RU2143219C1 - Method for estimating health, adaptation or stressed adaptation state in children - Google Patents

Abstract

FIELD: medicine. SUBSTANCE: method involves measuring common use linear and circumferential sizes of body, arterial blood pressure on the right and left side as well as temperature and electrocardiogram intervals that are transformed into symmetry values according to wurf (W) and gold section (S) formulas W=(a+b)(b+c)/b/(a+b+c), S=X/(X+Y). The S and W values are equal to 0.618 and 1.309 in healthy and quiet state organism. Deviations from the mentioned constant values to the right or to the left being observed, deviation percent is to be calculated with + sign when greater than the constant value or - sign when less than the constant value and it is considered to be diagnostic criterium of adaptation and stressed adaptation state in locomotor, cardiovascular and respiration system. Temperature value is stiff constant which deviation limit is restricted to minimum. EFFECT: enhanced effectiveness in acquiring data within the framework of children population health and development monitoring.

Description

 The invention relates to medicine, in particular to methods for assessing the state of a developing organism of a child: health, adaptation and state of intense adaptation.

 In pediatrics, there is a way to assess children's health according to six criteria with the allocation of 5 health groups (methodical recommendation "Organization of the work of the local pediatrician of a city clinic" (1984)). However, this method does not allow the quantitative expression of health, adaptation, assessment of symmetry-asymmetry (stability-instability) of the functioning of various body systems.

 When analyzing the sources of patent and scientific and medical information available to applicants, it was found that the proposed methods for assessing health, adaptation and resistance are laborious, require special equipment, do not allow to quickly determine the level of functioning of a particular body system, health, adaptation and do not have quantitative characteristics determined states. (SU 1313428 A1, A 61 B 5/00, SU 1380725 A1, A 61 B 5/00, SU 1410938 A1, A 61 B 5/00, SU 1482654 A1, A 61 B 5/00).

 The aim of the present invention is the determination of informative quantitative criteria for health, adaptation and state of stressful adaptation in a developing organism according to the main systems: musculoskeletal, respiratory, cardiovascular.

 The essence of the proposed method is the conversion of publicly available measurements of linear and circumferential dimensions of the child’s body, blood pressure on the right and left, as well as the temperature and intervals of the electrocardiogram into numerical values of symmetry according to the "golden section" (S) and "wurf" (W) formulas.

 The method is based on the fundamental laws of development of all living things, including man, on the basis of the fundamental principle of symmetry-asymmetry. The numerical expression of symmetry is determined by the proportions of the "golden section" and "wurf", which in a healthy body at rest are constant and equal to 0.618 and 1.309, respectively.

New significant differences in the method are:
1. Definition of diagnostic quantitative criteria for health, adaptation, state of intense adaptation in the developing body of the child.

 2. Donosological diagnosis of a child’s health status.

 3. Simplicity and accessibility of measurements of linear and circumferential body sizes, blood pressure, temperature, electrocardiography.

 4. The ability to conduct screening examinations in organized groups and the creation of a data bank with the aim of further monitoring the development of the child.

 The essence of the proposed method is disclosed in determining the numerical indicators of symmetry-asymmetry according to the "golden section" and "wurf" formulas, calculating the percentage of deviation from the S and W constants, which is a diagnostic criterion for adaptation and the state of intense adaptation in the musculoskeletal, respiratory, cardiovascular systems. The temperature indicator is a “hard constant”, the deviation limit of which in a healthy body is minimally limited.

Положительный корень данного уравнения:

Отношения в приведенной пропорции равны:

Каждое такое деление (точкой C) Пифагор назвал "золотым делением" или "золотой пропорцией", а Леонардо да Винчи - общепринятым сейчас термином "золотое сечение".The regularities of the relationship between the private and the whole in two segments of the same line revealed by Pythagoras are expressed in the fact that the unit-length segment AB can be divided into two parts so that the ratio of the larger part (AC = X) to the smaller (CB = 1 - X) will be equal to the ratio of everything segment (AB = 1) to most (AC):

The positive root of this equation:

Relations in the given proportion are equal to:

Pythagoras called each such division (point C) a "golden division" or "golden proportion", and Leonardo da Vinci - now the generally accepted term "golden section".

т.е.As a result of the above transformations, we obtain:

those.

Возвратный ряд, любой член которого равен сумме двух предшествующих ему членов, с инвариантом Ф, назван числами Фибоначчи по имени открывшего их автора, итальянского математика XII века. Первыми членами ряда Фибоначчи являются числа:
1, 1, 2, 3, 5, 8, 13, 21, 34, 55, 89, 114, 237, 377...

A return series, any member of which is equal to the sum of the two members preceding it, with the invariant Ф, is called Fibonacci numbers by the name of the author of the 12th century Italian mathematician who discovered them. The first members of the Fibonacci series are numbers:
1, 1, 2, 3, 5, 8, 13, 21, 34, 55, 89, 114, 237, 377 ...

"Золотое сечение" и числа Фибоначчи оказываются связанными между собой и отражают в числовой мере функциональные законы естествознания. Анализируя связи между длинами в трехчленных блоках тела. С.В.Петухов (1988) показал, что их геометрические пропорции выражаются так называемым "золотым вурфом", т.е. двойным отношением четырех точек прямой линии ABCD:

Предельное значение

В результате проведенных преобразований формула принимает вид:

Способ осуществляется следующим образом:
Для определения исходного состояния организма ребенка необходима оценка в состоянии покоя морфофункционального состояния "гибких" систем (опорно-двигательной, дыхательной, сердечно-сосудистой) и "жесткой" константы (температуры, которая отражает состояние организма в целом) в проявлениях симметрии по признаку "золотого сечения" и "вурфа":
1. Для оценки опорно-двигательной системы рассчитываются:
W1, где a - верхний отрезок, b - туловищный отрезок, c - нижний отрезок;
W2, где a - длина бедра, b - длина голени, c - длина стопы;
W3, где a - окружность бедра, b - окружность голени, c - окружность лодыжки;
W4, где a - длина плеча, b - длина предплечья, c - длина кисти;
W5, где a - окружность плеча, b - окружность предплечья, c - окружность запястья;
S1, где x - длина руки + окружность плеча, y - длина руки;
S2, где x-2 длины руки, y - длина руки + окружность плеча;
S3, где x-2 длины руки + окружность плеча, y - длина руки + окружность плеча;
S4, где x - нижний отрезок + туловищный отрезок + длина руки, y - туловищный отрезок + нижний отрезок;
S5, где x - длина руки, y - длина предплечья + длина кисти;
S6, где x - длина предплечья + длина кисти, y - длина предплечья;
S7, где x - нижний отрезок + туловищный отрезок y - нижний отрезок.

The Golden Ratio and Fibonacci numbers turn out to be interconnected and reflect numerically the functional laws of natural science. Analyzing the relationship between the lengths in the three-membered blocks of the body. S.V. Petukhov (1988) showed that their geometric proportions are expressed by the so-called "Golden Wurf", i.e. double ratio of four points of a straight line ABCD:

Limit value

As a result of the transformations, the formula takes the form:

The method is as follows:
To determine the initial state of the child’s body, it is necessary to assess at rest the morphofunctional state of “flexible” systems (musculoskeletal, respiratory, cardiovascular) and “hard” constants (temperature, which reflects the state of the organism as a whole) in the manifestations of symmetry based on the “golden” sections "and" wurf ":
1. To assess the musculoskeletal system are calculated:
W1, where a is the upper segment, b is the trunk segment, c is the lower segment;
W2, where a is the length of the thigh, b is the length of the lower leg, c is the length of the foot;
W3, where a is the circumference of the thigh, b is the circumference of the lower leg, c is the circumference of the ankle;
W4, where a is the length of the shoulder, b is the length of the forearm, c is the length of the hand;
W5, where a is the circumference of the shoulder, b is the circumference of the forearm, c is the circumference of the wrist;
S1, where x is the arm length + shoulder circumference, y is the arm length;
S2, where x-2 is arm length, y is arm length + shoulder circumference;
S3, where x-2 is arm length + shoulder circumference, y is arm length + shoulder circumference;
S4, where x is the lower segment + trunk segment + arm length, y is the trunk segment + lower segment;
S5, where x - arm length, y - forearm length + hand length;
S6, where x is the length of the forearm + the length of the hand, y is the length of the forearm;
S7, where x is the lower segment + trunk segment y is the lower segment.

 Measurements are carried out as follows: using a measuring tape, in a horizontal or vertical position of the child (on the couch), on the right and left.

- upper segment - the distance between the apical and upper sternal points;
- trunk segment - the distance between the upper sternal and pubic points;
- lower segment - the height of the trochanteric point above the floor;
- thigh length - the distance between the trochanteric and upper tibial internal points;
- shin length - the distance between the upper tibial and lower tibial internal points;
- foot length - the distance between the heel and end points;
- arm length - the distance between the shoulder and finger points;
- shoulder length - the distance between the shoulder and beam points;
- the length of the forearm is the distance between the radial and awl-shaped radial points;
- brush length - the distance between the styloid and finger points;
- circumference of the thigh, lower leg, shoulder, and forearm — the circumference of a circle measured in the middle third of the thigh, lower leg, shoulder, and forearm;
- ankle circumference - circumference measured at the level of the ankles;
- wrist circumference - the circumference measured under the styloid processes of the ulna and radius.

2. To evaluate the respiratory system, calculate:
W6, where a is the inspiration, b is the pause, c is the expiration;
S8, where x is a pause + inhalation + exhalation, y is a pause + exhalation.

 Inhale, pause and exhale correspond to the circumference of the chest at maximum inhalation, in pause, at maximum exhalation. When measuring, the child should be in a standing position with his arms down. The measuring tape is applied at the back under the lower corners of the blades with the arms laid aside. Then the hands are lowered and the tape is drawn in front along the midsternal point. In the puberty with well-developed mammary glands, a tape is applied over the sternum at the place where the skin passes from the chest to the gland.

3. To evaluate the cardiovascular system, the following is calculated:
W7, where a is systolic pressure, b is diastolic pressure, c is pulse pressure:
W8, where a is RR, b is electric systole, c is electric diastole;
S9, where x is systolic pressure + diastolic pressure, y is systolic pressure;
S10, where x is the electric systole + electric diastole, y is the electric systole.

 Blood pressure is measured on the right and left by the method of N.P. Korotkov. Recording of the electrocardiogram is carried out on a domestic electrocardiograph type "EK1T - 03M2" in 2 standard leads, where the calculated electric systole, electric diastole, interval R-R.

 4. To determine the symmetry of the temperature of the core of the body, which reflects the state of the body as a whole, calculate: W9, where a is the oral temperature, b is the rectal temperature, c is the temperature in the armpit.

 Temperature measurement is carried out using a medical thermometer in the armpit (right or left), in the oral cavity (behind the cheek) and in the rectum, each measurement lasting 10 minutes.

 The values of S and W in a healthy body at rest are constant and equal to 0.618 and 1.309, respectively. When deviating from the indicated constants, the percentage of deviation with the sign “+” (greater than a constant) or “-” (less than a constant) is calculated on the right and left.

 Deviation from symmetry in “wurf” indicators for “flexible” systems up to 3% (1,270 - 1,348) corresponds to the adaptation process, from 3% to 5% (1,244 - 1,270; 1,348 - 1,375) - to the state of intense adaptation.

 The deviation from symmetry in the “wurf” indicators of “hard” to 0.5% (1.303 - 1.316) reflects adaptation, from 0.5% to 1% (1.296 - 1.303, 1.316 - 1.322) - the state of intense adaptation.

 Deviation from symmetry in terms of the "golden ratio" for "flexible" systems up to 5% (0.587 - 0.649) corresponds to the adaptation process, from 5 to 7% (0.575 - 0.587; 0.649 - 0.661) - to the state of intense adaptation.

 To facilitate calculations by formulas, you can use a computer.

 Given the need for early prenosological diagnosis in children, it can be assumed that the proposed method for assessing health, adaptation and the state of intense adaptation will be used in organized children's groups for screening examinations and creating a data bank in order to further monitor the development of the child. This assumption is confirmed by observations of a group of socially unprotected children in the Children's Home and the Family Children's Home in the city of Penza (see table).

Conclusion:
The morphofunctional state of the musculoskeletal system as a whole according to the indicators of "wurf" (W2, W3, W4, W5) and the "golden section" (S2, S3, S4, S5, S6, S7) is assessed as being in adaptation.

 The functional state of the respiratory system according to the indicators of “wurf” (W6) and “golden section” (S8) is assessed as being in adaptation.

 The functional state of the cardiovascular system and the state of the body as a whole according to the indicators of “wurf” (W7, W8, W9) and the “golden section” (S9, S10) are assessed as being in a state of intense adaptation, which corresponds to homeoresis in a developing organism. On this basis, the child needs rehabilitation measures aimed at stabilizing hemodynamic parameters.

Claims (1)

 A method for assessing the condition of the musculoskeletal, cardiovascular and respiratory systems of a child by measuring the electrocardiogram, blood pressure, temperature, linear and circumferential body sizes, characterized in that the child determines the linear and circumferential body sizes on the right and left, chest circumference when inhaling , pause and exhale, temperature in the armpit of the right and left, in the oral cavity and in the rectum, record the electrocardiogram in the second standard lead, measure blood pressure on the right and left, determine divide the numerical symmetry indices according to the "golden section" (S) and "wurf" (W) formulas, which are constant in a healthy body at rest (S = 0.618, W = 1.309), calculate the percentage of deviations in symmetry from these constants, and at deviation of the “wurf” in the musculoskeletal, cardiovascular and respiratory systems up to 3% (1,270 - 1,348), the state is assessed as adaptation, from 3 to 5% (1,244 - 1,270; 1,348 - 1,375) - intense adaptation; the “wurf” deviation in temperature up to 0.5% (1.303 - 1.316) corresponds to the adaptation process, from 0.5 to 1% (1.296 - 1.303; 1.316 - 1.322) - to intense adaptation; deviation of the "golden section" in the musculoskeletal, cardiovascular and respiratory systems up to 5% (0.587 - 0.649) is estimated as adaptation, from 5 to 7% (0.575 - 0.587; 0.649 - 0.661) - intense adaptation.

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