V. Skvortsov, E. A. Malyakina, G. Malyakin, A. R. Ponomareva, R. Tinaeva, A. V. Kiseleva, A. V. Leskova
{"title":"Neurological manifestations of long COVID: clinical aspects and impact on quality of life","authors":"V. Skvortsov, E. A. Malyakina, G. Malyakin, A. R. Ponomareva, R. Tinaeva, A. V. Kiseleva, A. V. Leskova","doi":"10.33920/med-01-2304-03","DOIUrl":"https://doi.org/10.33920/med-01-2304-03","url":null,"abstract":"Recent studies indicate an extremely high prevalence of long-term neurological manifestations among COVID-19 survivors, with nearly a third of patients diagnosed with neurological or psychiatric disorders in the first 6 months after acute COVID-19. Unlike the acute neurological manifestations of COVID-19, the pathophysiological mechanisms of long COVID-19 remain poorly understood. Several studies have concluded that both the CNS and the PNS are involved in patients with long COVID. The most common neurological symptoms were fatigue, memory/attention deficits, sleep disturbances, and myalgias, with each symptom occurring in one third of patients with prior SARS-CoV-2 infection. The impact of COVID-19 on patients, regardless of severity, extends beyond hospitalization for severe cases to continued deterioration in quality of life, mental health, and employment problems. Doctors' awareness of this condition, strict control of metabolic changes and risk factors for cardiovascular diseases, and effective and safe treatment of identified disorders are the main tasks in the management of patients with this pathology.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127144819","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S. Rangus, B. Tsygankov, A. O. Prosvetov, Yury Yurshev
{"title":"Transcranial magnetic stimulation for treatment-resistant depression in patients with residual-organic insufficiency of the central nervous system","authors":"S. Rangus, B. Tsygankov, A. O. Prosvetov, Yury Yurshev","doi":"10.33920/med-01-2304-01","DOIUrl":"https://doi.org/10.33920/med-01-2304-01","url":null,"abstract":"This article discusses the relationship of three global topics, each of which is of particular interest in the scientific community: transcranial magnetic stimulation as a treatment method, treatment-resistant depression, and residual-organic insufficiency of the central nervous system. Depression has become one of the most common diseases in the world, affecting more than 264 million people. According to various clinical data, drug therapy is effective in about 70 % of cases. In the remaining 30 %, there is no efficiency, or it turns out to be incomplete. These conditions can be comorbid with a variety of exogenous organic symptoms. Up to 30 % of patients seeking medical help in connection with neurotic disorders have signs of residual-organic insufficiency. The treatment of these conditions requires the search for methods to resolve them. One of these methods is transcranial magnetic stimulation. It is a non-invasive and well-tolerated treatment for depression, with proven clinical efficacy.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126318372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Smirnova, E. Epimakhova, D. Kazantseva, D. Kamaeva, A. Semke, S. Ivanova
{"title":"In vitro effect of serum IgGs with oxidoreductase activities of schizophrenic patients on apoptosis level","authors":"L. Smirnova, E. Epimakhova, D. Kazantseva, D. Kamaeva, A. Semke, S. Ivanova","doi":"10.33920/med-01-2303-07","DOIUrl":"https://doi.org/10.33920/med-01-2303-07","url":null,"abstract":"This paper presents the results of a study of the effect of IgG with catalase and superoxide dismutase activities, isolated from the blood serum of patients with paranoid schizophrenia, on the parameters of apoptotic cell death in an in vitro experiment, using a model of the SH-SY5Y human neuroblastoma cell line. The catalase and superoxide dismutase activities of immunoglobulins G were evaluated, and these activities were proved to belong to antibodies. It has been shown for the first time that abzymes from patients with schizophrenia in the therapeutic remission phase significantly reduce the level of apoptosis in the SH-SY5Y human neuroblastoma cell line after 24 incubations in an in vitro experiment.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121375501","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. N. Poplevchenkov, T. Agibalova, M. Zastrozhin, O. Buzik
{"title":"Personalized rehabilitation of patients with psychostimulant addiction, taking into account the polymorphism of genes controlling the serotonin system and neuroplastic brain processes","authors":"K. N. Poplevchenkov, T. Agibalova, M. Zastrozhin, O. Buzik","doi":"10.33920/med-01-2303-05","DOIUrl":"https://doi.org/10.33920/med-01-2303-05","url":null,"abstract":"The relevance of this study is due to the annual increase in patients with psychostimulant addiction and the lack of evidence-based methods of their rehabilitation within the framework of a personalized approach that takes into account the state of pathogenetic biomarkers of the disease. The aim of the study is to develop a personalized approach to the rehabilitation of patients with psychostimulant addiction, taking into account the polymorphism of genes controlling the work of the serotonin system and neuroplastic processes of the brain. As a result of the study of 325 patients with psychostimulant addiction, polymorphic variants of genes controlling the work of the serotonin system (SLC6A4, HTR2A, HTR2C) and neuroplastic brain processes (BDNF), affecting the formation of dependence and the effectiveness of therapy, were identified. It has been established that polymorphisms in these genes are associated with the effectiveness of motivational work for the rehabilitation program of patients with psychostimulant addiction and the duration of remissions. Based on the results obtained, personalized profiles of patients with psychostimulant addiction, taking into account certain clinical and genetic biomarkers and features of the response of patients to motivational psychotherapy aimed at rehabilitation and the formation of long-term remission, were identified.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130164767","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Psychopathological aspects of compulsive sexual behavior in males","authors":"I. Kan, M. Yagubov","doi":"10.33920/med-01-2303-03","DOIUrl":"https://doi.org/10.33920/med-01-2303-03","url":null,"abstract":"The article is devoted to the study of the clinical picture of compulsive sexual disorders in men as a manifestation of various mental disorders. The authors compare and analyze psychopathological features in patients with compulsive behavioral disorders in the form of compulsive masturbation within four different clinical groups. Concurrently, the presence and clinical and psychopathological features of such a phenomenon as a compulsive sexual disorder are considered not only as an important diagnostic criterion for the qualification of mental disorder, but also for the development of adequate therapeutic measures. The article proposes a program of effective therapy and rehabilitation for these disorders.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122697779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. Savushkina, I. Boksha, M. Omelchenko, E. Tereshkina, T. Prokhorova, E. Vorobyeva, G. Burbaeva
{"title":"Correlations between biochemical and clinical parameters in patients at risk for schizophrenia spectrum disorders","authors":"O. Savushkina, I. Boksha, M. Omelchenko, E. Tereshkina, T. Prokhorova, E. Vorobyeva, G. Burbaeva","doi":"10.33920/med-01-2303-06","DOIUrl":"https://doi.org/10.33920/med-01-2303-06","url":null,"abstract":"Integrated clinical and biological approach to the early detection of attenuated psychotic symptoms within the frames of affective disorders makes it possible to detect the initial stage of the psychosis development and begin timely therapeutic intervention. The aim of the study was to evaluate the activity of glutamate, glutathione, and energy metabolism enzymes in the blood of patients who are at risk for the development of schizophrenia and to search for clinical and biological correlations. Clinical, psychometric (SOPS and HDRS-21), and biochemical examinations were made in 60 young men aged 16–25 years belonging to the risk group for the development of schizophrenia and in 21 young men from the comparison group without signs of risk of schizophrenia. The control group consisted of 25 healthy young men aged 19–25 years. The activities of cytochrome c oxidase, glutamate dehydrogenase, glutathione reductase, and glutathione-S-transferase were determined in platelets and erythrocytes. Decreased activities of platelet glutamate dehydrogenase, glutathione reductase, and glutathione-S-transferase were observed in all groups of examined patients compared with the control group. In erythrocytes, changed activities of glutathione reductase were observed only in the group of patients without attenuated psychotic symptoms, and glutathione-S-transferase — in the group of patients with attenuated symptoms. The revealed correlations between biochemical and clinical parameters differed in the examined groups of patients. The obtained results reflect the features of the pathogenic mechanisms in the schizophrenia risk group in terms of the activity levels of blood enzymes involved in glutamate, energy, and glutathione metabolism.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128921367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Features of gender identity disorders in schizophrenia spectrum disorders in comparison with transsexualism","authors":"E. A. Starostina","doi":"10.33920/med-01-2303-02","DOIUrl":"https://doi.org/10.33920/med-01-2303-02","url":null,"abstract":"The original study presents the results of a comparative analysis of the clinical, psychopathological, and psychosexual characteristics of gender identity disorders in schizophrenia spectrum disorders and transsexualism. The sample consisted of 120 people with complaints about the inconsistency between gender self-perception and the biological sex, divided into 2 groups: with schizophrenia spectrum disorders and transsexualism. It was found that in the patients with transsexualism, compared to those with schizophrenia spectrum disorders, the age of gender incongruence awareness fell on an earlier age period, and they more often had elements of trans-role behavior in childhood. The respondents with transsexualism more often had experience of living in an associated gender and less often made attempts to adapt in accordance with the gender assigned at birth. The psychosexual development of the patients with transsexualism was generally normative, while the patients with schizophrenia often showed delays in the platonic-erotic stage of libido. It was concluded that in the differential diagnosis of transsexualism and gender identity disorders in schizophrenia spectrum disorders, attention should be paid to such parameters as the presence of signs of gender identity disorders in childhood, age of gender incongruence awareness, experience of life in the associated gender, the presence of dysmorphophobic symptoms not related to sexual characteristics, and the results of a psychological examination of gender identity.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129422149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Impact of psychogenic factors on the dynamics of suicidal behavior in patients of a psychiatric hospital who have committed suicide or a suicidal attempt","authors":"S. Vaulin, M. V. Alekseeva, T. V. Morenets","doi":"10.33920/med-01-2303-04","DOIUrl":"https://doi.org/10.33920/med-01-2303-04","url":null,"abstract":"The article presents an attempt to assess the impact of individual psychotraumatic events in the life of patients of a psychiatric hospital, including the strength of the psychotraumatic effect, subjective significance, duration, and impact of its resolution on the severity of suicidal risk (under the control of the Beck Scale for Suicide Ideation and the Montgomery — Åsberg Depression Rating Scale). The ideas of psychiatrists about suicidal risks have been studied. The data obtained can be used to assess suicidal risk during treatment in a psychiatric hospital and in the early stages after discharge.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128455555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical and psychopathological concept of the combined course of recurrent depressive and panic disorders","authors":"I. A. Pastukh, B. Tsygankov","doi":"10.33920/med-01-2303-01","DOIUrl":"https://doi.org/10.33920/med-01-2303-01","url":null,"abstract":"A comprehensive clinical and psychopathological concept of the combined course of recurrent depressive and panic disorders, based on the patterns of their relationship, is presented in the article.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131098769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
V. A. Dudareva, M. Maksimov, I. G. Dyadikova, Ya.A. Korbanov, P. A. Ivashchenko, L.V. Chizhik
{"title":"Stress and nutrition (Literature review)","authors":"V. A. Dudareva, M. Maksimov, I. G. Dyadikova, Ya.A. Korbanov, P. A. Ivashchenko, L.V. Chizhik","doi":"10.33920/med-01-2302-05","DOIUrl":"https://doi.org/10.33920/med-01-2302-05","url":null,"abstract":"The article presents modern reviews, meta-analyses, and studies on the issues of nutritional stress correction and the contribution of some nutritional factors to its development. The role of a diet low in saturated fatty acids and high in polyunsaturated fatty acids, the Mediterranean diet, supplementation of folic acid and other B vitamins, as well as the role of a healthy diet model in the prevention of stress and its consequences are considered.","PeriodicalId":447580,"journal":{"name":"Vestnik nevrologii, psihiatrii i nejrohirurgii (Bulletin of Neurology, Psychiatry and Neurosurgery)","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123152977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}