scholarly journals Modern approaches to rehabilitation of patients using removable laminar dentures

2021 ◽  
Vol 9 (4) ◽  
pp. 631-646
Author(s):  
Aleksandr V. Gus’kov ◽  
◽  
Sergey I. Kalinovskiy ◽  
Aleksandr A. Oleynikov ◽  
Mariya S. Kozhevnikova ◽  
...  

The demand for dental orthopedic assistance in Russia makes more than 60% of the number of examined patients. With this, a share of use of removable dentures for rehabilitation of patients with partial or complete absence of teeth makes 40.2% of all types of prosthetics. Removable prosthetics remains an actual treatment option for patients with partial or complete absence of dentitions, along with use of non-removable structures including those with support on dental implants. Improvement of approaches to manufacture and design of dentures led to a considerable increase in the variants of combinations of materials and methods of their manufacture, and there appeared a possibility to optimize denture structures due to the ability to compensate for atrophic processes of the bone tissue. All this permits an orthopedist to achieve satisfactory results in treatment with use of removable dentures. In the given literature review, modern views on the variants of orthopedic rehabilitation of patients with use of removable laminar dentures are presented including their technological, functional, operational, phonetic, chewing peculiarities, and information on modern materials for manufacture of dentures is given. Based on the literature data, it can be concluded that despite active development of the technological component of the manufacture of removable dentures, the basic principles of their design, methods of evaluation of the effectiveness and comfort of use have not undergone significant changes. However, there are a significant number of factors whose influence on the success of orthopedic rehabilitation with removable dentures has not been fully studied. For example, orthopedic dentists often do not analyze the volume of atrophy of the bone tissue of the jaws and design the basis of a dental prosthesis without taking these parameters into account. Another important issue that remains not considered is taking into account the design and architectonics of the resulting prosthesis and its effect on the speed and direction of respiratory flows in the oral cavity. All this creates a technological window that allows, due to compliance with the physiological requirements of the factors described above, to significantly increase the functional properties of the denture, to facilitate the patients habituation to the prosthesis by reducing the adaptation period. The research conducted in this area of knowledge will permit to obtain both new scientific data and develop a number of practical recommendations aimed at improvement of the quality of orthopedic rehabilitation using removable dentures made of various materials.

2018 ◽  
Vol 8 (4) ◽  
pp. 61-66 ◽  
Author(s):  
Elena A. BLAGINYKH ◽  
Roman A. DROZHZHIN

The industrial territories of the enterprises of ferrous metallurgy located within the city are considered, their problems at the present stage and historical and cultural signifi cance are revealed. Ways of an eff ective mechanism for improving the environmental quality of stagnant industrial areas in cities of the Siberian region are analyzed and determined. Theoretical positions and practical recommendations for the formation of strategies for the renovation of industrial areas were developed. The basic principles of the formation of public ecological spaces are formulated during the renovation of the stagnant territories of metallurgical plants located in the central regions of industrial cities. The theoretical principles of this study have been tested in the development strategy of the stagnant territory of the sludge pit of the Novokuznetsk Metallurgical Combine.


2009 ◽  
Vol 63 (5-6) ◽  
pp. 369-379
Author(s):  
Slavca Hristov ◽  
Branislav Stankovic ◽  
Tihomir Petrujkic

In this paper the essential elements concerning cattle and swine rearing and growing conditions were given in order to establish welfare and biosecurity standards. These elements were formed according to detailed annual investigations on 11 cattle and 5 swine farms and include relevant spatial, microclimate and hygienic conditions. In order to establish welfare standards, certain spatial conditions have higher importance, such as correct construction and maintenance of beds, pens and yards, and type and quality of materials used to build beds and walls. It is necessary to enable movement of animals in stables and yards as basic physiological and ethologic needs, according to latest scientific data. Also, optimal temperature, relative humidity and air velocity insuring have to be considered, as well as quality ventilation in order to establish and preserve optimal microclimate conditions. Also, it must be pointed out that hygiene maintenance of stable surfaces and animal bodies on a regular bases is essential. Basic principles and criteria for welfare level assessment are given in this paper. According to results obtained in previous investigations, special attention is given to possibilities to correct rearing and growing conditions in cattle and swine farms in our country. .


2018 ◽  
Vol 224 ◽  
pp. 01121
Author(s):  
Alexander I. Kondakov ◽  
Alexander S. Vasiljev

Type of production, evaluated at the initial stage of production design, determines the basic principles of its organization, mode of operation and specialization. It is particularly relevant to determine the type of production adequate to the given production procedure. Modern technical approaches used to determine it poorly reflect multiproduct nature of such production. The suggested method of determining the coefficient of seriation in multiproduct manufacturing allows evaluating its type, but requires information not always available at the initial stage of the project development. Applying the method of the design based on the reduced program facilitates decreasing its tasks dimensions. Choosing a base component on the basis of quantitative evaluations of the resemblance between components allows reasonably decreasing dimensions of task for designing production sites of multiproduct manufacturing. For this purpose formalized device was developed. On the basis of quantitative evaluation of the resemblance, characteristics of the reduced production program, and labour intensity hours in particular, can be determined. Automation is facilitated due to the formalized objective transformation of multiproduct programs of manufacturing for the sites being designed in the program of base components manufacturing, equal to the set programs on labour intensity hours. Thus, the quality of the design increases and the schedule of the project reduces.


2020 ◽  
pp. 8-13
Author(s):  
Liudmyla Khimion ◽  
Oleksandr Burianov ◽  
Oksana Yashchenko ◽  
Svitlana Danylyuk ◽  
Tetiana Sytyuk ◽  
...  

The evidence base for use of different rehabilitation programs is discussed in the article. The most effective approaches to the rehabilitation organization and patients education are presented together with the different types of physical rehabilitation, ergotherapy and physical activities useful for the development of the maximum functional ability and social integration of rheumatic patients. The positive impact of the motivational interview in work with rheumatic patients, the results of the clinical studies on evaluation of the patients education influence on their functional abilities and psychologic status; recommendations on ortheses use are discussed in the article. The recommendations of the leading international expert groups about exercises, physiotherapy, ergotherapy prescribing to the patients with rheumatoid arthritis, osteoarthritis and connective tissue systemic diseases are given; the attention is drown to the methods of evaluation of patients physical status; patients education about energy saving technologies use for maximum possible functional and physical loads and patients autonomy at hom aend social life realization. Implementation of the given rehabilitation algorithms can help to realize holistic patient-centered approach, improve patients quality of life and functional capacity.


2019 ◽  
Vol 2 ◽  
pp. 48-52
Author(s):  
A. Tsaloglidou

<b>Introduction:</b> Most of the pesticides have, by nature, some degree of toxicity because they are intended to kill certain organisms and thus create a risk of damage. The use of pesticides has raised serious concerns, mainly about the potential effects on human health and especially on respiratory system. Thousands of people (from 20,000 to 220,000) lose their life due to pesticide poisoning. Ninety nine percent of them (99%) live in developing countries. <br><b>Purpose:</b> To review the literature, to identify the harmful effects of pesticides on human health, and particularly on the respiratory system, and to define the ways of dealing with them. <br><b>Materials and methods:</b> Extensive review of the relevant literature was performed via electronic databases (Medline, Pubmed, Cihnal and Google scholar) and scientific journals (Greek and international) using the appropriate key words: pesticides, respiratory symptoms, pulmonary disease and a combination of them. <br><b>Results: </b>The effects on human health due to exposure to pesticides depend on a number of factors, including the category of pesticides involved, the amount and type of active substance, as well as their form, route of contamination, exposure time and pesticides' residual dose. Pesticides, especially those that inhibit the action of cholinesterase, lead to the onset of respiratory symptoms. A number of respiratory symptoms and diseases have been associated with occupational pesticide exposures, such as wheezing, asthma cough, phlegm, dyspnoea and influenza like syndrome are reported especially among agricultural workers. <br><b>Conclusions:</b> Pesticides are dangerous substances for the human body and especially for the respiratory system, if they are used without control. Proper use of pesticides can ensure both the quality of the environment and citizen's safety and health. New scientific data require periodic review of safety levels.


2018 ◽  
Vol 14 (3) ◽  
pp. 49-55
Author(s):  
Ольга Садыкова ◽  
Ol'ga Sadykova ◽  
Сергей Жолудев ◽  
Sergey Zholudev ◽  
Антон Еликов ◽  
...  

Subject: In view of decreased protective and adaptive functions of the body in elderly patient using of removable dentures are accompany by a number of negative moments. Balneotherapy is the effective method of physiotherapy for prevention and treatment of many dental diseases, including in gerontostomatology. The article devoted to the study of oral cavity microbial flora changing after low balneotherapy with “Fateevskaya” mineral water in elderly patients with removable dentures. The importance of preventive control in after-adaptation period in orthopedic rehabilitation by removable dentures. Object: To trach quality of life changes in patients with removable dentures which use low balneotherapy with the “Fateevskaya” mineral water. Methodology. 158 elderly and senile age patients witch use removable dentures more than 3 years was examined. All examined patients was divide into two groups. The group received the treatment with the “Fateevskaya” mineral water (78 patients), and the clinical control group (80 patients). The quality of life level was conducted with The Oral Health Impact Profile-14 questionnaire (OHIP-14). Subjective qualities were analyzed and compared with the results of clinical and laboratory indicators and biochemical parameters of saliva. Results. Positive influence of low balneotherapy in short-term and long-term results of treatment was established. This are confirmed by higher growth rate of clinical and laboratory indicators and biochemical parameters Effect was confirm by acquired digital data. Objectivity of the evaluation of dental status verified by means of OHIP-14 questionnaire. Findings. The results of the complex research allow us to recommend the “Fateevskaya” mineral water for wide application in dental practice with the quality of life improving in patients with removable dentures.


2014 ◽  
Vol 1 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Jan Basche

While calling for culturally sensitive healthcare services in migrant communities, the international nursing literature on intercultural care predominantly describes nursing staff as lacking cultural competences and immigrant customers as lacking cleverness to navigate the labyrinths of national healthcare systems. Congruences in language, culture and religion in the customer-caregiver relationship can decisively improve the quality of care. However, they do not automatically guarantee smooth working processes in monocultural in-home settings. On the contrary, new problems occur here for Turkish caregivers which are unknown to the legions of native professionals who feel challenged by migrants and which go beyond differences such as age, sex, income or education. While no cultural or religious brokering is necessary between customers and personnel in the given context in Germany, new challenges arise when caregivers are expected to legally broker between customers and insurance companies or doctors. Conflicting expectations of customers and management as well as their own colliding social and professional roles put the caregivers in a quandary and must be competently managed.


2020 ◽  
Vol 75 (5) ◽  
pp. 552-560
Author(s):  
Sergey Yu. Ivanov ◽  
Svetlana Yu. Kalinchenko ◽  
Nidjat A. Guseynov ◽  
Aleksander A. Muraev ◽  
Aigul Т. Safi ◽  
...  

Background.Due to the prevalence of Vitamin D deficiency as well as the frequency of reconstructive surgical interventions followed by dental implantation, the issue arises concerning the effect of Vitamin D on reparative regeneration of bone and osseointegration of dental implants.The purpose using literature data we are conducting an impact assessment of vitamin D on reparative regeneration of bone tissue, in particular, after oral reconstruction surgeries and dental implantation.Methods.Retrieval, systematization and analysis of scientific data on application of vitamin D supplementation and its effect on reparative regeneration of jaw bone tissue.The conclusions.For the most part, the positive effect exerted on reparative regeneration of jaw bone tissue and osseointegration of dental implants is due to the role of vitamin D in physiological processes evolving in bone tissue, namely maintenance of calcium and phosphate exchange through intestinal absorption and TNF, RANKL (Receptor activator of nuclear factor kappa-B ligand) and consequently differentiation of precursors to osteoclasts into osteoclasts through VDR stimulation (VitaminD Receptor) receptors for further osteogenesis. Also, according to literature data, FGF23 (Fibroblast Growth Factor) protein is a marker of osteoblasts differentiation into osteocytes, it is also known that FGF23 and 1,25(ОН)2D3 are genetically related. FGF23 is the main regulator of both phosphate exchange in bones and metabolism of vitamin D and its metabolites. Besides, indirect anti-inflammatory effect has been observed thanks to inhibition of pro-inflammatory cytokine secretion. Taking into account the abovementioned data, of particular relevance is the definition of serum concentration 25(ОН)D and development of schemes of vitamin D level pre-surgery correction in patients, who have to undergo oral reconstruction surgeries and dental implantation. Mass spectrometry is a promising diagnostic method for determining the level of vitamin D in a body, as it allows to identify the actual amount of vitamin D free from admixture of other steroid hormones. The introduction of this method into clinical practice will allow to monitor the level of vitamin D in patients, receiving reconstructive and rehabilitative treatment.


2020 ◽  
Vol 19 (4) ◽  
pp. 618-632
Author(s):  
A.S. Panchenko

Subject. The article addresses the public health in the Russian Federation and Israel. Objectives. The focus is on researching the state of public health in Russia and Israel, using the Global Burden of Disease (GBD) project methodology, identifying problem areas and searching for possible ways to improve the quality of health of the Russian population based on the experience of Israel. Methods. The study draws on the ideology of the GBD project, which is based on the Disability-Adjusted Life-Year (DALY) metric. Results. The paper reveals the main causes of DALY losses and important risk factors for cancer for Russia and Israel. The findings show that the total DALY losses for Russia exceed Israeli values. The same is true for cancer diseases. Conclusions. Activities in Israel aimed at improving the quality of public health, the effectiveness of which has been proven, can serve as practical recommendations for Russia. The method of analysis, using the ideology of the GBD project, can be used as a tool for quantitative and comparative assessment of the public health.


Author(s):  
Lea Christy Restu Kinasih ◽  
Dewi Fatimah ◽  
Veranica Julianti

The selection and determination of appropriate learning strategies can improve the results to be obtained from the application of classroom learning models. This writing aims to discipline students to develop individual abilities of students to be more active in the learning process and improve the quality of learning. The learning process in Indonesia in general only uses conventional learning models that make students passive and undeveloped. In order for the quality of learning to increase, the Team Assisted Individualization learning model is combined with the task learning and forced strategies. The Team Assisted Individualization cooperative learning model is one of the cooperative learning models that combines learning individually and in groups. Meanwhile, task and forced learning strategies are strategies that focus on giving assignments that require students to complete them on time so that the learning process can run effectively. Students are required to do assignments according to the given deadline. This makes students become familiar with the tasks given by the teacher. Combining or modifying the learning model of the assisted individualization team with forced and forced learning strategies is expected to be able to make students more active, disciplined, independent, creative in learning and responsible for the tasks assigned. Therefore this method of incorporation is very necessary in the learning process and can be applied to improve the quality of learning in schools.


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