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Causes of falling fillings

Often, the destruction of modern and reliable materials used today occurs for the following reasons (but not because of the use of

1. Insufficient drying of the tooth cavity during therapy.
2. Preservation of even small areas of carious tissue.
3. Incorrect processing of fabrics.
The filling can also fall out if the carious cavity was too large, and the material did not have sufficient support, a serious physical load was exerted on the tooth. That is why, in case of serious damage, doctors often recommend the installation of crowns. They allow you to protect the remaining healthy tissue from further damage that can lead to tooth loss.

Important! The filling can fall out both immediately after the treatment, and several years after the therapy. In the latter case, the cause of the problem may be elementary natural wear of the material. It just can’t handle the load put on it anymore. It should be understood that even the most modern materials cannot last forever, as they constantly come into contact with hot and cold food and drinks, are exposed to aggressive microorganisms and experience other effects.

Often the causes of the problem are poor hygiene and untimely visits to the doctor.

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Tunnel neuropathies of the upper extremities

Tunnel neuropathies are diseases in which the anatomical channels narrow and begin to compress the nerves located in them. This disease also occurs in those who use

There are three types of carpal tunnel neuropathies:

Cubital tunnel syndrome – pinching in the ulnar nerve. Manifested as numbness or pain in the elbow.

Radial tunnel syndrome – in the radial nerve. Expressed as acute pain and numbness in the forearm.

Carpal tunnel syndrome is pressure in the carpal tunnel. Feels like pain and numbness in the wrist.

Symptoms are not always present, and they can manifest themselves differently.

The treatment is similar for everyone – reducing the load on the damaged part of the arm, wearing a special splint that limits the mobility of the damaged part, the use of anti-inflammatory drugs. Sometimes steroid therapy may be prescribed to relieve pain. If other treatments fail, surgery is done to fix the damaged canal.

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📍Acute myocarditis in children

📌Myocarditis is an inflammatory disease of the myocardium, due to countless causes and is the result of various myocardial disorders. But this medication does not lead to this disease.
✅The true frequency of myocarditis remains unknown, since the disease can be subclinical and mild and remain unnoticed against the background of a viral disease, especially in cases where the infection proceeds with bright respiratory or gastrointestinal symptoms.
✅ The frequency of myocarditis, according to various sources, ranges from 2 cases per 100 thousand patient-years, with a predominance in males over the age of 6 years. There is no sexual predisposition in children under 6 years of age.

✅In a large study, according to autopsy data (1516 cases, age 10 days – 16 years), histologically confirmed myocarditis was recorded in 2% of cases. Histologically confirmed myocarditis is the cause of death in 2% of infant deaths and 5% in children over 5 years of age. ⠀
✅ Myocarditis was the cause of sudden death in 57% of cases in the study and in 5-6% of young athletes. ⠀
✅ Myocarditis is also the cause of chronic cardiomyopathy, which is the leading cause of heart transplants in pediatric practice in children under 1 year of age.
⠀🔺 Viral myocarditis is thought to be the cause of chronic cardiomyopathy. However, it is difficult to assess reliably what is the true cause of cardiomyopathy, whether it is a viral infection that provoked the development of myocarditis and subsequently cardiomyopathy, or a viral infection that decompensated the subclinical cardiomyopathy.

📝The gold standard for the diagnosis of myocarditis is the histological analysis of the endocardium, but more often, in practice, the diagnosis is based on the data of the clinical picture

Etiology, classification
Myocarditis can be classified according to etiology: infectious, immunological, toxic; histologically, according to myocardial infiltration with cells: eosinophils, lymphocytes, granulomatous cells, neutrophils;
according to clinical data: fulminant, acute, subclinical, including chronic with active persistent inflammation or chronic without persistent inflammation.

Despite the many causes of myocarditis, the cause remains unrecognized in most cases.

Viral etiology is the most commonly identified cause of myocarditis in North America and Eastern Europe; rheumatic carditis, myocarditis as manifestations
Chaga disease and bacterial infection (diphtheria, for example) are the leading causes
myocarditis in developing countries.

Historically, the enterovirus, especially the Coxsackie B serotype, was thought to be the leading cause of viral myocarditis.
However, in recent studies, it has been found that parvovirus B 19, herpes type 6 and adenovirus are much more common. In total, there are about 20 known cardiotropic
Myocarditis due to bacterial infection is much less common.

Myocarditis due to bacterial infection is much less common.
Borrelia burgdorferi, which is the cause of Lyme disease, can cause acute and
chronic myocarditis. In a study of 207 children with Lyme disease, 16% had carditis and 42% had carditis as a cause of heart block.

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Return on investment in employee health and wellbeing

According to Jama, 80% of U.S. employers use health promotion programs and kcl retard slow k, and the global market reached $ 8 billion in 2020. According to the magazine “Benefits and Benefits”, the volume of the market in Russia is more modest and so far reaches only 1 billion rubles, but the small volume is compensated by high rates of development, including due to the active entry of the state into this direction. This proliferation of programs was facilitated by the popularization of programs in the world community – numerous evidences telling about the return of investments from the Ministry of Health of Russia (3-6 rubles per ruble invested) and from international companies such as Unilever Russia (4.5 rubles per ruble invested).

At the same time, recently in the scientific literature there are conflicting data on the effectiveness of programs, which may be associated with the wrong design of programs. Thus, a study conducted on a sample of 32974 workers and published in 2019 showed the effectiveness of a health promotion program on the prevalence of risk factors (an increase in the level of physical activity by 8.3% and by 13.6% overweight control). At the same time, the analysis did not show the effectiveness of the program for other medical indicators, as well as indicators of labor productivity. A similar study from the University of Illinois also found the program to be ineffective in terms of productivity.

But there is also strong scientific evidence for the effectiveness of the practice. So scientists at Harvard University have proven that health promotion programs bring significant savings to organizations – the return on investment can be about 3.27 rubles per ruble invested.

Recently, experts from around the world have been talking about the effectiveness of programs for organizations not only due to savings on medical costs, but also due to the impact on non-trivial indicators.

Forbes, for example, points to the relationship between substantial savings and having a long-term corporate health promotion strategy in the workplace. The main effects of a long-term strategy will be, first of all, low turnover (the loss of one employee can cost from 33% to 150% of his annual salary).

Mercer described the relationship between having a culture of health and lower employee turnover (11% lower on average).

Another important result of creating a culture of health and well-being is increased employee engagement. The return on investment in this block can be substantial, provided that 52% of workers in Russia are not involved in their work. The same research corporation Gullap showed that 20% of the most involved workers have an absenteeism rate (absence from work due to illness) 41% lower than the rest of the uninvolved workers.

Another consequence of creating a culture of health and well-being is to improve the quality of service in organizations. This is especially important for medical organizations, service companies, and companies with large sales departments. Researchers found a direct link between health and wellness programs and company profitability – sales growth in companies with health promotion systems was 37% higher. The effectiveness of preventive programs was also found in healthcare: for example, doctors who strengthen their health were 19% more likely to make correct diagnoses.

A survey of 1,200 respondents showed that workers who participate in health and well-being programs are 2.9 times more likely to recommend their workplace for employment, 1.5 times more likely to continue working in their current place, 3.3 times more likely feel proud of their work for the company than other employees.

Interestingly, if the employer offered 7-8 programs of prevention programs, then the eNPS (employee loyalty index) was “37 points” and 57% of employees were ready to recommend their employer (with 4-6 programs it was “6 points”). The highest scores on eNPS were programs for managing chronic disease in the workplace (not treatment, but prevention) and creating a healthy workplace environment. The study also showed that participants in the comprehensive program experienced stress 23% less often and were friendly with colleagues 28% more often.

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The doctor told how to lose weight without dieting at any age

To lose excess weight, you do not need to sit on rigid diets. It is enough to adjust your diet, taking into account the peculiarities of your body structure. Thus, doctors from Belgium divided all women into three genotypes according to their body type. Each of them can correct their hormones and lose weight by including a number of products in their diet. In some cases it is necessary to take additional:

The first type is women with lush forms, but with a rather thin skeleton and soft skin. As a rule, they have elevated levels of the female hormone estrogen in the blood and have a craving for dairy products. To reduce the level of estrogen and prevent the development of cellulite, it is recommended for such ladies to eat more vegetables (especially tomatoes, sweet peppers), fruits, legumes, greens, nuts and seeds.

Fragile women, whose problem is a large belly (disproportionately increases with weight gain), are recommended to eat more dairy products, fish, lean meat, legumes and nuts.

To lose excess weight, you do not need to sit on rigid diets. It is enough to adjust your diet, taking into account the peculiarities of your body structure. For example, doctors from Belgium divided all women into three genotypes according to their body type. Each correct hormonal background and lose weight will help to include a number of products in the diet. The recommendations were shared by Natalia Denisova, a dietitian at the Research Center for Nutrition, Biotechnology and Food Safety.

Photo: iStock
Dietician dispelled myths about the harm of hard and fat cheeses
The first type – women with lush forms, but with a rather thin skeleton and soft skin. As a rule, they have high levels of the female hormone estrogen in the blood and there is a craving for dairy products. To reduce estrogen levels and prevent the development of cellulite, such ladies are recommended to eat more vegetables (especially tomatoes, sweet peppers), fruits, legumes, greens, nuts and seeds, reports

Fragile women, whose problem is a large belly (disproportionately increases with weight gain), are advised to eat more dairy products, fish, lean meat, legumes and nuts.

A woman who is not called “fat”, but “battered”, with dense skeleton bones and well-developed muscles in the diet should include dairy products and foods high in dietary fiber.

Everyone who wishes to lose weight should also drink at least 1.5 liters of fluid per day. This should not be done unless prevented by a doctor.

There are contraindications, you should consult a specialist.

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This medication contains ivermectin, which is an anti-parasite drug in the intestinal tract, skin and eyes. It works by attaching to glutamate chloride channels, which increases the permeability of the cell membrane, ivermectin works to immobilize parasites , and then kill them. The most up-to-date information is published here:

Treating parasitic infections helps improve overall health, especially in patients with low immunity . For example, treating ascarids can protect against the risk of fatal or life-threatening infections.

Monash University is currently conducting many experiments with the emerging crown virus Covid 19 (English: COVID-19) , which is a joint study between the University of Melbourne and the Royal Melbourne Hospital in Australia, using the drug Ivermectin, where it has shown a number of positive laboratory results (in vitro) , however , it has not yet been approved as a treatment for infected people , so ivermectin should not be used without consulting a doctor.

What are the side effects of Ivermectin?

Dryness and skin irritation.
Lightheadedness and dizziness.
Meteorism and abdominal pain.
General weakness.

What are the precautions for using Farzine?

Use with caution under medical supervision in the following cases:

Pregnancy and lactation period , there are no adequate studies on the safety of use, so consult your doctor or pharmacist before starting treatment.
Kidney or liver problems.
Diseases that weaken the immune system, such as acquired immunodeficiency syndrome.
Cancer .
During pregnancy and while you are breastfeeding.
Inflammatory meningitis.
African sleeping sickness (caused by a tsetse fly bite).

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What is Neurobene

Neurobene is a man-made form of Neurobene. Neurobene is important for growth, cell reproduction, blood formation, and protein and tissue synthesis.
Neurobene nasal is used to treat Neurobene deficiency in people with pernicious anemia and other conditions.
Neurobene nasal is usually given after treatment with an injection form of this medicine.
Neurobene nasal may also be used for purposes not listed in Neurobene guide.

Neurobene side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have signs of low potassium–confusion, uneven heart rate, extreme thirst, increased urination, leg discomfort, muscle weakness or limp feeling.
Common side effects may include:

  • runny nose, sneezing;
  • stuffy nose, sinus pain, sore throat, cough with mucus;
  • headache, dizziness;
  • joint pain; or
  • itching or rash.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.
See also: Side effects

Neurobene dosing

Usual Adult Dose for Pernicious Anemia:

Initial dose: 100 mcg intramuscularly once a day for 7 days. If there is clinical improvement and a reticulocyte response, 100 mcg intramuscularly once every other day for 7 days, then once every 3 to 4 days for another 2 to 3 weeks is recommended. Most patients require monthly injections of 100 to 1000 mcg intramuscularly for life.
Nasal Spray or Gel:
Alternatively, Neurobene nasal spray or nasal gel 500 mcg intranasally to one nostril once a week may be administered to patients with pernicious anemia who require maintenance of normal hematologic status following intramuscular Neurobene and who have no nervous system involvement. However, if the patient is not adequately maintained with Neurobene nasal, intramuscular Neurobene administration must be resumed.

Usual Adult Dose for B12 Nutritional Deficiency:

Oral: 25 to 250 mcg once a day.
Nasal Spray or Gel:
(Nascobal) 500 mcg intranasally in one nostril once a week
(CaloMist) 25 mcg in each nostril once a day (total dose 50 mcg). May be increased to 50 mcg in each nostril once a day.

Usual Adult Dose for Schilling Test:

1 mcg radiolabeled Neurobene orally once after urinary voiding. A 24-hour urinary collection is immediately begun. At 2 hours an injection of Neurobene 1,000 mcg intramuscularly is given to “flush” the patient of absorbed radiolabeled drug. The percentage of radiolabeled B12 excreted in the urine is a measure of how much labeled drug was absorbed. Normally 7% or more of a dose is excreted in 24 hours.

Usual Pediatric Dose for Pernicious Anemia:

Neurobene is important for growth, cell reproduction
Neurobene is important for growth, cell reproduction

Neonates and Infants: Intramuscular or Subcutaneous: 0.2 mcg/kg for 2 days, followed by 1000 mcg/day for 2 to 7 days; maintenance: 100 mcg/month.
Children: Intramuscular or Subcutaneous: 30 to 50 mcg/day for 2 or more weeks (to a total dose of 1000 mcg), then follow with 100 mcg/month.

Usual Pediatric Dose for B12 Nutritional Deficiency:

Intramuscular or Subcutaneous: Initial: 0.2 mcg/kg for 2 days followed by 1000 mcg/day for 2 to 7 days followed by 100 mcg/week for a month or 100 mcg/day for 10 to 15 days, then once or twice weekly for several months. May taper to 60 mcg every month. For malabsorptive causes of B12 deficiency, monthly maintenance doses of 100 mcg have been recommended.

Select the most affordable brand or generic drug

Generic drug is the basic drug with an active substance in it, and the name of the generic drug is same as active substance most of the times. Like Acetaminophen/Paracetemol is Generic name and it has different brand names like Tylenol, Acimol, Crocin, Calpol etc. All these Brand names contain the same Paracetemol, but the medications are manufactured by different companies, so the different brand names. Generic drug is always cheaper and affordable, and it can be replaced in place of brand name drug prescribed by the healthcare practitioner. The Generic medicine has same properties as branded medicine in terms of uses, indications, doses, side effects, so no need to worry on that. Just select the most affordable generic or branded medicine.

This magic drug will help you feel better, and this site will improve your financial situation with new and good jobs

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Description of the drug Polygot


Description of the drug “Polygot” on this page is a simplified and amended version of the official instructions for use. Before buying or using the drug, you should consult your physician and read the manufacturer’s approved leaflet. The information about the drug is for information purposes only and must not be used as a guide for self-medication. Only your physician can decide whether to prescribe this medicine and determine the dosage and how to administer it.

Description of the drug Polygot

Indications for use of the drug Polygot. Acute attacks of migraine and similar attacks of headache of vascular genesis. Polygot should be taken at the beginning of an attack. For the first use a dose of 2 tablets is recommended. If there is no improvement after 30 minutes, take 1 tablet more. The drug can be repeated further at 30 min intervals, not exceeding the maximum daily dose. In subsequent attacks, the initial dose can be increased to 3 tablets, depending on the total dose taken during the previous attacks. The maximum daily dose is 6 mg ergotamine tartrate (6 tablets). The maximum weekly dose is 10 mg ergotamine tartrate (10 tablets).

Description of the drug Polygot

Side effects. Nausea, vomiting, allergic reactions, increased blood pressure. After long-term use, weakness and pain in the extremities, tremor, cardialgia, tachycardia, bradycardia, fibrotic changes in the pleura and retroperitoneal space. Overdose. Symptoms: drowsiness, confusion, tachycardia, dizziness, paresthesia, respiratory center depression, coma. Treatment: gastric lavage, activated charcoal, symptomatic therapy.

Contraindications: hypersensitivity to one of the drug components; peripheral circulation disorder; obliterating vascular diseases; severe arterial hypertension; hepatic or renal failure; sepsis; pregnancy, lactation.

Special indications. If symptoms such as numbness of fingertips or feet occur, the drug should be stopped immediately and the patient should consult a physician. Polygot is used to treat an acute migraine attack; it should not be used to prevent attacks or taken frequently over a long period of time.

Symptoms: nausea, vomiting, drowsiness, confusion, tachycardia, dizziness, parasthesias and pain in extremities, respiratory depression, coma.
Treatment: gastric lavage, activated charcoal intake, symptomatic therapy, at atrial spasm – vasodilators such as sodium nitroprusside.

Drug interaction with other drugs. Concomitant administration of oleandomycin, erythromycin, or josamycin together with ergotamine may result in increased plasma concentrations of ergotamine.

There are reports of several cases of vasospasm in patients receiving ergotamine and propranololol simultaneously.

Drug storage conditions. At room temperature in a light-protected place.

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Prosthodontics: types, features and materials of dentures

Dental structures inserted instead of lost teeth, partially or completely replacing the tooth row, are called dentures.
Different materials can be used for their manufacture, they can be attached to the jaw in different ways and differ in their cost. Well-chosen and professionally fitted dentures will return a beautiful charming smile and solve the problem of chewing food. The use of innovative technologies and materials gives modern dentures undeniable advantages: comfort while wearing; they do not reproduce microorganisms.
low weight; smaller part of the mouth cavity is closed;
looks natural; secure fixation, all models can be left for the night.

Which dentures are better to put

Prosthodontics: types, features and materials of dentures

Today, dentists can offer a variety of structures made of different materials, in addition, dental prostheses can be made as a fixed or removable version.
The choice of design and material for the fabrication of prostheses suitable for the patient is made by the prosthodontist based on the individual indications, the presence of allergic reactions to the prosthetic materials and other details identified during examination and anamnesis.

How long have the teeth been removed?

Many people are interested in the question of when it is possible to start prosthetics after extraction. The answer to this question is not easy – everything depends on the individual characteristics. Average terms – 3-6 months later, at this time you can undergo treatment, if it is necessary according to indications.

Choosing an implant system

To compare dental implants, two main characteristics are taken: the cost of the product and the time in which the implantation takes place.
If we talk about implants of economy and premium class, the first loses the second in terms of rate of acclimation. This significantly reduces the time required for implantation, and thus the entire course of treatment.

Choice of implantation technique

Prosthodontics: types, features and materials of dentures

Among the existing types of dental implantation today, the most suitable for a particular patient is chosen, taking into account their individual characteristics, wishes and possibilities.

Intracostal implantation
The implant is fixed directly in the bone tissue. At present, the method is recognized as the most effective of all known.
Single-stage implantation
A single visit is sufficient for the placement of the implant and the temporary crown: it is a type of classical intraoperative implantation performed in one stage.

From several methods known in modern dentistry, the attending physician will recommend choosing the one that best meets the indications for each patient. Moreover, it is necessary to consider, in addition to individual characteristics, the indications and contraindications for the application of a particular method in each specific situation.

Types of prosthetics

Traditionally, orthopedic dentists work according to two methods of dental restoration: therapeutic restoration and therapeutic restoration.
prosthodontics of teeth.
When restoring a tooth row, the orthopedist tries to preserve the original shape of the tooth as much as possible; this is possible if a part of a tooth is lost. For this purpose, two methods are used – an inlay and the installation of a pin that serves as the basis for the restoration of teeth.
Today, quite a few prostheses are used, which can be very different from each other. To get an idea of them, you should familiarize yourself with the main types of such prostheses.

Partially removable dentures
In place of one, two or more lost teeth, removable dentures are inserted, which are shown if: premolars and molars are lost; incisors and canines; there is a defect in the smile area; temporary dentures are needed.

Non-removable dentures
Currently, there are 3 types of dentures and bridges of fixed type. These dentures are fitted “forever” and are fixed in place for the duration of wear. They are very durable and reliable, even when compared to the most expensive removable dentures.
Completely removable
This type of dental prosthesis is called “denture jaws”. During such dentures, an individual impression is made beforehand, and then the dentures are made of special acrylic, nylon and acry-Free. This type of prosthesis is recommended for those patients who have no root teeth or who need to have them removed. Sometimes, patients are recommended a special gel for fixation, which does not allow the denture to move even while chewing, thus avoiding gum injury.

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Stages of tooth root canal treatment

Treatment of tooth root canals or endodontic treatment is a complicated process. If the damage to the tooth is old and the infection has affected the jawbone, the treatment process will be long.
How well and for how long the tooth is treated will depend on the qualification, experience of the dentist and the lifestyle of the patient, as well as the care of his teeth.

After the treatment, the teeth can be filled and prosthodontized. If the teeth are filled, they can fall out only when, with age, the bite will change – especially in childhood, youth and old age – or if the filled tooth will try to eat things that are not intended for human teeth, such as bone, shell of a nut, dried hard bread, etc.

Stages of endodontic treatment or root canal treatment of the tooth

Stages of tooth root canal treatment

Preparatory phase

Disinfection, mouthwash.
Local anaesthesia. It is possible to treat teeth without anesthesia, but it is not always possible to do it qualitatively, so we definitely offer local anesthesia.

Cleaning the root canals of the tooth, disinfection of cavities of the tooth.
The root canals of the tooth are thoroughly mechanically cleaned – the inner inanimate tissue of the tooth is removed – the remnants of nerves and blood vessels.
A doctor with a tooth drill only drills the tooth surface, trying to preserve as much of the tooth as possible.
The cavity of the tooth is disinfected with modern safe means.
The root canals of the tooth are filled with special therapeutic substances.
During this stage, inflamed and lost tooth pulp – soft tissue inside the tooth, which is under the hard layers of enamel and dentin, which, if necessary, is drilled by a confident hand of odontologist, is removed. In this way, the tooth root formed abroad, an inflammatory focus of infection is achieved – the result of not started treatment in time, which can damage the jawbone.
Of course, after mechanical and dry brushing of a tooth that has not been treated for a long time, even with the best of intentions, sometimes less remains of the tooth than one would want.
Thorough, reliable and quality cleaning and disinfection of the root canals and the interior of the tooth is extremely important. No patient will see and evaluate for himself – whether this is done qualitatively or not – the results will be found out only over time, depending on the qualification, experience, responsibility of the doctor, the technologies and materials used in the treatment of the tooth.

Stages of tooth root canal treatment

Sealed channel closure or filling
After the necessary cleaning and disinfection of the treated teeth, we seal the treated root canals with very reliable, long-term, certified in Lithuania and EU, hygienic and safe filling materials. The cured part of the tooth is protected against the proliferation of microorganisms in the tooth and beyond.

A tooth filling is also possible without treatment. For example, aesthetic filling of a chipped tooth; filling of a tooth slightly touched by decay. In both cases, it is possible to fill the tooth during one visit to the odontologist, if the patient comes without waiting for the infection to spread deeper. If you delay, the infection through the root canals of the tooth enters the jawbone and seriously damages it. In this case, the treatment will be more complicated and longer.

However, treatment of teeth without filling is not possible, because the treated tooth must be hermetically sealed from the environment to protect it from infection and for the successfully treated tooth to function as a healthy tooth longer.

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