Method for evaluating adaptation system of dental patients

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely - to dentistry, reflex diagnostics, and can be used in diagnosing a dental status and treating a dentition. A method involves examination and evaluation of dentition parametres. It is followed with measuring electric resistance in the area of eight points on hands. The measured parametres are scored. Two score scales are made. A state of the vegetative nervous system is evaluated by the measured data in the area on a dorso-ulnar surface of a middle phalanx of a second finger in a junction of a head and a body (point No.1). A status of parasympathetic ganglions, a subcortical nucleus n.vagus is specified by the measured data in the area of the middle dorso-ulnar surface of a body of a second metacarpal bone (point No.2). The measured data observed in the area of the dorso-ulnar surface of the second metacarpal bone in a junction of the body and a base (point No.3) show a status of cerebral nerves. The measurement taken in the area above a tuberosity of a distal phalanx of a fourth finger on the dorso-ulnar surface (point No.4) provides to observe a status of glucocorticoids and sex hormones secretion function. The measurement taken in the area above a base of the distal phalanx of the fourth finger on the dorso-ulnar surface (point No.5) presents a status of the sympathoadrenal system. A state of cervical ganglions is indicated by the measured data in the area on a dorso-ulnar surface of the middle phalanx of a forth finger in a junction of the head and body (point No.6). A state of a thyroid and a parathyroid is produced by the measured data in the area on a dorso-ulnar surface of a forth metacarpal bone in a junction of the head and body (point No.7). A state of a hypothalamus, a hypophysis and an epiphysis is shown by the measurement taken in the area on a dorso-ulnar surface of the forth metacarpal bone in a junction of the head and body (point No.8). The derived measurement data are used to make the first scale. The values up to 45 kOhm in point No.1 are evaluated as 0 points. The values 111 to 152 kOhm and 27 to 45 kOhm in point No.1 are evaluated as 1 point. The values more than 152 kOhm and less than 27 kOhm in point No.1 are evaluated as 2 points. The values 111 to 56.6 kOhm in point No.2 are evaluated as 0 points. The values 111 to 152 kOhm and 36 to 56.5 kOhm in point No.2 are evaluated as 1 point. The values more than 152 kOhm and less than 36 kOhm in point No.2 are evaluated as 2 points. The values 95.6 to 56.5 kOhm in point No.3 are evaluated as 0 points. The values 95.6 to 129 kOhm and 36 to 56.5 kOhm in point No.3 are evaluated as 1 point. The values more than 129 kOhm and less than 36 kOhm in point No.3 are evaluated as 2 points. The values 111 to 45 kOhm in point No.4 are evaluated as 0 points. The values 111 to 152 kOhm and 27 to 45 kOhm in point No.4 are evaluated as 1 point. The values more than 152 kOhm and less than 27 kOhm in point No.4 are evaluated as 2 points. The values 111 to 36 kOhm in point No.5 are evaluated as 0 points. The values 111 to 152 kOhm and 19.5 to 36 kOhm in point No.5 are evaluated as 1 point. The values more than 152 kOhm and less than 19.5 kOhm in point No.5 are evaluated as 2 points. The values 111 to 45 kOhm in point No.6 are evaluated as 0 points. The values 111 to 152 kOhm and 27 to 45 kOhm in point No.6 are evaluated as 1 point. The values more than 152 kOhm and less than 27 kOhm in point No.6 are evaluated as 2 points. The values 111 to 36 kOhm in point No.7 are evaluated as 0 points. The values 111 to 152 kOhm and 27 to 36 kOhm in point No.7 are evaluated as 1 point. The values more than 152 kOhm and less than 27 kOhm in point No.7 are evaluated as 2 points. The values 111 to 56.6 kOhm in point No.8 are evaluated as 0 points. The values 111 to 152 kOhm and 36 to 56.5 kOhm in point No.8 are evaluated as 1 point. The values more than 152 kOhm and less than 36 kOhm in point No.8 are evaluated as 2 points. The second scale is made by summing up the derives points. If the point total is either zero to five for one hand, or 0 to 10 for the right and left hands, a normal adaptability is diagnosed. The point total being either 6 to 12 for one hand, or 12 to 24 for the right and left hands, a lowered adaptability is diagnosed. The point total being either 13 to 16 for one hand, or 25 to 32 for the right and left hands, a fallen adaptability is diagnosed.

EFFECT: method is easy-to-implement, does not cause complications and allows to schedule an extent and a stage-by-stage approach to therapeutic actions taking into account an adaptability status of a specific patient.

5 tbl, 1 dwg

 

The present invention relates to medicine, namely to the dentist, and can be used in the diagnosis of dental status and treatment of dentition.

The effectiveness of dental treatment depends not only on medical procedures, but also on the adaptive capacity of an organism of the patient.

There is a method of planning of dental treatment, including inspection and consistent estimation of the parameters of dentition, then, depending on the estimation of parameters, each parameter on a scale of conditionally assign a status level (RF patent No. 2355294).

In the course of dental treatment is characterized by the tension of regulatory systems of the patients, associated with exposure to complex medical factors. In this regard, for an adequate response of the patient to treatment, you need the full functioning of the adaptation. This factor when dental treatment in a known manner by a doctor is evaluated not in full.

Reducing the current functions of the adaptation system is unfavorable prognostic sign and may be one of the causes of complications during the treatment and the impossibility of complete adaptation of the patient to ongoing dental treatment, therefore, the object of the invention is illustrates the AC current functions of the adaptation system of the patient during dental treatment.

The technical result of the proposals is to improve the quality of dental treatment with the help of drawing up an individual plan of dental treatment based on the status of the adaptation system.

The invention consists in that, when the dental treatment, including inspection and consistent estimation of the parameters of dentition, then, depending on the estimation of parameters, each parameter on a scale of conditionally assign a status level, according to the invention determine the electrophysiological parameters of the representative points of the skin by measuring the electrical resistance, measured in stages, before treatment, during treatment, after treatment. Measure the parameters of eight representative points of the skin, according to results of measurement in the area on the back-ulnar surface of the middle phalanx of the second finger brush at the junction of the head to the body (point No. 1) determine the state of the autonomic nervous system, as measured in the area in the middle of the dorsal-ulnar surface of the body of the second metacarpal bone (point No. 2) determine the state of the parasympathetic ganglia, subcortical nuclei n.vagus, according to the measurement area on the back-ulnar surface of the second metacarpal bone at the junction of the body to the base (point No. 3) determine with the head being brain nerves, according to measurements in the area above the tuberosity of the distal phalanx of the fourth finger brush on the back-elbow surface (point No. 4) determine the status of the function of the secretion of glucocorticoids and sex hormones, according to measurements in the zone above the base of the distal phalanx of the fourth finger brush on the back-elbow surface (point # 5) define the state of the sympathoadrenal system, according to the measurement area on the back-ulnar surface of the middle phalanx of the fourth finger brush at the junction of the head to the body (point # 6) determine the condition of the cervical ganglia, according to the measurement area on the back-ulnar surface of the fourth metacarpal bone at the junction of the head to the body (point # 7) determine the condition of the thyroid and parathyroid glands, as measured in the zone on the back-ulnar surface of the fourth metacarpal bone at the junction of the body to the base (point No. 8) determine the state of the hypothalamus, hypophysis and epiphysis (drawing).

Then make two point scale, each of which includes three levels of the state, and the first scale are measured in the above eight points on the hand or the left and right hands, for testimony in point No. 1 from 111 to 45 ohms diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 1 over 11 to 152 ohms and from 27 to 45 ohms diagnose, that adaptive capacity is reduced, and assign a score of "1", for a testimony in point number 1 more than 152 ohms and less than 27 kω diagnose that adaptive capacity is sharply reduced, and assign a score of "2"for testimony in point No. 2 from 111 to 56.6 com diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 2 111 to 152 ohms and from 36 to no more than 56,5 com diagnose that adaptive capacity is reduced, and assign a score of "1", for testimony in point number 2 more than 152 ohms and less than 36 kω diagnose that adaptive capacity is sharply reduced, and assign a score of "2"for testimony in point No. 3 from 95,6 to 56.5 com diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 3 more 95,6 to 129 ohms and from 36 to no more than 56,5 com diagnose that adaptive capacity is reduced, and assign a score of "1", for a testimony in point No. 3 more than 129 ohms and less than 36 com diagnose that adaptive capacity is sharply reduced, and assign a score of "2"for testimony in point No. 4 of 111 to 45 ohms diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 4 111 to 152 ohms and from 27 to 45 ohms diagnose that adaptive capacity is reduced, and assign a score of "1"to display the s in point number 4 more than 152 ohms and less than 27 kω diagnose, that adaptive capacity is sharply reduced and assign a score of "2"for testimony in point No. 5 of 111 to 36 ohms diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 5 111 to 152 ohms and from 19.5 to no more than 36 kω diagnose that adaptive capacity is reduced, and assign a score of "1", for a testimony in point number 5 more than 152 ohms and less of 19.5 kω diagnose that adaptive capacity is sharply reduced, and assign a score of "2", for testimony in point No. 6 of 111 to 45 ohms diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 6 111 to 152 ohms and from 27 to 45 ohms diagnose that adaptive capacity is reduced, and assign a score of "1", for a testimony in point No. 6 over 152 ohms and less than 27 kω diagnose that adaptive capacity is sharply reduced, and assign a score of "2"for testimony in point No. 7 from 111 to 36 ohms diagnose that adaptive capacity are normal, and assign a score of "0"for testimony in point No. 7 111 to 152 ohms and from 27 to 36 ohms diagnose that adaptive capacity is reduced, and assign a score of "1", for a testimony in point number 7 more than 152 ohms and less than 36 kω diagnose that adaptive capacity is sharply reduced, and assign a score of "2"for pok is the instructions in point No. 8 of 111 to 56.6 com diagnose, what adaptive capacity are normal and assign a score of "0"for testimony in point No. 8 111 to 152 ohms and from 36 to no more than 56,5 com diagnose that adaptive capacity is reduced, and assign a score of "1", for a testimony in point No. 8 152 ohms and less than 36 kω diagnose that adaptive capacity is sharply reduced and assign a score of "2", the second scale are according to the first scale, with summed scores obtained in spots from No. 1 to No. 8, for the sum of points from zero to five for one hand or from 0 to 10 for the amount of points for the right and left hands diagnose that adaptive capacity are normal, and assign a score of "0", for the sum of scores from 6 to 12 for one hand or from 12 to 24 for the amount of points for the right and left hands diagnose that adaptive capacity is reduced and assign a score of "1"to the total score of 13 to 16 for one hand or from 25 to 32 for the sum of the scores for the left and right hands diagnose that adaptive capacity is sharply reduced, and assign a score of "2". Analysis of the electrophysiological parameters of the representative points of the skin is carried out in five stages, the first stage is carried out before treatment and determine the initial state of dentition, the second stage is carried out in the beginning of treatment, the third stage is conducted one week after the start of treatment, the fourth floor is p spend three weeks after the start of treatment, the fifth stage is conducted within three months of starting treatment. After analysis of the electrophysiological parameters of the representative points of the skin at each of these stages carry out the distribution of patients into three groups, while for patients with grade rating "0" prescribe standard methods of dental treatment, for each patient with grade rating "1" designate an individual plan of dental treatment, for each patient with grade rating "2" pre-determine the presence of concomitant pathologies, and then assign individual treatment plans concomitant pathologies and dental treatment.

The drawing shows the location of the representative points of the skin of the hands.

The method is as follows.

Since the skin are representative plots responsible for the activities of the various organs and systems of the body, it is possible to determine the state of adaptation possibilities by measuring their characteristics.

Conducting electrophysiological research method is contraindicated:

- in patients with pacemaker, which is associated with the possibility of a violation of his work,

- in the presence of pathology of the skin in the projection of the measurement points.

Relative contraindications can be considered the increased sensitivity is lnost to electric current and mechanical pressure.

The measurements were carried out as follows:

1) the Patient while in the sitting position (presence watches, rings, bracelets, etc. on the body of the subject is excluded), takes in his left hand passive (tubular) electrode.

2) the Tip of the active electrode moisten (a Cup with cotton wool moistened with tap water or saline).

3) the Doctor takes the right hand of the patient, determines the anatomical landmarks of the projection point of measurement (T).

4) the Doctor sets the active measuring electrode in the projection of TI, gradually increasing the pressure of the electrode on the skin with the control according to the schedule on the screen before reaching the plateau of measurement (when the pressure increase is not accompanied by increased). The duration of testing should be at least 5-10 seconds when not changing the index.

5) After the measurement on the right arm of the patient takes a passive electrode in the right hand and in the same sequence performs the measurements on the left hand.

For screening of electro-examination the scheme of examination, which allows you to get the most complete information about the state of dental health of the patient with the lowest number of measurement points measurement. Evaluate the indicators in 8 symmetric representative points of the left and or right hands, most fully and fairly reflect the mechanisms of nervous and humoral regulation of adaptive processes.

Location and representative characteristics of points:

1. Point No. 1 is located in the area on the back-ulnar surface of the middle phalanx of the second finger brush at the junction of the head into the body and determines the state of the autonomic nervous system.

2. Point No. 2 is located in the area in the middle of the dorsal-ulnar surface of the body of the second metacarpal bone and determines the state of the parasympathetic ganglia, subcortical nuclei n.vagus.

3. Point No. 3 is located in the area on the back-ulnar surface of the second metacarpal bone at the junction of the body in the Foundation and determines the state of the cranial nerves.

4. Point No. 4 is located in the area above the tuberosity of the distal phalanx of the fourth finger brush on the back-elbow surface and determines the status of the function of the secretion of glucocorticoids and sex hormones.

5. Point No. 5 is located in the area above the base of the distal phalanx of the fourth finger brush on the back-elbow surface and determines the state of the sympathoadrenal system.

6. Point No. 6 is located in the area on the back-ulnar surface of the middle phalanx of the fourth finger brush at the junction of the head into the body and determines the condition of the cervical ganglia.

7. Point No. 7 is located in the area on the back-ulnar surface of the fourth metacarpal bone at the junction of the head into the body and determines the state of Sitevi is Noah and parathyroid glands.

8. Point No. 8 is located in the area on the back-ulnar surface of the fourth metacarpal bone at the junction of the body in the Foundation and determines the state of the hypothalamus, pituitary and pineal gland.

The measurements were carried out at various stages of diagnosis and treatment:

1. Diagnosis at the time of initial treatment.

2. Diagnosis at the start of treatment.

3. Diagnosis is carried out after one week from the beginning of medical interventions.

4. Diagnosis three weeks from the start of treatment.

5. Diagnosis three months.

Assessment of adaptation system according to the definition of electrophysiological parameters of the representative points of the skin.

According to measurements, one can judge the state of the adaptive capabilities of the subject dental patient.

Values of electrophysiological parameters of the representative points of the skin of the hands, which are the first point scale (table 1).

Table 1
The first point scale
No. of pointsAdaptive capacity in the norm (the value optimally) com 0 pointsAdaptive capacity is reduced, com 1 ball is Adaptive capacity is sharply reduced, com 2 points
1111-45more 111-152, 27-menuemore than 152, less than 27
2111-56,5more 111-152, 36 or less 56,5more than 152, less than 36
395,6-56,5more 95,6-129, 36 or less 56,5more than 129, less than 36
4111-45more 111-152, 27 or less 45more than 152, less than 27
5111-36more 111-152, a 19.5-36more than 152, less of 19.5
6111-45more 111-152, 27 or less 45more than 152, less than 27
7111-36more 111-152, 27-36more than 152, less than 27
8111-56,5more 111-152, 36 or less 56,5more than 152, less than 36

p> The second scale are according to the first scale, with summed scores obtained in spots from No. 1 to No. 8, for the total score from zero to five for one hand or from 0 to 10 for the amount of points for the right and left hands diagnose that adaptive capacity are normal, and assign a score of "0", for the sum of scores from 6 to 12 for one hand or from 12 to 24 for the amount of points for the right and left hands diagnose that adaptive capacity is reduced, and assign a score of "1"for scores from 13 to 16 for one hand or from 25 to 32 for the sum of the scores for the left and right hands diagnose that adaptive capacity is sharply reduced and assign a score of "2". Table 2 presents the second scale distribution of patients in groups according to one hand.

Table 2
The distribution of patients by group
Patient groupThe minimum number of pointsThe maximum number of points
0 - Adaptive capacity in normal0 pointsUp to 5 points
1 - Adaptive capacity reduced more than 5 pointsUp to 12 points
Adaptive capacity is sharply reducedmore than 12 points16 points

For subsequent measurements, one can judge the effectiveness of therapeutic interventions. In the absence of significant changes, you can talk about the lack of response of the organism. The increase during the first and second diagnosis indicates the presence of stress adaptation and positive response of the body to the medicine. The decrease in the values and normalization of parameters of three months from the beginning of medical interventions indicates the presence of sustainable adaptation.

Materials research.

Were surveyed 146 patients at stages of dental treatment.

Table 3
The distribution of patients by gender
OnlyMenWomen
100%9,6%90,40%
n=146n=14n=132

Table 4
The distribution of patients by type of dental care
View pathologyNumber of patients (absolute value)Number of patients (%)
Partial secondary missing teeth, reduction of interalveolar height is observed, dentofacial deformity4933,56%
Full secondary dentition138,9%
Dysfunction of the temporomandibular joint8457,54%
Only146100%

Table 5
The distribution of patients according to the status of adaptive capacity at treatment stages
SurveyAdaptive capacity in normalAdaptive capacity is reducedHell is operating capabilities dramatically reduced
Source41,78% (n=61)45,89% (n=67)of 12.33% (n=18)
The beginning of the treatmentbe 18.49% (n=27)74,66% (n=109)6,85% (n=10)
1 week of starting treatment39,99% (n=54)43,84% (n=64)MT 19 : 18% (n=28)
3 weeks from start of treatment30,14 (n=44)66,44% (n=97)3,42% (n=5)
3 months from start of treatment43,84% (n=64)54,79% (n=80)1,37% (n=2)

The original adaptive capacity in optimum condition at 41,78% of patients. The 45,89% of patients adaptive capacity is reduced, and of 12.33% drastically reduced. By the beginning of treatment increases the number of patients in the group with low adaptive capacity (74,66%). Reduced the percentage of patients in the group with adaptive capacity in the norm (be 18.49%), this pattern can be explained by such processes as the stress of waiting, the anxiety before treatment measures.

After one week of the start of treatment due to continuing load on the patient is an increase in the group with severely reduced adaptive capacity (MT 19 : 18%). Also increases the group with adaptive capacity in normal (39,99%), because in most cases the relief of pain.

Three weeks from the start of treatment the largest percentage falls in the group of patients with reduced adaptation (66,44%). Sharply reduced the group with severely reduced adaptation (3,42%), this figure indicates a positive trend of events.

After three months of starting treatment (distance effect) are a big part of the patients with reduced adaptive capacity (54,79%) and patients in the state of the adaptive optimum (43,84%). 1,37% of patients entered the group with severely reduced adaptive capacity. In addition to the transition of patients from one group to another you can move patients within the same group (number of points).

The data obtained in the result of this work allow to draw the following conclusions:

1. Patients adaptive capacities which are in a state of physiological optimum, more quickly adapt to dental treatment and prosthetic constructions and more quickly and fully restore the lost function of the masticatory apparatus. The application of standard techniques in this group of patients gives a good effect. The effects were stomatologicheskogo the treatment are adequate and stable.

2. Patients adaptive capacity of which is reduced, characterized by a slower adaptation to dental treatment and prosthetic constructions and not always full restoration of function. To obtain adequate and stable results of treatment it is necessary to make an individual treatment plan.

3. Patients with severely reduced adaptive capacity in patients of this group may not be adapting to the orthopedic designs, there is a low efficiency of dental treatment. The standard approach to the treatment of this group of patients there is a high risk of complications. In the individual treatment plan must include additional methods; necessary additional diagnosis, involvement of doctors of other specialties. The effects of the treatment are not always adequate to the volume of the treatment. The restoration of the lost functions of mastication.

4. When adequately prepared and carried out the treatment plan possible transition of patients from the group with severely reduced adaptation status in the group with reduced adaptation condition, and reduced functional state of physiological optimum. When inadequately planned and carried out the treatment you can weight and movement of patients in the group with lower adaptive capacity.

Accordingly, the diagnosis can be used for planning the scope and phasing of therapeutic interventions. Patients included in the first group, you can use the whole complex of therapeutic measures without preliminary preparation. Patients, constituting the second and third group, require additional training, aimed at improving the adaptive capacities of the organism. Also of great importance to assess the effectiveness and appropriateness of the procedures for the measurements of conductivity of representative points in the dynamics.

Way evaluation system adaptation dental patients, including inspection, measurement parameters, followed by the estimation of the parameters being measured in points and are two ball scales, each of which includes three levels of the state, and the measurement is carried out in five stages, when the first stage is carried out before treatment, the second stage is carried out in the beginning of treatment, the third stage is conducted one week after the start of treatment, the fourth stage is conducted three weeks after the start of treatment, the fifth stage is conducted within three months from the start of treatment, characterized in that as parameters to measure the electrical resistance in the field the location of eight points on the skin of the hands, when kotorogo dimension data in the area on the back-ulnar surface of the middle phalanx of the second finger brush at the junction of the head to the body (point No. 1) determine the state of the autonomic nervous system; according to measurements in the area in the middle of the dorsal-ulnar surface of the body of the second metacarpal bone (point No. 2) determine the state of the parasympathetic ganglia, subcortical nuclei n.vagus; no measured data in the area on the back-ulnar surface of the second metacarpal bone at the junction of the body to the base (point No. 3) determine the status of cranial nerves, according to measurements in the area above the tuberosity of the distal phalanx of the fourth finger brush on the back-elbow surface (point No. 4) determine the status of the function of the secretion of glucocorticoids and sex hormones; according to the measurements in the zone above the base of the distal phalanx the fourth finger brush on the back-elbow surface (point # 5) determine the state of sympathoadrenal system; according to the measurement area on the back-ulnar surface of the middle phalanx of the fourth finger brush at the junction of the head to the body (point # 6) determine the condition of the cervical ganglia; according to the measurement area on the back-ulnar surface of the fourth metacarpal bone at the junction of the head to the body (point # 7) determine the condition of the thyroid and parathyroid glands; according to the measurement area on the back-ulnar surface of the fourth metacarpal bone at the junction of the body to the base (point No. 8) determine the state of the hypothalamus, hypophysis and epiphysis; then according to the data of measurements and the Oia in these eight points on the hands or the right and left hands are the first scale, when this testimony in point No. 1 from 111 to 45 ohms estimated at 0 points, testimony in point No. 1 111 to 152 ohms and from 27 to 45 ohms estimated at 1 point, the testimony in point number 1 more than 152 ohms and less than 27 kω assessed at 2 points, testimony in point No. 2 from 111 to 56.6 com is estimated at 0 points, testimony in point No. 2 111 to 152 ohms and from 36 to no more than 56,5 com is estimated at 1 point, the testimony in point number 2 more than 152 ohms and less than 36 kω assessed at 2 points, testimony in point No. 3 from 95,6 to 56.5 com is estimated at 0 points, testimony in point number 3 more 95,6 to 129 ohms and from 36 to no more than 56,5 com is estimated at 1 point, the testimony in point number 3 more than 129 ohms and less than 36 kω assessed at 2 points, testimony in point No. 4 of 111 to 45 ohms estimated at 0 points, testimony in point No. 4 111 to 152 ohms and from 27 to 45 ohms estimated at 1 point, the testimony in point number 4 more than 152 ohms and less than 27 kω assessed at 2 points, testimony in point No. 5 of 111 to 36 ohms is estimated at 0 points, testimony in point No. 5 111 to 152 ohms and from 19.5 to no more than 36 kω estimated at 1 point, the testimony in point number 5 more than 152 ohms and less 19,5 assessed at 2 points, testimony in point No. 6 of 111 to 45 ohms estimated at 0 points, testimony in point No. 6 111 to 152 com and from 27 to 45 ohms estimated at 1 point, the testimony in point No. 6 over 152 ohms and less than 27 kω assessed at 2 points, the testimony in point number 7 from 111 to 36 ohms is estimated at 0 points, testimony in point No. 7 111 to 152 kω and 27 to the e over 36 kω estimated at 1 point, testimony in point number 7 more than 152 ohms and less than 27 kω assessed at 2 points, testimony in point No. 8 of 111 to 56.6 com is estimated at 0 points, testimony in point No. 8 111 to 152 ohms and from 36 to no more than 56,5 com is estimated at 1 point, the testimony in point No. 8 152 ohms and less than 36 kω assessed at 2 points, the second scale are according to the first scale, thus summarize the points received in all eight points, and with the amount of balls from zero to five for of one hand or from 0 to 10 for the left and right hands diagnose that adaptive capacity are normal and assign a score of 0, if the sum of scores from 6 to 12 for one hand or from 12 to 24 for the left and right hands diagnose that adaptive capacity is reduced and assign a score of 1, with the amount of balls 13 to 16 for one hand or from 25 to 32 for the left and right hands diagnose that adaptive capacity is sharply reduced and assign a score of 2.



 

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3 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used for evaluation of patient's chewing efficiency both before planning orthopedic dental treatment, and after prosthetics with application of substituting orthopedic apparatuses. Functional (chewing) test is carried out. On the basis of chart with preliminarily calculated coefficients of chewing efficiency and taking into account coefficients of age and tooth row state, as well as type of substituting apparatus qualified efficiency of chewing is calculated.

EFFECT: method allows to determine chewing efficiency, individualise results of patients' chewing efficiency taking into account age and state of tooth rows.

1 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: invention is intended for veterinary science. A gingival contour probe contains a handle piece and an elongated end piece. The latter is attached with its proximal end to the handle piece. The end piece is curved and/or arched and contains markings in number and with a scale to characterise the measured lengths. At least by number and/or scale of markings, the probe fits for application in easy measurement of a gingival edge on a conscious animal. The probe is used to implement the method of quantitative estimation of dental deposit on a conscious animal. The method involves the stages (a) matching the end piece of said gingival contour probe and the gingival edge of an animal, (b) measuring the length of the gingival edge and the length of deposition, if any is observed on gingival markings of the end piece of the probe, and (c) calculating the quantitative indicator of dental deposit by comparing the length of deposition and the length of the edge.

EFFECT: invention provides ease of use.

21 cl, 2 dwg, 1 ex

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, in particular to dentistry, and can be applied for diagnostics of supporting-holding apparatus or tooth tissue, surrounding implant. Force is applied to implant, providing change of its position from normal and measurement of angular displacement value. Implant of circular transversal cutting is loaded in point, which is located in the middle of projecting from periodontal part tissues part of implant, by force of pair of forces by means of sinkers, suspended to implant. Angles of its turning by laser pointer, rigidly fastened on implant end are registered on monitor, which is placed in front of implant. Measured are deviations from central line on monitor, which are index of implant displacement from established norm. Coefficient of rigidity of dental implant fastening in bone is determined by mathematic formula. If value of coefficient of rigidity 15≤KJ≤25, conclusion is made that level of rigidity of implant fastening allows its loading with orthopedic construction.

EFFECT: method allows to realise reliable determination of degree of rigidity of dental implant fixation in bone in order to evaluate possibility of its primary, secondary and repeated loading with orthopedic construction.

4 dwg, 1 ex

FIELD: medicine.

SUBSTANCE: invention concerns medicine and aims at prediction of complications following denture treatment with partial secondary adentia. Tomography data are used to derive the ultimate areas of projections of intraalveolar teeth roots limiting a denture defect, and similar teeth with on the opposite side on a relative plane. The plane is parallel to an occlusive plane. The full perimetre of the tooth is examined for bone tissue. It is followed with the comparative analysis of crevicular fluids amount related to intact parodentium and parodentium wherein pre-clinical changes are possible. If the ultimate areas of projections of intraalveolar teeth roots of symmetrical examined teeth are equal, a tooth is considered to be stable.

EFFECT: offered method allows observing tooth stability in norm and resorption of alveolar bone.

2 ex, 1 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to diagnostics in pediatrics. Method includes impact of microcurrents on biologically active points (BAP) of 12 main pair meridians of human organism with application of "Rofes" apparatus. Bipolar testing of each measured biologically active point is carried out. Frequency changes in points under impact for 0.2 seconds by current within U=4 V; 1=60 mcA; P=0.24 mW. Analysis of results of BAP response to said irritation is carried out. Results are presented in form of electric skin conductivity (ESC) profiles, BAP on circular diagram, as well as in form of figure tables. In period of duodenal ulcer exacerbation registered is 1.5-2 times decrease of electric skin resistance (ESR) of small intestine - IG and heart - C in comparison with the norm; on circular rofogram registered is "pulling in" of circular rofogram towards the centre in the same segments (IG, C). In period of remission ESC of said meridians approaches the norm, which is shown in table indices, and on circular rofogram, when "pullings in", characteristic of exacerbation periods become level.

EFFECT: method extends methods of diagnostics in children.

3 tbl, 7 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to obstetrics and deals with prediction of development of spontaneous birth activity in women with antenatal discharge of amniotic fluid. For this purpose resistocervocometry is carried out. Additionally stroke test and Dagnini-Ashner test are carried out. In case of resistance 100-240 Ohm by data of resistocervocometry, observation of red dermographism with hidden period up to 15 sec and visible longer than 20 minutes, as well as pulse depression on 6-12 beats/min, beginning of birth activity during 6 hours is predicted. In pregnant women with resistance 241-270 Ohm, transient dermographism with hidden period 16-20 sec and visible up to 19 minutes and pulse depression on 2-5 beats/min, beginning of birth activity within 12 hours is predicted. In women with resistance higher than 271 Ohm, observation of white dermographism, absence of pulse depression in Dagnini-Asher test, beginning of birth activity in 12 hours and more is predicted.

EFFECT: method ensures possibility of individual selection of tactics of labour management at the background of antenatal discharge of amniotic fluid, and as a result, development of complications.

3 ex

FIELD: medicine.

SUBSTANCE: invention relates to medical equipment. A device for the inductive measurement of bioimpedance comprises a set of first inductors representing exciting coils for the induction of a variable magnetic field in a user's body, a set of second inductors representing pickup coils for the measurement of a secondary magnetic field in a user's body. Each set of the first inductors overlaps at least one set of the second inductors to generate a measuring range matrix. According to the first version, a bed accommodates the device for the inductive measurement of bioimpedance with the first and/or the second inductor of the device comprising a patterned copper conducting element on a flexible substrate being attached to a bed-sheet. According to the second version of the bed, the first and/or second inductors include the flexible conducting wire element integrated into the bed-sheet, e.g. by sewing or interweaving. A method of the inductive measurement of the user's body bioimpedance involves the stages of the induction of a variable magnetic field in a user's body with the use of the set of the first inductors, the measurement of the secondary magnetic field in a user's body by means of the set of the second inductors with each set of the first inductors overlapping at least one set of the second inductors to generate the measuring range matrix.

EFFECT: development of the effective method and device for the inductive measurement of user's body bioimpedance.

12 cl, 6 dwg

FIELD: medicine.

SUBSTANCE: method involves the examination of the patient with detecting pathological situations and specifying forming spastic and paretic antagonist muscles. In addition, electrical conductance of the BAP of C, F, RP, V meridians is measured by Nakatani method. The hyperfunctioning C meridian observed indicates the residual perinatal cortical hypoxias. The hyperfunctioning F meridian shows dysfunction of brain stem structures. The hypo- or hyperfunctioning RP meridian is an evidence of cerebrospinal fluid circulation disturbance. The hypo- or hyperfunctioning V meridian enables to observe decreased liquor absorption. A central pathogenesis link is involved by exposing on such BAPs of classical meridians as lo-points, associate points, tonic points and joint points. Such scalp regions as an initiative zone, an active thinking zone or a motional consequence zone are covered additionally. The BAPs exposure both on the central pathogenesis link, and on the peripheral neuromuscular apparatus is enabled by direct negative polarity current in a sedative exposure mode, and/or by direct alternated polarity current pulses in a toning exposure mode. The peripheral neuromuscular apparatus is covered by sedative exposure on spastic muscle and toning exposure - on paretic muscles, and also by sedative exposure on paravertebral BAPs considering the segmental innervation of spastic muscles.

EFFECT: method improves clinical effectiveness in ICP ensured by maintained combination of reflex and direct exposure on muscular fibres of spastic and paretic antagonist muscles, decreased stretch reflex and relief of pathological situations, clinical efficiency in ICP for the patients with the evident manifestations of hydrocephaly and organic cerebral damage caused by medical exposure on individual combinations of pathogenesis elements.

7 cl, 3 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular - to diagnostics. Method includes analysis of dynamics of organism's vegetative tone. For this purpose areas of representative points are irritated with electric current with intensity 200 mcA and voltage 12 V with further gradual increase of irritation intensity during 7-50 seconds to maximal level. Dynamics of electric skin conductivity (ESC) under active electrode is registered. After that it is computer-evaluated by means of hardware-software complex (HSC) "POINT". Additionally carried out is psychological test for general reactivity and type of adaptation reaction of organism is determined by means of HSC "Sources of health". Presence of initial low vegetative tone of organism of 1-2 points and its negative dynamics at the background of stimulation with electric current to (-) 0.5 - (-) 1.0 point in combination with "stress" response determines failure of adaptive capacity. Absence of positive dynamics in combination with "stress" response testifies to unsatisfactory adaptation potential. Positive dynamics of vegetative tone to 3-4 points at the background of "training" response testifies to intensive adaptation potential. Presence of initial high vegetative tone of organism 4-5 points and absence of its dynamics in combination with "activation" response determines satisfactory adaptation potential.

EFFECT: method increases accuracy of diagnostics of organism's state, which allows to optimise rehabilitation process in recovery treatment.

2 ex

FIELD: medicine.

SUBSTANCE: device for measuring the parametre selected from the weight or fat mass, comprising the human body, includes: means of measuring the parametre, means of registration of measured values, means of calculation and means of comparing the current value with the control value, and the device of light indication of the comparison result. In this case, the means of calculation is designed to determine one or more control values by smoothing the number of previous values and, if necessary, the current value, to determine the value range, identifying stability of the parametre of one or more control values.

EFFECT: application of this device provides clear and simple displaying of the true tendency of the measured parametre.

11 cl, 2 dwg

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to reflexo-diagnostics in states accompanied by pain syndrome. Treatment of said states with application of computer electro-acupuncture of auricular biologically active points is carried out. In the course of treatment patients sets and measures amplitude of stimulating pulses themselves in accordance with the instruction: "perception must be definitely sensitive but not painful". Initial and final values of stimulating pulse amplitude are registered. AS objective index, index of pain intensity (IPI) is calculated by formula: where Aav is average value of stimulating pulse amplitudes, Ai is average value of initial and final amplitudes of stimulating pulses, selected by patient in i-point, n is the number of biologically active points. If IPI is higher than 5.5 V pain is estimated as expressed. If IPI value is from 3.5 to 5.5 V - as of medium intensity or slight. If IPI is lower than 3.5 V it is concluded that pain is absent.

EFFECT: method allows to estimate pain syndrome intensity objectively due to application of new evaluation index.

5 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: device contains multiple arm leg electrodes; detection section for detection of multiple differences of potentials on each of multiple body sites, including all body, both hands and both feet of examined person with application of arm electrodes and leg electrodes, determination unit for automatic determination of body section for calculation by impedance, which corresponds to each difference of potentials, and standardised area of values, preliminarily set for each body section; unit of body composition calculation for calculation of body composition for whole body of examined person by differences if potentials, corresponding to body section, and information about examined person's body; and display block for displaying information, which relates to part of the body where difference of potentials, used in calculation of body composition for whole body, must be detected.

EFFECT: application of invention allows to increase reliability and accuracy of results of body composition calculation.

14 cl, 31 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment, namely to body composition metres. The metre comprises a bioelectrical resistance measure, a weight measure, a personal physiological data input medium, body composition parametres save and calculation features connected to communication vehicles for result forwarding. The calculation feature has a comparator which compare between the last measured values of two different parametres of body composition and the previous values of these parametres measured for the same person. The communication vehicle includes a graphic or light display containing a central zone and at least one peripheral zone of display. The calculation feature is provided with an analysis tool for two results derived by the comparator to transfer to the communication vehicles one message displaying a joint variation of both these parametres either by illumination of the central zone, or by illumination of the peripheral zone.

EFFECT: use of the invention allows simplifying design of the metre, improving its performance due to create a delay-free message of the body composition variation behaviour which describes the joint variation of two related parametres.

19 cl, 7 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to acupuncture diagnostics. It involves evaluation of an initial ratio of average electrodermal conductivity (EDC) of the acupuncture urinary bladder canal of the patient to total EDC in the same patient. Total EDC is calculated as a sum of indices of the right and left branches of 12 classical paired acupuncture canals divided by the number of measurements. After a ten-day course of rehabilitation actions, dynamics of this ratio is assessed. If the specified ratio is equal or close to 1.0, and the average of the urinary bladder channel is within a physiological corridor, normalisation of vegetative provision of urination function and its reducibility are concluded. The method provides higher accuracy of diagnostics of neurogenic urinary bladder dysfunctions due to the use in calculation of said index of the EDC of same patient. In turn, higher accuracy of diagnostics provides clinical effectiveness of regeneration ensured by development of an individual rehabilitation program considering specific rehabilitation potential of the patient.

EFFECT: method provides higher accuracy of diagnostics of neurogenic urinary bladder dysfunctions due to the use in calculation of said index of the EDC of same patient; in turn, higher accuracy of diagnostics provides clinical effectiveness of regeneration ensured by development of an individual rehabilitation program considering specific rehabilitation potential of the patient.

2 dwg, 2 ex

FIELD: medicine.

SUBSTANCE: method involves carrying out urological examination for determining hydrodynamic resistance of ureter calculated from formula Z=8Lμ/(πR4), where Z is the hydrodynamic resistance of ureter, L is the ureter length, R is the ureter radius, μ is the urine viscosity. Angle α at which the ureter enters the urinary bladder is determined from formula cosα = 8l1μ/(ZπR4), where l1 is the perpendicular drawn from the upper edge of the ureter to the its exit projection line, μ is the urine viscosity, Z is the hydrodynamic resistance of ureter, R is the ureter radius. Vesicoureteral reflux recidivation is predicted when the angle of α+90° is less than 120°.

EFFECT: enhanced effectiveness in reducing the number of recidivation cases.

2 dwg, 1 tbl

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