Modern concepts of anal sphincter insufficiency and its treatment

The international clinical analysis of the treatment of topical issues - failure of the anal sphincter, which has not only medical but also social value is presented. The comparative analysis of effectiveness of suggested above operating methods and modern approaches of different surgical methods of anal incontinence correction was conducted.Представлен мировой клинический анализ лечения актуальной проблемы – недостаточности анального сфинктера, которая имеет не только медицинское, но и социальное значение. Проведен сравнительный анализ эффективности как предлагавшихся ранее оперативных вмешательств, так и современные подходы различных хирургических методик коррекции анальной инконтиненции

The critical status of newborns and its influence on neurological status

To study and evaluate the psychomotor development of children from the neonatal period to one year, undergoing neonatal intensive care, 64 children born in asphyxia were examined : the I - group 36, full-term, II - 28 preterm group and the control group included 35 healthy term infants. In the result of the study, it was found that in children, who suffered hypoxic-ischemic lesion of the Central nervous system and neonatal intensive care, regardless of the time of birth, the inhibition of motor activity and muscle tone is observed, and there is a gap in the physical and psychomotor development in contrast to children in the control group.С целью изучения и оценки психомоторного развития детей от периода новорожденности до года, перенесших неонатальную реанимацию, было обследовано 64 детей рожденных в состоянии асфиксии: из них I - группа 36 доношенных, II- группа 28 недоношенных и контрольная группа - 35 относительно здоровых доношенных детей. В результате проведенного исследования установлено, что у детей, перенесших гипоксически-ишемическое поражение ЦНС и неонатальную реанимацию, независимо от срока рождения наблюдается угнетение двигательной активности и мышечного тонуса, а так же отмечается отставание в физическом и психомоторном развитии в отличие от детей контрольной группы

Clinical features of post-COVID-19 period. Results of the international register “Dynamic analysis of comorbidities in SARS-CoV-2 survivors (AKTIV SARS-CoV-2)”. Data from 6-month follow-up

Aim. To study the clinical course specifics of coronavirus disease 2019 (COVID-19) and comorbid conditions in COVID-19 survivors 3, 6, 12 months after recovery in the Eurasian region according to the AKTIV register. Material and methods.The AKTIV register was created at the initiative of the Eurasian Association of Therapists. The AKTIV register is divided into 2 parts: AKTIV 1 and AKTIV 2. The AKTIV 1 register currently includes 6300 patients, while in AKTIV 2 — 2770. Patients diagnosed with COVID-19 receiving in- and outpatient treatment have been anonymously included on the registry. The following 7 countries participated in the register: Russian Federation, Republic of Armenia, Republic of Belarus, Republic of Kazakhstan, Kyrgyz Republic, Republic of Moldova, Republic of Uzbekistan. This closed multicenter register with two nonoverlapping branches (in- and outpatient branch) provides 6 visits: 3 in-person visits during the acute period and 3 telephone calls after 3, 6, 12 months. Subject recruitment lasted from June 29, 2020 to October 29, 2020. Register will end on October 29, 2022. A total of 9 fragmentary analyzes of the registry data are planned. This fragment of the study presents the results of the post-hospitalization period in COVID-19 survivors after 3 and 6 months. Results. According to the AKTIV register, patients after COVID-19 are characterized by long-term persistent symptoms and frequent seeking for unscheduled medical care, including rehospitalizations. The most common causes of unplanned medical care are uncontrolled hypertension (HTN) and chronic coronary artery disease (CAD) and/or decompensated type 2 diabetes (T2D). During 3- and 6-month follow-up after hospitalization, 5,6% and 6,4% of patients were diagnosed with other diseases, which were more often presented by HTN, T2D, and CAD. The mortality rate of patients in the post-hospitalization period was 1,9% in the first 3 months and 0,2% for 4-6 months. The highest mortality rate was observed in the first 3 months in the group of patients with class II-IV heart failure, as well as in patients with cardiovascular diseases and cancer. In the pattern of death causes in the post-hospitalization period, following cardiovascular causes prevailed (31,8%): acute coronary syndrome, stroke, acute heart failure. Conclusion. According to the AKTIV register, the health status of patients after COVID-19 in a serious challenge for healthcare system, which requires planning adequate health system capacity to provide care to patients with COVID-19 in both acute and post-hospitalization period

Graftless Soft Tissue Augmentation with Volumetric-Stable Collagen Matrix: Case Series and Early Results

The absence of the soft-tissue graft harvesting reduces the time of surgery and makes the postoperative less painful for the patient. In such a situation, two treatment plans can be offered to the patient. Option number one is the use of a subepithelial connective tissue graft. This technique is well documented in the literature, has long term results and is considered the gold standard. Alternatively, it is suggested to use volumetric-stable collagen matrix, because it allows you to reduce pain after surgery, reduce the duration of manipulations, and the amount of material is unlimited. In this article we present two graftless clinical case with Geistlich Fibro-Gide® as a collagen matrix. © 2021, Journal of International Dental and Medical Research. All Rights Reserved