Biomedical subjects
Publications and source records attributed to L A Dmitrieva.
The results of the study of periodontal tissues in patients with systemic osteoporosis in rheumatoid arthritis are presented. The reduction of bone density in the region of interalveolar septa, insignificant bone tissue loss of the horizontal type and pathological teeth mobility were reported.
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Dynamic lymphoscintigraphy provides adequate means for in vivo contrast-enhanced examination of functional lymph collectors in the extremeties which in turn offers best advantage in diagnosing post-mastectomy edema of the arms. A comparative study was concerned with lymph flow in healthy subjects, breast cancer patients and those with post-mastectomy edema and without it after complete course of treatment. A group of risk for edema was formed.
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The immune status of patients with periodontitis was studied using monoclonal antibodies. Two variants of the immune status were distinguished: with high and low reactivity of T cellular system. The data on the presence of receptors and apoptosis markers on lymphocytes, neutrophils, and monocytes of patients with periodontitis are presented for the first time. The authors recommend to take the results of this study into consideration when treating patients with chronic periodontitis.
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Effects of some drugs on the short-term memory were tested. In kynurenine deficit, mutant snow laranja manifested the same pharmacological profile and 10 to 100-fold enhancement of sensitivity of the NMDA receptors' different sites. The data obtained suggest that the gene controlling the key enzyme activity of the kynurenine pathway of tryptophan metabolism is involved in regulation of the CNS NMDA receptors' functional condition. The kynurenines may be classified as endogenous modulators of the NMDA receptor sensitivity.
Based on the assessment of clinical efficiency of the intravascular and percutaneous photomodification of blood with a helium-neon laser in 170 patients the authors have shown that it is expedient to include the photohemocorrection in the medical programs for the I-III degree ischemia.
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Sensitivities of peptostreptococci, streptococci, Actinomyces, bacteroid, and fusobacterial strains pathogenic for the periodontium to wide-spectrum penicillines, cephalosporines, lincomycin, macrolides, metronidasole, and nitasole are compared. New macrolide antibiotics rulide. Macropene, gramicidin C, levomycetin, and rifampicin are highly effective. Some narrow-spectrum drugs, e.g. augmentin, cephalexin, and vancomycin (towards actinomycetes) were highly effective, too.
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Antibacterial activities of modern antiseptics listerine, myramistine, cidipol, octenisept, tantum verde, matecide, and rautine drugs chlorhexidine and dioxidine are compared. The prospects of their use in dentistry for the treatment of inflammations associated with anaerobes are discussed. Metacide, listerine, chlorhexidine, and dioxidine are characterized by the widest spectrum of activity towards obligate anaerobic bacteria; moreover, these drugs inhibit bacterial growth when used in lower concentrations than other drugs.
In vitro study of the antibacterial activity of macrolide antibiotics azitromycin (sumamed), midicamycin (macropen), roxitromycin (rulide), and erythromycin demonstrated their high activity towards clinical strains of bacteroids, fusobacteria, peptostreptococci, streptococci, and corynebacteria. These antibiotics were effective in the treatment of 62 adult patients with severe and moderate generalized periodontitis. Rulide and sumamed were the most effective, macropen and erythromycin were inferior to them.
The authors compare the efficacy of ultra highly dispersed hydroxyapatite (brand OSTIM-100) and demineralized bone matrix implanted to 395 patients for repair of bone defects. OSTIM-100 was found not inferior to bone transplant, but devoid of its shortcomings. Complications occurred in 1.5% cases and never involved the site of osteoplasty, whereas in the group transplanted bone matrix 3.6% patients developed complications, which were frequently associated with the graft rejection. OSTIM-100 was particularly effective in the treatment of periodontitis at the stage of abscesses. It is convenient and recommended, in combination with membranes of directed regeneration of tissues (GORE-TEX), for surgical treatment of patients with periodontal diseases.
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