The secret of longevity is not only in healthy lifestyle and genetics, but in the forehanded prevention of diseases. Nowadays the preservation of health is much more the patient’s responsibility. This mission can be realized only through the high level of patient’s awareness and treatment compliance. Oral cancer has one of the highest mortality rates among all malignancies worldwide. A gap in patient knowledge about oral cancer, specifically related to risk factors and signs and symptoms, is posited to be among the key modifiable factor contributing to high morbidity and mortality. The purpose of this study is to evaluate the oral cancer awareness among patients of the risk group (aged patients with chronic oral mucosal diseases). Results of the study showed the lack of oral cancer awareness among patients: the mean knowledge score for the risk factors – 3, 1 ± 1, 2 out of 8, 0, for the signs and symptoms – 4, 9 ± 1, 3 out of 12, 0. It was found that women had higher oncological awareness than men, as well as participants with high educational level, and patients with premalignant oral lesions (oral lichen planus, oral leukoplakia). Educational programs are essential for improvement of oral cancer awareness among population.
1 ГБОУ ВПО «Пермский государственный медицинский университет им. акад. Е.А. Вагнера» Минздрава России, Пермь, Российская Федерация, 614900; 2 ГБУЗ Пермского края «Городская детская клиническая больница №15», Пермь, Российская Федерация, 614066Цель -совершенствование комплексной нейроортопедической реабилитации детей с церебральным параличом в раз-личные возрастные периоды. Пациенты и методы. Изучены 267 больных церебральным параличом в возрасте от 1 года до 16 лет. Мальчиков было 158 (59,2%), девочек -109 (40,8%). Результаты и обсуждение. Ортопедическое лечение двига-тельных нарушений проводили с учетом возраста, психоневрологического статуса, вегетативной дисфункции. Консерва-тивное лечение проведено у 104 (39%) детей, оперативное -у 163 (61%). У детей до 3 лет вегетативное рассогласование было наиболее выражено. В процессе лечения преобладала ортопедическая коррекция мышечного тонуса. Использовали иммобилизацию этапными гипсовыми повязками с последующим ношением ортезов и ортопедической обуви, массаж и ЛФК. В возрастной группе от 4 до 7 лет доминировало хирургическое лечение, направленное на нормализацию работы мышечно-связочного аппарата. Консервативное лечение было связано с коррекцией вегетативной дистонии. Дифферен-цированно применяли методы аппаратной физиотерапии. В группах детей от 8 до 12 лет и от 13 до 15 лет хирургическая коррекция была направлена на ликвидацию грубых деформаций. Дифференцированное лечение, различные модели обо-рудования оказались эффективными в ликвидации мышечной спастичности и гипотрофии, коррекции деформаций, спо-собствовали восстановлению или улучшению движений, стимулировали физическое и умственное развитие ребенка. Objectives. The present study was aimed at the improvement of comprehensive neuro-orthopedic rehabilitation of the children of different age presenting with cerebral palsy. Material and methods. A total of 267 patients with infantile cerebral paralysis at the age from 1 year to 16 years were available for the observation including 158 (59.2%) boys and 109 (40.8%) girls. Results. The orthopedic treatment of locomotor disorders was adjusted for the patients' age, the neuropsychiatric status, and the type of autonomous dysfunction. The conservative treatment was given 104 (39%) patients and the surgical intervention performed on 163 (61%) ones. Vegetative disbalance was the predominant condition in the children aged up to 3 years. Orthopedic alignment of the muscle tone was one of the most common methods of the treatment. We used milestone plaster bandages for immobilization followed by wearing the orthoses and orthopedic shoes in combination with massage and therapeutic physical exercises. The surgical treatment aimed at the normalization of the musculo-ligamentous apparatus was the predominant strategy for the age group of 4-7 years. The conservative treatment was most frequently prescribed for the correction of vegetative dystonia. The physiotherapeutic methods were applied differentially. In the groups of children aged from 8 to 12 years and from 13 to 15 years, th...
The research carried out a comparative assessment of the physical and mechanical properties of tooth enamel: healthy; demineralized; demineralized and subsequently infiltrated with a flowable composite according to a standard or modified technique. An original in vitro model of artificial caries of human tooth enamel was used for the study, the clinical-topographic, color-textural and physical-mechanical properties of which correspond to the characteristics of enamel caries in vivo. Comparative analysis of the results of kinetic microindentation of enamel samples allows to characterize the biomaterial from the standpoint of physical materials science, to determine the advantages and disadvantages of different regimens of resin infiltration. The advantages of the modified infiltration technique are illustrated by significantly greater, as compare with classic method, increase in microhardness and elasticity against background of a decrease in a creep index of the infiltrated enamel in itsdeep zones. The results reflect the fact of incomplete obturation of microporous in the deep layers of enamel after classical treatment.
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