Ischemic stroke is a serious medical and social issue due to deep and prolonged disability, as well as social maladjustment of patients. In this regard, the aim of the research was to study the influence of pathogenetic subtypes of ischemic stroke on the rehabilitation possibilities.
Based on the presence of COPD (Chronic Obstructive Pulmonary Disease) we divided all patients into 2 groups
Patients with IS in VI (Vertebrobasilar Insufficiency) and COPD - 62 people (group I) - 29 men and 33 women aged 50 to 74 (59.8 ± 5.8). Patients with IS in VI - 64 people (group II). Of these, 31 are men and 33 are women aged 51 to 80 (62.4 ± 5.4). All patients received traditional treatment in the most acute and severe periods of IS, patients with COPD received and treatment for COPD simultaneously with traditional IS therapy. The Barthel index was used to assess the patient's self-care capabilities. The degree of disability after IS was studied using the Rankin scale. In patients of subgroup II b, by the end of the ED (Eating Disorders), the indicators of the Lindmark B scale for the patient's general mobility differed significantly from the baseline at the beginning of the ED (p = 0.44). At that time, in the II a subgroup, only the indicators of the B. Lindmark scale were reliable.
In patients of subgroup II b, the difference in indicators at the beginning and at the end of ED was significant according to the Barthel index. Recovery in ED depends on many factors, including the subtype of IS, so the IS CE is the most severe, which is reflected in the Rankin scale. The timing and extent of patient recovery depends on the localization of the process, the subtype of IS, the presence of COPD, and the method of rehabilitation. Patients with the lacunar subtype, a single small or medium focus in the cerebellar hemispheres and midbrain recover most fully after complex rehabilitation.
The relevance of CVD (Cerebrovascular Diseases), in particular strokes, is due to the high prevalence, disability and mortality.
The degree of medical, social, psychological rehabilitation of patients after Ischemic Stroke depends on the regression of the clinical picture and cerebral disintegration.
Objectives of the study: detection of the entire spectrum of clinical manifestations from examined patients, corresponding to damage to the structures of the brain supplied by the vessels of the Vertebrobasilar basin, the relationship with regression of the primary focus and the subtype of Ischemic Stroke, and determination of the presence of a statistically significant dependence of clinical manifestations on COPD.
To achieve the goal and solve the set tasks, 126 patients, 60 men and 66 women were examined in the recovery period of stroke in the in the vertebro-basillar system, at the age of 50-80. The Blindemark scale was used to assess the neurological status. To assess neuropsychological status, the Montreal Cognitive Assessment Scale, the Hospital Anxiety and Depression Scale, the Rankin scale were used, as well as for objectification of MRI data and Dopplerography.
Results of the study: In patients with Ischemic Stroke in the vertebro-basillar system, paresis and paralysis prevailed in the structure of clinical manifestations, 68 patients had them, which is 54%, 43.7% of patients had dysarthria, coordination disorders were observed in 48.4% of patients, 26.2% had vertigo, 24.6% had sensory impairments and 5.6% had neglect.
In patients with Ischemic Stroke in the vertebro-basillar system, a correlation was found between the scores of Renkin scale. Various pathogenetic subtypes of ischemic stroke in vertebro-basillar system were analyzed. They have a significant correlation between NIHSS scores at the time of hospitalization and at the end of rehabilitation. In patients with AT Ischemic Stroke in the vertebro-basillar system the incidence of oculomotor disorders is significantly lower. Based on the above mentioned, the following conclusions can be drawn:
1. A certain localization of the focus of ischemic stroke in the vertebra-basilar system is more likely to be characteristic of the corresponding stroke subtype.
2. The rate of reduction and reorganization of the focus does not depend on the stroke subtype, localization of the hearth, comorbidphone, rehabilitation methods and is proportional to the initial size of the heart attack site.
3. The degree of severity of COPD has a correlation with the blood flow indices of posterior cerebral arteries and vertebral arteries, as well as the asymmetry coefficient.
Врожденные пороки сердца в структуре неонатальной заболеваемости и смертности занимают одно из важных мест и не имеют тенденцию к снижению. В связи с этим, дальнейшее выявление факторов риска в развитии ВПС имеет важное научно практическое значение.
It has been established that in recent years the pharmaceutical market has been actively growing in our country: the number of registered medicines (drugs) and dosage forms is increasing, programs are being developed to increase the availability of medicines to the population. At the same time, the problem of an irrational approach to treatment, which is typical not only for Uzbekistan, is well known. According to the WHO, more than 50% of all drugs are prescribed or distributed irrationally, 50% of patients take drugs incorrectly, a third of the world's population does not have access to life-saving drugs, and up to 10% of all hospitalizations are associated with adverse drug reactions, most of which could be would prevent. In the world, 12 million people die a year, 7 million of them could have been saved with adequate therapy. According to the WHO program: "all people, wherever they were, could receive the drugs they need at the lowest cost: so that these drugs are safe and effective, and they are prescribed and used rationally."
Использование в нынешнее время различных антибиотиков способствует изменению этиологической структуры кишечных инфекций и чувствительности к антибиотикам. Одним видом кишечной инфекции является Сampilobacteriosis, вызванный бактерией Campilobacter., которое является острой зоонозной инфекцией.
Taking into account the location of industrial areas near water bodies and historical areas of the city,
their negative impact on the areas close to them complicates the processes of improving the ecological and urban planning conditions of the urban environment. The impact of the industrial area on the environment of neighboring areas upsets the balance of interdependence with nature
Ранее было установлено, что в молоке отдельных млекопитающих содержится тироксин в количестве подобном таковому в сыворотке крови.
Данная статья исследует межкультурные связи и взаимодействие в литературе зарубежных стран .В статье анализируются влияние литературных традиций разных стран на культуру и литературные процессы, феномены перевода и интертекстуальности. Контекстуальный анализ раскрывает взаимодействие между социокультурными факторами и развитием литературы. Роль литературы в межкультурном диалоге и ее вклад в межкультурное понимание также подчеркиваются.
This article is devoted to modern innovative methods of teaching communication to Russian as a foreign language in general education institutions of Uzbekistan.