Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-97-100
A. B. Makarov, V. N. Tsygan, A. V. Lemeshchenko, M. V. Rezvantsev, T. A. Krivolutskaya, T. A. Bammatov
Aim. Тo train future specialists to effectively apply the methods of pathophysiological research (ultrasound diagnostics) in solving situational problems within the course of clinical pathophysiology.Materials and methods. The 2nd and 3rd year students were trained to use stationary and portable ultrasound machines Phillips CX50 and Chison Sonotouch 80. The students were trained to master ultrasound B and M modes, Doppler ultrasonography, as well as elastography of the most common diseases of the endocrine, digestive, and urinary systems. At the first stage, students worked in tandem with the lecture, observing the process of sensor manipulation. At the second stage, each student conducted a study on his or her fellow student.Results. When conducting ultrasound scanning of the hepatoduodenal zone and kidneys, 65% and 55% of students, respectively, failed to obtain an optimal image and to measure anatomical structures during the assigned time interval. Echocardioscopy was established to be the most difficult method to master when solving situational problems within the topic of “Impaired Systemic Circulation”. This task was successfully performed only by 20% of the students. The optimal student-lecturer ratio was established to be 6:1.Conclusion. The use of new ultrasound technologies in the training process is important for forming students’ professional competencies and increasing their motivation.
目的培训未来的专家有效应用病理生理学研究方法（超声诊断）解决临床病理生理学课程中的情景问题。培训二年级和三年级学生使用固定式和便携式超声波机 Phillips CX50 和 Chison Sonotouch 80。通过培训，学生们掌握了 B 型和 M 型超声波、多普勒超声波以及内分泌、消化和泌尿系统最常见疾病的弹性成像。在第一阶段，学生们配合讲课，观察传感器的操作过程。在第二阶段，每个学生都对自己的同学进行了研究。在对肝十二指肠区和肾脏进行超声扫描时，分别有 65% 和 55% 的学生未能在指定的时间间隔内获得最佳图像和测量解剖结构。在解决 "受损的全身循环 "专题中的情景问题时，超声心动图被认为是最难掌握的方法。只有 20% 的学生成功完成了这项任务。学生与教师的最佳比例为 6:1。在培训过程中使用新的超声技术对于培养学生的专业能力和提高他们的积极性非常重要。
{"title":"Ultrasound diagnostics in solving situational problems in the discipline of clinical pathophysiology","authors":"A. B. Makarov, V. N. Tsygan, A. V. Lemeshchenko, M. V. Rezvantsev, T. A. Krivolutskaya, T. A. Bammatov","doi":"10.34215/1609-1175-2023-4-97-100","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-97-100","url":null,"abstract":"Aim. Тo train future specialists to effectively apply the methods of pathophysiological research (ultrasound diagnostics) in solving situational problems within the course of clinical pathophysiology.Materials and methods. The 2nd and 3rd year students were trained to use stationary and portable ultrasound machines Phillips CX50 and Chison Sonotouch 80. The students were trained to master ultrasound B and M modes, Doppler ultrasonography, as well as elastography of the most common diseases of the endocrine, digestive, and urinary systems. At the first stage, students worked in tandem with the lecture, observing the process of sensor manipulation. At the second stage, each student conducted a study on his or her fellow student.Results. When conducting ultrasound scanning of the hepatoduodenal zone and kidneys, 65% and 55% of students, respectively, failed to obtain an optimal image and to measure anatomical structures during the assigned time interval. Echocardioscopy was established to be the most difficult method to master when solving situational problems within the topic of “Impaired Systemic Circulation”. This task was successfully performed only by 20% of the students. The optimal student-lecturer ratio was established to be 6:1.Conclusion. The use of new ultrasound technologies in the training process is important for forming students’ professional competencies and increasing their motivation.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"118 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-93-96
T. N. Kuzmina, G. V. Kuznetsova, L. Y. Petrova
This article describes the experience of training primary care physicians in the field of medical rehabilitation. The existing procedure for the arrangement of medical rehabilitation prescribes its rules and order of implementation in medical primary health care organizations both in outpatient and day patient settings. The Pacific State Medical University (PSMU) runs training programs for primary care physicians within the 31.05.01 educational program “General Medicine”, direction “02 Healthcare”. In accordance with the curriculum, a training program “Medical Rehabilitation” that includes both lectures and training sessions was developed. This program is aimed at forming the necessary competencies of future primary care physicians in implementing and monitoring the effectiveness of the patient’s medical rehabilitation. Training is carried out at the facilities of the PSMU Institute of Clinical Neurology and Rehabilitation Medicine by specialists having experience in medical rehabilitation and having completed the program “Modern aspects of specialist training in the field of physical and rehabilitation medicine”.
{"title":"Training program for primary care physicians in medical rehabilitation at the Pacifi c Medical University","authors":"T. N. Kuzmina, G. V. Kuznetsova, L. Y. Petrova","doi":"10.34215/1609-1175-2023-4-93-96","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-93-96","url":null,"abstract":"This article describes the experience of training primary care physicians in the field of medical rehabilitation. The existing procedure for the arrangement of medical rehabilitation prescribes its rules and order of implementation in medical primary health care organizations both in outpatient and day patient settings. The Pacific State Medical University (PSMU) runs training programs for primary care physicians within the 31.05.01 educational program “General Medicine”, direction “02 Healthcare”. In accordance with the curriculum, a training program “Medical Rehabilitation” that includes both lectures and training sessions was developed. This program is aimed at forming the necessary competencies of future primary care physicians in implementing and monitoring the effectiveness of the patient’s medical rehabilitation. Training is carried out at the facilities of the PSMU Institute of Clinical Neurology and Rehabilitation Medicine by specialists having experience in medical rehabilitation and having completed the program “Modern aspects of specialist training in the field of physical and rehabilitation medicine”.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"59 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-72-76
O. Gritsina, A. Yatsenko, L. V. Trankovskaya, Yu. V. Maistrovskaya, D. A. Ermakova, S. D. Shestakova
Aim. To identify trends in the primary morbidity of children and adolescents in the Far Eastern Federal District.Materials and methods. A retrospective analytical study of the dynamics of primary morbidity in children and adolescents by disease class was conducted.Results. Among the children population, a very high and high stability of the decrease in morbidity rates was established (R = -0.714– (-1.0)) for all classes of diseases. Among the adolescent population, a weak stability in the decrease in morbidity rates was characteristic of VII Diseases of the eye and adnexa (R = -0.262) and X Respiratory diseases (R = -0.262); a moderate stability of IV Diseases of the endocrine system, nutritional disorders, and metabolic disorders (R = -0.333); a moderate stability of IX Diseases of the circulatory system (R = -0.623); and a high stability among all other classes (R= -0.738 – (-0.928)). In the older age group, weak resistance to growth dynamics was determined in classes III Diseases of the blood, hematopoietic organs, and certain disorders involving the immune mechanism (R = 0.024) and VIII Diseases of the ear and mastoid process (R = 0.095).Conclusion. The data obtained forms a basis for further research into regional risk factors that contribute to poor health of the population. The findings can also be used to predict the health status of younger generations.
{"title":"Health dynamics of children and adolescents in the Far Eastern federal district in 2013–2020","authors":"O. Gritsina, A. Yatsenko, L. V. Trankovskaya, Yu. V. Maistrovskaya, D. A. Ermakova, S. D. Shestakova","doi":"10.34215/1609-1175-2023-4-72-76","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-72-76","url":null,"abstract":"Aim. To identify trends in the primary morbidity of children and adolescents in the Far Eastern Federal District.Materials and methods. A retrospective analytical study of the dynamics of primary morbidity in children and adolescents by disease class was conducted.Results. Among the children population, a very high and high stability of the decrease in morbidity rates was established (R = -0.714– (-1.0)) for all classes of diseases. Among the adolescent population, a weak stability in the decrease in morbidity rates was characteristic of VII Diseases of the eye and adnexa (R = -0.262) and X Respiratory diseases (R = -0.262); a moderate stability of IV Diseases of the endocrine system, nutritional disorders, and metabolic disorders (R = -0.333); a moderate stability of IX Diseases of the circulatory system (R = -0.623); and a high stability among all other classes (R= -0.738 – (-0.928)). In the older age group, weak resistance to growth dynamics was determined in classes III Diseases of the blood, hematopoietic organs, and certain disorders involving the immune mechanism (R = 0.024) and VIII Diseases of the ear and mastoid process (R = 0.095).Conclusion. The data obtained forms a basis for further research into regional risk factors that contribute to poor health of the population. The findings can also be used to predict the health status of younger generations.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"57 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-89-92
G. V. Kuznetsova, L. M. Minkina, T. N. Kuzmina, I. A. Obukhova, A. V. Voskresenskaya, E. V. Prosekova
The development of modern treatment technologies in oncology has reduced the mortality of children and adolescents from malignant neoplasms and hematological diseases. As a result, the issue of organizing rehabilitation care has become urgent. In this article, we describe the experience of organizing and developing pediatric rehabilitation in the oncology/hematology profile in Primorsky Krai for the period from 1995 to 2022. Various medical, psychological, social, and environmental aspects are outlined along with rehabilitation technologies used. The effectiveness of rehabilitation and the peculiarities of its implementation in children with oncological and hematological diseases are shown. The expediency of carrying out stages of rehabilitation in the region of residence of patients is substantiated.
{"title":"Experience of pediatric and adolescent rehabilitation in the department of rehabilitation of the regional children’s oncohematological center, Vladivostok","authors":"G. V. Kuznetsova, L. M. Minkina, T. N. Kuzmina, I. A. Obukhova, A. V. Voskresenskaya, E. V. Prosekova","doi":"10.34215/1609-1175-2023-4-89-92","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-89-92","url":null,"abstract":"The development of modern treatment technologies in oncology has reduced the mortality of children and adolescents from malignant neoplasms and hematological diseases. As a result, the issue of organizing rehabilitation care has become urgent. In this article, we describe the experience of organizing and developing pediatric rehabilitation in the oncology/hematology profile in Primorsky Krai for the period from 1995 to 2022. Various medical, psychological, social, and environmental aspects are outlined along with rehabilitation technologies used. The effectiveness of rehabilitation and the peculiarities of its implementation in children with oncological and hematological diseases are shown. The expediency of carrying out stages of rehabilitation in the region of residence of patients is substantiated.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"39 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-82-85
O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega
Aim. To compare the effectiveness of two methods for indoor air disinfection, i.e., those based on ultraviolet (UV) irradiation sources of open and closed types.Material and methods. Two main indoor air disinfection methods were compared – an open-type UV irradiator and a closed-type recirculating irradiator– based on the parameters of total bacterial contamination and the content of staphylococci and mold spores in the air (n = 30).Results. UV disinfection using an open-type bactericidal lamp, both for 15 and 30 min, is significantly more effective than disinfection using a recirculating irradiator in terms of reducing the total bacterial contamination (p < 0.001), the content of viable staphylococci (p < 0.001 – p = 0.026), and mold spores (p < 0.001) in the air.Conclusion. The use of bactericidal lamps of open type is a more effective tool for indoor air disinfection compared to the use of closed-type recirculating irradiators. It is advisable to use UV disinfection with open type sources in the absence of people followed by ventilation and subsequent use of recirculating irradiators in the presence of people.
{"title":"Comparative analysis of air disinfection methods for prevention of bacterial and viral infections","authors":"O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega","doi":"10.34215/1609-1175-2023-4-82-85","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-82-85","url":null,"abstract":"Aim. To compare the effectiveness of two methods for indoor air disinfection, i.e., those based on ultraviolet (UV) irradiation sources of open and closed types.Material and methods. Two main indoor air disinfection methods were compared – an open-type UV irradiator and a closed-type recirculating irradiator– based on the parameters of total bacterial contamination and the content of staphylococci and mold spores in the air (n = 30).Results. UV disinfection using an open-type bactericidal lamp, both for 15 and 30 min, is significantly more effective than disinfection using a recirculating irradiator in terms of reducing the total bacterial contamination (p < 0.001), the content of viable staphylococci (p < 0.001 – p = 0.026), and mold spores (p < 0.001) in the air.Conclusion. The use of bactericidal lamps of open type is a more effective tool for indoor air disinfection compared to the use of closed-type recirculating irradiators. It is advisable to use UV disinfection with open type sources in the absence of people followed by ventilation and subsequent use of recirculating irradiators in the presence of people.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139870898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-64-68
E. V. Pavlushchenko, L. Y. Petrova, L. I. Kisel, L. A. Klersfeld
Aim. Search for new effective methods of physical rehabilitation for patients with ischemic stroke.Materials and methods. In total, 60 ischemic stroke patients aged from 51 to 80 years in the acute period were included in the rehabilitation program. All patients showed motor and speech disorders, problems with self-care and mobility, and reduced quality of life indicators. The program of early rehabilitation included the combination of reflexotherapy (RT) and differentiated choice of exercise therapy (ET).Results. The comparative analysis of the results of three therapeutic programs for rehabilitation of patients with acute cerebral circulation disorders (ACCD) in the acute period showed the high efficacy of a combined use of RT and ET with a differentiated approach to method selection.Conclusions. The combined application of neurorehabilitation methods for ischemic stroke patients has confirmed its high efficacy. The developed rehabilitation programs may improve the quality of life of patients after acute cerebral circulation disorders and increase their independence in everyday life.
{"title":"Combined application of exercise therapy and reflexotherapy for ischemic stroke patients in the acute period","authors":"E. V. Pavlushchenko, L. Y. Petrova, L. I. Kisel, L. A. Klersfeld","doi":"10.34215/1609-1175-2023-4-64-68","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-64-68","url":null,"abstract":"Aim. Search for new effective methods of physical rehabilitation for patients with ischemic stroke.Materials and methods. In total, 60 ischemic stroke patients aged from 51 to 80 years in the acute period were included in the rehabilitation program. All patients showed motor and speech disorders, problems with self-care and mobility, and reduced quality of life indicators. The program of early rehabilitation included the combination of reflexotherapy (RT) and differentiated choice of exercise therapy (ET).Results. The comparative analysis of the results of three therapeutic programs for rehabilitation of patients with acute cerebral circulation disorders (ACCD) in the acute period showed the high efficacy of a combined use of RT and ET with a differentiated approach to method selection.Conclusions. The combined application of neurorehabilitation methods for ischemic stroke patients has confirmed its high efficacy. The developed rehabilitation programs may improve the quality of life of patients after acute cerebral circulation disorders and increase their independence in everyday life.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"10 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-69-71
N. Pomytkina
This paper presents clinical cases of diabetic retinopathy (DR) progression in pregnant women with type 1 diabetes. In preproliferative DR, the formation of focal macular edema in both eyes with nonperfusion areas of perimacular localization was observed. Both eyes were subjected to laser coagulation of the retina. After one month, a regression of macular edema in the left eye and hemorrhagic phenomena in both eyes was established with the emergence of new nonperfusion zones. DR progression during pregnancy and in the postpartum period is determined by a number of factors, including diabetes mellitus compensation, retinopathy stabilization, and the presence of concomitant pathologies. In the aggressive course of proliferative DR, local traction retinal detachment and partial hemophthalmos of the left eye were revealed. In this case, three stages of panretinal laser coagulation of both eyes and endovitreal intervention with silicone tamponade on the left eye were performed. At 28 weeks of gestation, progression of retinal neovascularization was observed in the right eye, extensive areas of nonperfusion in the posterior pole. The areas of laser coagulation of the retina were compacted in the right eye.
本文介绍了 1 型糖尿病孕妇糖尿病视网膜病变（DR）进展的临床病例。在增殖前糖尿病视网膜病变中，两只眼睛都出现了黄斑区局灶性水肿，黄斑区周围出现非灌注区。两只眼睛都接受了视网膜激光凝固治疗。一个月后，左眼黄斑水肿消退，双眼出现出血现象，并出现了新的非灌注区。妊娠期和产后的 DR 进展由多种因素决定，包括糖尿病代偿、视网膜病变稳定以及并发症的存在。在增殖性右眼视网膜病变的恶化过程中，左眼出现局部牵引性视网膜脱离和部分眼球下垂。在这个病例中，对双眼进行了三个阶段的全视网膜激光凝固术，并对左眼进行了硅酮填塞的玻璃体内介入治疗。妊娠 28 周时，观察到右眼视网膜新生血管进展，后极部出现大面积非灌注区。右眼视网膜的激光凝固区域被压缩。
{"title":"Аnalysis of clinical cases of diabetic retinopathy progression in pregnant women with type 1 diabetes","authors":"N. Pomytkina","doi":"10.34215/1609-1175-2023-4-69-71","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-69-71","url":null,"abstract":"This paper presents clinical cases of diabetic retinopathy (DR) progression in pregnant women with type 1 diabetes. In preproliferative DR, the formation of focal macular edema in both eyes with nonperfusion areas of perimacular localization was observed. Both eyes were subjected to laser coagulation of the retina. After one month, a regression of macular edema in the left eye and hemorrhagic phenomena in both eyes was established with the emergence of new nonperfusion zones. DR progression during pregnancy and in the postpartum period is determined by a number of factors, including diabetes mellitus compensation, retinopathy stabilization, and the presence of concomitant pathologies. In the aggressive course of proliferative DR, local traction retinal detachment and partial hemophthalmos of the left eye were revealed. In this case, three stages of panretinal laser coagulation of both eyes and endovitreal intervention with silicone tamponade on the left eye were performed. At 28 weeks of gestation, progression of retinal neovascularization was observed in the right eye, extensive areas of nonperfusion in the posterior pole. The areas of laser coagulation of the retina were compacted in the right eye.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"92 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139809833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-82-85
O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega
Aim. To compare the effectiveness of two methods for indoor air disinfection, i.e., those based on ultraviolet (UV) irradiation sources of open and closed types.Material and methods. Two main indoor air disinfection methods were compared – an open-type UV irradiator and a closed-type recirculating irradiator– based on the parameters of total bacterial contamination and the content of staphylococci and mold spores in the air (n = 30).Results. UV disinfection using an open-type bactericidal lamp, both for 15 and 30 min, is significantly more effective than disinfection using a recirculating irradiator in terms of reducing the total bacterial contamination (p < 0.001), the content of viable staphylococci (p < 0.001 – p = 0.026), and mold spores (p < 0.001) in the air.Conclusion. The use of bactericidal lamps of open type is a more effective tool for indoor air disinfection compared to the use of closed-type recirculating irradiators. It is advisable to use UV disinfection with open type sources in the absence of people followed by ventilation and subsequent use of recirculating irradiators in the presence of people.
{"title":"Comparative analysis of air disinfection methods for prevention of bacterial and viral infections","authors":"O. Prylutskyi, S. V. Kapranov, K. Y. Tkachenko, L. I. Yalovega","doi":"10.34215/1609-1175-2023-4-82-85","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-82-85","url":null,"abstract":"Aim. To compare the effectiveness of two methods for indoor air disinfection, i.e., those based on ultraviolet (UV) irradiation sources of open and closed types.Material and methods. Two main indoor air disinfection methods were compared – an open-type UV irradiator and a closed-type recirculating irradiator– based on the parameters of total bacterial contamination and the content of staphylococci and mold spores in the air (n = 30).Results. UV disinfection using an open-type bactericidal lamp, both for 15 and 30 min, is significantly more effective than disinfection using a recirculating irradiator in terms of reducing the total bacterial contamination (p < 0.001), the content of viable staphylococci (p < 0.001 – p = 0.026), and mold spores (p < 0.001) in the air.Conclusion. The use of bactericidal lamps of open type is a more effective tool for indoor air disinfection compared to the use of closed-type recirculating irradiators. It is advisable to use UV disinfection with open type sources in the absence of people followed by ventilation and subsequent use of recirculating irradiators in the presence of people.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"21 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139811070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-02DOI: 10.34215/1609-1175-2023-4-86-88
E. V. Moroz, O. V. Perelomova, V. V. Knyshоva
Aim. To develop a software application for determining the rehabilitation potential and predicting the efficacy of rehabilitation treatment in elderly and senile patients with stage III discirculatory encephalopathy (DE).Methods. A database of 185 patients with stage III DE was used. The indicators were assessed in dynamics, i.e., prior to the rehabilitation treatment and following three and six months from the onset of treatment course. The software application was developed using the Visual Basic for Applications (VBA) programming language built into Microsoft Excel 2010.Results. The developed application comprises several first-order subroutines to assess the patient’s neurological status, memory, attention, functional activity in everyday life, as well as second-order subroutines to calculate the rehabilitation potential and predict the treatment efficacy. At the first stage, personal data and characteristics of neurological disorders, cognitive functions, scale of instrumental activities in daily living (IADL) are entered. At the second stage, the indicator of rehabilitation potential is automatically calculated and its qualitative assessment is provided. On the basis of prediction of the efficacy of the three complexes, further rehabilitation tactics for a particular patient is determined.Conclusions. The developed software application is useful for automating and optimizing the work of rehabilitation neurologists.
目的开发一款应用软件，用于确定老年盘状脑病（DE）III期患者的康复潜力和预测康复治疗的疗效。方法：使用一个包含 185 名 III 期盘状脑病患者的数据库。对各项指标进行动态评估，即康复治疗前以及治疗开始后的三个月和六个月。应用软件是使用 Microsoft Excel 2010 中内置的 Visual Basic for Applications（VBA）编程语言开发的。所开发的应用程序包括几个一阶子程序，用于评估患者的神经状态、记忆力、注意力、日常生活中的功能活动，以及用于计算康复潜力和预测治疗效果的二阶子程序。在第一阶段，输入个人数据和神经系统疾病特征、认知功能、日常生活工具活动（IADL）量表。在第二阶段，将自动计算康复潜力指标并对其进行定性评估。在预测三种复合方法的有效性的基础上，确定特定患者的进一步康复策略。所开发的软件应用程序有助于自动化和优化康复神经科医生的工作。
{"title":"Software application for predicting the efficacy of rehabilitation treatment in patients with discirculatory encephalopathy","authors":"E. V. Moroz, O. V. Perelomova, V. V. Knyshоva","doi":"10.34215/1609-1175-2023-4-86-88","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-86-88","url":null,"abstract":"Aim. To develop a software application for determining the rehabilitation potential and predicting the efficacy of rehabilitation treatment in elderly and senile patients with stage III discirculatory encephalopathy (DE).Methods. A database of 185 patients with stage III DE was used. The indicators were assessed in dynamics, i.e., prior to the rehabilitation treatment and following three and six months from the onset of treatment course. The software application was developed using the Visual Basic for Applications (VBA) programming language built into Microsoft Excel 2010.Results. The developed application comprises several first-order subroutines to assess the patient’s neurological status, memory, attention, functional activity in everyday life, as well as second-order subroutines to calculate the rehabilitation potential and predict the treatment efficacy. At the first stage, personal data and characteristics of neurological disorders, cognitive functions, scale of instrumental activities in daily living (IADL) are entered. At the second stage, the indicator of rehabilitation potential is automatically calculated and its qualitative assessment is provided. On the basis of prediction of the efficacy of the three complexes, further rehabilitation tactics for a particular patient is determined.Conclusions. The developed software application is useful for automating and optimizing the work of rehabilitation neurologists.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139871046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-02-01DOI: 10.34215/1609-1175-2023-4-26-31
V. A. Nevzorova, E. A. Stolarova, L. G. Priseko, A. A. Achmetova
Aim. To assess the content of CO and COHb in exhaled air and the level of blood pressure (BP) in the working-age population of Yuzhno-Sakhalinsk when using various means of nicotine delivery.Materials and methods. The study participants (n = 503) were surveyed using a questionnaire. The BP and oxygen saturation parameters were assessed. The content of CO and COHb content in exhaled air was measured using a smokerlyzer. Statistical processing was performed using nonparametric methods.Results. The study group was dominated by males (58.3%). A high incidence of smoking was observed among females, with up to 42% in the general group and 48.8% in the group of consumers of alternative nicotine delivery systems (ANDS). A correlation between the content of CO and COHb and the smoking experience of more than 10 years was established, regardless of the means of nicotine delivery. Arterial hypertension was registered among 39.8% of the surveyed participants, with a higher frequency in cigarette smokers (28.8%, p = 0.02). This was associated with a greater proportion of individuals (62%) with a long smoking experience of more than 10 years (p = 0.003). A weak direct correlation was established between an increase in blood pressure and the content of CO and COHb (p < 0.001).Conclusion. The share of females as active consumers of tobacco products has grown, particularly in the form of ANDS. Among smokers, the average high level of CO and COHb prevails, which correlates with the smoking experience of more than 10 years and does not depend on the means of nicotine delivery. A direct relationship between the intensity of smoking and the risk of hypertension was established.
{"title":"Carbon monoxide and carboxyhemoglobin contents in exhaled air and blood pressure levels with diff erent nicotine delivery pathways","authors":"V. A. Nevzorova, E. A. Stolarova, L. G. Priseko, A. A. Achmetova","doi":"10.34215/1609-1175-2023-4-26-31","DOIUrl":"https://doi.org/10.34215/1609-1175-2023-4-26-31","url":null,"abstract":"Aim. To assess the content of CO and COHb in exhaled air and the level of blood pressure (BP) in the working-age population of Yuzhno-Sakhalinsk when using various means of nicotine delivery.Materials and methods. The study participants (n = 503) were surveyed using a questionnaire. The BP and oxygen saturation parameters were assessed. The content of CO and COHb content in exhaled air was measured using a smokerlyzer. Statistical processing was performed using nonparametric methods.Results. The study group was dominated by males (58.3%). A high incidence of smoking was observed among females, with up to 42% in the general group and 48.8% in the group of consumers of alternative nicotine delivery systems (ANDS). A correlation between the content of CO and COHb and the smoking experience of more than 10 years was established, regardless of the means of nicotine delivery. Arterial hypertension was registered among 39.8% of the surveyed participants, with a higher frequency in cigarette smokers (28.8%, p = 0.02). This was associated with a greater proportion of individuals (62%) with a long smoking experience of more than 10 years (p = 0.003). A weak direct correlation was established between an increase in blood pressure and the content of CO and COHb (p < 0.001).Conclusion. The share of females as active consumers of tobacco products has grown, particularly in the form of ANDS. Among smokers, the average high level of CO and COHb prevails, which correlates with the smoking experience of more than 10 years and does not depend on the means of nicotine delivery. A direct relationship between the intensity of smoking and the risk of hypertension was established.","PeriodicalId":19705,"journal":{"name":"Pacific Medical Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139812274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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