124 research outputs found
Single-atom quantum memory with degenerate atomic levels
The storage and retrieval of a single-photon polarization q-bit by means of
STIRAP through the atoms with degenerate levels is studied theoretically for
arbitrary polarization of the driving laser field and arbitrary values of the
angular momenta of resonant atomic levels. The dependence of the probability of
long-term photon storage on the polarization of the driving field and on the
initial atomic state is examined.Comment: 12 pages, 1 figure. arXiv admin note: text overlap with
arXiv:1203.439
Special section guest editorial: advances in terahertz biomedical science and applications
The Journal of Biomedical Optics (JBO) has published this special section of papers to capture the most recent advances in THz technology and innovative THz instruments and methods in biology and medicine. A few of the papers in this special section are dedicated to similar biomedical applications of novel optical tools from the neighboring infrared (IR) range. Two papers of the special section consider modern problems of oncodiagnosis. In the research article βDevelopment of oral cancer tissue-mimicking phantom based on polyvinyl chloride plastisol and graphite for terahertz frequenciesβ, authors have introduced a new type of a water-free tissue-mimicking phantom for THz biophotonics. This phantom is based on graphite powders embedded into a polyvinyl chloride plastisol matrix. The effective THz optical properties of such a phantom can be managed in a wide range by changing its composition, thus allowing to mimic the THz optical properties of various biological tissues
The relationship of obesity and prostate cancer (review)
Obesity is a critical risk factor for prostate cancer (PCa). Adipose tissue plays an important role in tumor development, including growth, invasion, and metastasis. Diet and dietary components affect the progression of prostate cancer; however, the mechanisms underlying these associations remain unclear. Extraprostatic prostate tumor cells form a new microenvironment in the periprostatic adipose tissue, which alters these interactions and promotes tumor progression. Hyperinsulinemia leads to an increase in the level of free or biologically active insulin-like growth factor (IGF-1) due to a decrease in the production of IGF-binding proteins. Hypoandrogenism promotes the development of a more aggressive type of prostate cancer (higher Gleason scores). Adipokines of adipose tissue and cytokines (for example, interleukin-6 (IL-6) and tumor necrosis factor (TNF-α), angiogenic factors (for example, vascular endothelial growth factor (VEGF), apelin (AGTRL1) and other factors (for example, leptin and adiponectin) have multiple effects on prostate cancer cells. Tumor cells interact directly or indirectly with adipocytes. Yellow (inactive) bone marrow is adipose tissue with separate islands of reticular tissue. It is located in the medullary canals of the tubular bones and in parts of the cells of the cancellous bone. Bone tissue is the object of the most frequent metastasis in prostate cancer, and with age, the content of fat cells in it increases. Bone marrow adipose tissue interacts with tumor cells, osteoblasts and other stromal cells and participates in the organization of the tumor microenvironment. Adipokines are key molecules in the interaction between tumor cells and adipose tissue, which is carried out through various mechanisms. A better understanding of the role of adipose tissue in the induction and progression of prostate cancer will lead to effective therapeutic strategies for this disease
Chemical analysis of bioactive substances in seven siberian Saussurea species
Main groups of biologically active substances of seven siberian Saussurea species (S. controversa DC., S. latifolia Ledeb., S. parviflora (Poir.) DC., S. frolowii Ledeb, S. amara (L.) DC., S. salicifolia (L.) DC. and S. daurica Adams) have been studied using paper, thin-layer, performance liquid chromatography, IR spectroscopy, spectrophotometry and mass spectrometry with inductively coupled plasma. Siberian Saussurea species have a rich elemental composition and contain a variety of phenolic compounds, amino acids, polysaccharides. The majority of polysaccharides are accumulated by S. controversa, S. salicifolia and S. frolowii. These plants contain a significant amount of calcium that may be a species characteristic. All plants contain quercetin and its glycosides, in some species luteolin, kaempferol, glycosides of apigenin and myricetin were revealed. Phenolic acids with predominant content of caffeic, chlorogenic and cinnamic acids were found in all the species. The maximum amount of phenolic acids and flavonoids was determined in the grass of S. latifolia, S. controversa and S. daurica. Characteristic absorption bands of lactone carbonyl of sesquiterpenoids in IR spectrum found in S. latifolia, S. controversa, S. daurica, S. amara and S. salicifolia. HPLC / UV analysis showed that peaks with absorption maxima of 242-246β
nm due to the presence of Ξ±,Ξ²-unsaturated ketone group in the structure of ecdysteroids were found in S. salicifolia, S. controversa, S. daurica and S. latifolia
Metabolic changes in patients with prostate cancer with androgen deprivation therapy
Prostate cancer is the most common type of cancer among men. Androgen deprivation therapy (ADT) is the most effective treatment for this disease. The cornerstone of prostate cancer treatment is the inhibition of testosterone production, which interrupts testosterone-induced growth of the prostate tumour. A sharp decrease in testosterone, however, has several undesirable effects on the metabolic profile and bone metabolism and can also lead to fatigue, loss of libido, gynecomastia and anaemia, provoke vasomotor hyperaemia and generally affect the quality of life. To increase the good (long-term) survival of patients with prostate cancer, studying the side effects associated with treatment is important, and therefore, in every clinical situation, the benefits of ADT must be compared with the side effects associated with the treatment. This article focuses on the described metabolic complications of ADT, including obesity, diabetes, lipid changes, metabolic syndrome and cardiovascular diseases. It also contains practical recommendations for managing the side effects and complications based on the available guidelines issued by the medical professional community
Relationship between prostate cancer and type 2 diabetes mellitus
Type 2 diabetes mellitus (DM2) and prostate cancer are widespread diseases throughout the world. Type II diabetes mellitus is accompanied by a deterioration in glycemic control, hyperinsulinemia, and insulin resistance (IR). The accumulation of glucose and lipids leads to a decrease in the density of insulin receptors and the development of insulin resistance in adipose tissue. This contributes to the development of hyperinsulinemia, which suppresses the breakdown of fat and leads to the progression of obesity. A vicious circle develops: insulin resistance β hyperinsulinemia β obesity β insulin resistance. Insulin influences the progression of the cell cycle, proliferation, and metastatic activity of the tumor.Recent studies have shown a strong direct correlation between fasting insulin levels and cancer mortality in men. This may be especially true in patients over 65, who are, in the first place, more likely to develop prostate cancer than younger patients. It should be noted that it is insulin, and not glucose, that is associated with the claim for the development of cancer. Hyperinsulinemia, which often occurs as a result of androgen deprivation therapy (ADT), the standard treatment for prostate cancer, is associated with a high tumor aggressiveness and faster treatment failure β the development of castrate-refractory prostate cancer. It is reasonable to assume that hyperinsulinemia β under whatever circumstances it is caused, whether due to ADT or due to inadequate nutrition and other lifestyle factors β can have the same negative effect on cellular signaling.Metabolic syndrome β essentially chronically elevated insulin levels β is closely associated with recurrence of cancer and worse post-treatment outcomes, which has led researchers to question generally accepted dietary guidelines for cancer patients, especially when they are undergoing treatment or recover from treatment, which may include recommendations to consume anything that will help maintain or restore body weight, regardless of sugar or carbohydrate content or its effect on insulin levels. A large number of patients live with hyperinsulinemia, but normoglycemia. Chronic hyperinsulinemia is the main driver of cardiometabolic disease, even when blood sugar levels are within reference values. The scale of this problem is not recognized by the medical and scientific community
Biomedical applications of sapphire shaped crystals
We have proposed novel medical instrument
ΠΠΠΠΠΠΠΠ§ΠΠ‘ΠΠΠ ΠΠΠΠ‘ΠΠΠΠΠΠΠ ΠΠ‘ΠΠΠΠ¬ΠΠΠΠΠΠΠ― ΠΠΠΠ£ΠΠΠ’ΠΠ ΠΠΠΠ ΠΠΠΠΠ ΠΠΠΠΠ Π ΠΠΠ§ΠΠΠΠ ΠΠΠ‘Π‘Π£ΠΠΠ’ΠΠΠΠ«Π₯ ΠΠΠ£Π₯ΠΠΠΠΠ«Π₯ ΠΠΠΠΠ ΠΠ’ΠΠ
Introduction. Exudative tumor pleurisy affects up to 100 000 people a year in Russia, up to 400 000 people a year in Europe.Β Inpatient treatment of such patients is associated with certain costs, and there are also queues for treatment in oncologyΒ hospitals. An outpatient pleurodesis can reduce these problems.The objective was to compare pharmacoeconomic parameters for inpatient pleurodesis and outpatient pleurodesis toΒ determine the most cost-effective treatment option.Methods and materials. 179 patients in the clinic of the Federal State Budgetary Institution Scientific Research Center forΒ Oncology named after N. N. Petrov of the Russian Ministry of Health underwent pleurodesis using various methods (talc, bleocin,Β combined). The effectiveness of the methods and the direct medical costs of treatment were evaluated. The effectiveness of aΒ stationary thoracoscopic pleurodesis was evaluated according to foreign literature, and the direct medical costs of treatmentΒ were calculated. Based on the obtained results, the pharmacoeconomic indicators of CER and ICER were calculated.Results. Direct medical costs for stationary thoracoscopic pleurodesis amounted to 35056.4 rubles with an efficiency ofΒ 89 %. Direct medical costs for outpatient pleurodesis were: for talc pleurodesis β 8051.7 rubles, for bleocin and combinedΒ pleurodesis β 11799.2 rubles. CER amounted to: for a thoracoscopic pleurodesis in the hospital β 393.9, for talc pleurodesis βΒ 115.35, for bleocin pleurodesis β 188.7, for combined pleurodesis β 155.8. ICER in relation to stationary pleurodesis wasΒ 1406.4 for talc pleurodesis, 877.6 for bleocin pleurodesis, 1748.6 for combined pleurodesis.Conclusion. CER was almost 3 times lower with outpatient pleurodesis, which makes it the most cost-effective option forΒ the treatment of tumor exudative pleurisy. ICER was maximal in combined pleurodesis, which makes it preferred amongΒ outpatient pleurodesis options. Based on the obtained data, it can be argued that the use of ambulatory pleurodesis as anΒ initial stage of care for patients with tumor exudative pleurisy is economically justified.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅. ΠΠΊΡΡΡΠ΄Π°ΡΠΈΠ²Π½ΡΠ΅ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΠ΅ ΠΏΠ»Π΅Π²ΡΠΈΡΡ ΠΏΠΎΡΠ°ΠΆΠ°ΡΡ Π΄ΠΎ 100 000 ΡΠ΅Π»ΠΎΠ²Π΅ΠΊ Π² Π³ΠΎΠ΄ Π² Π ΠΎΡΡΠΈΠΈ, Π΄ΠΎ 400 000 ΡΠ΅Π»ΠΎΠ²Π΅ΠΊΒ Π² Π³ΠΎΠ΄ Π² ΠΠ²ΡΠΎΠΏΠ΅, ΠΏΡΠΈ ΡΡΠΎΠΌ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠ΅ Π»Π΅ΡΠ΅Π½ΠΈΠ΅ ΡΠ°ΠΊΠΈΡ
Π±ΠΎΠ»ΡΠ½ΡΡ
ΡΠΎΠΏΡΡΠΆΠ΅Π½ΠΎ Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π½ΡΠΌΠΈ Π·Π°ΡΡΠ°ΡΠ°ΠΌΠΈ, Π° ΡΠ°ΠΊΠΆΠ΅Β ΠΈΠΌΠ΅ΡΡΡΡ ΠΎΡΠ΅ΡΠ΅Π΄ΠΈ Π½Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅ Π² ΠΎΠ½ΠΊΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ°Ρ
. ΠΡΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎ ΠΌΠΎΠΆΠ΅Ρ ΡΠΎΠΊΡΠ°ΡΠΈΡΡΒ Π΄Π°Π½Π½ΡΠ΅ Π·Π°ΡΡΠ°ΡΡ ΠΏΡΠΈ ΡΠΎΡ
ΡΠ°Π½Π΅Π½ΠΈΠΈ Π΄ΠΎΡΡΠ°ΡΠΎΡΠ½ΠΎ Π²ΡΡΠΎΠΊΠΎΠΉ ΠΈΠ½ΡΠ΅Π½ΡΠΈΠ²Π½ΠΎΡΡΠΈ Π»Π΅ΡΠ΅Π½ΠΈΡ.Π¦Π΅Π»Ρ β ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΡΡ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΡ ΠΏΡΠΈ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠΌ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π΅ ΠΈ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎΠΌ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π΅ Π΄Π»Ρ ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½ΠΈΡ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈ Π²ΡΠ³ΠΎΠ΄Π½ΠΎΠ³ΠΎ Π²Π°ΡΠΈΠ°Π½ΡΠ° Π»Π΅ΡΠ΅Π½ΠΈΡ.ΠΠ΅ΡΠΎΠ΄Ρ ΠΈ ΠΌΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ. 179 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎ Π±ΡΠ» Π²ΡΠΏΠΎΠ»Π½Π΅Π½ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π· ΡΠ°Π·Π»ΠΈΡΠ½ΡΠΌΠΈ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌΠΈ (ΡΠ°Π»ΡΠΊΠΎΠ²ΡΠΉ,Β Π±Π»Π΅ΠΎΡΠΈΠ½ΠΎΠ²ΡΠΉ, ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΡΠΉ). ΠΡΠ΅Π½Π΅Π½Ρ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΠΌΠ΅ΡΠΎΠ΄ΠΎΠ², ΠΏΡΡΠΌΡΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΠ΅ Π·Π°ΡΡΠ°ΡΡ Π½Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅.Β ΠΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΡ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠ³ΠΎ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° ΠΎΡΠ΅Π½Π΅Π½Π° ΠΏΠΎ Π΄Π°Π½Π½ΡΠΌ Π·Π°ΡΡΠ±Π΅ΠΆΠ½ΠΎΠΉ Π»ΠΈΡΠ΅ΡΠ°ΡΡΡΡ, ΠΏΠΎΠ΄ΡΡΠΈΡΠ°Π½Ρ ΠΏΡΡΠΌΡΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΠ΅ Π·Π°ΡΡΠ°ΡΡ Π½Π° Π»Π΅ΡΠ΅Π½ΠΈΠ΅. ΠΠ° ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΠΎΠ»ΡΡΠ΅Π½Π½ΡΡ
ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΠΏΠΎΠ΄ΡΡΠΈΡΠ°Π½Ρ ΡΠ°ΡΠΌΠ°ΠΊΠΎΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΠΈ CER ΠΈ ICER.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΡΡΠΌΡΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΠ΅ Π·Π°ΡΡΠ°ΡΡ ΠΏΡΠΈ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠΌ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠΌ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π΅ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈΒ 35 056,4 Ρ. ΠΏΡΠΈ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ 89 %. ΠΡΡΠΌΡΠ΅ ΠΌΠ΅Π΄ΠΈΡΠΈΠ½ΡΠΊΠΈΠ΅ Π·Π°ΡΡΠ°ΡΡ ΠΏΡΠΈ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎΠΌ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π΅ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ Π΄Π»ΡΒ ΡΠ°Π»ΡΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 8051,7 Ρ., Π΄Π»Ρ Π±Π»Π΅ΠΎΡΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎ ΠΈ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 11 799,2 Ρ. CER ΡΠΎΡΡΠ°Π²ΠΈΠ»Β Π΄Π»Ρ ΡΠΎΡΠ°ΠΊΠΎΡΠΊΠΎΠΏΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° Π² ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ΅ β 393,9, Π΄Π»Ρ ΡΠ°Π»ΡΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 115,35, Π΄Π»Ρ Π±Π»Π΅ΠΎΡΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎΒ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 188,7, Π΄Π»Ρ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 155,8. ICER ΠΏΠΎ ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΡ ΠΊ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ½ΠΎΠΌΡ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·ΡΒ ΡΠΎΡΡΠ°Π²ΠΈΠ» Π΄Π»Ρ ΡΠ°Π»ΡΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° 1406,4, Π΄Π»Ρ Π±Π»Π΅ΠΎΡΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 877,6, Π΄Π»Ρ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° β 1748,6.Β ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. CER ΠΎΠΊΠ°Π·Π°Π»ΡΡ ΠΏΠΎΡΡΠΈ Π² 3 ΡΠ°Π·Π° Π½ΠΈΠΆΠ΅ ΠΏΡΠΈ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎΠΌ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π΅, ΡΡΠΎ Π΄Π΅Π»Π°Π΅Ρ Π΅Π³ΠΎ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈ Π²ΡΠ³ΠΎΠ΄Π½ΡΠΌ Π²Π°ΡΠΈΠ°Π½ΡΠΎΠΌ Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΡ
ΡΠΊΡΡΡΠ΄Π°ΡΠΈΠ²Π½ΡΡ
ΠΏΠ»Π΅Π²ΡΠΈΡΠΎΠ². ICER ΠΎΠΊΠ°Π·Π°Π»ΡΡ ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡΠ½ΡΠΌ ΠΏΡΠΈ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠΌ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π΅, ΡΡΠΎ Π΄Π΅Π»Π°Π΅Ρ Π΅Π³ΠΎ ΠΏΡΠ΅Π΄ΠΏΠΎΡΡΠΈΡΠ΅Π»ΡΠ½ΡΠΌ ΡΡΠ΅Π΄ΠΈ Π²Π°ΡΠΈΠ°Π½ΡΠΎΠ² Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π°. Π‘ ΡΡΠ΅ΡΠΎΠΌΒ ΠΏΠΎΠ»ΡΡΠ΅Π½Π½ΡΡ
Π΄Π°Π½Π½ΡΡ
, ΠΌΠΎΠΆΠ½ΠΎ ΡΡΠ²Π΅ΡΠΆΠ΄Π°ΡΡ, ΡΡΠΎ ΡΠΊΠΎΠ½ΠΎΠΌΠΈΡΠ΅ΡΠΊΠΈ ΠΎΠ±ΠΎΡΠ½ΠΎΠ²Π°Π½ΠΎ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ Π°ΠΌΠ±ΡΠ»Π°ΡΠΎΡΠ½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²ΡΠΎΠ΄Π΅Π·Π° Π²Β ΠΊΠ°ΡΠ΅ΡΡΠ²Π΅ ΠΏΠ΅ΡΠ²ΠΎΠ³ΠΎ ΡΡΠ°ΠΏΠ° ΠΏΠΎΠΌΠΎΡΠΈ Π±ΠΎΠ»ΡΠ½ΡΠΌ Ρ ΠΎΠΏΡΡ
ΠΎΠ»Π΅Π²ΡΠΌΠΈ ΡΠΊΡΡΡΠ΄Π°ΡΠΈΠ²Π½ΡΠΌΠΈ ΠΏΠ»Π΅Π²ΡΠΈΡΠ°ΠΌΠΈ.Β
ΠΠ΅ΠΊΠΎΡΠΎΡΡΠ΅ Π°ΡΠΏΠ΅ΠΊΡΡ ΠΊΠΎΠΌΠΏΠ»Π΅ΠΊΡΠ½ΠΎΠΉ ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΏΡΠΈΠΎΠ±ΡΠ΅ΡΠ΅Π½Π½ΡΠΌΠΈ Π΄Π΅ΡΠ΅ΠΊΡΠ°ΠΌΠΈ ΠΈ Π΄Π΅ΡΠΎΡΠΌΠ°ΡΠΈΡΠΌΠΈ ΠΎΡΠΎΡΠ°ΡΠΈΠ½Π³Π΅Π°Π»ΡΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ
The aim of this study was to assess the features of disturbed food intake and find ways to optimize rehabilitationΒ and resocialization processes for patients with acquired defects and deformities of the oropharyngeal zone.Materials and methods. The study included 86 patients of a surgical hospital with defects and deformities of theΒ oropharyngeal zone: 59 men and 27 women. The degree of dysphagia was assessed using clinical scales: volumeviscosity swallow test (V-VST) and swallowing disability scale (SDS). Rehabilitation measures to normalizeΒ swallowing were performed in the experimental group (I), which consisted of 42 patients. The control group (II)Β consisted of 40 patients and was not included in the restorative effect. The groups were balanced according to theΒ severity of the disorder, sex and age. Comparative analysis of the severity of impaired swallowing before and afterΒ rehabilitation and evaluation of its effectiveness were conducted.Results. Data from the study of the dysphagia degree on the SDS scale for the whole sample (n = 82) suggest that theΒ degree of disorder manifestation depends on the location and extent of anatomical defect. Moreover, comparativeΒ analysis suggests that the presence of a combined defect exacerbates the severity of dysphagia. Step-by-step speechΒ therapy in the control group aimed at overcoming swallowing disorders included adaptive, compensatory andΒ restorative strategies used in various combinations depending on the location of the defect and the severity ofΒ dysphagia. The comparison of the repeated assessment data on dysphagia severity in two groups of patients (I andΒ II) showed that the rehabilitation measures had a positive impact.Conclusion. Thus, we can state that speech therapy, which is a non-drug and non-invasive rehabilitation method,Β allows patients to successfully normalize eating process, helps in preventing cachexia-anorexia and dehydration,Β which is important for a successful postoperative period, as well as for improving the life quality of patients.Π¦Π΅Π»Ρ: ΠΎΡΠ΅Π½ΠΊΠ° ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠ΅ΠΉ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΠΏΡΠΎΡΠ΅ΡΡΠ° ΠΏΡΠΈΠ΅ΠΌΠ° ΠΏΠΈΡΠΈ ΠΈ ΠΏΠΎΠΈΡΠΊ ΠΏΡΡΠ΅ΠΉ ΠΎΠΏΡΠΈΠΌΠΈΠ·Π°ΡΠΈΠΈ ΠΏΡΠΎΡΠ΅ΡΡΠ° ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΠΏΡΠΈΠΎΠ±ΡΠ΅ΡΠ΅Π½Π½ΡΠΌΠΈ Π΄Π΅ΡΠ΅ΠΊΡΠ°ΠΌΠΈ ΠΈ Π΄Π΅ΡΠΎΡΠΌΠ°ΡΠΈΡΠΌΠΈ ΠΎΡΠΎΡΠ°ΡΠΈΠ½Π³Π΅Π°Π»ΡΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π±ΡΠ»ΠΈ Π²ΠΊΠ»ΡΡΠ΅Π½Ρ 86 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ
ΠΈΡΡΡΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΡΠ°ΡΠΈΠΎΠ½Π°ΡΠ° ΡΒ Π΄Π΅ΡΠ΅ΠΊΡΠ°ΠΌΠΈ ΠΈ Π΄Π΅ΡΠΎΡΠΌΠ°ΡΠΈΡΠΌΠΈ ΠΎΡΠΎΡΠ°ΡΠΈΠ½Π³Π΅Π°Π»ΡΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ: 59 ΠΌΡΠΆΡΠΈΠ½ ΠΈ 27 ΠΆΠ΅Π½ΡΠΈΠ½. Π‘ΡΠ΅ΠΏΠ΅Π½Ρ Π΄ΠΈΡΡΠ°Π³ΠΈΠΈ ΠΎΡΠ΅Π½ΠΈΠ²Π°Π»Π°ΡΡ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
ΡΠΊΠ°Π»: Volume Viscosity Swallow Test (V-VST), Swallowing Disability ScaleΒ (SDS). Π Π΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅ ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΡ ΠΏΠΎ Π½ΠΎΡΠΌΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈ Π³Π»ΠΎΡΠ°Π½ΠΈΡ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈΡΡ Π² ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΠΎΠΉΒ Π³ΡΡΠΏΠΏΠ΅ (I), ΠΊΠΎΡΠΎΡΡΡ ΡΠΎΡΡΠ°Π²ΠΈΠ»ΠΈ 42 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°. ΠΡΡΠΏΠΏΠ° ΠΊΠΎΠ½ΡΡΠΎΠ»Ρ (II), Π½Π΅ Π²ΠΊΠ»ΡΡΠ΅Π½Π½Π°Ρ Π² Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅Β Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅, ΡΠΎΡΡΠΎΡΠ»Π° ΠΈΠ· 40 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ². ΠΡΡΠΏΠΏΡ Π±ΡΠ»ΠΈ ΡΡΠ°Π²Π½ΠΎΠ²Π΅ΡΠ΅Π½Ρ ΠΏΠΎ ΡΡΠΆΠ΅ΡΡΠΈ Π΄Π΅ΡΠ΅ΠΊΡΠ°, ΠΏΠΎΠ»Ρ ΠΈ Π²ΠΎΠ·ΡΠ°ΡΡΡ.Β ΠΡΠΎΠ²Π΅Π΄Π΅Π½ ΡΡΠ°Π²Π½ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· Π²ΡΡΠ°ΠΆΠ΅Π½Π½ΠΎΡΡΠΈ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Π°ΠΊΡΠ° Π³Π»ΠΎΡΠ°Π½ΠΈΡ Π΄ΠΎ ΠΈ ΠΏΠΎΡΠ»Π΅ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²ΠΈΡΠ΅Π»ΡΠ½ΠΎΠ³ΠΎΒ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΡ ΠΈ ΠΎΡΠ΅Π½ΠΊΠ° Π΅Π³ΠΎ ΡΡΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΡΡΠΈ.Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ°Π½Π½ΡΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ Π΄ΠΈΡΡΠ°Π³ΠΈΠΈ ΠΏΠΎ ΡΠΊΠ°Π»Π΅ SDS ΠΏΠΎ Π²ΡΠ±ΠΎΡΠΊΠ΅ Π² ΡΠ΅Π»ΠΎΠΌ (n = 82) ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡΡΒ Π³ΠΎΠ²ΠΎΡΠΈΡΡ ΠΎ Π½Π°Π»ΠΈΡΠΈΠΈ Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΡΡΠ΅ΠΏΠ΅Π½ΠΈ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΡ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΠΎΡ ΠΌΠ΅ΡΡΠ° ΠΈ ΠΎΠ±ΡΠ΅ΠΌΠ° Π°Π½Π°ΡΠΎΠΌΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ Π΄Π΅ΡΠ΅ΠΊΡΠ°. ΠΡΠΈΡΠ΅ΠΌ ΡΠΎΠΏΠΎΡΡΠ°Π²ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π°Π½Π°Π»ΠΈΠ· ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅ΡΒ ΡΡΠ²Π΅ΡΠΆΠ΄Π°ΡΡ, ΡΡΠΎ ΠΈΠΌΠ΅Π½Π½ΠΎ Π½Π°Π»ΠΈΡΠΈΠ΅ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Π΄Π΅ΡΠ΅ΠΊΡΠ° ΡΡΡΠ³ΡΠ±Π»ΡΠ΅Ρ ΡΡΠΆΠ΅ΡΡΡΒ Π΄ΠΈΡΡΠ°Π³ΠΈΠΈ. ΠΠΎΡΡΠ°ΠΏΠ½ΠΎ ΠΏΡΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΠ΅ Π² ΠΊΠΎΠ½ΡΡΠΎΠ»ΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ Π»ΠΎΠ³ΠΎΠΏΠ΅Π΄ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅,Β Π½Π°ΡΠ΅Π»Π΅Π½Π½ΠΎΠ΅ Π½Π° ΠΏΡΠ΅ΠΎΠ΄ΠΎΠ»Π΅Π½ΠΈΠ΅ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ² Π³Π»ΠΎΡΠ°Π½ΠΈΡ, Π²ΠΊΠ»ΡΡΠ°Π»ΠΎ Π² ΡΠ΅Π±Ρ Π°Π΄Π°ΠΏΡΠΈΠ²Π½ΡΠ΅, ΠΊΠΎΠΌΠΏΠ΅Π½ΡΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΈΒ Π²ΠΎΡΡΡΠ°Π½ΠΎΠ²ΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΡΡΡΠ°ΡΠ΅Π³ΠΈΠΈ, ΠΏΡΠΈΠΌΠ΅Π½ΡΠ΅ΠΌΡΠ΅ Π² ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
ΠΊΠΎΠΌΠ±ΠΈΠ½Π°ΡΠΈΡΡ
Π² Π·Π°Π²ΠΈΡΠΈΠΌΠΎΡΡΠΈ ΠΎΡ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°ΡΠΈΠΈΒ Π΄Π΅ΡΠ΅ΠΊΡΠ° ΠΈ ΡΡΠΆΠ΅ΡΡΠΈ Π΄ΠΈΡΡΠ°Π³ΠΈΠΈ. Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ ΡΠΎΠΏΠΎΡΡΠ°Π²Π»Π΅Π½ΠΈΡ Π΄Π°Π½Π½ΡΡ
ΠΏΠΎΠ²ΡΠΎΡΠ½ΠΎΠΉ ΠΎΡΠ΅Π½ΠΊΠΈ ΡΡΠΆΠ΅ΡΡΠΈ Π΄ΠΈΡΡΠ°Π³ΠΈΠΈΒ Ρ Π΄Π²ΡΡ
Π³ΡΡΠΏΠΏ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² (I ΠΈ II) ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ, ΡΡΠΎ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Π½ΡΠ΅ ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΎΠ½Π½ΡΠ΅ ΠΌΠ΅ΡΠΎΠΏΡΠΈΡΡΠΈΡ ΠΎΠΊΠ°Π·Π°Π»ΠΈΒ ΠΏΠΎΠ»ΠΎΠΆΠΈΡΠ΅Π»ΡΠ½ΠΎΠ΅ Π²Π»ΠΈΡΠ½ΠΈΠ΅.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅. Π’Π°ΠΊΠΈΠΌ ΠΎΠ±ΡΠ°Π·ΠΎΠΌ, ΠΌΠΎΠΆΠ½ΠΎ ΡΡΠ²Π΅ΡΠΆΠ΄Π°ΡΡ, ΡΡΠΎ Π»ΠΎΠ³ΠΎΠΏΠ΅Π΄ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡΠ²ΠΈΠ΅, ΠΊΠΎΡΠΎΡΠΎΠ΅ ΠΎΡΠ½ΠΎΡΠΈΡΡΡ ΠΊΒ Π½Π΅ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½ΡΠΎΠ·Π½ΡΠΌ, Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½ΡΠΌ ΠΌΠ΅ΡΠΎΠ΄Π°ΠΌ ΡΠ΅Π°Π±ΠΈΠ»ΠΈΡΠ°ΡΠΈΠΈ, ΠΏΠΎΠ·Π²ΠΎΠ»ΡΠ΅Ρ ΡΡΠΏΠ΅ΡΠ½ΠΎ Π½ΠΎΡΠΌΠ°Π»ΠΈΠ·ΠΎΠ²Π°ΡΡ ΠΏΡΠΎΡΠ΅ΡΡΒ ΠΏΡΠΈΠ΅ΠΌΠ° ΠΏΠΈΡΠΈ, ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΡΠ΅Ρ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠ΅ ΠΊΠ°Ρ
Π΅ΠΊΡΠΈΠΈ-Π°Π½ΠΎΡΠ΅ΠΊΡΠΈΠΈ ΠΈ Π΄Π΅Π³ΠΈΠ΄ΡΠ°ΡΠ°ΡΠΈΠΈ, ΡΡΠΎ Π²Π°ΠΆΠ½ΠΎ Π΄Π»Ρ ΡΡΠΏΠ΅ΡΠ½ΠΎΠ³ΠΎΒ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΏΠΎΡΠ»Π΅ΠΎΠΏΠ΅ΡΠ°ΡΠΈΠΎΠ½Π½ΠΎΠ³ΠΎ ΠΏΠ΅ΡΠΈΠΎΠ΄Π°, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΠΆΠΈΠ·Π½ΠΈ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ².
In vitro terahertz spectroscopy of malignant brain gliomas embedded in gelatin slab
In our work, we have performed in vitro terahert
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