Vol 18, No 3 (2019)
Original studies
Evaluation of skin ultrasound diagnostics criteria as a prognostic factor for prevention of adverse events after monopolar radio wave exposure
Abstract
The study presents data from ultrasound examination of patients’ skin in dynamics before and after exposure to the monopolar radio frequency method.
There were 41 patients aged 38 to 45 years under observation, who were divided into 2 groups: with deformed and fine-wrinkled skin types. In all groups, a single exposure was performed using the monopolar radio frequency method on the Thermage device according to the approved Protocol of operation in the face area of 1200 pulses. Objective research methods included ultrasound diagnostics before treatment, 1, 3 and 6 months after treatment. It also determined the Dermatological Quality of Life Index. The results were evaluated 1, 3 and 6 months after the treatment. The obtained data of ultrasound examination of the skin showed that the best changes in the dermis high-frequency radio wave method gave a more pronounced initial thickness of the dermis and was more effective in the deformation type of skin aging compared to fine wrinkles.
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The effectiveness of the combined use of RF therapy and laser technology in the correction of involutive changes in the skin of the face
Abstract
Bipolar radio-frequency devices have all the theoretical prerequisites for use in combination with phototechnologies, while the properties of electro-optical synergy are manifested.
Material and method. The study included 125 patients aged 40 to 50 years. Depending on the therapy, patients were divided into 4 groups and subgroups A and B, depending on the identified predictors of the effectiveness of laser therapy.
The results of the study. After applying the combined methods, a more significant improvement in the quality characteristics of the skin was noted: an increase in skin moisture in the 1A group, the corneometry index increased by 24.6%, in the 1st group — by 28.3%, in the 2A group — by 38.9%, in the 2B group — by 37.3%, in the 3A group — by 29.1%, in the 3B group — by 27.5%, in the 4A group — by 38.8%, in the 4B group — by 38.8%; an increase in skin elasticity in group 1A, the Ua/Uf indicator increased by 13.2%, in group 1B — by 13.9%, in group 2A — by 27.9%, in group 2B — by 29.0%, in group 3A — by 14.9%, in the 3B group — by 14.6%, in the 4A group — by 28.2%, in the 4B group — by 28.2%, which was accompanied by a more pronounced decrease in the severity of wrinkles according to profilometry. The use of laser therapy (an erbium or neodymium laser) and microneedle RF therapy contributes to a more significant restoration of the epidermal-dermal structure of the skin, which is confirmed by ultrasound data: the microrelief has improved by more than 3 times compared with monotherapy, the thickness of the dermis is 2.2 times and acoustic density 1.7 times.
Conclusions. Combined methods, to a greater extent than mono-laser therapy, contribute to improving the quality of life of patients according to the dynamics of the LHC index, which decreased in groups 1 and 3 by an average of 47.1% and 44.4% versus 57.8% and 64.3% in 2 and 4 groups, while there was a significant difference in the values of the index of HSCI in groups A and B (p < 0.01). In accordance with the VAS and GAIS indicators, the optimal effect after a course of therapy with preservation of the results after 1 year was achieved in 25/12.5% of patients in group 1A, in 46.7/33.3% in group 1B, 7/37.5% of patients of group 2A, 78.6/71.4% of patients of group 2B, 33.3/20.0% of patients of group 3A, 50.0/25% of patients 3B groups, 58.8/58.8% and 75.0/75.0% in patients 4A and 4B of the group, respectively, which indicates the high efficiency of the combined methods and the persistence of the results.
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Mineral bischofite complexes in medical rehabilitation of patients with chronic generalized periodontitis
Abstract
The purpose of the research is to improve the efficiency of restorative treatment of patients with chronic generalized periodontitis based on the inclusion in therapeutic schemes of innovative mineral bishophytic complexes ― gel "Bishophytic" and rinser "Polymineral."
Materials and methods. The study involved 116 patients at the age of 35 to 73 years old suffering from periodontal pathology (mild and moderate chronic generalized periodontitis). They were distributed by simple randomization into 3 groups: the main group included 43 people who received standard treatment in accordance with Russian clinical recommendations for the treatment of periodontitis, 45 minutes later the patients were prescribed some applications with 10% dental gel "Bishophytic" on the gum, in addition, the patients were recommended to use a rinser "Polymineral" for 6 months; the group of comparison included
39 people who received standard treatment and gum applications with 10% "Bishophytic" dental gel; the control group) included 38 people who received only standard treatment.
Results. Inclusion of mineral bishophytic complexes in treatment programs of patients with CGP contributes to significant reduction of inflammatory activity of periodontal tissues: 61.3% (p < 0.01) had the improvement of hygienic and plaque indices in comparison with initial data; 54.6% (р < 0,01) had the improvement after additional use of only gum applications with "Bishophytic" gel; the improvement was 52.2% (р < 0.01) after basic drug therapy. Thus, the improvement of enzymatic processes was by 30.0% (p < 0.01), 26.9% (p < 0.01) and 7.8%; reduction of cytokine activity by 62.8% (p<0.01), 61.1% (p < 0.01) and 40%; the improvement of dental health by 84.0% (p < 0.01), 80.7% (p < 0.01) and 74.5% (p < 0.01) at рkg-ог< 0,05 and рkg-ог<0,01.
Conclusion. Inclusion of innovative mineral bishophytic complexes (gel "Bishophytic" and rinser "Polymineral") in treatment programs of patients with chronic generalized periodontitis contributes to optimization of therapeutic measures: clinical effectiveness in the main group was 93.0%; after usage of dental gel "Bishophytic" (group of comparison) it was 89.7% and after basic therapy (control group) — 81.6%.
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Correction of psychoemotional and vascular-autonomic dysfunction with patients suffering from endometrial disease under the influence of complex radon, laser, and drug treatment
Abstract
The research objective is to develop a program to correct psycho-emotional and vascular-autonomic dysfunction with patients suffering from adenomyosis using complex radon, laser and drug treatment.
Material and methods. There were 100 women with adenomyosis complicated by psycho-emotional and vascular-autonomic dysfunction from the age of 23 up to 37 years old who underwent treatment at a branch of Pyatigorsk Clinic of North Caucasian Federal Scientific and Clinical Centre of Federal Medical and Biological Agency of Russia. The patients were divided into 2 groups by a randomized method: the main group received radon, laser and drug therapy with Melaxen, the group of comparison received radon and laser therapy.
Results. A comparative analysis showed the expediency of including adaptogens in the complex of sanatorium-and-spa treatment of patients with endometrial disease: the improvement of clinical symptoms in the main group compared to the group of comparison was more frequent by 1.36 times; normalization of vegetative management in the main group occurred with 72% of the patients compared to 52% in the group of comparison; in the main group the decrease in the intensity of anxious disorders was 2.64 times (p < 0.01), against 1.46 times in the group of comparison (p < 0.05); normalization of concentration of peptide and steroid hormones in blood serum in the main group was with 64% of the patients versus 42% in the group of comparison.
Conclusion. Inclusion of Melaxen in the complex of traditional sanatorium-and-spa treatment of patients with adenomyosis (radon and laser therapy) provides significant improvement of neuroendocrine system, psycho-emotional, vegetative-vascular status.
161-165
Modern approaches to the application of photoimmunomodulating technologies in the treatment of HPV-associated cervicitis
Abstract
We aimed to investigate the effects of the combined use of polychromatic visible and infrared polarized light with topical application of Imiquimod 5% cream on the macrophage link of immunity in patients with chronic human papillomavirus (HPV)-associated cervicitis.
Materials and methods. The study included 90 patients aged 20–35 years, who had a history of HPV-associated cervicitis for at least 1 year. Patients were distributed into three groups by random sampling. The main group included 30 patients who were exposed to blue monochromatic polarized incoherent light on the projection of the carotid arteries and polychromatic visible and infrared polarized light on the uterine cervix in combination with topical application of Imiquimod 5% cream (complex one). The comparison group included 30 patients who were exposed to polychromatic visible and infrared polarized light on the uterine cervix in combination with Imiquimod 5% cream (complex 2), and the control group included 30 patients who received local exposure to the uterine cervix with Imiquimod 5% cream. Examination data of 20 healthy women of the same age were taken as normal values. The macrophage link activity was assessed using the nitroblue tetrazolium test.
Results. Under the influence of the developed complexes 1 and 2, the percentage of phagocytic cells of the macrophage link increased significantly to normal values (by 36% and 31%, respectively; p < 0.01), the phagocytic number and index of phagocytosis completeness increased to near-normal values (p < 0.001). In addition, the percentage of spontaneous (excessive) redox processes of neutrophils decreased from 21.1% ± 1.3% to 11.8 ± 1.01% in the main group (p < 0.001) and to 14.4 ± 1.5% in the comparison group (p < 0.01). Less significant results were obtained in the control group where the patients received topical application of Imiquimod 5% cream on the uterine cervix, and the studied parameters were 26%–51.7% lower than that in the main group.
Conclusion. The complex application of blue monochromatic polarized incoherent light on the projection of the carotid arteries in combination with polychromatic visible and infrared polarized light and external application of Imiquimod 5% cream on the cervix of patients with chronic HPV-associated cervicitis has a pronounced immunocorrecting effect on the immunity macrophage link. This is confirmed by an improvement in the indicators of the functional activity of neutrophils, in the form of a decrease in the percentage of excessive redox reactions and an increase in the index of phagocytosis completeness, and indicates an increase in the productivity of the macrophage link functioning.
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Review
Opportunities and restrictions in the types of recreational use of forests
Abstract
Forests determine the climate and have a beneficial effect on human health. Depending on the type of plantings, various physiological reactions of the body are observed. There is legislation of the Russian Federation. Providing for the basic rules for the use of green spaces and woodlands for recreational purposes. Forests that are our recreational riches can be used for medical and rehabilitation purposes, for providing health resort assistance and for health-improving purposes. Strict compliance with the law ensures the long-term use of forest land for recreational purposes.
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Efficiency of gravitational therapy in complex rehabilitation of patients after arthroscopic knee operations
Abstract
An analysis of the effectiveness of the complex of medical rehabilitation of patients with minimally invasive knee operations in the early and late postoperative periods, which provides for the use of gravity therapy with dosed muscle work of the lower extremities. To assess the effectiveness of the rehabilitation complex, patients of the studied groups were subjected to knee joint goniometry, rheovasography and electrothermometry of the lower extremities, as well as evaluation by the visual-analog pain scale and the total algofunctional Leken index.
The result of the study shows that earlier inclusion of the gravitational factor in combination with dosed physical activity in the rehabilitation complex increases its effectiveness and can significantly reduce negative manifestations due to pathogenetic action in patients who have undergone arthroscopic knee surgery.
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Обзоры литературы
Possibilities and safety of physiotherapy in patients with implanted cardiac devices
Abstract
Widespread implantation of cardiac devices, i.e. cardiac pacemakers, cardioverter-defibrillators and cardiac resynchronisation devices improved patients’ survival. It has resulted in increase in number of ageing patients with cardiac devices who need physiotherapeutic treatment due to accompanied comorbidities. Hence the study of the interaction between functions of cardiac devices and physiotherapeutic treatment techniques is particularly relevant. The use and safety of physiotherapeutic treatment techniques producing electromagnetic field which in turn eventually cause harm of the cardiac devices are being discussed in present review article. The possible adverse effects of such interaction are abrupt failure to stimulate or triggering of shock therapy with consequent arrhythmic events including cardiac arrest. The technical characteristics particularly associated with electromagnetic interference are discussed here in detail. The attention is also payed to analysis of possible causes and effects of electromagnetic interference and safety measures as well.
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191-194
Clinical Guidelines
Application of low-frequency electrostatic field in clinical practice
Abstract
The purpose of the paper is to highlight the possibilities of using a low-frequency electrostatic field in clinical practice. On the basis of available literature data and their own clinical observations authors summarize information concerning various aspects of the use of low-frequency electrostatic field in clinical practice, and gives a description of this method of treatment.
195-209
Florentine waters (fir and pine) of trading Ecovite Siberian Coniferous Doctor brand in the treatment of the patients with respiratory, digestive and urinary diseases
Abstract
The present methodological recommendations provide a scientific justification for the use of florentine waters (fir, pine) of the trademark Ecovite Siberian Coniferous Doctor (LLC “Ecovite+,” Russia) in the treatment of patients with respiratory problems, digestive and urinary diseases. Indications and contraindications, methods of use in respiratory, digestive and urinary system diseases have been developed.
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