scholarly journals POTENTIALS OF SHORT RECORDING OF HEART RATE VARIABILITY IN DISPLAYING SYSTEMIC INFORMATIONAL ENERGY PROCESSES OF THE HUMAN BODY DURING CLINICAL EXAMINATION OF PATIENTS WITH NON-COMMUNICABLE DISEASES

2020 ◽  
Vol 20 (4) ◽  
pp. 78-82
Author(s):  
G.V. Nevoit
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Health Status ◽  
Clinical Examination ◽  
Human Body ◽  
Communicable Diseases ◽  
Functional Health ◽  
Non Communicable Diseases ◽  
Group 2 ◽  
Energy Processes

The article highlights the issues on the improvement of diagnosis and treatment of non-communicable diseases by applying the approaches of systemic medicine and the latest technologies. The aim of the study is to assess the clinical and diagnostic capabilities of a short recording of heart rate variability in displaying systemic informational energy processes of the human body. There has been a necessity to increase the effectiveness of measures for the prevention and treatment of non-communicable diseases in Ukraine through the early diagnosis and the introduction of the latest science-based technologies into medical practice and the development of a scientific concept of magnetoelectrochemical metabolism. An open-label, non-randomized controlled trial was performed. The study of the wave characteristics of the heart rate in functionally healthy respondents of different levels of physical fitness was one of its components. Main group 1 (n=171) and control group 2 (patients with non-communicable diseases and concomitant diseases, n=76) were examined by the method of short recording of heart rate variability using spectral analysis of wave parameters of the heart rate and variation heart rate monitoring. Clinically significant objective signs of changes in the functional state of the patients in group 2 in comparison with the individuals having good functional health status were identified. The significant difference between the indicators of the functional state in the subgroups of the individuals with good functional health has proven the significant clinical sensitivity of the method and the potentials of its applying as an objective tool for structured clinical examination of the health status, as well as for assessment of the therapeutic efficacy in the dynamics of managing patients with non-communicable diseases and determining their prognosis. The method of short recording of heart rate variability can be included into the procedure of objective structured clinical examination of patients with non-communicable diseases.

scholarly journals Analysis of indicators of short recording of heart rate variability in comorbid patients with non-communicable diseases

2021 ◽  
Vol 25 (2(98)) ◽  
pp. 82-88
Author(s):  
G. Nevoit ◽  
M. Potiazhenko
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Spectral Analysis ◽  
Functional State ◽  
Spectral Power ◽  
Modern Science ◽  
Communicable Diseases ◽  
The Body ◽  
Non Communicable Diseases ◽  
Comprehensive Examination

The issues of clinical significance and possibilities of assessing the indicators of variation pulsometry measurement and spectral analysis of a short recording of heart rate variability are highlighted in the article. This is necessary as an objective justification for the subsequent assessment of the functional state of the body and a comprehensive examination of comorbid patients for non-communicable diseases.The aim of the study was to assess the clinical and diagnostic value of a short recording of heart rate variability in comorbid patients with non-communicable diseases in order to increase the effectiveness of measures for their prevention and treatment in Ukraine by improving their diagnosis and prevention through the introduction of modern science-intensive technologies into medical practice.Material and methods. 174 comorbid patients with non-communicable diseases were examined by registering a short record of variability on the hardware-soft-ware complex Poly-Spectrum (Neurosoft, Russia) and the analysis of the results was done. The patients were divided into three groups depending on the degree of comorbidity.Results. Significant differences in spectral analysis and variation pulsometry measurements were established in patients with non-communicable diseases, depending on the degree of comorbidity.Conclusions. The expediency of using the method of short recording of heart rate variability in a comprehensive examination of comorbid patients has been established. The indicator of the total spectral power of the heart rate can be recommended for use as an additional independent predictor of the severity of comorbid pathology and assessment of the functional state.

Evaluation of the clinical effectiveness of the method for determining the personalized correction of the patient’s lifestyle and new promising predictors

2021 ◽  
Author(s):  
G. V. Nevoit
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Body Composition ◽  
Spectral Analysis ◽  
Muscle Mass ◽  
Healthy Lifestyle ◽  
Fat Metabolism ◽  
Communicable Diseases ◽  
Controlled Study ◽  
Non Communicable Diseases

Objective — to assess the clinical and diagnostic efficiency of the method for determining the personified correction of the patient’s lifestyle targeted on the increase the effectiveness of measures for the prevention and treatment of non‑communicable diseases in Ukraine. Materials and methods.  Method of the direct assessment of the personified correction of the patient’s lifestyle was applied to 247 respondents (60 functionally healthy athletes, 111 functionally healthy non‑athletes, 76 patients with NCDs) in the open, non‑randomized, controlled study using valeological testing, instrumental bioimpedance measurement, and analysis of a short recording of Heart Rate Variability. Results. Cluster differences have been reveled between the groups as regards the formation of a healthy lifestyle; non‑compliance with the principles of healthy lifestyle in the groups of functionally healthy non‑athletes and patients with NCDs, which was confirmed by significant difference in the indicators of body composition (deficiency of muscle mass, impaired fat metabolism), spectral analysis, variational pulsometry is a short recording of heart rate variability. Results. Cluster differences in the formation of the level of a healthy lifestyle, non‑compliance with the principles of healthy lifestyle in the groups of functionally healthy non‑athletes with NCDs were found. This was confirmed by personalized analysis data, significant differences in body composition indicators (lack of muscle mass, impaired fat metabolism), spectral analysis, variational pulsometry, short recording of heart rate variability. Conclusions. The method for determining the personalized correction of the patient’s lifestyle is an effective method for identifying and preventing non‑communicable diseases, in particular at account of the possibility to assess the novel early predictors — the content of muscle tissue and the functional state of the body based on the results of the analysis of a short recording of heart rate variability.  

scholarly journals CARDIOVASCULAR CONTINUUM IN THE RESULTS OF SHORT RECORDING OF HEART RATE VARIABILITY: POSSIBILITIES OF INSTRUMENTAL DIAGNOSTICS

2021 ◽  
Vol 20 (2) ◽  
Author(s):  
G.V. Nevoit ◽  
M.M. Potyazhenko
Keyword(s):  
Heart Rate ◽  
Heart Rate Variability ◽  
Study Groups ◽  
Communicable Diseases ◽  
Control Group ◽  
Non Communicable Diseases ◽  
Software Complex ◽  
Electromagnetic Power ◽  
Spectral Components ◽  
Cardiovascular Continuum

The issues of clinical significance and possibilities of using the assessment of spectralanalysis indicators of a short recording of heart rate variability for assessing thefunctional state of patients in accordance with the stages of the cardiovascularcontinuum in non-communicable diseases are described in the article.The aim of the study – to carry out a comparative assessment of the indicators of ashort recording of heart rate variability in respondents with different stages of thecardiovascular continuum in order to increase the effectiveness of measures for theprevention and treatment of non-communicable diseases in Ukraine by improvingtheir diagnosis and prevention through the introduction of modern science-intensivetechnologies into medical practice.Material and methods. 307 respondents were surveyed using the Poly-Spectrumhardware-software complex (Neurosoft, Russia). All of them underwent registrationand analysis of a short recording of heart rate variability. 200 comorbid patients withnon-communicable diseases were divided into four subgroups depending on the stage ofthe cardiovascular continuum and the degree of comorbidity. 107 functionally healthyindividuals (control group) were divided into two subgroups depending on the level ofsports training.Results. A decrease in the electromagnetic power (total and all spectral components)was found in patients with non-communicable diseases, depending on the stage of thecardiovascular continuum. The results of personalized analysis of spectral parametersin all study groups were presented and their medical-clinical interpretation was written.Conclusion. Non-communicable diseases are accompanied by a gradual decreasein the electromagnetic power (total and all spectral components) of cardiac activityin accordance with an increase in the degree of comorbidity and progression of thecardiovascular continuum. The clinical and diagnostic value of a short recording ofheart rate variability as a method for diagnosing a functional state and the expediencyof its use in a comprehensive examination of patients in a clinic of internal diseaseshave been confirmed.

scholarly journals Associations Between Heart Rate Variability Measured With a Wrist-Worn Sensor and Older Adults’ Physical Function: Observational Study

10.2196/13757 ◽  
2019 ◽  
Vol 7 (10) ◽  
pp. e13757 ◽  
Author(s):  
Sarah Anne Graham ◽  
Dilip V Jeste ◽  
Ellen E Lee ◽  
Tsung-Chin Wu ◽  
Xin Tu ◽  
...  
Keyword(s):  
Older Adults ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Health Status ◽  
Physical Health ◽  
Physical Function ◽  
Significant Proportion ◽  
Physical Health Status ◽  
Sf 36 ◽  
Composite Scores

Background Heart rate variability (HRV), or variation in beat-to-beat intervals of the heart, is a quantitative measure of autonomic regulation of the cardiovascular system. Low HRV derived from electrocardiogram (ECG) recordings is reported to be related to physical frailty in older adults. Recent advances in wearable technology offer opportunities to more easily integrate monitoring of HRV into regular clinical geriatric health assessments. However, signals obtained from ECG versus wearable photoplethysmography (PPG) devices are different, and a critical first step preceding their widespread use is to determine whether HRV metrics derived from PPG devices also relate to older adults’ physical function. Objective This study aimed to investigate associations between HRV measured with a wrist-worn PPG device, the Empatica E4 sensor, and validated clinical measures of both objective and self-reported physical function in a cohort of older adults living independently within a continuing care senior housing community. Our primary hypothesis was that lower HRV would be associated with lower physical function. In addition, we expected that HRV would explain a significant proportion of variance in measures of physical health status. Methods We evaluated 77 participants from an ongoing study of older adults aged between 65 and 95 years. The assessments encompassed a thorough examination of domains typically included in a geriatric health evaluation. We collected HRV data with the Empatica E4 device and examined bivariate correlations between HRV quantified with the triangular index (HRV TI) and 3 widely used and validated measures of physical functioning—the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG), and Medical Outcomes Study Short Form 36 (SF-36) physical composite scores. We further investigated the additional predictive power of HRV TI on physical health status, as characterized by SF-36 physical composite scores and Cumulative Illness Rating Scale for Geriatrics (CIRS-G) scores, using generalized estimating equation regression analyses with backward elimination. Results We observed significant associations of HRV TI with SPPB (n=52; Spearman ρ=0.41; P=.003), TUG (n=51; ρ=−0.40; P=.004), SF-36 physical composite scores (n=49; ρ=0.37; P=.009), and CIRS-G scores (n=52, ρ=−0.43; P=.001). In addition, the HRV TI explained a significant proportion of variance in SF-36 physical composite scores (R2=0.28 vs 0.11 without HRV) and CIRS-G scores (R2=0.33 vs 0.17 without HRV). Conclusions The HRV TI measured with a relatively novel wrist-worn PPG device was related to both objective (SPPB and TUG) and self-reported (SF-36 physical composite) measures of physical function. In addition, the HRV TI explained additional variance in self-reported physical function and cumulative illness severity beyond traditionally measured aspects of physical health. Future steps include longitudinal tracking of changes in both HRV and physical function, which will add important insights regarding the predictive value of HRV as a biomarker of physical health in older adults.

scholarly journals Pelatihan deteksi dini kanker payudara pada masyarakat dan kader Posbindu PTM di RW 8 Kelurahan Air Putih Kecamatan Tampan Kota Pekanbaru

2019 ◽  
Vol 1 ◽  
pp. 368-374
Author(s):  
Tuti Restuastuti ◽  
Viviyanti Viviyanti ◽  
Ridha Restila ◽  
Ilhami Romus
Keyword(s):  
Breast Cancer ◽  
Community Service ◽  
Clinical Examination ◽  
Communicable Diseases ◽  
Active Participation ◽  
Community Response ◽  
Non Communicable Diseases ◽  
Breast Examination ◽  
Question And Answer ◽  
And Control

Breast cancer is the most frequent cancer among women. WHO data states that in 2018 an estimated 627,000 women die from breast cancer or approximately 15% of all cancer deaths among women. However, the survival of patients with breast cancer is quite high when detected early. Posbindu PTM RW 08 Air Putih is a posbindu guided by FK UNRI to prevent and control non-communicable diseases, including breast cancer. Therefore, increasing the ability of Posbindu PTM cadres to conduct BSE socialization (Self Breast Examination) is necessary. The form of community service is BSE training in the community and Posbindu PTM cadres. In addition, participants were facilitated for examinations by specialist doctors. The activity was attended by 16 participants, beginning with the material about Posbindu PTM, breast cancer, BSE practice and screening for participants who have symptoms of breast cancer. Evaluation of activities was assessed by active participation and community response to the question and answer session. Participants can also re-practice BSE. The results of the examination of three participants who were examined by a doctor, suspected (suspect) 1 person FAM, 1 person Carcinoma mammae, and 1 other person did not. The suspected participants were suggested to immediately conduct a clinical examination and ask the RW to help them obtaining BPJS.

scholarly journals Association between non-communicable diseases and satisfaction with healthcare and self-rated health: experiences from post-conflict communities

2020 ◽  
pp. 86-86
Author(s):  
Jovana Milosevic ◽  
Marija Milic ◽  
Momcilo Mirkovic ◽  
Nenad Milosevic ◽  
Tatjana Novakovic ◽  
...  
Keyword(s):  
Health Status ◽  
Waiting Time ◽  
Vegetable Intake ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Multinomial Regression ◽  
Non Communicable Diseases ◽  
Negatively Associated ◽  
Self Rated Health ◽  
Post Conflict

Introduction/Objective. Estimating the prevalence of non-communicable diseases (NCD), multimorbidities, and their association with self-rated health as well as satisfaction with healthcare. Methods. This cross-sectional study was conducted among ethnic Serb communities at Kosovo and Metohija during 2015?2016. Data of sociodemographic and lifestyle characteristics, self-rated health status and satisfaction with healthcare was obtained through a survey which included 1 067 adults, 535 of whom reported presence of non-communicable disease. Multinomial regression was performed to analysis factors associated with self-rated health and self-rated satisfaction with the healthcare. Results. Presence of one NCD was reported by 50.1% respondents, whereas 23.1% of the respondents reported multimorbidity. While self-reported NCD presence was negatively associated with self-rated health (p: 0.001-0.016), no association between NCDs and satisfaction with healthcare was observed (p: 0.178-0.974). Being single (p: 0.011-0.017), lower educational level (p: 0.031-0.047), regular breakfast (p = 0.032), frequent vegetable intake (p: 0.009-0.029), no alcohol use (p = 0.010), shorter waiting time (p: 0.001-0.004) and sufficient finance for dental care (p = 0.021) were factors statistically significantly correlated with greater satisfaction with the healthcare. Conclusion. Presence of non-communicable diseases was negatively associated with self-rated health status, while shorter waiting time and adequate finances were associated with higher level of satisfaction with the healthcare. The results of our study could be of the importance for policy makers in creating the more effective healthcare service in unstable political and security situations.

scholarly journals Effects of agomelatine on heart rate variability in patients with coronary artery disease and depression

2021 ◽  
Vol 10 (1) ◽  
pp. 40-49
Author(s):  
T. G. Nonka ◽  
E. V. Lebedeva ◽  
A. N. Repin
Keyword(s):  
Coronary Artery Disease ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Coronary Artery ◽  
Chronic Coronary Artery Disease ◽  
Depressed Patients ◽  
Significant Difference ◽  
Life Threatening ◽  
Group 2 ◽  
Artery Disease

Aim. To determine heart rate variability (HRV) in depressed patients with chronic coronary artery disease (CAD) and to assess the effects of agomelatine on HRV.Methods. 74 patients with CAD (class 3-4 angina pectoris) were recruited in a study. Patients (n = 45) with CAD and depression were assigned to Group 1, whereas CAD patients (n = 29) without any signs of depression were assigned to Group 2. 17 patients received agomelatine (Subgroup 1) and 28 patients did not take any antidepressants (Subgroup 2). HRV was measured using SCHILLER MT-200 Holter-ECG apparatus at baseline and after 6 months.Results. Patients with depression demonstrated a significant decrease in HRV compared to non-depressed patients (pNN50% (3.9 [2.2; 5.4] vs 5.7 [2.9; 12.6], p = 0.03), SDANN (81 [63; 97] ms vs 91 [79; 102] ms, p = 0.06), SDNNindx (46 [36; 56] ms vs 55 [48; 66] ms, p = 0.002), rMSSD (28 [21; 36] ms vs 33 [ 29; 45] ms, p = 0.02), SDNN (97 [75; 121] ms vs 110 [98; 127] ms, p = 0.02). Subgroups 1 and 2 did not differ in HRV (p>0.05). After 6 months, significant differences in the following parameters were found in those patients who received agomelatine therapy and those who did not: rMSSD (36.5 [28.5; 51] ms vs 26.5 [25; 32] ms, p = 0.02), SDANN (88 [72,5; 114,5] ms vs 67,5 [58; 83] ms, p = 0.03), SDNN strives to a significant difference - 100 [87; 133.5] ms vs 85.5 [75; 103] ms, p = 0.07.Conclusion. HRV significantly decreased in depressed patients with CAD suggesting autonomic dysfunction and worsening their prognosis. Agomelatine therapy in patients with CAD is effective in treating heart rate variability and reducing the risk of developing life-threatening arrhythmias.Key

scholarly journals Health Status of Tribals at Kallakinaru, Kodaikanal Hills, Tamil Nadu

2019 ◽  
Vol 8 (4) ◽  
pp. 286-288
Keyword(s):  
Health Status ◽  
Tamil Nadu ◽  
Heart Diseases ◽  
Communicable Diseases ◽  
Health Condition ◽  
Scientific Development ◽  
Technological Advancement ◽  
Non Communicable Diseases ◽  
Education And Health ◽  
The People

Development of health and longevity of people is equally important as the economic and social development of the people in a country. Prosperity and productivity of a nation depend upon the quality of population which in turn is determined by the education and health status of the people. Technological advancement and scientific development indicate the development of education, but the health condition of the people is not up to the mark as we compare with the scientific advancement. It is a fact that most of the people are suffering from non-communicable diseases such as blood pressure, diabetes, cancer, kidney, lung and heart diseases. Most of the deaths are also take place due to non-communicable diseases. Therefore, the authors made an attempt to examine the health status of kallakinaru tribals at kodaikanal hills, Tamilnadu. It is vivid that most of the people in the village are suffering from many human ailments due to illiteracy and inadequate income.

scholarly journals Health of refugees and migrants from former Soviet Union countries in the Russian Federation: a narrative review

2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nataliia Bakunina ◽  
Artyom Gil ◽  
Vitaly Polushkin ◽  
Boris Sergeev ◽  
Margarita Flores ◽  
...  
Keyword(s):  
Health Status ◽  
Soviet Union ◽  
Infectious Diseases ◽  
Russian Federation ◽  
Former Soviet Union ◽  
Communicable Diseases ◽  
Narrative Review ◽  
Basic Knowledge ◽  
Non Communicable Diseases ◽  
The Russian Federation

Abstract This narrative review was conducted to synthesize and summarize available up-to-date evidence on current health status, including both non-communicable diseases and infectious diseases, of migrants and refugees from the former Soviet Union countries in the Russian Federation. Epidemiological and sociological studies with one or more determinants of the health, as well as relevant qualitative studies characterizing risk factors, well-being indicators, and lifestyles of migrants and refugees from the former Soviet Union countries in Russia published from 2004 to 2019 in Russian and English languages were included in the review. Despite significant limitations of the available research literature in the field, some patterns in migrants’ health in Russia and issues that need to be addressed were identified. In particular, the syndemic epidemics of communicable and non-communicable diseases, additively increasing negative health consequences, including cardiovascular diseases and chronic digestive system diseases, high rates of sexually transmitted infections and HIV, respiratory diseases and a growing percentage of new tuberculosis cases among migrants from the former Soviet Union countries are all of great concern. Possibly, the burden of these co-occurring morbidities is linked to commonly reported issues among this population group, such as poor nutrition and living conditions, high prevalence of unskilled manual labour, non-compliance with sanitary norms, lack of basic vaccinations, lack of basic knowledge about safe sexual practices and risky sexual behaviour, low healthcare seeking behaviour and limited access to health care. Importantly, these findings may urge the government to increase efforts and promote international collaboration in combating the threat of infectious diseases. Additionally, it was found that migrants had higher levels of anxiety and post-traumatic stress disorder, and those who stayed in the receiving country 5 years or more had a higher level of somatic pathology than those whose stay was less than 5 years. In order to ensure an adequate health system response and fulfil the main Universal Health Coverage principle of “leaving no one behind”, a robust monitoring system of the health status of refugees and migrants and an integrated legal framework for the standardized and more inclusive routine care for this population in Russia is urgently needed.

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