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Personalized approach to the logopedic rehabilitation of neurogenic dysphagia patients 神经源性吞咽困难患者的个性化逻各斯康复方法
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-47-51
A. S. Fadeeva, Yu. A. Kokorina, E. Y. Shestopalov, V. V. Tomilova
Aim. To determine the role of personalized approaches in the rehabilitation of patients with neurogenic dysphagia after acute disorders of cerebral circulation (ADCC) in the early recovery period.Materials and methods. The study included 97 patients (53 men and 44 women with the mean age of 69.5) in the early recovery period after ADСС. All the patients were at the second stage of medical rehabilitation. The treatment program included the following methods of logopedic rehabilitation: disinhibition of the act of swallowing; stimulation of the sensitivity of the mucous membranes of the oral cavity; recovery of respiratory and speech functions; selection of the consistency of liquid and solid foods to ensure the safety of swallowing during feeding; selection of the feeding method and appropriate portions to facilitate the patient’s eating.Results. When developing a personalized program of logopedic rehabilitation, the following aspects were considered: the severity of swallowing dysfunctions; the primary speech defect; patient compliance; the degree of cognitive dysfunctions; motivation for recovery.Conclusion. The application of logopedic rehabilitation methods in combination with specialized multidisciplinary care based on personalized approaches can significantly improve patients’ quality of life and reduce the risk of undesired complications.
目的确定个性化方法在急性脑循环障碍(ADCC)后神经源性吞咽困难患者康复早期的作用。研究纳入了 97 名急性脑循环障碍(ADСС)后处于早期恢复期的患者(男性 53 人,女性 44 人,平均年龄 69.5 岁)。所有患者均处于医疗康复的第二阶段。治疗方案包括以下逻辑康复方法:解除吞咽行为的抑制;刺激口腔黏膜的敏感性;恢复呼吸和语言功能;选择液体和固体食物的浓度,以确保进食时的吞咽安全;选择喂食方法和适当的份量,以方便患者进食。在制定个性化的肢体康复计划时,考虑了以下几个方面:吞咽功能障碍的严重程度;主要的语言缺陷;患者的依从性;认知功能障碍的程度;康复动机。基于个性化方法的逻各斯康复方法与专业的多学科护理相结合,可以显著提高患者的生活质量,降低出现意外并发症的风险。
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引用次数: 0
Efficacy of functional electrical stimulation of the lower extremities in stroke patients 中风患者下肢功能性电刺激的疗效
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-21-25
T. A. Kantur, E. V. Khmeleva, Yu. B. Kolesnikova, Z. B. Barzeeva
Aim. To evaluate the efficacy of functional electrical stimulation of the lower extremities in stroke patients at different stages of motor rehabilitation.Materials and methods. The study involved 80 patients with motor disorders after stroke. The studied treatment methods included passive and passive-active functional electrical stimulation (FES) in combination with the THERATrainer Tigo and active FES (neuro-orthosis) WalkAide.Results. The analysis of motor status indicators, namely the Berg Balance Scale, 6-minute walk test, and dynamic walking index showed the maximum efficacy of active FES with biofeedback.Conclusion. When prescribing and selecting a method of electrical stimulation, preference in neurorehabilitation should be given to methods of passive-active and active functional stimulation.
目的评估对处于不同运动康复阶段的中风患者进行下肢功能性电刺激的有效性。研究涉及80名中风后运动障碍患者。研究的治疗方法包括结合THERATrainer Tigo的被动和被动-主动功能性电刺激(FES)以及主动FES(神经正位)WalkAide。对运动状态指标(即伯格平衡量表、6 分钟步行测试和动态步行指数)的分析表明,主动式功能性电刺激与生物反馈疗法的疗效最佳。在处方和选择电刺激方法时,神经康复应优先考虑被动-主动和主动功能刺激方法。
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引用次数: 0
The present and future of forensic genetics 法医遗传学的现状与未来
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-42-46
T. A. Fominykh, V. Ulanov, A. Zakharova, V. V. Kiselev
In this article, we discuss the current state and future directions in the field of forensic genetics. The DNA analysis of biological traces found at a crime scene, which was first used in a criminal investigation in 1987, did revolutionize forensic science. Over the past three decades, significant advances have been made in the recognition capacity, speed, and sensitivity of DNA profiling methods, as well as in their capability of typing increasingly complex patterns. Creation of DNA databases of criminals and crime scenes, as well as population allele frequencies, allows suspects to be identified from crime scene samples and DNA evidence to be statistically processed to verify its reliability. At present, it has become possible to identify even single cells left at a crime scene and to successfully analyze ancient human remains. Forensic DNA profiling can be used to identify not only individuals known to the investigating authorities. Experts are increasingly applying new genetic markers that can expand the scope of DNA profiling methods. Modern developments enable extraction of new types of forensically significant information from biological traces, e.g., using molecular approaches to searching for individuals previously unknown to investigators. New methods have been proposed to identify the relationship between the donors of forensic samples and the crimes committed. Modern advances in the decoding of the human genome, as well as the availability of genome-wide analysis and sequencing techniques, pave the way for new forensic DNA tools capable of enhancing the quality of forensic science in the near future.
在本文中,我们将讨论法医遗传学领域的现状和未来发展方向。对犯罪现场发现的生物痕迹进行 DNA 分析于 1987 年首次用于刑事调查,这确实是法医学的一场革命。在过去的三十年里,DNA 检测方法在识别能力、速度和灵敏度方面都取得了显著的进步,其分型能力也越来越复杂。犯罪分子和犯罪现场 DNA 数据库的建立,以及人口等位基因频率的提高,使得从犯罪现场样本中识别嫌疑犯成为可能,DNA 证据也可以通过统计处理来验证其可靠性。目前,即使是犯罪现场遗留的单细胞,也有可能被识别出来,并能成功分析古代人类遗骸。法医 DNA 鉴定不仅可用于识别调查当局已知的个人。专家们越来越多地应用新的遗传标记,从而扩大了 DNA 检测方法的范围。现代技术的发展使得从生物痕迹中提取新型法证信息成为可能,例如,利用分子方法寻找调查人员以前不知道的个人。人们提出了新的方法来确定法医样本的捐献者与所犯罪行之间的关系。人类基因组解码的现代进展以及全基因组分析和测序技术的可用性,为新的法医 DNA 工具铺平了道路,这些工具能够在不久的将来提高法医学的质量。
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引用次数: 0
Efficacy of combined rehabilitation programs for infants with perinatal hypoxic-ischemic encephalopathy 针对围产期缺氧缺血性脑病婴儿的综合康复计划的疗效
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-52-56
D. S. Osmolovsky, S. V. Osmolovsky, A. V. Ovchinnikov, O. V. Perelomova
Aim. To evaluate the efficacy of a combined rehabilitation program for infants with perinatal lesions of the central nervous system in the form of hypoxic-ischemic encephalopathy (HIE).Materials and methods. In total, 173 six-month-old children who underwent hypoxia were included in the observational study. The rehabilitation program included medical massage and hydrokinesotherapy; myostimulation of the muscles of the back and limbs; dry immersion method; treatments on a Grosso simulator; ergotherapy; therapy with an elastic pseudo-boiling layer; speech therapy massage. The Griffith mental development scale was used to assess the psychomotor development of infants.Results. Following a course of combined rehabilitation, a positive dynamic in improving functional disorders in children of the first year of life who underwent perinatal HIE was revealed. This effect was associated with improvements in motor and sensory functions, indicators of speech development and understanding speech, emotions and communication, thinking and play activity. A reduction in the backlog of psychomotor development by 1–2 checkup periods and a reduction in the risk of obtaining the status of a disabled child by 12 months was established.Conclusion. Combined programs of long-term rehabilitation for infants with perinatal lesions of the central nervous system were confirmed to be effective due to the pos itive dynamics of functional activity indicators, acceleration of the formation of life support skills, and a threefold reduction in the level of disability.
目的评估针对围产期中枢神经系统受损的缺氧缺血性脑病(HIE)婴儿的综合康复计划的有效性。观察性研究共纳入了 173 名六个月大的缺氧患儿。康复计划包括医疗按摩和水动力疗法、背部和四肢肌肉刺激、干浸泡法、格罗索模拟器治疗、人体工学疗法、弹性假沸腾层疗法、言语治疗按摩。格里耶斯精神发育量表用于评估婴儿的精神运动发育情况。经过综合康复治疗,围产期HIE患儿出生后第一年的功能障碍得到了积极的改善。这种效果与运动和感觉功能、语言发育指标和语言理解能力、情绪和沟通、思维和游戏活动的改善有关。通过1-2个月的检查,精神运动发育积压的时间减少了,12个月时获得残疾儿童身份的风险也降低了。围产期中枢神经系统病变婴儿的长期康复综合方案被证实是有效的,因为功能活动指标呈积极动态变化,生活自理能力的形成加快,残疾程度降低了三倍。
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引用次数: 0
Assessment of the respiratory function of patients after COVID-19 pneumonia for medical rehabilitation 为医疗康复评估 COVID-19 肺炎患者的呼吸功能
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-37-41
A. F. Belyaev, O. Fotina, T. S. Kharkovskaya, N. M. Kondrashova
Aim. To study the indicators of external respiration function in older patients after coronavirus pneumonia (COVID-19) with the purpose of creating personalized rehabilitation programs.Materials and methods. A study of respiratory function after coronavirus pneumonia (COVID-19) was conducted in 109 patients with the average age of 63.7 ± 2.2 (51.3% men and 48.7% women) and the lung damage of more than 25%.Results. The patients after coronavirus pneumonia (COVID-19) show a decrease in respiratory function indicators, such as VC, FVC, FEV1, and SPO2, as well as an increased Tiffeneau –Pinelli index.Conclusion. Timely detection of respiratory disorders in patients after COVID-19 pneumonia allows timely diagnosis of respiratory failures and selection of adequate rehabilitation measures.
目的研究冠状病毒肺炎(COVID-19)后老年患者的外部呼吸功能指标,以制定个性化的康复方案。对109名平均年龄为(63.7±2.2)岁(男性占51.3%,女性占48.7%)、肺损伤程度超过25%的冠状病毒肺炎(COVID-19)患者进行呼吸功能研究。冠状病毒肺炎(COVID-19)后患者的呼吸功能指标,如VC、FVC、FEV1和SPO2均有所下降,Tiffeneau -Pinelli指数也有所上升。结论:及时发现 COVID-19 肺炎患者的呼吸障碍,可以及时诊断呼吸衰竭,并选择适当的康复措施。
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引用次数: 0
Сurrent state and prospects of the Sakhalin balneological potential in rehabilitation and health resort treatment 萨哈林浴场在康复和疗养治疗方面的潜力现状和前景
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-16-20
M. Antonyuk, T. Gvozdenko, S. V. Lebedev, B. Chelnokova
Aim. To assess the prospects for the use of mineral waters and therapeutic muds (peloids) of the Sakhalin region for treatment and prophylactic purposes on the basis of their balneological properties.Materials and methods. The results of balneological analyses of mineral waters and therapeutic muds of the island areas of the Sakhalin region and regulatory documents were used.Results. The mineral waters and therapeutic muds of the Sakhalin region as its major therapeutic resources are characterized. The main groups of mineral waters for internal and external use include siliceous thermal, iodobromic, arsenic, and boric waters. It is noted that unique deposits of Sakhalin-type mineral waters, such as acidic waters with a high content of metals, petroleum products, and organic substances, require additional research. The Sakhalin region is rich in all available types of therapeutic muds– silt sulfide, mound, peat, and sapropel.Conclusion. The Sakhalin region possesses a wide variety of balneological resources for health resort treatment and rehabilitation. Among them are the deposits of mineral waters and therapeutic muds that are promising for research and use in medical and wellness organizations.
目的根据萨哈林地区矿泉水和治疗泥(颗粒泥)的浴疗法特性,评估将其用于治疗和预防目的的前景。采用萨哈林州岛屿地区矿泉水和治疗泥的浴疗法分析结果和法规文件。萨哈林州的矿泉水和疗养泥是其主要疗养资源。供内部和外部使用的矿泉水主要包括硅热水、碘溴水、砷水和硼水。需要指出的是,萨哈林型矿泉水的独特矿藏,如金属、石油产品和有机物质含量较高的酸性水,需要进一步研究。萨哈林州富含各种类型的治疗泥--淤泥、土丘、泥炭和无机泥。萨哈林州拥有各种用于疗养和康复的浴疗法资源。其中,矿泉水和治疗泥的储量很有希望在医疗和保健机构中进行研究和使用。
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引用次数: 0
Prospects for integrating the Far East recreational potential into the medical rehabilitation system 将远东娱乐潜力纳入医疗康复系统的前景
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-5-10
V. B. Shumatov, T. A. Gvozdenko, E. Shestopalov
In this article, we generalize the results a research study into natural healing resources in the Far East. The regions of the Russian Far East possess a significant and unique natural potential for comprehensive medical rehabilitation. The main therapeutic resources of the area, including its climate, mineral waters, and therapeutic muds, are characterized. Issues associated with the task of integrated use of natural and physical resources in effective spa treatment and comprehensive rehabilitation are discussed. The major action mechanisms of natural therapeutic factors widely used in spa treatment are outlined, and the possibilities of their integration with the system of medical rehabilitation are substantiated.
本文概括了对远东地区自然疗法资源的研究成果。俄罗斯远东地区在综合医疗康复方面拥有巨大而独特的自然潜力。本文介绍了该地区的主要治疗资源,包括气候、矿泉水和治疗泥浆。讨论了在有效的水疗和综合康复中综合利用自然和物理资源的相关问题。概述了在温泉治疗中广泛使用的自然疗法因子的主要作用机制,并证实了将其与医疗康复系统相结合的可能性。
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引用次数: 0
The present and future of forensic genetics 法医遗传学的现状与未来
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-42-46
T. A. Fominykh, V. Ulanov, A. Zakharova, V. V. Kiselev
In this article, we discuss the current state and future directions in the field of forensic genetics. The DNA analysis of biological traces found at a crime scene, which was first used in a criminal investigation in 1987, did revolutionize forensic science. Over the past three decades, significant advances have been made in the recognition capacity, speed, and sensitivity of DNA profiling methods, as well as in their capability of typing increasingly complex patterns. Creation of DNA databases of criminals and crime scenes, as well as population allele frequencies, allows suspects to be identified from crime scene samples and DNA evidence to be statistically processed to verify its reliability. At present, it has become possible to identify even single cells left at a crime scene and to successfully analyze ancient human remains. Forensic DNA profiling can be used to identify not only individuals known to the investigating authorities. Experts are increasingly applying new genetic markers that can expand the scope of DNA profiling methods. Modern developments enable extraction of new types of forensically significant information from biological traces, e.g., using molecular approaches to searching for individuals previously unknown to investigators. New methods have been proposed to identify the relationship between the donors of forensic samples and the crimes committed. Modern advances in the decoding of the human genome, as well as the availability of genome-wide analysis and sequencing techniques, pave the way for new forensic DNA tools capable of enhancing the quality of forensic science in the near future.
在本文中,我们将讨论法医遗传学领域的现状和未来发展方向。对犯罪现场发现的生物痕迹进行 DNA 分析于 1987 年首次用于刑事调查,这确实是法医学的一场革命。在过去的三十年里,DNA 检测方法在识别能力、速度和灵敏度方面都取得了显著的进步,其分型能力也越来越复杂。犯罪分子和犯罪现场 DNA 数据库的建立,以及人口等位基因频率的提高,使得从犯罪现场样本中识别嫌疑犯成为可能,DNA 证据也可以通过统计处理来验证其可靠性。目前,即使是犯罪现场遗留的单细胞,也有可能被识别出来,并能成功分析古代人类遗骸。法医 DNA 鉴定不仅可用于识别调查当局已知的个人。专家们越来越多地应用新的遗传标记,从而扩大了 DNA 检测方法的范围。现代技术的发展使得从生物痕迹中提取新型法证信息成为可能,例如,利用分子方法寻找调查人员以前不知道的个人。人们提出了新的方法来确定法医样本的捐献者与所犯罪行之间的关系。人类基因组解码的现代进展以及全基因组分析和测序技术的可用性,为新的法医 DNA 工具铺平了道路,这些工具能够在不久的将来提高法医学的质量。
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引用次数: 0
Carbon monoxide and carboxyhemoglobin contents in exhaled air and blood pressure levels with diff erent nicotine delivery pathways 不同尼古丁给药途径下呼气中的一氧化碳和碳氧血红蛋白含量以及血压水平
Pub Date : 2024-02-01 DOI: 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.
目的评估尤日诺-萨哈林斯克市工作年龄人口在使用各种尼古丁给药方式时呼出空气中 CO 和 COHb 的含量以及血压(BP)水平。使用问卷对研究参与者(n = 503)进行了调查。评估了血压和血氧饱和度参数。呼出气体中的 CO 和 COHb 含量使用烟雾分析仪进行测量。统计处理采用非参数方法。研究对象以男性为主(58.3%)。女性吸烟率较高,在普通人群中高达 42%,在尼古丁替代给药系统(ANDS)消费者群体中高达 48.8%。无论尼古丁释放方式如何,一氧化碳和一氧化碳血红蛋白的含量都与吸烟时间超过 10 年有关。39.8%的受访者患有动脉高血压,其中吸烟者的发病率更高(28.8%,p = 0.02)。这与吸烟时间超过 10 年的吸烟者比例较高(62%)有关(p = 0.003)。血压升高与 CO 和 COHb 含量之间存在微弱的直接相关性(p < 0.001)。作为烟草制品的积极消费者,女性的比例有所增长,尤其是以 ANDS 的形式。在吸烟者中,一氧化碳和一氧化碳血红蛋白的平均水平普遍较高,这与吸烟时间超过 10 年有关,且与尼古丁的输送方式无关。吸烟强度与高血压风险之间存在直接关系。
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引用次数: 0
Prospects for integrating the Far East recreational potential into the medical rehabilitation system 将远东娱乐潜力纳入医疗康复系统的前景
Pub Date : 2024-02-01 DOI: 10.34215/1609-1175-2023-4-5-10
V. B. Shumatov, T. A. Gvozdenko, E. Shestopalov
In this article, we generalize the results a research study into natural healing resources in the Far East. The regions of the Russian Far East possess a significant and unique natural potential for comprehensive medical rehabilitation. The main therapeutic resources of the area, including its climate, mineral waters, and therapeutic muds, are characterized. Issues associated with the task of integrated use of natural and physical resources in effective spa treatment and comprehensive rehabilitation are discussed. The major action mechanisms of natural therapeutic factors widely used in spa treatment are outlined, and the possibilities of their integration with the system of medical rehabilitation are substantiated.
本文概括了对远东地区自然疗法资源的研究成果。俄罗斯远东地区在综合医疗康复方面拥有巨大而独特的自然潜力。本文介绍了该地区的主要治疗资源,包括气候、矿泉水和治疗泥浆。讨论了在有效的水疗和综合康复中综合利用自然和物理资源的相关问题。概述了在温泉治疗中广泛使用的自然疗法因子的主要作用机制,并证实了将其与医疗康复系统相结合的可能性。
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引用次数: 0
期刊
Pacific Medical Journal
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