RESUMO
OBJECTIVE: To study the actual state of the organization of medical care for patients with the profile of «maxillofacial surgery¼ in the Southern Federal District of the Russian Federation in order to develop proposals for its optimization within the framework of a three-level system of medical care. MATERIAL AND METHODS: We analyzed accounting and reporting materials characterizing the organization of medical care in the field of «Oral and maxillofacial surgery¼ to the population in the Southern Federal District of the Russian Federation. RESULTS: The population of the Southern Federal District of the Russian Federation is currently provided with accessible round-the-clock medical care in the field of maxillofacial surgery. The forces and means at the disposal of the district government allow this to be implemented. However, the article describes a number of obstacles to the provision of high-quality medical care in the field of maxillofacial surgery and suggests ways to eliminate them. CONCLUSION: Preparation of an Order defining the functioning of a three-level system of medical care for adults and children with maxillofacial pathology in the Southern Federal District of the Russian Federation, as well as more effective use of telemedicine consultations will significantly improve the availability and quality of medical care.
Assuntos
Cirurgia Bucal , Humanos , Federação Russa/epidemiologia , Cirurgia Bucal/organização & administraçãoRESUMO
Periodontal status and oral hygiene indexes were studied in 125 young employee of Kurchatov Institute. Oral hygiene values dynamic was assessed after professional oral hygiene in persons with unsatisfactory oral hygiene at baseline examination. When compared with the same values in the absence of professional oral hygiene procedures the results allowed calculating cost-effectiveness rate for biannual professional oral hygiene.
Assuntos
Higiene Bucal/economia , Adulto , Análise Custo-Benefício , Feminino , Humanos , Masculino , Índice de Higiene Oral , Índice Periodontal , Adulto JovemRESUMO
The long-term results of implant retained restorations with casted and milled frames were compared in clinical and experimental settings. Electrochemical features of milled and casted titanium by contact with titanium implant were assessed. The biocompatibility of milled and casted titanium was studied in mesenchymal stem cells culture. Cross sections were used to assess the marginal fit precision of milled and casted frames.
Assuntos
Prótese Dentária Fixada por Implante , Restauração Dentária Permanente , Titânio , Adulto , Células Cultivadas , Feminino , Humanos , Masculino , Teste de Materiais , Ligas Metalo-CerâmicasAssuntos
Doenças do Íleo/diagnóstico , Doenças do Íleo/cirurgia , Intussuscepção/diagnóstico , Intussuscepção/cirurgia , Adulto , Anastomose em-Y de Roux , Diagnóstico Diferencial , Humanos , Doenças do Íleo/patologia , Intussuscepção/patologia , Masculino , Técnicas de Sutura , Resultado do TratamentoRESUMO
A 13-year-old girl with a clinical picture of severe peritonitis was subjected to emergency operation upon 18 h since the symptoms onset. Laparotomy which detected a 360 degree torsion of the spleen with necrosis and perforation in the fundus of the stomach was followed by splenectomy and suture of the perforation. The patient's death occurred 17 h after the surgical treatment in progressive cardiovascular, renal and hepatic insufficiency and associated DIC syndrome. Specific blood supply to the organs is considered the underlying cause of gastric necrosis in relevant case of splenic torsion.
Assuntos
Fundo Gástrico/patologia , Esplenopatias/complicações , Adolescente , Feminino , Humanos , Necrose , Anormalidade TorcionalRESUMO
Long-term results of treatment of colorectal cancer versus levels of 17-ketosteroids, 17-ketogenic steroids, adrenaline and norepinephrine in diurnal urine were evaluated in 116 patients. Normal or slightly elevated urine-corticosteroid and catecholamine levels were shown to correlate with good prognosis, particularly, in cases with normal excretion of all (or almost all) hormones studied and their normal ratios.