Method for treating narcomania-suffering patients
FIELD: medicine, narcology.
SUBSTANCE: one should pre-detect the frequency of magnetic field ranged 1.0-15.0 Hz at which one should observe the shift of bioelectric activity waves towards deceleration, the decrease of motor thresholds, amplitude, the decrease of rhythmic disorders, and the increase of dopamine level in blood and/or liquor. Stimulation should be performed with magnetic field of certain frequency at induction being 0.5-1.2 Tl in projection of cerebral hemispheres. Simultaneously, one should carry out visual stimulation at frequency of stimuli presentation of 3-25/sec. Moreover, valuable visual stimuli should be presented at 0.1-20 msec, and invaluable ones at 35-350 msec. Seances take place every day for 30-60 min, therapeutic course consists of 10-20 seances. The method applies magnetic field at optimal induction for every patient in combination with psychotherapeutic impact.
EFFECT: higher efficiency of therapy.
The invention relates to medicine, namely to addiction, and can be used for the treatment of patients with razlichnimi kinds of drug addiction.
There is a method of treatment of diseases of the optic tract by the action of pulsed magnetic field of 0.1-0.25 T, synchronized with the frequency of the electrical activity of the brain simultaneously with crescozhnoe stimulation of the optic nerve by electrical stimulation of the eyelids and photostimulation daily for 15-20 minutes 10-15 sessions (patent No. 2128485).
However, this method has significant drawbacks. Magnetic stimulation is carried out with a low magnetic field of 0.1-0.25 T, which in turn can lead to reduced efficiency impacts, and visual stimulation just flash that is not specific to the stimulation of mental processes.
The closest that we have chosen as a prototype is a method of treatment of patients in coma and vegetative state, including the effects of sinhronizovani magnetic field, visual and electrical stimulation of the most effective frequencies defined on the basis of registration and analysis of bioelectric activity of the brain, characterized in that the use of a pulsed magnetic field of 1.2 to 2 T in the projection of the brain stem, while conducting the visual stimulation is aciu important for the patient paintings for 5-10 s and electrical stimulation of the median nerve rectangular pulses at an amperage of 12-18 mA and pulse duration of 0.1-0.3 MS, frequency of 5-15 Hz, daily for 2-8 hours, 10-20 sessions per course of treatment (patent No. 2197294).
However, this method has drawbacks. Stimulation with induction of 1.2-2 T is in the brain stem area, and not in the projection of the fronto-temporal regions of the big hemispheres (where the greatest number of dopaminergic synaptic endings and mental representations in the cortex), and visual stimulation is only relevant incentives that hinders the activation of unconscious mental mechanisms.
The objective of the invention is to increase the efficiency of treatment of patients suffering from various forms of addiction.
The task is achieved by using a coil creates a magnetic field in the projection of the fronto-temporal regions of cerebral hemispheres and the frequency of the pulsed fields are selected according to the optimal reactions of the bioelectrical activity of the brain, and the maximum induction of a magnetic field provide in the range of 0.5 to 1.2 T, while conducting visual stimulation with meaningful visual stimuli with a duration of 0.1-20 MS and nonsignificant stimuli with a duration of 35-350 MS in the ratio of 1 to 2 or 1 to 24, when the frequency of presentation of images 3-25 per second, daily for 30-60 minutes, 10-20 sessions per course of treatment.
The authors have carried out the necessary exp the pilot work, allows you to define the characteristics of transcranial magnetic stimulation (TMS) and visual stimulation (CS) relevant and irrelevant stimuli.
Addiction has long been known. Drug use is often associated with the desire, at least temporarily hide, escape from the hardships of reality. The role of the lack of discipline, the immaturity of character, weak self-control, increased interest in the unfamiliar sensations that occur in some young people. First, depending on the type of higher nervous system, drug type, dose, method of introducing it into the body, the mental setup of the subject is called euphoric effect. Then develops the reactivity of the organism - disappear protective reaction. Drug use becomes systematic changes occur tolerance. Gradually formed the psychic and physical dependence to drugs, with irresistible attraction and expressed in withdrawal syndrome, in which the structure can be observed elements astenodepressivnyh, hypomanic, explosive (Babayan E.A., Ganopolski - Narcology. Moscow, 1990, 336 pages). In the dynamics of the formation of abstinent CSOs syndrome can distinguish three stages: 1 - adaptation (change of reactivity, the emergence of psychological dependence); 2 - in the causes physical dependence in the form of a withdrawal syndrome; 3 - the exhaustion of all systems (lower tolerance, protracted withdrawal syndrome, occurs in some cases of polyaramide). In the initial stages of monitoring violations reactions of neurons of the cerebral cortex, hypothalamus, reticular formation. Further violated receptive capabilities of neuronal metabolism and strucure-functional organization of the brain. Biochemical essence of addiction is the substitution of external chemical agents natural internal chemical reward. Such a substitution of internal factor available chemical equivalent does not require purposeful work and other processes to reach a state of satisfaction, pleasure, etc. Exogenous opiates - morphine and its analogues equivalents internal opioids, i.e. interact with the same classes of receptors that and opioide neuropeptides. Catecholamines in certain parts of the brain involved in the processes of internal reinforcement (Ashmarin I.P. Biochemistry of the brain, St. Petersburg, 1999, 328 pages). This is evidenced by the presence of zones located along the catecholamine - and serotoninergicheskih ways, when the irritation which you experience feelings of satisfaction, pleasure, etc. Especially these systems suffer when taking neopytnyh drugs (cocaine, LSD, heroin, etc).
Transcranial magnetic stimulation is widely and is used for research and treatment of lesions of the nervous system (patent RU № 2100037, №2134131, №2128485, №2194477). One of the purposes of the application of TMS in patients with drug addiction in our treatment is the possibility of activation of neurotransmitter systems of the brain, primarily catecholamin and serotoninergicheskie system, because TMS can affect different neurotransmitter systems, including serotonin and dopaminergic (Imranov Russia, having got Transcranial magnetic stimulation. M., “Allan”, 2002, page 164). The second objective of the use of TMS in these patients is the ability to decrease after stimulation manifestations astenodepressivnyh States. The third task TMS is the possibility of its influence on the bioelectrical activity of the brain and thereby change the modified activity of the drug with the aim of bringing to normal (better organization, often reduced to a more slow waves).
Also during the stimulation is the presentation of relevant and irrelevant visual stimuli. Significant stimuli with a short time interval presentation on the background of insignificant stimuli with a long interval of time of presentation and a large number - Nedostup for awareness and allow for multiple presentation to lay in the subconscious required information elements. In this case, it is information about the dangers of drugs, a way of life, the inevitability of a bad outcome if you continue taking prep the drugs, etc.
The method is as follows:
A patient with a drug record bioelectric activity of the brain - the electroencephalogram (EEG), (VIZ), somatosensory evoked potentials (ERPs)caused by motor potentials (GWP), determine the level of dopamine in the blood or cerebrospinal fluid) before and after TMS with different frequencies from 1 to 15 Hz (diagnostic TMS). Registration takes place on 18-channel electroencephalograph Nihon Koden "EEG-4217 (Japan) and neurocranial "Viking IVP" by Nicolet (USA). On the basis of spectral and coherence analysis of EEG amplitude and latency of the main components of ERPs, WUAs, VMP find the optimum amplitude and frequency of TMS, which is offset from the fundamental wave in the direction of deceleration, reducing motor thresholds, amplitudes of ERPs, WUAs and VMP, reduction in EEG disruption of basic rhythms and increase the level of dopamine in the blood or cerebrospinal fluid). After selection of the amplitude and temporal characteristics of exposure and the absence of side-effects the patient is assigned a treatment stimulation therapy.
Stimulation is carried out as follows: the patient lies on a couch in light-, sound-proofed room. The task is achieved by using a coil creates a magnetic field in the projection of the fronto-temporal regions of cerebral hemispheres and the frequency of them is osnago fields are selected according to the optimal reactions of the bioelectrical activity of the brain, and the maximum induction of a magnetic field provide in the range of 0.5 to 1.2 T, while conducting visual stimulation with meaningful visual stimuli with a duration of 0.1-20 MS and nonsignificant stimuli with a duration of 35-350 MS in the ratio of 1 to 2 or 1 to 24, when the frequency of presentation of images 3-25 per second, daily for 30-60 minutes, 10-20 sessions per course of treatment.
Transcranial magnetic simulation carried out by magnetostimulation “MS-1” firm “Neurosoft” (Ivanovo, Russia)connected through an external input from a personal computer, which allows using the software for magnetostimulation, to adjust the frequency and duration of the pulse magnetic field. Induction of a magnetic field of 0.5 to 1.2 T, pulse duration 0.3 MS, the frequency of 1-15 Hz (individually customized for each patient), the coil diameter of 80-120 mm with proceeds from this physical basis for the formation of excitation. While conducting visual stimulation through the computer monitor is showing significant and insignificant (for the patient with drug addiction) pattern.
The results can be illustrated by the following clinical example.
Patient A., aged 32 years, within 2 years had used marijuana, then within 2 months of heroin. Complaints on mental and physical dependence, as undepressing syndrome. The patient truly wants to get rid of drug addiction. The patient was registered EEG, ERPs, WUAs, VMP, determining the level of dopamine in TMS with different frequencies and identified on the basis of the analysis of the obtained data, the optimal frequency of stimulation: TMS - 4,6 Hz. Prepared by the significant (negative attitudes to drug use, the belief in the possibility of cure) and insignificant paintings (nature, animals, paintings).
The patient held 20 sessions, TMS, with the induction of a magnetic field of 1.0 T and visual stimulation. The duration of each session was 30 minutes a day.
After the treatment notes:
1. Sick for 6 months doesn't do drugs.
2. The patient notes the absence of withdrawal symptoms.
3. Positive dynamics in the EEG and EP - reducing disruption basic rhythms, slow alpha rhythm (8,8 Hz), the decrease in the amplitude of ERPs, VMP, increased MT in TMS.
4. Reduction astenodepressivnyh States, improvement of sleep.
Using the proposed method allows to obtain the following positive effects:
1. Allows you to reduce or reduce the manifestation of withdrawal symptoms during withdrawal from drugs.
2. Improve sleep and reduce astenodepressivnyh state.
3. To ensure the effectiveness of the treatment p and the absence of positive results in the treatment of other treatment methods.
4. To slow down or stop the processes of addiction. The proposed method of treatment can be used in the treatment of patients with various types of addiction.
A method of treating patients with drug addiction, including the effects of magnetic field, wherein the pre-determined frequency magnetic field in the range from 1.0 to 15.0 Hz, at which the shifting waves of bioelectric activity in the direction of deceleration, decrease of motor threshold, amplitude, reducing the disruption of rhythms, as well as increase the level of dopamine in the blood and/or cerebrospinal fluid; stimulation carried out by the magnetic field of the found frequency induction 0.5 to 1.2 T in the projection of the big hemispheres; while conducting visual stimulation with a frequency of stimuli presentation 3-25 per second, with significant visual stimuli have a duration of about 0.1-20 MS and insignificant visual stimulus - duration 35-350 MS; sessions are conducted daily for 30-60 min, the treatment is 10-20 sessions.
SUBSTANCE: method involves covering pathological tissue surface and area adjacent to it, with light medical drug. The pathological focus is exposed to magnetic field action on the opposite side. Magnetic field direction and intensity are varied to make light magnetic drug penetrate into pathological tissue under visual control. Cryogenic treatment is combined with magnetic field therapy. Next, the lesion focus is treated with the light drug daily and subjected to magnetic field therapy until cryonecrosis area dries completely and is rejected. Laser-mediated necrosis area evaporation is carried out 3-5 days later after having applied cryogenic treatment, with incomplete destruction of the lesion focus in depth. Ferromagnetic color is used in necrotic tissue as marker. Auxiliary cryogenic treatment is applied when having achieved complete lesion focus elimination. Incomplete lesion focus elimination being found to be the case after having applied laser evaporation of the lesion focus, the drug is administered for treating the lesion focus, and cryogenic treatment is applied.
EFFECT: enhanced effectiveness of treatment.
3 cl, 2 dwg
FIELD: medicine; medical engineering.
SUBSTANCE: method involves acting upon pathological cells and tissues with constant and/or low frequency alternating electromagnetic field of 1 to 100 mTesla units large intensity and frequency of 1 to 1000 Hz. The device has means for producing constant and/or low frequency alternating electromagnetic fields permeating working space.
EFFECT: enhanced effectiveness in treating pathological tissues without harmfully influencing healthy cells.
19 cl, 5 dwg, 5 tbl
SUBSTANCE: the influence is effected by linear - and helical-shaped autowaves formed by a fixed source of a static magnetic field and premanent magnets moving on a rotating disk. The fixed source is installed at an angle of 90 deg. To the moving magnets, and having a magnetic screen with a hole. Generation of fields is accomplished at rotation of the disk. The influence is effected by an additional static magnetic field at angle 2ϕ=1800 to the patient's body in the same plane with the fixed source of magnetic field and the moving magnets, the patent's body is located between them. The influence is effected by an additional static magnetic field incoming from a double turned over tetrahedral pyramid made in the form of a narrow pyramid inside the wide pyramid, with flat permanent magnets installed outside on their walls between poles N for mutual repulsion. The patient's body is located between the rotating disk at angle 2ϕ=1800 and the pyramid at angle 2ϕ=1800 in the same plane. The influence is effected by a concentrated static magnetic field incoming from a tetrahedral truncated pyramid, with permanent magnets installed inside, and having an additional platform on top the pyramid, with flat permanent magnets installed on it with magnetic cores located at angle 2ϕ=1800 to the patient's body in the same plane with the moving magnets. The patient's body is between them. The linear-shaped autowaves are formed with the use of interacting sources of magnetic field for attraction an angle ϕ=900±20, 2ϕ=1800±20 of the helical-shaped auto wave, they are formed with the used of interacting of magnetic field source for repulsion at angle ϕ=900±20, or 2ϕ=1800±20 from permanent magnets with residual induction from 0.3T to 1.3T at a frequency of influence within 50 to 150 Hz, and a clockwise generation of magnetic fields is accomplished.
EFFECT: enhanced efficiency of influence by a magnetic field on the biological object.
4 cl, 11 ex, 9 dwg
SUBSTANCE: method involves building tunnel to posterior eyeball pole in inferoexterior and superexterior quadrants. The tunnel is used for implanting flexible polymer magnetolaser implant to the place, the subretinal neovascular membrane is localized. The implant has a permanent magnet shaped as a cut ring and is provided with drug delivery system and a short focus scattering lens of laser radiator connected to light guide. The permanent implant magnet is axially magnetized and produces permanent magnetic field of 5-7 mTesla units intensity. It is arranged with its north pole turned towards sclera at the place of the subretinal neovascular membrane projection with extrascleral arrangement of laser radiator lens membrane being provided in the subretinal neovascular membrane projection area. The other implant end is sutured to sclera 5-6 mm far from the limb via holes made in advance. The implant is covered with conjunctiva and retention sutures are placed thereon. Light guide and drug supply system lead is attached to temple with any known method applied. Drugs are supplied via the implant drug supply system in retrobulbary way in any order. Triombrast is given in the amount of 0,4-0,6 ml and dexamethasone or dexone in the amount of 0,4-0,6 ml during 3-4 days every 12 h. 0.1-1% aqueous solution of khlorin is intravenously introduced at the third-fourth day after setting the implant as photosensitizer, selected from group containing photolon, radachlorine or photoditazine, at a bolus dose of 0.8-1.1 mg/kg. Visual control of subretinal neovascular membrane cells fluorescence is carried out by applying fluorescent diagnosis methods. After saturating the subretinal neovascular membrane with the photosensitizer to maximum saturation level, intravitreous, transretinal laser radiation of 661-666 nm large wavelength is applied at general dose of 30-120 J/cm2. The flexible polymer magnetolaser implant is removed and sutures are placed on conjunctiva. Permanent magnet of the flexible polymer magnetolaser implant is manufactured from samarium-cobalt, samarium-iron-nitrogen or neodymium-iron-boron system material. The photosensitizer is repeatedly intravenously introduced at the same dose in 2-3 days after the first laser radiation treatment. Visual intraocular neoplasm cells fluorescence control is carried out using fluorescent diagnosis techniques. Maximum level of saturation with the photosensitizer being achieved in the subretinal neovascular membrane via laser light guide and implant lens, repeated laser irradiation of the subretinal neovascular membrane is carried out with radiation dose of 30-60 J/cm2.
EFFECT: accelerated subretinal edema and hemorrhages resorption; regression and obliteration of the subretinal neovascular membrane; prolonged vision function stabilization.
FIELD: medical engineering.
SUBSTANCE: device has power supply source, electromagnetic oscillation source, treatment element, having two inductance coils connected in series and compliance, and capacitor forming an LC-circuit with the treatment element. The electromagnetic oscillation source is designed as self-excited oscillator, which oscillatory circuit is the LC-circuit with the treatment element. The device also has modulator unit set between the power supply source and self-excited oscillator circuit, control circuit connected to the self-excited oscillator circuit and having amplitude detector, AC amplifier and indicator unit connected in series and sectional U-shaped dielectric carcass having inductance coils of the treatment element mounted on its vertical elements and electric units of the device mounted on horizontal electric elements of the device. The self-excited oscillator produces high frequency oscillations in frequency bandwidth of 100-1000 kHz. The modulator unit has low frequency oscillator operating in the bandwidth of 10-5000 Hz. Carcass members are manufactured from hard dielectric material and connected to each other by means of flexible connection members.
EFFECT: wide range of functional applications.
2 cl, 2 dwg
SUBSTANCE: method involves creating tunnel between sclera and Tenon's capsule in intraocular neoplasm projection. Intraocular neoplasm localization and size is adjusted by applying transscleral diaphanoscopic examination method. 0.1-0.3 ml of photosensitizing gel based on viscoelastic of hyaluronic acid, selected from group containing chealon, viscoate or hyatulon, is transsclerally introduced into intraocular neoplasm structure using special purpose needle in dosed manner. The photosensitizing gel contains khlorin, selected from group containing photolon, radachlorine or photoditazine in the amount of 0.1-1% by mass. Flexible polymer magnetolaser implant is extrasclerally introduced into the built tunnel in intraocular neoplasm projection zone under visual control using guidance beam. The implant has permanent ring-shaped magnet axially magnetized and producing permanent magnetic field of 3-4 mTesla units intensity, in the center of which a short focus scattering lens of laser radiator is fixed. The lens is connected to light guide in soft flexible envelope. The implant is arranged with its north pole turned towards the intraocular neoplasm so that implant laser radiator lens is extrasclerally arranged in intraocular neoplasm projection zone. The implant light guide is sutured to sclera 5-6 mm far from the limb with single interrupted suture. The implant is covered with conjunctiva and relaxation sutures are placed over it. Light guide outlet is attached to temple using any known method. Visual control of intraocular neoplasm cells is carried out by applying fluorescence and fluorescent diagnosis methods. After saturating the intraocular neoplasm with the photosensitizer to maximum saturation level, transscleral intraocular neoplasm laser radiation treatment is carried out via laser light guide and implant lens using divergent laser radiation at wavelength of 661-666 nm. The treatment course being over, the flexible polymer magnetolaser implant is removed and sutures are placed on conjunctiva. Permanent magnet of the flexible polymer magnetolaser implant is manufactured from samarium-cobalt, neodymium-iron-boron or samarium-iron-nitrogen. 0.1-1% khlorin solution as photosensitizer, selected from group containing photolon, radachlorine or photoditazine, is additionally intravenously introduced in 2-3 days at a dose of 0.8-1.1 mg/kg and repeated laser irradiation of the intraocular neoplasm is carried out with radiation dose of 30-45 J/cm2 15-20 min later during 30-90 s.
EFFECT: complete destruction of neoplasm; excluded its further growth.
SUBSTANCE: method involves making incision in conjunctiva and Tenon's capsule of 3-4 mm in size in choroid hemangioma projection to sclera 3-4 mm far from limb. Tunnel is built between sclera and Tenon's capsule to extrasclerally introduce flexible polymer magnetolaser implant through the tunnel to the place, the choroid hemangioma is localized, after performing transscleral diaphanoscopic adjustment of choroid hemangioma localization and size, under visual control using guidance beam. The implant has permanent ring-shaped magnet in the center of which a short focus scattering lens of laser radiator is fixed. The lens is connected to light guide in soft flexible envelope. The permanent implant magnet is axially magnetized and produces permanent magnetic field of 2-3 mTesla units intensity. It is arranged with its north pole turned towards the choroid hemangioma so that extrascleral implant laser radiator disposition. The other end of the implant is sutured to sclera 5-6 mm far from the limb with two interrupted sutures through prefabricated openings. The implant is covered with conjunctiva and relaxation sutures are placed over it. Light guide outlet is attached to temple using any known method. 0.1-1% khlorin solution is injected in intravenous bolus dose of 0.8-1.1 mg/kg as photosensitizer and visual control of choroid hemangioma cells fluorescence and fluorescent diagnosis methods are applied. After saturating choroid hemangioma with the photosensitizer to maximum level, transscleral choroid hemangioma laser radiation treatment is carried out via laser light guide and implant lens using divergent laser radiation at wavelength of 661-666 nm with total radiation dose being equal to 30-120 J/cm2. The flexible polymer magnetolaser implant is removed and sutures are placed on conjunctiva. Permanent magnet of the flexible polymer magnetolaser implant is manufactured from samarium-cobalt, samarium-iron-nitrogen or neodymium-iron-boron system material. The photosensitizer is repeatedly intravenously introduced at the same dose in 2-3 days after the first laser radiation treatment. Visual intraocular neoplasm cells fluorescence control is carried out using fluorescent diagnosis techniques. Maximum level of saturation with the photosensitizer being achieved in the intraocular neoplasm, repeated laser irradiation of the choroid hemangioma is carried out with radiation dose of 30-60 J/cm2.
EFFECT: enhanced effectiveness of treatment.
FIELD: medicine, psychotherapy.
SUBSTANCE: one should generate light and sound signals, synchronize them and apply them to affect both visual and auditory analyzers, then patient should be isolated from environmental impacts and with light and sound signals it is necessary to imitate patient's movements and feelings due to reproducing dynamic stereoscopic pictures modeling any preset moving environment around the patient and stereo-sounds. As the source of light and sound signals and, also, for isolating against external impacts one should apply a computer and a helmet or spectacles of virtual reality with mini-displays to be put on patient's head. The method enables to widen the number of ways to introduce patients into trance state.
EFFECT: higher efficiency.
11 cl, 3 dwg, 3 ex
SUBSTANCE: method involves doing complex of physical training exercises on the background of medical rehabilitation treatment. First, dominant hemisphere is determined. Next, exercises are done expanding in turn over higher and higher levels of the nervous system beginning from homolateral movements of extremities. Then, heterolateral movements are done with extremities: first, without crossing median line of the body and then with shoulder girdle rotation to one side and pelvic girdle to the opposite side ending in movements crossing the median line. Then, the heterolateral movements are combined with eye movements and functional loads upon the hemispheres. Infinity sign drawing is carried out in the air with the right hand, left hand and with both hands, following the imaginary drawings with eyes and transferring center of gravity from one leg to the other one. Then, symmetrical figures are drawn simultaneously using both hands. Then, autotraining exercises are done consisting in creating and fixing in memory image of both working hemispheres.
EFFECT: enhanced effectiveness of influence exerted to both hemispheres in activating interhemispheric links and restoring injured cortical functions.
8 dwg, 2 tbl
FIELD: medicine, thoracic surgery, anesthesiology.
SUBSTANCE: as non-narcotic medicinal preparation one should apply heparin to be introduced intratracheally at the dosage of 300-500 IU/kg, moreover, heparin should be introduced during the first 30 min after the operation is over. The present innovation enables to create prolonged anesthetizing effect in combination with prophylaxis of postoperational thrombohemorrhagic complications due to heparin capacity to be kept in the body due to its accumulation by mast cells at blockade of their fermentative activity followed by its gradual release into the blood.
EFFECT: higher efficiency.
1 cl, 1 ex, 3 tbl
FIELD: medicinal cosmetology.
SUBSTANCE: at first, one should perform target psychological tuning up for the work with a certain patient. Then, at the fist stage it is necessary to remove articular blocks, relax muscular-ligamentous apparatus of body joints with light swingings of patient's head and limbs. Moreover, one should apply long smoothing movements for limbs. The first stage should be finished with respiratory exercises. Then comes relaxing massage of jugular area and hands, plastic impact upon facial fasciae and muscles, massage of biologically active points and linear facial massage. Then one should do the complex of strengthening exercises for the neck and face. At the same time, one should concentrate patient's attention upon coming feelings in jugular and facial areas. Complex of strengthening exercises for the face and the neck should be performed every day. The present innovation enables to maintain daily tonicity of facial myofascial layer well.
EFFECT: higher efficiency.
1 cl, 4 ex
FIELD: medicine, cardiology.
SUBSTANCE: the present innovation includes hypolipidemic diet. Additionally, in the state of meditation one should induce the feeling of thermal disposition in intestinal area due to autosuggestion spirally starting from dextral ileal area and performing about 3-5 circles clockwise, only by narrowing the radius of movement towards navel's area, then about 3-5 circles clockwise by widening the radius of movement against initial circumference. Then one should similarly work with feelings of colic pains and cold. Moreover, autosuggestive impact should be carried out twice daily for 30-40 d, and then - once daily every other day to maintain cholesterol level at normal value. The method enables to treat hypercholesterolemia in patients despite cholesterol level.
EFFECT: higher efficiency of therapy.
1 cl, 1 tbl
FIELD: medicine, anesthesiology, intensive therapy, surgery.
SUBSTANCE: the present innovation is suggested to correct anesthetic therapy in postoperational period. One should apply a modified visual-analog scale of pain on which patient should mark independently his (her) pain feelings by fixing them on vertical sections of the above-mentioned scale of pain every 2 h during the day, then doctor should plot an algogram of daily fluctuations of patient's pain feelings to analyze them for estimating the strength of pain feelings and adequacy of analgetic therapy conducted; and by taking into account the data obtained to conduct correction anesthetic program next day. The present innovation enables to adequately evaluate patient's pain feelings in postoperational period for subsequent performing adequate preventive analgetic therapy of pain syndrome, that, in its turn, enables to prevent pathological postoperational syndromocomplex.
EFFECT: higher efficiency of correction.
2 cl, 3 dwg, 1 ex
FIELD: medicine, human weight correction.
SUBSTANCE: while elaborating self-realization formula a dietologist should develop weight correction mode for a patient during certain period of time without health deterioration. A psychotherapist should detect several targets for weight correction followed by psychotherapeutic seance by applying neurolinguistic programming. For this purpose, a patient should provide picturesque and detailed description of desirable function. Moreover, a psychotherapist detects positive, emotional and autonomic manifestations to form conditionally reflector relationship due to tactile contact. Under supervision of a psychotherapist due to suggestion technique a patient should imagine "a part of personality" responsible for weight correction. Then his psychotherapist has communication with mentioned "part of personality", arouses patient's attention to desirable result and fixes elaborated conditioned reflex. Then a psychotherapist illustrates communication with physical feelings that correspond to either negative or positive answer and their appearance in "a part of personality". At establishing tactile contact a psychotherapist suggests to choose new ways of behavior directed onto weight correction, obtains agreement from "a part of personality" to take care of this very function, which a psychotherapist should monitor by physiological manifestations and fix with conditioned tactile contact. A patient suggests new ways of alimentary behavior, analyze them and choose not less than 3 really achievable ones and "a part of personality" is responsible for automatic implementation of these new ways of alimentary behavior in patient's next life and at achieving positive answer from "a part of personality" sйance of psychotherapy should be finished by returning a patients into awakening state. Moreover, one should prescribe a diet at decreased caloricity of 800-900 kcal during the 1st mo, then - 1200 kcal for another month with subsequent achieving its value to correspond to normal body requirements. Psychotherapy lasts for 3-4 seances in 3-5 d at repeated maintenance therapy in a month, 1 seance. The method enables to achieve stable weight decrease during preset period of time for prolonged terms.
EFFECT: higher efficiency of weight correction.
1 cl, 1 ex
SUBSTANCE: method involves carrying out physiological examination with electroencephalogram recorded. Cognitive evoked potential method is additionally applied as neuropsychological examination for detecting hard and latent organic brain lesions causing central nervous system pathological disorders. An additional psychophysiological examination is carried out with vision analyzer test, visuomotor response test being applied for obtaining estimations of selection, discrimination, noise immunity and muscle endurance index, movement coordination, response to moving object and integral estimation of attention and ability for perceiving significant information, motor analyzer rapid response production estimation, estimation of nature of cardiovascular system response to given psychoemotional loading estimation. The examination is sequentially carried out as primary control when hiring personnel, as intermediate control in following a training course and emergency training. Psychological testing is of multi-purpose nature. To achieve it, a set reliable tests and methods of prognostic and substantial validity are applied, including intellect and project-building tests and standardized self-reports. When making decisions concerning professional validity based on test and examination results, risk group is selected from operation personnel.
EFFECT: enhanced effectiveness of occupational skill assessment.
FIELD: medicine, in particular, narcology.
SUBSTANCE: method involves using computer as apparatus for displaying on monitor screen of brain colored images reflecting at least two states of brain: before coding by separating portions colored with yellow, green and blue colors and tints thereof reflecting increasing extent of brain affection, and after coding by separating big portion of bright-red color on the background of portions colored with yellow, green and blue colors and tints thereof, respectively; explaining to patient that portion of bright-red color is his dominant code resulted from treatment; before coding procedure, applying and fixing on patient's forehead electrodes simulating elimination of brain potentials; in the course of coding, exposing patient to light flashes with switched-off common illumination and to continuous acoustic signals generated by means of acoustic synthesizer; during coding procedure, exposing patient to light flashes issued from, for example, stroboscope, said light flashes being emitted at frequency of 1-3 Hz; providing immediate suggestion by means of microphone and telephone headsets electrically connected to microphone and secured on patient's head. Method allows preliminary treatment procedure to be avoided.
EFFECT: increased therapeutic effect.
4 cl, 3 dwg, 1 tbl
SUBSTANCE: the present innovation deals with the ways to treat alcoholism, narcomania, tobacco smoking, obesity, sexual disorders, gambling-mania and others. Videopicture contains either one or two additional exposures, the 25th and 26th, correspondingly, each of them contains verbal information of either prohibiting or encouraging character and depictive information that corresponds to the character of verbal information. Moreover, at first, it is necessary to show the 25th exposure only, then - the 25th and the 26th exposures together, then again - the 25th exposure only. Duration of seance for videopicture watching should last for about 20-40 min. The method enables to perform less severe impact upon a patient.
EFFECT: higher efficiency of therapy.
FIELD: medicine, psychiatry, psychotherapy.
SUBSTANCE: the present innovation deals with carrying out dietotherapy and psychotherapeutic impact in the course of group seances. Moreover, the main psychotherapeutic impact should be performed during two seances per 8 h each, each due to marathon technique under asthenization conditions, biorythmical misfunctioning and behavioral stereotypes. Motivation should be elaborated for patient's healthy nutrition along with self-confidence and belief into success. Program for losing body weight should be developed to visualize and concretize therapy. Diary for nutritive behavior should be written, psychological protection should be performed in case of affected dietary situation. After the main seances one should carry out psychotherapeutic impact during one seance of 3 h duration in 1 or 3 mo. During seances the results obtained should be fixed by discussing and excluding situations provoking obesity relapse. The method enables to prolong duration and stability of remission.
EFFECT: higher efficiency of therapy.