№1, 2010, volume 6
Curative and diagnostic algorithms in patients with unstable pelvic fracture
Heading: Traumatology and Orthopedics Article type: Original article
Authors: I.L. Shlykov, N.L. Kuznetsova
Organization: Uralsk Scientific Research Institute of Traumatology and Orthopedics n. a. V.D. Chaklin, Ekaterinburg Clinical Hospital №23
The combination of transosseous osteosynthesis by new rod devices with techniques of osteotomy through small accesses is effective and not traumatic in treatment of patients with chronic pelvic damages. that allows to eliminate any types of pelvic deformations. peculiarities of stage elimination by developed techniques according to the suggested classification are presented. Developed techniques of surgical rehabilitation of patients with consequences of damages allow to achieve favorable results in 96 cases
The Analysis of Treatment Modes of Juxta-articular Fractures of Proximal Part of a Femur and their Effect (Literature Review)
Heading: Traumatology and Orthopedics Article type: Review
Authors: O.A. Kauts, A.P. Barabash, A.G. Rusanov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
The article concerns the current status of the topical problem in traumatology - treatment of juxta-articular fractures of proximal part of a femur and their effect. Analytical review of domestic and foreign literature has allowed to determine the basic problems in treatment of the particular group of patients and to define long-term trends of osteosynthesis of juxta-articular fractures of proximal part of a femur at the present stage
Surgical correction of hip joint at dysplasia: history of development and present state of the problem (bibliography)
Heading: Traumatology and Orthopedics Article type: Review
Authors: A.B. Petrov, I.D. Kovalyova, V.I. Ruzanov
Organization: Saratov Scientific Research Institute of Traumatology and Orthopedics
Analytical review of scientific medical and patent information dealing with surgical correction of dysplastic hip joint components has been made. Retrospective analysis of the given problem development has been carried out. Modern methods of surgery on bony structures of the dysplastic hip joint have been studied in details. The main following directions of the acetabulum surgical correction have been marked out: formation of bony rests, variants of pelvic osteotomy, operations of joint surface curvature changing (acetabuloplasty). Methods with the use of materials exceeding bony tissue in solidity (metal, ceramics) have been studied separately. Expediency of further improvemement of methods for dysplastic coxarthrosis surgical prevention by removal of biomechanical imbalance in the hip joint has been demonstrated
Remodelling of motor act and manual therapy application at humeroscapular periarthrosis
Heading: Traumatology and Orthopedics Article type: Original article
Authors: V.V. Gubanov, O.A. Laisheva, V.N. Yerin, N.N. Mitrakov
Organization: Saratov State Medical University, Russian State Medical University
The research objective is to develop methods for reducing terms and possible complications of humeroscapular periarthrosis treatment. 30 patients with various nosologic disease units were under observation. the comparison group consisted of 50 patients having the same age, sex and nosologic criteria (according to ambulatory card) in comparison with the main group. the treatment was conducted by manual therapy and remodelling of motor act. this method proved to be effective at acute tendonitis and could be used as monotherapy
Comparative characteristics of surgical techniques in treatment of hernia of disks at lumbosacral level
Heading: Traumatology and Orthopedics Article type: Original article
Authors: I.O. Bulgakov, I.E. Poverennova
Organization: Samara State Medical University
The scientific article provides information about 340 patients with osteochondrosis of lumbosacral spine subjected to the surgical intervention. According to the results the research work presents comparative characteristics of surgical methods of hernia of disks (percutaneous puncture laser nucleotomy, microdiscectomy, lamineсtomy). Indications and contraindications for each method of surgery have been revealed. follow-up results of different surgical techniques have been evaluated in 178 cases using different indicators of life quality
Medical Doctors' Knowledge of Dental Specialty: Implication for Referral
Heading: Stomatology Article type: Original article
Authors: C.C. Azodo, O. Ehigiator, A.O. Ehizele, O. Ololo
Organization: Nigeria, University of Benin Teaching Hospital, Nigeria, Jigawa State, Dutse, Rasheed Shekoni Specialist Hospital
The research goal is to assess Medical Doctors' knowledge of the various dental specialties and to determine if their past dental experience affects their level of knowledge. Resident Doctors and Medical Officers working in the University of Benin Teaching Hospital, Nigeria were surveyed with self-administered questionnaire in 2008. A total of 142 doctors responded to the questionnaire, giving a response rate of 71%. The female: male ratio was approximately 1:2.5. The designations of respondents were Senior Registrar 21.8%, Registrar 48.6% and Medical Officers 29.6%. The Departments that returned the questionnaire were Internal Medicine 21.1%, Surgery 19%, Paediatrics 15.5% Family Medicine 11.3%, Accident and Emergency 5.6%, Radiology 4.9%, Ophthalmology 8.5%, Pathology 5.6%, Anaesthesiology 5.6% and Mental Health 2.8% The mean knowledge score was 10.1±3.3. (Maximum score =21). Only a small percentage (5.6%) had a good knowledge (scored above 16), 79.6% had a fair knowledge (scored 8-15) and 14.8% had a very poor knowledge (scored less than 8). Doctor with history of previous dental treatment had better knowledge (P=0.03). The knowledge of Medical Doctors about the various areas in Dentistry is presently not satisfactory. Comprehensive care of patients, which includes prompt and appropriate referral, can be optimized by improvement of Doctors' knowledge of dental specialty through seminars and other educational interventions
Clinicl-and-experimental application of osteoplastic substances in extraction of retenial and dystopic lower third molars
Heading: Stomatology Article type: Original article
Authors: S.V. Sirak, A.A. Korobkeev, K.I. Sapunov, A.D. Chitanova
Organization: Stavropol State Medical University
The research objective was to develop surgical methods of retenial and dystopic third lower molars extraction by means of modern osteoplastic substances. the used materials included advanced osteoplastic techniques. Application of osteoplastic substances in extraction of retenial and dystopic third lower molars reduced postoperative complications by 41,9 percent compared with those in the control group. the work gives close attention to the obtained data. It points out the high level of intensity of osteoreparative process. in conclusion there is a recommendation of complex application of described substances in clinical practice
Causes of speech dysfunction according to bridge prosthesis of upper front teeth
Heading: Stomatology Article type: Original article
Authors: A.A. Bizyaev, V.V. Konnov, L.V. Muzurova, M.V. Solovieva, N.A. Batusov
Organization: Saratov State Medical University
97 patients with defects of front upper teeth were examined in order to study the influence of design of bridges prosthesis of upper front dentition on speech function. Morphometric, spectrographic, ultrasonic and computer research methods provided the reveal of more typical speech dysfunctions and establishment of interrelation with the size of the angle of inclination of upper front incisors. it gave opportunity to propose ways to overcome these disorders in patients with defects of upper front teeth
Мonitoring of the state of health of the school children trained in profile classes
Heading: Pediatrics Article type: Original article
Authors: Yu.V. Chernenkov, A.Yu. Serdyukov
Organization: Saratov State Medical University
In the paper the problems of monitoring of teenagers health state in the conditions of educational reform: transition to profile training are reflected. During research it was established, that the majority of teenagers are not ready to an independent professional choice and profile training. Those teenagers who have chosen a profile training without the account of further professional choice, the risk a psychosomatic pathology formation is higher. the received results testify to necessity of obligatory monitoring of health state including an estimation of vegetative status, process of social adaptation, parametres of quality of life which are indicators of early psychosomatic diseases diagnostics. the decision of a problem of profile training choosing the future trade that demands from medical workers and psychologists of educational institutions carrying out annual periodic medical examination taking into account a prospective profile of training and professional factors, characteristic for each profession should be one of the primary goals of medical examination at school
Current state and efficiency estimation of stationary substituting technologies in pediatric practice
Heading: Pediatrics Article type: Original article
Authors: V.A. Dmitriyev
Organization: Saratov State Medical University
In the article the efficiency of stationary substituting technologies in organization of medical aid to children in conditions of out-patient-polyclinic is analyzed. Accessible and informative indicators of an estimation of work productivity of all types' day hospitals are offered