Method of detecting groups of risk of high spinal blockade development in pregnant women in cesarian section operation
SUBSTANCE: invention relates to medicine, namely, to anesthesiology and reanimatology, and can be used in carrying out spinal blockade in pregnant women in Cesarian section operation. For this purpose height, body weight index and intra-abdominal pressure are determined. After that, point evaluation of obtained parameters is carried out: height (cm) higher than 171 - 1 point, 170-166 - 2 points, 165-161 - 3 points, 160-156 - 4 points, 155-150 - 5 points, lower than 150 - 6 points. Body weight index 20-24.9 - 1 point, 25-29.9 - 2 points, 30-34.9 - 3 points, 35-39.9 - 4 points, more than 40-5 points. Intra-abdominal pressure (cm H20) lower than 16 - 1 point, 17-19 - 2 points, 20-21 - 3 points, 22-23 - 4 points, higher than 24 - 5 points. If sum of points constitutes 3-6, risk is estimated as low, if sum of points is 7-9, risk is estimated as moderate, if sum of points is 10-12, risk is high, is sum of points constitutes more than 13 points, risk is estimated as extremely high.
EFFECT: method ensures prevention of development of high spinal blockade due to correction of local anesthetic dose before surgical intervention with taking into account patient's individual peculiarities.
1 tbl, 1 dwg, 3 ex
The invention relates to medicine, namely to anesthesiology and intensive care, and the identification of risk groups for the development of high spinal block in pregnant women with cesarean sections.
One of the disadvantages of spinal anesthesia is hypotension, developing due to vasodilation in the area of the blockade of sympathetic ganglia (Mulroy M Local anesthesia: an Illustrated practical guide / Lane. from English. S.A. Panfilov; Ed. by Prof. S. Emelyanov. - M.: BINOM. Knowledge laboratory, 2003. - 301 C.). The occurrence of high levels of Th-1, Th-2, sympathetic blockade, when performing spinal anesthesia in obstetric practice accompanied by severe hypotonia and even collapse, which threatens the life of the pregnant woman and the fetus. Any hemodynamic changes that occur in pregnant women during spinal anesthesia, difficult to manage, and therefore, the prediction and prevention of their more promising than the subsequent correction of circulation (anesthesiology /edited by A.A. of Bunyatyan - M.: Medicine, 1997. - 656 S.).
It is known that the distribution of local anesthetic into the subarachnoid space is affected by two important anthropometric parameters: the height of the patient and intra-abdominal pressure [Mulroy M Local anesthesia: an Illustrated practical guide / M MA the swarm; Under the editorship of Prof. S. Emelyanov. - M.: BINOM. Knowledge laboratory, 2003. - 301 S.: ill.]. Based on the fact that pregnant intra-abdominal pressure is increased, and the recommended dose of local anesthetic when performing spinal anesthesia have 30% less than other patients [Shifman E.M., ' GV Spinal anesthesia in obstetrics / EM Shifman, GV Philipovich. - Petrozavodsk: Inteltek, 2005. - 558 C.]. However, the level of intra-abdominal pressure for each individual pregnant and depends on its Constitution, the fruit weight, the quantity of amniotic fluid, compliance decreased abdominal wall. In obstetric anesthesia when performing spinal anesthesia to date does not take into account the level of intra-abdominal pressure in each individual pregnant woman, and only considers the growth of the patient.
As a prototype, the author offers described in the literature as a method for predicting the development of high spinal block, depending on the growth of the patient [Shifman E.M., ' GV Spinal anesthesia in obstetrics / EM Shifman, GV Philipovich. - Petrozavodsk: Inteltek, 2005. - 558]. Local anesthetic solution, introduced into the subarachnoid space for women of small stature, covers more cranially, and therefore causes a higher block than the introduction of the same dose of the drug to patients you who will be about the growth.
Larger subarachnoid space, and, consequently, a larger volume of CSF in patients with high growth, will lead to greater dilution of a solution of local anesthetic and as a consequence - to the lower level unit. Forecasting the level of spinal block only for the growth of a pregnant has the following disadvantages:
1. On the volume of the subarachnoid space in addition to growth pregnant is greatly influenced by intra-abdominal pressure. With increasing intra-abdominal pressure is increased blood flow in the veins of the epidural space at the same time they increase in size and squeeze outside the subarachnoid space.
2. The level of intra-abdominal pressure in pregnant women may be varied within wide limits: from normal is 5-10 cm H2O, to extremely high - 28-30 cm H2O and depends on the period of gestation, foetal weight, the quantity of amniotic fluid, the volume of the abdominal cavity and other constitutional factors.
3. In women of the same height may be different intra-abdominal pressure, and therefore a different amount of subarachnoid space. Therefore, when the same dose of local anesthetic will receive a different level of spinal block.
The authors propose a way of forecasting the development of high spinal block in pregnant women with cesarean sections In the basis of the method is a comprehensive evaluation of three parameters: the growth of the patient, the body mass index (BMI) and abdominal pressure measured immediately before anaesthesia. Based on these parameters, the authors have developed an integrated risk scale high spinal block (see table 1).
The essence of the method consists in the following:
1. Stage. Determination of intra-abdominal pressure.
In the operating room before spinal anesthesia, pregnant, lying horizontally, is mounted in the bladder Foley catheter and released were in the urine. Then through the catheter into the bladder is entered 80 ml of 0.9% solution of sodium chloride. While the walls of the bladder begin to function as a passive membrane and serve as a guide intra-abdominal pressure, which allows to measure intra-abdominal pressure via a urinary catheter. Then the catheter of Follea connect with an empty system for intravenous infusion, which is raised vertically above the bosom of the patient (figure 1). Zero point is the level of the pubic symphysis. From this level with a ruler to determine the height of the vertical standing of the physiological solution in the system for intravenous infusion. This value corresponds to the level of intra-abdominal pressure (cm H2O).
2. Stage. The calculation of the risk of development of high spinal block
On the basis of the total estimate three parameters: intra-abdominal D. the effect, growth and body mass index scores are calculated (table 1). For the total number of points determines the risk of developing high spinal block.
Risk low: 3-6 points,
Risk moderate: 7-9 points
Risk: 10-12 points
The risk is extremely high: more than 13 points.
The advantages of the proposed method of identification of risk groups for the development of high spinal blockade in pregnant women during cesarean section in relation to the prototype are:
1. This method allows the complex to take into account the main factors (height, body mass index, intra-abdominal pressure)that affect the volume of the subarachnoid space.
2. This method of forecasting the development of high spinal block applies to all pregnant women, because it is based on the evaluation of three simple parameters: height, BMI and magnitude of intra-abdominal pressure.
3. It does not require complex medical equipment. Enough is installed into the bladder before the operation of the Foley catheter, intravenous infusion, 100 ml of 0.9% solution of sodium chloride and ruler.
The technical result of the proposed method is to identify cesarean sections among pregnant women at-risk groups for the development of high spinal block, which allows you to adjust the dose of local anesthetic and to prepare the necessary standards is by the prevention of complications related high spinal block.
This method of identification of risk groups for the development of high spinal blockade in pregnant women with cesarean sections used in 124 women. The age of patients ranged from 19 to 40 years.
Clinical example 1.
Pregnant K. 34 years (no history S), received in the Regional perinatal center 10.01.2012 with a diagnosis of Pregnancy 38-39 weeks, as a result of IVF, pelvic presentation. 12.01.2012 was operated under conditions of spinal anesthesia. Performed a caesarean section. The growth of the patient amounted to 159 see, BMI of 28.2, intra-abdominal pressure is 27 cm H2O. According to the developed scale, by adding up the number of points received figure 11, which indicates a high risk of developing high spinal block 11 points.
The subarachnoid space is entered 1.6 ml (8 mg) of 0.5% solution of marcaine (heavy). The level of spinal blockade after 15 minutes, reached Th 2-3. Despite the use of a small dose of local anesthetic, received high spinal block. Born live, full-term girl weighing 3470, growth 53, 8-9 on Apgar. Discharged 19.01.2012, p/o period proceeded without features.
Clinical example 2.
Pregnant L. 28 years (no history S) received in the Regional perinatal center 10.02.2012, with a diagnosis of Pregnancy 37-38 weeks, complicated and high myopia, airini the IV degree. Performed a caesarean section. The growth of the patient amounted to 176 see, BMI - 38,3, intra-abdominal pressure is 29 cm H2O. was operated under conditions of spinal anesthesia 10.02.2012. According to the developed scale, after summing the scores obtained figure 10, indicating a high risk of developing high spinal block - 10 points.
The subarachnoid space is entered and 2.1 ml (10.5 mg) of 0.5% solution of marcaine (heavy). The level of spinal blockade after 15 minutes, reached Th 3-4. Born live, full-term boy weighing 4470, growth 55, 8-9 on Apgar. Discharged 18.02.2012, p/o period proceeded without features.
Clinical example 3.
Pregnant B. (no history S), received in the Regional perinatal center 25.11.2011 with a diagnosis of Pregnancy 38 weeks, pre-existing essential hypertension with significant proteinuria, sdfd 1-11 century, the lack of effect from treatment. 7.12.2011 was operated under conditions of spinal anesthesia. Performed a caesarean section. The growth of the patient was 175 see, BMI of 26.4, intra-abdominal pressure of 17 cm H2O. According to the developed scale after summing the scores obtained figure 5, which means lower risk of developing high unit - 5 points.
The subarachnoid space is entered and 2.8 ml (14 mg) of 0.5% solution of marcaine (heavy). The level of spinal blockade after 15 minutes, reached Th 6-7. Born alive at term the first boy weighing 2200, growth 45, 7-8 points on the Apgar. Discharged 12.12.2011, p/o period proceeded without features.
1. Euramericana tube
2. Foley catheter
4. Peritoneal space
|The scale of the risk of development of high spinal block|
|1. Height (cm)||Points|
|2. The body mass index (BMI)|
|3. Intra-abdominal pressure (cm H2O)|
The calculation method of the risk of development of high spinal blockade in pregnant women with cesarean sections, including growth, body mass index, characterized in that it further measure intra-abdominal pressure, then perform point estimation of the parameters: height (cm) above 171 - 1 point, 170-166 - 2 points, 165-161 - 3 points, 160-156 - 4 points, 155-150 - 5 points below 150 - 6 points; BMI 20-24,9 - 1 point, 25-29,9 - 2 points, 30-34,9 - 3 points, 35-39,9 - 4 points, more 40-5 points; intra-abdominal pressure (cm H2O) is less than 16 - 1 point, 17-19 - 2 points, 20-21 - 3 points, 22-23 - 4 points, 24 more - 5 points; if the score is 3-6 - the risk is assessed as low; if the score 7-9 - moderate risk; if the sum of the scores 10-12 - high risk; if the score is more than 13 points, the risk is assessed as very high.
SUBSTANCE: invention refers to medicine, namely to anaesthesiology, and may be used as an anaesthesia care of a surgical intervention for carotid endaterectomy or internal carotid artery resection after pathological deformation thereof. That is ensured by general anaesthesia in a combination with deep and superficial cervical plexus blockade. Pre-medication is used the day before the operation and on the operative day in the morning. Diazepam is introduced intramuscularly 30 minutes before the operation in a combination with phentanyl; the introduction is followed by ECG monitoring and heart rate count, plethysmography with arterial blood saturation, non-invasive blood pressure measurement and neuromonitring according to a bispectral index or entropy. Catheterisation of patient's peripheral or central vein is followed by an infusion therapy, an ionotropic therapy, a cardiotropic therapy, peripheral resistance maintenance. If heart rate is no more than 80 beats per minute, the anaesthesia is induced to reach an anaesthetic depth according to the bispectral index or entropy within 40-60 units. Analgesia is provided by the intravenous introduction of 0.005% phentanyl; myoplegia is ensured by the intravenous introduction of a myorelaxant. After tracheal intubation, the patient is transferred to forced volumentic artificial pulmonary ventilation with the CO2 level within 35-45 mm Hg according to capnography. The anaesthesia is maintained by supplying an inhalation anaesthetic to the steam level of 0.8-1.0 MAK 0.8-0.9 litre of the air and oxygen flow containing 50% oxygen with controlling the inhalation anaesthetic volume by the level of the anaesthetic depth according to the bispectral index or entropy. That is followed by deep cervical plexus blockade. A tubercle of the VI cervical vertebra (a carotid tubercle) and a mastoid process are localised; thereafter a line connecting the above reference points is drawn on skin. The second line is drawn 1 cm below the first one in parallel. To verify an injection point of a local anaesthetic, the spines of IV, III, II cervical vertebras being at 1.5 cm from each other are palpated, and the reference point is the VI cervical vertebra. The needle is inserted perpendicularly to the skin and slightly in the caudal direction to reach the spines. The anaesthetic is introduced in a dose of 5-7 ml in each point C4, C3, C2. Another 5-7 ml of the anaesthetic is introduced in a point found in an apex of the mastoid process. The superficial cervical plexus blockade requires introducing he fan-shaped introduction of the anaesthetic solution in a dose of 15 ml in a point found in the middle of a lateral crus of the nodding muscle under the above muscle, 4-5 ml in each direction from the same point; the first and following injections are performed at a depth of a usual intramuscular needle perpendicularly to nodding muscle.
EFFECT: method provides the adequate and safe anaesthesia ensured by avoiding linear blood velocity reduction in the medial cerebral artery during the surgical intervention, preventing intracranial pressure increase, reducing cerebral perfusion pressure in a combination with providing adequate protection against surgical invasion with maintaining stroke volume and arterial pressure.
4 cl, 3 ex
SUBSTANCE: invention refers to medicine, namely anaesthesia, and may be used as a postoperative anaesthesia accompanying low- and medium-injury operations. For this purpose, at the stages of anaesthetising and de-anaesthetising, nonsteroidal anti-inflammatory compounds (NSAICs) are introduced intravenously. The NSAIC dose is equivalent to ketorol 0.5-3.0 ml. The introduction is performed 1-3 times.
EFFECT: method provides the complete prevention of developing postoperative pain syndrome ensured by the intravenous introduction of the NSAIC at the specific stages of anaesthesia in certain doses.
1 tbl, 5 ex
SUBSTANCE: invention refers to medicine, namely to anaesthesiology and neurology, and may be used in spinal anaesthesia. Laser Doppler flowmetry is used to measure skin microcirculation on an anterolateral body surface. For this purpose, before the spinal anaesthesia the microcirculation is measured at T10 and 5 minutes after the spinal anaesthesia, at L1, T12, T11, T10, T9, T8, T7, T6, T5, T4, T3, T2. If the microcirculation appears to increase by 40% or more of the initial values, the effective sympathetic block from this segments and below is diagnosed. When the microcirculation increases less than 40%, it is stated that the sympathetic block is absent.
EFFECT: method enables the most quick determination of the levels of the sympathetic block component in the spinal anaesthesia ensured by measuring the skin microcirculation parameters of the anterolateral body surface.
SUBSTANCE: invention refers to medicine, namely to anaesthesiology and neurology, and may be used in epidural anaesthesia. Laser Doppler flowmetry is used to measure skin microcirculation on an anterolateral body surface before the epidural anaesthesia at T10 and 15 minutes after the epidural anaesthesia at L5, L4, L3, L2, L1, T12, T11, T10, T9, T8, T7, T6, T5, T4, T3, T2. If the microcirculation appears to increase by 40% or more of the initial values, the effective sympathetic block within the segments that meet these conditions is diagnosed. When the perfusion growth is less than 40%, it is stated that the sympathetic block is absent.
EFFECT: method enables the most quick determination of the levels of the sympathetic block component in the epidural anaesthesia ensured by measuring the skin microcirculation parameters of the anterolateral body surface.
SUBSTANCE: invention refers to medicine, namely to anaesthesiology, and may be used in epidural anaesthesia. What is presented is an apparatus comprising a guide cylinder with a digital scale, with the mark pitch for an epidural needle. The guide cylinder is fixed on the periphery of a support plate window rotating in a perpendicular plane at an angle up to 160°. The window is placed in a projection of the interspinous space selected for puncture. The cylinder is specified to have the length of 0.44-0.45 equal to the effective length of the epidural needle, and an internal diameter greater than an outer diameter of the needle not more than in 1.42 times.
EFFECT: provided direct needle penetration into the epidural space by preventing lateral needle deviation when passing through patient's spinal soft tissues and ligaments with puncture of the epidural space from the median approach.
3 cl, 2 tbl, 4 dwg
SUBSTANCE: invention refers to medicine, in particular to anesthesiology and intensive care, and may be used if preoperative preparation of the patients with chronic pancreatitis and manifested pain syndrome required. For this purpose, back skin of a sitting patient is treated within a puncture at the Th7-Th8 level. Then, an epidural space is punctured, and a puncture catheter needle is introduced therein, and the catheter is pushed forward in the cranial direction to a depth of 3 cm. The needle is removed, and the catheter is placed along the spine and is brought out to the subclavian region while strapped all over. Thereafter, a test dose of 2% lidocaine 3.0 ml is introduced. If observing no effects of spinal block, prolonged permanent introduction of 0.2% ropivacaine at rate 4-5 ml/hour 3 times a day. With underlying it, 30 minutes before a meal, fractional introduction of 0.75% ropivacaine 3.0 ml and 0.005% fentanyl 1.0 ml for 4-5 days is performed.
EFFECT: method provides the adequate preparation of the patients for pancreatic surgery due to pain relief that enables supplying proteins and eliminating hypovolemia, as well as due to improved pancreatic-duodenal microcirculation.
SUBSTANCE: invention refers to medicine, namely anesthesiology, intensive therapy and endosurgery, and may be used in patients in need of endoscopic transpapillary intervention. That is ensured by an intravenous infusion therapy with crystalloid solutions in the amount of 800-1200 ml. An epidural space is punctured and catheterised at the level of Th VIII - Th IX with the catheter moved by 4-5 cm in the cranial direction. A local anaesthetic solution and Clopheline 100 mcg are introduced through the epidural catheter at the level of Th V - Th X 20 minutes before the endoscopic transpapillary intervention. It is followed by pre-medication enabled by introducing 0.1% atropine 0.5-1 ml and 0.5% relanium 1-2 ml, and the patient is wheeled into a catheterisation laboratory. After the endoscopic transpapillary intervention completed, the patient is transferred into an intensive therapy unit wherein prolonged epidural analgesia is enabled by introducing 0.5-1% lidocaine 10 ml into the epidural space every 4 hours. If observing no clinical manifestations of postoperative pancreatitis, the epidural catheter is removed, and the patient is transferred into a department of surgery for symptomatic treatment.
EFFECT: method enables preventing acute postoperative pancreatitis following such interventions due to action of a general mechanism of pathogenesis of the given pathology.
SUBSTANCE: invention relates to ophthalmology and can be applied for instillation anaesthesia in cavity eye operations on anterior segment of eye, in particular in phacoemulsification of cataract with implantation of IOL. For this purpose two hours before operation instillations of viceine or vita-iodurol in dose 2 drops into conjunctival cavity of operated eye are carried out every 15 minutes, eight times in total. One hour before operation simultaneously started is instillation of local anesthetic inocaine or alcaine in dose 2 drops every 10 minutes, five times. Interval of instillation between vitaiodineurol or viceine and local anesthetic constitutes five minutes.
EFFECT: method ensures increased anaesthesia efficiency due to increase of cornea permeability and reduction of operation and post-operation complications due to reduction of toxic action of anesthetic.
SUBSTANCE: invention relates to medicine, namely to anesthesiology, and can be used in carrying out spinal anesthesia. For this purpose before and during spinal anesthesia constant monitoring of diastolic and mean arterial blood is performed. If their values are lower than 47 and 68 mm Hg, risk of postpuncture syndrome development is estimated as high.
EFFECT: method makes it possible to prevent development of postpuncture syndrome due to estimation of selected parameters.
1 tbl, 3 ex
SUBSTANCE: invention relates to medicine, namely, to vascular surgery and anesthesiology, and can be applied in surgical treatment of varicose disease of lower extremities with application of endovasal laser coagulation of veins. For this purpose paravasal infiltration of tumescent solution is realised. As such, cooled to 6-7C0 ozonised 4-5 mkg/l physiological solution is introduced. Introduction is carried out under continuous ultrasonic navigation into fascial sheath of coagulating vessel and hypodermic cellular tissue.
EFFECT: method makes it possible to ensure reduction of expression of post-operative pain syndrome, as well as prevent development of local inflammatory complications due to vein spasm and neutralisation of warming up of cellular-tissue structures at the moment to laser exposure.
SUBSTANCE: invention relates to field of medicine, namely to traumatology-orthopedics and neurology. Testing on stabiligraphic platform, reading, recording and analysis of stabiligraphic indices by statokinesiogram are performed. Changes of frontal and sagittal coordinates are fixed separately. Trajectory of gravity centre movement on platform plane is fixed on frontal and sagittal stabilogram. After that, determined are: intervals of movement at constant rate on each of the coordinates, intervals of movement on trajectory at constant, including zero linear rate and at constant angular rate. Distances by coordinates, trajectories and angles, which are passed within each of the intervals, are determined. Values of changes of rates on interval borders and quantity of intervals of each duration at particular rate are determined. Generalised intervals of unchanged movement are formed. Obtained numerical values are visualised with presentation in graphic form, and individual peculiarities, which characterise the process of keeping balance by patient are identified by comparison of obtained values with standard parameters.
EFFECT: method makes it possible to increase reliability of diagnostics and realise differential diagnostics of functional impairment of locomotor system, which is achieved due to taking into account individual peculiarities.
2 cl, 6 dwg, 3 ex
SUBSTANCE: invention relates to medicine, namely to rehabilitation of speech disorders (motor aphasias) in case of cerebral cortex pathology. Patient pronounces speech stimulus. Individual convenient for patient rhythm, in which they pronounce to themselves said stimulus with frequency, equal to individual rhythm, is determined. Tongue microarticulation is registered. Obtained mechanical fluctuations are transformed into electric impulses and transferred into computer in form of histogram. Histogram of individual rhythm is superposed on obtained histogram and recovery of internal speech is assessed by increase of number of impulses, coinciding in frequency with frequency of individual rhythm.
EFFECT: method makes it possible to accelerate process of rehabilitation of patients with motor aphasia.
FIELD: personal use articles.
SUBSTANCE: insole manufacture method includes usage of a device equipped with a means for an elastic membrane attachment and tensioning and usage of a sole image for the insole two-sided mechanical treatment; the means for the elastic membrane attachment and tensioning is designed in the form of two horizontal rods with the possibility of their position adjustment and is mounted on a scanner; then one adjusts the position of the said horizontal rods in terms of height and distance between them, fits up the membrane on the membrane attachment means, attaches the membrane by means of T-shaped strips connected to the horizontal rods, adjusts the membrane tensioning by means of the lever located at the end of one of the horizontal rods, set the foot onto the membrane, obtains the sole image in STL format and performs two-sided mechanical treatment of the insole relying on the said image presented in STL format.
EFFECT: ensuring uniform tensioning across the whole of the foot sole.
SUBSTANCE: invention relates to medicine, namely to devices for diagnosing scoliotic deformations of spine, and can be used in prophylactic examinations of children and teenagers. Device for diagnosing deformations of spine in children and teenagers contains cylindrical level with air bubble. Cylindrical level with colour mark, corresponding to central position of bubble, is rigidly fixed in horizontal plane on case, which is connected with roller and handle. Diagnostics of scoliotic deformations of spine in children and teenagers on the basis of estimation of air bubble position in the processes of its movement along spine is realised by means of specially elaborated device. Said device is moved along spine, with fixation of those levels, on which bubble position is deviated rightward or leftward from the central position, which indicated to the deviation of spinous processes from spine axis and testifies to scoliotic spine deformation.
EFFECT: invention ensures fast and reliable objective detection of asymmetry of paravertebral regions along entire length of spine, which is manifestation of scoliotic spine deformation.
2 cl, 1 dwg
SUBSTANCE: invention relates to medicine. In method realisation, performed is videomonitoring of eyes, on which darkened glasses with accelerometer and video cameras are put on, head movements, on which headphones are put on and laser pointer is fixed, movements of body and extremities in performance of neurologic tests and study of neurologic reflexes. Two infrared light diodes are directed on each of tested person's eyes for eye illumination and creation of motion illusion when screens of virtual reality are switched on. Biological calibration of all device components is performed. Research is carried out with put on and taken off glasses on tested person and their placement on hard floor and on soft platform. Assessment of results is carried out by indices of head movements, taking into account difference of movements dispersion during performance of different tests, presence of spontaneous nystagmus or saccades or their appearance while performing research are also taken into account. System includes darkened glasses with video cameras, light diodes, headphones, laser pointer, accelerometer, fixed on dark glasses and connected with inlet of computer, which is provided with software. To perform biological calibration and task of direction of look of eyes, screens of virtual reality, whose inlets are connected to computer inlets, are directed at them.
EFFECT: method makes it possible to extend functional possibilities and increase diagnostics accuracy.
9 cl, 7 dwg, 3 ex
SUBSTANCE: invention relates to clinical medicine and can be used in endocrinology for detecting predisposition to metabolic syndrome. Scanning of both patient's palms, processing of obtained data and determination of parameters of dermatoglyphic picture are carried out. Such characteristics as finger, general and total ridge count, character of pattern on fingers and in palm area on thenar, hypothenar and in interdigital fields, presence and location of palm triradii, palm ridge count, direction of termination of main palm lines A, B, C, D. On the basis of detected characteristics of dermatoglyphic picture parameters conclusion about presence of predisposition to metabolic syndrome is made.
EFFECT: method makes it possible to realise prediction of predisposition to metabolic syndrome.
SUBSTANCE: invention refers to medicine, namely locomotor biomechanics. A method involves the following stages: the first stage involves a standing flexion test with a patient standing one a strictly horizontal surface with his/her legs apart. An optimal feet distance makes 10-12 cm. Tangential lines to median edges of feet generate an angel of 10-12° to an axial line. The length difference of the lower extremities is stated in case of observing an advance phenomenon of a posterior superior iliac crest on the side of a 'shorter' leg. At the second stage, the first stage is performed once again with the patient standing on the horizontal surface made of a material flexible under body weigh compression. If the observed advance phenomenon of the posterior superior iliac crest on the side of the 'shorter' leg disappears, the functional length difference of the lower extremities is stated. If the observed advance phenomenon of the posterior superior iliac crest on the side of the 'shorter' leg persists, the anatomical length difference of the lower extremities is stated.
EFFECT: technique provides higher measurement accuracy in the length differences of the extremities.
2 cl, 3 ex
SUBSTANCE: invention relates to medicine, functional diagnostics by means of stabilometry and principle of biological feedback (BF) and can be used, for instance, in sport. Stabilimetric parameters are measured and within set successively following each other time intervals calculated are mean values of pressure centre (PC) coordinates and total within the same time intervals energy consumption for PC movement, determined as sum of increments of kinetic energy of controlled object body between two successive measurements of PC coordinates. After that, obtained values are transformed into acoustic signals of sound range in such a way that signal frequency is proportional to deviation of PC coordinates from set value and value of energy consumption for PC movement, forming in this way BF channel for correction of set pose by ear.
EFFECT: method ensures greater degree of accuracy and sensitivity of pose and its stability control due to simultaneous non-differentiated control of dynamic and static pose parameters: as balance in taken pose by acoustic signal component, proportional to energy consumption, as well as pose itself by acoustic signal component, proportional to change of mean value of PC coordinates with respect to initial ones.
SUBSTANCE: for determining propensity for oncological diseases, dermatoglyphic pattern parameters are determined. There are determined a whorl type and a ridge estimate on phalanxes; a ridge estimate ab, bc, cd on palms; an angle atd, a termination direction of main palmar lines A, B, C and D into the palmar fields; arrangement of palmar and axial triradius; patterns in a ball of thumb, a hypothenar eminence and in interdigital fields. The derived parameters are used to diagnose genetic propensity for lung, stomach or breast cancer. A probability of developing oncological diseases is higher in the presence of such non-genetic factors, as ecological contamination of a place of residence and a working area, the presence of cancer in first-degree relatives, social habits - smoking and alcohol, and with the age. A degree of a risk of lung cancer also increases in males having chronic, non-specific pulmonary diseases, tuberculosis in past history. A degree of a risk of stomach cancer also increases in males having chronic gastritis, gastric ulcer in past history, consuming spicy and greasy food. A probability of breast cancer is higher in the presence of gynaecological diseases in past history, in increased number of induced and natural abortions, increased number of pregnancies and decreased number of deliveries, later onset of mensis and earlier onset of menopause.
EFFECT: method enables determining propensity for oncological disease on the basis of 'a complex of genetic and non-genetic factors'.
SUBSTANCE: group of inventions relates to medicine and medical equipment, namely to systems and methods for determining position of medical instrument in space. System contains transmitting unit, which emits electromagnetic radiation, at least, one located on medical instrument element of localisation, which receives electromagnetic radiation from transmitting unit and generates localisation signal. System also contains assessment unit, which determines position of medical instrument by assessment of localisation signal. Localisation element has transceiver, which contains antenna and circuit, connected to antenna for reception and transmission of electromagnetic radiation. Circuit is excited by means of received via antenna electromagnetic radiation from transmission unit in such a way that it emits localisation signal via antenna as electromagnetic radiation. At least one receiving unit is connected to assessment unit. Assessment unit is made with possibility of determining medical instrument position on the basis of phase ratio of electromagnetic radiation of localisation signal in respective point of receiving unit. System given above is used to implement stages of method for determination of position of medical instrument in space. As alternative version of system implementation RFID tag is integrated into medical instrument. Position of instrument is determined on the basis of phase ratio of electromagnetic radiation of localisation signal in the place of location of, at least, one receiving unit, connected to assessment unit.
EFFECT: application of group of inventions will make it possible to increase accuracy of determination of instrument position.
33 cl, 2 dwg
SUBSTANCE: method involves selecting a set of points describing vertebral column arch form, estimating central angle value, chord inclination, arch radius and chord length in each vertebral column segment. Vertebral column function is evaluated on the basis of central angle value and arch radius in standard positions. Angular and linear parameters describing vertebral column form and spatial orientation in three planes are calculated and compared to parameter values characterizing normal state.
EFFECT: high accuracy of quantitative parameters estimations.