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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Pharmateca</journal-id><journal-title-group><journal-title xml:lang="en">Pharmateca</journal-title><trans-title-group xml:lang="ru"><trans-title>Фарматека</trans-title></trans-title-group></journal-title-group><issn publication-format="print">2073-4034</issn><issn publication-format="electronic">2414-9128</issn><publisher><publisher-name xml:lang="en">Bionika Media</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">296984</article-id><article-id pub-id-type="doi">10.18565/pharmateca.2019.3.14-19</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Articles</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Статьи</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Review of the American Congress of Rehabilitation Medicine (ACRM) clinical recommendations for the diagnosis and treatment of patients with chronic impairment of consciousness</article-title><trans-title-group xml:lang="ru"><trans-title>Обзор клинических рекомендаций Американского конгресса реабилитационной медицины (ACRM) по диагностике и лечению пациентов с хроническим нарушением сознания</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Belkin</surname><given-names>Vladimir A.</given-names></name><name xml:lang="ru"><surname>Белкин</surname><given-names>В. А</given-names></name></name-alternatives><bio xml:lang="en"><p>Senior Phisician at the Resuscitation Rehabilitation Department, Clinical Institute of Brain</p></bio><bio xml:lang="ru"><p>старший ординатор отделения реанимационной реабилитации</p></bio><email>vbelkin@neuro-ural.ru</email><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Clinical Institute of Brain, Ural State Medical University</institution></aff><aff><institution xml:lang="ru">Клинический институт мозга, Уральский государственный медицинский университет</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2019-03-15" publication-format="electronic"><day>15</day><month>03</month><year>2019</year></pub-date><volume>26</volume><issue>3</issue><issue-title xml:lang="en">VOL 26, NO3 (2019)</issue-title><issue-title xml:lang="ru">ТОМ 26, №3 (2019)</issue-title><fpage>14</fpage><lpage>19</lpage><history><date date-type="received" iso-8601-date="2023-02-28"><day>28</day><month>02</month><year>2023</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2019, Bionika Media</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2019, ООО «Бионика Медиа»</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="en">Bionika Media</copyright-holder><copyright-holder xml:lang="ru">ООО «Бионика Медиа»</copyright-holder></permissions><self-uri xlink:href="https://journals.eco-vector.com/2073-4034/article/view/296984">https://journals.eco-vector.com/2073-4034/article/view/296984</self-uri><abstract xml:lang="en"><p>Diagnosis and treatment of patients with chronic disordes of consciousness (DoC) remains an insufficiently studied section of medicine, which has a significant need for factual data. The problematics of patients with CNS includes the uncertainty of the prognosis for an increase in the level of wakefulness, an extremely high dependence on the availability and quality of care, and a large number of complications arising as the disease progresses. This publication is a translation from English of the American Academy of Neurology (AAN) clinical guidelines, the American Congress of Rehabilitation Medicine (ACRM) clinical recommendations for the diagnosis and treatment of patients with DoC, which were published in 2018 (Giacino J.T., Katz D.I., Schiff N.D., et al. Practice guideline update recommendations summary: Disorders of consciousness. Neurology. 2018;91(11):450-60. doi:10.1212/WNL.0000000000005926.)</p></abstract><trans-abstract xml:lang="ru"><p>Диагностика и лечение пациентов с хроническим нарушением сознания (ХНС) остаются недостаточно изученным разделом медицины, испытывающим значительную потребность в фактологических данных. Проблематика пациентов с ХНС заключается в неопределенности прогноза на повышение уровня бодрствования, крайне высокой зависимости от наличия и качества ухода, большого количества осложнений, возникающих по мере течения заболевания. Настоящая публикация является переводом с английского языка клинических рекомендаций Американской академии неврологии (AAN), Американского конгресса реабилитационной медицины (ACRM) по диагностике и лечению пациентов с ХНС, опубликованных в 2018 г. (Giacino J.T., Katz D.I., Schiff N.D. et al. Practice guideline update recommendations summary: Disorders of consciousness. Neurology. 2018;91(11):450-60. doi:10.1212/WNL.0000000000005926).</p></trans-abstract><kwd-group xml:lang="en"><kwd>chronic impairment of consciousness</kwd><kwd>vegetative state</kwd><kwd>unresponsive wakefulness syndrome</kwd><kwd>low consciousness</kwd><kwd>clinical recommendations</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>хроническое нарушение сознания</kwd><kwd>вегетативное состояние</kwd><kwd>синдром безответного бодрствования</kwd><kwd>малое сознание</kwd><kwd>клинические рекомендации</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Giacino J.T., Katz D.I., Schiff N.D., et al. 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