124 research outputs found

    Single-atom quantum memory with degenerate atomic levels

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    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

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    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 β€˜Development of oral cancer tissue-mimicking phantom based on polyvinyl chloride plastisol and graphite for terahertz frequencies’, 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)

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    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

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    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

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    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

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    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

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    We have proposed novel medical instrument

    Π­ΠšΠžΠΠžΠœΠ˜Π§Π•Π‘ΠšΠžΠ• ΠžΠ‘ΠžΠ‘ΠΠžΠ’ΠΠΠ˜Π• Π˜Π‘ΠŸΠžΠ›Π¬Π—ΠžΠ’ΠΠΠ˜Π― ΠΠœΠ‘Π£Π›ΠΠ’ΠžΠ ΠΠžΠ“Πž ΠŸΠ›Π•Π’Π ΠžΠ”Π•Π—Π Π’ Π›Π•Π§Π•ΠΠ˜Π˜ Π­ΠšΠ‘Π‘Π£Π”ΠΠ’Π˜Π’ΠΠ«Π₯ ОПУΠ₯ΠžΠ›Π•Π’Π«Π₯ ΠŸΠ›Π•Π’Π Π˜Π’ΠžΠ’

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    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 – 8051.7 rubles, for bleocin and combinedΒ pleurodesis – 11799.2 rubles. CER amounted to: for a thoracoscopic pleurodesis in the hospital – 393.9, for talc pleurodesis – 115.35, for bleocin pleurodesis – 188.7, for combined pleurodesis – 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.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅. ЭкссудативныС ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²Ρ‹Π΅ ΠΏΠ»Π΅Π²Ρ€ΠΈΡ‚Ρ‹ ΠΏΠΎΡ€Π°ΠΆΠ°ΡŽΡ‚ Π΄ΠΎ 100 000 Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊ Π² Π³ΠΎΠ΄ Π² России, Π΄ΠΎ 400 000 Ρ‡Π΅Π»ΠΎΠ²Π΅ΠΊΒ Π² Π³ΠΎΠ΄ Π² Π•Π²Ρ€ΠΎΠΏΠ΅, ΠΏΡ€ΠΈ этом стационарноС Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Ρ‚Π°ΠΊΠΈΡ… Π±ΠΎΠ»ΡŒΠ½Ρ‹Ρ… сопряТСно с ΠΎΠΏΡ€Π΅Π΄Π΅Π»Π΅Π½Π½Ρ‹ΠΌΠΈ Π·Π°Ρ‚Ρ€Π°Ρ‚Π°ΠΌΠΈ, Π° Ρ‚Π°ΠΊΠΆΠ΅Β ΠΈΠΌΠ΅ΡŽΡ‚ΡΡ ΠΎΡ‡Π΅Ρ€Π΅Π΄ΠΈ Π½Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅ Π² онкологичСских стационарах. ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ΠΈΠ΅ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎ ΠΌΠΎΠΆΠ΅Ρ‚ ΡΠΎΠΊΡ€Π°Ρ‚ΠΈΡ‚ΡŒΒ Π΄Π°Π½Π½Ρ‹Π΅ Π·Π°Ρ‚Ρ€Π°Ρ‚Ρ‹ ΠΏΡ€ΠΈ сохранСнии достаточно высокой интСнсивности лСчСния.ЦСль – ΡΠΎΠΏΠΎΡΡ‚Π°Π²ΠΈΡ‚ΡŒ фармакоэкономичСскиС ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Ρ‹ ΠΏΡ€ΠΈ стационарном ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π΅ ΠΈ Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π΅ для опрСдСлСния Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ экономичСски Π²Ρ‹Π³ΠΎΠ΄Π½ΠΎΠ³ΠΎ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚Π° лСчСния.ΠœΠ΅Ρ‚ΠΎΠ΄Ρ‹ ΠΈ ΠΌΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹. 179 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌ Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎ Π±Ρ‹Π» Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π· Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹ΠΌΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Π°ΠΌΠΈ (Ρ‚Π°Π»ΡŒΠΊΠΎΠ²Ρ‹ΠΉ,Β Π±Π»Π΅ΠΎΡ†ΠΈΠ½ΠΎΠ²Ρ‹ΠΉ, ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½Ρ‹ΠΉ). ΠžΡ†Π΅Π½Π΅Π½Ρ‹ ΡΡ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ ΠΌΠ΅Ρ‚ΠΎΠ΄ΠΎΠ², прямыС мСдицинскиС Π·Π°Ρ‚Ρ€Π°Ρ‚Ρ‹ Π½Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅.Β Π­Ρ„Ρ„Π΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΡΡ‚ΡŒ стационарного торакоскопичСского ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° ΠΎΡ†Π΅Π½Π΅Π½Π° ΠΏΠΎ Π΄Π°Π½Π½Ρ‹ΠΌ Π·Π°Ρ€ΡƒΠ±Π΅ΠΆΠ½ΠΎΠΉ Π»ΠΈΡ‚Π΅Ρ€Π°Ρ‚ΡƒΡ€Ρ‹, подсчитаны прямыС мСдицинскиС Π·Π°Ρ‚Ρ€Π°Ρ‚Ρ‹ Π½Π° Π»Π΅Ρ‡Π΅Π½ΠΈΠ΅. На основании ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² подсчитаны фармакоэкономичСскиС ΠΏΠΎΠΊΠ°Π·Π°Ρ‚Π΅Π»ΠΈ CER ΠΈ ICER.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. ΠŸΡ€ΡΠΌΡ‹Π΅ мСдицинскиС Π·Π°Ρ‚Ρ€Π°Ρ‚Ρ‹ ΠΏΡ€ΠΈ стационарном торакоскопичСском ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π΅ составили 35 056,4 Ρ€. ΠΏΡ€ΠΈ эффСктивности 89 %. ΠŸΡ€ΡΠΌΡ‹Π΅ мСдицинскиС Π·Π°Ρ‚Ρ€Π°Ρ‚Ρ‹ ΠΏΡ€ΠΈ Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π΅ составили Π΄Π»ΡΒ Ρ‚Π°Π»ΡŒΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 8051,7 Ρ€., для Π±Π»Π΅ΠΎΡ†ΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎ ΠΈ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 11 799,2 Ρ€. CER составил для торакоскопичСского ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° Π² стационарС – 393,9, для Ρ‚Π°Π»ΡŒΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 115,35, для Π±Π»Π΅ΠΎΡ†ΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎΒ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 188,7, для ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 155,8. ICER ΠΏΠΎ ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΡŽ ΠΊ стационарному плСвродСзу составил для Ρ‚Π°Π»ΡŒΠΊΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° 1406,4, для Π±Π»Π΅ΠΎΡ†ΠΈΠ½ΠΎΠ²ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 877,6, для ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° – 1748,6.Β Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. CER оказался ΠΏΠΎΡ‡Ρ‚ΠΈ Π² 3 Ρ€Π°Π·Π° Π½ΠΈΠΆΠ΅ ΠΏΡ€ΠΈ Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠΌ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π΅, Ρ‡Ρ‚ΠΎ Π΄Π΅Π»Π°Π΅Ρ‚ Π΅Π³ΠΎ Π½Π°ΠΈΠ±ΠΎΠ»Π΅Π΅ экономичСски Π²Ρ‹Π³ΠΎΠ΄Π½Ρ‹ΠΌ Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠΌ лСчСния ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²Ρ‹Ρ… экссудативных ΠΏΠ»Π΅Π²Ρ€ΠΈΡ‚ΠΎΠ². ICER оказался ΠΌΠ°ΠΊΡΠΈΠΌΠ°Π»ΡŒΠ½Ρ‹ΠΌ ΠΏΡ€ΠΈ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠΌ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π΅, Ρ‡Ρ‚ΠΎ Π΄Π΅Π»Π°Π΅Ρ‚ Π΅Π³ΠΎ ΠΏΡ€Π΅Π΄ΠΏΠΎΡ‡Ρ‚ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΌ срСди Π²Π°Ρ€ΠΈΠ°Π½Ρ‚ΠΎΠ² Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π°. Π‘ ΡƒΡ‡Π΅Ρ‚ΠΎΠΌΒ ΠΏΠΎΠ»ΡƒΡ‡Π΅Π½Π½Ρ‹Ρ… Π΄Π°Π½Π½Ρ‹Ρ…, ΠΌΠΎΠΆΠ½ΠΎ ΡƒΡ‚Π²Π΅Ρ€ΠΆΠ΄Π°Ρ‚ΡŒ, Ρ‡Ρ‚ΠΎ экономичСски обосновано использованиС Π°ΠΌΠ±ΡƒΠ»Π°Ρ‚ΠΎΡ€Π½ΠΎΠ³ΠΎ ΠΏΠ»Π΅Π²Ρ€ΠΎΠ΄Π΅Π·Π° в качСствС ΠΏΠ΅Ρ€Π²ΠΎΠ³ΠΎ этапа ΠΏΠΎΠΌΠΎΡ‰ΠΈ Π±ΠΎΠ»ΡŒΠ½Ρ‹ΠΌ с ΠΎΠΏΡƒΡ…ΠΎΠ»Π΅Π²Ρ‹ΠΌΠΈ экссудативными ΠΏΠ»Π΅Π²Ρ€ΠΈΡ‚Π°ΠΌΠΈ.Β 

    НСкоторыС аспСкты комплСксной Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΏΡ€ΠΈΠΎΠ±Ρ€Π΅Ρ‚Π΅Π½Π½Ρ‹ΠΌΠΈ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π°ΠΌΠΈ ΠΈ дСформациями ΠΎΡ€ΠΎΡ„Π°Ρ€ΠΈΠ½Π³Π΅Π°Π»ΡŒΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ‹

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    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.ЦСль: ΠΎΡ†Π΅Π½ΠΊΠ° особСнностСй Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ процСсса ΠΏΡ€ΠΈΠ΅ΠΌΠ° ΠΏΠΈΡ‰ΠΈ ΠΈ поиск ΠΏΡƒΡ‚Π΅ΠΉ ΠΎΠΏΡ‚ΠΈΠΌΠΈΠ·Π°Ρ†ΠΈΠΈ процСсса Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с ΠΏΡ€ΠΈΠΎΠ±Ρ€Π΅Ρ‚Π΅Π½Π½Ρ‹ΠΌΠΈ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π°ΠΌΠΈ ΠΈ дСформациями ΠΎΡ€ΠΎΡ„Π°Ρ€ΠΈΠ½Π³Π΅Π°Π»ΡŒΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ‹.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹. Π’ исслСдованиС Π±Ρ‹Π»ΠΈ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Ρ‹ 86 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² хирургичСского стационара с дСфСктами ΠΈ дСформациями ΠΎΡ€ΠΎΡ„Π°Ρ€ΠΈΠ½Π³Π΅Π°Π»ΡŒΠ½ΠΎΠΉ Π·ΠΎΠ½Ρ‹: 59 ΠΌΡƒΠΆΡ‡ΠΈΠ½ ΠΈ 27 ΠΆΠ΅Π½Ρ‰ΠΈΠ½. Π‘Ρ‚Π΅ΠΏΠ΅Π½ΡŒ дисфагии ΠΎΡ†Π΅Π½ΠΈΠ²Π°Π»Π°ΡΡŒ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ клиничСских шкал: Volume Viscosity Swallow Test (V-VST), Swallowing Disability ScaleΒ (SDS). Π Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Π΅ мСроприятия ΠΏΠΎ Π½ΠΎΡ€ΠΌΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈ глотания ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠ»ΠΈΡΡŒ Π² ΡΠΊΡΠΏΠ΅Ρ€ΠΈΠΌΠ΅Π½Ρ‚Π°Π»ΡŒΠ½ΠΎΠΉΒ Π³Ρ€ΡƒΠΏΠΏΠ΅ (I), ΠΊΠΎΡ‚ΠΎΡ€ΡƒΡŽ составили 42 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°. Π“Ρ€ΡƒΠΏΠΏΠ° контроля (II), Π½Π΅ Π²ΠΊΠ»ΡŽΡ‡Π΅Π½Π½Π°Ρ Π² Π²ΠΎΡΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅Β Π²ΠΎΠ·Π΄Π΅ΠΉΡΡ‚Π²ΠΈΠ΅, состояла ΠΈΠ· 40 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ². Π“Ρ€ΡƒΠΏΠΏΡ‹ Π±Ρ‹Π»ΠΈ ΡƒΡ€Π°Π²Π½ΠΎΠ²Π΅ΡˆΠ΅Π½Ρ‹ ΠΏΠΎ тяТСсти Π΄Π΅Ρ„Π΅ΠΊΡ‚Π°, ΠΏΠΎΠ»Ρƒ ΠΈ возрасту.Β ΠŸΡ€ΠΎΠ²Π΅Π΄Π΅Π½ ΡΡ€Π°Π²Π½ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· выраТСнности Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Π°ΠΊΡ‚Π° глотания Π΄ΠΎ ΠΈ послС Π²ΠΎΡΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ³ΠΎΒ Π²ΠΎΠ·Π΄Π΅ΠΉΡΡ‚Π²ΠΈΡ ΠΈ ΠΎΡ†Π΅Π½ΠΊΠ° Π΅Π³ΠΎ эффСктивности.Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹. Π”Π°Π½Π½Ρ‹Π΅ исслСдования стСпСни дисфагии ΠΏΠΎ шкалС SDS ΠΏΠΎ Π²Ρ‹Π±ΠΎΡ€ΠΊΠ΅ Π² Ρ†Π΅Π»ΠΎΠΌ (n = 82) ΠΏΠΎΠ·Π²ΠΎΠ»ΡΡŽΡ‚Β Π³ΠΎΠ²ΠΎΡ€ΠΈΡ‚ΡŒ ΠΎ Π½Π°Π»ΠΈΡ‡ΠΈΠΈ зависимости стСпСни проявлСния Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΠΎΡ‚ мСста ΠΈ объСма анатомичСского Π΄Π΅Ρ„Π΅ΠΊΡ‚Π°. ΠŸΡ€ΠΈΡ‡Π΅ΠΌ ΡΠΎΠΏΠΎΡΡ‚Π°Π²ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°Π»ΠΈΠ· позволяСт  ΡƒΡ‚Π²Π΅Ρ€ΠΆΠ΄Π°Ρ‚ΡŒ, Ρ‡Ρ‚ΠΎ ΠΈΠΌΠ΅Π½Π½ΠΎ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ ΠΊΠΎΠΌΠ±ΠΈΠ½ΠΈΡ€ΠΎΠ²Π°Π½Π½ΠΎΠ³ΠΎ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π° усугубляСт Ρ‚ΡΠΆΠ΅ΡΡ‚ΡŒΒ  дисфагии. ΠŸΠΎΡΡ‚Π°ΠΏΠ½ΠΎ ΠΏΡ€ΠΎΠ²ΠΎΠ΄ΠΈΠΌΠΎΠ΅ Π² ΠΊΠΎΠ½Ρ‚Ρ€ΠΎΠ»ΡŒΠ½ΠΎΠΉ Π³Ρ€ΡƒΠΏΠΏΠ΅ логопСдичСскоС воздСйствиС,Β Π½Π°Ρ†Π΅Π»Π΅Π½Π½ΠΎΠ΅ Π½Π° ΠΏΡ€Π΅ΠΎΠ΄ΠΎΠ»Π΅Π½ΠΈΠ΅ расстройств глотания, Π²ΠΊΠ»ΡŽΡ‡Π°Π»ΠΎ Π² сСбя Π°Π΄Π°ΠΏΡ‚ΠΈΠ²Π½Ρ‹Π΅, компСнсаторныС ΠΈΒ Π²ΠΎΡΡΡ‚Π°Π½ΠΎΠ²ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹Π΅ стратСгии, примСняСмыС Π² Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… комбинациях Π² зависимости ΠΎΡ‚ Π»ΠΎΠΊΠ°Π»ΠΈΠ·Π°Ρ†ΠΈΠΈΒ Π΄Π΅Ρ„Π΅ΠΊΡ‚Π° ΠΈ тяТСсти дисфагии. Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹ сопоставлСния Π΄Π°Π½Π½Ρ‹Ρ… ΠΏΠΎΠ²Ρ‚ΠΎΡ€Π½ΠΎΠΉ ΠΎΡ†Π΅Π½ΠΊΠΈ тяТСсти дисфагии у Π΄Π²ΡƒΡ… Π³Ρ€ΡƒΠΏΠΏ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² (I ΠΈ II) ΠΏΠΎΠΊΠ°Π·Π°Π»ΠΈ, Ρ‡Ρ‚ΠΎ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Π½Ρ‹Π΅ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΎΠ½Π½Ρ‹Π΅ мСроприятия ΠΎΠΊΠ°Π·Π°Π»ΠΈΒ ΠΏΠΎΠ»ΠΎΠΆΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠ΅ влияниС.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅. Π’Π°ΠΊΠΈΠΌ ΠΎΠ±Ρ€Π°Π·ΠΎΠΌ, ΠΌΠΎΠΆΠ½ΠΎ ΡƒΡ‚Π²Π΅Ρ€ΠΆΠ΄Π°Ρ‚ΡŒ, Ρ‡Ρ‚ΠΎ логопСдичСскоС воздСйствиС, ΠΊΠΎΡ‚ΠΎΡ€ΠΎΠ΅ относится ΠΊΒ Π½Π΅ΠΌΠ΅Π΄ΠΈΠΊΠ°ΠΌΠ΅Π½Ρ‚ΠΎΠ·Π½Ρ‹ΠΌ, Π½Π΅ΠΈΠ½Π²Π°Π·ΠΈΠ²Π½Ρ‹ΠΌ ΠΌΠ΅Ρ‚ΠΎΠ΄Π°ΠΌ Ρ€Π΅Π°Π±ΠΈΠ»ΠΈΡ‚Π°Ρ†ΠΈΠΈ, позволяСт ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎ Π½ΠΎΡ€ΠΌΠ°Π»ΠΈΠ·ΠΎΠ²Π°Ρ‚ΡŒ процСсс приСма ΠΏΠΈΡ‰ΠΈ, способствуСт ΠΏΡ€ΠΎΡ„ΠΈΠ»Π°ΠΊΡ‚ΠΈΠΊΠ΅ кахСксии-анорСксии ΠΈ Π΄Π΅Π³ΠΈΠ΄Ρ€Π°Ρ‚Π°Ρ†ΠΈΠΈ, Ρ‡Ρ‚ΠΎ Π²Π°ΠΆΠ½ΠΎ для ΡƒΡΠΏΠ΅ΡˆΠ½ΠΎΠ³ΠΎΒ Ρ‚Π΅Ρ‡Π΅Π½ΠΈΡ послСопСрационного ΠΏΠ΅Ρ€ΠΈΠΎΠ΄Π°, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΡƒΠ»ΡƒΡ‡ΡˆΠ΅Π½ΠΈΡ качСства ΠΆΠΈΠ·Π½ΠΈ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ².
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