Polyclinic Medical Center

Objectives: Dental implantology has become a contemporary and important component of dentistry practice, the importance of which is increasing. The fact that dental implantology has become an important treatment option in dentistry practice reveals the importance of implantology education. The aim of this survey study is to evaluate undergraduate and postgraduate dental implantology education in Turkey by undergraduate dentistry students.Materials and Methods: A total of 233 5th year undergraduate dentistry students who completed dental implantology theoretical training from three different dentistry faculties were included in the study. Participants were asked to fill out a printed survey consisting of a total of 20 questions with different answer options. The survey aimed to obtain the participants' opinions on various topics such as implantology education, educational qualifications, practice authorizations, postgraduate dental implantology education, adequacy of courses, and standardization of education levels. Results: A total of 233 participants (110 male, 123 female) were included in the study. The distribution of the answers to the survey questions according to the faculties was tabulated. The answers to the open-ended questions were categorized and classified. According to the results of the study, the participants think that dental implantology education provided until graduation in Turkey is inadequate. It is thought that the lack of education is especially in clinical practice and according to the study results, the practical aspect of dental implantology education should be strengthened. The study results indicate that dental implantology education in Turkey should be standardized at an international level and indicate that universities have an importance in this standardization. Conclusions: Intern dentists do not consider themselves competent in performing dental implantology treatments after graduation, and the majority of participants find dental implantology courses useful. In addition, participants state that the courses should be provided by universities.

Background Digital health is reshaping primary care delivery, with potential consequences for the patient–physician relationship and equitable access to care. However, few studies have examined these impacts from patient and physician perspectives in high-income primary care systems using an explicit health equity lens.Objective The study explores how digital health affects the patient–physician relationship in public primary care from patient and physician perspectives and identifies factors influencing equitable adoption.Method We conducted a qualitative descriptive study through individual in-depth interviews (IDIs) with twelve doctors and nine patients from six public primary care clinics in Singapore. Data were analyzed using reflexive thematic analysis and mapped to the Health Equity Implementation Framework (HEIF).Results Both groups expressed favorable views on video consultations and home monitoring tools, noting improved access and convenience. However, patients reported feeling more distant from doctors and preferred in-person consultations for complex issues. Equity-related concerns included privacy, uneven digital readiness, language barriers, and socioeconomic constraints.Conclusions Digital health can transform access and support continuity but may weaken relational trust and widen inequities. Human-centered digital innovations – supported by robust privacy safeguards, targeted digital literacy support, patient co-production, and policies subsidizing devices and connectivity – are critical for maintaining patient–physician relationships while reducing the digital divide.

This study aimed to assess phytochemical profiles and antioxidant activities of lyophilized black currant fruit juice (BCLJ) and its corresponding waste extract (BCLW) from the Čačanska crna variety, and to evaluate their antiproliferative properties. The main anthocyanins quantified through HPLC-DAD analysis were delphinidin-3-O-rutinoside and cyanidin-3-O-rutinoside, with significantly higher levels in BCLW. Antioxidant activity was examined using the DPPH and β-carotene/linoleic acid methods, with BCLW showing superior effects in both. Antiproliferative potential was evaluated by determining the Ki67 index in renal epithelial cells of rats treated with BCLJ or BCLW. Thirty healthy male rats were randomly assigned to five groups (n = 6) and administered BCLJ or BCLW orally for ten days, receiving 100, 200, and 300 mg/kg b.w. of BCLW (BCLW1, BCLW2, and BCLW3 groups, respectively) or 200 mg of BCLJ. Histopathological and immunohistochemical parameters were assessed in rats' kidneys. Across all epithelial types (cortical proximal tubules, distal medullary proximal tubules, collecting ducts, and urothelial cells of the renal pelvis), the highest Ki67 indices were observed in control animals, particularly in collecting ducts and cortical proximal tubules. The lowest Ki67 values in cortical proximal tubules occurred in the BCLW2 group (p < 0.05 vs. control). These findings suggest that black currant preparations could be valuable functional ingredients.

Abstract It became common for patients to use the Internet as a source of solutions to medical questions, including dental problems. Furthermore, the use of Large Language Models has recently become widely available to the public. The aim of this study was to assess the safety of patients in the aspect of using Large Language Models to answer dental questions. Based on the experience of practicing dentists, a set of 30 questions was created. The models' responses were categorized by two independent dentists with 5 years of practice experience into categories evaluating safety and information reliability. It was shown that currently available models are not fully safe for dental patients. The frequent search for solutions to their dental problems and the lack of advanced medical knowledge among patients generate the need to create a safe place for patients on the web.

Technical case report. Severe thoracic hyperkyphosis caused by multiple osteoporotic fractures can lead to significant disability. When deformities are rigid, surgical correction may be required. This report describes a rare case of four-level pedicle subtraction osteotomy (PSO) to address a fixed deformity, with focus on technique, outcomes, and complications. A 65-year-old female with Scheuermann's disease developed progressive thoracic hyperkyphosis due to osteoporotic vertebral fractures. Radiographs showed a rigid kyphosis of 130.3°. The patient underwent a two-stage surgery: cement-augmented instrumentation (T2-L3), followed by contiguous PSOs from T6 to T9. Neurophysiological monitoring was used throughout. Kyphosis was corrected from 130.3° to 48°. Postoperatively, the patient developed progressive lower limb weakness due to spinal cord kinking. Revision surgery allowed neurological recovery. At two years, radiological parameters remained stable, and the patient reported reduced pain, improved mobility, and restored quality of life. Four-level PSO can be an effective treatment for severe rigid thoracic hyperkyphosis in osteoporotic patients. Although technically demanding and associated with potential complications, careful planning and staged correction can result in successful outcomes. IV (Case Report).

Introduction: a research was carried out related to a methodology of physical activity and Therapeutics to modify the health conditions of women in the climacteric, with the intention to reduce morbidity and mortality due to conditions that are triggered in this stage and improve their quality of life. Therefore, a methodology was developed for the therapeutic physical activity of women in the climacteric, which facilitated the reduction of diseases and I will improve their health conditions and quality of life.Objective: Apply a methodology of therapeutic physical activity to improve the health conditions of women in the climacteric, in the Melissa textile workshop of the Municipality of Colombia, Las Tunas in the period from January 2024 to July 2025.Method: An intervention study was carried out with a universe of 65 women and a sample of 25 women in the climacteric was selected, following inclusion and exclusion criteria. The participants were applied a therapeutic physical activity methodology of mild and moderate aerobic physical exercises of low and medium intensity, with a systematicity of 3 times a week in their workplace and a duration of 45 minutes, in addition to individualized exercises for home practices with a duration of 30 minutes. The effects on the improvement of their health conditions were evaluated through questionnaires and in comprehensive care medical consultations. Results: Women between 45 and 49 years of age predominated, who showed a significant improvement in their health conditions, with a significant reduction in climacteric symptoms, including hot flashes, night sweats, irritability, insomnia and anxiety, in addition to body weight taking into account body mass index, blood pressure and symptoms related to the osteomyoarticular system. An increase in comprehensive health well-being was observed.Conclusions: The application of the therapeutic physical activity methodology systematically in their work environment and in their home of women in the climacteric allowed a positive impact on biopsychosocial well-being, helping to transform the unfavorable health conditions associated with the climacteric, changes were achieved in the general health status, improving quality of life, with the prevention and compensation of chronic non-communicable diseases and other conditions related to mental health

Introduction . The safety of local anesthetics in dentistry is directly determined by the quality of drug supply management, including monitoring the movement of medications, taking into account the patient’s allergy history, and reducing the risk of adverse reactions. However, most dental clinics lack automated systems for personalized drug accounting. The purpose of the study was to improve the drug supply system using local anesthetics as an example through the implementation of automated personalized accounting. Materials and methods. The study was conducted at the Regional Dental Polyclinic (Perm Krai) in 2022–2023. The processes of anesthetic movement were analyzed, followed by an audit, implementation of the Unified State Information System in Healthcare (EGISZ PC), economic assessment, and a survey of 87 dentists. Results . The introduction of personalized accounting made it possible to ensure accurate documentation of each ampoule, reduce the risk of errors, improve anesthetic selection, reduce the consumption of local anesthetics by 34%, and decrease expenditures by 28%. Conclusion . The implementation of an automated system and a personalized approach ensured quality control and safety in the use of anesthetics and improved the economic performance of the dental medical organization.

The aim of this research was to examine the end- of-life rituals performed by nurses in hospitals in the Republic of Croatia, considering historical, social, and cultural contexts. A qualitative study was conducted using semi-structured interviews with nine nurses working in three hospitals at the secondary level of healthcare. The study explored their personal and professional practices beyond standardized proto- cols. The findings revealed diverse rituals, such as opening windows to “release the soul,” prayers, and physical care for the deceased. These practices are influenced by cultural traditions, religious beliefs, and personal values, and contribute to nurses’ emotional coping with death. The study highlights the importance of understanding cultural and personal dimensions of end-of-life care, suggesting that these practices contribute to holistic nursing and the emotional well-being of healthcare providers. Further research is needed to explore these practices across broader settings.

Aim . To analyze the incidence of osteosarcopenic obesity (OSO) using various fat depot indices in patients with multivessel coronary artery disease. Material and methods . A total of 800 patients were included, with in­dices assessed after 12 months. Sarcopenia was diagnosed according to the criteria of the European Working Group on Sarcopenia in Older Peop­le (EWGSOP, 2019), and osteopenic syndrome was diagnosed according to World Health Organization (WHO, 2008) guidelines. Sarcopenia was screened using the SARC-F questionnaire, handgrip test, multislice computed tomography (CT) of muscle tissue, and dual-energy X-ray absorptiometry. Body mass index (BMI) was assessed. Bioimpedance analysis, computed tomography, and adipose tissue ultrasound were performed. Statistical significance was considered at p≤0,05. Results . A BMI &gt;30 kg/m 2 was more common at baseline in women (50,9%) compared to men (38,6%) (p=0,002), and in the prospective phase — 59,2% and 40,0%, respectively (p=0,001). Visceral fat values based on CT were higher in men, consistent with bioimpedance analysis and ultrasound findings. Subcutaneous fat thickness in women was higher than in men. Given the CT limitations and the inability to assess the musculoskeletal component using ultrasound, bioimpedance analysis can be used as an alternative diagnostic method for OSO. Conclusion . The incidence of obesity depended on the diagnostic method and ranged from 38,7% to 81,2% in men and 31,0% to 91,2% in women. An analysis of the detection rate of visceral adipose tissue components revealed sex differences and variations in the studied indicator depending on the diagnostic method (from 2,0% for BMI to 16,4% for intraabdominal fat thickness).

Background and objective: Malaria remains a major health issue in Sudan, and physicians' non-adherence to treatment protocols has negatively impacted patient outcomes. The 2023 Sudan Malaria Case Management Protocol advocated new developments per the national and globally WHO-recommended levels, but there are still gaps in clinical practices. To improve physician compliance and standardize malaria care, decision-support tools can be based on artificial intelligence (AI). This study aims to examine the effect of the introduction of an AI-based clinical decision-support system (CDSS) on the adherence of physicians to the 2023 Sudan Malaria Case Management Protocol at Al-Managil Teaching Hospital (Managil, GZ, SDN).Methods: A two-cycle clinical audit was conducted between July and September 2025 (baseline audit followed by AI intervention and then re-audit after AI intervention). The current practice and pre-intervention knowledge (n=50 physicians) were evaluated through questionnaires. An AI-CDSS was implemented together with training, incorporating diagnostics, treatment recommendations, and special group advice (pregnancy, neonatal, and G6PD). Compliance rates before and after the intervention were compared, with statistical testing including effect sizes and 95% confidence intervals.Results: Recognition of the 2023 protocol increased from 38% to 100% (risk difference +62%, 95% CI: 48-76; p<0.001), and awareness of intravenous (IV)/intramuscular (IM) artesunate as first-line treatment rose from 53% to 98% (risk difference +45%, 95% CI: 32-58; p<0.001). Attitudes towards severe malaria improved from 15% to 91% (risk difference +76%, 95% CI: 61-91; p<0.001). The timely initiation of treatment within 24 to 48 hours improved to 100% (p < 0.001). Mean compliance increased from 50.7% (95% CI: 42-59) to 96.8% (95% CI: 92-100, p<0.001). Residual deficiencies persisted in microscopy reporting and G6PD testing.Conclusion: A combination of an AI-driven CDSS and focused training demonstrated a substantial improvement in physician compliance with the 2023 Sudan Malaria Case Management Protocol, particularly in critical care aspects. However, a possible Hawthorne effect and the absence of clinical outcome data (e.g., morbidity, mortality) should be acknowledged as limitations. Greater scale-up of this approach, while addressing infrastructural and digital literacy challenges, could have a major impact on malaria case management and disease burden in Sudan.