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Usmani, Fareya, Mukhtar Ibrahim, Syed Mosaddaque Iqbal, Syed Iqbal Hussain, Sohail Tirmizi, Imran Munir, Imran Munir e Aftab Imtiaz. "Correction of Nasal Deformities with Open Approach Rhinoplasty, Our Experience." ANNALS OF ABBASI SHAHEED HOSPITAL AND KARACHI MEDICAL & DENTAL COLLEGE 25, n. 2 (16 settembre 2020): 82–89. http://dx.doi.org/10.58397/ashkmdc.v25i2.195.
Abstract (sommario):
For the correction of functional and asthetic nasal problems open rhinoplasty has gained enourmous popularity since last ten years. In our setup we chose open approach rhinoplasty in all cases and wanted to share its merits.
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Bhoyar, Dr Shraddha Subhash, Dr Gajanan Mohniraj Kashid, Dr Ashok Gaikwad, Dr Siddharth Ashok Purohit, Dr Amit Shekhar Gupta, Dr Shamal Kerba Waghmare e Dr Harshala Palve. "Significance of Inner Nasal Valve In Septoplasty". VIMS Health Science Journal 8, n. 1 (18 marzo 2021): 3–8. http://dx.doi.org/10.46858/vimshsj.8102.
Abstract (sommario):
Background: Nasal obstruction due to deviated septum is commonly treated with conventional septoplasty. This surgery however is inadequate in cases of compromised nasal valves and leads to persistent symptoms. Hence, we stressed the evaluation of nasal valves before septal surgery & studied the outcome of the patients with valve area correction. Aim: To prove the significance of inner nasal valve in nasal surgery. Objective : To analyse the outcome of Open septoplasty. Methodology:A retrospective review of our patients undergoing Open septoplasty was analysed from April 2016 to January 2021. The preoperative and post operative evaluations were calculated & statistically analysed. Results : A total of 400 patients underwent Open septoplasty. Out of which 392(98%) showed symptomatic improvement in breathing difficulty & 380(95%) were happy with the asthetic improvement. Conclusion: Open septoplasty and Spreader grafts is best solution to improve Internal Nasal valve angle. Rim graft to improve external valve collapse. Spreader graft also gives asthetic & functional improvement
3
Banerjee, Dr Chanda, Dr C. Ray e Dr S. Karmakar. "Trapezius Myocuteneous Extended As Fasciocutaneous Flap For Neck Contracture". Indian Journal of Plastic Surgery 25, n. 02 (aprile 1992): 017–19. http://dx.doi.org/10.1055/s-0043-1775783.
Abstract (sommario):
AbstractTen cases of severe post burn contracture are treated with extended horizontal trapezous myocutaneous flap during a period of two years, (1989 to 1991) at I.P.G.M.E. & R., Calcutta. This flap is designed and used, leaving submental area for cover by split skin graft for better asthetic appeal. Results, of this improvisation are superior and give a near normal neck chin contour.
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황덕형. "Various Forms of the Theological Reception of Asthetic Experience and Its Critical Reflection". Korean Jounal of Systematic Theology ll, n. 33 (settembre 2012): 75–107. http://dx.doi.org/10.21650/ksst..33.201209.75.
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Yongcheol Kim. "A Study of Asthetic Space-time on Pu works of Kim Il-Son". Dongyang studies in Korean Classics 26, n. 26 (febbraio 2008): 39–54. http://dx.doi.org/10.35374/dyha.26.26.200802.002.
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BOINEAUGENIAUX, D. "Treatment of cutaneous vascular and pigmented lesions by versapulse C asthetic laser coherent". Journal of the European Academy of Dermatology and Venereology 11 (settembre 1998): S84. http://dx.doi.org/10.1016/s0926-9959(98)94869-3.
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Dolce, G. "Direct diastema closure: a case report". Endodontics Today 20, n. 4 (17 gennaio 2023): 297–98. http://dx.doi.org/10.36377/1683-2981-2022-20-4-297-298.
Abstract (sommario):
The maxillary diastema is a common asthetic problem in patients. Assess and diagnose may be challenging due to the many factors that influences the alteration of tooth eruption process and tooth shape. Appropriate technique and material for effective treatment are based on time, physical, psychological, and economical limitations. Direct composite resins in diastema cases allow dentist and patient complete control of these limitations and formation of natural smile. In this case report multiple maxillary diastemas were closed with direct composite resin restorations in without any preparation.
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Maulidiah, Eka Putri, Survival Survival e Bambang Budiantono. "PENGARUH FASILITAS TERHADAP KUALITAS PELAYANAN SERTA IMPLIKASINYA PADA KEPUASAN PELANGGAN". JURNAL ECONOMINA 2, n. 3 (14 marzo 2023): 727–37. http://dx.doi.org/10.55681/economina.v2i3.375.
Abstract (sommario):
Penelitian ini menggunakan jenis penelitian eksplanatori. Subjek dalam penelitian ini adalah pelanggan yang pernah menggunakan jasa pelayanan klinik kecantikan Larissa Asthetic Center Kota Malang. Objek penelitian ini adalah fasilitas, kualitas pelayanan, dan kepuasan pelanggan. Teknik penarikan sampel menggunakan judgement sampling. Sampel yang didapatkan sebesar 84 responden. Metode pengumpulan data menggunakan penyebaran kuesioner. Analisis data yang digunakan ialah analisis statistik deskriptif, analisis partial least square, pengujian mediasi, dan pengujian hipotesis. Hasil penelitian menunjukkan bahwa fasilitas berpengaruh secara signifikan terhadap kualitas pelayanan, fasilitas berpengaruh secara signifikan terhadap kepuasan pelanggan, kualitas pelayanan berpengaruh secara signifikan terhadap kepuasan pelanggan, dan fasilitas dengan dimediasi kualitas pelayanan berpengaruh secara signifikan terhadap kepuasan pelanggan.
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Santosh, Tummidi, Manoj K. Patro e Nagiredla Puneeta. "Fibroadenoma in axillary breast tissue - Utility of rapid on-site evaluation & report of two cases". Journal of Cancer Research and Therapeutics 19, n. 7 (2023): 2056–59. http://dx.doi.org/10.4103/jcrt.jcrt_1182_21.
Abstract (sommario):
ABSTRACT Fibroadenoma of axillary breast tissue presents as a palpable mass, cyclic pain in the axilla, and with asthetic concerns. Axillary breast tissue can occur anywhere along the primitive embryonic milk lines, extending from the axilla to the groin, and can present unilaterally or bilaterally. The reported incidence of axillary breast tissue is 0.4%–6% in females. We had two cases of fibroadenoma in the axilla that were diagnosed on rapid on-site evaluation and later confirmed by routine cytology stains in young females. We report the cases for their rarity and high degree of clinical suspicion in the young reproductive age group female. We also emphasize the utility of ROSE in cytopathology.
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YU, Minhee. "A Study on a Narrative about Sublimation in the Asthetic Experience and Sublimation as a Therapeutic Mechanism". Society for Art Education of Korea 79 (30 settembre 2021): 195–217. http://dx.doi.org/10.25297/aer.2021.79.195.
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Le Thi Thuy, Vinh. "A teaching procedure of reading comprehension of romantic poetry in high school textbooks from theory to asthetic signals". Journal of Science Educational Science 65, n. 9 (settembre 2020): 3–13. http://dx.doi.org/10.18173/2354-1075.2020-0087.
Abstract (sommario):
How to teach reading effectively is a frequently discussed topic in the field of reading comprehension. For romantic poetry, a specific genre of literary writing, how to read, recognize, and decode poetic imagesto interpret the ideas of poets, has many significant meanings. This paper will apply aesthetic signal theory, which plays an important role in resolving the relationship between the linguistic and semantic aspects of a textto establish a teaching procedure for reading comprehension of romantic poetry in high school textbooks. With this process, teachers will have scientific grounds for decoding romantic poetry.
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Wan, Barry Yuk Bun. "Application of the Aesthetic of Guqin (古琴) for Contemporary Music Composition". Revista Vórtex 9, n. 3 (15 dicembre 2021): 1–15. http://dx.doi.org/10.33871/23179937.2021.9.3.2.
Abstract (sommario):
The purpose of this research is to discover the application of aesthetic approach, performing technique and playing style of Guqin for contemporary music composition. Mentioned in documents dating from two millennia, Guqin is one of the oldest Chinese solo instruments. Moreover, Guqin music often is based on senza misurato (散板, without tempo) and it focuses on changing the colours of several notes, occasionally even a single note. This is accomplished by using an open string note (散音), stopped string note (按 音), harmonic note (泛音) as well as four main ornaments (綽注吟猱) to achieve the poetic mood. This asthetic is in direct contrast to western homophonic structure. These characteristic effects offer an attractive potential for their application to new compositional techniques and approach to contemporary music writing. This research will provide valuable information regarding employment of the Guqin’s philosophy for music composition.
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Rustam, Junaidy Suparman. "Aesthetic Expression dalam Praktik Keperawatan". JURNAL KESEHATAN PERINTIS (Perintis's Health Journal) 8, n. 1 (30 giugno 2021): 75–81. http://dx.doi.org/10.33653/jkp.v8i1.640.
Abstract (sommario):
Aesthetic expression adalah hubungan yang unik antara pasien dan perawat dengan melakukan tindakan kepedulian yang berdasarkan pada pengalaman hidup, keyakinan individu, pengembangan diri, dan memungkinkan perawat dapat melihat dan mengintegrasikan diri mereka ke semua tindakan asuhan keperawatan. Studi ini merupakan tradisional literatur review yang bertujuan untuk mengeksplore penerapan aesthetic expression dalam praktek keperawatan. Kriteria inklusi pada studi literatur ini antara lain; jurnal yang membahas tentang bentuk penerapan aesthetic expression dalam praktek keperawatan, artikel bebahasa Inggris dan Indonesia, artikel terbitan tahun 2009-2020. Strategi penelusuran literatur review ini dilakukan dengan mengakses beberapa data base seperti Proquest, CINAHL, Elsevier/Science Direct, Pubmed, dan Google Schoolar dengan menggunakan kata kunci aesthetic, aesthetic expression, nursing care, nursing practice, estetika dan praktik keperawatan, Hasil dari literatur review menemukan beberapa bentuk penerapan asthetic expression dalam praktek keperawatan meliputi terapi music,terapi dance, puisi, humor, dan visual. Studi selanjutnya diharapkan dapat mengembangkan penelitian tentang penerapan aesthetic expression khususnya pada spesifikasi bidang dalam praktek keperawatan.
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Успенский, Юрий Павлович, Юлия Александровна Фоминых e Кямаля Низамитдиновна Наджафова. "The concept of asthenia in the clinic of internal diseases". University therapeutic journal, n. 2 (11 maggio 2022): 52–63. http://dx.doi.org/10.56871/9760.2022.16.40.006.
Abstract (sommario):
Астения является одной из наиболее распространенных неспецифических форм реагирования центральной нервной системы на самые разнообразные внешние и внутренние трудности. Согласно уровню обращаемости за медицинской помощью, более 60% жалоб пациентов приходится на долю связанных с астеническим синдромом, подобные расстройства наблюдаются у всех категорий населения. Проблеме астении посвящена данная лекция для врачей, в ней рассматриваются различные трактовки термина «астения», частота встречаемости астенических расстройств в клинике внутренних болезней, история формирования представлений об астеническом синдроме, особенности психосоматического статуса больных с астеническими расстройствами, а также этиопатогенез и подходы к классификации астенических расстройств. . Asthenia is one of the most common nonspecific forms of the central nervous system’s response to a wide variety of external and internal difficulties. According to the level of medical care, more than 60% of patient complaints are related to asthenic syndrome. These disorders are observed in all categories of the population. This lecture for doctors is devoted to asthenia, it examines various interpretations of the term asthenia, the frequency of occurrence of asthenic disorders in the clinic of internal diseases, the history of the formation of ideas about asthenic syndrome, features of the psychosomatic status of patients with asthenic disorders, as well as etiopathogenesis and approaches to the classification of asthenic disorders.
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Lokshina, Evelina E., Natalia A. Savitskaya e Irina I. Khmelkova. "Asthenia in children: What's new for a pediatrician. A review". Pediatrics. Consilium Medicum, n. 3 (4 ottobre 2023): 122–26. http://dx.doi.org/10.26442/26586630.2023.3.202364.
Abstract (sommario):
Pediatricians incidentally treat patients with asthenia (asthenic syndrome AS, asthenic condition). The etiology of this disorder is highly diverse. Asthenia is a universal response of the body to various distresses, leading to energy deficiency. The most common AS symptoms are weakness, fatigue, sleep disturbances, increased irritability, muscle pain, headache, etc. AS, including post-infectious AS, significantly worsens the quality of life of the child and his family, so it is necessary to report the manifestations promptly to make a differential diagnosis with other diseases with similar presentation. There are many therapies to treat asthenia, including biologically active additives. Thus, recent clinical studies showed the effectiveness of Kidz syrup with choline, which improves the manifestations of asthenia, increases resistance to psycho-emotional stress, improves focus and memory, and helps to cope with increased mental stress.
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Шабров, Александр Владимирович, Юрий Павлович Успенский, Юлия Александровна Фоминых e Кямаля Низамитдиновна Наджафова. "CLINICAL MANIFESTATIONS OF ASTHENIA". University therapeutic journal, n. 3 (24 novembre 2022): 47–56. http://dx.doi.org/10.56871/8470.2022.34.17.006.
Abstract (sommario):
Астения - одна из наиболее распространенных неспецифических форм реагирования центральной нервной системы на самые разнообразные внешние и внутренние трудности. Согласно уровню обращаемости за медицинской помощью, более 60% жалоб пациентов приходится на долю связанных с астеническим синдромом, подобные расстройства наблюдаются у всех категорий населения. В данной лекции, являющейся продолжением цикла клинических лекций, посвященных проблеме астении, рассматриваются общие клинические проявления, особенности течения различных клинических форм, а также структура астенического синдрома. Asthenia is one of the most common nonspecific forms of the central nervous system’s response to a wide variety of external and internal difficulties. According to the level of medical care, more than 60% of patient complaints are related to asthenic syndrome. These disorders are observed in all categories of the population. This lecture, which is a continuation of a series of clinical lectures on the problem of asthenia, discusses the general clinical manifestations of asthenic syndrome, as well as the features of the course of its various clinical forms and the structure of asthenic syndrome.
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Zozulya, S. A., B. A. Volel, A. V. Fomicheva, D. A. Andreev, I. N. Otman e T. P. Klyushnik. "Clinical and Immunological Parameters in the Diagnostics of Asthenic Syndrome in Patients with Chronic Heart Failure". Psikhiatriya 20, n. 4 (11 gennaio 2023): 96–106. http://dx.doi.org/10.30629/2618-6667-2022-20-4-96-106.
Abstract (sommario):
Background: the significance of the asthenic syndrome as one of the most distressing symptoms affecting the clinical outcome of chronic heart failure (CHF), and insufficient understanding of the pathophysiological aspects of asthenia determines the need to study the clinical and biological features of this syndrome in cardiac pathology. Objective: to determine of a number of inflammatory and autoimmune blood parameters in patients with CHF associated with asthenic disorders in comparison with hypertensive disease in relation to clinical and gender-age characteristics of patients. Patients and methods: 62 patients with CHF (study group; 64.4 ± 9.7 years) and 50 patients with hypertensive disease (HD) (comparison group; 55 ± 9.7 years) were examined. Somatic examination included consultation with a cardiologist. Psychometric assessment was performed using the MFI-20 scale and the MLHFQ questionnaire. In patients' blood, leukocyte elastase (LE) activity, α1-proteinase inhibitor (α1-PI), leukocyte inhibitory index (LII), concentration of CRP, IL-6, and levels of antibodies to S-100B and myelin basic protein were determined. Results: patients with CHF characterized by more pronounced manifestations of all dimensional asthenic disorders compared to patients with HD. The deterioration of CHF patients' quality of life was accompanied by the aggravation of asthenic symptoms on all subscales of the MFI-20 scale. In patients with CHF and HD, multidirectional changes in the leukocyte inhibitory index and significant quantitative differences in other immune parameters compared with the normative values were detected. CHF associated with asthenia was characterized by decreased activity of the blood proteolytic system (decrease in LII), a significant increase in the concentration of IL-6, CRP and antibodies to S-100B in the blood of patients compared to comparison group. Negative correlations between LE activity and several dimensions of the MFI-20 scale, and positive correlations between the severity of general asthenia, patient age, and IL-6 and CRP concentrations indicate the involvement of inflammation in the pathophysiology of asthenic disorders in the cardiac pathology discussed. Conclusion: low activity of blood proteolytic system and high level of inflammation are unfavorable factors in the development of asthenia in chronic heart failure. Qualitative and quantitative features of the spectrum of immunological parameters in patients with CHF are correlated with clinical and genderage characteristics and reflect the severity of both cardiological changes and asthenic symptoms.
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Polushin, A. Yu, Ya B. Skiba, O. G. Smykova, I. Yu Nikolaev, N. A. Eliseev, D. N. Abukov e A. Yu Sokolov. "Asthenia correction in a patient with acute lymphoblastic leukemia after allogeneic hematopoietic stem cell transplantation (case report)". Russian Medical Inquiry 7, n. 10 (2023): 693–99. http://dx.doi.org/10.32364/2587-6821-2023-7-10-13.
Abstract (sommario):
Asthenic syndrome is one of the most common conditions in the clinical practice of medical specialists having various therapeutic spheres The genesis of asthenic disorder is diverse and can be represented by cerebrovascular pathology, metabolic disorders, hypoxia of various origin, as well as intoxication. Asthenic syndrome can be diagnosed in 70–75% of patients with oncological pathology at various treatment stages. The article presents a case study concerning the asthenic syndrome progression in a patient with acute lymphoblastic leukemia (ALL) and its successful correction by metabolic therapy course. Case study pattern consist in the occurrence of this syndrome in the setting of multiple factors (infectious, metabolic, associated with intracranial hemorrhage) in the early period after hematopoietic stem cell transplantation (HSCT). The article provides a pathogenetic justification for the therapy indication with antihypoxants (cytochrome C) in patients with oncological pathology aimed at the asthenic syndrome correction in this patient cohort. Cytochrome C is a heme- containing protein of natural molecular origin. It is a participant in the process of cellular respiration and a regulator of redox processes in tissues. Successful correction of asthenic syndrome in patients with oncological pathology is an important task, the solution of which is of undoubted practical value KEYWORDS: asthenia, asthenic syndrome, cytochrome C, leukemia, transplantation, hematopoietic stem cell transplantation, antihypoxants, metabolic therapy FOR CITATION: Polushin A.Yu., Skiba Ya.B., Smykova O.G., Nikolaev I.Yu., Eliseev N.A., Abukov D.N., Sokolov A.Yu. Asthenia correction in a patient with acute lymphoblastic leukemia after allogeneic hematopoietic stem cell transplantation (case report). Russian Medical Inquiry. 2023;7(10):693–699 (in Russ.). DOI: 10.32364/2587-6821-2023-7-10-13.
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Фоминых, Юлия Александровна, Андрей Михайлович Сарана, Кямаля Низамитдиновна Наджафова e Наида Адалат кызы Иманвердиева. "ASTHENIA THERAPY IN THE CLINIC OF INTERNAL DISEASES". University therapeutic journal, n. 4 (24 novembre 2022): 73–81. http://dx.doi.org/10.56871/4096.2022.75.19.008.
Abstract (sommario):
Астения - одна из наиболее распространенных неспецифических форм реагирования центральной нервной системы на самые разнообразные внешние и внутренние трудности. Согласно уровню обращаемости за медицинской помощью, более 60 % жалоб пациентов приходится на долю связанных с астеническим синдромом. Подобные расстройства наблюдаются у всех категорий населения. Данная статья представлена вниманию читателей как заключительная, четвертая, из цикла клинических лекций, посвященных проблеме астении. Рассматриваются основные принципы лечения астенических расстройств, возможности психотерапии, физиотерапии и медикаментозной коррекции астенических состояний. Asthenia is one of the most common nonspecific forms of the central nervous system’s response to a wide variety of external and internal difficulties. According to the level of medical care, more than 60 % of patient complaints are related to asthenic syndrome, similar disorders are observed in all categories of the population. This lecture is presented to the readers as the fourth and final of a series of clinical lectures on the problem of asthenia. The lecture discusses the basic principles of therapy of asthenic disorders, the possibilities of psychotherapy, physiotherapy and drug correction of asthenic conditions
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Ebzeeva, E. Yu, O. D. Ostroumova e E. V. Mironova. "Efficacy and safety of Mildronate in treatment of postinfectious asthenic syndrome (clinical examples)". Medical alphabet, n. 2 (12 giugno 2020): 61–66. http://dx.doi.org/10.33667/2078-5631-2020-2-61-66.
Abstract (sommario):
Asthenic syndrome is a non‑specific syndrome that is often found in general medical practice in patients with various somatic pathologies both during an exacerbation of a chronic disease, and after an acute process. The leading symptoms in the clinic of asthenia are pathological weakness and fatigue. According to various researchers, they are found in 15–45 % of people. To date, there is no universally accepted definition and clear classification of this syndrome. The main pathogenetic concepts are the psychosocial, infectious‑immune theory of asthenia. The development of asthenic syndrome in patients with somatic pathology may be associated with the depletion of the functional capabilities of the nervous system due to disturbances in the blood supply to the brain, auto‑toxicity or exposure to exogenous toxic factors in bacterial, viral infections. There is no specific treatment for this condition. This article presents two clinical cases of the development of post‑infection asthenic syndrome in a 47‑year‑old patient against community‑acquired pneumonia and in a 36‑year‑old patient after an acute respiratory‑viral infection of moderate severity. In both cases, drug treatment with Mildronate was carried out with a positive trend in the form of regression of asthenia symptoms, side effects during treatment. Mildronate belongs to the class of cytoprotectors – antihypoxants, activates glycolysis and prevents impaired transport of adenosine triphosphate, providing a sufficient level of energy synthesis, which allows cells to maintain homeostasis and morphological integrity. The immunoadjuvant properties of Mildronate are very important in post‑infectious asthenic syndrome, since a violation of the immune response plays a central role in its pathogenesis. The immunoadjuvant properties of Mildronate have been discovered in a number of studies.
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Titova, V., D. Ivanov, Y. Aleksandrovich, I. Gorkovaya e V. Rozhdestvenskiy. "Meaningful orientations and asthenia in pregnant women and young mothers during the first COVID-19 pandemic wave". European Psychiatry 65, S1 (giugno 2022): S489. http://dx.doi.org/10.1192/j.eurpsy.2022.1244.
Abstract (sommario):
Introduction Pregnancy and childcare are naturally stressful for women, often accompanied by the asthenic syndrome. In a pandemic situation, this type of stress may be potentiated by external conditions. Objectives The study aimed to investigate the life-state orientations and asthenia levels of pregnant women and young mothers in the context of a pandemic. We also analyzed the correlations between the life-state orientations and the different types of asthenias. Methods Data collection was carried out in June 2020 using a Google form that we developed. Pregnant women and young mothers with children under seven years of age participated in the study with 47 respondents. We used the Purpose-in-Life Test to investigate the meaningful orientations and the MFI-20 to determine the level of asthenia. Both questionnaires were adapted for use in Russia. Results We found that the mean overall MFI-20 score (M = 58.0±5.9) exceeded the mean values in our sample, indicating the presence of the asthenic syndrome. Physical asthenia (M = 12.9±1.4) and decreased activity (M = 12.0±1.7) were the strongest, with the lowest score on the general asthenia scale (M = 10.6±1.8). Correlation analysis showed that all components of meaningful orientations had multiple positive correlations with different types of asthenias, and the overall asthenia score was 100 % related to life meaningfulness (p < 0.01). Conclusions Pregnant women and young mothers are at risk for asthenia in the COVID-19 pandemic. This is obviously due to many responsibilities of mothers raising children. Disclosure No significant relationships.
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Lokshina, A. B., e V. V. Zakharov. "The duality of asthenia and cognitive impairments in cerebral diseases". Meditsinskiy sovet = Medical Council, n. 21 (22 novembre 2023): 20–27. http://dx.doi.org/10.21518/ms2023-401.
Abstract (sommario):
Asthenia is a pathological condition characterized by abnormal, spontaneous fatigue that occurs without exercise, continues for a long time and does not go away after rest. With asthenia, performance decreases, and difficulties arise in maintaining prolonged mental and physical stress. The presence of these disorders is associated with a decrease in quality of life, an increase in morbidity and mortality in general. In general, we can say that complaints of weakness, tiredness and fatigue are the most common when visiting a primary care doctor. The article presents various clinical manifestations of asthenia, classification and features of these disorders. In clinical practice, it is important to distinguish between idiopathic chronic fatigue (primary or functional asthenia) and chronic fatigue syndrome (CFS). The publication presents modern diagnostic criteria for this syndrome. It has been shown that CFS should be distinguished from nonspecific chronic fatigue, which can be observed in various pathological conditions. The article discusses the classification, as well as the features and criteria for diagnosing of asthenic disorders (AD). The close relationship and common pathogenetic mechanisms of the development of asthenia and cognitive impairments (CI) in cerebral diseases are reflected. Issues of management of patients with asthenia and concomitant CI are discussed, which should be comprehensive and include non-drug and drug treatment methods. Non-drug methods, including methods of cognitive stimulation and cognitive training, are coming to the fore in the treatment of various manifestations of AD. The possibilities of therapy with phenylpiracetam for asthenic syndrome of various origins, including those with concomitant anxiety-depressive disorders and CI, have been shown.
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Maiti, Bikash, e Sabyasachi Bakshi. "A comparative study of the efficacy of nanocrystalline silver gel and silver sulfadiazine cream on the healing of second degree burn wound". International Surgery Journal 7, n. 12 (27 novembre 2020): 4076. http://dx.doi.org/10.18203/2349-2902.isj20205360.
Abstract (sommario):
Background: The final aim of burn management is to prevent infection, to promote early epithelialization as well as healing of wound and betterment of functional and asthetic after effects. The present study aimed to compare the effect of nano crystalline silver gel and silver sulfadiazine cream on the healing of second-degree burn wounds.Methods: After matching the inclusion and exclusion criteriaburn wounds of patients were divided into two parts (sides); one part was dressed with silver sulfadiazine cream and the other one was dressed with nano crystalline silver gel. The wound dressing was changed everyday after washing the wound with normal saline. Wound parameters were measured on the ninth day and twenth day of dressing, using clinical assessment and photographic tool. The obtained data were statistically analyzed using the Chi-square test.Results: In our study, most patients were noted to have increased epithelization, increased granulation tissue, decreased inflammation, decreased wound infection as well as decreased slough following dressing with both nanocrystalline silver gel and silver sulfadiazine cream but there were more in numbers of patients dressing with nanocrystalline silver gel.Conclusions: The effect of nanocrystalline silver gel on the reduction of the healing time and necrotic tissue amount and increasing the granulation, epithelialization, and necrotic tissue type was greater. Considering the above findings nanocrystalline silver gel is more recommended to be used for burn wounds.
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Mustofa, Muhammad Ibnu, e Feny Martina. "The Analysis of Cultural Content in Two EFL Textbooks Used at SMA IT Iqra’ And SMKN 1 Bengkulu City". Journal of English Education and Teaching 3, n. 4 (6 dicembre 2019): 481–93. http://dx.doi.org/10.33369/jeet.3.4.481-493.
Abstract (sommario):
The aims of this research were to find out how cultural dimensions were displayed, what culture was the most dominant, and the percentage of local culture in textbooks used at SMA IT IQRA? (Pathway to English) and SMK N1 Grade X (Bahasa Inggris by KEMENDIKBUD) Bengkulu. This research applied content analysis study with descriptive qualitative analysis. The procedures used in data collection were document review and observation. In analysing the data, the concept by Mile and Huberman was applied. The study revealed that from the two textbooks, there was a difference in terms of dominance in cultural types and dimensions. In Pathway to English, there was38 % items of aesthetic sense, 32% of pragmatic sense, and 26% of sociological sense. Semantic sense had the least representation which was only 4%. In cultural types, there was (50%) for target culture, 44% for local culture, and 6% for international culture. As for Bahasa Inggris by KEMENDIKBUD, there was 44% for asthetic sense, 25% for sociological sense, 22% for aesthetic sense, and 8% for semantic sense. Local culture has most items to occur, which reached 47 percent, followed by target culture which was 41%. The last is international culture with 11% of occurrence. It is highly recommendable that teachers apply the books with more cultural dimensions and types to hep students broaden their cultural knowledge and awareness.
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Weinberg, M. "Psychoses after typhus. Vinokurova, Prof. Gilyarovsky (Journal of Psychol., Neurol. and Psychiatry, 1922, I)". Kazan medical journal 19, n. 1 (22 agosto 2021): 105. http://dx.doi.org/10.17816/kazmj78733.
Abstract (sommario):
Typhus brings a number of severe changes to the mental sphere of patients, which are characterized as asthenic-depressive states of emotional weakness, and clinically can be united into one group under the name of post-infectious asthenia.
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von Hildebrand, Dietrich. "Estetyka. Królestwo wartości estetycznych: Piękno metafizyczne a piękno zmysłowe". Sztuka i Filozofia 52, n. 1 (2018): 41–60. http://dx.doi.org/10.14394/sztfil.2018.0003.
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Bykov, Yuri V., e Roman A. Bekker. "On the specific treatment of asthenic states: focus on sulbutiamine". Terapevticheskii arkhiv 94, n. 5 (17 giugno 2022): 689–94. http://dx.doi.org/10.26442/00403660.2022.05.201533.
Abstract (sommario):
In this article, we try to present the available data regarding the pharmacokinetics and pharmacodynamics of sulbutiamine (Enerion), the mechanisms of its anti-asthenic action. Then we analyze and summarize the available evidence base considering the efficacy and safety of Enerion for the treatment of asthenic syndromes. Then we compare Enerion with some other drugs. The results of our review indicate the high efficacy and safety of sulbutiamine in the treatment of asthenia. Our results also show that Enerion has some clinically relevant advantages over all alternatives we reviewed there.
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Pavlov, Aleksandr I., Aleksandr F. Ivolgin, Sergei V. Katenko, Mikhail N. Eremin, Alevtina I. Molodova, Olga B. Levchenko e Aram G. Karakozov. "Diagnostics and treatment of non-alcoholic fatty liver disease with concomitant asthenic syndrome". Terapevticheskii arkhiv 93, n. 8 (15 agosto 2021): 890–96. http://dx.doi.org/10.26442/00403660.2021.08.200974.
Abstract (sommario):
Aim. Analysis of the effectiveness of therapy for non-alcoholic fatty liver disease (NAFLD) with severe asthenic syndrome.
Materials and methods. In the period from 2017 to 2019, on the basis of the gastroenterology center of the Vishnevsky 3-rd Central Military Clinical Hospital, 247 patients with NAFLD, including those at the stage of steatohepatitis, and severe asthenic syndrome were examined and treated. The main group included 124 patients, the control group 123 patients. All patients underwent complex laboratory and instrumental diagnostics and neuropsychological research using the subjective asthenia assessment scale (MFI-20). In both groups, domestic drugs were included in the therapy regimen: from the 1st to the 10th day, Heptrong solution 3 ml intramuscularly in the morning; from the 1st to the 60th day UDCA 250 mg orally, 3 capsules at bedtime, Omega-3 forte 1000 mg, 2 capsules in the morning with meals. In group I patients received additionally from the 1st to the 10th day intravenous drip Cytoflavin 10 ml + 0.9% NaCl solution 200 ml; pentoxifylline solution 5 ml + 0.9% NaCl solution 200 ml. Then, from the 11th to the 60th day, Cytoflavin inside, 2 tablets 2 times a day. Pentoxifylline inside 400 mg 1 tablet 3 times a day. All patients underwent neuropsychological examination using the subjective asthenia rating scale (MFI-20).
Results. The effectiveness of treatment in patients of both groups was assessed by clinical, laboratory data and neuropsychological studies. In the main group, a significant reduction in asthenic syndrome was achieved against the background of diagnosed NAFLD compared with the control group.
Conclusion. The early inclusion of patients with NAFLD and severe asthenic syndrome in the treatment regimen, in addition to the basic therapy of Cytoflavin, achieved a significantly high therapeutic effect in the form of normalization of the main clinical, laboratory and instrumental parameters, as well as a significant reduction in the manifestations of asthenia.
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Шабров, Александр Владимирович, Юлия Александровна Фоминых, Юрий Павлович Успенский e Кямаля Низамитдиновна Наджафова. "PRINCIPLES OF ASTHENIA DIAGNOSIS". University therapeutic journal, n. 3 (24 novembre 2022): 57–63. http://dx.doi.org/10.56871/3052.2022.73.10.007.
Abstract (sommario):
Астения - одна из наиболее распространенных неспецифических форм реагирования центральной нервной системы на самые разнообразные внешние и внутренние трудности. Согласно уровню обращаемости за медицинской помощью, более 60 % жалоб пациентов приходится на долю связанных с астеническим синдромом. Подобные расстройства наблюдаются у всех категорий населения. В данной лекции, которая является продолжением цикла клинических лекций, посвященных проблеме астении, рассматриваются основные принципы диагностики астенических расстройств, также приведены опросники, используемые в психодиагностике данных состояний. Asthenia is one of the most common nonspecific forms of the central nervous system’s response to a wide variety of external and internal difficulties. According to the level of medical care, more than 60 % of patient complaints are related to asthenic syndrome, similar disorders are observed in all categories of the population. In this lecture, which is a continuation of a series of clinical lectures on the problem of asthenia, the basic principles of the diagnosis of asthenic disorders are considered, and questionnaires used in the psychodiagnostics of these conditions are also given.
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Kulagina, Anastasiya P., e Aleksei A. Suzdaltsev. "Asthenic syndrome in the convalescents of ixodid tick-borne borrelioses". Aspirantskiy Vestnik Povolzhiya 23, n. 1 (21 marzo 2023): 10–14. http://dx.doi.org/10.55531/2072-2354.2023.23.1.10-14.
Abstract (sommario):
Aim to study the catamnesis of patients with ixodid tick-borne borreliosis in the period of convalescence who presented the signs of asthenic syndrome.
Material and methods. The study was based on the data of prospective dispensary observation of 37 in-patients diagnosed with "ixodid tick-borne borreliosis, erythemic form, moderate severity, acute course" who received treatment at the Clinic of Infectious Diseases of the SamSMU in 2016-2019. The subjects were divided into 3 groups according to their age: the first age-group from 18 to 35 years included 12 people, the second group ranged from 36 to 55 years and included 15 people, the third age-group from 56 to 75 years consisted of 10 people. The examination of patients was carried out after discharge from the hospital on the 14th day, after 3, 12 and 36 months. The MFI-20 asthenia scale (the Multidimensional Fatigue Inventory) was used to analyze the asthenic syndrome in the participants.
Results. The duration of asthenia after ixodid tick-borne borreliosis may be up to 3 years. Patients require the closest observation in the first 2 weeks of the convalescence period. Indicators of physical and psychological health in convalescents return to the norm depending on their age and place of residence. Mental asthenia prevails in people living in rural areas and persists much longer than in urban residents. Older people (from 56 to 75 years) are more susceptible to general and physical asthenia.
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McNamara, John J. "OGDEN CODMAN ON NURSERIES". Pediatrics 84, n. 1 (1 luglio 1989): 198. http://dx.doi.org/10.1542/peds.84.1.198.
Abstract (sommario):
Ogden Codman, Jr. (1863-1951), America's first significant interior designer is the subject of a retrospective at the Boston Athenaeum in 1989. The last chapter of his book, The Decoration of Houses, is devoted to schoolrooms and nurseries. Codman's decorating sense was classic and in the grand manner, however nurseries were to be functionally simple but stimulating. The child's environment conditions asthetic growth. "The esthetic sensibilities wake early in some children." However, "parents of such children often think that no special care need be spent on their surroundings, a curious misconception. "If art is really a factor in civilization it seems obvious that the feeling for beauty needs as careful cultivation as the other civic virtues." "Children are not reached by abstract ideas." "The child's mind must be prepared by daily lessons in beauty." "To sum up then . . . the child's visible surroundings form the basis of the best . . . cultivation: . . . the development of any artistic taste . . . indirectly broadens the whole view of life." Would that it were so! According to the Select Panel for the Promotion of Child Health, United States Children live under the following circumstances. 0.9% in homes without piped in water, 21.8% water not obtained from a system, 34% not connected to a public sewer. 11.2% in run down housing, 8.2% in abandoned structures, 12.8% with leaky basements, 7.5% with leaky rooves, 7.3% with cracks in the walls and ceilings, 5.1% with peeling paint and plaster, 2.8% with holes in the floors.
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Suwignyo, Heri. "LINTASAN PEMIKIRAN ESTETIKA PUISI INDONESIA MODERN (THE PERIOD OF ORIENTATION MINDED INDONESIAN’S MODERN POETRY AESTHETIC)". JURNAL BAHASA, SASTRA DAN PEMBELAJARANNYA 3, n. 2 (1 marzo 2018): 210. http://dx.doi.org/10.20527/jbsp.v3i2.4554.
Abstract (sommario):
AbstractThe Period of orientation minded Indonesian’s modern poetry aesthetic. The orientationminded Indonesian’s modern poetry aesthetic leads to aesthetic theory of harmony,deviation, and emancipatory. The conception of poetry by Sanusi Pane, Rustam Effendi’spoems appearance, and the sonnets by M. Yamin which have soul about nationalism,have relation to harmony of pantun and syair’s asthetic. Mind of deviation aestheticmarked by Chairil’s free poetry that emphasized the depth of the meaning rather thanlinguistic devices. Emancipatory aesthetic found by credo Sutardji that liberating wordsfrom the hegemony of meaning. Remy Silado offering the mbeling poem’s aesthetic asan integral part of the aesthetics of Indonesian’s contemporary poetry. Those minded isvery useful for the construction of the historiography Indonesian’s modern poetryaesthetic which is until right now still through emptyness.Keywords: indonesian poetry aesthetics, aesthetic harmony, aesthetic deviation,aesthetic emancipatoryAbstrakLintasan Pemikiran Estetika Puisi Indonesia Modern. Orientasi pemikiran estetika puisiIndonesia modern mengarah pada teori estetika harmoni, deviasi, dan emansipatori.Konsepsi sajak oleh Sanusi Pane, penampilan sajak-sajak Rustam Effendi, dan sonetasonetayang berjiwa kebangsaan M. Yamin secara harmoni masih terikat pada estetikapantun dan syair. Pemikiran estetika deviasi ditandai oleh kemunculan puisi-puisibebas Chairil yang menekankan pada kedalaman makna daripada sarana kebahasaan.Pemikiran estetika emansipatori ditemukan pada kredo Sutardji yang membebaskankata dari penjajahan makna. Remy Silado menawarkan estetika puisi mbeling sebagaibagian integral dari estetika puisi Indonesia kontemporer. Itu semua sangat bergunauntuk penyusunan historiografi estetika puisi Indonesia modern yang hingga saat inimasih mengalami kekosongan.Kata-kata kunci: estetika puisi Indonesia, estetika harmoni, estetika deviasi,estetika emansipatori
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Purnama, Yuzar. "KESENIAN TOPENG MASYARAKAT KASEPUHAN GURADOG LEBAK BANTEN". Patanjala : Jurnal Penelitian Sejarah dan Budaya 1, n. 1 (1 marzo 2009): 27. http://dx.doi.org/10.30959/patanjala.v1i1.227.
Abstract (sommario):
AbstrakKesenian merupakan bagian penting dan salah satu unsur dari kebudayaan. Selain aspek seni, kesenian juga dapat dilihat dari sudut pandang latar belakang kebudayaannya yang akan mampu mengungkap simbol-simbol dan nilai budaya. Kesenian Topeng adalah kesenian tradisional yang merupakan refleksi keindahan, simbolisme dan nilai-nilai moral yang terkandung didalamnya. Di samping menampilkan keindahan gerak dan suara, juga para pelaku yang menyajikan topik-topik yang hidup di masyarakatnya. Kesenian Topeng yang tumbuh dan berkembang di Kampung Guradog Lebak Banten, perkembangannya lamban. Kesenian Topeng ini menampilkan dua bentuk seni yaitu Jaipongan dan seni drama. Bentuk cerita yang ditampilkan meliputi cerita babad dan roman. Cerita babad diambil dari cerita klasik yang mengandung unsur kesejarahan dan kepercayaan, sedangkan cerita roman mengisahkan tentang kehidupan sehari-hari. AbstractArt is an important part and unavoidable things from human culture. Besaide artistic aspect, art can also viewed from the background culture which able to reveal symbolic meaning from that art and the values.Topeng art is a traditional art which reflect asthetic, symbolic and moral values for who supported it. Besides showing beautifulness of gesture and sounds, it also performs an actors and useful topics for his community.Topeng art which grows and develop at Guradog Lebak Village, Banten, was late in development. This Topeng art shows two forms of art, which is Jaipongan and drama. Form of stories that shown includes babad and roman story. Babad story taken from classic story that have part of history and beliefs, while roman story tells about daily lives.
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Steinfeld, Torill. "Sisters in the asthenia. On John Browns theory of excitability, Brunonianism, and asthenic women". Edda 91, n. 04 (18 gennaio 2005): 286–301. http://dx.doi.org/10.18261/issn1500-1989-2004-04-03.
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Kopylov, F. Yu, Yu M. Nikitina, E. A. Makukh e A. L. Syrkin. "Study of the efficiency and safety of Ladasten therapy in patients with cardiovascular disease". CardioSomatics 1, n. 1 (15 marzo 2010): 57–61. http://dx.doi.org/10.26442/cs44966.
Abstract (sommario):
A trial was carried out to study the efficiency and safety of therapy with the new antiasthenic drug Ladasten. The findings suggest its high safety and efficiency and good tolerability of Ladasten in the treatment of asthenia and asthenic spectrum disorders, the development of which is associated with cardiovascular disease.
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Bekuzarova, Madina R., e Amirkhan A. Kumakhov. "Clinical and laboratory evaluation of the effectiveness of the nootropic drug Actitropil (fonturacetam) in the treatment of asthenic syndrome". Consilium Medicum 25, n. 11 (6 marzo 2024): 728–35. http://dx.doi.org/10.26442/20751753.2023.11.202576.
Abstract (sommario):
Background. Asthenia is one of the most common symptoms in the clinical practice of a doctor of any specialty. This is due to the high incidence of this pathology: in patients with chronic somatic diseases from 45% to 90%, with an acute pathological process – about 55%. There are no uniform standards for the treatment of asthenic disorder; however, the basis for the medical correction of this pathology is nootropic drugs.
Aim. To study the clinical efficacy and safety of the nootropic drug Actitropil (fonturacetam) in patients with various types of asthenic disorder.
Materials and methods. The observational clinical program included 50 patients (average age 43.22±14.60) with asthenic symptoms. Patients received Actitropil (fonturacetam) at a dose of 200 mg per day, divided into two doses. The duration of therapy was 30 days, the total duration of follow-up was 60 days. The effectiveness of treatment was evaluated before and after the course of therapy, as well as in the delayed period according to the scales of asthenia MFI-20, well-being, activity, mood SAN, anxiety and depression HADS (part 1), sleep quality Spiegel, quality of life EQoL-5D-3L. Patients' satisfaction with the treatment and tolerability of therapy were also assessed on 5-point scales; adverse events were recorded and the number of patients with good, satisfactory and unsatisfactory treatment results was calculated based on the subjective assessment of the subjects. Blood parameters analysis was used as laboratory assessment methods: erythrocytes, leukocytes, reticulocytes, platelets, hemoglobin, hematocrit, blood sedimentation rate, total protein, glucose, alanine aminotransferase, aspartate aminotransferase, prothrombin and thrombin time, prothrombin, international normalised ratio, activated partial thromboplastin time, fibrinogen.
Results and conclusion. The results of the study showed high efficacy (98%) and safety of the use of Actitropil (absence of adverse events, low adverse events level during the course of treatment, no negative effect on liver function, blood coagulation and carbohydrate metabolism) in the treatment of various types of asthenic syndrome, including those associated with comorbid diseases. There is a significant therapeutic effect of Actitropil on concomitant symptoms of asthenia: anxiety, sleep status and quality of life. The antiasthenic effect of the drug does not differ depending on age and increases in the delayed period.
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Mikhailov, A. O., S. A. Sokotun, N. G. Plekhova, A. I. Simakova, S. N. Beniova, S. A. Petukhova, E. S. Machtareva e A. S. Bedareva. "Clinical manifestations of asthenic syndrome after coronavirus infection caused by SARS-CoV-2". Journal Infectology 15, n. 2 (6 luglio 2023): 60–67. http://dx.doi.org/10.22625/2072-6732-2023-15-2-60-67.
Abstract (sommario):
Introduction. Asthenic disorders due to COVID-19 infection are generally classified under a recently introduced category in ICD-10: U09.9 Condition after COVID-19, unspecified. In this regard, it is necessary to study the clinical manifestations and systematize the asthenic syndrome after coronavirus infection in order to better understand the tactics of treatment and rehabilitation of this group of patients.Objective. To assess the prevalence of asthenic syndrome in patients who have had a coronavirus infection, to characterize and present its dynamics.Materials and methods. The study involved 200 people with a confirmed diagnosis of COVID-19, aged 51 to 83, who were undergoing inpatient treatment. After discharge from the hospital after 6 months and 12 months, these patients again underwent a physical examination, anamnesis, complaints, and a questionnaire to identify symptoms of asthenia and other psychopathological syndromes.Results. Asthenic symptoms were found in 2/3 of the examined persons. Autonomic disorders were noted with a slight decrease from 81.5% after 6 months to 74.2% after 12. Sleep disorders and increased fatigue progressed during the observed period from 70.4% to 80.6% and 63.0 to 74.2% respectively. Emotional lability of patients as a whole did not change.Conclusion. Polymorphic symptoms of asthenic syndrome were revealed, the most common phenomena were sleep disorders and symptoms of fatigue.
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Kamchatnov, P. R., E. Yu Solov’eva, D. R. Khasanova e V. V. Fateeva. "Asthenic and cognitive disorders after the COVID-19 infection". Russian Medical Inquiry 5, n. 10 (2021): 636–41. http://dx.doi.org/10.32364/2587-6821-2021-5-10-636-641.
Abstract (sommario):
Asthenic disorders are one of the most critical and challenging issues in various medical disciplines. Postinfectious asthenia is relatively common. Its major presentations are a significant long-lasting physical and intellectual fatigue. The COVID-19 infection results in numerous emotional, cognitive, and vegetative disorders, drastically reducing the quality of life and preventing rehabilitation and returning to baseline everyday activity. The rationale for introducing the term "post-COVID syndrome" is accounted for by the high prevalence of asthenic, cognitive, and vegetative disorders after the COVID-19 infection and their higher rate compared to other infections and a significant reduction in the quality of life. This paper discusses clinical presentations of the post-COVID syndrome and analyzes the findings on the pathogenesis of this condition. The authors declare that all patients after the COVID-19 infection should undergo the assessment of cognitive functions and asthenic syndrome followed by adequate treatment prescription. The paper describes treatment modalities for the post-COVID syndrome, e.g., the perspective use of Prospecta®, which demonstrated the efficacy for acute and chronic disorders of brain circulation. KEYWORDS: COVID-19, post-COVID syndrome, asthenic disorders, cognitive disorders, Prospecta. FOR CITATION: Kamchatnov P.R., Solov’eva E.Yu., Khasanova D.R., Fateeva V.V. Asthenic and cognitive disorders after the COVID-19 infection. Russian Medical Inquiry. 2021;5(10):636–641 (in Russ.). DOI: 10.32364/2587-6821-2021-5-10-636-641.
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Nedogoda, S. V., A. A. Ledyaeva, A. S. Salasyuk, E. V. Chumachek, V. V. Tsoma, V. O. Lutova, E. A. Popova et al. "THE USE OF TRANSCUTANEOUS SUPRAORBITAL NERVE STIMULATION IN THE TREATMENT OF ASTHENIC SYNDROME AFTER COVID-19". Journal of Volgograd State Medical University 19, n. 2 (30 giugno 2022): 43–52. http://dx.doi.org/10.19163/1994-9480-2022-19-2-43-52.
Abstract (sommario):
Aim: to assess the efficacy of Transcutaneous Supraorbital Nerve Stimulation (t-SNS) with the Cefaly® Device on the parameters of asthenia and anxiety, as the main components of psychosomatic changes after suffering COVID-19. Materials and methods: an open prospective study in parallel groups was conducted. 60 patients, 30 men and 30 women, average age (61,3 ± 4,1) years, after a coronavirus infection (COVID-19) more than 6 months ago, meeting the following criteria: age from 60 to 75 years old, presence of asthenic syndrome, no contraindications to supraorbital neurostimulation was included. By the envelope method, patients were randomized into two groups. In the Cefaly® group (30 people), patients underwent 10 procedures (3 times a week) of t-SNS with the Cefaly® Device (Cefaly Technology sprl, Herstal, Belgium) in combination with restorative treatment according to temporary methodological guidelines for medical rehabilitation for a new coronavirus infection (COVID-19), in the control group (30 people), patients received only rehabilitation treatment. The results were evaluated using the Multidimensional Fatigue Inventory (MFI-20) and the Hamilton Anxiety Rating Scale (HAM-A) at baseline and after 24 days of therapy. Results: Cefaly® in addition to the standard rehabilitation program effectively reduces the severity of asthenia symptoms – in the Cefaly® group it was 33,6 %, in the control group – 14,4 %. The use of Cefaly® affects all components of the asthenic syndrome (reduced activity, reduced motivation, physical and mental asthenia). The standard rehabilitation program had an effect only on physical asthenia and reduced activity, but not on parameters of reduced motivation and mental asthenia. The reduction in total score from baseline on the HAM-A anxiety scale in the Cefaly® group was 55,16%, in control group – 19,74 %. Cefaly® therapy had the greatest effect on insomnia and tension. It should be noted that the standard rehabilitation program has little effect on anxiety scores. However, after treatment, both groups maintained a high mean total asthenia score (MFI-20 – 42,5 points in the Cefaly® group, 63 points in the control group), which once again confirms that post-COVID changes (Long COVID) are long-term in nature even with availability of adequate therapy. Conclusions: The use of transcutaneous supraorbital nerve stimulation can more effectively reduce the severity of symptoms of asthenia and anxiety in people who have recovered from COVID-19.
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Krot, A. F., e I. N. Lastovka. "PSYCHOLOGICAL ADAPTATION FEATURES IN PEDIATRICIANS". Health and Ecology Issues, n. 1 (28 marzo 2015): 92–96. http://dx.doi.org/10.51523/2708-6011.2015-12-1-19.
Abstract (sommario):
Objective: to detect asthenia, weariness and sleep disorders in pediatricians. Material and methods. Cross-sectional study of 44 pediatricians with the use of a package of psychometric tools (scale for assessing weariness SB-2003, Pittsburgh Insomnia Rating Scale (PIRS), subjective rating scale of asthenia MFI-20). Results. 42 (95 %) of the respondents from the study group revealed moderate or severe emotional weariness. Only 5 (11 %) of the respondents did not reveal any signs of asthenic symptomatic complex. All the respondents in the survey had this or that form of a sleep disorder. Conclusion. The job of a pediatrician involves high-level professional emotional stress, which affects the quality of life, determines the psychological status and, later, somatic well-being, indirectly influencing the satisfaction of consumers of medical services. Asthenic symptoms, sleep disorders and emotional weariness, which are common among doctors of this specialty, may be indicative of circadian rhythm disorders associated with professional desynchronosis. The use of tranquillizers and sleeping pills, consumption of alcohol or other psychoactive substances in order to correct sleep disorders show a decrease or a failure in the adaptation potential of pediatricians under the impact of extreme loads and professionally deterministic disturbances of biological rhythms, inefficient psychological protection.
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Shulpekova, Julia O., E. N. Shirokova, V. Yu Rusyaev e I. V. Damulin. "NEUROLOGICAL MANIFESTATIONS OF PRIMARY CHOLESTATIC LIVER DISEASES". Medical Journal of the Russian Federation 24, n. 4 (15 agosto 2018): 213–19. http://dx.doi.org/10.18821/0869-2106-2018-24-4-213-219.
Abstract (sommario):
The most typical and early signs of primary cholestatic liver diseases are represented by itching, prominent asthenia and autonomic dysfunction. These abnormalities significantly affect the quality of life. The data obtained relate itching and asthenic syndrome in cholestatic liver diseases to pathological changes of the central nervous system (CNS). The special scales for assessment of severity of asthenic manifestations, itching and quality of life in primary biliary cholangitis were developed. Besides, memory defects and loss of concentration ability are quite often seen even in non-cirrhotic patients. These defects have a tendency to progress without obvious associations with biochemical and histological parameters of liver disease severity. Some investigators underline the association of asthenic and cognitive disorders with autonomic dysfunction, systolic hypotension and impaired brain perfusion. The origin of itching in cholestatic liver diseases is largely attributed to central nociceptive sensitization and an increased tone of endogenous opiate system. Pathogenetic mechanisms of CNS dysfunction in non-cirrhotic patients with cholestatic diseases may involve neuroinflammation, hypovitaminosis D and E, influence of secondary hyperparathyroidism and exсessive bile acids concentration in blood.
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Adamchuk, Nataliia M., e Olena Y. Sorokina. "ANALYSIS OF PSYCHO-EMOTIONAL STATE AND THE SEVERITY OF ASTHENIC SYNDROME IN CHILDREN WITH ACUTE LEUKEMIA AFTER THE FIRST STAGE OF CHEMOTHERAPY". Wiadomości Lekarskie 72, n. 8 (2019): 1460–62. http://dx.doi.org/10.36740/wlek201908107.
Abstract (sommario):
Introduction: Children and adolescents with hematological diseases are constantly in a state of prolonged psychological stress caused by hospitalization, debilitating treatment, lifestyle changes, which ultimately leads to a significant reduction in the quality of life. In this connection it is necessary to study the dynamics of mental and emotional condition of the child at different stages of chemotherapy and the timing of formation of asthenic syndrome. The aim: Determine the presence of psycho-emotional disorders and the severity of asthenic syndrome in children with acute leukemia after the first stage of chemotherapy in order to further predict the development of this pathology and develop a package of solutions that minimize its manifestations. Materials and methods: A survey of 36 children was conducted, of them 21 people aged 6–10 years old, 15 people aged 11–16 years old. There are 27 boys (75%) and 9 girls (25%). The survey was conducted on the 78th day of the ALL IC-BFM 2009 protocol, which corresponds to the end of the first phase of chemotherapy. In the survey did not participate children with the syndrome of multiple organ failure, as well as with the presence of background mental disorders. To assess the psycho-emotional state, a questionnaire was used: “state of health, activity, mood”, adapted for children. For the study of asthenia was used questionnaire I. K. Schatz. Results: The findings suggest that absolutely all children receiving chemotherapy at the end of the first phase have been violations of the psycho-emotional background. The index of state of health suffers the most, and to a lesser extent - activity. Indicators of state of health had lower values in the older group - from 11 to 16 years. Thus according to the data in the group of children aged 6 to 10 years being the average was 4.02 ± 0.09 (p <0.05), in children age 11 - 16 years - 3.83 ± 0.11 (p <0.05). The average activity substantially the same in groups and indicates a favorable condition. Mood indicators are also within the framework of a favorable state in both groups. Also during the investigation revealed that the general for all children is a symptom asthenic. According to the data, fatigue reaction (less than 7 points) was present only in 9 children (25%). The most numerous manifestations were moderate asthenia - 21 children (58%). Severe asthenia (13 - 18 points) was observed only in 6 children (17%). Conclusions: This study will allow to develop a package of solutions for the prevention and minimization of asthenic syndrome in children with acute leukemia receiving chemotherapy.
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von Kutschera, Franz. "Asthetik". Journal of Aesthetics and Art Criticism 48, n. 1 (1990): 102. http://dx.doi.org/10.2307/431218.
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Vysochyna, I. L., V. V. Kramarchuk e T. O. Yashkina. "Post-viral fatigue syndrome in children: does it need to be treated?" CHILD`S HEALTH 16, n. 6 (5 gennaio 2022): 425–34. http://dx.doi.org/10.22141/2224-0551.16.6.2021.241720.
Abstract (sommario):
Acute respiratory viral diseases continue to dominate among the causes for seeking medical help. In the pediatric population, about 60 % of cases have a recurrent course, which in turn often leads to the development of post-viral asthenic syndrome. In such children, one can find rapid fatigability, attention disorders and inability to concentrate, impaired information processing, emotional lability, and sleep disorders. All this disrupts the usual way of life of both the child and his relatives that undoubtedly requires the treatment of this condition and complete restoration of the state of the body after episodes of acute respiratory diseases. Phytotherapy has found its place in the management of children with post-viral asthenia due to the polyvalence of the pharmacological action, proven efficiency, safety of long-term therapy with phytopreparations and economic attractiveness for the majority of the population. In modern realities, phytotherapy is used as a reductive therapy, which makes up for the lack of products of intermediate metabolism in the body; as detoxification therapy that provides adsorption or chemical binding of exo- and endotoxins, increasing the body’s resistance to them and stimulating the excretory systems. It is important to use the neurotropic, immunotropic, hormone-like action of biologically active substances of plants; natural compounds, actively modifying the functions of regulatory systems, have prospects in the treatment of complex diseases. Analysis of the search databases PubMed, Web of Science, Scopus, Google Scholar, RSCI, Index Copernicus, BMJ, MEDLINE on the possibility of use, efficacy and safety of phytocomponents of Alleva in children of different ages with symptoms of post-viral asthenia allowed to ensure the application of this drug to control manifestations of asthenic syndrome. The article analyzes the options for correcting childhood asthenia with dry concentrates of linden flowers, lemon balm, chamomile, extracts of passionflower, hop, orange tree and lavender.
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Kutlubaev, Mansur A., e Albina I. Akhmetova. "Poststroke Asthenic Disorder". Annals of Clinical and Experimental Neurology 17, n. 4 (5 gennaio 2024): 64–71. http://dx.doi.org/10.54101/acen.2023.4.8.
Abstract (sommario):
Asthenic disorders are seen in approximately half of poststroke patients. The mechanisms underlying poststroke asthenia (PSA) are related to brain connectome damage, as well as neuroinflammatory and neuroendocrine mechanisms. PSA is associated with a lack of energy, lassitude, and fatigue that do not improve after rest or sleep; it is differentiated from depression, apathy, and daytime drowsiness. Risk factors for PSA include female gender, anxiety and depressive disorders, severe neurological deficit, sleep disorders, diabetes etc. Treatment of PSA includes cognitive behavioral therapy graded physical activity, and pharmacotherapy.
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Lobzin, V. Yu, A. Yu Emelin e K. A. Kolmakova. "Evaluation of the therapeutic efficacy of the drug Cytochrome C in the treatment of asthenia in outpatients (CITRIN study)". Neurology, Neuropsychiatry, Psychosomatics 16, n. 1 (21 febbraio 2024): 57–64. http://dx.doi.org/10.14412/2074-2711-2024-1-57-64.
Abstract (sommario):
Asthenic syndrome occurs in most chronic diseases, and doctors encounter it in outpatient appointments for both somatic and neurological pathologies. Drugs that normalize energy metabolism, have an antioxidant effect and antihypoxic properties are used to treat asthenia.Objective: to investigate the therapeutic efficacy of the drug Cytochrome C in patients with asthenia of various origin in an outpatient setting.Material and methods. The study included 147 outpatients with asthenia who received Cytochrome C 10 mg intramuscularly daily for 10 days. The assessment of the initial level of asthenia manifestations and their changes in dynamics was carried out using the MFI-20 scales, the assessment of daytime sleepiness, the assessment of fatigue (FAS), the severity of symptoms of the disease and the dynamics of the condition according to the doctor and the patient.Results. By the 10th day of therapy, there was a decrease in the severity of asthenia on the MFI-20 scale from 72.2±12.7 to 41.1±12.3 points (p<0.01), including general (by 45%), physical (by 42%) and mental (by 45%) asthenia according to the MFI-20 subscales (p<0.001), improvement in night sleep and reduction in daytime sleepiness on the Epworth scale by 65% – from 9.1±5.6 to 4.6±4.3 points (p<0.001), reduction in severity of fatigue by 29% (p<0.01). The clinically significant improvement lasted until the 30th day of observation, 3 weeks after the end of the therapy. Overall, a significant reduction in asthenia symptoms was observed in 99% of patients on day 10 of therapy and in 96% of cases on day 30.Conclusion. Cytochrome C has been shown to be very effective in patients with asthenia as it reduces all manifestations of asthenia, improves night sleep and reduces daytime sleepiness.
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Patsenko, Mikhail B. "Long-term consequences of COVID-19 in patients with functional bowel disorders, rehabilitation prospective of microbiocenosis-oriented therapy". Terapevticheskii arkhiv 95, n. 12 (28 dicembre 2023): 1119–27. http://dx.doi.org/10.26442/00403660.2023.12.202523.
Abstract (sommario):
Aim. To analyze long-term consequences of the new coronavirus infection and rehabilitation prospective of microbiocenosis-oriented therapy in patients with functional bowel disorders.
Materials and methods. The study enrolled 100 consecutive patients with various types of functional bowel disorders with recurrence of symptoms after the new coronavirus infection. The severity of abdominal pain was evaluated in points, and bowel movement disorders were assessed using the Bristol stool scale. A questionnaire was used as part of an in-depth clinical examination for COVID-19 survivors to identify the clinical symptoms typical for the post-COVID syndrome. The Hospital Anxiety and Depression Scale was used to identify and assess the severity of depression and anxiety, and the Asthenic State Scale was used to diagnose the asthenia.
Results. All patients in the study subjectively linked the recurrence of bowel disorders with the new coronavirus infection. The most common bowel disorder was irritable bowel syndrome with diarrhea. A distinctive feature of exacerbations of intestinal symptoms in the post-COVID period is their association with depression/anxiety and asthenic states. The addition of Zakofalk® metaprebiotic to the treatment regimen was associated with significant regression of abdominal pain and normalization of bowel movement, an improvement of asthenia, anxiety, and depression.
Conclusion. The addition of Zakofalk® to treatment regimens for exacerbations of functional bowel disorders after the new coronavirus infection significantly improves the effectiveness of therapy.
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Falohun, Olufarati Oludunsin. "Effect of Systemic Ivermectin on Epidermal Tunnel Size, Severe Asthetic Appearance of Skin, Haematological and Biochemical Inbalances Caused by Sarcoptes scabie var caprae in West African Dwarf Goats, in Ibadan, Nigeria". Journal of Advances in Parasitology 2, n. 1 (2015): 11–18. http://dx.doi.org/10.14737/journal.jap/2015/2.1.11.18.
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Pugliese, Bruno Davide, Giovanna Garuti, Lucia Bergamini, Riccardo Karim Khamaisi, Giovanni Guaraldi, Ugo Consolo e Pierantonio Bellini. "Masticatory Functionality in Post-Acute-COVID-Syndrome (PACS) Patients with and without Sarcopenia". Oral 3, n. 1 (3 febbraio 2023): 77–91. http://dx.doi.org/10.3390/oral3010008.
Abstract (sommario):
Musculoskeletal symptoms are common in both acute COVID-19 disease and post-acute sequelae (Post-Acute COVID Syndrome). The purpose of this study is to investigate whether there are reduced levels of masticatory function in patients with PACS (Post Acute COVID Syndrome) who suffer from sarcopenia, under the hypothesis that the latter may also involve the masticatory muscles. This study includes 23 patients hospitalized for COVID-19 between February 2020 and April 2021 and currently suffering from PACS. Among these PACS patients, 13/23 (56%) suffer from sarcopenia, 5/23 (22%) complain of asthenia but do not suffer from sarcopenia and the remaining 5/23 (22%) do not present muscle symptoms (non-asthenic non-sarcopenic). Oral health indices of all patients were collected. The masticatory strength was assessed with a gnathodynamometer based on piezoresistive sensors, and the masticatory effectiveness was measured by administering the “chewing gum mixing ability test” by having patients perform 20 masticatory cycles on a two-color chewing gum and analyzing the outcome through the ViewGum© software. Moreover, we gathered data with a hand grip test and gait speed test. The data collected in this study show that PACS sarcopenic patients have decreased masticatory effectiveness and strength compared to PACS asthenic non-sarcopenic patients and PACS non-asthenic non-sarcopenic patients.
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Marushchak, A. A., T. F. Popova, I. A. Gribacheva e E. V. Petrova. "Impact of coronavirus infection on asthenic syndrome in patients with ischemic stroke". Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery), n. 9 (20 settembre 2022): 652–58. http://dx.doi.org/10.33920/med-01-2209-02.
Abstract (sommario):
It is known that the presence of asthenic syndrome is characteristic of ischemic brain damage. At the same time, patients with acute cerebral ischemic stroke, who have been diagnosed with a laboratory-confirmed coronavirus infection with a mild and asymptomatic course without signs of damage to other organs, are of particular interest. The aim of the research was to identify and study the severity and duration of asthenic syndrome in patients with ischemic stroke under conditions of the coronavirus infection in order to determine the effect of asthenia on the quality of life in the post-COVID period. The subjects were patients with acute cerebral ischemic stroke with the NIHSS neurological deficit score of 12.0 [9.0;15.0], whose mean age was 58.82±3.29 years [Me=54; Mo=60.0]. The main group (38 people) included patients with laboratory-confirmed coronavirus infection without signs of damage to other organs; the comparison group (31 people) consisted of patients with AMI only, comparable to the main group in all respects, including the set of vascular risk factors. All patients underwent a clinical and neurological examination, an examination by a general practitioner and / or a cardiologist, CT using an angio mode, the MFI-20 questionnaire, A. M. Wein questionnaire, Spielberger and Khanin scale. Quality of life was assessed using a short version of the MOS SF-36‑ltem questionnaire. Statistical analysis of the obtained results was carried out via statistical programs Microsoft Office Excel 2007 (USA) and Statistica for Windows, v. 10.0. It has been established that the coronavirus infection aggravates the course of asthenic syndrome in patients with acute ischemic stroke, has a long-term effect on the recovery process, remains relevant in the post-COVID period, and is accompanied by anxiety and vegetative disorders. Organic symptomatic asthenia largely determines the course of the pathological process, affecting the general condition, performance, social adaptation and, as a result, the quality of life of the patient.