Stroke epidemiology in Irkutsk according to the territorial population register

Saldina, I Yu; Klochihina, O. A.; Шпрах, В. В.; Stahovskaya, L. V.

doi:10.17116/jnevro20151159215-19

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Th e calculation of the p (X) value can be implemented in the Excel Введение. В настоящее время в мире сохраняется высокая актуальность проблемы инсульта, обусловленная прогрессирующим увеличением числа людей, перенесших это заболевание [1]. Эта проблема актуальна и для Российской Федерации в связи с сохраняющимся высоким уровнем заболеваемости инсультом, смертности и инвалидизации населения при данном заболевании [2].…”

Section: Discussionunclassified

A method for predicting stroke development in men working under the influence of electromagnetic fields of industrial frequency

Yashnikova

Poteriyaeva

Доронин

et al. 2019

Myditsina truda I promyshlennaya ekologiy

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The problem of studying the development of stroke in men of working age working in conditions of high occupational risk is relevant.The aim of the study was to develop a method for predicting the development of stroke in men working under the influence of electromagnetic fields of industrial frequency.We examined 98 men who had professional contact with the factor of electromagnetic radiation (EMI) of industrial frequency, aged 30 to 65 years, with work experience of 5 years or more. Two groups were identified: the first group — 56 stroke patients, the second group — 42 men diagnosed with chronic cerebral ischemia. Using the method of sequential inclusion of the studied risk factors (ForwardStepwise), those that made an independent significant contribution to the development of stroke were selected. Based on the results obtained, a logistic regression formula was created that determines the probability of stroke in patients working on installation, repair, maintenance of electrical networks and electrical equipment.The presence of influence on stroke development of the following factors was established: patient’s age (β-coefficient=–0,112, p=0,013), total cholesterol level (β-coefficient=0,782, p=0,009), smoking factor (β-coefficient=–2,8, p=0,001), alcohol abuse factor (β-coefficient=3,84, p=0,0001), presence of arterial hypertension of 2–3 degrees (β-coefficient=2,63, p=0,002). In the patient, the values of these 5 parameters are determined, then these values are substituted into the appropriate formula to calculate the value of p (X). A p (X) value greater than 0.32 indicates a high risk of stroke. The sensitivity of the proposed method was 71.4%, specificity–73.8%.The proposed method for predicting the development of stroke in men whose professional activity is associated with the installation, repair, maintenance of electrical networks and electrical equipment, can be used in medical practice: the patient is determined by the value of 5 parameters (patient’s age, total cholesterol, a history of exposure to smoke, factors alcohol abuse, arterial hypertension of 2–3 degrees), then these values are substituted into the appropriate formula. The calculation of the p (X) value can be implemented in the Excel table processor

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Section: Discussionunclassified

A method for predicting stroke development in men working under the influence of electromagnetic fields of industrial frequency

Yashnikova

Poteriyaeva

Доронин

et al. 2019

Myditsina truda I promyshlennaya ekologiy

View full text Add to dashboard Cite

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Effciency of a rehabilitation training method by means of special infant formulas in patients with ischemic stroke and neurogenic dysphagia as part of combined therapy

Ершов

Belkin

Карпец

et al. 2019

RJTAO

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Objective: to evaluate the efficiency of a training method using special infant formulas as part of combined rehabilitation for patients with ischemic stroke and neurogenic dysphagia.Patients and methods. The investigation enrolled 55 patients (30 men and 25 women) aged 45–80 years with dysphagia during the acute period of ischemic stroke. Thirty patients used special astringent formulas as part of combined therapy and 25 patients did not. The investigators studied the time of course of changes in the restoration of swallowing function, by using the Penetration-Aspiration Scale (PAS) and the Fiberoptic Endoscopic Dysphagia Severity Scale (FEDSS), as well as the transition from probe feeding to independent one.Results and discussion. The best restoration of swallowing function was shown to be achieved through training using formulas with different astringency. Stronger astringent formulas, like solid foods, stimulate better the pharyngeal receptor apparatus; the most active restoration of a dynamic swallowing stereotype occurs. The gradual transition to a milder astringent formula allows restoration of the skill to swallow thinner liquid foods. It takes 10 days to achieve a significant clinical effect in most patients, mainly in those with pseudobulbar disorders. Training may be prolonged to 2 weeks or more in severe cases, in bulbar dysfunctions.Conclusion. The training rehabilitation method using special infant formulas in combination with electrical stimulation in patients with ischemic stroke and neurogenic dysphagia allows achieving the significantly better indicators of restoration of swallowing function in accordance with the PAS scale. The application of the method contributes to the significantly better transition from probe feeding to independent one.

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Effectiveness of neurotropic therapy in the treatment of non-psychotic mental disorders in patients who have suffered a cerebral stroke

Mikhailov¹,

Лукина²,

Сафонова³

2021

V.M. BEKHTEREV REVIEW OF PSYCHIATRY AND MEDICAL PSYCHOLOGY

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The purpose of the study: to clarify the prevalence of non-psychotic mental disorders in the population of patients suffered a cerebral stroke, and to assess the potential use of neurotropic drugs for the correction of certain types of psychopathological syndromes. Materials and methods: 180 patients were examined in the recovery period of brain stroke (the average duration of stroke was 20.7±6.6 months): 78 men and 102 women aged 39 to 90 years (the average age was 64.8±11.2). All patients underwent neuroimaging, experimental psychological research and a psychiatrist’s examination. Results: as a result of the survey, almost all patients in the recovery period of a brain stroke (90.5%) were found non-psychotic mental disorders with a predominance of psychoasthenic syndrome and mnestic-intellectual disorders that develop because of the predomimamt lesion of the brain frontal lobes. As a result of isolated neurotropic therapy, several therapeutic tasks were solved: treatment of focal neurological deficit, reduction of asthenia and the severity of mnestico-intellectual disorders, reduced drug load on the patient. Conclusion: the majority of patients in the recovery period of stroke have various psychopathological disorders, but due to somatic burden can not always receive psychotropic therapy. In this case, it is important to use new approaches to the correction of psychopathological disorders. The use of isolated neurotropic therapy has shown high efficiency in correcting the psychopathological component of stroke, which allows solving several rehabilitation tasks. Research on various aspects of post-stroke mental disorders can help identify additional opportunities for personalized and safe treatment of patients who have suffered acute stroke.

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Stroke epidemiology in Irkutsk according to the territorial population register

Cited by 3 publications

References 7 publications

A method for predicting stroke development in men working under the influence of electromagnetic fields of industrial frequency

A method for predicting stroke development in men working under the influence of electromagnetic fields of industrial frequency

Effciency of a rehabilitation training method by means of special infant formulas in patients with ischemic stroke and neurogenic dysphagia as part of combined therapy

Effectiveness of neurotropic therapy in the treatment of non-psychotic mental disorders in patients who have suffered a cerebral stroke

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