2020 № 9 Organization of the orthopedic and neurological service in the practice of a gerontologist
Integrating neurological services into primary health care should be an important policy goal in both developing
and developed countries. Providing neurological care through primary health care requires significant investment in training
primary health care professionals to identify and treat neurological disorders. Such training should meet the specific practical needs of different groups of primary health care professionals, such as doctors, nurses, and community health workers.
Preferably, continuous training is necessary to provide follow-up support to strengthen new skills. In many countries, this is
not possible, and therefore suboptimal assistance is provided.
Purpose: to analyze the organization of orthopedic and neurological services in the practice of a gerontologist.
Methods: General clinical, neurological examination using diagnostic criteria of the DISEASE, PKP syndrome, 3-stage
scale of global Deterioration (Global Determination Scale – GDS) and Clinical Dementia Rating scale (clinical Dementia
Rating – CDR); neuroimaging methods – MRI/CT of the brain; quantitative EEG; experimental psychological examination:
MMSE test, coding subtest, special experimental psychological study using Schulte tables, tests for memorizing 10 words
and 8 numbers, Wechsler Memory Scale – Revised – WMS-R, spielberger-Hanin anxiety scale, geriatric Depression Scale;
discriminant analysis was used to predict the development of dementia.
Results: As a result of repeated studies, it was found that after three years in the group of patients with ART. II with PKP syndrome in 35.3%, dementia syndrome was diagnosed. Depending on the subtype of the PKP syndrome, dementia syndrome
was detected in 55% of patients with the amnesic subtype, in 34.8% – with multi – domain, in 15.8% – with non-amnesic.
The most vulnerable to the development of dementia were patients with the amnesic subtype of PKP syndrome.
Conclusion: Using discriminant analysis of testing data of patients WITH stage II diabetes with advanced age PKP syndrome, informative and independent predictors of dementia development were established, which were included in the
prognostic formula, namely, indicators of maximum reproduction of 10 words, coding subtest, complex verbal paired associations (short-term memory), visual reproduction (short-term memory), light verbal paired associations (long-term memory).
There was a significant increase in pronounced correlations between various cognitive indicators in the group of patients
with art. II WITH PKP syndrome in comparison with the groups of patients with ART. II without PKP syndrome, practically
healthy elderly and young people, which indicates the formation of a stable pathological state in the cognitive sphere in
patients with PKP syndrome.
As we can see, the activity of a gerontologist is often closely related to neurology, so we consider it necessary to point
out in conclusion the high efficiency of the neurology service based on a gerontologist.
2021 № 5 Modern methods of prevention of aging, antiage programs
u s t i f i c a t i o n : Aging is a natural process. Skin aging is the result of both internal aging due to the passage of time, and external aging – as a consequence of environmental damage, primarily due to ultraviolet (UV) radiation. Chronologically aged skin of the body has fine wrinkles, thin, relatively flattened, dry and unblemished with some loss of elasticity. It shows a General atrophy of the extracellular matrix, which is reflected in a decrease in the number of fibroblasts. In addition, the levels of collagen and elastin are reduced, and their organization is disrupted due to a decrease in the synthesis of collagen types I and III in the dermis and increased breakdown of extracellular matrix proteins. G o a l : to improve and analyze modern programs against skin aging.
M e t h o d s : the subjects performed the skin care procedure twice a day for 28 days. The face was divided along the midline, and Group 1 applied placebo cleanser and placebo moisturizer to the left side of the face and test cleanser and test moisturizer to the right side of the face. Group 2 applied a placebo cleanser and placebo moisturizer to the left side of the face and a positive control cleanser and a positive control moisturizer to the right side of the face. The parameters of TEWL hydration, degree of stretching, elasticity, skin recovery, depth, number and frequency of wrinkles were measured.
R e s u l t s : the study demonstrated that the new skin care system, which is suitable for use on sensitive skin, has a positive effect on several signs of aging, including skin hydration, skin elasticity and wrinkle size, without any side effects for 28 days. These parameters are expected to improve further in future use.