Treatment Methods Research Articles

Effectiveness and safety of continuous subcutaneous hydrocortisone infusion in managing adrenocortical insufficiency in adult patients: a systematic review.

Oral hormone replacement therapy has been and continues to be the cornerstone of adrenocortical insufficiency management. However, the introduction of continuous subcutaneous hydrocortisone infusion (CSHI) shows great potential for advancing the management of adrenocortical insufficiency. It resembles the circadian rhythm of physiological cortisol secretion and was shown to have a promising outcome in terms of quality of life (QOL) and clinical outcomes in the literature. We conducted a systematic search strategy including MEDLINE, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), and the online trials registers at ClinicalTrials.gov without geographic restrictions. Research investigations where self-reported quality of life (QOL) was assessed as a variable in adult individuals with confirmed adrenal disease, treated by CSHI, and results were presented in English. All articles included were published between 2014 and 2023, even though we had no timeframe limitations in our inclusion criteria. A total of six studies were included, with 63 subjects enrolled, and the average age was 40 years, a study showed a significant reduction in the average total daily dose of HC from 47.5mg to 31.4mg on CSHI, while other two studies estimated a reduction in the hospitalization rate due to adrenal crisis from 2.6 to 1.3 admissions per year on CSHI. Most of the studies on subjective well-being and quality of life have shown significant improvement. Overall, CSHI shows great potential as a treatment method for Adrenal insufficiency. It improves the quality of life and lowers hospitalization rates, resulting in increased patient satisfaction and acceptance. Additional comprehensive research is necessary to strengthen these discoveries, gain a deeper understanding of the effectiveness and safety of this treatment approach, and provide guidance for medical practitioners.

SCINet: A Segmentation and Classification Interaction CNN Method for Arteriosclerotic Retinopathy Grading.

As a common disease, cardiovascular and cerebrovascular diseases pose a great harm threat to human wellness. Even using advanced and comprehensive treatment methods, there is still a high mortality rate. Arteriosclerosis, as an important factor reflecting the severity of cardiovascular and cerebrovascular diseases, is imperative to detect the arteriosclerotic retinopathy. However, the detection of arteriosclerosis retinopathy requires expensive and time-consuming manual evaluation, while end-to-end deep learning detection methods also need interpretable design to high light task-related features. Considering the importance of automatic arteriosclerotic retinopathy grading, we propose a segmentation and classification interaction network (SCINet). We propose a segmentation and classification interaction architecture for grading arteriosclerotic retinopathy. After IterNet is used to segment retinal vessel from original fundus images, the backbone feature extractor roughly extracts features from the segmented and original fundus arteriosclerosis images and further enhances them through the vessel aware module. The last classifier module generates fundus arteriosclerosis grading results. Specifically, the vessel aware module is designed to highlight the important areal vessel features segmented from original images by attention mechanism, thereby achieving information interaction. The attention mechanism selectively learns the vessel features of segmentation region information under the proposed interactive architecture, which leads to reweighting the extracted features and enhances significant feature information. Extensive experiments have confirmed the effect of our model. SCINet has the best performance on the task of arteriosclerotic retinopathy grading. Additionally, the CNN method is scalable to similar tasks by incorporating segmented images as auxiliary information.

The Arthroscopically Guided Bristow-Latarjet Procedure With Cortical Button Fixation: A Minimum 10-Year Follow-up.

Despite improved visualization, the use of arthroscopic surgery to perform the Latarjet procedure has not decreased the rates of complications and glenohumeral osteoarthritis (OA) in the long term. Many of the reported complications are related to the use of screws for bone block fixation with freehand drilling. To evaluate the long-term (at a minimum 10-year follow-up) clinical and radiological outcomes of the arthroscopic Bristow-Latarjet procedure using a posterior guided drilling technique and suture button for coracoid bone graft fixation. Case series; Level of evidence, 4. Consecutive patients who underwent the arthroscopic Bristow-Latarjet procedure with suture button fixation between 2011 and 2013 were reviewed by 2 independent evaluators. Complications and revision surgery were recorded, and we evaluated patient-reported outcomes including subjective scores, recurrence of shoulder instability (dislocation or subluxation), range of motion limitations, and return to sports. Patients had radiographs taken at least 10 years after surgery to assess glenohumeral OA according to the Samilson-Prieto classification system and computed tomography scans to assess bone block positioning and healing. A total of 65 consecutive patients (68 shoulders) with a mean follow-up of 135 months (range, 120-156 months) were included. The mean age at the time of surgery was 25 ± 8 years; 7 patients had previous failed Bankart repair. At follow-up, 94% (64/68) of the shoulders had no recurrence of instability. The 4 cases of instability recurrence were traumatic and occurred at 3 weeks (a fall), 4 months, 2 years, and 7 years after surgery. No hardware failures, coracoid fractures, or neurological complications were observed. Overall, 61 patients (94%) were still participating in sports, with 44 (68%) at the same or higher level. Range of motion showed nonsignificant restrictions in external rotation with the arm at the side (7° ± 9°) and with the arm at 90° of abduction (9° ± 10°) compared with the contralateral side. Additionally, 11 shoulders (16%) had some residual anterior apprehension on clinical examination. At last follow-up, 77% (47/61) of the shoulders had no OA development or progression. Previous failed Bankart repair was a risk factor for the development of OA. Patients with OA had significantly lower Subjective Shoulder Value scores (79% vs 91%, respectively; P = .01) and decreased external rotation with the arm at the side (40° vs 65°, respectively; P = .001) compared with patients with no or little OA. The arthroscopically guided Bristow-Latarjet procedure with suture button fixation is a safe and durable surgical treatment method for recurrent anterior shoulder instability, allowing a high rate of return to sports without significant motion restrictions and no or little OA in the long term.

Comparison of Surgery and Stent Application in the Treatment of Tracheal Stenosis

Introduction Tracheal stenosis is a pathology that is gradually increasing and requires intervention. Surgical treatment has been used as the gold standard for years, but it is difficult to decide on surgery in patients with comorbidities and high surgical risk. We aimed to evaluate the data of both treatment methods applied in our center. Materials And Methods Our study was designed as retrospective and observational. The data of 61 patients who underwent resection & reconstruction or stent due to tracheal stenosis in our center between May 2002 and May 2019 were analyzed. 54 patients who met the inclusion criteria were included in the study. Results 44 patients who met the inclusion criteria were studied. Both treatment methods were found to be effective in reducing the stenosis and regressing the complaints. The average age in the stent group was higher than in the surgery group. As the intensive care period in the intubated state increases; Severe stenosis and deterioration of cartilage integrity increased. An increase in antibiotic switching rates was observed in steroid users. Post-procedure complication rate was 22.5% in the surgery group, 53.5% in the stent group. The satisfaction score of the surgery group was higher than the stent group. Conclusion Both treatment methods are effective in improving respiratory functions and quality of life. The lesion was located higher in the surgical group and was longer in the stent group. Hospitalization times were longer in patients with severe stenosis and antibiotic changes were more frequent in patients using steroids. No statistically significant difference was found.

Dysregulated neutrophil extracellular traps and haemostatic biomarkers as diagnostic tools and therapeutic targets in periprosthetic joint infection.

Bacterial infection activates neutrophils to release neutrophil extracellular traps (NETs) in bacterial biofilms of periprosthetic joint infections (PJIs). The aim of this study was to evaluate the increase in NET activation and release (NETosis) and haemostasis markers in the plasma of patients with PJI, to evaluate whether such plasma induces the activation of neutrophils, to ascertain whether increased NETosis is also mediated by reduced DNaseI activity, to explore novel therapeutic interventions for NETosis in PJI in vitro, and to evaluate the potential diagnostic use of these markers. We prospectively recruited 107 patients in the preoperative period of prosthetic surgery, 71 with a suspicion of PJI and 36 who underwent arthroplasty for non-septic indications as controls, and obtained citrated plasma. PJI was confirmed in 50 patients. We measured NET markers, inflammation markers, DNaseI activity, haemostatic markers, and the thrombin generation test (TGT). We analyzed the ability of plasma from confirmed PJI and controls to induce NETosis and to degrade in vitro-generated NETs, and explored the therapeutic restoration of the impairment to degrade NETs of PJI plasma with recombinant human DNaseI. Finally, we assessed the contribution of these markers to the diagnosis of PJI. Patients with confirmed PJI had significantly increased levels of NET markers (cfDNA (p < 0.001), calprotectin (p < 0.001), and neutrophil elastase (p = 0.022)) and inflammation markers (IL-6; p < 0.001) in plasma. Moreover, the plasma of patients with PJI induced significantly more neutrophil activation than the plasma of the controls (p < 0.001) independently of tumour necrosis factor alpha. Patients with PJI also had a reduced DNaseI activity in plasma (p < 0.001), leading to a significantly impaired degradation of NETs (p < 0.001). This could be therapeutically restored with recombinant human DNaseI to the level in the controls. We developed a model to improve the diagnosis of PJI with cfDNA, calprotectin, and the start tail of TGT as predictors, though cfDNA alone achieved a good prediction and is simpler to measure. We confirmed that patients with PJI have an increased level of NETosis in plasma. Their plasma both induced NET release and had an impaired ability to degrade NETs mediated by a reduced DNaseI activity. This can be therapeutically restored in vitro with the approved Dornase alfa, Pulmozyme, which may allow novel methods of treatment. A combination of NETs and haemostatic biomarkers could improve the diagnosis of PJI, especially those patients in whom this diagnosis is uncertain.

Conservation compendium. Part 10: Corrosion of steel frames behind masonry elevations

This article continues from the previous instalment in the series, and aims to guide engineers in assessing the extent of corrosion of steel frames and in selecting appropriate treatment methods.

Malaria in Pregnancy, Current Challenges, and Emerging Prevention Strategies in a Warming Climate.

Malaria still presents a grave threat to the health of pregnancies worldwide with prevention currently stalling as traditional control and prevention strategies are limited by both insecticide and drug resistance. Furthermore, climate change is bringing malaria to locations where it was once eradicated and intensifying malaria in other areas. Even where malaria is not currently common, obstetricians will need to understand the pathogenesis of the disease, how it is transmitted, methods for prevention and treatment in pregnancy, and promising emerging strategies such as vaccines. A renewed global response is needed for this age-old disease in which pregnancy poses specific susceptibility.

Comparison of Non-Surgical Methods for Treating Hemorrhoids

Introduction and purpose Hemorrhoidal disease is one of the most common proctological problems worldwide. The etiology of hemorrhoidal disease has not been fully explained. Authors note that lifestyle factors and dietary habits are primarily responsible for hemorrhoidal disease. These include: a low-fiber diet, constipation, a sedentary lifestyle, and suboptimal body position during defecation commonly observed in Western societies. Due to the high prevalence of the disease in the population and the associated decrease in quality of life, outpatient procedural treatments that are highly effective and allow for a quick return to normal activity are very popular among patients. The aim of this study is to discuss non-surgical methods of hemorrhoid treatment. Material and methods This paper was based on a review of materials available on PubMed, searched using the following keywords: “hemorrhoids”, “sclerotherapy”, “rubber band ligation”, „infrared coagulation”, „laser hemorrhoidoplasty”, „Doppler guides hemorrhoidal artery ligation”. Results In recent years, there has been a significant development in non-surgical techniques for treating hemorrhoids, which are widely used in patients with grade I-III hemorrhoids and can be performed in an outpatient setting or during short hospital stays with the use of regional anesthesia, such as: Sclerotherapy, rubber band ligation, Infrared coagulation, Laser hemorrhoidoplasty, Doppler Guides Hemorrhoidal Artery Ligation. Conclusion In conclusion, non-surgical methods for the treatment of hemorrhoids offer a range of effective alternatives to conventional surgery. The choice of treatment should be individualized, taking into account the severity of the hemorrhoidal disease, patient preferences, and the potential for complications.

Laser-induced surface reconstruction to enhance interfacial bonding reliability of CFRP/titanium hybrid joints

Adhesive bonding is widely used in aeronautical carbon fiber-reinforced polymer (CFRP)/titanium (Ti) alloy hybrid structures to satisfy the demands of high-strength and lightweight. The physicochemical properties of adherend surfaces significantly impact the bonding performance. In this study, laser-induced surface reconstruction (LISR) was designed for the reliable joining of Ti alloy and CFRP. A three-level-three-factor central composite design (CCD) approach-based response surface methodology (RSM) analysis was applied to statistically specify parameter optimization of the laser energy output. Surface morphology and wettability of CFRP ablated were studied. Chemical compositions were determined by X-ray photoelectron spectroscopy (XPS). Tensile-shear tests were performed, and fractured surfaces were analyzed. The tensile shear strength with LISR process has been improved by 19.1%, in comparison with that of mechanical grinding treatment. The cross-like texture based on designed geometric configuration was fabricated without damaging the underlying fibers, thus increasing the surface roughness and contact area at interface. The wettability transition mechanism was investigated, demonstrating that the hydrophilicity of reconstructed surfaces primarily attributes to the more polar groups (C−O, C=O, etc.) on CF surfaces. This study provides a reliable surface treatment method for fabricating high-performance composite structures by adhesive bonding.

Erfaringer fra implementering av kunnskapsbaserte behandlingsmetoder for posttraumatisk stresslidelse

Purpose: The purpose of this study is to provide an example on how implementation of a new practice in mental healthcare can be carried out. We describe experiences with systematic implementation of treatment methods for post-traumatic stress disorder (PTSD) in outpatient mental healthcare clinics in Nord-Trøndelag Health Trust (HNT) in 2020–2021. We also examined how many patients were diagnosed with PTSD, and how many consultations were given targeting PTSD before, during, and after the implementation-period (2017–2023). Method: The authors’ subjective experiences with the implementation process were shared and discussed. Two of the authors were implementation facilitators, and one author was a first level leader in one of the outpatient clinics. The administrative data from the Nord-Trøndelag Health Trust were collected and analyzed. Results: The first level leaders at the four outpatient clinics initiated regular digital meetings where they shared experiences and solved problems during the implementation. All employees were involved in the implementation process. There was a larger percentage of patients with the PTSD diagnosis during the implementation period (12 %) compared to the period before (8 %) and after (10 %) the implementation. It was the same for the percentage of consultations for the same patient group (13 %) compared to the period before (9 %) and after (12 %) the implementation. Implications: This study gives a practical example of systematic implementation of a new practice in one of the Norwegian Health Trusts. The study also shows how administrative data can be used in the evaluation of an implementation. Keywords: implementation, PTSD, evidence-based practice, trauma, outpatient mental healthcare

Regulatory T lymphocytes as a treatment method for rheumatoid arthritis – Superiority of allogeneic to autologous cells

Regulatory T lymphocytes as a treatment method for rheumatoid arthritis – Superiority of allogeneic to autologous cells

Efficient conversion process and mechanism of bromine in bromine-rich saline wastewater

Bromine resources, widely utilized in basic chemical engineering, are considered non-renewable. A substantial amount of Bromine-Rich Saline Wastewater (BRSW), a hazardous waste, is generated during the smelting process of waste printed circuit boards (WPCBs). The efficient conversion of bromine resources is important in BRSW, which contain high concentrations of bromide ions. This study developed a synergistic treatment method utilizing electrolytic manganese anode sludge (EMAS) achieved efficient conversion of Br- to Br2 in BRSW. Optimal technical parameters are determined through single-factor experiments, and the oxidative acid leaching process was optimized using response surface methodology (RSM). The significant influencing factors for Br- conversion were ranked as acidity > anode mud addition amount > temperature > time, resulting in a bromine conversion efficiency of 96.55%. Kinetic studies of bromine conversion in BRSW during the oxidation-acid leaching process indicated a two-stage process: Stage I being a chemical reaction control model and Stage II being a diffusion control model. The reaction mechanism was elucidated, where H+ initially breaks the Mn-O bond in MnO2, exposing O vacancies and forming Mn4+, leading to a redox reaction between free Br- and Mn4+. This research embodies the concept of synergistic solid waste disposal, achieving cost-effectiveness and streamlined preparation of bromine, and providing technical and theoretical support for bromine resource recovery in BRSW.

Effect of Danhong Injection on Articular Cartilage Degeneration in Rabbits with Knee Osteoarthritis

The aim of this research was to investigate the effect of Danhong injection nanoparticle (DIN) plus warm acupuncture (WA) on articular cartilage degeneration in knee osteoarthritis (KOA) rabbits. First, the KOA model and DIN were made. After success, the rabbits were randomly grouped: according to the treatment methods: controls, DIN, WA, and DIN+WA groups, with 10 rabbits in each group. The controls did not receive any treatment, and the other groups received corresponding treatment intervention, respectively. Through treatment, articular cartilage samples were collected. The bone morphology, LequesneMG score, Mankin score were analyzed. The safranin-fast green, toluidine blue, Terminal Deoxynucleotidyl Transferase Mediated dUTP Nick End Labeling (TUNEL), and immunohistochemical staining were observed. The levels of apoptosis-related factors were determined. The results showed that the KOA rabbit model and DIN were successfully constructed. Compared with other groups, the LequesneMG and Mankin scores of DIN+WA group decreased markedly (P &lt; 0.05). Safranin-fast green and toluidine blue staining showed that the number of chondrocytes in DIN+WA group was markedly increased, which was more as against other groups. TUNEL staining revealed that the number of apoptotic chondrocytes was markedly reduced, and the apoptotic index was markedly lower in DIN+WA group as against other three groups (P &lt; 0.05). Compared with other groups, Bax and Caspase-3 were markedly decreased, and Bcl-2 was markedly raised in DIN+WA group (P &lt; 0.05). According to the review, the combined application of DIN and WA can promote the growth of chondrocytes, inhibit the apoptosis of chondrocytes, and effectively improve the degeneration of knee articular cartilage, which has application value.

Exosomes in esophageal cancer: Promising nanocarriers in cancer progression, diagnosis, prognosis, and therapy.

Esophageal cancer (EC) is one of the most fatal cancers all over the world. Sensitive detection modalities for early-stage EC and efficient treatment methods are urgently needed for the improvement of the prognosis of EC. Exosomes are small vesicles for intercellular communication, mediating many biological responses including cancer progression, which are not only promising biomarkers for diagnosis and prognosis but also therapeutic tools for EC. This review provides an overview of the relationships between exosomes and EC progression, as well as the application of exosomes in the diagnosis, prognosis, and treatment of EC. This article is categorized under: Therapeutic Approaches and Drug Discovery > Nanomedicine for Oncologic Disease.

Patterns and characteristics of visits to psychiatric emergency departments: a three-year data study in China.

The composition and characteristics of emergency patients in the Affiliated Brain Hospital, Guangzhou Medical University during 2020-2022 were retrospectively analyzed to provide data support for the optimization of the process of psychiatric emergency and the elastic allocation of emergency medical staff. This study collected data from patients who sought medical attention at the emergency department of the Affiliated Brain Hospital, Guangzhou Medical University between January 1, 2020, and December 31, 2022. The fundamental information of these patients was statistically analyzed using descriptive analytic methods. In addition, a comprehensive statistical analysis was performed on the data of patient visits, which included precise triage time points, months, and seasons, in order to evaluate the temporal distribution of patient visits. The patient population had an average age of 36.4 years and was slightly more female (54.08%). The mean age of the male and female patients was 36.4 ± 18.91 and 36.4 ± 16.80 years, respectively. There was no statistically significant age difference between the male and female patients (p > 0.05). The top five diseases were mental disorder (6,483 cases), bipolar disorder (3,017 cases), depressive episode (2522 cases), schizophrenia (1778 cases) and anxiety state (1097 cases), accounting for 35.63%, 16.58%, 13.86%, 9.77% and 6.03% of the total, respectively. Additionally, a notable record of psychiatric drug intoxication was noted. Significant comorbidity with physical disorders, such as hypertension (9.36%), hypokalemia (3.41%), diabetes (2.83%), and cerebral infarction (2.79%), was also seen. The results of seasonal and monthly analysis indicated that emergency attendance patterns fluctuated, peaking in the spring and fall. The patterns of daily visits also revealed two peak times. The first peak occurs from 8:00 to 10:00, and the second peak occurs from 14:00 to 16:00. This study emphasizes the increasing occurrence of mental problems in psychiatric crises, particularly among younger populations, underscoring the necessity for comprehensive care methods. Specialized treatment methods and collaborative networks are required to address the substantial prevalence of psychiatric medication poisoning. Efficient allocation of resources and heightened security protocols are vital in emergency departments, particularly during periods of high demand and in handling instances of patient hostility.

Short-term and long-term results of odontoid screw fixation in patients with Type II and rostral Type III dens fractures

ObjectivesTo evaluate both the short-term and long-term outcomes of odontoid screw fixation (OSF), identifying potential risk factors for implant-related complications in patients with odontoid fractures. MethodsThis is a retrospective observational cohort study. Inclusion criteria were as follows: 1) Type II fractures and rostral Type III fractures, according to the Anderson and D’Alonzo classification; 2) patients older than 15 years. Exclusion criteria were: 1) other Type III injuries; 2) osteoporosis confirmed by densitometry or a CT bone density score below 100 Hounsfield units; 3) odontoid fractures related to tumors or aneurysmal bone cysts. ResultsIn total, 56 patients were considered for the analysis of short-term results, and 26 patients were evaluated for long-term outcomes. No significant differences were observed in the preoperative imaging data and intraoperative features of OSF between patients with Type II and rostral Type III fractures. The mean operative duration was 63.9 ± 20.9 min, and the mean intraoperative blood loss was 22.1 ± 22.9 ml.Screw cut-out was identified in four patients with rostral Type III fractures (p = 0.04). The rate of screw cut-out was found to correlate with the degree of dens fragment displacement. The bone fusion rate was 95.7%. CT scans identified stable pseudarthrosis in two cases. We observed C2–C3 ankylosis in all cases following partial disc resection. One third of patients with screws placed through the anterior lip of C2 showed no C2–C3 ankylosis. A strong trend towards lateral joint ankylosis formation in patients with a median lateral mass dislocation of 11.9 mm was observed. Most SF-36 scores either matched or exceeded the corresponding normal median values in the published reference database. ConclusionsOSF is a reliable treatment method of Type II and rostral Type III odontoid fractures with fragment displacement of 4 mm or less. The minimally invasive OSF through the anterior-inferior lip of C2, using monocortical screw placement and cannulated instruments, without rigid intraoperative head immobilization, is sufficient to achieve favorable clinical and fusion results. This technique reduces the risk of ankylosis in the C2–C3 segment. OSF restore the quality of life for patients with odontoid fractures to levels comparable to those of the general population norm.

Investigation of the impact of copper nanoparticles coated with Ocimum bassilicum at chemoradiotherapy of Colon Carcinoma

BackgroundColon carcinoma poses a significant health challenge globally, particularly in developed nations where sedentary lifestyles, poor dietary choices, and genetic factors play a crucial role in its prevalence. Chemotherapy, the primary treatment method, carries severe side effects that can jeopardize patients' lives. Herbal extracts such as Ocimum Basillicum extract have shown effectiveness against cancer cells. Additionally, nanoparticles can significantly enhance drug delivery efficacy in these scenarios. AimThis article aims to investigate the impact of copper nanoparticles coated with Ocimum Bassilicum at chemoradiotherapy of Colon Carcinoma to hopefully create new treatment options with fewer side effects for patients. MethodologyCuO bio-NPs were produced by the addition of 15 mL of extract dropwise to 80 mL of a 5 mM Cu (OAc)2 aqueous solution, which was then refluxed for two hours at 100 °C. The mixture gradually became darker brown in color as a result of the heating procedure. The production of CuO NPs and the hydrogen-donating activity of antioxidant phenols within the plant are signaled by surface plasmon resonance excitation, which is the cause of this. In the cell culture, LS174t colon cancer cells were treated with OB extract, CuNPs, and OB-coated CuNPs with and without different radiation levels in order to assess cell viability, through the MTT assay, and the pro-apoptotic BAX and anti-apoptotic BCL2 expressions, through qPCR assay. ResultsThe results demonstrate a decrease in cell viability and the expression of BCL2 and an increase in the expression of BAX especially when treated with OB-coated CuNPs and even furthermore when paired with radiation therapy. ConclusionsAfter doing the clinical trial studies, the recent nanoparticles can be used for the treatment of Colorectal carcinoma.

Modern Experience of Pharmacotherapeutic Use and Effectiveness of Endolumbal Administration of Glucocorticoids in Progressive Types of Course for Multiple Sclerosis

Effective pharmacotherapy of low-bondly progredient forms of the multiple sclerosis is a difficult task that requires the search for new and improving existing methods of treatment. The author set the task to the optimize the treatment of progredient forms of multiple sclerosis using the method of endolumbal introduction of glucocorticoids and to evaluate its efficiency. The results of treatment of 76 patients with poor curable progresses of multiple sclerosis by intratracal introduction of glucocorticoids (dexamethasone) are presented in the study. The advantages of method, methodic of introduction, the patient`s selection parameters were given. The efficiency criterions of intration of glucocorticoids were defined, including the neurological deficiency regress, stabilization and the delay of multiple sclerosis progressing. Integral assessment of efficiency was made as 4 gradations: “good rate”, “low” and “absence of effect”. The positive dynamics of neurological state was registered predominantly on spastic-paretic syndrome with presence of several active foci with contrast enhancement. The sphincter infringements and brain stem symptomatic were observed as rarely reversible, extremely rarely - cerebellar symptom complex. As the results of the treatment (the term of the observation – 6 months and more) 80.2% of multiple sclerosis patrols marked the efficiency as "good" and "moderate". The obtained data indicated the reasonability of the proposed method of treatment for patrols with saversive counses of multiple sclerosis, occurring inly with spinal symptomatic.

SYNTHESIS OF PRECIPITATED CALCIUM CARBONATE IN THE FORM OF CALCITE CRYSTALS AS A VALORIZATION OF LIME CARBIDE SLAG WASTE

The presence of high level of calcium oxide (CaO) has been detected in lime carbide (LC) slag waste generated form the acetylene gas industry. There is untapped potential for the valorization of LC-slag waste, where the calcium oxide content can be converted into Precipitated Calcium Carbonate (PCC/CaCO3) which is valuable and can contribute to carbon dioxide sequestration. Calcium carbonate has unique advantages as a carrier, but some critical problems need to be addressed, such as low productivity, disordered structure, and weak adsorption ability. In this study, the desired type of crystal is calcite which has the most stable characteristics from the other types of crystals. Micro-bubble reactor is used as a method of dispersing CO2 in converting CaO to PCC/CaCO3. This method has the advantage of being able to maintain CO2 gas bubbles longer in solution so that the reaction time that occurs can also be optimize. The LC-Slag valorization process was carried out by varying the LC-slag concentration between 3-7% w/w and the reaction time between 15 - 35 minutes. The dispersion of CO2 gas is fixed at a flow rate of 2.5 L/m. From the yield, it can be seen that the longer the reaction time, the yield of PCC/CaCO3 produced is also greater. At 35 minute reaction time and concentration LC-Slag Waste varied 3, 5, and 7% w/w, the produced yields were 89.44, 95.00, and 93.76%, respectively. This is evidenced by the results of SEM and XRD analysis. In the future, this treatment method is expected to provide more insight and guidance for the valorization of LC-slag waste and CO2 mineralization in the acetylene gas industry.

Clinical and experimental justification of the methods of treatment for distal occlusion (literature review)

One of the main issues in the treatment of patients with various dental and jaw abnormalities is ensuring the stability of the position of the supporting teeth, which is a necessary condition for the movement of teeth during orthodontic treatment. 45 to 75 % of the population need orthodontic correction, distal occlusion is found in 10–25 % of the population. The use of mini dental implants is the most effective method of providing the stability of the support. The stability of a mini dental implant during orthodontic treatment depends on many factors such as implant type, dimensions, surface characteristics, insertion angle, insertion torque, amount of applied orthodontic force, topography, and soft tissue characteristics. The rate of treatment failure remains quite high, so treatment methods need further study and improvement. The provision of stable support in teeth shifting in patients with distal occlusion with an enlarged upper jaw and of the possibility of molar distalization in this category of patients remains a particularly important issue.