Inter Collegas最新文献

{"title":"Study of the differences in the gait parameters of healthy and diseased limbs in patients with knee osteoarthritis","authors":"V. Fishchenko, K.J.S. Obeidat","doi":"10.35339/ic.9.2.fob","DOIUrl":"https://doi.org/10.35339/ic.9.2.fob","url":null,"abstract":"Knee osteoarthritis is a prevalent condition that affects millions of people worldwide. It is a degenerative disease that occurs when the protective cartilage in the knee joint wears down over time, leading to pain, stiffness, and swelling in the knee. The actuality of knee osteoarthritis lies in its high prevalence, significant healthcare costs, and impact on quality of life. The article presents the results of the study of the difference in gait parameters of healthy and diseased limbs in patients with knee osteoarthritis. Twenty patients were examined. The diagnosis of knee osteoarthritis was established according to the criteria of the American College of Rheumatology. Gait parameters were studied using the GAITRite® system. The following parameters were studied: Temporal Definitions (Step Time, Gait Cycle Time, Single Support, Initial Double Support, Stance); Spatial Parameters and Definitions (Step Length, Stride Length, H-H Base of Support, Toe In / Toe Out). Among the investigated indicators, two demonstrated reliable differences between healthy and diseased limbs. It was found that Step Time for diseased limb was statistically significantly greater than for the opposite limb. At the same time, the foot support time of the healthy limb and, accordingly, the Initial Double Support indicator statistically significantly exceeded the similar indicators for the diseased limb. Summarizing the results of еру study, it can be stated that patients with knee osteoarthritis have a gait disorder in the form of asymmetric steps. Thus, the time of support on the foot decreases, and accordingly, the time of transferring the foot of the diseased limb increases. Changes in the diseased limb are also reflected in the opposite, healthy limb. An effort to increase the speed of movement during the examination causes an increase in movement on a relatively healthy limb in the form of an increase in the length of the step and a reduction in the time of transfer of the foot of the diseased limb.\u0000\u0000Keywords: knee joint; osteoarthritis; gait parameters; GAITRite.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126212411","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study of the effectiveness of the experimental model of immobilization contractures in rats","authors":"V. Fishchenko, A. Khasawneh","doi":"10.35339/ic.9.2.fkh","DOIUrl":"https://doi.org/10.35339/ic.9.2.fkh","url":null,"abstract":"Immobilization contractures are a common complication that can arise following prolonged immobilization of a joint or limb. They occur due to a combination of factors, including muscle atrophy, joint stiffness, and tissue adhesions. The aim of the study was to study the effectiveness of the experimental model of immobilization contractures in rats. The experimental study was conducted on 21 non-linear white male rats aged 6 months. We used 4-week plaster immobilization to evaluate the severity of changes in the knee joints of experimental rats. The immobilization and post-immobilization period in our study lasted 4 weeks each. Every week, the angles of extension and flexion, range of motion and severity of contracture were measured. During the period of immobilization, there was a progressive impairment of the function of the immobilized knee joints of all experimental animals. Thus, at the end of the 4th week of immobilization, the limits of flexion and extension on the immobilized limb gained high statistical significance in comparison with both the opposite intact limb and with 1st week of immobilization. In the post-immobilization period (from the 5th to the 8th week of the study), a progressive recovery of the studied indicators was observed. The indicators of extension and flexion of the limbs after immobilization were significantly differed from the initial values, but were also significantly better than the values at the end of the immobilization period. As for the range of motion, this indicator for both limbs was significantly higher than the values at 4th week of the study, but was also significantly lower than the initial values. Limitation of movements after immobilization was statistically significant both when compared with the opposite limb and when compared with baseline and 4th week of immobilization data. Experimental model of 4-weeks plaster immobilization of the knee joint allows to create a persistent pronounced limitation of movements and can be used for further study of various methods of prevention and treatment of immobilization contractures.\u0000\u0000Keywords: knee joint; immobilization contractures; experiment; rats.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115915160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cytokine profile in seminal fluid of infertile men with concomitant pathologies","authors":"O. Melnyk, M. Z. Vorobets, A. Besedina, P. Pokotylo, R. Fafula, Z. Vorobets","doi":"10.35339/ic.9.2.mvb","DOIUrl":"https://doi.org/10.35339/ic.9.2.mvb","url":null,"abstract":"The mechanisms of formation of male infertility are increasingly becoming immune dependent. This study aims to study the role of pro-inflammatory and anti-inflammatory cytokines in seminal fluid to clarify their role in spermatogenesis. This research is carried out at rheumatology and urology departments of Danylo Halytsky Lviv National Medical University (Ukraine). 45 infertile men aged 22–48 were examined. They were divided into 2 groups: first group – 22 men with a systemic autoimmune disease – rheumatoid arthritis; second group – 23 somatically healthy patients with idiopathic infertility. The control group included 27 fertile healthy men aged 22–48 years. Student's t-test was used to compare the significant difference in mean values between groups. Patients with autoimmune diseases (rheumatoid arthritis) had the highest rate of leukocytospermia, indicating a possible long-term inflammatory process. The TGF-β1 level was higher in men with idiopathic infertility, and in patients with autoimmune pathology was reduced compared to the control group, however these changes were not significant. At the same time in patient of both group the level a pro-inflammatory cytokine IL-18 increased approximately by 2.5 times. In patients with idiopathic infertility and patients with autoimmune pathology, a simultaneous increase in the IFN-γ level and a decrease in the IL-1β level were found. The ІL-6 level in seminal plasma of infertile men of both groups was increased. The ratio IL-10/TNF-α was decreased in seminal plasma of infertile men with rheumatoid arthritis. It was found that in autoimmune pathology, the increased level of IL-1β in blood serum compared to controls was associated with its reduced level in seminal fluid (r=-0.51, p<0.05). In idiopathic infertility, a low level of IL-1β in seminal fluid was also associated with a low concentration of this cytokine in blood serum (r=0.62, p<0.05). The functioning of the immune and reproductive systems of the male body is closely related and interdependent. Disorders of immune reactivity, which accompany the development of autoimmune pathology associated with disorders of reproductive function in men. The largest number of deviations of immune reactivity was found in infertile men with concomitant autoimmune diseases.\u0000\u0000Keywords: cytokines, male infertility, idiopathic infertility, rheumatoid arthritis.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122310334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comprehensive program of psychotherapeutic support of combatants with alcohol addiction","authors":"H. Kozhyna, K. Zelenska, V. Lytvynenko, L. Korovina","doi":"10.35339/ic.9.2.kzl","DOIUrl":"https://doi.org/10.35339/ic.9.2.kzl","url":null,"abstract":"Introduction. The combatants develop anxious alertness, the perception of the environment as potentially dangerous, the impulsive response increases, and the personality structure is affected. All this leads to a change in behavior and, most often, to alcoholization of this demographic group.\u0000\u0000Materials and methods. To achieve this goal, we examined 96 men who were treated in the psychiatry and narcology clinic of the Military Medical Clinical Center of the Northern Region. According to the diagnostic criteria of ICD-10, they suffered from alcohol dependence: 31.9% of respondents – alcohol abstinence, 22.6% – abstinence in conditions precluding use, 29.2% – constant use, 16.3 % – occasional use. The treatment group (patients who took part in rehabilitation program) included 56 people. The control group consisted of 40 people who received standard treatment regulated in the hospital. The style of alcohol abuse with a high degree of reliability correlated with the issues of danger to physical, psychological and mental health. Dangerous alcohol consumption was found in 55.2% of the participants, a high probability of alcohol dependence was found in 44.8% of respondents.\u0000\u0000Results. The clinical picture of alcohol dependence was characterized by loss of situational control, palimpsests, dysphoria, affective reactions, anxiety and depressive disorders and asthenic manifestations. Against the background of the use of the developed comprehensive program of psychotherapeutic support in 45.1% of the members of the main group and 32.6% of control group patients demonstrated coping strategies aimed at addressing the challenges; 31.4% and 22.4% of the treatment and control groups, respectively, demonstrated coping strategies aimed at emotions; in 15.9% and 32.6% of patients coping strategies were designed to avoid stress; in 6.7% and 12.4% in the above mentioned groups respectively – coping strategies aimed at the distraction.\u0000\u0000Conclusions. As a result of the implementation of the comprehensive program of psychotherapeutic support for combatants with alcohol addiction, it is expected that the quality of medical care for combatants will improve.\u0000\u0000Keywords: psychotherapy, comprehensive treatment, combatants, alcoholism.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"334 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116125125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Human factor\" in emergency situations development at Nuclear Power Plants in the conditions of war","authors":"V. Shevchenko, A. Shevchenko, S. Kucherenko, N. Kucherenko","doi":"10.35339/ic.9.2.ssk","DOIUrl":"https://doi.org/10.35339/ic.9.2.ssk","url":null,"abstract":"Since the beginning of Ukraine's full-scale war with the russian federation, the personnel of two Ukrainian Nuclear Power Plants (NPP) (Chornobyl and Zaporizhzhya) have been held hostage by the russian occupiers and subjected to intimidation and abuse. An additional strong stress factor can significantly affect the decision-making of NPP control panel operators, increases the probability of erroneous actions in the event of emergency situations, and can even become their cause. The purpose of our study was to determine the possible influence of the \"human factor\" on the development of emergency situations, as well as additional parameters for monitoring the health and psychological state of NPP operators working as hostages. Fourteen expert psychologists with at least 10 years of experience in the field of extreme psychology were involved in the study. After the introductory seminar, they were offered a questionnaire to determine the range of professionally important qualities that have the greatest impact on the effectiveness of professional activity. The results of the expert evaluation became a hypothesis for the next stage of research on the possible influence of the temperament of operators on resistance to the stress of captivity. The technique of professiograms and psychograms separation, methods of scaling and balancing, methods of mathematical statistics and system analysis were used for the research. One hundred and twenty-four anonymous psychological examination cards and occupational profiles of NPP control panel operators who received a license for professional activity in Ukraine or improved their qualifications within the period of 2017‒2020 were analyzed. The predominant types of psychological reactions according to subjective-objective indicators in response to significant stressful situations were studied, and the types of temperaments were determined. The ability to perform professional functions at high and medium levels was recorded in 79 sanguine operators (63.2% of the total number of examined), in 16 choleric operators (12.8%), and was not recorded in melancholic operators. Also, high and medium levels of neuropsychological stability of operators were recorded in 74 sanguine operators (59.2% of the total number of examined), in 6 choleric operators (4.8%), and was not recorded in melancholic operators. To assess the psychological state of NPP control panel operators, it is proposed to use a retrospective analysis of interrelated parameters necessary for the performance of professional functions and indicators of neuropsychological stability. The study of additional parameters of the psychological state will allow to reduce the influence of the \"human factor\" on the risks of creating or untimely correction of emergency situations.\u0000\u0000Keywords: professionally important qualities, nuclear terrorism, hostages, performance of professional functions, neuropsychological stability, NPP control panel operators.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126595073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An integrated model of psychotherapeutic support in the system of therapy for COVID-19 patients","authors":"I. Leshchyna","doi":"10.35339/ic.9.2.les","DOIUrl":"https://doi.org/10.35339/ic.9.2.les","url":null,"abstract":"Introduction. To date, it has been already established that COVID-19 has a negative impact not only on the physical condition, but also on the mental health of the population in every country of the world. Many people have a fear of coronavirus, which is usually associated with the possible risk of infection, the lack of pathogenetic treatment, unpredictable course of the disease, as well as total uncertainty. All of the above causes negative psychological reactions. according to a scientific review published by the World Health Organization, global prevalence of anxiety and depression increased by a quarter of a percent in the first year of the COVID-19 pandemic.\u0000\u0000The aim of the study was to develop an integrated model of psychotherapeutic support for patients with COVID-19.\u0000\u0000Materials and Methods: а comprehensive clinical-psychopathological and psychodiagnostic examination of 125 patients with COVID-19 and non-psychotic mental disorders, of both sexes, with an average age of 36.0±3.4 years, was conducted.\u0000\u0000Results. The findngs of the clinical-psychopathological study suggest that the clinical picture of non-psychotic mental disorders in the examined patients is represented by astheno-neurotic, anxious, depressive and cognitive syndromes. The psychotherapeutic program included indivi­dual and group psychotherapy and psychoeducation. An important component of the psychothe­rapeutic support program was psychoeducation aimed at developing an adequate system of ideas about the neurotoxic impact and consequences of COVID-19, understanding the main psychopathological syndromes caused by the disease, involving patients in active participation in treatment, and teaching methods of overcoming immersion in the disease.\u0000\u0000Conclusions. The analysis of the clinical findings of using the developed program showed a positive dynamic of the emotional state, a decrease in the expressiveness of anxiety-depressive symptoms, a positive transformation of coping strategies, the transition of non-constructive types of attitudes to the disease into adaptive, constructive ones, and an increase in the quality of life.\u0000\u0000Keywords: professionally important qualities, nuclear terrorism, hostages, performance of professional functions, neuropsychological stability, NPP control panel operators.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131284742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mutual influence of digital, linguistic and valeological competencies \u0000in health-saving environment of higher education","authors":"T. Bondarenko, O. Shumskyi, L. Shtefan","doi":"10.35339/ic.9.2.bss","DOIUrl":"https://doi.org/10.35339/ic.9.2.bss","url":null,"abstract":"Introduction. In the context of distance learning in the sphere of valeology, the significance of university students’ gaining computer literacy and English skills can hardly be overestimated. Therefore, it is relevant to organize an integrative learning format within valeological education based on parallel forming both digital and linguistic competencies of students in order to increase the efficiency of training.\u0000\u0000Purpose of the study is to analyze the mutual influence of digital, linguistic and valeological competences in the health-saving environment of higher education of Ukraine.\u0000\u0000Methods. The system analysis and bibliosemantic methods underlie the research.\u0000\u0000Results. Inconsistencies in understanding the content of the studied competencies, which affect the methods of their forming and the evaluation of the learning outcomes, have been identified. Values and levels of formation of digital and linguistic competences in the European Union have been determined. The essence of valeological competence and proposals on the assessment of the levels of this competence formation has been disclosed by the group of Kharkiv researchers. The common characteristics of the assessment of the levels of forming the competences under study have been detected.\u0000\u0000Conclusions. It has been ascertained that digital and linguistic competences are necessary for forming university students’ valeological competence. The research has proved that gaining utmost effectiveness to that end is enabled through the realization of synergetic principles.\u0000\u0000Keywords: health-saving higher education, valeological competence, digital competence, linguistic competence, university students, distance learning, synergy in joint competences formation.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124640457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Selection and improvement of the method and tool for restoring the anatomical integrity of the retina after its detachment","authors":"O. Saoud, A. Serhiienko","doi":"10.35339/ic.9.2.sas","DOIUrl":"https://doi.org/10.35339/ic.9.2.sas","url":null,"abstract":"Introduction. Retinal detachment (RD) is a common pathological condition that without timely surgical treatment leads to vision loss. The patients with significant RD undergo one of three retreatment procedures: Pneumatic Retinopexy, Scleral Buckling, and/or Pars Plana Vitrectomy. Techniques and tools for these procedures have been developed, but the methods themselves still have a significant number of complications. A possible alternative to their further improvement may be a fundamentally new method of treatment, coagulation of the retina with high-frequency electric current (HFEC), for which significant improvement of the tool is still possible.\u0000\u0000The purpose of the study was to determine a safer method of RD treating and to improve medical tools for restoring anatomical integrity and repositioning a detached retina under two conditions: firstly, obtaining a reliable chorioretinal adhesion, and secondly, minimizing the number of incidental effects of surgical intervention.\u0000\u0000Materials and methods. The bibliosemantic method, the system analysis method, an experiment on laboratory animals (rabbits) with RD simulation and its coagulation by HFEC, tissue biopsy of operated animals after their euthanasia on the 7th day after surgery, and the production of histological micro-preparations were used.\u0000\u0000Results. To fulfill the conditions for improving the method, a chorioretinal high-frequency electrocoagulation operation with suprachoroidal access, a modified EK-300M1 generator (Kyiv, Ukraine) with an electrode with a gold hemispherical tip of 25 gauge and electrical generation parameters of 66 kHz, 10‒16 V, 0.1 A was proposed, which causes chorioretinal adhesion in the place where the electrode is used. The method of calculating the parameters of heat transfer from the electrocoagulation tool to the tissues and fluids of the eye was selected: it was proposed to use the Fourier-Kirchhoff and Newton-Richmann equations. Destructive phenomena in the retina from the thermal effect of tissue coagulation in the form of the destruction of rods, cones, the development of cysts, the loss of bipolar, amacrine, horizontal and ganglion cells were noted. Atrophic changes in the retina were minimal at a voltage of 10‒12 V.\u0000\u0000Conclusions. The problem of improving the methods of restoring the anatomical position of the retinal layers has been relevant for many decades, but it does not lead to a significant reduction in the number of complications. The proposed method and tool for its application causes the creation of a reliable chorioretinal adhesion in a short period of time after surgical intervention with minimal thermal tissue damage. The use of the method of chorioretinal high-frequency electrocoagulation with suprachoroidal access is recommended in conditions of urgent restoration of vision, but not recommended for the prevention of retinal detachment in retinopathies.\u0000\u0000Keywords: retinal detachment, chorioretinal adhesion, high-frequency electrocoagulation, supra","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116245316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and psychopathological analysis of emotional and cognitive disorders in patients with type II diabetes","authors":"A. Kondratenko","doi":"10.35339/ic.9.2.kon","DOIUrl":"https://doi.org/10.35339/ic.9.2.kon","url":null,"abstract":"The psycho-emotional state has the most significant effect on the clinical picture and course of diabetes of any type. According to many researchers, it is known that patients with diabetes suffer from depression almost three times more often than patients without it. When the patient has symptoms of depression, his emotional state is disturbed, which quite often leads to the patient's refusal of the prescribed necessary treatment, and eventually decompensation of the somatic state occurs. In turn, it causes new episodes of depression, which requires the use of psychotropic drugs and psychotherapy. A comprehensive clinical-psychopathological and psychodiagnostic examination of 82 patients with type II diabetes of moderate and severe forms was conducted. The average duration of diabetes was (7.9±5.2) years. Emotional disorders are represented by anxious, depressive, astheno-hypochondriac, hysteroform variants of psychopathological symptoms. Cognitive dysfunction is a frequent complication of type II diabetes. It is associated with both the age-related aspect of the disease and the pathological dysmetabolic cascade that forms basis of the pathogenesis of diabetic encephalopathy development. Cognitive decline in type II diabetes has a mixed (vascular-degenerative) nature and is characterized by complaints of decreased working capacity, and is marked by a decrease in memory, auditory-speech and visual modalities, slowing of thinking, decreased concentration of attention, absent-mindedness, inability to focus on performance of a certain task for a long time. The analysis of cognitive functions using the MMSE method showed that the examined patients had mild or moderate cognitive impairments in the form of a decrease in verbal memory, a decrease in the speed of calculation operations, difficulty in orientation, and a decrease in indicators of the perceptual-gnostic sphere.\u0000\u0000Keywords: cognitive disorders, emotional disorders, metabolic disorders, depression.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"237 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132271016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"CHARACTERISTICS OF THE PSYCHO-EMOTIONAL STATE OF PARENTS OF CHILDREN WITH PARALYTIC SYNDROMES AND ITS CHANGES DURING REHABILITATION MEASURES","authors":"N. Orlova","doi":"10.35339/ic.9.1.36-44","DOIUrl":"https://doi.org/10.35339/ic.9.1.36-44","url":null,"abstract":"Abstract. The current strategy for the treatment of chronic pain in children with paralytic syndromes and neurological lesions, defined by the WHO recommendations in 2012. These recommendations provide a multimodal approach of analgesia for the chronic pain treatment, including the widespread use of non-pharmacological methods and pharmacological therapy.\u0000\u0000Aim. Assessing the subjective vision of parents of children with paralytic syndromes regarding the impact of physical rehabilitation on chronic pain and their psycho-emotional state.\u0000\u0000Materials and methods. Data from 64 children and their mothers (64 persons) were included in the study. The age of the children ranged from 1 to 6 years, the median age was 3 years and 3 months.\u0000\u0000Results. The changed psycho-emotional state of parents of children with paralytic syndromes is determined. If the child has chronic pain, the parents: \"Concern about the treatment of the child\" is doubled (RR=2.1; p=0.0024), \"Hyperopia of the child\" - twice (RR=1.9; p=0.0094), \"Intolerance to observe the suffering of the child\" - one and a half times (RR=1.6; p=0.0017), and increases one and a half times \"Sadness and anger when a child cries\" (RR=1.5; p=0.0122), \"Internal tension\" (RR=1.5; p=0.0029), \"Insomnia\" (RR=1.5; p=0.0215), \"Inability of the child to lead a normal image life \"(RR=1.5; p=0.0035), \"Search for compassion or understanding\" (RR=1.5; p=0.0446), \"Inner anxiety, feeling of possible trouble\" (RR=1.5; p=0.0074). After receiving rehabilitation measures, the psycho-emotional state of the parents of children with paralytic syndromes was determined to decrease: \"It is intolerable to observe the child's condition\" decreased by 31.3% (p=0.0012); \"Feelings of inner anxiety\" decreased by 24.5% (p=0.0125); \"I fall asleep badly due to the child's condition\" decreased by 20.6% (p=0.0109); \"Internal tension\" decreased by 19.6% (p=0.0269); \"Sleepless nights due to the condition of the child\" decreased by 18.6% (p=0.0401).\u0000\u0000Conclusion.The authors consider that physical rehabilitation in children with paralytic syndromes reduces the incidence of moderate chronic pain and improves the emotional state of parents. So, we think that new approaches to rehabilitation should be applied with daily management of the children with paralytic syndromes’ needs and their families with increased psychological and social support. Perhaps the searching for new approaches that optimize more intensive and effective rehabilitation strategies using the family reserve will provide the potential for adaptability of nerve plasticity and recovery in such a contingent of children and prospects for the future.","PeriodicalId":194632,"journal":{"name":"Inter Collegas","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130357265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}