Studying the interaction between gestational pyelonephritis and pregnancy is important due to the high percentage of obstetric complications, negative perinatal outcomes and serious diseases in newborns, which emphasize the medical and socioeconomic importance of the problem. In chronic pyelonephritis, pregnancy is complicated by iron deficiency anemia (35-70%), premature termination of pregnancy at various times (15-20%), chronic placental insufficiency (30-35%), preeclampsia (35-70%). 30-40% causes complications such as chronic uterine hypoxia (30-40%), fetal infection (20-30%) and growth retardation (12-15%). In chronic pyelonephritis, the ability of pregnant mothers to adapt to newborns is significantly impaired and the risk of early neonatal death increases.
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Cesarean section operation is included in surgical operation of moderate or severe degree. According to information from various sources, complications after CK surgery are 7-19.5% .These complications are explained by obstetric and extragenital pathologies. With the increase in the frequency of cesarean sections, as well as with the improvement in the quality and spread of ultrasound diagnostics, the quality of uterine scar examination has steadily increased from year to year. In recent years, in the literature and at gynecological conferences of the highest level, more and more attention has been paid to such a concept as “niches” in the area of the cesarean section scar. The defect appears as a fluid-filled abnormality in the anterior wall of the uterus at the site of a previous cesarean section
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Cesarean section operation is included in surgical Cesarean section operation of moderate or severe degree. According to information from various sources, complications after surgery are 7-19.5%. These complications are explained by obstetric and extragenital pathologies. The first stage lasts an average of 2-7 days from the moment of injury, and its duration depends on the size and type of injury. The developing microcirculation changes depend on changes in vascular tone, impaired permeability of vascular walls, and the nature of biosynthesis of biologically active substances (cyclic nucleotides, prostacyclin, etc.)
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Today, tobacco smoking is widespread throughout the world. Tobacco smoking (TS) leads to huge irreparable losses for public health. The number of people who smoke is projected to rise to 1.6 billion by 2025. Globally, 47% of men and 12% of women currently use tobacco, while in Europe alone, about 30% of adults smoke. Much of the growth of the tobacco epidemic in recent decades is due to an increase in the proportion of people who smoke in developing countries. Purpose of the study was to evaluate the developed algorithm for providing dental care to patients using a steam cocktail while smoking. The study involved 104 patients aged 18 to 44 years, with at least one year of smoking experience. All patients were divided into 3 groups depending on their smoking history
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According to WHO estimates, there are 1.3 billion people in the world who smoke. Purpose of the study was to determine the level of oral hygiene in patients with different smoking experience. The study involved 104 patients aged 18 to 44 years, male and female, with at least one year of smoking experience. All patients were divided into 3 groups depending on their smoking history. Based on the results of the survey, it was revealed that 69% of respondents had experience smoking steam cocktails, of these, 49% have a smoking history of less than 5 years, and 51% have been smoking for more than 5 years. The level of oral hygiene among tobacco smokers is unsatisfactory.
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Colpopoiesis is an operation to form an artificial vagina, which is performed in the congenital absence of a vagina. The purpose of the study is to maximize the quality of life of patients so that a woman can create a family and have a full sex life. The sample population of the study consisted of 30 patients after sigmoid colpopoiesis , operated on in the maternity ward of the Samara State Medical University clinic . The control group consisted of 20 women without developmental anomalies and with a natural vagina. During the study, we studied the condition of the neovagina and natural vagina using a bacteriological research method, colpotest with determination of the pH of the environment, and histological analysis of the neovagina. The state of the intravaginal environment in patients with artificial vagina was assessed. Based on the data obtained, the management tactics for patients with artificial vagina were optimized
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This study evaluated anesthetic tactics for delivery in women with concomitant community-acquired pneumonia. Pregnancy contributes to the susceptibility to respiratory viral infections. During the new coronavirus pandemic, the incidence in pregnant women was higher than that in the general population. The progression of acute respiratory failure (ARF) is accompanied by a violation of ventilation-perfusion relations and preservation of blood flow in the unventilated parts of the lungs against the background of compression of the diaphragm by the pregnant uterus. The objective of this prospective study was to examine 86 pregnant women with community-acquired pneumonia and I degree ARF at the age of 21–45 years, with a gestational age of 32-41 weeks. The choice of anesthesia management method during operative delivery was based on the severity of pneumonia and the degree of respiratory failure. Depending on the above mentioned, the 1st group included patients (34) who underwent epidural anesthesia (EA) with NIАV with positive PEEP FiO2-60-100%; the 2nd subgroup (28) - EA with NIАV on the same parameters and the 3rd group (24) included Balanced EA with NIАV with similar parameters. The tested variants of neuraxial blockade (NB) had no depressive effects on external respiration or gas exchange. The use of reduced bupivacaine concentrations was not accompanied by pronounced motor blockade.
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Bariatric surgery is the surgical repositioning of the stomach, intestines, or both for weight loss. Approximately 250,000 bariatric surgeries are performed in the United States each year. The development of safe laparoscopic techniques has made this operation more popular. To qualify for bariatric surgery, patients must have: body mass index (BMI) > 40 kg/m2 or BMI > 35 kg/m2 and serious complications (eg, diabetes, hypertension, obstructive sleep apnea, high risk factor blood lipid profile), an acceptable risk for surgery. Having tried all reasonable methods of non-surgical weight loss and successfully overcoming all complications from obesity. Bariatric surgery should also be considered for patients with type 2 diabetes, a BMI between 30 and 34.9, and glycemic control despite optimal lifestyle and drug therapy. Improving therapeutic measures for changes in the oral mucosa and tongue of a bariatric patient after surgery
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Anorexia nervosa is a mainly adolescent and adolescent pathology that is accompanied by a violation of eating behavior in the form of dietary restrictions, up to withdrawal, intentional weight loss (body mass index below 18) and the development of secondary somatoendocrine diseases ideas of dissatisfaction with their appearance, with the formation of amenorrhea due to a painful belief in the presence of excess weight
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Treatment of alcoholic encephalopathies is predictive. In many ways, their result depends on the time and quality of the start of the healing process. Most often, alcoholic encephalopathies are formed in the last (encephalopathic) stage of alcohol dependence, but it can also occur in the former, in the latter. In these cases, the development of alcoholic encephalopathies often precedes the severe course of acute alcoholic psychoses, in particular delirium.
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SCIENCE & INNOVATION