THE PRINCIPLES OF USING SPECIFIC TREATMENT PROTOCOLS IN THE DAILY PRACTICE OF AN ENDODONTIST (31-32)

Национальная ассоциация ученых (НАУ) # 55, 20 20 31
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ПРИНЦИПЫ ПРИМЕНЕНИЯ ПРОФИЛЬНЫХ АЛГОРИТМО В ЛЕЧЕНИЯ В ЕЖЕДНЕВН ОЙ
ПРАКТИКЕ ВРАЧА СТОМА ТОЛОГА ЭНДОДОНТИСТА.

Братусь Андрей Евгеньевич
аспирант
Кузнецов Сергей Владимирович
д.м.н, профессор
кафедры терапевтической стоматологии Института Стоматологии им. Е.В. Боровского
ФГАОУ ВО Первый МГМУ им. И.М. Сеченова Минздрава России (Сеченовский университет),
Москва

THE PRINCIPLES OF US ING SPECIFIC TREATME NT PROTOCOLS IN THE DAILY PRACTICE
OF AN ENDODONTIST .

Bratus Andrey Evgenyevich
Postgraduate student
Kuznetsov Sergey Vladimirovich
PhD, Professor
Department of therapeutic dentistry of Institute of Dentistry named after E.V.Borovsky
Sechenov First Moscow State University of the Ministry of Health of the Russian Federation (Sechenov
University)
DOI: 10.31618/nas.2413 -5291.2020.1.55.211
Abstract
The main goals in dental practice are the high quality of the work, reduction of the risk of medical errors and
effective diagnosis and treatment of oral tissues diseases; the whole multilevel system of medical care is willing
to increase these indicators. Therefore, it is important to find ways to improve and maintain the dental c are for the
population [1].
One of these ways is the implementation of dental care standards. These standards are developed by the Dental
Association of Russia and updated in 2018. There are specific algorithms and clinical recommendations for the
treatment of patients with pulp and periapical tissue diseases.
Key words: dentistr y; specific algorithms; clinical recommendations; pulp diseases; diseases of periapical
tissues; quality of medical care.

Aim of research: to investigate specific
algorithms (clinical reco mmendations) for the
treatment of pulp and periapical tissue diseases
approved by Dental Association of Russia, in Moscow
dental clinics.
Materials and methods: This research was
carried out in private clinics and state dental
polyclinics. 176 specialists in therapeutic dentistry who
work in Moscow and Moscow region took part in it.
Clinics, which are involved in the research,
suggest medical care under various programs:
compulsory medical insurance, voluntary medical
insurance and commercial admission.
An onymous survey was conducted on the basis of
the electronic system Google Forms. The questionnaire
consisted of 26 questions about stages of endodontic
treatment and treatment protocol.
Results: According to the results of the survey, it
was revealed that most of the doctors are familiarized
with the clinical recommendations for the treatment of
pulp and periapical tissue diseases published by the
Dental Association of Russia, namely 68.4% of the
respondents. The data of the above answer to the
question are characteristically compared with the
answers to the question about carrying out an X -ray
examination before starting endodontic dental
treatment, since according to the treatment protocols
approved by the Dental Association of Russia, this
study should be mandatory.
Therefore, 56.2% of respondents always carry out
a diagnostic X -ray procedures at the beginning of
endodontic treatment, 12.3% before starting work, and
31.5% - if only they anticipate difficulties during
treatment, and this approach does not f eel right.The
reason why dentists neglect the X -ray diagnostic
method is that 41.9% of respondents think it is not
essential, 19.4% do not have enough time for an
appointment, 22.6% rely on their experience, 6.5% -
because of patients’ refusal, and only 9. 7% of
respondents do not conduct this diagnostic method if
the X -ray equipment is out of service.
82.95% of doctors confirm that the management
depends on patients’ income, which impact on
treatment protocols. Also, according to the results of

32 Национальная ассоциация ученых (НАУ) # 55, 20 20
the survey, we found out that in most cases after the
endodontic dental treatment doctors do not follow -up
patients and 25.6% of all respondents do not cond uct
dynamic examination after the end of treatment.
Conclusions: via the survey a large number of
problems were identified in endodontic treatment. In
our opinion, the most significant of them are:
- lack of knowledge among dentists about the
clinical trea tment guidelines
- dentists do not use regular treatment protocols
for pulp and periapical tissue diseases
- after the endodontic dental treatment doctors do
not recall patients
Finally, all above -mentioned facts can increase the
percentage of complicati ons after endodontic
treatment, as well as elevate the legal vulnerability of
doctors. Only strict adherence to specific treatment
protocols will help the doctor to avoid a conflict
situation.

References
1. Kuzmina E.M., Yanushevich O.O. Preventive
Dentis try: A Textbook. M.: Practical medicine, 2016.

РАЗРАБОТКА МАТЕМАТИЧ ЕСКОЙ МОДЕЛИ «ИНСУЛИ Н-ГЛЮКОЗА»

Кисиль София Ивановна
аспирант
биологический факультет, кафедра биофизики,
Московский Государственный Университет имени М.В. Ломоносова,
Москва
Залетова Татьяна Сергеевна
научный сотрудник,
отделение персонализированной терапии и диетологии,
Федеральный исследовательски центр питания и биотехнологии,
Москва

DEVELOPMENT OF MATHE MATICAL MODEL "INSULIN -GLUCOSE"

Kisil Sofia Ivanovna
graduate student
faculty of Biology, Department of Biophysics,
Moscow State University M.V. Lomonosov, Moscow
Zaletova Tatiana Zaletova
researcher,
Department of Personalized Therapy and Dietetics,
Federal research Сentre of nutrition,
biotechnology and food safety,
Moscow
DOI: 10.31618/nas.2413 -5291.2020.1.55.218
Аннотация
Описаны алгоритмы прогнозирования глюкозы в крови, основанные на применении математических
моделей, которые могут быть применены в системах непрерывного мониторинга уровня сахара в крови.
Abstract
Algorithms for predicting blood glucose based on the use of mathematical models that can be used in
continuous monitoring systems for blood sugar are described.
Ключевые слова: инсулин; глюкоза; модель.
Keywords: insulin; glucose; model.

Объединение инсулиновой помпы с системой
постоянного контроля уровня глюкозы в крови
позволит управлять уровнем глюкозы крови в
реальном времени , т.е. создать искусственную
поджелудочную железу. Но в настоящий момент не
существует отлаженного алгоритма, который мог
бы вычислять действительный и рекомендуемый
уровни инсулина лишь по уровню глюкозы. Но
большой объем накопленных знаний и
эксперименто в в этой области, а также новые
возможности, открывающиеся перед медициной
благодаря совершенствованию методик анализа, а
также сбора и обработки данных, неизбежно
приведет к тому, что такие модели будут получены.
Повышение точности описания вовлеченных
ме ханизмов позволит делать точные прогнозы для
каждого пациента. Целью данной работы является
разработка адекватной динамической модели
метаболизма глюкозы и инсулина в теле человека.
В качестве первого подхода к моделированию
наша научная группа выбрала мо дель Беннета и
Гоурли с уточнениями, предложенными Li, Kuang
and Mason [1]: модель регуляции уровня глюкозы и
инсулина здорового человека на основе системы
дифференциальных уравнений с запаздывающим
аргументом.
Данная модель относительно проста (по
сравне нию с уравнениями частных производных и
интегральными уравнениями), что существенно