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Biomedical subjects

K M Shipkova

Publications and source records attributed to K M Shipkova.

3 recordsLinked to original sources

[Prognostic criteria of speech rehabilitation in patients with sequelae after ischemic stroke].

Structural analysis concerning a complex of both neuropsychologic and clinical data of the patients with sequelae of ischemic stroke was performed. It was revealed, that a character of the local alterations of electric activity (EA) on EEG, testifying a functional state of cerebral structures, was an important prognostic criterion of the efficiency of neurorehabilitation. The local EA changes in form of groups of theta-waves and sharp waves of alpha- and theta-activities were prognostically favourable signs; meanwhile polymorphic slow-wave was unfavourable background for performing a restorative education. An analysis of the speech disorders revealed that both semantic and dynamic aphasias occur more frequently after ischemic stroke. A semantic aphasia was always accompanied by the dynamic one and each form may be both leading and secondary. It may be dependent on location of a focus (according to EEG) as well as on the character and manifestation of the accompanying neuropsychologic symptomatology.

Adolescent↗

[The effect of afferent subcortical conduction pathways on speech function status].

The combined analysis of neuropsychologic, electroencephalographic, and neurologic data as well as of the results of computerized and emission-computerized tomography in patients with ischemic stroke during the neurorehabilitation period made it possible to ascertain the correlation between the lesions of subcortical pathways and speech disorders. Besides the intracortical, the cortico-subcortical connections of the left associative cortex were demonstrated. The semantic aphasia was shown to be always associated with the dynamic aphasia; and each of these forms could be either primary or secondary depending on the lesion localization (from the EEG and neurophysiologic data). The incidence of local polymorphous delta and theta waves in the EEG is an unfavorable predictive sign for patients after ischemic stroke.

Adolescent↗

[Structural approach to presentation and analysis of neuropsychological information].

The paper outlines a universal scheme for presenting neuropsychological information for diagnosing, predicting, and classifying higher psychic dysfunctions by using the structural organization method involving the determination of key issues whose awareness is sufficient to make decisions. The proposed scheme has a number of benefits: neuropsychological syndromes which constitute a diagnosis form on automatic scheme completion; the scheme itself, including data and reasoning for evaluation of functions, is a base of knowledge for the expert system and may be useful in training young specialists; the specific features of information presentation allow one to successfully compare neuropsychological data with the evidence of other clinical studies.

Adolescent↗