The effectiveness of the photobioacoustic complex in children with somatoform autonomic dysfunction suffering from frequent acute recurrent infections

Purpose: To optimize the treatment of children with somatoform autonomic dysfunction suffering from frequent acute recurrent infections with the use of physiotherapy methods. Research methods: The study of 140 children with somatoform autonomic dysfunction suffering from frequent recurrent infections included the analysis of the data on developmental histories (form № 026/in «Children’s Medical Card for School» and form 112/ «History of Child Development»), clinical complaints, functional (ECG and cardiointerval recording) and vegetative indicators (Kerdo, Hildebrandt, Baevsky-Parin indices) before and after the use of the photobioacoustic complex, which includes: biofeedback bioacoustic impact on the head area and LLLR on the projection of the cubital area and thymus. The ECG was performed on the device of the «Shiller» company (Switzerland) with a computer console for cardiointerval recording. The vegetative indices were studied on the «Poly-Spectr» device of Neurosoft (Russia). LLLR was performed on the «Milta» (l=0,89 mcm) on the overhead projection area at a frequency of 80Hz for 5 minutes and on the projection zone of the thymus at a frequency of 1500 Hz for 3minutes, as responsible for immune support. The total duration is 8–9 minutes (children of 7–8 years — 5–8 minutes; children of 9–12 years — 8–9 minutes). Bioacoustic effects on the head area were performed on the hardware-computer complex of acoustic correction (biofeedback bioacoustic correction) «SINKHRO-S» (Russia). Results: Parasympathicotonia (VI) was identified in 35% (18,5% of boys, 16,4% of girls); sympathicotonia (SA) — in 54,1% (28,5% of boys, 25,7% of girls); a mixed type of vegetative dystonia — in 10,9% (4,4% of boys, 6,5% of girls). Subjective complaints of children with somatoform autonomic dysfunction suffering from frequent recurrent infections had a brighter picture than those of children without an infectious factor. Gender-age differences in subjective complaints of children with somatoform autonomic dysfunction, which correlated with vegetative types: sympathoadrenal (SA), parasympathetic or vagoinsular (VI) and mixed (eutonia, C), have been identified. Conclusion: The developed photobioacoustic complex provides a high correction of index indicators of vegetative tension and vegetative reactivity in children with elevated Kerdo and Baevsky-Parin indices. After the reduction of these indicators, the elimination of correlations between them was noted, which positively affected the vegetative reactivity and parameters of myocardial bioelectrogenesis.

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Vegetative Indices in Assessing Effectiveness of the Photobioacoustic Complex in Children with the Vegetative Nervous System Somatoform Dysfunction, often Suffering from Acute Recurrent Infections

Journal of restorative medicine and rehabilitation ◽

10.38025/2078-1962-2021-20-4-65-71 ◽

2021 ◽

Vol 20 (4) ◽

pp. 65-71

Author(s):

Natalya G. Kulikova ◽

Tatyana V. Konchugova ◽

Inna V. Volkova ◽

Albina S. Tkachenko

Keyword(s):

Nervous System ◽

Recurrent Infection ◽

Allergic Diseases ◽

Treatment Programs ◽

Healthy Children ◽

Recurrent Infections ◽

Vegetative Nervous System ◽

Cardiac Syndrome ◽

Before And After ◽

Vegetative Indices

Photobioacoustic methods of complex exposure allow correcting vegetative, vascular-cardiac disorders in children with autonomicnervous system somatoform dysfunction syndrome (ANSSDS) without pharmacological load. Aim. To optimize the treatment of children with somatoform vegetative dysfunction (ANSSDS), often suffering from recurrent infections,using physiotherapy methods.The aim of the study was to optimize the treatment of children with somatoform vegetativedysfunction, often suffering from recurrentinfections, using physiotherapy methods. Material and methods. The study included 140 children with autonomic nervous system somatoform dysfunction syndrome (ANSSDS),often suffering from recurrent infection. For the first time, clinical complaints, functional (ECG and cardiointerval recording KIR)and vegetative indicators (Kerdo, Hildebrandt index, Biend, Baoev-Parin) before/after application of the innovative photobioacousticcomplex, including: BАС-BFB-bioacoustic effects on the head and LLLR on the projection of the cubital region and thymus were analyzed.The duration of the procedure was 30 minutes and the course of treatment was 10 procedures. Before and after the procedures,vegetative indices and indicators of myocardial bioelectrogenesis were examined, comparing them with the norm in healthy children. Results. 35% of children were diagnosed with parasympathicotonia (sympathetic imbalance -SI); 54.1% – sympathetic (SA) and10.9% – mixed (etonia – E) type of vegetative dystonia. There were reveled gender-age differences in subjective complaints of childrenwith ANSSDS, whose index vegetative indicators were correlated with the type of vegetative support. Children with SA were 2.5 timesmore likely to be diagnosed with cardiac syndrome and elevated blood pressure; in children with SI – 3.5 times more often detected:gastric, astheenoeurotic syndrome and allergic diseases; in children with E: asthenonevrotic, neurosis-like disorders and sleep disturbancesthat were differentiated after the use of photobioacoustic complex. Complaints and vegetative indices in children with SI andE were corrected more significantly than in SA. Conclusion. Evaluation of vegetative indicators in children 7-12 years with ANSSDS, often suffering from recurrent infection, allows topersonify treatment programs and reduce the level of acute recurrent morbidity by 2.5 times.

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Case Exercise: Toxic Exposure-Related Illness: Causation, Diagnosis, and Permanent Impairment

Guides Newsletter ◽

10.1001/amaguidesnewsletters.2007.marapr02 ◽

2007 ◽

Vol 12 (2) ◽

pp. 4-8

Author(s):

Frederick Fung

Keyword(s):

Concentration Level ◽

Treatment Plan ◽

Toxic Exposure ◽

Dose Response Relationship ◽

Specialty Board ◽

History Of ◽

Subjective Complaints ◽

Based Medicine ◽

Illness Causation ◽

Rule Out

Abstract A diagnosis of toxic-related injury/illness requires a consideration of the illness related to the toxic exposure, including diagnosis, causation, and permanent impairment; these are best performed by a physician who is certified by a specialty board certified by the American Board of Preventive Medicine. The patient must have a history of symptoms consistent with the exposure and disease at issue. In order to diagnose the presence of a specific disease, the examiner must find subjective complaints that are consistent with the objective findings, and both the subjective complaints and objective findings must be consistent with the disease that is postulated. Exposure to a specific potentially causative agent at a defined concentration level must be documented and must be sufficient to induce a particular pathology in order to establish a diagnosis. Differential diagnoses must be entertained in order to rule out other potential causes, including psychological etiology. Furthermore, the identified exposure at the defined concentration level must be capable of causing the diagnosis being postulated before the examiner can conclude that there has been a cause-and-effect relationship between the exposure and the disease (dose-response relationship). The evaluator's opinion should make biological and epidemiological sense. The treatment plan and prognosis should be consistent with evidence-based medicine, and the rating of impairment must be based on objective findings in involved systems.

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Study of Diabetic Mellitus and Knowledge of Lotion Foot Care on the Community

International Journal of Pharmaceutical Quality Assurance ◽

10.25258/ijpqa.v9i3.13659 ◽

2018 ◽

Vol 9 (3) ◽

Author(s):

Hariyadi DM ◽

Athiyah U ◽

Hendradi E ◽

Rosita N ◽

Erawati T ◽

...

Keyword(s):

Blood Glucose ◽

T Test ◽

Small Scale ◽

Scale Production ◽

Foot Care ◽

Diabetic Mellitus ◽

Glucose Levels ◽

Blood Glucose Levels ◽

Before And After ◽

History Of

The prevention of Diabetic Mellitus (DM) and its complications is the main aim of this study, in addition to the training of lotion foot care application and the development of small scale industry. The research team delivered knowledge in the form of training on Diabetic Mellitus, healthy food, treatment and prevention of complications, and small-scale production of cosmetic products. The aim of this study was to determine the correlation between training on diabetic and lotion foot care application as preventive measures against diabetic complications on the patient's blood glucose levels in the community of residents in Banyuurip Jaya, Surabaya. It was expected from this training that the knowledge of the residents increases and people living with diabetic undergo lifestyle changes and therefore blood sugar levels can be controlled. The parameters measured in this research were blood glucose levels, the anti diabetic drug types consumed, and compliance on diabetics. This study used the data taken from 60 patients with DM over a period of one month. Questionnaires and log books was used to retrieve data and changes in blood glucose levels in diabetic patients. The results showed the demographic data of patients with type 2 diabetic of 85% female and 15% male, with the range of patients aged of 61-70 years of 46.67% and had history of diabetic (90%). The history of drugs consumed by respondents was anti diabetic drugs such as metformin (40%), glimepiride (33.37%) and insulin (6.67%). In addition, the increased knowledge of DM patients after being given the training compared to before training was shown in several questions in the questionnaire. A statistical analysis using t-test analyzed a correlation between training provided in order to enhance understanding of the patient, as well as correlation with blood glucose levels. A paired T-test showed that there was a relationship between the knowledge of trainees before and after training (p less than 0.05). An interesting result was that there was no relationship between blood glucose levels before and after training provided (p> 0.05).

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The Challenges in Dealing with Organized Crime and its Consequences in Modern Societies in Albania, Kosovo and Macedonia – the Balkan Peninsula

European Journal of Social Sciences Education and Research ◽

10.26417/ejser.v5i1.p161-166 ◽

2015 ◽

Vol 5 (1) ◽

pp. 161

Author(s):

Bashkim Selmani ◽

Bekim Maksuti

Keyword(s):

Organized Crime ◽

Balkan Peninsula ◽

Human Mind ◽

Negative Consequences ◽

The Public ◽

Before And After ◽

History Of ◽

European Standards ◽

Organized Crime Groups ◽

Further Development

The profound changes within the Albanian society, including Albania, Kosovo and Macedonia, before and after they proclaimed independence (in exception of Albania), with the establishment of the parliamentary system resulted in mass spread social negative consequences such as crime, drugs, prostitution, child beggars on the street etc. As a result of these occurred circumstances emerged a substantial need for changes within the legal system in order to meet and achieve the European standards or behaviors and the need for adoption of many laws imported from abroad, but without actually reading the factual situation of the psycho-economic position of the citizens and the consequences of the peoples’ occupations without proper compensation, as a remedy for the victims of war or peace in these countries. The sad truth is that the perpetrators not only weren’t sanctioned, but these regions remained an untouched haven for further development of criminal activities, be it from the public state officials through property privatization or in the private field. The organized crime groups, almost in all cases, are perceived by the human mind as “Mafia” and it is a fact that this cannot be denied easily. The widely spread term “Mafia” is mostly known around the world to define criminal organizations.The Balkan Peninsula is highly involved in these illegal groups of organized crime whose practice of criminal activities is largely extended through the Balkan countries such as Kosovo, Albania, Macedonia, Serbia, Bosnia, Croatia, Montenegro, etc. Many factors contributed to these strategic countries to be part of these types of activities. In general, some of the countries have been affected more specifically, but in all of the abovementioned countries organized crime has affected all areas of life, leaving a black mark in the history of these states.

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Rupture Risk of Intracranial Aneurysm and Prediction of Hemorrhagic Stroke after Liver Transplant

Brain Sciences ◽

10.3390/brainsci11040445 ◽

2021 ◽

Vol 11 (4) ◽

pp. 445

Author(s):

Hye-Mee Kwon ◽

In-Gu Jun ◽

Kyoung-Sun Kim ◽

Young-Jin Moon ◽

In Young Huh ◽

...

Keyword(s):

Risk Factors ◽

Intracranial Aneurysm ◽

Hemorrhagic Stroke ◽

Aneurysmal Subarachnoid Hemorrhage ◽

Hazard Analysis ◽

Related Data ◽

Incidence And Mortality ◽

Before And After ◽

History Of ◽

Cirrhotic Patients

Postoperative hemorrhagic stroke (HS) is a rare yet devastating complication after liver transplantation (LT). Unruptured intracranial aneurysm (UIA) may contribute to HS; however, related data are limited. We investigated UIA prevalence and aneurysmal subarachnoid hemorrhage (SAH) and HS incidence post-LT. We identified risk factors for 1-year HS and constructed a prediction model. This study included 3544 patients who underwent LT from January 2008 to February 2019. Primary outcomes were incidence of SAH, HS, and mortality within 1-year post-LT. Propensity score matching (PSM) analysis and Cox proportional hazard analysis were performed. The prevalence of UIAs was 4.63% (n = 164; 95% confidence interval (CI), 3.95–5.39%). The 1-year SAH incidence was 0.68% (95% CI, 0.02–3.79%) in patients with UIA. SAH and HS incidence and mortality were not different between those with and without UIA before and after PSM. Cirrhosis severity, thrombocytopenia, inflammation, and history of SAH were identified as risk factors for 1-year HS. UIA presence was not a risk factor for SAH, HS, or mortality in cirrhotic patients post-LT. Given the fatal impact of HS, a simple scoring system was constructed to predict 1-year HS risk. These results enable clinical risk stratification of LT recipients with UIA and help assess perioperative HS risk before LT.

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Coronary risk of patients with valvular heart disease: prospective validation of CT-Valve Score

Open Heart ◽

10.1136/openhrt-2020-001380 ◽

2020 ◽

Vol 7 (2) ◽

pp. e001380

Author(s):

Rasmus Bo Hasselbalch ◽

Mia Marie Pries-Heje ◽

Sarah Louise Kjølhede Holle ◽

Thomas Engstrøm ◽

Merete Heitmann ◽

...

Keyword(s):

Heart Disease ◽

Valvular Heart Disease ◽

Primary Outcome ◽

Multislice Ct ◽

Cost Effective ◽

University Hospital ◽

Before And After ◽

History Of ◽

Artery Disease

ObjectiveTo prospectively validate the CT-Valve score, a new risk score designed to identify patients with valvular heart disease at a low risk of coronary artery disease (CAD) who could benefit from multislice CT (MSCT) first instead of coronary angiography (CAG).MethodsThis was a prospective cohort study of patients referred for valve surgery in the Capital Region of Denmark and Odense University Hospital from the 1 February 2015 to the 1 February 2017. MSCT was implemented for patients with a CT-Valve score ≤7 at the referring physician’s discretion. Patients with a history of CAD or chronic kidney disease were excluded. The primary outcome was the proportion of patients needing reevaluation with CAG after MSCT and risk of CAD among the patients determined to be low to intermediate risk.ResultsIn total, 1149 patients were included. The median score was 9 (IQR 3) and 339 (30%) had a score ≤7. MSCT was used for 117 patients. Of these 29 (25%) were reevaluated and 9 (7.7%) had CAD. Of the 222 patients with a score ≤7 that did not receive an MSCT, 14 (6%) had significant CAD. The estimated total cost of evaluation among patients with a score ≤7 before implementation was €132 093 compared with €79 073 after, a 40% reduction. Similarly, estimated total radiation before and after was 608 mSv and 362 mSv, a 41% reduction. Follow-up at a median of 32 months (18–48) showed no ischaemic events for patients receiving only MSCT.ConclusionThe CT-Valve score is a valid method for determining risk of CAD among patients with valvular heart disease. Using a score ≤7 as a cut-off for the use of MSCT is safe and cost-effective.

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Parameter Optimization for Vibration Flow Field of Polystyrene Melts via RBF Neural Networks Combined with SALS

Advanced Materials Research ◽

10.4028/www.scientific.net/amr.602-604.757 ◽

2012 ◽

Vol 602-604 ◽

pp. 757-761

Author(s):

Guang Ming Xian ◽

Jing Ping Qu ◽

Bi Qing Zeng

Keyword(s):

Light Intensity ◽

Flow Field ◽

Polymer Melts ◽

Scattered Light ◽

Projection Area ◽

Rbf Neural Networks ◽

Maximum Light ◽

Before And After ◽

Small Angle Light Scattering ◽

Slit Die

This work aims at developing an accurate measurement of characterization flow field of polymer melts by small-angle light scattering (SALS). In this article we propose a new method, based on radial basis function neural network (RBFNN) for predicting the optimum vibration field parameters. A laser light passes through polymer melts in the visual slit die. The results reported in this study were obtained with polystyrene (PS) with rotation speed at 20 rpm. In order to capture the scattered light, a polarizer and an analyzer are placed before and after the polymer melts. RBFNN inputs consist of frequency and amplitude, which are used as input parameters to predict the maximum light intensity projection area. RBFNN predicts that the optimum value of frequency, amplitude are 15.86 Hz and 0.20mm, respectively. And the maximum light intensity projection area is predicted to be 9260 pixels.

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