Multi-day telemonitoring of ECG in 12 leads

In the routine clinical practice of cardiologists, the method of Holter ECG monitoring (syn. 24-hour ECG monitoring) is widely used, which at the time of its appearance became a breakthrough in the diagnosis of cardiac arrhythmias and

What is the advantage of multi-day ECG monitoring over Holter monitoring, and for what diagnostic purposes is it intended? Let’s find out!

The need for long-term ECG monitoring is primarily due to the presence of rare (1-2 times a week or less) arrhythmic events or clinically significant symptoms (fainting or palpitations) in a number of patients. Whereas the Holter monitoring method will not allow recording these events.

The longer the observation time, the more data is recorded and the more complete the picture is formed in the conclusion. In addition, long-term ECG monitoring allows you to safely select the optimal antiarrhythmic and anti-ischemic therapy for patients.

What is the difference

Now let’s talk about the fundamental differences between these two diagnostic methods.

1. Registrar

This is a device that the patient always carries with him during the examination. The size of the recorder for multi-day ECG monitoring is close to a box of matches, and its weight is less than 30 grams. This allows you to wear it for a long time without problems.

Unlike the Holter recorder with its large number of wires, the recorder for long-term ECG monitoring has only one cable and is attached to the front surface of the chest with Velcro. Thus, the device is practically invisible and does not create any discomfort to the patient.

2. Data transfer method

In the case of Holter monitoring, data are transmitted only after the end of the study and the removal of the recorder from the patient. With multi-day ECG telemonitoring, data transmission goes in parallel with the examination. So the doctor can monitor the patient’s condition almost online and give recommendations.

3. Efficiency of data decryption

Another important advantage of the method of multi-day ECG monitoring. The result is ready almost immediately after the end of the study (sent to the patient by e-mail). There are also no restrictions on the territory of the survey, since the data is transmitted via the Internet.

Number of leads

Some attentive readers will ask: “What is the significance of the number of leads in the registrar?”.

Simply put, leads are the number of Velcro wires connected to the recorder. The smaller they are, the easier it is to carry the device.

However, it is the presence of 12 leads (as with a standard ECG) that makes it possible to compare these studies and, most importantly, to more accurately detect ischemia and determine the localization of ventricular arrhythmias. This feature gives the method an advantage over loop ECG recorders (a device implanted under the skin for long-term ECG recording).

Options for carrying out and indications

There are several options for long-term ECG monitoring:

The study is carried out during the time planned in advance (2, 3, 5 days, etc.).
Study “before the event”, that is, before the appearance of clinically significant symptoms (fainting, palpitations, etc.).
For patients with suspected or existing coronary heart disease (CHD), the multi-day ECG telemonitoring method will be useful in the following cases:

Suspicion of vasospastic angina

Presence of rest angina and absence of ischemic changes on rest ECG and Holter ECG monitoring
To detect episodes of painless ischemia in patients with coronary artery disease (this affects the prognosis of the disease)
To assess the effectiveness of ongoing anti-ischemic therapy for the most accurate selection of the dose of the drug
Among other indications, we would like to pay special attention to the diagnosis of congenital long QT syndrome (QTQT).

The QT interval on the electrocardiogram is the same vital indicator of the human body as the pulse rate or respiratory rate. But we ourselves, unfortunately, cannot measure it, even using smart watches. Its duration is inversely related to the pulse rate, therefore, for convenience and comparison, the so-called “corrected QT” is calculated.

Both lengthening and shortening of this interval is dangerous, since all this can become a prerequisite for the development of dangerous arrhythmias.

SUIQT is a relatively common congenital disease (1:2000-1:2500), which is characterized by the development of life-threatening ventricular arrhythmias. And paradoxically, SQT does not always manifest as QT prolongation on the resting ECG.

It is the method of long-term ECG monitoring that makes it possible to obtain not only a detailed assessment of the duration of the interval for the entire observation time, but also additional calculated indicators (“QT-dynamics”) that facilitate the diagnosis of this disease, as well as predicting the risk of developing ventricular arrhythmias based on an assessment of the heterogeneity of electrical processes in the ventricular myocardium in patients without SUIQT.

This method will also be useful for patients with dilated and hypertrophic cardiomyopathies, sinus node dysfunction, Brugada syndrome, primary pulmonary hypertension, etc.

In conclusion, we can say that the method of multi-day ECG telemonitoring is the next evolutionary stage in the development of the method of long-term ECG recording after Holter monitoring. Its use makes it possible both to facilitate the data collection procedure itself and to obtain more valuable information about the operation of the electrical system of the heart.

Does blue light hurt your eyes?

There is a myth in the media that the screens of computers and smartphones emit waves of blue light, which supposedly “spoil the eyes.” And companies that sell glasses to block harmful blue light and make money on this.

Light waves in the blue color spectrum are a natural part of the sun’s radiation, although excessive exposure to it, along with the sun’s ultraviolet rays, can increase the risk of eye diseases. But the small amount of blue light from computer screens has not been proven to harm the eyes. Blue light can interfere with sleep if you look at a monitor screen or smartphone right before bed.

Some people develop symptoms of eye strain. This is due to glare on the screen, fuzzy images, poor lighting and the fact that while working at the computer, a person blinks less often. The so-called computer vision syndrome develops: eye fatigue, blurred vision, headache, pain in the neck and shoulders. This is the wording used by the American Optometric Association, but this condition does not exist in the International Classification of Diseases.

This eye strain is no different from symptoms that may occur when reading, writing or sewing for a long time. And according to one theory, stress and probably increases the tendency to myopia. According to experts from the American Academy of Ophthalmology, eye fatigue occurs with any work that requires concentration: if you drive a car or read for many hours in a row, the effect will be the same.

How to relieve eye strain
Here are some tips on how to relieve eye strain at the computer:

• do not forget to blink;
• Use artificial tear drops to refresh your eyes when they seem dry. Or turn on the humidifier in a dry, warm room;
• take regular breaks and look away from the computer;
• keep the screen as bright as lighting in a room;
• get rid of glare – use a matte screen filter;
• sit at least at arm’s length from the screen.

How can you help your body clear your lungs after you quit smoking?

How can you help your body clear your lungs after you quit smoking and use theraflu forte?

A huge number of cigarettes are smoked in the world every day, which means that all these people poison their bodies every day. Now the harm of smoking and tobacco smoke is obvious and scientifically proven. Because of this bad habit, the human lungs suffer from entering them in a large amount of harmful and toxic substances saturated with resins. Penetrating into the respiratory tract with smoke, it all affects your trachea and bronchi. This contributes to the fact that your lungs simply do not have time or can no longer be effectively cleansed of the poison, since the “cilia” responsible for this practically lose their motor functions. Subsequently, the lungs begin to fill with phlegm, which is extremely difficult to get rid of, and this is extremely dangerous, since places of inflammation begin to form and coughing becomes an integral part of a smoker’s life. Therefore, it is impossible to cope with the task of cleaning the lungs immediately or in a few days. However, it is still necessary to help your body in this. But how to do that? In this article, we will look at how to effectively help the lungs clear of all harmful substances in the minimum amount of time. To start, of course, is to quit smoking. And this must be done completely: There will be no benefit from cleansing the lungs if you continue to smoke at least sometimes. After that, we recommend that you contact a specialist who will examine you and draw a conclusion about your state of health. This step is important because not only your lungs need to be treated, but also all organs affected by smoking. Only by doing everything comprehensively, you will achieve the result in less time. Drink more water. As you know, water helps to cleanse many

closeup of woman smoking electronic cigarette outdoor

toxic substances from our body, and it also helps to normalize the functioning of the gastrointestinal tract, kidneys, liver and other internal organs. Therefore, try to drink at least 2 liters of water per day. By the way, it will also help to restore the skin to its normal state. Sport is the head of everything! And in this case too. The simplest and most effective action is running. It will improve ventilation of the lung tissue. However, it is important to remember that everything is fine in moderation and you need to start with a small load gradually, as far as possible, increase the distance and / or pace. In addition, watch your breathing: try to keep it even, and visiting a coniferous forest will have a beneficial effect on the condition of your lungs, since such air contains a large content of phytoncides needed for purification. Nutrition is another key to making rapid progress in cleansing your lungs. Try to consume adequate amounts of protein and a variety of vitamins. Proper nutrition will help the internal organs begin to function normally and thereby more effectively cleanse the body of harmful substances that came with tobacco smoke. In order to quickly remove toxic substances from the body by all possible means, it is recommended to visit a bath or sauna. This will open the pores on the skin – the largest surface of our body that removes harmful substances. This procedure can be supplemented with a kind of inhalation – there are many different essential oils for baths and we recommend using them with a pine scent. However, in any case, before using these methods, we recommend that you visit a specialist who will help you choose a complex for detoxification of the body more individually.

Dandruff: treat, not flush

Unattractive and embarrassing white flakes on your hair, collar and shoulders make you look unkempt, even if you are dressed neatly and fashionably.

This dandruff is a mild form of seborrheic dermatitis. According to WHO, it periodically affects up to 70% of people. The appearance of dandruff provoke many factors – from metabolic disorders to hereditary predisposition. Special products help to remove it, for example:

What is dandruff
The medical name – “pityriasis”, from Latin it is translated as “bran”. This is a pathology caused by sloughing of dead cells of the epithelium – the outer layer of the dermis of the scalp. As a result, the dead skin particles are intensively peeling off over a long period of time. The symptom is caused by a failure in the process of renewal and exfoliation of the cells of the horny layer of the skin.

Dandruff is not an independent disease, its appearance is caused by various pathologies. The condition is often accompanied by severe itching of the scalp. The hair itself becomes either dull and dry or oily, depending on the type of dandruff.

Causes of dandruff
Renewal of the epithelium normally occurs every 28 days. If during renewal keratinocytes (the main cells of the upper layer of the skin) began to grow faster, it contributes to the appearance of dandruff. The culprit is the fungus Malassezia Furfur, which is considered an acceptable microflora of the epidermis and does not show itself in healthy conditions.

The fungal culture becomes active when favorable situations for it appear:

Hormonal surges: puberty, pregnancy, menopause;
improper hair care: aggressive coloring, unsuitable shampoo, perm, frequent use of irons and hot dryers;
neglecting the headwear in the cold season and excessive warming (wearing a hat indoors);
diseases: pathologies of the gastrointestinal tract, bronchopulmonary system, disorders of the sebaceous glands;
Stresses, reduced immunity and violation of the principles of proper nutrition.
When the fungus “wakes up”, the development cycle of the cells of the epidermis changes. They die before they have time to pass it. Thus scales are formed. By the way, dandruff does not necessarily appear on the entire head, sometimes the fungus is activated only on one part of it.

Depression throughout life

Many people use the word “depression” to describe a bad mood, sadness, or just to say that they are not in the mood. When a professional uses the word “depression,” he or she is referring to clinical depression – major depressive disorder (MDD). Sometimes the doctor prescribes in this case.

Major Depressive Disorder (MDD): a condition in which feelings of sadness are much more intense than usual and last longer than usual. There is also a loss of interest and pleasure.

People suffering from depression have difficulty functioning on a daily basis. Difficulties also occur at work. Very often they are not interested in the closeness of family and friends. They feel despair and feel worthless.

There are different types of depression of varying severity: postpartum depression, seasonal depression, mild depression, and clinical depression (MDD).
Depression can manifest as symptoms on both psychological and physical levels.

Symptoms of depression
Symptoms of depression are individual and manifest differently in each person. Not all of the symptoms below need to be present in depression. There are also additional symptoms,

not listed below, that may be present with depression.
Decline in mood.
Loss of pleasure.
Obsessive preoccupation with guilt and self-deprecation.
Feelings of helplessness, despair and self-loathing.
Deterioration of memo

ry and ability to concentrate.

Removal from social activity.
Problems in the sexual sphere.
Disturbed sleep.
Decreased or increased appetite.
Thoughts of death or suicide.

Various physical symptoms such as fatigue, apathy, headaches and digestive problems.

In certain cases, delusions and/or hallucinations (usually auditory hallucinations) may be present.

Risk factors for depression
In most cases, it is not one single cause that leads to depression, but a combination of several causes.
The following are reasons that increase the risk of depression:
Early trauma, such as abuse, separation or neglect.
Deteriorating physical condition.
Chronic pain due to injury, accident, or illness.
Breakups and losses.
Post-traumatic stress disorder or its complications.
Old age or widowhood, especially among men.
Previous mental disorders.
Adaptive reactions to changes in status, place of residence, especially in people with an addictive personality.
Various physical ailments, such as Parkinson’s and fibromyalgia.

The thoughts of a person suffering from depression can be gloomy and unpleasant, accompanied by feelings of failure, low self-esteem and despair. These thoughts and feelings are accompanied by anxiety and decreased functioning – regarding the expectations of others, or his own.
Still, the good news is that there is something to do and someone to turn to.

Cough. Cough Aid Aprinol

If this is the case, the following will help you Aprinol ambroxol
If this is the case, the following
will help you Aprinol ambroxol

Cough is an unconditioned reflex act occurring in response to irritation of specific receptors and manifested by forced exhalation after a period of tension of the respiratory muscles. The symptom is usually caused by diseases of the respiratory system, but can develop during inhalation of toxic substances, ingestion of foreign bodies, congestion in the lungs. To identify the cause of cough, X-rays, spirometry, fibrobronchoscopy, and laboratory tests are performed. Anticough and expectorants, mucolytic agents are used for relief of symptoms. The act of coughing is a complex reflex defense mechanism that is necessary to clear foreign bodies, toxins, and excess mucus from the airways. If this is the case, the following will help you Aprinol ambroxol

General characteristics

A cough is a forced exhalation through the mouth with characteristic sounds. It is often preceded by a feeling of farting or scratching in the throat, tightness in the chest. In most cases, the act of coughing is accompanied by chest pain. The cough may end with the secretion of yellow-green, “rusty”, vitreous and other varieties of sputum, typical for certain diseases. With prolonged cough attack sometimes reflexive vomiting, blue nasolabial triangle due to hypoxia are possible.

More often, the cough occurs against a background of other symptoms of the respiratory system: pain in the throat, chest, nasal congestion. When the vocal apparatus is involved, the symptom is combined with hoarseness of the voice up to aphonia. In severe diseases, coughing jolts may follow one after another without a break, which is called cough reprise. If a patient has a persistent cough, especially with purulent or bloody sputum and general disturbances, this is a direct indication for a visit to a pulmonologist.

Development Mechanism

The cough reflex begins at irritant receptors in the larynx and tracheobronchial tree, which are innervated by fibers of the vagus nerve. The most sensitive to external influences are the vocal cords, the epiglottis, and the zone of bifurcation of the trachea into the bronchi. Receptors respond to ingestion of mucus, chemicals, contaminants, and large foreign bodies.

Excitation from the irritant nerve endings is directed to the cough center, located in the medulla oblongata, and to neurons of the reticular formation. These structures are responsible for the coordinated work of all muscle groups involved in the act of coughing. The first phase of the reflex includes a deep short breath lasting about 2-3 s, which is accompanied by spasm of muscles of larynx and vocal slit, increase of tone of bronchial musculature. Intrathoracic pressure can reach 140 mm Hg.

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If this is the case, the following will help you Aprinol ambroxol

This is followed by sharp contraction of abdominal muscles, diaphragm to overcome increased resistance with rapid exhalation through the mouth. Airflow rate during coughing reaches 50-120 m/s, which is 25-30 times higher than during quiet breathing. Together with a stream of air, droplets of mucus, dust, foreign particles are removed from the bronchopulmonary system. A single coughing act ends with a forced exhalation, but with excessive irritation of the receptors the reflex can be repeated many times.

In the lung parenchyma itself there are no sensitive nerve endings, so in primary lung lesions the cough indicates the progression of the disease, involvement in the pathological process of the bronchi or pleura. The cough reflex can also form with cardiac pathology, which contributes to increased pressure in the pulmonary vascular system. This leads to the release of the liquid part of the blood into the alveoli and interstitial tissue, which ends in irritation of the receptors, an intense cough, intensifying in a horizontal position.


Cough is not a specific sign of any disease, but its diagnostic value increases when specific features of the symptom are identified. Classification is based on the presence or absence of sputum, timbre, frequency, duration, and frequency of occurrence during the day. The most common and important for diagnosis is the allocation of varieties of the coughing act depending on the presence of secretion:

Dry cough. It is not accompanied by secretion from the airways. The appearance of the symptom is observed in the initial stage of bronchitis, pneumonia, when the inflammatory process is localized in the larynx or trachea. The attack may occur when the pleura is affected, the mediastinum, compression of the airways by volumetric formations, fibrosing processes in the lungs.
Moist cough. Always ends with sputum, which may be of varying color, viscosity, and odor. Purulent sputum is more typical for inflammatory diseases of the airways, “vitreous” – for an attack of bronchial asthma. The presence of streaks of blood can indicate neoplasms in the lungs, pathology of the cardiovascular system.
There is a classification according to loudness and timbre, there is a “barking” cough, characteristic of laryngitis, false croup in children, deaf weakened in chronic obstructive bronchitis, silent, indicating the destruction of the vocal cords. In a separate category are allocated bitonal cough, in which sounds an additional high tone, most often indicating the development of tumorous bronchoadenitis in childhood.

In diagnostic terms, it is important to classify the symptom according to the time of manifestation: morning cough is more often identified in smokers and asthmatics, night attacks are pathognomonic for tuberculosis and cardiac asthma. In inflammation of the respiratory tract there is no association of the symptom with the time of day. According to the mechanism of formation of the symptom, a central (neurotic) cough is associated with direct excitation of reflex zones in the brain at neurosis, and reflex cough, caused by irritation of nerve endings of the respiratory organs, upper sections of the esophagus.


If this is the case, the following will help you Aprinol ambroxol
If this is the case, the following will help you Aprinol ambroxol

The most common causes of cough are diseases of the respiratory system, so a pulmonologist is responsible for organizing the examination. To make a diagnosis it is necessary to use a set of instrumental methods and laboratory tests, which are aimed at detecting morphofunctional disorders and signs of pathological processes. The greatest diagnostic value are:

Examination of the ENT organs. Rhinoscopy, pharyngoscopy and laryngoscopy are prescribed to visualize the mucosa of the upper respiratory system. During the search for the cause of the symptom, attention is paid to inflammatory tissue changes, volumetric formations the nature and amount of sputum on the walls of the organs. A swab is taken from the pharynx for bacterioscopy.
Sputum analysis. Microscopic and bacteriological examination of the discharge helps establish the etiology of the disease. With prolonged dry cough it is necessary to exclude infection with Koch’s bacillus, for which sputum culture on special nutrient media is carried out. If necessary, the study is supplemented by express methods of detecting tuberculosis.
Radiological methods. Radiography is recognized as the “gold standard” for the diagnosis of pneumonia as the main cause of cough. X-rays are informative when bronchial involvement and mediastinal structures are affected, which are often accompanied by cough. X-rays are performed in two projections. Computed tomography is indicated for a detailed study of thoracic cavity structures.
Serologic reactions. Determination of blood antibodies to various viral and bacterial pathogens is necessary to verify the diagnosis. Modern laboratory methods are used – ELISA, RIF, PCR. Additionally, blood chemistry is performed to detect signs of acute inflammation, and changes in immunogram are indicated, if allergy is suspected.
Other instrumental methods. To visualize the structures of the bronchial tree, bronchoscopy is prescribed, during which biopsy of pathologically changed areas for cytomorphological analysis is possible. Contrast bronchography under local anesthesia is recommended for possible tumor neoplasms.
When respiratory causes of cough are excluded, additional diagnostic methods are used: contrast radiography of the esophagus, ECG, and ultrasound of the heart. To determine the degree of respiratory disorders, blood gas composition is determined. Spirography with estimation of basic indexes – volume of forced expiratory volume, vital capacity of lungs are performed for respiratory disorders. Some patients need consultation of immunologist-allergologist.


Help before diagnosis
To reduce the frequency of coughing episodes, patients are advised to avoid strong odors, sudden changes in air temperature, limit consumption of spicy foods and carbonated beverages. Plenty of warm drinking is recommended: teas, herbal kits, compotes from dried fruits. Gargling of the throat with antiseptic solutions and inhalation are used to cleanse the airways and stimulate phlegm production. Persistent cough, which lasts more than 2-3 days, accompanied by chest pain or shortness of breath, is an indication to seek medical attention and establish its cause.

Conservative therapy
Medical tactics depends on the underlying disease, the intensity and duration of cough paroxysms. With superficial coughing, soothing inhalations and gargles are sufficient, deep dry or wet cough requires the use of specific drug therapy. Treatment is supplemented by physical therapy methods, chest massage to facilitate expectoration of sputum. Taking into account the leading cause of cough, the doctor prescribes different groups of medications:

Mucolytics. Means liquefy sputum, improve its discharge during coughing episodes. Drugs provide sanation of the bronchial tree and accelerate recovery. As a rule, they are combined with expectorants for mutual enhancement of pharmacological effects.
Antibiotics. Drugs with antibacterial action are taken with purulent inflammatory processes in the bronchial tree and lungs. The most effective are considered beta-lactams, macrolides. In severe acute respiratory infections, antiviral agents are needed.
Antituberculosis drugs. To treat tuberculosis, there are separate drug regimens that include at least 3 drugs. Vitamins and immunomodulators are prescribed to reduce side effects.
Bronchodilators. Beta-adrenomimetics, theophylline are indicated for cough paroxysms that are caused by reversible or irreversible bronchial constriction. In severe obstruction, glucocorticosteroids are administered by inhalation.
Anti-allergic. The most commonly used drugs are drugs from the group of H1-histamine receptor blockers, mast cell membrane stabilizers, and leukotriene inhibitors. In severe bronchial asthma, hormonal agents are used.

To prevent a recurrence of the cough, you need to dress warmly. Find quality, warm clothing here:

Cautious use of promethazine

Interaction of promethazine with other medicinal products

Cautious use of promethazine

β-Adrenoblockers – increased (reciprocal) plasma concentrations, severe arterial hypotension, arrhythmias, irreversible retinopathy, tardive dyskinesia. Analgesics, sleeping pills, tranquilizers, neuroleptics, anesthetics, local anesthetics, m-cholinoblockers, hypotensive agents, other respiratory depressants – increased effects, requires dose adjustment. Barbiturates – acceleration of elimination and reduction of promethazine activity. Bromocriptine – weakening of its effects, increased serum prolactin concentration. Hepatotoxic agents – increase in hepatotoxicity. MAO inhibitors (simultaneous use is not recommended), phenothiazine derivatives – increased risk of arterial hypotension and extrapyramidal disorders. Ototoxic agents – increasing ototoxicity. Amphetamine derivatives, m-cholinomimetics, anticholinesterase drugs, ephedrine, guanethidine, levodopa, dopamine – weakening of their action. Riboflavin – it is necessary to increase its dose. Appetite suppressants – reduction of anorexigenic effect. Tricyclic antidepressants, anticholinergic agents – increase m-cholinoblocking activity. Quinidine – increased likelihood of cardiodepressant action. Epinephrine – blockade of α-adrenergic effect, risk of serious hypotension. Ethanol, clonidine, anticonvulsants – increased CNS depression.

Special indications

Cautious use of promethazine

Impaired platelet aggregation has occurred in neonates whose mothers have taken promethazine. Systematic general blood tests and control of liver function parameters are recommended during long-term treatment. Alcohol should be avoided during treatment. Use with caution in children with acute or chronic respiratory diseases as promethazine suppresses the cough reflex. It is not recommended for use in children to stop episodic vomiting of unspecified genesis. The use of promethazine in combination with opioid analgesics and tranquilizers for complex preoperative preparation of patients is possible only under strict medical supervision. During long-term treatment it is recommended to perform systematic general blood analysis and control of liver function parameters. The solution is not intended for intravenous and percutaneous administration. Some dosage forms of promethazine contain sodium metabisulfite, which may cause allergic reactions including anaphylactoid and asthmatic reactions. To prevent distorted results of skin scarification tests for allergens, it is necessary to cancel 72 h before allergy testing. False-positive pregnancy test results may occur during treatment. May suppress cough reflex, so caution is necessary in patients (especially children) with exacerbation of chronic respiratory diseases.
Caution is necessary when using in patients with liver dysfunction, cardiovascular system diseases and suppression of medullary hematopoiesis. In the elderly, caution is required when parenteral administration of high doses because extrapyramidal disorders and acute urinary retention are possible. As an antiemetic it should be used only in case of prolonged vomiting of known etiology. Caffeine administration is recommended to prevent CNS depression. Long-term use increases the risk of dental disease (caries, periodontitis, candidiasis) due to reduced salivation. May mask the ototoxic effect (tinnitus and dizziness) of co-administered drugs. Increases the need for riboflavin.
Do not use for drivers of vehicles and other persons whose occupation requires high concentration of attention (especially at the beginning of treatment).

Factors of psychological health impairment

Conditionally, all factors can be divided into 2 groups:

  1. External (environmental) – various negative impacts and negative relationships between a person and others. Violation of relationships in the family, at school, at work, etc. Negative relationships between children and their parents can lead not only to underdevelopment, but also to various emotional disorders.
  2. Internal – the impact of the disturbed part of the psyche on the healthy part. For example, an emotional disorder affects the cognitive area of the personality and reduces the ability to communicate. The violation of the emotional sphere interferes with the free interaction of the personality with the surrounding world, leads to deviations in personal development, and causes the appearance of somatic disorders.
Factors of psychological health impairment

Among the emotional development disorders in childhood and adolescence, anxiety, fears, aggressiveness, and isolation take the first place.

The main function of psychological health is to maintain an active dynamic balance between a person and the environment in situations that require the mobilization of personal resources. The key word to describe psychological health is the word “harmony” or otherwise “balance. First of all, it is harmony between different aspects of the person: emotional and intellectual, bodily and mental. In addition, it is also harmony between a person and others.

Factors of psychological health impairment

What is the secret of harmony of inner state and external success? The secret is that there is an equality of achievements in 3 important spheres of life: WORK, FAMILY, PERSONALITY. Which of the spheres are you in more often? Perhaps, the FAMILY is relevant for you now, and your thoughts are more occupied with family concerns. Or the WORK is important for you and you spend most of your time at work. And there is also a small group of people who are engaged in their Personality (hobby, communication with friends, the formation of new skills, such as learning a foreign language or improving their computer skills).

Ideally it is a balance of equal achievements in 3 areas. An area that is undeveloped (neglected) is the problematic space of your personality. Each of the 3 spheres is responsible for different but equally important questions in our lives, when a sphere is left unattended, these questions also remain unattended. For example, the lack of attention to the sphere of Personality leads to the issues of rest/hobby, which are responsible for the release from negative emotions. This results in chronic fatigue syndrome.

What is psychological health?

Psychological health is a prerequisite for the full development of a person. “The body does not fall ill separately and independently of the soul” (Socrates). Physical health and psychological health are interconnected. Thoughts and emotional reactions affect physical health. Strong emotions (fear, anger, grief) – especially if they are displaced and suppressed – can cause psychosomatic diseases. Physical health (good nutrition, exercise, breathing, sleep) affects our spiritual and emotional life.

Psychological health – a state of spiritual well-being (comfort), an adequate attitude to the world around us, the absence of painful mental phenomena (phobias, neurosis).

Model of psychological health

What is psychological health?

The system of 5 components:

  1. Axiological (self-relationship) component assumes a person’s awareness of his or her value and uniqueness, as well as the value and uniqueness of others. An individual’s acceptance of himself with sufficient knowledge of himself, as well as the acceptance of others. Fully accepts himself and at the same time recognizes the value and uniqueness of people around him.
  2. The instrumental component implies the possession of reflexion as a means of self-knowledge, the ability to concentrate consciousness on oneself, on one’s inner world and one’s place in relationships with others.
  3. The need – motivational component determines whether a person has a need for self-development, i.e., self-change and personal growth. A person takes full responsibility for his life.
  4. The development component assumes dynamics in mental, personal, social and physical development. It does not create prerequisites for psychosomatic diseases. A person is in constant development and contributes to the development of other people.
  5. The social and cultural component determines a person’s ability to act successfully and develop in the social and cultural environment around him/her. Ability to understand and interact with people.
What is psychological health?

It is clear that the presented image of “psychological health” can be regarded as a model, but children mostly have certain deviations.

Criteria of psychological health:

  • positive sense of self (positive emotional background of mood)
  • high reflexion
  • age-critical success
  • social adaptation (ability to adapt to changing conditions)

Psychologically healthy person: not afraid when there are no real grounds for it; not afraid to take responsibility for their actions; prefers to think for himself.

Fasting Blood Sugar

A fasting blood sugar (FBS) is a test that measures the amount of sugar in your blood. Fasting means you have not had food or drink for at least 8 hours. This test may be called a fasting blood glucose. Glucose is the simplest form of sugar and is the main source of energy for your body.

Why do I need it?

FBS Denis Slinkin

If you have symptoms that suggest diabetes (di-uh-b-tees) mellitus (mel-i-tus), a fasting blood sugar may be done. The results of this test can tell if you have diabetes mellitus or need further testing. For more information, ask your caregiver for the CareNotes™ handout about Diabetes Mellitus. If you have diabetes mellitus, sometimes fast blood sugar is done to see if your sugar control is what it should be. Doctors Slinkin PhD says the following symptoms are reasons your caregiver may want you to have this test:

  • Blurred vision.
  • Excessive hunger.
  • Excessive thirst.
  • Excessive urination.
  • Unexplained weight loss.
  • Difficulty with wound healing

How do I get ready for the test?

Your caregivers will tell you when to have your blood test done. Do not eat or drink anything, except water, for at least 8 hours before the test. Doctor Sazonoff and Slinkin ask your caregivers if you should wait to take your medicines until after your blood is taken.

How is the specimen collected?

A caregiver will put a wide rubber strap around your arm and tighten it. Your skin will be cleaned with alcohol. A small needle attached to a special test tube will be put into a vein in your arm or hand. The tube has suction to pull the blood into it. When the tube is full, the rubber strap, needle and tube are removed. The caregiver will press a piece of cotton where the needle was removed. You may be asked to hold the cotton on the site for a few minutes to help stop the bleeding. Tape may then be put over the cotton on your arm.

What do I do after the test?

You may remove the tape and cotton in about 20 to 30 minutes after FBS test. Call your caregiver to get the results of your test. Your caregiver will explain what your test results mean for you. Follow the instructions of your caregiver.

Care Agreement

You have the right to help plan your care. To help with this plan, you must learn about your lab tests. You can then discuss the results with your caregivers. Work with them to decide what care may be used to treat you. You always have the right to refuse treatment.

Further information

Denis insists that you need to consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.