Method for rapid assessment of patient's psychoemotional state before dental intervention

FIELD: medicine.

SUBSTANCE: before a dental intervention, tests are used to determine a degree of the patient's psychoemotional stress and psychophysiological state, and to measure pulse before the first test (P1), between the tests (P2) and after the second test (P3). A mild degree of the psychoemotional stress, the stable psychophysiological state in a combination with a difference of P3 and P2 no more than 15 beats per minute as compared to a difference of P2 and P1, the psychoemotional state is considered to be stable, and the patient is stated to be ready to the dental intervention. A moderate degree of the psychoemotional stress, the borderline psychophysiological state in a combination with a difference of P3 and P2 no more than 15 beats per minute as compared to the optimum state with a difference of P2 and P1, the psychoemotional state is considered to be labile, and the relaxation measures are stated as necessary before the dental intervention. A severe degree of the psychoemotional stress, the unstable psychophysiological state in a combination with a difference of P3 and P2 more than 15 beats per minute as compared to a difference of P2 and P1, the psychoemotional state is considered to be unfavourable for the dental intervention to be postponed.

EFFECT: method enables the rapid assessment of the patient's psychoemotional state before the dental intervention.

3 ex

 

The invention relates to medicine and can be used by dentists in different directions.

The relevance of this research is caused by insufficient development of medical and psychological problems of diagnosis and relief of emotional reactions that occur in patients on dental reception and manifested in emotional stress, anxiety and fear.

Known way to predict the emotional state of patients for dental reception, according to which conduct psychological testing and measuring galvanic skin response (RF patent 2452366, publ 10.06.2012. - prototype). Based on the data, diagnose the degree of emotional tension, depending on which decide about the need for emotional adjustment.

A known method for the diagnosis of the emotional state of the patients (Maximov Y. M., Lorencova L. I. Diagnosis of the emotional state of patients - prevention of risks in dentistry. Dentist practices. 2009, No. 7, S. 62-65), according to which it is proposed to use tenoten for sedation of patients for outpatient dental reception method tensometry.

Known the necessity of studying the emotional and personal profile of patients with various somatic condition is m for outpatient dental reception (Demina, N. A. Emotional and personal characteristics of patients in outpatient treatment of dental diseases. Abstract. Diss. for obtaining the academic Art. K. p. N., M., 1999). Additionally, this work shows the need for a comprehensive, holistic dentists to the patient, allowing to carry out activities for the prevention of emotional stress and stress relief with the use of psychotherapeutic interventions.

The main disadvantage of known methods is the complexity that makes difficult their use on a daily admission of a dentist.

The present invention solves the task of developing a method of rapid assessment of the emotional state of the patient before dental intervention.

Achievable technical result was the solution to this problem.

The developed method is as follows.

Before dental activities with tests reveal the degree of emotional stress and psycho-physiological condition of the patient. In addition, determine the level of patient's pulse before the first test (P1), between the two tests (P2) and after the second test (P3).

To determine the degree of emotional tension offer the patient to answer the following in the dew of the test:

I. Your condition before visiting the dentist:

1) anxiety, worry "1 point",

2) fear, fear of the "5 points",

3) is not different from the usual "0 points";

II. Your sensations in the mouth, served as the occasion to visit the dentist:

1) pain "5 points",

2) discomfort "1 point",

3) no complaints "0 points";

III. When you visit the dentist You are experiencing pain in the area:

1) of the oral cavity "1 point",

2) the head, heart "5 points",

3) don't feel pain, "0 points";

IV. Your memories of visits to the dentist:

1) is " Yes "0 points",

2) neutral 1 points"

3) negative 5 points";

V. Your fear of the dentist due to:

1) the memory of pain at the previous techniques the dentist "5 points",

2) the concern that the treatment process can something happen "1 point",

3) not afraid "0 points";

VI. Note if You have recently feeling:

1) irritability "5 points",

2) distrust of others "1 point",

3) paragraphs.1 and 2 feelings don't celebrate "0 points".

The resulting points are added up. When the number of points 0-6 conclude mild, 7-24 - moderate, 25-30 - severe emotional stress.

To determine the physiological status using a set of colored cards, each of which is painted defined in the first color: blue, blue-green, orange-red, light yellow, purple, brown, black, gray.

Colors: blue, blue-green, orange-red, light yellow, considered to be the major, and purple, brown, black, gray are optional.

The patient is asked to choose two cards with the most pleasant color. In that case, if the patient chooses two cards from a group of basic, consider the steady state; selecting one card from a group of primary colors and one of the group's additional, consider the state border, selecting two cards from a group additional, consider the unstable state.

Based on the data set of the conclude on the readiness of the patient for dental intervention, namely:

in the presence of mild emotional tension, sustainable psycho-physiological condition in combination with the difference between P3 and P2 is not more than 15 beats./min compared with the difference between P2 and P1 appreciate the psycho-emotional state as a stable and ascertain the willingness of the patient to the dental intervention;

in the presence of moderate emotional tension, edge psycho-physiological condition in combination with the difference between P3 and P2 is not more than 15 beats./min compared to optimal condition with the difference between P2 and P1 appreciate psi is emozionalnoe status as labile and ascertain the need for relaxation effects on the patient before dental intervention;

in the presence of severe emotional stress, unstable psycho-physiological condition in combination with the difference between P3 and P2 over 15 beats./min compared with the difference between P2 and P1 (P1=90, P2=105, P3=120) assess the psycho-emotional state as unfavorable for dental procedures requiring its alien.

Example No. 1. Patient A., complaints of pains in the teeth of the upper jaw to the left, increasing admission of cold, sweet. History: according to the patient's teeth periodically disturbed within six months. The diagnosis of secondary caries 2.6.

Before treatment tested, which revealed the presence of mild emotional tension, sustainable psychophysiological state. The results determine the level of pulse: P1=90, P2=95, P3=97. Based on these data the conclusion about sustainable psycho-emotional state, i.e., about the readiness of the patient for dental intervention.

The patient received dental treatment pathology according to the standards of treatment. The treatment went without complications.

Example No. 2. Patient S., complaints of acute spontaneous pain in the tooth of the upper jaw to the right, worse in the evening and during the meal.

History: according to the patient's tooth worried about 3 days. Diagnosis: 1.6 pulpí the chronic fibrotic in the acute stage.

Before treatment tested, which revealed the presence of moderate emotional tension, edge psychophysiological state. The results determine the level of pulse: P1=90, P2=98, P3=108. On the basis of the obtained data it can be concluded labile emotional state. Therefore identified a need for relaxation effects on the patient before dental intervention.

The patient is offered two pills glycine. In addition, the patient was placed in a room with a TV and offered to look at the selection of the transmission. After 40 minutes of dental treatment pathology according to the standards of treatment. The treatment went without complications.

Example No. 3. The patient Century, complaints about chipping of the cutting edge 1.1 History: according to the patient's tooth broke when eating chicken. Diagnosis: 1.1 chipping of the cutting edge of the tooth.

Before treatment tested, which revealed the presence of severe emotional stress, unstable psycho-physiological state. The results determine the level of pulse: P1=90, P2=105, P3=120. Based on the obtained data, it was concluded that psycho-emotional condition unfavorable for dental intervention the government. With the patient held explanatory conversation, the recommendations of the reception the day before coming to the doctor one tablet of Valerian extract three times a day. In addition, before receiving recommended to eat, to sleep. The reception moved the next day.

When testing the patient held the next day, revealed the presence of moderate emotional tension, edge psychophysiological state. The results determine the level of pulse: P1=92, P2=100, P3=110. On the basis of the obtained data it can be concluded labile emotional state. Before dental surgery was performed clarifying conversation about the safety and effectiveness of procedures.

Then held dental treatment pathology according to the standards of treatment. The treatment went without complications.

The method of rapid assessment of the emotional state of the patient before dental procedure, namely, that before dental activities with tests reveal the degree of emotional stress and psycho-physiological condition of the patient, and determine the level of the pulse before the first test (P1), between the two tests (P2) and after the second test (P3),
moreover, to determine the extent of psychoemotional the aqueous voltage offered to the patient to answer the following questions: I. Your state of health before visiting the dentist: 1) anxiety, worry "1 point", 2) fear, fear of the "5 points", 3) does not differ from the usual "0 points"; II. Your sensations in the mouth, served as the occasion to visit the dentist: 1) pain "5 points", 2) discomfort "1 point", 3) no complaints "0 points"; III. When you visit the dentist You are experiencing pain in the area: 1) the oral cavity "1 point", 2) head, heart "5 points", 3) do not feel pain, "0 points"; IV. Your memories of visits to the dentist: 1) is " Yes "0 points", 2) neutral 1 points", 3) negative 5 points"; V. Your fear of the dentist due to: 1) the memory of pain at the previous techniques the dentist "5 points", 2) concern that the treatment process can something happen "1 point", 3) not afraid "0 points"; VI. Note if You have recently feeling: 1) irritability "5 points", 2) distrust of others "1 point", 3) paragraphs.1 and 2 feelings don't celebrate "0 points", the points are added up and the number of points 0-6 conclude mild, 7-24 - moderate, 25-30 - severe emotional tension;
to determine the physiological status using a set of colored cards, each of which are color-coded: blue, blue-green, orange-red, light yellow, purple, brown, black, grey, and black is the same: blue, blue-green, orange-red, light yellow, considered to be the major, and purple, brown, black, zero - optional; the patient is asked to choose two cards with the most pleasant color, if the patient chooses two cards from a group of basic, consider the steady state; selecting one card from a group of primary colors and one of the group's additional, consider the state border, selecting two cards from a group of additional consider the state of an unstable; based on the data set of the conclude on the readiness of the patient for dental intervention, namely:
in the presence of mild emotional tension, sustainable psycho-physiological condition in combination with the difference between P3 and P2 is not more than 15 beats./min compared with the difference between P2 and P1 appreciate the psycho-emotional state as a stable and ascertain the willingness of the patient to the dental intervention,
in the presence of moderate emotional tension, edge psycho-physiological condition in combination with the difference between P3 and P2 is not more than 15 beats./min compared to optimal condition with the difference between P2 and P1 appreciate the psycho-emotional state of both labile and ascertain the need for relaxation effects n the patient before dental intervention;
in the presence of severe emotional stress, unstable psycho-physiological condition in combination with the difference between P3 and P2 over 15 beats./min compared with the difference between P2 and P1 appreciate the psycho-emotional state as unfavorable for dental procedures requiring its alien.



 

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2 cl, 2 tbl, 4 ex

FIELD: medicine.

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1 tbl, 1 ex

FIELD: sports.

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10 dwg, 3 ex

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5 cl, 8 tbl, 2 ex

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FIELD: medicine.

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1 tbl, 2 ex

FIELD: medicine.

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FIELD: medicine.

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6 tbl, 3 ex

FIELD: medicine.

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3 tbl, 2 ex

FIELD: medicine.

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EFFECT: method enables assessing the health condition of the person being tested and suffering from pre-clinical disorders by detecting and assessing the risk factors and determining the sub-optimal health status.

1 ex

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to preventive medicine, and aims at detecting young individuals suffering from a high risk of cardiovascular diseases for the timely correction. The individuals are presented with a questionnaire to detect major risk factors of the cardiovascular diseases in accordance with the National Cardiovascular Disease Prevention Guidelines. The questionnaire results are appraised by points: if observing psychological stress 3.01-4 for males and 2.83-4 for females, 0 points are assigned; 2.01-3 for males and 1.83-2.82 for females, 1 point is assigned; 2 and less for males and 1.82 and less for females, 2 points are assigned; if the respondent doesn't smoke, 0 points are assigned; if he/she smokes less than 1 cigarette a day, 1 point is assigned; smoking 1 and more cigarettes a day implies assigning 2 points; if the patient intakes ethanol in an amount of 13.7 g a day and less, 0 points are assigned; an intake of ethanol in an amount of 13.8 g to 27.4 g a day and less enables assigning 1 point; using ethanol 27.5 g and more requires assigning 2 points; if blood pressure is less than 129/84 mm Hg, 0 point is assigned; if the blood pressure value falls within the range of 130-139/85-89 mm Hg, 1 point is assigned, and 2 points are assigned, if the blood pressure value is 140/90 mm Hg or more; if a body weight index is 24.9 kg/m2 and less, 0 points are assigned; if the range is 25-29.9 kg/m2, 1 point is assigned; the value of 30 kg/m2 provides assigning 2 points; if the physical activity is accompanied by energy burning of 3 MET/min and more over six late months and more, 0 points are assigned; the physical activity accompanied by energy burning of 3 MET/min under six late months, 1 point is assigned; if the physical activity is accompanied by energy burning of less than 3 MET/min, 2 points are assigned; if the individual consumes more than 500 g of vegetables and fruit a day, 0 point is assigned; consuming less than 500 g provides assigning 1 point, and if a daily ratio contains no fruit and vegetables, 2 points are assigned; if a rest heart rate is 50 to 69 beats per minute, 0 points are assigned; the heart rate falling within the range of 70 to 79 beats per minute provides assigning 1 point, and the heart rate of 80 beats per minute and more ensures assigning 2 points; a negative past medical history of the cardiovascular diseases with manifested ischemic heart disease or cardiovascular diseases in the male relatives in the first degree aged 55 years old or less and in the female relatives in the first degree aged 65 years old or less shows assigning 0 point, while a positive past medical history of the cardiovascular diseases makes it possible to assign 1 point. The total score is derived, and if the calculated value is 8 points and more, the respondent is referred to a group of a high risk of cardiovascular diseases, and preventive measures are recommended.

EFFECT: method enables evaluating a risk of cardiovascular diseases in the young individuals by evaluating the risk factors.

1 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: patient is tested to determine clinical characteristics, each of which is scored to calculate a diagnostic index. The following clinical characteristics are determined: arterial hypertension taking into account its stage and length; diabetes mellitus, its length taking into account the patient's age and complications; ischemic heart disease and its length, cardiac angina, myocardial infarction and its length; the patient's age; compliance; smoking. The absence of any of the above characteristics is scored as 0 points. That is followed by calculating the total score; depending on the derived value, a high, moderate or low probability of the suffered silent stroke is predicted.

EFFECT: method enables establishing the presence of the suffered silent stroke reliably.

3 dwg, 4 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: invention refers to medical equipment. A blood pressure measuring device under motion activity conditions comprises a pulse wave measurement sensor under a pneumatic cuff in the way of the brachial artery, and a force-balance pulse wave sensor on a diametric side of the hand. Outputs of the measurement and force-balance sensors are attached to respective amplifiers, which are attached to a subtractor, an output of which is connected to a band-pass filter, which is an output of the pressure measuring device. The device is additionally provided with the second band-pass filter, the first and second comparators, the first and second negative threshold voltage source, the first and second gate multivibrators, a logical element 2AND, a shaper for a signal informing on the sensor displacement prohibition.

EFFECT: using the invention enables eliminating false responses and blood pressure measurement errors in case of the prohibited sensor displacement by the real-time information acquisition thereon.

4 dwg

FIELD: medicine.

SUBSTANCE: technique involves the clinical-laboratory examination of a sportsman who completed heavy physical activity 12-16 hours ago. The examination extent is determined taking into account the organs and systems most vulnerable to the physical activity while deriving the prognostically significant criteria of the morphofunctional body state. The examination involves measuring and analyzing the biochemical, haematological, immunological and functional values, as well as vitamin-mineral saturation. And if the above values are stably unchanged, reliably different from the norm, nonspecific changes of the sportsman's organs and systems are diagnosed.

EFFECT: technique provides the early diagnosis of the significant changes of the organs and systems during trainings and competitions that enables taking further timely measures to prevent the further progression of pathological conditions and maintaining thereby occupational performance and achieving stable high sport results.

FIELD: medicine.

SUBSTANCE: left ventricular systolic volume as shown by echocardiography is determined in the children and adolescents suffering from essential arterial hypertension; blood serum lead is measured, and a systolic day-time hypertension time index is calculated by a regression analysis formula: SAT TI day-time=0.12+0.0035*SV+0.13*Pb blood serum, wherein SAT TI day-time is the systolic day-time hypertension time index; SV is the left ventricular systolic volume as shown by echocardiography; Pb blood serum is the blood serum lead content. If the systolic day-time hypertension time index falls within the range of 0.25 to 0.50, the form of essential arterial hypertension is considered to be labile, and if the value is more than 0.50, the stable form of essential arterial hypertension is stated.

EFFECT: method enables defining the form of essential arterial hypertension in the children and adolescents by measuring the blood serum lead content as shown by atomic absorption spectrophotometry and determining the left ventricular systolic volume according to echocardiography.

1 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: heart mass relative to body weight, % (X), heart beat number (A) and pulmonary alveolar air oxygen, % (CO2) are measured. The following formula is used for calculation: α=(0.25/T)·CO2, wherein α is an entropy, %, T is an erythrocyte turnaround time with the circulating blood flow, seconds, herewith T=[(0.44·75)/(X·A)]·21.5.

EFFECT: method enables measuring the body characteristics combining the living systems that can be used to determine the biological age, the health state, to study the effect of various health disorders prevention and life prolongation means.

1 tbl

FIELD: physics; control.

SUBSTANCE: invention relates to recording time spent by a person, specifically to monitoring mobile workers in companies with a large staff and many branches and separate subdivisions. Biological information on pulse waves of all workers in the system from their sensors 1 is transmitted to a base terminal 2 and signals from all sensors 1 at certain moments in time are compared with each other in a comparison unit 3. If no matches of information from the sensors 1 are found, the comparison unit outputs a signal to a display unit 4, which indicates the number of sensors 1 which matches the number of workers in the system. If a complete match or other link between signals from two or more sensors 1 is detected, then said sensors are on the body of one person. In that case, the comparison unit 3 outputs a signal to a display unit 5, which displays unauthorised use of specific sensors by a certain worker in the system.

EFFECT: detecting unauthorised use of portable electronic devices when monitoring the number of workers and honest discharge of duties.

2 cl, 1 dwg

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely pulmonology, allergology, cardiology, functional diagnostics. Elastic and functional properties of the aorta are assessed by analysing the pulse wave characteristics recorded by non-invasive arteriography. The derived data provide a basis to calculate the principal characteristics of an arterial rigidity: the aortal pulse wave velocity - APWV and the augmentation index - AI. If observing the APWV value of 7 m/s and more and the AI value of 30% and more, the diastolic dysfunction of both ventricles is predicted.

EFFECT: method enables the timely diagnosing to begin corrective therapy in the patients suffering from bronchial asthma by assessing the pulse wave velocity in the aorta and the augmentation index.

1 tbl, 3 ex

FIELD: medicine.

SUBSTANCE: group of inventions refers to medicine. The method is implemented by generating an electric cardiosignal. Diastolic pressure (D) and an electric cardiosignal sampling are determined. An analysis window 0.4-0.5 s long is formed and moved along the signal at a pace equal to the electric cardiosignal sampling interval. Each pace involves determining statistical expectation and dispersion related to the statistical expectation in the window, and the dispersion related to the statistical expectation of each pace of the window is determined. Two variation coefficients are calculated for each pace, and a difference is calculated. The derived value is compared to a threshold of 0.5-1, and a threshold exceedance number (n1) is calculated. Then, a clock pulse, the frequency of which is equal to the electric cardiosignal sampling frequency is formed, and these pulses are counted (n2). Thereafter, n1 and n2 are related, and the derived value is divided by D. This value is transformed into a vegetation index by formula: VI=(1Dn1/n2)100%. A device for implementing the method comprises a diastolic pressure meter, a filter, a clock pulse generator, two counters, two dispersion calculators, a statistical expectation calculator, two variation coefficient calculators, a subtracter, a threshold generator, a comparator, two dividers, and a vegetation index evaluator.

EFFECT: group of inventions can provide the more reliable and accurate real-time determination of the operator's vegetation index and the based assessment of the functional state, having QRS cardiac complexes different from standard.

2 cl, 2 dwg

FIELD: medicine.

SUBSTANCE: method involves recording heart beat rate and systolic arterial blood pressure before and after two-stage exercise stress. The first stage is of 50 W within 3 min and the second one is of 75 W during 2 min. Patient rest pause is available between loading stages to recover initial heart beat rate. Prognostic estimation of cardiopulmonary complications is carried out with mathematical formula applied.

EFFECT: reduced risk of complications in performing tests.

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