Pub Date : 2023-11-08DOI: 10.33667/2078-5631-2023-22-56-62
M. G. Volovik, I. M. Dolgov, Y. V. Karamyshev, I. A. Loshenko, V. S. Koskin
In this revue discuss the usefulness of static and active dynamic thermography for burn depth assessment as well as for estimation of the effectiveness of the different treatment modalities (cell therapy, humid ambience, evaluation of the donor skin area).
{"title":"Medical thermography as a method to assessment of burn depth and treatment effectiveness in patients with burn injury","authors":"M. G. Volovik, I. M. Dolgov, Y. V. Karamyshev, I. A. Loshenko, V. S. Koskin","doi":"10.33667/2078-5631-2023-22-56-62","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-22-56-62","url":null,"abstract":"In this revue discuss the usefulness of static and active dynamic thermography for burn depth assessment as well as for estimation of the effectiveness of the different treatment modalities (cell therapy, humid ambience, evaluation of the donor skin area).","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"8 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392147","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-24-46-50
A. V. Ignatovsky
Objective. Due to the growing number of patients with various diseases of the vulva, there is a need to evaluate the available diagnostic tools. Vulvoscopy is one of the widely used methods, the diagnostic sensitivity and specificity of which varies significantly. Purpose of the work. Based on the analysis of publications to determine the diagnostic significance of vulvoscopy. Material and methods. The data of modern research and publications were used in the preparation of the work. Results. The authors of a number of publications warn against considering vulvoscopy as a variant of colposcopy. A high percentage of false positive results when performing tests with acetic acid may be due to a variety of reasons and is not highly specific for papillomavirus infection. The use of the test with toluidine blue is not recommended due to low sensitivity. Conclusions. A positive aspect of vulvoscopy is the ability to examine the vulva area with optical magnification, in a position convenient for examining the patient, which makes it possible to identify areas to be biopsied. The use of additional tests with acetic acid should be limited, and tests with toluidine blue and Lugol solution are not recommended due to low sensitivity.
{"title":"Vulvoscopy: anachronism or a time-tested method?","authors":"A. V. Ignatovsky","doi":"10.33667/2078-5631-2023-24-46-50","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-24-46-50","url":null,"abstract":"Objective. Due to the growing number of patients with various diseases of the vulva, there is a need to evaluate the available diagnostic tools. Vulvoscopy is one of the widely used methods, the diagnostic sensitivity and specificity of which varies significantly. Purpose of the work. Based on the analysis of publications to determine the diagnostic significance of vulvoscopy. Material and methods. The data of modern research and publications were used in the preparation of the work. Results. The authors of a number of publications warn against considering vulvoscopy as a variant of colposcopy. A high percentage of false positive results when performing tests with acetic acid may be due to a variety of reasons and is not highly specific for papillomavirus infection. The use of the test with toluidine blue is not recommended due to low sensitivity. Conclusions. A positive aspect of vulvoscopy is the ability to examine the vulva area with optical magnification, in a position convenient for examining the patient, which makes it possible to identify areas to be biopsied. The use of additional tests with acetic acid should be limited, and tests with toluidine blue and Lugol solution are not recommended due to low sensitivity.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"362 17","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393234","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-26-46-49
S. A. Sapozhnikov
The basis of a healthy lifestyle is not only the rejection of bad habits, but also an increase in physical activity (FA). The importance of FA for medical university students is due to the fact that their future profession involves promoting a healthy lifestyle, including FA, among the population. The purpose of the study included studying the FA of medical university students in different courses of study. An online survey of 306 medical university students was conducted using a Scale of Exercise Benefits/barriers. It was found that a greater number of benefits from physical education and a smaller number of barriers were revealed in 1st-year students and a progressive change in this ratio in older students. The analysis of the FA of medical students revealed that 1st year students devote more time to physical activity (sports) in comparison with undergraduates. The main reason for the low FA among students is the lack of free time. During the COVID-19 pandemic, with the transition to online education, students noted a decrease in FA and dissatisfaction with physical education in remote mode. Based on the data obtained, it was concluded that in order for medical students to adequately provide counseling to their patients in the future, medical universities should develop programs that stimulate medical students to greater FA.
{"title":"Studying the commitment to physical activity of medical university students","authors":"S. A. Sapozhnikov","doi":"10.33667/2078-5631-2023-26-46-49","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-26-46-49","url":null,"abstract":"The basis of a healthy lifestyle is not only the rejection of bad habits, but also an increase in physical activity (FA). The importance of FA for medical university students is due to the fact that their future profession involves promoting a healthy lifestyle, including FA, among the population. The purpose of the study included studying the FA of medical university students in different courses of study. An online survey of 306 medical university students was conducted using a Scale of Exercise Benefits/barriers. It was found that a greater number of benefits from physical education and a smaller number of barriers were revealed in 1st-year students and a progressive change in this ratio in older students. The analysis of the FA of medical students revealed that 1st year students devote more time to physical activity (sports) in comparison with undergraduates. The main reason for the low FA among students is the lack of free time. During the COVID-19 pandemic, with the transition to online education, students noted a decrease in FA and dissatisfaction with physical education in remote mode. Based on the data obtained, it was concluded that in order for medical students to adequately provide counseling to their patients in the future, medical universities should develop programs that stimulate medical students to greater FA.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"8 11","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390977","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-24-36-40
L. S. Kruglova, N. V. Gryazeva, A. V. Tamrazova
Introduction. Acne is a common chronic inflammatory disease, which is accompanied by severe social stress and reduces the quality of life of patients. Isotretinoin is the gold standard for the treatment of severe and moderate forms of acne, and is also used when there is a risk of developing a post-acne symptom complex and when previous treatment methods are ineffective. Purpose of the study. To determine the effectiveness and safety of various isotretinoin regimens at a dose of 0.4–0.8 mg/kg in patients with moderate to severe acne vulgaris and in patients with adult acne. Materials and methods. A single-center, prospective, parallel, controlled study involved 139 patients with acne vulgaris and adult acne, who were divided into 3 groups. 72 patients with acne vulgaris of moderate severity according to the IGA scale (group A1) and 37 patients with adult acne (group B) received isotretinoin (Accutane) at a dose of 0.4 mg/kg/day (cumulative dose 100 mg/kg) for 8 months. 30 patients with severe forms of acne vulgaris (group A1) received Accutane at a dose of 0.8 mg/kg/day (cumulative dose 120 mg/kg) for 8 months. The study lasted 24 months. and consisted of 4 visits (1st visit, 4, 8 and 24 months), at each visit photocontrol was performed, the number of inflammatory and non-inflammatory elements was calculated, the DAI index and the degree on the IGA scale were determined. Results. All 139 patients achieved ‘clear’ or almost ‘clear’ skin according to the IGA scale after 8 months of therapy. There was also a statistically significant decrease in non-inflammatory and inflammatory elements in all groups after 4 and 8 months. (p < 0.001). The total DIA score after 8 months was reduced in group A1 by 89.2%, in group A2 by 83.78% and in group B by 80.3%. Acne recurrence after 24 months was determined in five patients. Conclusions. Various regimens of Accutane for moderate and severe acne vulgaris, as well as adult acne, have demonstrated high efficacy and a favorable safety profile.
{"title":"Efficacy and safety of isotretinoin Lidose®","authors":"L. S. Kruglova, N. V. Gryazeva, A. V. Tamrazova","doi":"10.33667/2078-5631-2023-24-36-40","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-24-36-40","url":null,"abstract":"Introduction. Acne is a common chronic inflammatory disease, which is accompanied by severe social stress and reduces the quality of life of patients. Isotretinoin is the gold standard for the treatment of severe and moderate forms of acne, and is also used when there is a risk of developing a post-acne symptom complex and when previous treatment methods are ineffective. Purpose of the study. To determine the effectiveness and safety of various isotretinoin regimens at a dose of 0.4–0.8 mg/kg in patients with moderate to severe acne vulgaris and in patients with adult acne. Materials and methods. A single-center, prospective, parallel, controlled study involved 139 patients with acne vulgaris and adult acne, who were divided into 3 groups. 72 patients with acne vulgaris of moderate severity according to the IGA scale (group A1) and 37 patients with adult acne (group B) received isotretinoin (Accutane) at a dose of 0.4 mg/kg/day (cumulative dose 100 mg/kg) for 8 months. 30 patients with severe forms of acne vulgaris (group A1) received Accutane at a dose of 0.8 mg/kg/day (cumulative dose 120 mg/kg) for 8 months. The study lasted 24 months. and consisted of 4 visits (1st visit, 4, 8 and 24 months), at each visit photocontrol was performed, the number of inflammatory and non-inflammatory elements was calculated, the DAI index and the degree on the IGA scale were determined. Results. All 139 patients achieved ‘clear’ or almost ‘clear’ skin according to the IGA scale after 8 months of therapy. There was also a statistically significant decrease in non-inflammatory and inflammatory elements in all groups after 4 and 8 months. (p < 0.001). The total DIA score after 8 months was reduced in group A1 by 89.2%, in group A2 by 83.78% and in group B by 80.3%. Acne recurrence after 24 months was determined in five patients. Conclusions. Various regimens of Accutane for moderate and severe acne vulgaris, as well as adult acne, have demonstrated high efficacy and a favorable safety profile.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"3 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135391547","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-24-62-65
A. S. Iskra, E. L. Iskra, G. A. Suslova, D. V. Zaslavsky
The search for modern and affordable methods for the treatment of dermatoses remains an urgent problem in domestic dermatology. The results of recent studies indicate the high therapeutic efficacy of various types of magnetotherapy. The course application of a local low-frequency magnetic field reduces the inflammatory response and helps to restore the structure of the epidermis and dermis in the affected areas of the skin. Purpose of the study. To study the safety and efficacy of local magnetic therapy in a limited form of spongiotic dermatosis with a violation of the skin barrier in children and adolescents. Material and methods. The study involved 44 children aged 5 to 16 years. The patients were divided into two groups: the first group combined external therapy and local low-frequency magnetotherapy, the patients of the second group received external therapy and placebo in physiotherapy treatment. Results. According to the study, the efficacy and safety of local magnetic therapy in focal pruritic dermatosis in combination with basic external agents and a faster treatment result with prolonged remission are confirmed. Conclusions. The use of local magnetic therapy in combination with standard external therapy contributes to the relief of clinical symptoms of local eczematous dermatosis and improves the quality of life of patients.
{"title":"Evaluation of effectiveness of complex therapy for limited eczematous (spongiotic) dermatosis in children and adolescents using local low-frequency magnetotherapy","authors":"A. S. Iskra, E. L. Iskra, G. A. Suslova, D. V. Zaslavsky","doi":"10.33667/2078-5631-2023-24-62-65","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-24-62-65","url":null,"abstract":"The search for modern and affordable methods for the treatment of dermatoses remains an urgent problem in domestic dermatology. The results of recent studies indicate the high therapeutic efficacy of various types of magnetotherapy. The course application of a local low-frequency magnetic field reduces the inflammatory response and helps to restore the structure of the epidermis and dermis in the affected areas of the skin. Purpose of the study. To study the safety and efficacy of local magnetic therapy in a limited form of spongiotic dermatosis with a violation of the skin barrier in children and adolescents. Material and methods. The study involved 44 children aged 5 to 16 years. The patients were divided into two groups: the first group combined external therapy and local low-frequency magnetotherapy, the patients of the second group received external therapy and placebo in physiotherapy treatment. Results. According to the study, the efficacy and safety of local magnetic therapy in focal pruritic dermatosis in combination with basic external agents and a faster treatment result with prolonged remission are confirmed. Conclusions. The use of local magnetic therapy in combination with standard external therapy contributes to the relief of clinical symptoms of local eczematous dermatosis and improves the quality of life of patients.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"362 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135393233","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-26-27-30
N. V. Orlova, N. D. Karseladze, O. A. Tiganova, L. I. Ilyenko
An increase in the survival rate of patients who had cancer in childhood determines the need to study the long-term consequences of the treatment. Long-term complications may develop from various organs and systems: active studies of the toxicity of chemotherapy are carried out in the field of pharmacogenetics, respiratory, cardiovascular, sensorineural and endocrine systems, as well as skin, central nervous system, immune system and others. The treatment of acute leukemia carried out in childhood can significantly reduce the quality of life, cause cognitive and psychoemotional disorders. Experts in the field of pediatric hematology-oncology proposed to create an indicator called «survival without pronounced toxicity». A group of scientists initiated an international project to study the outcomes of childhood malignant tumors. Among the long-term consequences, it is planned to assess the quality of life and the development of complications. The study of long-term complications of leukemia treatment will allow us to develop algorithms for the prevention and follow-up of these patients.
{"title":"Long-term effects of chemotherapy in patients with acute leukemia in childhood","authors":"N. V. Orlova, N. D. Karseladze, O. A. Tiganova, L. I. Ilyenko","doi":"10.33667/2078-5631-2023-26-27-30","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-26-27-30","url":null,"abstract":"An increase in the survival rate of patients who had cancer in childhood determines the need to study the long-term consequences of the treatment. Long-term complications may develop from various organs and systems: active studies of the toxicity of chemotherapy are carried out in the field of pharmacogenetics, respiratory, cardiovascular, sensorineural and endocrine systems, as well as skin, central nervous system, immune system and others. The treatment of acute leukemia carried out in childhood can significantly reduce the quality of life, cause cognitive and psychoemotional disorders. Experts in the field of pediatric hematology-oncology proposed to create an indicator called «survival without pronounced toxicity». A group of scientists initiated an international project to study the outcomes of childhood malignant tumors. Among the long-term consequences, it is planned to assess the quality of life and the development of complications. The study of long-term complications of leukemia treatment will allow us to develop algorithms for the prevention and follow-up of these patients.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"21 21","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390324","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-22-36-42
V. S. Barkan, D. V. Drozdov, G. G. Rezvetsov
The article reflects modern concepts about the effect of deep inspiration and breath holding on the heart functioning and the reflection of these processes at ECGs. Positional changes of Q waves, primarily in leads III and aVF, and their possible differences from pathological Q waves are described. Reflex and humoral effects of deep inspiration and breath holding on heart functions such as contractility, automatism and conductivity are considered. Examples of rhythm and conduction disturbances that rarely occur during breath holding are illutrated on ECGs. A recommended variant of the implementation of the deep inspiration ECG test using computer ECG systems is described, which implements continuous ECG recording on free breathing, during inspiration and while holding the breath. This version of the test does not change the operators’ complexity and time of ECG registration.
{"title":"Deep inspiration electrocardiogram test: physiologic mechanisms and diagnostic capabilities","authors":"V. S. Barkan, D. V. Drozdov, G. G. Rezvetsov","doi":"10.33667/2078-5631-2023-22-36-42","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-22-36-42","url":null,"abstract":"The article reflects modern concepts about the effect of deep inspiration and breath holding on the heart functioning and the reflection of these processes at ECGs. Positional changes of Q waves, primarily in leads III and aVF, and their possible differences from pathological Q waves are described. Reflex and humoral effects of deep inspiration and breath holding on heart functions such as contractility, automatism and conductivity are considered. Examples of rhythm and conduction disturbances that rarely occur during breath holding are illutrated on ECGs. A recommended variant of the implementation of the deep inspiration ECG test using computer ECG systems is described, which implements continuous ECG recording on free breathing, during inspiration and while holding the breath. This version of the test does not change the operators’ complexity and time of ECG registration.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"32 41","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135390985","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-25-14-20
A. G. Komarova, N. L. Lyakhova, S. D. Covantsev, E. A. Naryshkina, D. V. Slepukhova
Atrial fibrillation and chronic renal failure are common diseases in the population with similar risk factors. Both conditions are independent riskfactors for the development of thromboembolic complications. There is compelling evidence to support the benefits of anticoagulant therapy for atrial fibrillation in the general population, but in patients with advanced chronic renal failure, the use of anticoagulants may be limited. A number of studies have shown conflicting results, and this topic is of interest for further discussion and a comprehensive analysis of the existing data.
{"title":"Anticoagulant therapy in patients with atrial fibrillation and chronic kidney disease: Arguments for or against","authors":"A. G. Komarova, N. L. Lyakhova, S. D. Covantsev, E. A. Naryshkina, D. V. Slepukhova","doi":"10.33667/2078-5631-2023-25-14-20","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-25-14-20","url":null,"abstract":"Atrial fibrillation and chronic renal failure are common diseases in the population with similar risk factors. Both conditions are independent riskfactors for the development of thromboembolic complications. There is compelling evidence to support the benefits of anticoagulant therapy for atrial fibrillation in the general population, but in patients with advanced chronic renal failure, the use of anticoagulants may be limited. A number of studies have shown conflicting results, and this topic is of interest for further discussion and a comprehensive analysis of the existing data.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"58 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135431419","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-22-29-34
E. G. Seliverstova, M. V. Sinkin, A. Y. Kordonsky, A. A. Grin
Electromyography (EMG) of the lumbar paraspinal muscles (PM) is performed for differential diagnosis of lumbosacral radiculopathy and other proximal peripheral nerve injuries such as lumbosacral plexopathy or sciatic neuropathy. In neurosurgery, EMG of the lumbar PM can clarify the level of the compressed spinal nerve root in polyradiculopathy due to degenerative spinal deasese. In this article we describe in detail the technique of the study, present the factors limiting the use of EMG in the diagnosis of radiculopathy and determination of its anatomical level.
{"title":"Methodology of electromyography of the lumbar paraspinal muscles","authors":"E. G. Seliverstova, M. V. Sinkin, A. Y. Kordonsky, A. A. Grin","doi":"10.33667/2078-5631-2023-22-29-34","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-22-29-34","url":null,"abstract":"Electromyography (EMG) of the lumbar paraspinal muscles (PM) is performed for differential diagnosis of lumbosacral radiculopathy and other proximal peripheral nerve injuries such as lumbosacral plexopathy or sciatic neuropathy. In neurosurgery, EMG of the lumbar PM can clarify the level of the compressed spinal nerve root in polyradiculopathy due to degenerative spinal deasese. In this article we describe in detail the technique of the study, present the factors limiting the use of EMG in the diagnosis of radiculopathy and determination of its anatomical level.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"39 9","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135430672","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 : 2023-11-08DOI: 10.33667/2078-5631-2023-22-20-28
L. B. Ivanov, A. V. Budkevich
It is discussed what actually useful coherent analysis can give in solving the problem of assessing the system- functional organization of cortical rhythms, which underlies the clinical interpretation of quantitative indicators of intracerebral connections. The authors emphasized. That in the basis of the assessment of disorders of the mental function of the brain according to EEG data, one should look for signs of dissociation of the level of wakefulness in non-sleeping people. It is necessary to look for features of the electroencephalographic picture, which can be considered as neurophysiological neurotic patterns and, most importantly, an assessment of the state of the systemic- functional organization of the cortical rhythm, interpreted as a state of hypofrontality. The authors took the path of visual illustration using examples of specific patients with various pathological states of brain function. The features of changes in coherence indices in patients with hyperactivity syndrome, in violation of the function of attention, with mental retardation, in vegetative- vascular dystonia are given. The authors cite the observation of a child with sensorineural hearing loss from birth and connect the fact of a decrease in the level of intertemporal relations, not with the underlying disease, but with the lack of oral speech skills. The paper emphasizes that hypersynchronization of the alpha rhythm is quite pathognomonic to the state of increased anxiety. The authors explain in detail under what states of mental dysfunction the values of the average coherence are more informative, and in which the values of the dominant frequency. In conclusion, the authors complain about the unsatisfactory software capabilities of mathematical processing in some EEG computer systems, so neurophysiologists have unequal opportunities.
{"title":"Coherent analysis in electroencephalography. Experience in the use of coherent analysis in the assessment of disorders of human mental functions in practical electroencephalography. (Lecture three)","authors":"L. B. Ivanov, A. V. Budkevich","doi":"10.33667/2078-5631-2023-22-20-28","DOIUrl":"https://doi.org/10.33667/2078-5631-2023-22-20-28","url":null,"abstract":"It is discussed what actually useful coherent analysis can give in solving the problem of assessing the system- functional organization of cortical rhythms, which underlies the clinical interpretation of quantitative indicators of intracerebral connections. The authors emphasized. That in the basis of the assessment of disorders of the mental function of the brain according to EEG data, one should look for signs of dissociation of the level of wakefulness in non-sleeping people. It is necessary to look for features of the electroencephalographic picture, which can be considered as neurophysiological neurotic patterns and, most importantly, an assessment of the state of the systemic- functional organization of the cortical rhythm, interpreted as a state of hypofrontality. The authors took the path of visual illustration using examples of specific patients with various pathological states of brain function. The features of changes in coherence indices in patients with hyperactivity syndrome, in violation of the function of attention, with mental retardation, in vegetative- vascular dystonia are given. The authors cite the observation of a child with sensorineural hearing loss from birth and connect the fact of a decrease in the level of intertemporal relations, not with the underlying disease, but with the lack of oral speech skills. The paper emphasizes that hypersynchronization of the alpha rhythm is quite pathognomonic to the state of increased anxiety. The authors explain in detail under what states of mental dysfunction the values of the average coherence are more informative, and in which the values of the dominant frequency. In conclusion, the authors complain about the unsatisfactory software capabilities of mathematical processing in some EEG computer systems, so neurophysiologists have unequal opportunities.","PeriodicalId":499576,"journal":{"name":"Medicinskij alfavit","volume":"7 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135392024","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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