Rehabilitation measures can restore postural balance in osteosarcopenia

Imbalance (or postural balance, postural instability), is one of the most common complaints of osteosarcopenia patients. The aim of the work is to evaluate the effectiveness and feasibility of using modern computerized HUBER systems with biological feedback function in the restoration of postural balance in osteosarcopenia. Material and methods. 40 osteosarcopenia women aged 56.7 ± 2.3 years have been examined. The methods used: X-ray absorptiometry (DEXA), HUBER platform; balancing platform hemisphere “OsportBosu” without biofeedback function; complex "Insight TM", Algometry; ROM, inclinometry; EMG; thermography; heart rate variability. The results of the treatment performed showed an increase in the parameters under study in all observation groups. Conclusions. Rehabilitation measures with the use of apparatus biofeedback treatment are a highly effective method in the medical maintenance and prevention of postural disorders in patients with osteosarcopenia and other disorders

Performance of Primary Care Physicians and Other Providers on Key Process Measures in the Treatment of Diabetes

OBJECTIVE Studies have shown that patients without a consistent primary care provider have inferior outcomes. However, little is known about the mechanisms for these effects. This study aims to determine whether primary care physicians (PCPs) provide more frequent medication intensification, lifestyle counseling, and patient encounters than other providers in the primary care setting. RESEARCH DESIGN AND METHODS This retrospective cohort study included 584,587 encounters for 27,225 patients with diabetes and elevated A1C, blood pressure, and/or LDL cholesterol monitored for at least 2 years. Encounters occurred at primary care practices affiliated with two teaching hospitals in eastern Massachusetts. RESULTS Of the encounters documented, 83% were with PCPs, 13% were with covering physicians, and 5% were with midlevel providers. In multivariable analysis, the odds of medication intensification were 49% (P < 0.0001) and 26% (P < 0.0001) higher for PCPs than for covering physicians and midlevel providers, respectively, whereas the odds of lifestyle counseling were 91% (P < 0.0001) and 21% (P = 0.0015) higher. During visits with acute complaints, covering physicians were even less likely, by a further 52% (P < 0.0001), to intensify medications, and midlevel providers were even less likely, by a further 41% (P < 0.0001), to provide lifestyle counseling. Compared with PCPs, the hazard ratios for time to the next encounter after a visit without acute complaints were 1.11 for covering physicians and 1.19 for midlevel providers (P < 0.0001 for both). CONCLUSIONS PCPs provide better care through higher rates of medication intensification and lifestyle counseling. Covering physicians and midlevel providers may enable more frequent encounters when PCP resources are constrained

Use of ultrasound densitometry for the assess of structural and functional disorders of bone tissue and prediction of fractures risk

To determine the dependence of lumbar spine compression degree on BMD state and the patients’ age. The relationship of BMD state, the patients’ age and the degree of compression of the vertebrae were studied. Correlation and regression analysis of the relationship between SOS index, score of compression and patients' age have been examined. Results. The data obtained allowed us to develop a mathematical model for predicting BMD reduction and the severity of vertebral compression fractures. Conclusions. Ultrasonic indexes of bone mineral density may be used not only for its screening assessment in general population of different ages, but also in assessing the degree of structural and functional changes of BT, predicting the severity of low-energy osteoporosis fractures. It will help to assign treatment in preclinical stage, and carry out prevention of compression fractures

A next-generation inverse-geometry spallation-driven ultracold neutron source

The physics model of a next-generation spallation-driven high-current ultracold neutron (UCN) source capable of delivering an extracted UCN rate of around an-order-of-magnitude higher than the strongest proposed sources, and around three-orders-of-magnitude higher than existing sources, is presented. This UCN-current-optimized source would dramatically improve cutting-edge UCN measurements that are currently statistically limited. A novel "Inverse Geometry" design is used with 40 L of superfluid $^4$He (He-II), which acts as a converter of cold neutrons (CNs) to UCNs, cooled with state-of-the-art sub-cooled cryogenic technology to $\sim$1.6 K. Our design is optimized for a 100 W maximum heat load constraint on the He-II and its vessel. In our geometry, the spallation target is wrapped symmetrically around the UCN converter to permit raster scanning the proton beam over a relatively large volume of tungsten spallation target to reduce the demand on the cooling requirements, which makes it reasonable to assume that water edge-cooling only is sufficient. Our design is refined in several steps to reach $P_{UCN}=2.1\times10^9\,/$s under our other restriction of 1 MW maximum available proton beam power. We then study effects of the He-II scattering kernel as well as reductions in $P_{UCN}$ due to pressurization to reach $P_{UCN}=1.8\times10^9\,/$s. Finally, we provide a design for the UCN extraction system that takes into account the required He-II heat transport properties and implementation of a He-II containment foil that allows UCN transmission. We estimate a total useful UCN current from our source of $R_{use}=5\times10^8\,/$s from a 18 cm diameter guide 5 m from the source. Under a conservative "no return" approximation, this rate can produce an extracted density of $>1\times10^4\,/$cm$^3$ in $<$1000~L external experimental volumes with a $^{58}$Ni (335 neV) cut-off potential.Comment: Submitted to Journal of Applied Physic

Therapy with vitamin D metabolits of structural and functional changes in bone tissue of working postmenopausal women with ostearcopenia

The prevalence of osteoporosis and vitamin D deficiency in postmenopausal women working under harmful labour conditions has been examined. Reduced bone mineral density was revealed in 85% of the persons under observation, the incidence of OP was 35%, sarcopenia (SP) – 35%. Vitamin D deficiency was foundin 91.3% ofthe workers, at the same time severe VD deficiency was observedin 32.9%, VD deficiency – in 7.5%,and the optimal level of vitamin D was observedin 1.2%of cases. 79 PM women with OP aged 50 – 60 y. o.(meanage – (55.7 ± 0.9) years), working at harmful conditions of the working environment with an average length of service 26.14 ± 0.91years have been examined. Clinical group A (n = 30) received cholecalciferol at a dose of 2000 IU (4 drops) per day and alfacalcidol 1 μg (1 capsule) once a dayfor a year.This resulted in a positive effect on the level of 25(OH)D. Тhe complex appointment of cholecalciferol and alfacalcidol reduced thelevel of PTH and confirmed the role of VD deficiency in the progress of secondary hyperparathyroidism.The data obtained revealed a slowing of the effect of VD onosteoclastogenesis. Decrease of bone resorption marker CTx in the women under examination confirmed the latter

Роль иглоукалывания в современной медицине

Universitatea de Stat de Medicină şi Farmacie „NicolaeTestemiţanu”, Chişinău, Republica Moldova, ICŞ DOSMC. Secţia Reabilitare clinică, Conferinţa Știinţifică Internaţională ”Probleme actuale ale morfologiei” dedicată сentenarului profesorului B.Z. Perlin, Chişinău, 20-22 septembrie 2012Acupuncture is an ancient method of treatment. Its field of activity is human bioenergetics. The implementation of this method of treatment has been quite difficult to practice in official medicine. Concerning the cost, this treatment is cheaper and with very little negative effects. Акупунктура один из методов терапии, которая имеет многовековую историю. Основы этой науки опирается на биоэнергетику человека. К сожалению, внедрение в практическую медицину этого метода лечения осуществляется очень трудно. Но, если смотреть на иглоукалывание с материальной точки зрения, то этот метод лечения намного дешевле и вызывает меньше побочных реакций