Device for measuring cerebral activity level by emitting sensory irritants

FIELD: medical engineering.

SUBSTANCE: device has means for stimulating sensory organs (auditory and visual analyzers), thermo- and mechanoreceptors and transcutaneous electrostimulation in various combinations and sequences. Device has technical means providing sensory irritations. A set of light-emitting diodes comprising white, blue, green, red ones or their combinations are applied in particular for stimulating visual analyzer. Some of them are located on internal surfaces of sun-protection glasses and others arranged on periphery as radial divergent lines. To stimulate auditory analyzer, a set of micro speakers is used, one of which is mounted in the center of head phone and the others are concentrically arranged at least in two rows on periphery. To stimulate mechanoreceptors, a set of infrared light-emitting diodes is used, one of which is mounted in the center of thermode and the others are concentrically arranged at least in two rows on periphery. To carry out transcutaneous electrostimulation, electrodes with centrally arranged contact plate and electrically isolated contact plates concentrically arranged at least in two rows on periphery. Sensory irritation generators have independent communication channels having centrally and peripherally arranged stimulators. The generators are electrically connected to control unit connected to PC.

EFFECT: wide range of functional applications; enhanced effectiveness of human organism mental correction.

2 dwg, 1 tbl

 

The invention relates to physiotherapy, in particular, to devices for holding neural therapy sensory stimuli.

Known devices for targeted changes to the state of consciousness submission of sensory stimuli - visual stimuli of varying intensity, frequency, and color or sound stimuli of different intensity, frequency and pitch (U.S. Patent No. 5304112, 5129322, 5135468; devices Synetic "ESPRIT", VOYAGER GALAXY [4]). In these devices imposed incentives act only on auditory and / or visual analyzers, while for adequate information on the perception of the signals is of great importance to the balance of the information coming through extero and interoretation channels [1, 5], and therefore do not provide sufficient efficacy of therapeutic and prophylactic application of this procedure and narrowed the indications for its use.

To increase the effectiveness of some devices (Patent # PCT 931209) used the feedback on the EEG, in particular the effect of the assimilation rate, which allows you to objectify selection of appropriate modes of stimulation of exteroreceptors. However, the high variability of the EEG, as well as the complexity of the registration procedure and the high cost of hardware and software complex impede broad use of this device.

A device for introduction into trance States presentation of auditory, visual and tactile stimuli [6]. The main disadvantages of this device and method of its use are relatively low efficiency, narrow scope, as the effects are applied without regard to the individual psycho-physiological background, and the device is deprived of the possibility of complex use of all types of receptors, adaptive changes in programs of stimulation during the procedure, including taking into account data neuro-linguistic programming about the division of people on the auditory, visual and kinesthetic, as well as additional correction vegetative provision of human activity.

Specified the invention chosen for the prototype.

The aim of the invention is to enhance the functionality of the sensory neural therapy and improving the efficiency of correction of psycho-physiological status of the organism.

To implement changes in the level of brain activity feed sensory stimuli applied to the device, consisting of a larger set of technical means to ensure the stimulation of the senses (auditory and visual), thermo - and mechanoreceptors, and transcutaneous electrical stimulation in various combinations and sequences, and t is the train, however, in the device used fundamental new design of technical facilities, providing a touch of irritation, in particular for stimulation of the visual analyzer applied the set of LEDs, such as white, blue, green, red or a combination of them, part of which is located on the inner surfaces of the glasses lens glasses on the center points, and the rest radially on the periphery, for stimulation of the auditory analyzer kit microdynamical, one of which is located in the center of the earpiece, and the rest are located concentrically on the periphery of the at least two rows, for the stimulation of mechanoreceptors - set of vibrators, such as micro relays, part of which is located in the center of vibrator and the rest are located concentrically on the periphery of the at least two rows, for stimulation of thermoreceptors - set IR LEDs, part of which is located in the center of thermode, and the rest are located concentrically on the periphery of the at least two rows, for transcutaneous electrical stimulation - electrodes with centrally located contact plate and concentrically located on the periphery of the electrically isolated contact plates at least in two rows, generators touch (light, sound, thermal, mechanical and electrical) stimuli, equipped with independent channels and links with the Central and perifericheskie located stimulants, a control unit, electrically associated with the generators of sensory stimuli and is provided with an additional channel of communication with the PC, with the possibility of formation programs for external control of the generators of sensory stimuli through the governing bodies of the PC, including the presentation of test touch loads and internal control generators sensory stimuli on the rigid algorithm recorded via PC in the ROM of the control unit when performing procedures on a targeted change of the level of brain activity.

The presence of such structural and functional features allows you to pre-select stimuli, or a combination of the stimuli - auditory, visual, tactile, thermal and electrical, adequate the actual functional status of modality intensity, frequency and consistency effects, based on the results of subjective evaluation of the test modes according to the criterion of "comfortably uncomfortable", and then create an individual program with a rigid algorithm sensory stimulation of the senses (hearing, sight), receptor areas with pathologically altered sensitivity of biologically active zones, including vascular and erogenous zones and (or) biological engineering is active points slozhnolegirovannyh stimulus in a state of relative peace and (or) on the background of activation of the sympathetic division of the autonomic nervous system and autonomic systems ensure the body functions performing physical activities, such as dynamic muscle loads, static muscle loads or isometric contractions with arbitrary duration and power.

Applied method of selecting a stimulation modes based on the subjective assessment of its perception allows you to choose the algorithms sensory effects, do not cause the formation of negatively stained emotional background.

The use of soft vibration (tactile) feedback contributes to a more efficient absorption of rhythm. The possibility of tactile and thermal stimulation, and the stimulation of biologically active points and zones on the background of fotoartistas increases the resonant response of the internal organs and functional systems, especially when conducting stimulation mode wave swing" [7], as well as on the background prevalence of sympathetic tone and strengthen the functions of autonomic supply of the body, achieved through the implementation of physical activity, including directly during the procedure, neural therapy sensory stimuli.

Implementation of light in the effects of using radially arranged LEDs, which is consistent with the nature of the oculomotor reactions, accompanied by movement of the eye from the center to the periphery, effectively simulates access to visual, auditory or kinesthetic representational system as when carrying out the relevant ones and home. The choice of the zones of influence of visual stimuli produced by first identifying the leading channel flow non-verbal information, for example, by the method described in the monograph Oxenuk [1].

The combined effect of sensory stimuli allows to correct various autonomic disorders, including sexual dysfunction, by normalizing the emotional background and the autonomic systems of the human life.

Carrier audio frequency, volume, brightness, light signals and the intensity of tactile, thermal and skin irritation picked individually, focusing on subjective feelings. At the same time, the use of stimuli of different modalities in different combinations, providing activation of a large number of different receptors, allows to achieve the desired effects when conducting neural therapy is a relatively small intensity of sensory stimuli.

Comparative analysis of the claimed invention known to the technical solutions and methods of use thereof shows it significantly differs according to the method of selection of modes of sensory effects and methods of their use and design of generators sensory stimuli and achieved the effect.

Use design that allows you to shape Selenomethionine incentives for the stimulation of different types of sensory receptors, provides the ability to automatically change at the time of dispensing procedure parameters influences, resulting combined neurotherapy sensory stimuli in different combinations. The simple design of the device does not require special training of the operator to bring it in working condition and to select neural therapy sensory stimuli, without the use of special techniques for fixing generators sensory stimuli on the human body, as well as the absence of strict requirements to the choice of their location to make practical use of the device not only medical personnel, but also in everyday life.

Thus, the data suggests that the invention meets the criteria of "novelty" and "inventive step". At the same time achieved with its positive effects, there are opportunities for technical is realizatsii and ease of operation of the device indicate compliance with a criterion of "industrial applicability".

A block diagram of a device for changing the level of brain activity feed sensory stimuli presented in figure 1.

Device for changing the level of brain activity comprises a generator stimulus for activation of the visual analyzer 1, which includes a set of LEDs, such as white, blue, green, red, or a combination, of which 2 are located on the inner surface of the glass light points in the center, and the remaining 3 on the periphery in the form of radiating lines, generator stimulus for activation of the auditory analyzer 4, which includes a set of microtelephone, one of which 5 is located in the center of the earpiece, and the remaining 6 are arranged concentrically on the periphery of the at least two rows, the generator incentives to activate the mechanoreceptors 7, which includes a set of micro relays, of which 8 are located in the center of the vibrator, and the remaining 9 are arranged concentrically on the periphery of the at least two rows, the generator stimulus for activation of thermoreceptors 10, which includes a set of IR LEDs, some of which 11 are located in the center of thermode, and the remaining 12 are concentrically on the periphery of the at least two rows, the generator incentives for transcutaneous electrostimulation 13, which consists of the electrodes with a centrally located the military contact pad 14 and concentrically located on the periphery of the electrically isolated contact plates 15 at least two rows, the control unit 16 for generator excitation of sensory stimuli with independent channels of communication with Central 2, 5, 8, 11 and 14 and perifericheskie- 3, 6, 9, 12, 15 located stimulants sensory organs, the control unit 16 is electrically connected with the generators sensory stimuli 1, 4, 7, 10, 13 and is provided with an additional channel of communication with the PC 17 with the possibility of establishing programs for external control of the generators of sensory stimuli 1, 4, 7, 10, 13 through the governing bodies of the PC 17, including the presentation of test touch loads and internal control generators sensory stimuli 1, 4, 7, 10, 13 on the rigid algorithm recorded via PC 17 on the ROM of the control unit 16.

A device that implements the method of changing the level of brain activity feed sensory stimuli, works as follows.

Fix on a patient in accordance with the purpose of the generator incentives 1 for the activation of the visual analyzer, generator incentives 4 for activation of the auditory analyzer, generator incentives 7 for activation of mechanoreceptors, generator incentives 10 to activate thermal receptors, generator incentives 13 for transcutaneous electrical stimulation and electrically connect them to the control unit 16, provided with an additional channel of communication with the PC 17.

Include power supply control is of 16 and pre-picked list modality, intensity, frequency, and sequence effects of stimuli from the auditory, visual, tactile, thermal, and (or) electric incentives, adequate the actual functional state of the organism, taking into account the results of the subjective evaluation by the criterion of "comfortably uncomfortable" pre-imposed test of sensory loads running as a smooth variation of the intensity of the continuous signal from the minimum established limit to maximum and Vice versa, with the subsequent presentation of the touch load mode continuous change of the frequency intermittent signal of constant intensity (from 0 to 4000 Hz for the audio signal, from 0 to 100 Hz for the signal light, from 0 to 40 Hz for heat signal from 0 to 100 Hz for tactile signal, from 0 to 1000 Hz for electric signal)corresponding to the perception of the criterion of "comfortable", from the minimum established limit to maximum and Vice versa, and then form a personalized program with a rigid algorithm sensory effects on the senses (hearing, sight), and receptor areas with pathologically altered sensitivity of biologically active zones, including vascular and erogenous zones and (or) a biologically active points, generating loginmodulename the th pulse in the mode of presentation of a continuous signal with a stable intensity or intermittent signal with a stable intensity and frequency in the Central zone and (or) with fluktuiruyushchimi frequency, intensity and location in the peripheral zone and conduct of sensory stimulation in a state of relative peace and (or) on the background of activation of the sympathetic division of the autonomic nervous system and autonomic systems ensure the body functions performing physical activities, such as dynamic muscle loads, static muscle loads or isometric contractions with arbitrary duration and power.

The duration of the session sensory neural therapy is chosen individually and ranges from 10 to 30 min, the frequency of sessions to - day. The duration of treatment 5-15 days.

EXAMPLES of PRACTICAL IMPLEMENTATION

Example 1. Patient P., aged 45. The effects of emotional stress manifestations false angina.

Ensuring the normalization of emotional status is decided to provide a sensory neural therapy conducted in the mode of relaxation. Based on the objectives, the way out of stressful situations characterized according to EEG excess beta waves with a frequency of more than 14 Hz, increased activity of the left hemisphere may be provided by forming a state of tranquility, which is characterized according to EEG dominated by alpha waves with a frequency of 8-12 Hz and synchronized activity of the hemispheres.

The patient identified leading the th channel flow non-verbal information - audio with eidetic images.

When you run the test program specified gradation perception of the frequency of generation of sensory stimuli on subjective feeling of "pleasure" - 8,5 Hz; "like" - 10 Hz; "don't like" - less than 6 Hz and more than 19 Hz; "annoying" is less than 3 Hz. Because sensory effect sound, light, thermal, and tactile stimuli with a frequency of more than 19 Hz and less than 6 Hz, the patient does not like, then touch neurotherapy conducted a comprehensive software restriction effects in the frequency range from 19 to 6 Hz.

Autostimulation was conducted through placed on the head headphones, equipped with unipolar generators of sensory stimuli. The photic stimulation was performed with closed eyes blue LEDs in the direction from the center of spectacles glasses to the external-side fields of view. Thermal stimuli were applied through thermody located on the back surface of the hands, and tactile stimulation was carried out by exposure through vibratory imposed on the Palmar surface of the hands.

Mode of action - continuous wave, including 6 rpm with a frequency in the range 8.5 Hz, then gently for 20-30 with the exposure shifted in the frequency range 4-8 Hz, typical of the effect of relaxation, and in this mode the exposure was carried out for 10 minutes

Long is th session 16 min, the frequency of sessions to - day. The duration of treatment is 10 days.

The result is that the patient has changed the level of brain activity, which is confirmed by EEG data shown in Fig. 2. If before effects on EEG dominated by beta waves with a frequency of 14-19 Hz, then at the end of the procedure sensory neural therapy the frequency was decreased to 6 Hz, and upon completion of the session formed the alpha range, which is consistent with the subjective feeling state of relaxed wakefulness, pleasant tranquility, relaxation, feelings of rest after the procedure.

The impact of this method on the spectral analysis of the EEG is illustrated in figure 2.

The results of the measurement and mathematical analysis of the heart rate of this patient in the initial state and after the course using sensory neural therapy is summarized in table 1.

Table 1

Indicators mathematical analysis of heart rate dynamics in conducting sensory neural therapy
Indicators of mathematical analysis of heart rhythmThe actual data
SourceThe 10th day after the start of the course sensory neural therapy
The heart rate with which rasini, beats./min9268
ΔX0,110,17
The mode amplitude, %7243
The tension index, usled297129

The data presented in table indicate normalization after a course of neural therapy sensory stimuli tone of the autonomic nervous system by reducing sympathicotonia effects.

After each session of sensory neural therapy, since 2-3 days, the patient noted a decrease of cardialgia.

Data psychometric studies of the patient P. in the initial state and after sensory neural therapy showed a significant reduction of MMPI profile, especially on scales neurotic triad (1, 2, 3) and 7 of the scale. Decreased performance jet from 52 to 43 points and trait anxiety from 49 to 42 points, was observed less pronounced deviation of Luscher test from the so-called autogenic norms. Subjectively during the procedures marked change in the sensation of the course of time, after a session and exchange rate effects observed state of comfort, calm.

Example 2. Patient D., 10 years. Has attention deficit disorder.

The task is to intensify attention can be solved by increasing the level of activity is th wakefulness and enhance the process of attention.

The patient has a leading channel flow non-verbal information and visual design with images.

It was decided to hold the touch neurotherapy light, sound and tactile stimuli with the same frequency in the range 9-18 Hz.

Pre-defined profile of interhemispheric asymmetry in the results of determination of the critical frequency of the light blinks and the frequency of mergers light blinks both eyes separately. For the more active hemisphere was affected by lower frequencies, and the less active is higher. After reaching the alignment effect of the coefficient of inter-hemispheric asymmetry neurotherapy continued to reach inverting activity of the hemispheres than was provided long-term aftereffects.

Autostimulation was conducted through placed on the head headphones, equipped with unipolar generators of sensory stimuli. The photic stimulation was performed with eyes closed through svetostojkie glasses with activated red led in the direction from the center of spectacles glasses to the inner top and side fields of view. Tactile stimuli were applied through vibratory located on the back surface of the hands.

Mode of action - continuous wave, including 3 min with a frequency of 18 Hz, then lawno for 20-30 with frequency was changed to 8-12 Hz in this mode were exposed for 10 min, and then slowly over 20-30 with frequency was changed to 14-18 Hz in this mode was exposed for 3 minutes

Session duration 15 min, the frequency of sessions to - day. Course duration 24 days.

The result of sensory neural therapy was improved academic achievement, objective - increase attention, defined on the table. Anfimov, 3 points.

Example 3. Patient T., 42 years. Violation of the copulative function, caused by spasm of the vagina.

Set the master channel flow non-verbal information - kinesthetic.

Tasked with the restoration of the copulative function can be solved by applying a relaxation program sensory neural therapy light, sound, tactile, and electrical stimuli.

The impact of all sensory stimuli was conducted simultaneously with the same frequency generating their in the range of 4-12 Hz.

Tactile stimuli were applied over the internal surface of the vagina, with the volume of vibrator, in the form of imitating "the penis". The photic stimulation was performed with eyes closed through svetostojkie glasses with activated red led in the direction from the center of spectacles glasses to the lower and lower-outer fields of view. Autostimulation was carried out through saving is installed on the head headphones equipped with unipolar generators of sensory stimuli.

Percutaneous electrical stimulation was performed through bipolar generators sensory stimuli located on the back in the area of projection of S2-S4Th10-L4. The tension between the Central passive electrode of the generator and the active peripheral circuit segmental electrodes was 3 V, current - 2 mA. The frequency of connection of each of the contours of the active electrode to the Central passive electrode was identical to the frequency of generation of other applicable sensory stimuli.

Mode of action - continuous wave, including 3 min with a frequency of 12 Hz, then gently undulating within 5-6 min frequency was changed to 4 Hz in this mode were exposed for 7 min, and then gently undulating within 2-3 min frequency was changed to 12 Hz in this mode was exposed for 3 minutes

Session duration 30 min, the frequency of sessions to - day. Directly before the procedure the patient for 15 min was performed dosed physical load using cross-country bridge, accompanied by an increase in heart rate up to 120-130 beats./min, than was achieved by increasing sympathetic tone. The duration of treatment 6 days.

The result of sensory neural therapy was the normalization of physiological status during sexual intercourse the advent of the sensations of orgasm.

Thus, these examples suggest the possibility of obtaining a variety of physiological effects by the combined stimulation of the receptor with the use of the proposed device in accordance with the proposed method, which indicates the possibility of a substantial expansion of applications for correction of psychophysiological state and vegetative support the vital functions of the body through changes in the level of brain activity submission of sensory stimuli.

The presence of these positive effects indicates the reachability of the objectives of the invention.

Sources of information

1. Ksendzuk O. transformation of the personality. Neuro-linguistic programming. - Odessa: LLC, 1995. - 352 S.

2. Parkhomenko G.M., Kopaev VP Physiological basis of radiation hygiene. - M.: Atomizdat, 1977. 150 C.

3. The reaction of the organism to the influence of dangerous and harmful production factors. - M.: Publishing house of standards, 1991.

4. The INTERNET (keywords in search engine Altavista: mental + fitness + system).

5. Chernihiv NR. The interoreceptors. Proceedings Of The Military.-Marmaduke., L. 1949, V.17, s.

6. Then I.S. Device for introduction into trance States No. 97107726 from 16.07.1997.

7. Samokhin A.V., gotovskii J.V. Electroacupuncture diagnosis and treatment by R. Voll. - M.: the Center of intellectual medical systems "IMEDIS", 1995 - 448 S.

Device for changing the level of brain activity submission of sensory stimuli, including stimulation of the visual analyzer in the form of LEDs, means stimulation of the auditory analyzer, and stimulation of mechanoreceptors, generators, light, sound and mechanical stimuli associated electrically with a control unit, connected with the PC, characterized in that as the LEDs used white, blue, green and red LEDs or a combination of them, part of which is located on the interior surfaces of glass lighting points in the center, and the rest on the periphery of the inner surfaces of the glass, means stimulation of the auditory analyzer is made in the form of a set of microtelephone, one of the located in the center of the earpiece, and the other concentrically on the periphery of the at least two rows, means stimulation of mechanoreceptors made in the form of micro relays, part of which is located in the center of the vibrator, and the rest concentrically on the periphery of the at least two rows, and there are means stimulat and thermoreceptors in the form of a set of IR LEDs, part of which is located in the center of thermode and the rest concentrically on the periphery of the at least two rows, means transcutaneous electrical stimulation in the form of electrodes with centrally located contact plate and concentrically located on the periphery of the electrically isolated contact plates at least in two rows, generators, thermal and electrical stimuli are electrically connected with the control unit, the generators of light, sound, mechanical, thermal, and electrical stimuli provided by the independent communication channels with the Central and perifericheskie located by means of stimulation.



 

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2 cl, 2 ex, 2 tbl

FIELD: medicine, balneotherapy.

SUBSTANCE: during remission period patients should be affected with balneological factor of Belokurikha health resort due to providing the baths with native thermal low-mineralized alkaline waters at increased content of silicic acid at 36-37 C at radioactivity concentration being 0.14-0.3 kBq/l. Baths should be conducted by the following scheme: the 1st d - 5 min, the 2nd d - 8 min, the 3d d - 10 min, the 4th d - the rest, the 5th d - 12 min, the 6th d - 15 min, the 7th d - the rest, the 8th d - 15 min, the 9th d - 15 min, the 10th d - the rest, the 11th d - 15 min, the 12th d - 15 min, the 13th d - the rest, the 14th d - 15 min, there are 10 procedures totally from 1 to 5 p.m. Additionally, in the morning it is necessary to take fresh-water circulatory shower, manual surface massage, rational psychotherapy for psychological correction of emotional sphere by combining the above-mentioned procedures with daily promenades both in the evening and in the morning per 60-120 min, each. The method enables to achieve euthyroidism and decrease goiter's size, prolong remission terms, increase inspecific body resistance and normalize oxygenation and trophic processes in peripheral tissues, vascular tonicity and homeostasis.

EFFECT: higher efficiency of rehabilitation.

3 cl, 2 ex, 2 tbl

FIELD: psychotherapeutical methods.

SUBSTANCE: method can be used for correcting weight of the human body. When analyzing anamnesis and performing questioning, disorders of eating behavior associated with emotional discomfort are revealed. After conclusion of contract, three psychotherapeutical sessions are performed comprising rational psychotherapy making patient realize the problem. Active positive, socially significant motivation to achieve final effect is formed, namely decrease of the weight by predetermined number of kilos over a given period of time according to a diet agenda. In the first psychotherapeutical session, patient is immersed into trans state and suggestion session is carried out. Second psychotherapeutical session is carried out using neurolinguistic program. Governed by psychotherapist, patent imagine "a part of personality". After that, psychotherapist comes into communication with this "part of personality", activates patient's attention on desired result, and fixes arising physiological reactions by means of tactile contact. Further, relationship with some physical sensations corresponding to negative or positive response and their appearance in the "part of personality" is outlined when tactile contact is fulfilled. Patient is given proposal to choose new behavior ways and physician receives agreement from the "part of personality" to be responsible for this function, which agreement is tracked by physician after physiological manifestations and fixed by a conventional tactile contact. Physician proposes then to patient new ways of reacting in stress situations. Patient analyses them and chooses at least three most reliably achievable ways and "part of personality" assumes responsibility for automatic realization of these new ways of eating behavior in the further patient's life. Positive response from the "part of personality" concludes the second physiotherapy session. In the third session, "anchor" technique of neurolinguistic programming is used involving formation of indifferent, neutral, and calm attitude to food upon stress.

EFFECT: achieved stable long-term decrease of the weight by way of forming new rational eating behavior stereotype.

4 cl, 2 ex

FIELD: psychotherapeutical methods.

SUBSTANCE: method can be used for correcting weight of the human body. When analyzing anamnesis and performing questioning, disorders of eating behavior associated with strengthened response to external stimuli are revealed: a kind of food, advertising of foodstuff, and kind of the person accepting food. When disorders are revealed, rational psychotherapy is performed in order to make patient realize the problem. Active positive emotional and voluntary motivation to achieve final effect is formed, namely decrease of the weight by predetermined number of kilos over a given period of time. Principal representative information perception system (visual, aural, kinesthetic) in patient is determined. Thereafter, formula of change in eating behavior stereotype in waking state is composed in order to normalize eating behavior. Patient is then immersed into trans state and first session of indirectly imposed suggestions is carried out involving repetition of composed formula comprising categories of visual objects, aural impressions, and tactile sensation. 50% of the session time is devoted to principal representative information perception system and other 50% to secondary representative systems. In the second session, patient is immersed into trans state and suggestion of stimulation of early satiation to prevent overeating is performed. Treatment course comprises 3-4 sessions carried out with 3-5-day intervals and additional supporting treatment over a 3-month period including 1 session weekly repeating the first session. Method allows achievement of stable decrease of the weight for a long period of time by way of forming new rational eating behavior stereotype depending on type of eating behavior disorder. Effect is further enhanced owing to use of categories of predominantly representative information perception system in patient.

EFFECT: enhanced weight loss efficiency.

2 cl, 2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: method involves training patients in groups formed with age, length of service and disease type taken into account. Treatment comprises basic training program including cognitive theoretical material combined with practical tasks. The following topics like digestion and metabolism; causes, pathogenesis and symptoms of diabetes mellitus; emergency states associated with diabetes mellitus; hypo- and hyperglycemia; self-control; compensated diabetes mellitus; physical activity during diabetes mellitus; diabetes mellitus complications; diabetes and alcohol; insulin preparations and insulin therapy are sequentially studied within a training course. Practical training includes training behavior under particular circumstances usable for training child skills and additional exercises given in facultative mode. Additional information is given for fixing the acquired skills by reviewing experience received in basic lessons. Fairy tales therapy is applied in tutorial process by letting children create fairy world of diabetes where they live and are able to rule over it. Art therapy is applied for creating disease image. Dance therapy is used for mastering historical events in diabetes mellitus development by staging those historical events.

EFFECT: enhanced effectiveness in preventing diabetes mellitus complications.

3 dwg, 1 tbl

FIELD: medicine, psychotherapy.

SUBSTANCE: one should analyze anamnesis, perform rational psychotherapy and curative psychotherapeutic impact in patient's active state. Moreover, one should diagnose individual disadaptive cognitive-behavioral style of patient's psychological reactions to negative factors, with the help of which the patient process these negative factors, and, also, accompanying mimics and pantomimics. At the first stage of curative psychotherapeutic impact one should develop adaptive patient's integrative reactions to negative factors being contrast against disadaptive and being ahead by time of appearance with the help of a card, in the left side of which there is a text containing information on detected disadaptive cognitive-behavioral style, and in its right-hand part - text that contains opposite information about adaptive cognitive-behavioral style. Moreover, left-hand part should be deleted, patient should repeat it impressively, in one's mind, by imaging negative images along with mimics and pantomimics of disgust, and right-hand part should be spoken expressively loudly by strengthening it with positive images and combining it with adequate pronounced mimics and pantomimics. After learning the text one should cut the left-hand part of the card ff and throw and keep the right-hand part. At the second stage one should neutralize disadaptive cognitive-behavioral style with physical exercises, manipulations and pharmacological preparations that lead to negative feelings. At the third stage it is necessary to prepare a patient to apply developed adaptive integrative reactions under conditions of modeling the contact with negative factors with the help of successively performed visualization and role trainings. Therapy course consists of 7-10 seances of 1-2 h duration.

EFFECT: higher efficiency of therapy.

FIELD: medicine, anesthesiology, resuscitation.

SUBSTANCE: after introducing depolarizing myorelaxants, before the stage of intubation one should introduce additional quantity of brietal, its dosage being 0.45 mg/kg. The present innovation enables to provide stabilization of hemodynamic parameters.

EFFECT: decreased risk of introduced narcosis.

13 dwg, 1 tbl

FIELD: medicine.

SUBSTANCE: method involves selecting signals showing patient consciousness level and following evoked auditory potentials as responses to repeating acoustic stimuli, applying autoregression model with exogenous input signal and calculating AAI index showing anesthesia depth next to it.

EFFECT: quick tracing of unconscious to conscious state and vice versa; high accuracy of measurements.

9 cl, 3 dwg

FIELD: medicine; therapy of neurosis, psycho-emotional disorder, hypertension and cardiopathy of different etiology.

SUBSTANCE: method of correction of psycho-physical condition of patient during sleep is based upon simultaneous influence of light and sound signals during period of sleep when patient has dreams. Light signal pulses are used with frequencies within 0,5-3,5 Hz. Intensity of influence of sound signals is chosen in such a way not to interrupt physiological dream. Light and sound signal influence is carried out during time interval being equal to full cycle of change in dream phases. Effective working range of sound signals is chosen within 1000-4000Hz frequency range. As sound signals, different music melodies can be used. Device has timer, pulse light signal source to generate pulses at frequencies within 0,5-3,5 Hz, sound signal reproduction unit, decoder for conversing sound signals from digital form to analog on and light and sound signal control unit made for controlling level of sound signals and form of their amplitude modulation as well as for setting time intervals for generation of light and sound signals at different modes of influence. Device can additional have sound signal store unit made in form of re-recording removable digital unit. Light and sound signal control unit can be made for selection sound signals followed by fixing during period of influence. Sound signals reproduction unit loudspeaker can have effective frequency range of 1000-4000 Hz. Red color light signal source can be used as a light signal source.

EFFECT: widened store of aids and means for correction of psycho-physical condition of patient.

10 cl, 2 dwg

FIELD: medicine, restorative medicine.

SUBSTANCE: one should perform a flow-type irrigation at pressing burnt sections with natural hydrogen sulfide mineral water in combination with total and/or chamber baths with the same mineral water, curative massage and individual curative physical training. At the burns of the upper limbs it is necessary to massage paravertebral areas of innervation of the upper-thoracic and cervical vertebral segments, muscles of back and thorax, and, also, it is necessary to apply thoracic compression, stretching and concussion. At the burns of inferior limbs one should massage paravertebral areas of innervation of lumbar and lower-thoracic vertebral segments, area of lumbar region and hip joints. Moreover, all complex impact should be conducted at the background of dietary nutrition at increased content of proteins, microelements and vitamins. The method enables to prevent and eliminate cicatricial contractures and predict transplants' detachments.

EFFECT: higher efficiency of therapy.

11 cl, 2 ex

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