Method for interactive treatment of addictive behavior

FIELD: medicine, psychiatry, narcology, telemedicine.

SUBSTANCE: one should perform suggestive impact upon a patient to form negative emotions at different addictions. One should project a video-sequence of negative picture on the screen. Positive emotions should be developed by demonstrating positive pictures. Moreover, one should conduct psychotherapeutic impact through the canals of audiovisual devices along with distance control for patient's state. Moreover, it is necessary to register fluctuations of omega-potential, anxiety level, initial psychophysiological characteristics. At the background of positive emotions one should form a dominant for healthy life and the program to avoid addiction. Then comes correction of behavioral stereotypes. Patient should choose motivating video-image by activating the dominant and program to avoid the addiction available. Verbal impact occurs under stereophonic conditions with binaural sound fluctuations. The method enables to prevent relapses of addictive behavior at the stage of pre-clinical manifestations of the above-mentioned disease.

EFFECT: higher efficiency of therapy.

1 cl, 3 ex, 4 tbl

 

The invention relates to medicine, namely to psychiatry, and can be used in psychotherapy.

Most effectively the invention can be used in addiction treatment for dependent States.

In addition, the invention can be used in the practice of family doctors and telemedicine.

The urgency of developing new ways to treat various forms dependent behavior is constant and significant growth, both in developed and in developing countries, the number of people, including young people suffering from an addiction to drugs, alcohol abuse, overweight, etc. and the lack of effectiveness of existing methods of medication and non-medication therapy.

Currently known a number of interactive ways of treatment dependent behavior.

There is a method of interactive treatment dependent behavior, including during the three stages of hypnosis and indirect exposure to suggestion by demonstrating static and dynamic images, containing 25 frame verbal information with the prohibition on alcohol, tobacco and other drugs (Patent RF № 2162349 from 29.03.99).

The disadvantage of this method is the use of only indirect exposure to suggestion, which is not always turns out the t on patients dependent behavior of the desired therapeutic effect, particularly in individuals with impaired vision, which can lead to reduced efficiency of the treatment, reducing the duration of remission and possible recurrence of the disease.

In addition, treatment is not accompanied by a permanent remote monitoring by a physician and emotional condition of the patient and the level of its installation on dependent behavior feedback through the wired and wireless channels of audiovisual devices that provide the ability to identify the features of dependent behavior at the stage of pre-clinical manifestations, conduct remote monitoring of remission dependent behavior and to prevent relapses.

Know of any other way interactive treatment dependent behavior, including the impact on patient within 40 minutes of pulsed current with electrodes placed on the forehead, light signals, sound signals, suggestive effect on the background of the relaxing melodies and the installation of abstinence from alcohol and drugs that cause psychological dependence (RF Patent No. 2205665 from 26.12.2001).

The disadvantage of this method is that when using it on patients affected by pulse current, light and sound stimuli that people with high anxiety and traumatic brain injuries history may cause undesirable is obecnie reaction, for example seizures, which can lead to reduced efficiency and safety of the treatment.

Another disadvantage of the known method is that it is not combined with a permanent registration objective information about the patient's condition and its analysis, which does not allow to identify the features of dependent behavior and prevent relapses at the stage of pre-clinical manifestations of the disease.

Know of any other way interactive treatment dependent behavior, including preliminary training sessions of biofeedback for alpha rhythm and theta rhythm of the electroencephalogram (EEG) and hypnosis in the treatment of drug addiction (RF Patent No. 2217177 from 06.05.2002).

The disadvantage of this method is that the cure is only possible from a limited number of patients, as in 10-15% of people alpha rhythm of the EEG is missing, and check one EEG insufficient for an objective assessment of the psycho-physiological condition of the patient, which ultimately may lead to reduced efficacy and safety of treatment, to reduce the duration of remission and possible relapse.

There is a method of interactive treatment dependent behaviors, including suggestive effect on patients with obesity, mechanical irritation exit points to one of the ve the way of the trigeminal nerve with a sharp violent inclinations of the patient's head forward and back, followed verbal commands (RF Patent No. 2034575 from 18.11.93).

The disadvantage of this method is that mechanical irritation of the exit points of the branches of the trigeminal nerve and sudden violent inclinations of the patient's head can cause damage to the cervical vertebrae, which reduces the safety of the treatment.

In addition, the disadvantage of this method is that the treatment method is carried out only in a hospital environment and direct contact with patients allows for effective treatment in remote dialogue between doctor and patient and to perform remote monitoring of remission dependent behavior.

Closest to the proposed technical solution is the way interactive treatment dependent behaviors, including treatment of alcohol, nicotine, drug and food addictions with the help display on the screen of the video monitor video negative films focusing the patient on grotesquely unpleasant stressed moments, on the background of emotional overstrain provide suggestive influence through audiovisual devices and verbal form for the waiver of abuse followed by the creation of positive emotions by projecting on the screen of semantic video in the form of positive ka the tin create the perfect images, personal development, free from addictions, with an additional olfactory and tactile effects in light-and sound-proofed room (RF Patent No. 2193900 from 01.10.2000).

The disadvantage of this method is that its application has not provided the use of feedback through the wired and wireless channels of audiovisual devices, which complicates treatment online dialogue between doctor and patient, and remote monitoring remission dependent behavior.

Another disadvantage of the known method is that verbal formation installation to refuse abuse is not supported binaural sound vibrations (impact sound signal simultaneously to both ears with the frequency difference between the left and right channels in stereo mode with frequencies of EEG rhythms, allowing to modulate the activity of the cortex and subcortical structures of the brain that does not allow gain on a subconscious level of perception of the patients verbal attitudes of dependence.

Another disadvantage of this method is that during exposure to suggestion is not held constant multi-channel remote control current psychophysiological state of the patient, allowing online monitoring and objective analysis of his personal qualities, timely and dynamic correction of the intensity of impact on the psyche, which reduces the effectiveness of treatment, it is not possible to identify the features of dependent behavior and prevent its recurrence at the stage of preclinical manifestations.

In addition, the disadvantage of this method is that the olfactory and tactile stimuli on the skin and mucous covers the patient perform air and water flows, which can cause irritation and damage to respiratory organs, body surface, which reduces the safety of the treatment.

The technical result of the invention is expressed:

- opportunities to improve the efficiency and safety of treatment;

- in gain at the subconscious level of perception of the patients verbal installations on dependence;

- the possibility of detecting signs of dependent behavior and relapse prevention at the stage of pre-clinical manifestations of the disease;

in treatment mode remote dialogue between doctor and patient and conduct remote monitoring of remission dependent behavior.

The basis of the invention is the development of an effective remote interactive way of treatment dependent behavior, convenient and safe for the patient and the doctor and able to stop the IC on the development of alcoholism, drug abuse and other forms of dependent behavior.

This object is achieved in that way interactive treatment dependent behavior includes suggestive effect on the patient, sound, installation on the formation of negative emotions by focusing the patient on grotesquely unpleasant underlined the moments of abuse by projecting on the screen audiovisual devices of semantic video negative pictures with the subsequent formation of positive emotions in the form of display positive paintings that reference social environment, ideal images, personal development, free from addictions, and according to the invention suggestive influence of exercise on feedback through the wired and wireless channels of audiovisual devices under constant multi-channel remote control physician and emotional condition of the patient and the level of its installation on addictive behavior, and first source register physiological characteristics, fluctuations of omega-potential, level of anxiety, emotional responses to relevant questions alone and against the background of negative emotions, then create individual samples of the responses of the patient and the variability of the level of negative attitudes on dependent behaviour is s, while the patient is on the background of positive emotions form the dominant feature on a healthy lifestyle, then at the maximum improvement in emotional state, controlled by the stability of the psycho-physiological reactions and the minimum level of anxiety, conduct interactive correction of behavioral stereotypes with development of adaptive strategies of self-realization, then the patient chooses motivating videoabout in a permanent form saver, which is recorded in the memory of the audiovisual device and activate the previously formed the dominant program of dependence, verbal impact which is carried out in stereo mode with binaural sound vibrations in the voice band and adjustable frequency difference between the left and right channels from 30 to 3 Hz in the future the doctor regularly verifies the effectiveness of the program interactive correction for dependence and antisocial behaviours and control formed the dominant.

Thus, the invention proposed a new set of essential features. All proposed signs is essential because affect technical result achieved, i.e. they are in causal relationship with the specified result.

For example, in the preferred embodiment of the method and the interactive treatment dependent behavior suggestive influence of exercise on feedback through the wired and wireless channels of audiovisual devices under constant multi-channel remote control doctor psycho-emotional state of the patient and the level of its installation on addictive behavior.

In this regard, have the opportunity to perform treatment in remote dialogue between doctor and patient and conduct remote monitoring of remission dependent behavior, as during exposure to suggestion through communication channels such as the Internet, cellular GPRS channel of smartphone, mobile phone, etc. the doctor has such contact with the patient, which constantly receives via the audiovisual device information about his condition, so he can adjust the intensity of the impact, while at a remote distance from the patient, due to the in-phase combination of psychotherapeutic treatments with multi-line monitoring of actual physiological state of the patient, enabling timely and a dynamic correction of the intensity of impact on the psyche of the patient, which helps to ensure adequacy of treatment, maximum efficiency and security.

Quite reasonably, that a first source register physiological characteristics, fluctuations of omega-potential, level of anxiety, emotional responses to relevant questions alone and against the background of negative emotions, then create individual samples of the response of the reactions the patient and the variability of the level of negative attitudes on addictive behavior, while the patient is on the background of positive emotions form the dominant feature on a healthy lifestyle, then at the maximum improvement in emotional state, controlled by the stability of the psycho-physiological reactions and the minimum level of anxiety, conduct interactive correction of behavioral stereotypes with development of adaptive strategies of self-realization, which allows to obtain objective data on the psycho-physiological condition of the patient during treatment by analyzing information about the limits for the individual oscillations of psychophysiological indicators of severity of craving or psychopathological preferences by combining multi-channel registration of psychophysiological indices and psychological testing with simultaneous automatic processing of results by means of mathematical statistics, allowing to detect signs of disease including psychological personality traits of the patient, predisposing to the development of craving, before the manifestation of clinical symptoms and syndromes, which created the opportunity to identify the features of dependent behavior and prevent its recurrence at the stage of preclinical manifestations.

It is advisable that the patient chooses the reasons shall be given for the ith videoabout in a permanent form saver which is recorded in the memory of the audiovisual device and activate the previously formed the dominant program of dependence, verbal impact which is carried out in stereo mode with binaural sound vibrations in the voice band and adjustable frequency difference between the left and right channels from 30 to 3 Hz, the future doctor regularly verifies the effectiveness of the program interactive correction for dependence and antisocial behaviours and control formed the dominant.

This was an opportunity to improve the effectiveness of treatment, to achieve stable and stable remission, to ensure the prevention of relapse dependent behavior and to improve the safety of the treatment, as the doctor at all stages of treatment for the first time the opportunity to objectively assess the patient's condition, and strengthen the subconscious perception of the patients verbal attitudes of dependence and motivation, because the physician is directed to adjust the degree of psychotherapeutic influence adequately the patient's condition, to perform psihomotoriku, including long-term, as well as periodic monitoring of psycho-emotional status of the patient, regardless of its geographical remoteness from the doctor through the th use of remote sensing methods interactive therapy and full-duplex transmission of information over a wired and/or wireless and communication channels. The choice of the frequency range 30-3 Hz) due to the possibility of directional modulation of brain activity in the frequency region of the main EEG rhythms.

The method is as follows

As audiovisual devices (AVA) can be used a personal computer with a microphone and a video camera, a laptop, a smartphone, a mobile phone with built in camera, mpeg-player, hi - Fi and polyphonic audio, etc. and multi-channel analyzer psychophysiological indicators, for example, “Mingograph-34” (Germany) or "DELTA" (Russia) with cutaneous electrodes and sensors breathing.

Omega-potential recorded in the abstraction of the vortex-tear right and/or left hand.

As a psycho-physiological characteristics in the proposed method, record the electrocardiogram (ECG), breathing frequency (BH), galvanic skin response (GSR), the sound range of the carrier frequencies of the voice of the patient, conduct a video of facial expressions. If necessary, can be used and other physiological characteristics.

Assessment of level of anxiety is conducted according to test spielberger (Spielberger Ch.D. Theory and research on anxiety/In: Anxiety and behavior/Ed. Ch.D.Spielberger. New York; London, 1966), and/or on the sample questions of the questionnaire Taylor J.A. And personality scale of manifest anxiety. J.Abnormal and Social Psychol., 1953, v.48, p.285-290) and a custom 16-fuck the priori test Kettela (Cattell R.B., Scheier J.H. The meaning and measurement of neuroticism and anxiety/New York. The Ronald Press company, 1961).

As relevant questions for the assessment of severity dependent behavior using the test-questionnaires, such as the test for the detection of motivation alcohol consumption is SMALL (Zavialov VY Psychological aspects of alcohol dependence formation, Novosibirsk, "Nauka", 1988, 195 C.), a screening test to identify relationships alcohol and anesthesia - STAN (Grebenyuk A.A. Psychological dependence on narcotic substances, Simferopol, 1999, 212 C.), scale upper level (mental imbalance, socialty and introversion) psychodiagnostic test - CTPS (Melnikov, V. M., Yampolsky LT Introduction to experimental psychology of personality: The textbook. allowance for susheela IPC teachers Institute. disciplines of universities and PED. in-tov, M.: Education, 1985, 319 S.), overeating, etc. that alternate with indifferent and quizzes.

Before exposure to suggestion audiovisual device doctor (AVAIn) and the patient (AVAP) connect via wired and/or wireless communication channels, such as through a wired communication channel is the Internet for basic TCP/IP (Transmission Control Protocol/Internet Protocol).

Interactive treatment dependent behavior conducted online dialogue vrachi patient, regardless of their geographical remoteness, in conditions of silence and with a minimum number of distractions patient.

At the first stage of treatment, the physician through AVAInand AVAPassesses the patient's condition in appearance, gives an indication of the connection electrodes and sensors AVAPthe areas of the body that produce check the source of psychophysiological indices, holds a conversation, during which the patient receives instructions regarding their actions during the treatment session, met with questions that will be presented. Then the doctor starts the survey and suggestion influence by demonstrating semantic video negative films focusing on unpleasant grotesquely underlined the moments of abuse, dependence, for example the steady degradation of the person abusing alcohol. During exposure to suggestion the doctor captures the attention of the patient on the causes and mechanisms of development, dramatic effects and complications specific deviation, at the same time he provides a remote control emotional state and facility level patient dependent behavior by continuous recording of physiological parameters: ECG, BH, GSR, the sound spectrum of voice and video mimecheck the x facial expressions, as well as fluctuations in omega-potential, level of anxiety and emotional reactions to an indifferent and relevant issues in peace and against the background of negative emotions when writing the answers on the test-questionnaires in constant dialogue with the patient.

The recorded data are transmitted to the AVAInwhere they are processed by means of mathematical statistics (Software / Institute of mathematics Academy of Sciences of the BSSR. Minsk, 1983, VIP, 163 C.) and create individual samples of the responses of the patient and the variability of the level of negative attitudes on addictive behavior, which remain in the memory of AVAIn. In doing so, a multiple correlation analysis between the variability of the level of negative attitudes of the patient to associate the behavior with ECG, BH, GSR, amplitude and frequency characteristics of the audio spectrum voices, omega-capacity and level of anxiety, fix individual facial expression, characteristic for different levels of anxiety, automatically derive the coefficients and the regression equation, and then enter the results of the calculations in memory of AVAIn. Additionally analyze individual information content measured characteristics of the patient and determine the minimum number of variables that form the target and prognostic characteristics, sufficient to access the correct assessment, for example, 1-8, 12, 28, 32 questions CTPS, the variance of omega-potential and the amplitude of the 3rd harmonic of the audio spectrum voices from which to form an individual indicator of the variability of the level of negative attitudes of the patient dependent on the behavior.

In the second stage of treatment the patient under the influence of the chosen melodic sounds evoke positive emotions in the form of display positive paintings that reference social environment, ideal images, personal development, free from addictions, for example the image of a healthy and successful man in a circle of loving wife and children, and ongoing remote dialogue with the doctor form the dominant feature on a healthy lifestyle, then on the background maximize emotional state, controlled by the stability of the psycho-physiological reactions and the minimum level of anxiety by comparing current performance with the previously created individual samples, conduct interactive correction of behavioral stereotypes with development programs adaptive strategies of self-realization, which includes the sequence understandable to the patient's actions and efforts to gradually overcome the psychological dependence.

In the third stage of treatment, the patient chooses motivating videoabout in post what annoy saver for example pictures of family members, a loved one, a pleasant landscape, and the like, which is recorded in the memory of AVAP. Next, the doctor with AVAInmeans remote suggestive therapy activates the previously formed the dominant program interactive correction of dependence and antisocial behaviours and conducts a review of its effectiveness.

At all stages of treatment, the doctor conducting the verbal impact of dependence, directional switches AVAPin stereo mode with binaural sound vibrations in the voice band and adjustable frequency difference between the left and right channels from 30 to 3 Hz, increasing at a subconscious level of perception of the patients verbal attitudes of dependence.

Binaural sound vibrations generated using the model of inverter-multiplier frequency with four fixed ranges of 3, 5, 10 and 30 Hz (Skritek P. reference manual for the audio circuitry. - M.: Mir, 1991, 446 S.; Antonio A., Digital filters: analysis and design. - M.: Radio and communication, 1983. - 320 S.; Blahut R. Fast algorithms for digital signal processing. - M.: Mir, 1989. - 448 C.)connected to the audio AVAIn.

The duration of all stages of treatment is 2-3 weeks for patients suffering from alcoholism Il is addiction to drugs, and 3-4 months for patients with obesity.

Control formed the dominant carried out once a month or at least once in six months depending on the typological characteristics and lifestyle of the patient.

The proposed method of treatment was used at the Department of psychiatry, Northern state medical University (SSMU, Arkhangelsk) in cooperation with the Department Of-05 of the State scientific center of Russian Federation - Institute of biomedical problems of RAS (IMBP RAS, Moscow).

Example No. 1 of the medical card.

Patient A. 42 years old, lives in Arkhangelsk, married, has one child, a daughter 12 years old. Enrolled in the clinical division of the Department of psychiatry SSMU for alcohol addiction treatment at the insistence of his wife.

Diagnosis at admission: chronic alcoholism 2-3 stage.

History: the burdened heredity (saws father), the patient drinks alcohol from the age of 16, high tolerance to alcohol, withdrawal symptoms from 35 years, the maximum duration of remission 6-8 months.

Admission: no complaints, considers himself healthy person, drinker “as all”skin clean, pale, the lower edge of the liver performs at 1.5 cm from the edge of the costal arch, other internal organs without pathology, HELL 135/85 mm Hg, HR - 89 beats./min, expressed anxiety, as is the W to be treated is weak.

After preliminary conversations with the patient's wife and himself, explain the specifics of the proposed therapy, was selected interactive method of treatment, for which the apartment of the patient was taken the necessary equipment and facilities (AVAP). Other equipment (AVAIn) was at the Department of SSMU.

As AVAInand AVAPwe used two laptop “ASUS A-1300” (Taiwan) with microphone and video camera UW10TNC-1250VUE (Taiwan), which were connected through a wired communication channel is the Internet on the underlying TCP/IP Protocol provided by the company MTU-Intel (Russia), and a multichannel analyzer psychophysiological indicators “Mingograph-34” (Germany) with cutaneous electrodes and the breath sensor.

During treatment the patient was registered omega-potential (moving fortecstar right and left hands), ECG (in the Sky), BH, GSR (Tarkhanov), the sound range of the carrier frequencies of the voice, individual facial expression, characteristic for different levels of anxiety.

Assessment of level of anxiety were carried out to test spielberger, to assess the severity dependent behavior used tests questionnaires is SMALL, the MILL scale on the upper level (mental imbalance, socialty and introversion) CTPS, which alternated with indifferent and quizzes.

The results of the survey at the beginning of treatment showed a pronounced degree of alcohol dependence, confirmed in the tests MPA (68 points) and STAN (9 units) with a high degree of sincerity in the responses (low value of the scale lies the MILL and minor shifts BH and GSR during interactive poll), a high level of anxiety on Spielberger, performance scales CTPS mental imbalance, socialty and introversion, attesting to the phenomena of psychotism, neurotic and severe antisocial behavior, accompanied by a high pulse rate (89 beats./min), significant fluctuations in the dispersion RAG and omega-potential for sharply negative value the last (-54 mV), both at rest and on the background of negative emotions.

Processing of measured characteristics revealed the most informative for assessment of this patient 1-16, 23 and 38 on issues CTPS, as well as the spectral characteristics of the voice recording.

The patient within 2 weeks was conducted 3-stage remote interactive treatment of alcohol dependence sessions suggestive therapy with the formation of a dominant to a healthy lifestyle and correction of behavioral stereotypes with development of adaptive strategies of self-realization. At the same time as motivating videobrush in the form of a constant is astaci was selected photo daughter, which background sounds were periodically presented to the patient during therapy session and program dependence, verbal impact which was accompanied by binaural sound waves with a frequency difference between the right and left channels 5 Hz, amplifying on a subconscious level setting to refuse alcohol abuse. During treatment and between sessions suggestive therapy was assessed level of negative attitudes patient dependent behavior by the presentation to him of informative questions CTPS with simultaneous recording and voice analysis.

As a result of treatment there was a high level of motivation on the refusal of dependence, reducing anxiety, normalization of heart rate (68 beats./min), the minimization of the variance RAG and omega-potential with a decrease of its values (-22 mV), no signs of psychotically, neuroticism, lower interventionist and increasing social orientation of the conduct that led to the onset of remission and full refusal of alcohol.

2 months after treatment with regular monitoring of the level of negative attitudes and dominant was registered increased anxiety, mental instability and introversion, followed by a low amplitude and a large dispersion of megaportal, as well as increasing high-frequency harmonics in the spectrum of voice frequencies that were classified as pre-clinical stage of the recurrence of alcohol dependence, which was prevented by the interactive program correction suggestive therapy.

After the treatment the patient is in a state of remission for 28 months at the control frequency 1 time in 3 months formed a landmark by the presentation of informative questions CTPS and simultaneous analysis of the voice spectrum.

Example No. 2 of the medical card.

Patient K. 15 years old, live in Moscow. Contacting parents in the clinical Department IMBP RAS about lifestyle changes and behavior of his son.

Diagnosis at admission: suspected drug dependency.

History: not burdened heredity, alcohol doesn't drink, doesn't smoke, isolated cases of drug use (ecstasy) in a circle of peers.

Admission: no complaints, skin clean, internal organs without features, BP 120/80 mm Hg, HR - 78 beats./min, during the examination in the contact entered reluctantly, concise, systematic drug denies answers in monosyllables, moderately expressed anxiety, patients themselves did not believe.

Employees of the Department SSC Institute of biomedical problems of the Russian Federation was held is in consultation with the clinical division of the Department of psychiatry of the SSMU, after that was selected interactive method of treatment, for which the apartment patient's parents, where he lived, was delivered the necessary equipment and facilities (AVAP). Other equipment (AVAIn) was at the Department of SSMU in Arkhangelsk.

As AVAInand AVAPwere used laptops “ASUS A-1300” (Taiwan) with microphone and video camera UW10TNC-1250VUE (Taiwan), and a multichannel analyzer psychophysiological indicators “Delta” (Russia) with cutaneous electrodes and the breath sensor, and at the last stage as AVAP- cell phone Motorola Timeport T722i included with the camera. AVA during therapy were connected through a wireless communication channel of the Internet Protocol TCP/IP and GPRS 1 Up/4 Down WAP 2.0 microbrowser, including M-services (WML 1.3, WAP Push, HTTP), provided by the company MTU-Intel (Russia).

During treatment the patient was registered omega-potential (moving fortecstar right hand), ECG (in the Sky), BH, GSR (Tarkhanov), the sound range of the carrier frequencies of the voice, individual facial expression, characteristic for different levels of anxiety.

Assessment of level of anxiety were carried out to test spielberger, to assess the severity dependent behavior of the used questionnaire MILL, scale upper level (mental is tion imbalance, the socialty and introversion) CTPS, which alternated with indifferent and quizzes.

The results of the survey at the beginning of treatment showed a weak degree of drug dependence, confirmed test MILL (5 conventional units) with a low degree of sincerity in the responses (high value of the scale lies the MILL at the time the online survey), high level of anxiety on Spielberger, performance scales CTPS mental instability and introversion, suggesting moderately expressed phenomena of psychotism and neurotic at normal rates scale socialty, accompanied by a high dispersion of omega-potential, negativities its amplitude (-43 mV) with high amplitude of the fundamental tone of voice, as in peace, and against the background of negative emotions.

Processing of measured characteristics revealed the most informative for assessment of this patient questions CTPS, dispersion omega-building, and analysis of voice and facial expressions.

The patient in the course of 3 weeks was conducted 3-stage remote interactive drug dependence treatment sessions suggestive therapy with the formation of a dominant to a healthy lifestyle and correction of behavioral stereotypes with development of adaptive strategies of self-realization as a motivating videobrush in a permanent form saver has been chosen photo of the parents, which background sounds were periodically presented to the patient during therapy session and program dependence, verbal impact which was accompanied by binaural sound waves with a frequency difference between the right and left channels 5 Hz, amplifying on a subconscious level setting to refuse drugs. During treatment and between sessions suggestive therapy conducted an assessment of the level of negative attitudes patient dependent behavior by the presentation to him of informative questions the MILL and CTPS with simultaneous registration of omega-potential recording and analysis of facial expressions and the range of voices.

As a result of treatment was able to achieve a complete renunciation of the use of narcotic drugs, which was confirmed a high level of motivation on the refusal of dependence, lower levels of anxiety, normalization of indicators of omega-potential, the absence of signs of psychotically, neuroticism and lower interventionist.

After the treatment the patient is in a state of remission for 32 months while monitoring with a frequency of 1 every 6 months formed a landmark by the presentation of informative questions CTPS and simultaneous recording of omega-potential analysis of the voice spectrum and mimic the sky's facial expressions.

Example No. 3 of the medical card.

Patient, 34 years old, lives in Arkhangelsk, married, has one child. Enrolled in the clinical division of the Department of psychiatry SSMU for the treatment of obesity.

Diagnosis at admission: alimentary obesity 2nd degree.

History: the burdened heredity (father and mother were obese, died from coronary heart disease caused by atherosclerosis of the coronary arteries), consume alcohol in small quantities (dry and sweet wine) not more than 2 times per month, suffers from overeating 18 years (beginning during pregnancy and the postpartum period), loves sweets and starchy foods (according to the patient for evening tea alone to “persuade” a cake, 1 kg), has repeatedly tried to reduce the number of calories consumed, including 1-1,5 month diets and varied diet, which reduced the weight 3-5 kg, the maximum duration of remission 2-3 months, then again still gaining weight.

At admission he complained about a rash on the face, increased sweating, weight gain, skin on the face was characterized by ugrevidnye rash with single papular formations, skin, body clean, high humidity, thickness of the skin fold between the shoulder blades - 42 mm, height 166 cm, weight 87 kg, the mass index of the ate - 31,5, BP 130/85 mm Hg, heart rate is 86 beats./min, a high degree of anxiety, the desire to be treated expressed. The data of biochemical analysis of blood levels of cholesterol in the blood - 7.9 mmol/l, low-density lipoprotein - 5,88 mmol/l, triglycerides - 1,95 mmol/l, other indicators are normal.

After a preliminary conversation with the patient and explain the specifics of the proposed therapy was selected interactive method of treatment, for which the apartment patient was taken the necessary equipment and facilities (AVAP). Other equipment (AVAIn) was at the Department of SSMU.

As AVAInand AVAPwe used two laptop “ASUS A-1300” (Taiwan) with microphone and video camera UW10TNC-1250VUE (Taiwan), which were connected through a wired communication channel is the Internet on the underlying TCP/IP Protocol provided by the company MTU-Intel (Russia), and a multichannel analyzer psychophysiological indicators “Mingograph-34” (Germany) with cutaneous electrodes and the breath sensor.

During treatment the patient was registered omega-potential (moving vortex-tear right and left hands), ECG (II standard lead), BH, GSR (Tarkhanov), the sound range of the carrier frequencies of the voice, individual facial expression, characteristic for different levels of anxiety.

Assessment of level of anxiety was performed according to the scale Taylor, to assess the severity dependent behavior used questions of scales on the upper level (mental imbalance, socialty and introversion) CTPS, which alternated with indifferent and quizzes.

The results of the survey at the beginning of treatment showed a pronounced degree of food addiction, confirmed by answers to questions about diet and food preferences with a high degree of sincerity in the responses (high scale value openness of the questionnaire Taylor and minor shifts BH and GSR during interactive poll), high level of anxiety on a scale Taylor, indicators, scales CTPS mental instability and introversion, attesting to the phenomena of psychotism, neurotic, and normal scale socialty, accompanied by a high pulse rate (86 beats./min), significant fluctuations in the dispersion RAG and omega-potential at a moderate negativization amplitude of the latter (-38 mV), both at rest and on the background of negative emotions.

Processing of measured characteristics revealed the most informative for assessment of this patient questions CTPS, questionnaire Taylor, dispersion of GSR and omega-potential.

The patient within 3 months was conducted 3-this is Phnom remote interactive treatment dependent behavior sessions suggestive therapy with the formation of a dominant to a healthy lifestyle and correction of behavioral stereotypes with development of adaptive the strategy of self-realization. At the same time as motivating videobrush in a permanent form saver was selected as picture of the patient prior to pregnancy, which on the background sounds were periodically presented with a patient during a therapy session and program dependence, verbal impact which was accompanied by binaural sound waves with a frequency difference between the right and left channels 5 and 10 Hz, amplifying on a subconscious level setting to refuse the abuse of overeating. During treatment and between sessions suggestive therapy was assessed level of negative attitudes of the patient dependent on behavior by presenting her informative questions CTPS and questionnaire Taylor with simultaneous recording of CDs and omega-potential.

As a result of treatment showed normalization of weight, the transition to the consumption of a balanced diet, which was accompanied by a high level of motivation on the refusal of dependence, lower levels of anxiety, normalization of heart rate (58 beats./min), the minimization of the variance RAG and omega-potential with reduction of its amplitude to -18 mV, the absence of signs of psychotically and neuroticism.

After the correction of the body mass index is 24, the patient is in a state of remission for 34 months at stake is the role with a frequency of 1 every 6 months formed a landmark by the presentation of informative questions CTPS with simultaneous analysis of GSR and omega-potential. According to the biochemical analysis of blood in the hospital place of residence: the level of cholesterol in the blood - 5.2 mmol/l, low-density lipoprotein - 3.4 mmol/l, triglycerides - 1.12 mmol/l - all indicators of lipid metabolism in normal.

Thus, the proposed method was treated 34 people, of whom 20 were suffering from alcoholism, 6 - drug dependence and 8 - overweight. The results of the treatment, carried out statistical processing of the results presented in tables 1-3.

Table 1

The cure rates of patients with alcohol dependence (average data for the sample, M±m, n=20)
Metric unitsIn the beginning of the treatmentAfter the treatment
 MmMm
Duration of remission (months)52,532*1,5
The variance of the CDs, conditional unit70,33*0,2
The variance of omega-potential, conditional unit80,52*0,3
Pulse rate on zupicich, beats./min88the 3.868*2,3
Anxiety (according to the test of Spilberger), conditional unit813*0,5
Anxiety (on a scale Taylor), conventional units:    
1. Neuroticescoe anxiety60,53*0,3
2. Somatic anxiety70,541,0
3. Social anxiety80,43*0,3
4. Frank30,47*0,4
Psychodiagnostic test, conventional units:    
1. Mental instability90,63*0,3
2. Socialnet60,43*0,3
3. Introversion70,63*0,3
MPA, points64817*3
Scale alcoh the implementation (STAN), conditional unit91,53*0,5
The PI (STAN), conditional unit20,310,5
The duration of treatment, weeks--2,60,5
Note: * - the differences compared with the period of “early treatment” on the nonparametric Kolmogorov-Smirnov criterion significant (p<0,05).

As can be seen from table 1, after a course of treatment for alcoholism patients significantly increased the duration of remission, which was accompanied by a decrease in total scores on the scales of alcoholism tests the CAMP and MPA. This was statistically significant compared with the period before the start of treatment, the reduction in variance RAG and omega-potential, normalization of heart rate and a significant decrease in levels of anxiety and socialty.

Table 2

The cure rates of patients with drug dependence (average data for the sample, M±m, n=6)
Metric unitsIn the beginning of the treatmentAfter the treatment
 M mMm
Duration of remission (months)62,534*1,5
The variance of the CDs, conditional unit80,33*0,2
The variance of omega-potential, conditional unit80,52*0,3
Heart rate on ECG recording, beats./min86the 3.864*2,3
Anxiety (according to the test of Spilberger), conditional unit913*0,5
Anxiety (on a scale Taylor), conventional units:    
1. Neuroticescoe anxiety70,53*0,3
2. Somatic anxiety50,541,0
3. Social anxiety70,43*0,3
4. Frank20,47*0,4
Psychodiagnostic test, conventional units:   
1. Mental instability90,64*0,3
2. Socialnet80,43*0,3
3. Introversion70,63*0,3
Scale anesthesia (STAN), conditional unit814*0,5
The PI (STAN), conditional unit20,310,5
The duration of treatment, weeks--2,80,4
Note: * - the differences compared with the period of “early treatment” on the nonparametric Kolmogorov-Smirnov criterion significant (p<0,05).

In patients with drug dependence (table 2) after treatment, the average duration of 2.8 weeks also significantly increased the duration of remission, which was accompanied by a decrease in the total estimates on the scale of anesthesia test MILL. However, they were significant in comparison with the period before treatment improved emotional state, as evidenced by the decrease in variance RAG and omega-potential, the normalization frequency pool is sa and a significant decrease in scores on the scales of anxiety and socialty.

Table 3

Indicators of efficiency of treatment of patients with obesity (averaged data sample, M±m, n=8)
Metric unitsIn the beginning of the treatmentAfter the treatment
 MmMm
Duration of remission (months)62,536*1,5
The body mass index, points36425*2
The variance of the CDs, conditional unit80,33*0,2
The variance of omega-potential, conditional unit70,52*0,3
Heart rate on ECG recording, beats./min82664*2
Anxiety (according to the test of Spilberger), conditional unit914*0,5
Anxiety (on a scale Taylor), conventional units:    
1. Neuroticescoe anxiety7 0,53*0,3
2. Somatic anxiety70,53*1,0
3. Social anxiety80,43*0,3
4. Frank30,47*0,4
Psychodiagnostic test, conventional units:    
1. Mental instability90,63*0,3
2. Socialnet30,430,3
3. Introversion70,63*0,3
The duration of treatment, weeks--12,32,5
Note: * - the differences compared with the period of “early treatment” on the nonparametric Kolmogorov-Smirnov criterion significant (p<0,05).

As can be seen from table 3, patients with obesity after treatment, the average duration of 12.3 weeks was statistically significant signs of withdrawal from dependent behavior, decrease and normalization of body weight, which was accompanied by improvement of siamotyrannus state.

It should be noted that the presented results allow to draw a conclusion about the achievement of all categories of patients with dependent behavior treated by the proposed method, the state of remission.

Table 4

Comparative characteristics of efficiency of treatment of patients with dependent behavior (average data for the whole sample M±m, n=36)
Metric unitsThe placeholderThe proposed method
The treatment efficiency, %57±488±1*
Duration of remission (months)8±334±2*
Safety of treatment (complications), %13±20*
Identify features of dependent behavior on stage zakonchennih manifestations, %-14±2*
The number of relapses, %43±812±1*#
Note: * - the differences compared with the prototype for the non-parametric Kolmogorov-Smirnov criterion significant (p<0,05); # - relapses that were identified at the stage of preclinical manifestations.

As can be seen from table 4, the treatment depends what image behavior of the proposed method allowed for a significant increase of its efficiency compared with the prototype 1.5 times, to reduce the number of relapses and improve the safety of treatment, to identify the features of dependent behavior at the stage of preclinical manifestations in 14% of patients, increase the duration of remission compared with the prototype from 8 to 34 months.

Thus, the proposed solution allows you to increase the efficiency and safety of treatment due to the in-phase combination of psychotherapeutic treatments with multi-line monitoring current psychophysiological state of the patient, enabling timely and dynamic correction of the intensity of impact on the psyche of the patient.

In addition, there is the possibility of gain on a subconscious level of perception of the patients verbal units in dependence due to the fact that therapeutic verbal conduct impact in stereo mode with binaural sound vibrations in the voice band and adjustable frequency difference between the left and right channels from 30 to 3 Hz, which helps to enhance therapeutic effect, increase the duration of remission and reduce the risk of relapse.

Thanks to multi-channel registration of psychophysiological indices and psychological testing with simultaneous automatic processing of results by means of mathematical statistics and have the opportunity to identify the features of dependent behavior and prevent relapses at the stage of pre-clinical manifestations of the disease.

Given the fact that we were able to provide easy-to-deploy and affordable for the patient and physician the use of full-duplex transmission of information over wireless and/or wired communication channels, possibility of treatment dependent behavior in online dialogue between doctor and patient and conduct remote monitoring of remission.

Way interactive treatment dependent behavior, according to the invention, can be used:

in addiction to the treatment of dependent States, including group psychotherapy of alcoholism, drug addiction and toxicomania various Genesis;

in psychiatry for the treatment of patients with mental disorders and the border with the States;

in the practice of family physicians for the prevention of dependent conditions in children and adults, for effective treatment of tobacco Smoking, obesity and neuroses, including in regions located far from centers of specialized care and treatment;

in telemedicine for preventive and therapeutic interventions, psychosocial issues prevent the spread of drug addiction and rehabilitation.

1. Way interactive treatment dependent behaviors, including psychotherapy, suggestive effect on the patient, the sound effects, the installation on the shaping is their negative emotions by focusing the patient on grotesquely unpleasant underlined the moments when abuse by projecting on the screen audiovisual devices of the negative sequence of pictures with the formation of the patient's positive emotions while showing positive paintings, characterized in that psychotherapeutic, suggestive influence carry out through the channels of audiovisual devices under constant remote monitoring by a physician and emotional condition of the patient and the level of its installation on addictive behavior, which initially register the original physiological characteristics, fluctuations of omega-potential, level of anxiety, emotional responses to relevant questions alone and against the background of negative emotions, and positive emotions in the patient form the dominant feature on healthy lifestyle and dependence, while improving your mental and emotional state, controlled by the stability of the psycho-physiological reactions and reduce anxiety correction is performed behavioral stereotypes with development of adaptive strategies of self-realization, then the patient chooses motivating videoabout in a permanent form saver audiovisual device, activating a previously formed the dominant and the program dependence, while verbal conduct impact in stereo mode with binaural sound vibrations in the voice band and adjustable frequency difference between the left and right channels from 30 to 3 Hz.

2. The method according to claim 1, Otley is audica fact, in the future subject to periodic monitoring and verification of the effectiveness of the generated dominant and program dependence.



 

Same patents:

FIELD: medicine.

SUBSTANCE: method involves carrying out therapy in three stages. Clinical psychological examination is carried out at the first stage. Then, treatment for relieving emotional stress is applied. Emotionally saturated variable stimuli are concurrently applied. The stimuli are implicitly and substantially associated with verbal suggestion formula as a whole over vision and auditory sensory cerebral systems. Treatment duration is 60 min. Emotional stress therapy is applied at the second stage to produce negative conditional reflex against alcohol consumption on the background of bright, emotionally saturated esthetic stimuli implicitly and substantially associated as a whole with verbal suggestion formula. Conditional reflex is trained by triple 2 s long acoustic signal repetition with 4 s long pauses equal in time. 10 sessions each being 60 min long are applied twice a week. Supporting therapy is administered at the third stage. The treatment has 10 sessions each being 60 min long once per 3 weeks.

EFFECT: enhanced effectiveness in cultivating conditional alcohol aversion reflex and forming soberness dominant.

FIELD: medicine.

SUBSTANCE: method involves treating patient with color and sound action carrying out physical training exercises. Physical training is used as the physical training exercises. Voluminous acoustic signal is sent to a person doing physical training exercises as a sequence of natural musical scale, each interval sounding for 1-2 s and color signal combined with acoustic bandwidth of 440 to 2734 Hz as red light signal, acoustic bandwidth area of 2734 to 9192 Hz as green light signal and acoustic bandwidth area of 9192 to 10445 Hz as blue light signal. Shaping exercise are applied as physical training. Color signal is represented on display as concentric rings pattern which radii are in inverse proportionality to frequency components of acoustic signal spectrum. Acoustic signal is formed is formed according to relationship M=440xN1/3 Hz, where M is the natural musical scale interval.

EFFECT: improved human physiological capacity.

4 cl, 1 dwg, 7 tbl

FIELD: medicine, psychotherapy, psychology.

SUBSTANCE: it is necessary to form groups of patients, to perform diagnostics to select persons with psychic and other serious diseases. Moreover, rational alimentary behavior includes the skill for correct identification of true and false feeling of starvation, the skill to have meals at the presence of true feeling of starvation only, the skill to restrict the volume of single food intake by rational one, the skill for correct intake of pure drinking water, the skill for physiologically correct escape out of food breaking, the skill for realized nutrition and that of intuitive identification of the quantity and type of necessary food in each concrete situation. The present innovation helps to develop patient's realized attitude towards food.

EFFECT: higher efficiency.

4 ex

FIELD: medicine.

SUBSTANCE: method involves carrying out transcranial micro polarizations once a week during 4-6 weeks in 15-20 min long sessions with 80-200 mcA large current over 2 electrodes. Anode is applied to the boundary of posterior region of superior temporal convolution and inferior parietal zone of the left hemisphere. The electrode is applied in later sessions to the boundary of inferior frontal region and anterior regions of superior temporal convolution and to projection of motor area of the left hemisphere cortex. The cathode is applied to the inferior regions of the left occipital area. Logopedic lessons are combined with psychological training during and between the transcranial micro polarization sessions. The treatment course is repeated when needed not more than 2-3 times a year.

EFFECT: enhanced effectiveness of treatment.

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.

1 ex

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

FIELD: medicine.

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, 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.

1 tbl

FIELD: medicine.

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.

1 cl

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

FIELD: medicine.

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, 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

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, 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: 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, 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: medicine.

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

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