scholarly journals Current approaches to alternative therapy in menopausal syndrome (a review)

2018 ◽  
Vol 12 (2) ◽  
pp. 39-47
Author(s):  
A. G. Mamontova ◽  
Е. N. Usoltseva

Vasomotor symptoms are most common signs of the menopausal syndrome. Frequent episodes of flushes and hyperhidrosis affect sleep, mood, and quality of life. Menopausal hormone therapy (MHT) remains the «gold standard» of treatment. However, some women have contraindications to MHT, and others refuse to take hormones due to personal reasons. In such cases, alternative therapy may become an option. This article presents a review of the literature regarding the role of alternative therapy in the treatment of vasomotor symptoms. We searched Russian and international data bases for pharmacological products (natural and synthetic) used to relieve menopausal flushes. The review presents medication registered in the Russian Federation as well as products used abroad.

Nutrients ◽  
2021 ◽  
Vol 13 (2) ◽  
pp. 370
Author(s):  
Umair Iqbal ◽  
Ravirajsinh N. Jadeja ◽  
Harshit S. Khara ◽  
Sandeep Khurana

Hepatic encephalopathy (HE) is a common neurological consequence in patients with cirrhosis and has a healthcare burden of USD 5370 to 50,120 per patient annually. HE significantly hampers the quality of life and is a major cause of morbidity and mortality. Patients with cirrhosis are at a high risk for protein-calorie malnutrition due to altered metabolism. Current evidence has changed the old belief of protein restriction in patients with cirrhosis and now 1.2 to 1.5 g/kg/day protein intake is recommended. Case series and studies with small numbers of participants showed that a vegetarian protein diet decreases the symptoms of HE when compared to a meat-based diet, but the evidence is limited and requires further larger randomized controlled trials. However, vegetable or milk-based protein diets are good substitutes for patients averse to meat intake. Branch chain amino acids (BCAA) (leucine, isoleucine and valine) have also been shown to be effective in alleviating symptoms of HE and are recommended as an alternative therapy in patients with cirrhosis for the treatment of HE. In this review, we provide an overview of current literature evaluating the role of protein intake in the management of HE in cirrhosis.


2020 ◽  
Vol 11 (2) ◽  
pp. 88-95
Author(s):  
Mairead Currie

When people hear the word cancer in relation to a loved one, the wave of emotion that follows can be devastating. Due to the complexity of oncology, a suspected or confirmed diagnosis often leads to large volume of information detailing the next steps and possible options. Pets are no exception and when owners are required to make emotive decisions with limited time to deliberate, it is the responsibility of the veterinary surgeons and nurses to provide up-to-date knowledge, guiding them to make the best decision both for themselves and their pets. This article explores the prevalence of neoplasia and the role of the first-opinion practice in diagnosis and treatment of neoplasms in pets. It also looks at the recognition of paraneoplastic syndromes in cancer patients and the importance of implementing gold-standard chemotherapy protocols. Understanding key aspects of the most common neoplasms in dogs and cats and their potential treatments helps to manage owner expectation in the practice setting. However, the ability to empathise and convey the importance of quality of life is also fundamental when supporting an owner and their animal through their cancer journey.


Cephalalgia ◽  
2008 ◽  
Vol 28 (5) ◽  
pp. 474-483 ◽  
Author(s):  
BA Robertson ◽  
ME Morris

This systematic review evaluates the strength of the evidence for the role of cervical musculoskeletal dysfunction in migraine. In this review, cervical musculoskeletal dysfunction will refer to the abnormal sensory afferentation from cervical region structures contained within the receptive field of the trigeminocervical nucleus. Electronic database searches using MEDLINE, PubMed and CINAHL were performed, and 17 studies investigating cervical musculoskeletal dysfunction in people with migraine were selected for review. The methodological quality of the included studies was assessed by two independent reviewers using a customized checklist. The review found that intersubject differences were inadequately reported and controlled, which resulted in grouping of participants with varying pathologies and symptoms. A diverse range of assessment procedures was used by the reviewed studies, which made comparison of their findings difficult. The assessment procedures were mainly used to quantify the degree of cervical musculoskeletal dysfunction, rather than to identify a cause and effect relationship between cervical structure and migrainous pain. Although animal study evidence proposes a role for cervical musculoskeletal dysfunction in migraine, this systematic review of the literature found that there is currently no convincing evidence to confirm this phenomenon in humans.


Author(s):  
Sergey Ustinkin ◽  
◽  
Irina Kuvakova ◽  

The article describes the role of linguistic security in the digital era society and the advantages of the innovation associated with using distance alternative services (DAS) in education with the purpose of implementing training programs and developing communities within specific territories. The multi-innovative approach, described in the article, presupposes implementing the initiatives of the President of the Russian Federation and developing mechanisms for achieving the goals specified in the national program “New Quality of Life 2024” which seeks to improve the social wellbeing of the population of Russia, of partners within the “inner circle,” and of member countries of the commonwealths identified in the UN project in the field of education, aimed at sustainable development and collective security, including linguistic security.


Author(s):  

Objective: To understand the availability and use of integrative and complementary practices by the SUS; as well as to evaluate two of the various therapy options, chromotherapy and aromatherapy, in relation to their effectiveness and benefits for patients. Method: This is an integrative review of the literature available in the PUBMED and SciELO database, using the descriptors: “Aromatherapy”, “Chromotherapy” and “Alternative Therapy”, duly registered in MeSH/DeCS, using the boolean operator AND. Twenty-nine articles were found, 25 evaluated and, at the end, 11 selected to compose this review. The inclusion criteria were: complete articles, available free of charge, published in English, from 2012 to 2020. Results: The inclusion of integrative and complementary practices (ICPs) in the Sistema Único de Saúde (SUS) was through the Política Nacional de Práticas Integrativas e Complementares (PNPIC), supported through the Portaria GM/ MS no 971, on May 3, 2006. Brazil is the country characterized as a world reference in the field of ICPs in basic attention. Conclusion: However, several cases of use of chromotherapy and aromatherapy as alternative therapies to promote patient’s health, relieve pain and, among other unique symptoms in each case, were evaluated, and the therapies used proved their efficacy and safety for patients, as well as improved the quality of life of these people.


2021 ◽  
Vol 26 (6) ◽  
pp. 272-277
Author(s):  
Salma Balhi ◽  
Rym Baati Arfaouni ◽  
Ali Mrabet

Intermittent catheterisation (IC) has been in practice for more than 40 years and is considered the gold standard in the management of urinary retention in the neurological bladder. IC has many advantages over indwelling urethral or suprapubic catheterisation, including reducing the risk of infection, protecting the bladder and improving quality of life. However, complications can be caused by the practice of this technique, the most common of which is infection. This review discusses some of the common complications that can occur with the use of intermittent catheterisation, including urinary tract infection (UTIs) and urethral complications. It also highlights the role of the nurse in the management of its complications.


2014 ◽  
Vol 22 (1) ◽  
pp. 21-27
Author(s):  
Józef Opara

Abstract The question of the role of physical activity in preventing disability in neurological diseases is the issue which is not in doubt. There is well known that physical activity in Parkinson`s disease and in Multiple Sclerosis patients is less than is the case in the general population. Numerous scientific studies have confirmed the low physical activity of people with PD and MS. Improving physical activity delays the progress of physical disability and has the effect on increasing the quality of life in those two diseases. In this paper an descriptive review of the literature devoted to the effect of physical activity on risk of PD and its impact on disability progression in PD and MS has been presented. The different recommendations for physical activity and different methods of assessment have been described.


Author(s):  
Д. Андрюкова ◽  
D. Andryukova ◽  
Н. Виноградова ◽  
N. Vinogradova

In modern socio-cultural conditions, there is a request for professional growth of the teacher. It is confirmed by the decree of the President of the Russian Federation (5) and teachers (1). The problem is to increase the number and level of complexity of the requirements for teachers and the lack of theoretical and practical information base for both working and future teachers. The purpose of the study: to develop a Handbook designed to help in the possible implementation of the request for professional growth of the teacher, the formation of the teacher-leader. Research problem: 1) to study the features of teachers ' perception of the phenomenon of leadership and understanding the role of a leader for a teacher within his profession. 2) to analyze the difficulties in the pedagogical sphere, relevant at the moment. 3) the opinions of teachers about the specifics of their profession are revealed. The topic of the phenomenon of leadership in the pedagogical sphere and improving the quality of education was considered in the works of M. Barber, M. Murshed [2], I.B. Bicheva, O.M. Filatova [3], S.S. Lutkin [4], I.L. Feldman [6], S.N. Yaroshenko [7].


2021 ◽  
pp. 51-58
Author(s):  
A. V. Demin ◽  
I. V. Rybalchenko ◽  
I. V. Milkina

The subject of the study is administrative barriers in the provision of public services to individuals and business entities in the Russian Federation. The article proposes methods of analysis of the quality of providing public and municipal services to the population and economic entities. The paper investigates the degree of openness of public authorities. The authors propose a systematic approach to the study of the causes and conditions of administrative barriers, as well as an effective universal system of measures designed to eliminate such barriers and improve the quality of the state’s response to public requests. The paper studied methods of combating administrative barriers in a practical application with the establishment of the main techniques and methods of public administration, the methodology for eliminating administrative barriers. The authors analyze the role of self-regulation, professional communities and social networks in removing administrative barriers.


Author(s):  
Ayaz Gasimov

The author examines the problems connected with the position of the prosecutor in a criminal process from the standpoint of the effectiveness of the prosecutor’s work. Specifically, using statistical data on the situation with the legality and the quality of preliminary investigations and the results obtained by other Russian scholars who researched this issue, the author shows that the transfer of investigators from the jurisdiction of the prosecutor’s office to a newly created independent Investigation Committee of the Russian Federation, the transfer of the right to the procedural guidance of the investigation from the prosecutor to the head of the investigation body, revoking the prosecutor’s right to coordinate the decision of the investigator, inquirer, or an inquiry body to initiate a criminal case, and in general the right to do it — all of these, in fact, improved the effectiveness of the supervisory function and, consequently, improved the legality and quality of preliminary investigations. At the same time, the author presents his own view on the directions of improving the effectiveness of the role of the prosecutor in the pre-trial proceeding, which should ensure a general sustainable development of Russian criminal procedure legislation.


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