Structum®, Artra®, Ostenil®, WOMAC index.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69318003","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}

{"title":"Reserves for improving perinatal indicators by analyzing the outcomes of preterm labor","authors":"F. R. Ishan-Khodzhaeva, M. Kamilova","doi":"10.25005/2074-0581-2021-23-1-12-17","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-12-17","url":null,"abstract":"Outline ways to improve perinatal outcomes as a result of analysis of the structure and methods of delivery in preterm labor (PL).","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317139","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}

{"title":"FEATURES OF ORTHODONTIC TREATMENT USING LINGUAL BRACES","authors":"F. Bilalova, V. I. Bondarenko, E. Basin, M. Kuznetsova","doi":"10.25005/2074-0581-2021-23-1-73-77","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-73-77","url":null,"abstract":"Malocclusion and imperfect placement of teeth can have a big impact on the smile, well-being and quality of life. As a result of the treatment of pathological and abnormal bite, many children and adults are forced to use braces to improve their bite. The consequences of treatment are different: inflammation and itching, edema of the oral mucosa and maxillary sinuses, headaches, fever. All this depends on the human physiological characteristics, as well as adaptation to this artificial structure, which actually shifts the teeth from a pathological position to a physiological one. Correcting the bite with lingual braces has a key advantage. The main thing is the ability to cope with the psychological barrier that inevitably arises when wearing vestibular braces. But there is also a disadvantage that manifests itself in a short-term speech disorder for 2-3 months. This article discusses the procedure for making lingual braces, the stages and principles of installing lingual braces, recommendations for the care and wearing of the structure, as well as the impact of these braces on the speech apparatus and articulation of speech sounds and the possible development of logoneurosis due to treatment with lingual braces.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317583","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}

{"title":"COVID-19-RELATED ARTERIAL THROMBOSIS","authors":"O. Nematzoda, Gaibov Ad, E. Kalmykov, A. K. Baratov","doi":"10.25005/2074-0581-2021-23-1-85-94","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-1-85-94","url":null,"abstract":"To study of the features of the course, diagnosis and treatment of acute arterial thrombosis in patients who have undergone or are suffering from COVID-19.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317599","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}

{"title":"INTERDEPARTMENTAL INTERACTION FOR ROAD ACCIDENT CONSEQUENCES ELIMINATION","authors":"I. S. Melnikova, E. Shkatova","doi":"10.25005/2074-0581-2021-23-3-352-358","DOIUrl":"https://doi.org/10.25005/2074-0581-2021-23-3-352-358","url":null,"abstract":"Objective: Analysis of cooperation between the Ministry of Emergency Situations (MChS) and Emergency Medical Services (EMS) personnel in the coordination of efforts to eliminate the consequences of road traffic accidents (RTA) in the city of Izhevsk, Udmurtia, Russia. Methods: 206 employees of the MChS of Izhevsk, who participated in road accident consequences elimination in 2018, were questioned. Data were extracted from 5052 MChS statistical forms «Card 1/RTA» from 2011 to 2017. Statistical analysis of the data included the calculation of extensive indicators, the weighted arithmetic mean, the calculation of the z-test, smoothing the time series using a moving average, the calculation of the growth rate using the SPSS 22 and Microsoft Excel 2010 statistical software package. The level of statistical significance was taken as p<0.05. Results: The social survey analysis of the MChS personnel showed that in 80.1% of cases, emergency teams arrived at the accident scene on time. Over the 7-year observation period, according to the statistical forms «Card 1/RTA», in 52.6±3.2% of cases, the ambulance teams arrived at the accident scene after the MChS employees. The questionnaire results on the waiting periods (up to 15 minutes) for emergency teams by the MChS employees match the records data (p>0.05). In 68.5% of cases, one ambulance team attended one victim; in 17.1% and 5.7%, two and three victims, respectively. However, there have been documented cases when one emergency team attended more than 4 casualties of road accidents. Conclusion: This study addressed one of the aspects of interdepartmental relations; however, some issues remain unresolved. In some cases, it was manifested in uncoordinated interactions between the EMS and the MChS: non-simultaneous arrival of representatives of two departments, insufficient number of emergency teams at the accident scene, incoherence between services at the accident scene. Keywords: Ministry of Emergency Situations, ambulance, interagency cooperation, traffic accident, rescue work.","PeriodicalId":91037,"journal":{"name":"Paemi Sino","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69317695","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}