22 research outputs found
PSYCHOSOMATIC DISORDERS IN GASTROENTEROLOGICAL PRACTICE: FUNCTIONAL DYSPEPSIA
No full textThe author discusses the results of clinicopathopsychological, psychometric, and gastroenterological studies in 103 patients treated at the gastroenterology clinic (Clinic of Faculty Therapy, I.M. Sechenov Moscow Medical Academy). Functional dyspepsia is held to be obligate psychosomatic syndrome with comorbidity mental (depressive, personality, and hypochondriac) disorders and its diagnosis and treatment require an interdisciplinary approach
DEPRESSION AND CARDIOVASCULAR DISEASES
No full textAccording to the results of integrated assessment of cardiological inpatients with depression, the author identified 2 possible variants of psychosomatic ratios: 1) subordinated with the leading role of a somatic disease in the genesis of developing symptomatic somatogenic and psychogenic mental disorders and 2) independent as the coexistence of mental disorders and a somatic disease. Their consideration is of importance for the diagnosis and substantiation of treatment policy
Lithurgus chrysurus Fonscolombe 1834
No full textLithurgus chrysurus Fonscolombe, 1834 Lithurgus chrysurus: Lavroff, 1927: 95 (Omsk Prov.). REMARK. Lavroff (1927) listed this species for the Omsk environs without data on specimens but noted that observations were made mainly in August. It is possible that most of his Lithurgus specimens were males with faded pubescence, which can cause them to be misidentified as L. chrysurus. Males of these species are easily distinguished by the shape of sternum 6 – widely rounded apically in L. cornutus and narrowed apically, nearly triangular in L. chrysurus. Although the observation of Lavroff may be based on misidentification, the occurrence of L. chrysurus in the West Siberian steppes is possible because it was listed for the Central Asian part of the former USSR (Banaszak & Romasenko, 2001), although verification of its presence in West Siberia is needed.Published as part of Byvaltsev, A. M., Belova, K. A., Danilov, Yu. N., Molodtsov, V. V. & Proshchalykin, M. Yu., 2018, Megachilid bees (Hymenoptera: Megachilidae) of the forest-steppe and steppe zones of the West Siberian Plain to the eastward of Irtysh River, pp. 10-28 in Far Eastern Entomologist 364 on page 25, DOI: 10.25221/fee.364.3, http://zenodo.org/record/716854
Functional (psychosomatic) disorders in general medical practice
No full textObjective: to identify psychosomatic and somatopsychic ratios in the clinical picture of disorders detected by internists as functional disorders (FD) of unexplainable or insufficiently explainable origin.Patients and methods. In 2000 to 2017, an internist and a psychiatrist in the Internal Medicine Clinic made a joint examination of 640 patients (175 men and 465 women; the mean age of those in cardiology practice was 27.52±9.03 years; that of those in gastroenterology practice was 42.44±17.2 years, and that of those in pulmonology practice was 40.20±11.4 years) with various risk factors (RFs), who had for many years exhausted the clinical picture of diseases: neurocirculatory dystonia (NCD), irritable bowel syndrome (IBS), functional dyspepsia (FD), hyperventilation syndrome (HVS), and thermoneurosis (TN) (a study group). A comparison group included 245 patients (81 men and 164 women; their mean age was 38.78±8.07 and 48.12±10.92 years, respectively) with verified somatic diseases: hypertension, duodenal ulcer, asthma, and inflammatory bowel diseases. The patients were examined using both clinical and paraclinical studies in accordance with the standards for the above diseases and applying psychopathological and psychometric tests.Results and discussion. A comparative interdisciplinary study established that the general medical practice patients with NCD, IBS, FD, HVS, and TN had two etiopathogenetically different clinical RFs: a) RF as the clinical essence of the current somatic disease and b) RF comorbid in certain psychopathological disorders: affective (F30–F39) (57.9%), neurotic (F40–F48) (27.1%), and schizotypic (F21) (15.0%). In the structure of complex psychosomatic syndromes that are often encountered in therapeutic practice, they represent the pivotal manifestations of disease, the adequate diagnosis of which is supposed to require cooperative interdisciplinary work.Conclusion. Thus, our long-term study that is based on a single interdisciplinary approach has allowed us to formulate a modern concept of unity of the clinical stereotype of development of psychosomatic syndromes
Anthidium (Anthidium) montanum Morawitz 1865
No full textAnthidium (Anthidium) montanum Morawitz, 1865 (Fig. 13 a–f, female; Fig. 14 a–j, male) Anthidium montanum Morawitz, 1865: 448, ♀, ♂; Wu, 1985: 140; 1993: 1396; Banaszak & Romasenko, 1998: 46, ♀ (key), Fig. V-3, Fig. V-4a; 53. Anthidium montanum var. flavomaculatum Friese, 1897: 440, ♀, ♂; Wu, 2006: 153 (incorrect publication time as 1898); Ras- mussen & Ascher, 2008: 51. Anthidium (Melanoanthidium) montanum Morawitz, 1865: Tkalců, 1967: 91. Anthidium montanum pamirensis Alfken, 1931: 843; Mavromoustakis, 1965: 407. Anthidium (Anthidium) montanum Morawitz, 1865: Warncke, 1980: 128, ♀ (key), 143, ♂ (key), 193; Rasmont et al., 1995: 54; Wu, 2006: 152, ♀, ♂ (redescription), Fig. 75; Ornosa et al., 2008: 67. Diagnosis: This species is very similar to A. (A.) amurensis Radoszkowski, 1876 and A. (A.) pseudomontanum sp. nov., but this species can be distinguished from them by the following combination of characters: female, metasomal terga black, without yellow maculation or sometimes with very small yellow maculations, ventral scopa reddish (Fig. 13a), T2 punctures roughly same size throughout, with a similar number per area, apical margin of clypeus irregularly serrate to bumpy, outline nearly straight medially (Fig. 13b, 13c), punctures on supraclypeal area sparse (Fig. 13c), T5–T6 covered with yellowish-brown pubescence (Fig. 13f); male, median lobe of S6 small, narrow, sub-triangular (Fig. 14f), apical process of S8 spiniform (Fig. 14h). Material examined: China, Qinghai: Yushu, Baitang ( 33º00′N, 97º00′E), 3900 m, 1 ♀, 25.VII.1964, 4100 m, 1 ♂, 29.VII.1964, leg. Shu-Yong WANG; China, Xinjiang: Taxkorgan Tajik Zizhixian, Hongqilafu ( 36º55′N, 75º33′E), 4400–4600 m, 2 ♀, 12.VIII.1989, 4500 m, 1 ♀, 13.VIII.1989, leg. Xue-Zhong ZHANG; Zhaosu Xian, Alasan ( 42º31′N, 80º48′E), 2400 m, 3 ♀, 4 ♂, 22.VII.1978, 1 ♀, 2 ♂, 31.VII.1978, leg. Yin-Heng HAN, 2450 m, 4 ♀, 3 ♂, 23.VII.1978, leg. Xue-Zhong ZHANG; China, Sichuan: Dêgê Xian, Maniganggo ( 31º54′N, 99º12′E), 3900 m, 1 ♀, 8.VII.1983, 1 ♀, 10.VII.1983, leg. Xue-Zhong ZHANG; Kangding, Gongga Shan ( 29º28′N, 101º33′E), 4200 m, 1 ♂, 4.IX.1982, leg. Xue-Zhong ZHANG; China, Xizang: Gyirong Xian, Zongga ( 28º54′N, 85º12′E), 1 ♂, 18.VII.1984, leg. Ba PING. Type localities. Switzerland (montanum), Austria: Tyrol and Switzerland: Uri (flavomaculatum), Tajikistan: Ak-Baital Valley (North Pamir), Kigis-ui (W valley), and Balun-kul (W valley) (pamirense). Distribution: China (Qinghai, Xinjiang, Sichuan, Xizang); Spain, France, Italy, Lichtenstein, Denmark, Poland, Switzerland, Austria, Germany, Czechia, Hungary, Slovakia, Ukraine, Croatia, Kyrgyzstan, Tajikistan, Russia (Crimea). Floral association: Fabaceae ( Banaszak & Romasenko, 1998). Remarks: The yellow maculations on metasomal terga of the male are greatly variable, from all black to only T2 with two small yellow maculations, or T2–T3 with two small yellow maculations, or T4–T5 with two small yellow maculations, or T2–T4 with four and T5–T6 with two small yellow maculations. Furthermore, Wu (2006) identified “ Xinjiang: Taxkorgan Tajik Zizhixian, Hongqilafu ( 36º55′N, 75º33′E), 4400–4600 m, 2 ♀, 12.VIII.1989, 4500 m, 1 ♀, 13.VIII.1989, leg. Xue-Zhong ZHANG” as the female of the species, but the apical margin of the clypeus is not coarsely serrate, instead straight and smooth, with two distinctly lateral tubercles (Fig. 20c), it is instead A. (A.) pseudomontanum Niu & Zhu, sp. nov.Published as part of Niu, Ze-Qing, Yuan, Feng, Ascher, John S., Kasparek, Max, Orr, Michael C., Griswold, Terry & Zhu, Chao-Dong, 2020, Bees of the genus Anthidium Fabricius, 1804 (Hymenoptera: Apoidea: Megachilidae: Anthidiini) from China, pp. 1-67 in Zootaxa 4867 (1) on pages 23-26, DOI: 10.11646/zootaxa.4867.1.1, http://zenodo.org/record/441706
Panic Attacks in Patients with Supraventricular Tachycardia: Problems of Differential Diagnosis and Impact on Quality of Life
No full textAim. To study the psychosomatic relationships and quality of life (QOL) of patients with paroxysmal supraventricular tachycardia (SVT) depending on the presence or absence of panic attacks (PA) in comparison with patients with heartbeat against the background of somatoform autonomic dysfunction.Material and methods. The study included patients with SVT and heart attacks due to sinus tachycardia in the context of somatoform autonomic disorder (SAD). All patients were interviewed to identify anxiety and depressive disorders (Hospital Anxiety and Depression Scale [HADS] and Hamilton's Depression Scale), QOL assessment (SF-36 questionnaire), and they were also consulted by a psychiatrist who established the presence or absence of PA. According to a visual analogue scale, in points from 0 to 6, we assessed the general state of our patients' health (0 points corresponded to complete health, and 6 points corresponded to a serious illness) and the effect of heartbeat on well-being (0 points - no arrhythmia, 6 points - arrhythmia «nterferes with life»).Results. The study included 96 patients: 60 with SVT (21 men, 39 women, average age was 51 [33; 61] years) and 36 with heart attacks caused by sinus tachycardia in the framework of somatoform autonomic disorder (10 men, 26 women, average age was 33 [27; 41] years). Panic disorder was diagnosed in the SVT group in 17 patients, accounting for 28.3%. Only 7 patients (41%) could clearly differentiate between SVT and PA attacks. The low sensitivity of the HADS questionnaire in patients with SVT determined the need to consult a psychiatrist for the diagnosis of panic disorders.Conclusion. PA is typical for 28.3% of patients with SVT. The combination of SVT with PA reduces the QOL of patients due to its mental components, including due to the more frequent occurrence of depressive symptoms. Patients with SAD subjectively perceive the heartbeat as a more significant factor affecting health, compared with patients with SVT. Difficulties in the differential diagnosis of PA and SVT paroxysms in real clinical practice often lead to the appointment of the same therapy without taking into account the differences in the genesis of heartbeats
Use of hyperbaric oxygenation in the combination therapy of posttransplant kidney patients in the early postoperative period
No full textBackground. Posttransplantation acute tubular necrosis (CTN) is mainly an ischemic injury caused predominantly by reperfusion syndrome, impaired microcirculation, and worsening hypoxia of a transplanted organ. Hyperbaric oxygenation (HBO) making possible the delivery of oxygen to organs and tissues, by dissolving it in the body’s fluids, is one of the methods for combating systemic and regional hypoxia underlying the development of ischemic graft injury.Objective: to evaluate the efficiency of HBO in the combination therapy of patients with severe ischemic kidney graft injury in the early postoperative period.Subjects and methods. The early postoperative period after kidney transplantation was comparatively analyzed in 2 patient groups: study (29 patients were given HBO sessions in the combination therapy) and control (24 patients receiving traditional therapy) ones. HBO sessions were carried out in single-person medical altitude chambers at 1.2-1.6 ATA for 40 min. A correlation analysis was made between cold graft ischemia time and indicators, such as recovered water excretory function, normalized azotemia level, the level of creatinine and urea, and the number of hemodialysis sessions in the above comparison groups.Results. The performed analysis has shown that there is a direct correlation between the parameters under study. In the study group, renal graft function recovered in the earlier periods than that in the control group.Conclusion. The early incorporation of HBO into combination treatment after kidney transplantation contributes to prompter recovery of graft function. The conducted study permits one to consider that HBO should be incorporated as soon as possible into the combination treatment performed in the early period after kidney transplantation
REHABILITATION OF PATIENTS WITH ENCEPHALOPATHY CAUSED BY ACUTE CHEMICAL AGENTS POISONING. P300 OF AUDITORY EVENT RELATED POTENTIALS AND ELECTROENCEPHALOGRAPHY
No full textRELEVANCE. Patients with encephalopathy due to acute chemical agents poisoning have some brain functioning changes and a cognitive impairment during the rehabilitation program. These changes require correction of appropriate diagnostic protocol and treatment.AIM. The aim of this study was to estimate changes of electroencephalography (EEG) and the P3 component of the event related potential (P300 ERP) that are observed in patients with encephalopathy due to acute chemical agents poisoning during stage of rehabilitation.MATERIAL AND METHODS. The study was included 25 patients (age 37 (32; 51)) poisoned different kind of neurotoxic substances (drugs, ethanol) and complicated by toxic and hypoxic encephalopathy. They have got the treatment of encephalopathy by mexidol intravenously, mesodiencephalic modulation (MDM) and hyperbaric oxygen therapy (HBOT). All patients were recoded EEG (electroencephalograph of “MBN” company, Russia) and P300 ERP (“Neuron-Spectrum-5/EP” of “Neurosoft”, Russia) according to the international recommendations of clinical neurophysiologists. Neuropsychological testing was used for the assessment of cognitive functions.RESULTS. There were some disturbances in primary electroencephalograms of all subjects. The follow-up EEG recording showed the main group of patients who had got the treatment (mexidol, MDM, HBOT) had more often (11 patients) the EEG improvements compared to the controls (1 patient). The main group had more rarely the EEG impairments compared to the control group. 6 patients of main group and 3 patients of controls did not have EEG changes during the follow-up EEG recordings. All controls and 17 patients of the main group patients had different cognitive disturbances. After the treatment 15 patients of the main group had improved on neuropsychological tests (MMSE, Munsterberg test, Schulte table, Number Connecting Test). They also had a decrease in the N200, P300 peak latency and an increase in the N200, P300 peak amplitude. Only 3 patients of controls had improved on neuropsychological tests.CONCLUSION. The results of this study show that mexidol, MDM, HBOT using in the treatment of patients with acute chemical agents poisoning leads to the improvement of brain state and cognitive function compared to the controls. The findings of study have allowed making a preliminary conclusion that using in the treatment this kind of patients the combination HBOT+mexidol or MDM+HBOT+mexidol improves the results of neuropsychological examination
IBS-like manifestations in large intestine diverticular disease
No full textThe article is devoted to the diverticular colon disease, its uncomplicated form, the connection with age. Symptoms allowing to define presence at this form of disease of IBS-like symptoms – pains and infringements of the psycho-emotional status are highlighted. The results of psychometric research and psychiatrist’s consultation of 102 patients are presented. The role of obesity in the genesis of diverticular disease is highlighted. The significance of spasmolytic therapy, in particular mebeverine, is presented
