Psychological Rehabilitation Research Articles

Mechanisms of the formation of psychological disadaptation in combatants with a distinction based on the signs of adjustment disorders and PTSD

IntroductionContemporary for combatants with signs of adjustment disorders (AD) consists of “distorted” thoughts about the displacement of the value of one’s role, the loss of a certain significant position. This can be seen from the analysis of complaints about the feeling of anxiety, tension, asthenia, mood swings, lack of emotional regulation and the assessment of well-being criteria.It is important to understand what is a preventer of maladjustment, and what is a predictor of the formation of psychological adaptation disturbances in combatants with a distinction based on the signs of AD and PTSD.ObjectivesBased on the analysis of violations of the psycho-emotional sphere, peculiarities of perception of the social environment, understanding of one’s role in traumatic events, and personal adaptation potential, predictors and preventers of violation of psychological adaptation among combatants are determined.MethodsThe clinical investigation based on psychiatric examination with the narrative motivation interview,psychological examination by Mississippi Scale for Combat-Related Posttraumatic Stress Disorder.ResultsThe predictors of impaired psychological adaptation in combatants withAD: Low indicators of moral normativity, which structure thoughts and help in the interpretation and analysis of negative experienced events of a stressogenic level.Preventers of violation of psychological adaptation in combatants with AD:Communicative potential, which lies in the structure of personal adaptation potential. This indicator indicates the presence of a need in the social environment and opportunities for realization, that is, as a resource of the individual. The ability to receive from the social environment a sense of support, reinforcement of self-esteem, motivation for activity, determination of the goals of future projects. Predictors of impaired psychological adaptation in combatants with PTSD: Low communicative potential, which, under the significant influence of stressogenic factors, isolates from close social interaction and does not allow family members to influence the emotional state. Family support is diminished and perceived as a trigger for anger. Fixation on the intensity of emotional experiences, maintaining the tone of negative manifestations, as a form of receiving punishment. Keeping under control one’s values in the life system and an attempt to reorient oneself to the future.ConclusionsRelying on preventers as the resource base of the personality of combatants and predictors as targets of psychocorrective intervention in the tasks of the medical and psychological rehabilitation program, algorithms for further psychocorrective intervention were determined.Disclosure of InterestNone Declared

The Influence of Internet Violence on The Mental Health of College Students in The New-media Era

The advent of the era of "new media" makes the online social environment more open. College students, as one the mainstream users of online social media, will inevitably have conflicts when communicating with the virtual network environment, and the phenomenon of online violence happens from time to time, which has a great impact on the mental health of college students. This study selected the college students to participate in the network violence groups as the investigation object, the construction of college students to participate in the theoretical model of network violence, and then put forward the research hypothesis, and design the questionnaire. Finally, it was concluded that the occurrence of network violence will cause psychological harm to the participants or victims of college students, and although college students do not approve of network violence, they still have deficiencies in behavior control, and they still use network violence to achieve their own goals. The results of this study had reference significance for the psychological rehabilitation of college students after the occurrence of cyber violence.

COGNITIONS AND EMOTIONS OF PATIENTS DURING POST-COVID REHABILITATION

Background. A lot of scientific articles have been published since the global COVID-19 pandemic was officially announced by WHO. Although different aspects of COVID-19 impact on the mental sphere were studied, some issues regarding the psychological characteristics of those who have had a coronavirus infection are still not fully revealed. It is noted by many authors that even when the main symptoms of the disease are subsided, symptoms of anxiety, depression, cognitive & mood disorders are still persistent even after the treatment.
 Purpose: to study cognitive and emotional spheres of patients who are recovering from coronavirus infection and currently undergoing rehabilitation procedures.
 Materials and methods. The study involved 100 patients undergoing medical rehabilitation, 55 of them are recovering from traumatological, neurological and cardiovascular disorders (27 male and 28 female patients, aged 57±10) and 45 patients are recovering from pneumonia caused by coronavirus infection (11 male and 34 female patients, aged 58±12). The study was conducted using the Montreal Cognitive Assessment Scale (MoCA), the Hospital Anxiety & Depression Scale (HADS), and the Health-Activity-Mood Scale (SAN). Statistical analysis of raw data had included calculation of descriptive statistics, Pearson’s correlation coefficient, Student’s t-test for independent groups, Fisher’s φ* transformation and significance of correlation coefficients differences with Fisher’s transformation & Student T-distribution, and was processed with Microsoft Office Excel 2016 build-in data analysis package.
 Results. Analysis of MoCA results showed that ratio of severe impairments of memory functions and attention span is higher in post-COVID group of patients. This group also had higher rate of anxiety symptoms and sub-clinical depression state. In both groups more than a half of the patients have average level of anxiety and depression, however patients from post-COVID group are more likely to experience more symptoms of anxiety than non-COVID patients. Patients from post-COVID group are significantly more likely to have a higher scores of anxiety compared to patients in the other group and at the same time they are less likely to have average anxiety level. Differences between groups were discovered for “Health” and “Mood” scales of SAN with higher scores among post-COID patients as well as lower scores for “Activity” scale.
 Conclusion. Statistically significant differences between the groups were found; common and specific correlations were found for both groups. The results may be useful for healthcare professionals working with post-COVID patients, and can also be used by psychologists who deal with the problems of social and psychological rehabilitation of post-COVID patients.

METHODS OF MEDICAL REHABILITATION OF THOSE WHO HAVE SUFFERED COMPLICATIONS OF COVID-19

The Covid-19 pandemic could reach several million people worldwide. Presumably, 5-15% of them will need medical rehabilitation after suffering from pneumonia and acute respiratory distress syndrome. The goals of medical rehabilitation at the preclinical stage are to achieve the correction of diseases that contribute to the development of Covid-19 complications (acute respiratory distress syndrome, from 15% to 33 %; acute respiratory failure, 8 %; acute heart failure, from 7% to 20 %; secondary infection, from 6% to 10 %; acute renal failure, from 14% to 53 %; septic shock, from 4% to 8 %; cardiomyopathy, in 33% of critical; disseminated intravascular coagulation, in 71 % of the dead; pregnancy complications are not excluded. Rare complications include mucormycosis and encephalitis. Encephalitis occurs only in about 0.215% of hospitalized patients, but among patients with severe disease, its frequency increases to 6.7%). Non-medicinal technologies have a number of advantages over medicines that have a side effect, and such as glucocorticoids and antibiotics lead to a deterioration in the prognosis of the underlying disease. Medical rehabilitation in the intensive care unit is aimed at reducing the risks of complications and increasing the functional reserves of the body, as well as reducing the area and degree of lung damage, preventing extrapulmonary complications, including secondary infection. The main goal of medical rehabilitation in a hospital setting is to reduce the severity of symptoms, resorption and repair in the lesion of lung tissue, reduce the development of fibrosis, provide bronchial drainage for prevention of secondary infection. In addition, the timely transfer of the patient to a specialized stage of medical rehabilitation makes it possible to increase the functional reserve of the respiratory muscles and exercise tolerance. The second specialized stage of medical rehabilitation can be carried out in the conditions of a sanatorium-resort organization. The goals of this stage are not only to reduce symptoms and increase tolerance to physical activity, but also to improve the quality of life, psychological rehabilitation, and restoration of working capacity.

FEATURES OF TEACHING THE COURSE OF PSYCHIATRY AND NARCOLOGY TO STUDENTS OF HIGHER EDUCATION INSTITUTIONS OF THE MARTIAL STATE

Relevance. To form the methodological foundations of teaching the academic discipline "Psychiatry and Narcology" in modern wartime conditions. To highlight innovative approaches to effective teaching of the discipline, in particular in the distance learning format.Material and methods. General scientific and specific scientific.Results. The article is devoted to the peculiarities of the teaching methodology of the academic discipline "Psychiatry and Narcology" in modern wartime conditions, which helps future doctors to learn the basics of clinical disciplines. It is necessary to master knowledge and skills regarding the diagnosis of the state of mental health of a person, clinical symptoms, prevention of impairment of mental functions in the process of life and various comorbid diseases, conducting medical and psychological examination and rehabilitation of patients. The methodology of conducting practical classes for medical students and using the MOODLE system for effective online learning are highlighted.Conclusions. Taking into account the analysis of information on the teaching of the academic discipline "Psychiatry and Narcology" to students of higher education institutions in wartime conditions, we have described the possibilities of using systems for distance learning, in particular the MOODLE system for preparing students of higher education for classes with access to the Internet.

Psycho-Emotional Burnout of the Personality in the Conditions of War

A common cause of health disorders in war is psychotraumatic situations that lead to psycho-emotional burnout of military personnel.
 The purpose of the article is to conduct an empirical study of the psycho-emotional burnout of military personnel. Tasks are set: to determine the emotional reactions and states of military personnel; to assess the level of manifestation of emotional burnout of military personnel.
 Research Methods: The study used valid methods, "Diagnosis of the level of emotional burnout", "Determination of mental "burnout", and «Burnout Syndrome» in the professions of the «man-man» system, for the non-parametric data correlation variables, the Spearman coefficient.
 Results: The study revealed the military personnel's inability to manage their emotions, which leads to depersonalization, personal alienation, and distance. The inadequate selective emotional response has 94.0%, which is an indisputable "sign of burnout". The peculiarities of emotion management of military personnel and their role in the genesis of emotional response in professional activity are revealed. It is established that the "economic manifestation of emotions" of military personnel can be manifested both in an excessively cheerful mood and aggression, which is frustrating behavior.
 Conclusion: In order to prevent psycho-emotional burnout, it is necessary to develop anti-stress skills, skills of controlling the manifestation of emotions based on critical analysis of the situation, and the ability not to throw out negative emotions on other people. To work with the military, it is necessary to substantiate the content of psychosocial counseling within the framework of a comprehensive system of psychological rehabilitation of servicemen.

QUALITY OF LIFE USING DERMATOLOGY LIFE QUALITY INDEX IN FEMALE PATIENTS WITH HIRSUTISM

Hirsutism affects a woman's social and quality of life in our society. The burden and magnitude of this effect vary from population to population. A local study was designed to determine the burden on our population. The Objective of this Cross-Sectional study was to determine the frequency of very large and extremely large effects on quality of life using Dermatology Life Quality Index (DLQI) in hirsute women presenting to Jinnah Hospital,Lahore. This study was conducted at the Outpatient Department of dermatology Jinnah hospital Lahore from 13th May 2014 to 12th November 2014. Females with hirsutism and age ranging from 18 to 49 years were included in the study. Hirsutism was labeled if the woman had Ferriman-Gallway (F-G) score ≥ 8 or one area score equal to 4, determined by clinical examination. Quality of life was determined using Dermatology Life Quality Index and waslabeled as having a very large and extremely large effect if DLQI scores were 11-20 and 21-30, respectively. The marital and educational status will be used to stratify data and dig out effect modification. Two hundred twenty patients included in our study had a mean age of 26.38± 5.58 years ranging from 12 to 42 years. The mean Ferriman-Gallway score was 15.45± 3.5, while the mean DLQI score was 18± 5.09. Diagnosis of included women was Hyperprolactinemia (4/220, 1.8%), Congenital Adrenal Hyperplasia (5/220, 2.3%), Ovarian Tumors (8/220, 3.6%), Polycystic Ovarian Disease (135/220, 61.4%) and others (68/220, 30.9%). 97% of the included patients had some formal education. 124 (56.4%) were Unmarried, 94 (42.7%) were married, while 2 (0.9%) were divorced. On DLQI, an Extremely Large Effect was present in 85 (38.6%), a Very Large effect in 115 (52.3%) while Small Effect was observed in 20 patients. There is no effect of cause or diagnosis, marital status, or educational status of thesampled population. It is concluded that the frequency of Extremely Large Effect and Very Large effect wasobserved in more than half of the study population with hirsutism. The high burden of Extremely Large Effect on quality of life necessitates emotional and psychological rehabilitation as well as pharmacological and cosmetic methods in treating these patients.

The relationship between psychological, cognitive, and contextual factors and rehabilitation outcomes in Achilles tendinopathy: A prospective feasibility cohort study

ObjectivesThis study aimed to investigate the feasibility of conducting a full-scale study investigating the influence of patient-related factors on rehabilitation outcomes in Achilles tendinopathy (AT). A secondary aim was to investigate preliminary relationships between patient-related factors and clinical outcomes at 12- and 26- weeks. Designfeasibility cohort. SettingAustralian healthcare settings. MethodsParticipants with AT receiving physiotherapy in Australia were recruited via treating physiotherapists and online. Data were collected online at baseline, 12- and 26-weeks. Progression criteria for a full-scale study were recruitment rate of ≥10 per month, conversion rate ≥20%, and response rate to questionnaires ≥80%. The relationship between patient-related factors and clinical outcomes was investigated using Spearman's rho correlation coefficient. ResultsThe average recruitment rate was 5/month, conversion rate was 97%, and response rate to questionnaires was ≥97% at all timepoints. There was a fair to moderate correlation (rho = 0.225 to 0.683) between patient-related factors and clinical outcomes at the 12-week, but no to weak correlation at the 26-week (rho = 0.002 to 0.284). ConclusionsFeasibility outcomes suggest a future full-scale cohort study is feasible with the caveat of utilizing strategies to improve recruitment rate. Preliminary bivariate correlations at 12-weeks warrant further investigations in larger studies.

AGGREGATION DEVELOPMENT AS AN ELEMENT OF URBAN PLANNING

In the conditions of decentralized development, the processes of ensuring the management of territorial planning have new tasks and challenges. With the beginning of the full-scale military aggression of the Russian Federation against Ukraine, thousands of square meters of territory were in the zone of active hostilities. Restoration of these territories, return of peaceful life, provision of comfortable living conditions for the population will become the basic priority of the post-war reconstruction of Ukraine. In addition, thousands of people became forced migrants and refugees, which significantly affected the socio-economic processes of territorial development. Breaks in cooperation ties, logistics chains, business closings and relocations formed a new system of realities of territorial development. The return of the population to the territory that suffered the greatest destruction is possible only thanks to the orientation to people-centered management as an element of territorial development, which will be based on taking into account the modern requests of the population for the comfort and safety of housing, workplace, recreation, etc. A new challenge for territorial development will be the aspects of psychological rehabilitation, which, as a priority task for the state and local authorities, should be integrated into the modern urban planning system. Taking into account the relevance and formation of new requests of Ukrainian society for the development of territories, the topic of the dissertation research was determined. In particular, the processes of the development of agglomerations, as a leading world trend of urban planning, are planned to be proposed as the basis of post-war reconstruction in order to ensure the competitiveness of the territories and their compliance with the new challenges of today.

Isolated bilateral macrostomia: literature review and case report.

Macrostomia, or lateral cleft lip, which is known as Tessier cleft type 7, is one of the rarest facial anomalies. The purpose of this review is to describe the main characteristics, epidemiology, aetiology and treatment of this anomaly. We present an overview of surgical techniques as well as a review of all 36 cases of bilateral asyndromic macrostomia reported to this da in the literature. Furthermore, we report the case of a 4-month male infant with bilateral transverse cleft lip and analyse the treatment decision and the procedure itself. Early diagnosis and surgical intervention are crucial in treating children with these malformations. Adequate timely reconstruction plays a main role in both physical and psychological rehabilitation.

The Essential Things for Victims of Terrorism in Indonesia: Medical Assistance, Psychosocial and Psychological Rehabilitation

Terrorism is a crime that endangers the security, peace and welfare of people while posing a severe threat to the sovereignty of every nation. This was inextricably linked to the suffering of victims of terrorism-related crimes, who needed the government to provide them with legal protection. The study aims to analyze and compare some cases concerning how victims of terrorist crimes in Indonesia are protected by the law, particularly with regard to medical assistance, psychosocial and psychological rehabilitation. With a legal empirical methodology and descriptive analytical research criteria, this study used qualitative research techniques. The study was carried out in Jakarta at the National Counterterrorism Agency. Primary data and secondary data are also used. Using interviews and a literature review, the data is collected. The data were reduced, displayed, and categorize using the methods described above. using qualitative analytical techniques to provide data as narrative text descriptions. According to the study's findings, there are advantages and disadvantages to Indonesia's legal protection of those who have been victims of terrorist crimes. One issue is that the filing deadline for claims made on behalf of those who have already been victims of terrorism crimes is only June 22, 2021. The legal protection of victims of terrorist crimes is hampered by a number of reasons in Indonesia’s legal protection of those who have been the victims of terrorist crimes.

Mechanism of online emotional support accompany group for stress: The role of social support.

To investigate the effect of social support on stress, and to clarify the effect and mechanism of Online Emotional Support Accompany Group (OESAG). The group members who signed up for the public welfare project "Psychological Rehabilitation Group Psychological Service under the COVID-19 Pandemic" were divided into the treatment group, the control group, and the blank group with 37 members each. The treatment group received OESAG intervention, the control group received online time management group intervention, and the blank group was the waiting group. The three groups of subjects were synchronously tested before and after the intervention group. After the OESAG intervention, compared with the control group and the blank group, the treatment group showed that perceived social support was improved, and loneliness and stress were decreased. Improving social support can effectively reduce stress. OESAG can effectively improve social support and so too decrease stress. This study could help in designing effective psychological intervention measures to reduce the degree of stress symptoms and enhance both personal and social levels of coping with stressful events.

Compassionate Mind Training Group Programme: Implementation and Evaluation within an NHS Physical Health & Rehabilitation Psychology Service

There is increasing evidence for the effectiveness of brief, group-based compassionate mind training (CMT) in reducing shame and self-criticism, and increasing self-compassion. The current evaluation of an 8-week CMT group programme in an NHS Physical Health Psychology Service supports these findings. Based on a cross-diagnostic sample of 25-39 participants with physical health difficulties, results demonstrate significant reduction in depression and anxiety, significant increase in perceived wellbeing and acceptance, and a significant increase in self compassion following attendance at the group. These findings indicate a potential benefit of compassionate mind training for individuals accessing NHS services due to physical health difficulties including chronic pain, cancer, and long-term conditions such as diabetes.

Pelaksanaan Pemberian Perlindungan Bagi Korban Tinda Pidana Terorisme

Victims of terrorism are not only those affected by terrorist attacks but include those exposed to terrorist ideology. The series of bombings, shootings and stabbings that occurred in the territory of the Republic of Indonesia has resulted in the loss of life regardless of the victim, causing widespread public fear, and property losses, resulting in a wide impact on social, economic, political, and international relations. The method used is Legal Research based on legislation related to each other. The best thing that can be done by the state to maintain the safety and security of citizens from becoming victims of terrorism is to prevent or anticipate that terrorism crimes do not occur. The fulfillment of the rights of victims under Act No. 15 of 2003 at the crisis stage after the crime of terrorism must be taken immediately because the action relates to the safety of the victim. Act No. 5 of 2018 states that the victim of non-criminal terrorism is a person who suffers physical, mental, and/or economic losses resulting from a Terrorism Crime. Victims are direct victims as well as indirect victims of a crime of terrorism. The determination of victims of terrorism can be done directly by investigators, without having to wait for a court decision. Treatment of victims, especially those who must receive medical treatment, psychosocial and psychological rehabilitation.

Specific characteristics of children social and psychological rehabilitation by means of music therapy during and after the war

The article outlines the relevance of a social and psychological support and rehabilitation for the children who have suffered from a full-scale military invasion of the Russian troops on the territory of Ukraine. The psycho-traumatic effects of the war on a child’s mental and physical development have been described: stress, anxiety, crisis condition and post-traumatic stress disorder. The social and psychological rehabilitation is determined to be aimed at helping the adults and children, who have survived the trauma, obtain the abilities of mental recovery, the skill to deal with the stress, post-traumatic stress disorder and alerts. The authors pay their attention to the effective implementation of various types of artistic and creative work (art therapy) in a rehabilitation work with children. It provides living through and revealing the negative feelings and preventing the development of post-traumatic stress disorder. Music therapy is determined as an art and therapeutic method of social and psychological rehabilitation which shows a maximum supporting recovery of a child’s positive attitude to himself, society, life, and forming secondary mental disorders (an aptitude to self-isolation, aggression). The article presents specific aspects of the musical compositions use at social and psychological rehabilitation (activating, relaxing, soothing) and emphasizes on Lo-fi hip-hop that is a subgenre of downtempo and combines hip-hop and chillout. The attention is focused on the main calming effect of the lofi music that is provided by both even and aggressive bits and a sound background to deep into the atmosphere of spiritual balance (birdsongs, thunderstorm, wind sounds, the crackle of a fire and others). It is proved that listening to the lofi music is of a significant therapeutic effect, proceeding from the improvement of cognitive functions, the stress reduction and the harmony of emotional state. The aim of the genre lies not in entertaining but helping a person find a calm area in uncontrolled digital and physical environment. Having evaluated the scientists’ attempts to describe the issue, we underline the idea of the organization of children social and psychological rehabilitation who suffered from military operations by means of music therapy instruments, to be within the need of theoretical justification of pedagogical conditions. It is the perspective of a further scientific search.

ВИЗНАЧЕННЯ АКТУАЛЬНИХ ПОТРЕБ УЧАСНИКІВ БОЙОВИХ ДІЙ (УБД) ЯК ОСНОВА ЇХ ЕФЕКТИВНОГО СОЦІАЛЬНОГО ЗАХИСТУ

The article discloses the methodology and presents the results of the study of the actual needs of the participants in hostilities with the aim of finding the most rational ways and effective tools to meet these needs. The purpose of the work is to find ways to primarily meet the urgent needs of the UBD in the following main areas: medical care and restoration of physical health; psychological help and rehabilitation; provision of housing (a plot of land); the field of labor relations; material security; education and professional development; legal aid; public respect and recognition, etc., through the use of existing and creation of new social protection tools. With the help of the author's sociological expert survey, the main problems that UBDs are already facing are identified and what UBD needs are urgent and priority; whether the social protection tools guaranteed by the legislation meet the needs of the UDB; to what extent are UBDs informed about social protection tools? It was found that the most relevant needs for UBD are: psychological help and rehabilitation; medical assistance and restoration of physical health; in housing/land provision; employment; material support.The most important needs of the UBD, in the implementation of which there are problems, are the restoration of physical and mental health, the solution of which requires the improvement and expansion of the medical infrastructure. It is very important to improve the organization of social protection, which involves simplification and transparency of its procedures and tools. UDBs are informed about social protection tools for meeting their needs by an average of 40%, which indicates the need to intensify efforts to personally inform UBDs when released to the reserve.

ТЕСТИРОВАНИЕ НЕЙРОПСИХОЛОГИЧЕСКОГО СТАТУСА У ПОСТИНСУЛЬТНЫХ БОЛЬНЫХ С РАЗЛИЧНОЙ ЛОКАЛИЗАЦИЕЙ ПОЛУШАРНОГО ОЧАГА

32 patients in the early recovery period of ischemic stroke in the right and left hemispheres of the brain were examined in order to assess the level and characteristics of cognitive functions and anxiety-depressive disorders for planning personalized rehabilitation treatment. Pre-dementia was detected in 42.1% of patients according to the results of the Short Mental Status Assessment Scale (MMSE), which is more common in patients with left-hemisphere stroke. Clinical depression, as well as subclinical and clinical anxiety are detected more often in left-hemisphere stroke. The inverse correlation of the cognitive function index on the MMSE scale and the level of anxiety and depression on the hospital anxiety and depression scale (HADS) was revealed. All patients who have suffered a hemispheric stroke should undergo early cognitive and psychological rehabilitation, especially patients with lesions of the left hemisphere.

Особливості та перспективи рекреаційного використання термальних мінеральних джерел курортними готелями

The Russian invasion of Ukraine and the COVID-19 pandemic have actualized the need to rethink the recreational use of thermal mineral springs by resort hotels in order to treat the consequences of post-war injuries, psychological rehabilitation and health restoration. Solving these problems requires strengthening the role of recreational enterprises and resort hotels in restoring the health of the population by expanding the directions of their economic activity and forming the investment attractiveness of the national resort and recreational product in world markets. The publication pays special attention to determining the physical and chemical properties of thermal mineral springs, which is an important component in the development of healing methods and the creation of specific health recovery programs. The spatial structure of the distribution of thermal mineral springs by regions of the world is clarified. The main types of establishments with thermal mineral springs, which provide recreational, healing and therapeutic services, are determined. In addition, the amount of financial losses suffered by institutions with thermal mineral springs as a result of the COVID-19 pandemic is determined, as well as the dynamics of volume and forecast of growth of the world market of thermal mineral springs, due to the need to recover health, is identified. According to the results of the study, it is found that thermal mineral springs are a unique natural resource. Their recreational use is the main activity of many resort hotels. As a result of the Russian aggression and the COVID-19 pandemic, there was a shift in emphasis in the functioning of resort hotels from relaxation and rest towards treatment and rehabilitation, which will help restore the demand for resort and recreational services in the post-war period. Thus, the increase in demand for the health-recovering, medical and recreational services will make it possible to expand the recreational use of thermal mineral springs, update the menu of services and become more appealing for attracting investment capital.

Особенности вегетативного статуса и качества жизни у пациенток репродуктивного возраста с недифференцированной дисплазией соединительной ткани

The purpose — to study the features of vegetative status and quality of life in female patients of reproductive age with UCTD. Material and methods. We examined 88 female patients (average age 25.0 ± 6.5 years) with UCTD. The control group consisted of 100 practically healthy women without signs of UCTD (average age 26.6 ± 5.4 years). All patients with UCTD had a deficiency of 25(OH)D. In the group of women with UCTD, a significant decrease in the magnesium content in blood serum and oral fluid was diagnosed in comparison with the control group (p = 0.001). The patients were treated with Magnerot (Worwag Pharma, GmbH&Co., KG, Germany) and Fortedetrim (MEDANA PHARMA, SA, Poland) for 8 weeks. After 8 weeks of therapy with Fortedetrim, vitamin D content (25 (OH)D) in blood serum reached reference values and amounted to 36.2 ± 5.2 ng/ml (p = 0.001). After 8 weeks of treatment with Magnerot, the magnesium content in blood serum and oral fluid also reached reference values and amounted to 0.95 ± 0.04 mmol/l and 0.62 ± 0.06 mmol/l, respectively (p = 0.001). Results and discussion. The obtained results testify to a statistically significant decrease in the level of personal anxiety, manifestations of depression, autonomic disorders and improvement in QOL and values of the questionnaire of childbearing role orientations against the background of treatment with Magnerot and Fortedetrim for two months (p < 0.05). Conclusion. The results obtained indicate the need to include magnesium and vitamin D preparations in the program of medical rehabilitation of women of reproductive age with UCTD and its mandatory combination with psychological rehabilitation, taking into account the fact that stressful states and depressive disorders are accompanied by magnesium deficiency. The health protection of such patients becomes especially significant under the catastrophic demographic situation in the Russian Federation («demographic pitfall»).

Психосоциальные аспекты эффективности комплексного реабилитационного лечения пациентов с психосоматическими заболеваниями

In the conditions of social and economic instability, negative impact of the environment, modern society is experiencing difficulties in adapting to enormous psychological stresses. The constant increase in the intensity of work and the flow of negative information provokes the emergence of psychosomatic diseases in individuals and social groups of the population. The percentage of psychosomatic disorders in the structure of general morbidity has a stable upward trend, they are characterized by a chronic course and duration, and their prevention and treatment are not effective enough today. The development of the principles of adequate and timely prevention of psychosomatic diseases and the effective selection of methods of social and psychological rehabilitation is the most important task of preventive psychology. To assess the social and psychological effect of the use of Tai Chi Qigong rehabilitation exercises in the complex treatment of psychosomatic diseases we conduct a continuous clinical and anamnestic study and psychological testing of 31 people receiving treatment in hospital due to the presence of psychosomatic disorders. It is shown that the use of the technique of rehabilitation exercises contributes to effectiveness of functional disorders restoration and positive thinking. It is proposed to consider the possibility of conducting interdisciplinary scientific research aimed at in-depth study of the influence of the Tai Chi Qigong technique on a wider range of clinical and laboratory symptoms of psychosomatic diseases, which will contribute to improving the quality of psychological и medical care for this category of patients, as well as improve their quality of life and social activity.