Subject(s)
Anniversaries and Special Events , Urology , Humans , History, 20th Century , History, 19th Century , Urology/historyABSTRACT
The research has been aimed to estimate the dynamic change of the levels of people's satisfaction with dental aid, quality of clinical and preventive medical care among adult patients in municipal and state hospitals of Orenburg region over the period of 2015-2017. The study has been based upon annual reports of medical information analysis center of statistics of the Orenburg region Health Ministry. The calculations have been done with standard formula given in the manuals on medical statistics. The number of visits to the dentist amounted to 767.7 in 2015, and 746.5 in 2017 as calculated for 1000 people. The number of dentists' jobs in basic clinical and preventive medical care profiles is decreasing; it amounted to 55.2% of the necessary number which corresponds to the Russian Federation Health Ministry recommendations. Dentists occupy 53.3% of dentist posts. The coverage of posts of dentists, dental therapists, surgeons and orthopedists is 75.7%, and it is not going to increase. The percentage of teeth with dental caries complications has increased from 27.2% to 34.1% over the past three years. The ratio of treated teeth to extracted ones amounted to 2.5:1 in 2015, 2.4:1 in 2016, 2.3:1 in 2017. The percentage of patients not needing dental treatment was 54.7% in 2017, and 42.2% of primary patients. Thus the dental care provided to adult people in state and municipal hospitals is not sufficient which is evidenced by lack of specialists, low ratio of patients not needing treatment, frequent cases of dental caries complications and extractions, the decrease of people visiting state and municipal hospitals.
Subject(s)
Dental Care , Dental Caries , Adult , Dental Caries/therapy , Dentists , Humans , RussiaABSTRACT
We evaluated the efficiency of transplantation of cultured human allofibroblasts onto tympanic membrane damaged by mine explosion in combination with Tampograss dressing (Paul Hartman). Transplantation of cultured human allofibroblasts was effective in 100% cases. Application of the film with fibroblasts onto perforation occupying from 1/4 to 1/2 of the tympanic membrane was more effective by 15% (by 59% in subtotal perforation) than tympanoplasty with amnion membrane. The mean duration of tympanic membrane restoration after spontaneous healing and amnionoplasty is virtually the same, while transplantation of allofibroblasts accelerated the process in comparison with other groups in perforation of any size; in subtotal defect the duration of tympanic membrane restoration was shorter by 14 +/- 1 days.
