Biofilms have higher levels of antibiotic resistance compared to bacteria, so the alternatives are needed as therapy for diseases caused by biofilm infections. Photodynamic Therapy (PDT) has the advantage of being a safe alternative that involves molecular-level photochemical reactions. The use of different types of exogenous photosensitizers (PS) was done to compare their effectiveness. Turmeric extract containing curcumin has good effectiveness in PDT, whereas nanodoxycycline as an antibiotic has a fairly broad absorption spectrum and is effective as PS. The purpose of this study is to compare the effectiveness of photodynamic therapy on infections by Aggregatibacter actinomycetemcomitans causing periodontitis using exogenous organic and non-organic photosensitisers (PS). The A. actinomycetemcomitans biofilm had been grown on 96-well microplate for 72 hours incubation time. The samples were divided into three groups, treated with Laser diode, Laser + Turmeric Extract 0.5%, and Laser + Nanodoxycycline 0.1%. Treatment was done with a variety of exposure times: 30, 60, 90, 120, and 150 seconds. The data were analyzed using ANOVA test. The results of data analysis showed that diode laser irradiation treatment with endogenous porphyrin, diode laser with Curcumin and diode laser with nanodoxycycline produced significantly different biofilm reductions. Treatment with diode laser irradiation at various energy densities (4.15, 8.28, 12.44, 16.59, and 20.73 J/cm²) showed no significant difference in reducing bacterial biofilm. The treatment with diode and curcumin, and the treatment with diode laser irradiation and nanodoxycyclin showed a significant difference. Diode laser irradiation of 20.73 J/cm² with irradiation time of 150 seconds resulted in the greatest reduction of biofilm 14.94%, diode laser irradiation + Curcumin 47.82%, and diode laser irradiation + nanodoxycyclin 53.76%. Therefore, PDT using a diode laser combined with exogenous PS extract of curcumin and nanodoxycycline is more effective to reduce bacterial biofilms.

The purpose of this study was to investigate the therapeutic effects of 670 nm irradiation in patients with diabetic macular edema. In several studies, positive effects of red/near-infrared irradiation showed in a range of ocular diseases such as macular degeneration, macular edema, and retinitis pigmentosa. This study was conducted on forty five eyes of 26 diabetic patients with macular edema between the ages of 51 and 80.

Measurement of visual acuity and slit lamp examination, funduscopy, and optical coherence tomography were performed in all subjects. None of the patients had proliferative retinopathy. We used a portable LED device (Warp 10, Quantum Devices) for treatment. Patients held this device at a distance of 3 cm from their eyes for 240 seconds for three months. Full ophthalmic examinations were repeated 1, 2, and 3 months after treatment.

After 3 months, the mean visual acuity improved from 0.44 ± 0.38 log MAR to 0.27 ± 0.24 log MAR and vision increased by 1.52 ± 1.16 lines post treatment (р<0.001). The mean central macula thickness decreased from 381.49 ± 144.40 μm to 359.72 ± 128.84 μm (р=0.050). In patients with mild and moderate nonproliferative diabetic retinopathy, the mean central retinal thickness decreased 52.06 ± 67.78 μm and 39.27 ± 44.69 μm, respectively, but patients with severe type showed an increase of 34.93 ± 65.65 μm in the mean central retinal thickness (р<0.001). Also, the severity of macular edema had no effect on final outcomes (р>0.05). Photobiomodulation can positively affect diabetic macular edema, especially in patients with mild to moderate diabetic retinopathy.

The article presents the experience of surgical treatment of 57 patients with peritoneal pseudomyxoma of appendicular genesis. In 32 (56.1%) patients, the operation was supplemented with intraoperative photodynamic therapy (IOPDT). In the other 25 (43.9%) patients, hyperthermic intraperitoneal chemotherapy (HIPEC) was performed. The analysis according to the value of the peritoneal carcinomatosis index, completeness of cytoreduction, the volume of operations performed, postoperative complications and hospital mortality, as well as long-term treat- ment results in two groups is presented. It was shown that with significantly worse results in terms of cytoreduction completeness obtained in the IOPDT group compared to the HIPEC group, the 5-year survival rate in the HIPEC group was 86.6%, with IOPDT - 65.2%. At the same time, in the IOPDT group, the rate of postoperative complications was significantly lower (11.1%), and there was no mortality; in the HIPEC group, these indicators were 23.8% and 12.0%, respectively. The results obtained indicate that the IOPDT method is an effective and promising direction in the surgical treatment of peritoneal pseudomyxoma.

In the present review the authors analyzed the effectiveness of treatment of intraepithelial neoplasia I-II-III of the cervix (CIN), vulva (VIN) and vagina (VaIN) using photodynamic therapy (PDT). PDT is a method based on exposure to light after preliminary introduction of a photosensitizer into the body with the formation of singlet oxygen, which has a cytotoxic effect. The results of research on the use of PDT with various photosensitizers in the complex of therapeutic measures in patients with CIN, VIN, VaIN are presented. These data on the effectiveness and safety of PDT, ease of use allow this medical technology to be attributed to one of the most promising areas in the treatment of pathological intraepithelial changes of the cervix, vulva and vagina. The presented information allows focusing the attention on the PDT method and informing doctors and researchers about the broad prospects for applying this treatment method in clinical practice.

The work presents data on the relationship between the regional incidence of gastrointestinal tract diseases and the number of medical personnel in various regions of the Russian Federation. Indicators for all federal districts for 2013-2017 have been studied. Mathematical models describing this relationship have been proposed. It has been shown that regional morbidity correlates with the number of medical personnel, as well as with attendance at treatment and prevention institutions. The average number of gastroenterologists from 1.3 to 1.5 per 100,000 inhabitants of the region is optimal for the timely detection of gastroenterology diseases. The data obtained can be used in management decisions to optimize the burden on the healthcare system in each region. The introduction of the standards into clinical practice under the established procedure will help to improve the quality of specialized care for patients with gastroenterological problems.