Objective Demonstrate an outcome of comprehensive treatment of an adolescent with fracture-dislocation of the thoracic spine accompanied by deep lower paraplegia and pelvic floor dysfunction using noninvasive percutaneous spinal cord stimulation and mechanical stimulation of the foot bearing surface. Case study Comprehensive treatment was performed for a 17-year-old patient who sustained a combined injury during roller ski training. The patient presented with back pain, breathing difficulty, being unable to perform active movements of lower extremities. He reported loss of sensitivity in the lower part of the body, perineum and lower limbs. The injury was classified as ASIA grade B with motor impairment scored 50 and overall sensory score of 88. Surgical intervention was produced within the first hours after injury and was followed by rehabilitation program including stimulation of the foot bearing surface with Korvit plantar support load simulator and noninvasive percutaneous spinal cord stimulation. Neurologic status of the patients was graded as ASIA level D at one-year follow-up with motor score of 85 and sensory level improved to 175. Conclusion Surgical treatment produced for the patient with spinal cord injury within the first hours after trauma using noninvasive percutaneous spinal cord stimulation and mechanical stimulation of the foot bearing surface provided regress of neurological disorders facilitating more intense lower-limb motor recovery and other important gait characteristics. The patient could regain voluntary control of muscle activity, stand unassisted and walk with a cane at one year post-injury.
У статті наводяться результати досліджень впливу систем основного обробітку ґрунту на продуктивність цукрових буряків за органічної та мінеральної системи їх удобрення в короткоротаційній плодозмінній сівозміні. Викладений деталізований аналіз особливостей формування врожаю коренеплодів та їх технологічних якостей за різних досліджуваних чинників. Встановлено, що за проведення оранки на глибину 30–32 см під цукрові буряки і плоскорізного розпушення на глибину 20–22 см під зернові культури на фоні внесення під буряки 25 т/га гною + N90Р120К90 + солома одержано найбільшу продуктивність цукрових буряків: урожайність коренеплодів та збір цукру становили 52,7 т/га та 9,28 т/га відповідно.
The article presents the results of studies on the influence of ground tillage systems on the productivity of sugar beet on the organic and mineral systems of their fertilization in short-rotation fertile crop rotation. A detailed analysis of peculiarities of the formation of crop roots and their technological qualities of various investigated factors is presented. It was established that for producing a plow on a depth of 30–32 cm under sugar beets and a flat-breasted loosening at a depth of 20–22 cm under grain crops, the maximum yield of sugar beets was obtained at the background of the application of 25 t/ha of manure + N90P120K90 + straw under the beet: the yield of root crops and the sugar harvest amounted to 52.7 t/ha and 9.28 t/ha respectively.
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