270 research outputs found
Toward an investigation of diversity and cultivation of rye (Secale cereale ssp. cereale L.) in Germany: methodological insights and first results from early modern plant material
Rye (Secale cerealessp.cerealeL.) is a secondary domesticate, considered to have originated asa weed in wheat fields and to have developed traits of domestication by evolving similar physiologicaland morphological characteristics to those of wheat. Although it migrated into Europe as a weedpossessing domestication traits, it became one of the most significant crops grown in large parts ofEurope from the medieval period onward. Within the modern borders of Germany, rye was grownusing at least two divergent cultivation practices: eternal rye monoculture and three-field rotation.The straw of rye was used to produce WellerhΓΆlzer, which are construction components in traditionalhalf-timbered houses that have enabled a desiccated preservation of the plant remains. In order toassess the impact of cultivation practices, local environmental conditions and genetic variation onthe genetic diversification of rye, we seek to integrate well-established archaeobotanical methodswith aDNA sequencing of desiccated plant remains obtained from WellerhΓΆlzer from Germany. Inthe current contribution, we present a proof of concept, based on the analysis of plant remains froma Wellerholz from the Old Town Hall of GΓΆttingen. We use arable weed ecology to reconstructcultivation practices and local environmental conditions and present a phylogenetic analysis basedon targeted loci of the chloroplast and nuclear genome. Our results emphasise that the study ofdesiccated remains of plants from WellerhΓΆlzer offer a unique opportunity for an integration ofarchaeobotanical reconstructions of cultivation practices and local environment and the sequencingof aDNA
Effect of Fe content on atomic and electronic structure of complex oxides Sr Ti,Fe O3 delta
Two series of SrTi1 xFexO3 amp; 948; STFO powders with different Fe content produced by two different methods, solid state reaction or modified Pechini synthesis, have been investigated by soft X ray absorption spectroscopy. The O1s K , Fe2p L2,3 and Ti2p L2,3 absorption spectra of STFO powders were analyzed. Partial substitution of Ti by Fe atoms in SrTiO3 were found to cause asymmetric distortion of TiO6 octahedrons which may violate the cubic symmetry of STFO. It was established that the distortion of TiO6 octahedrons increases with increasing Fe content. The joint analysis of the STFO spectra along with the reference compounds points to the presence mainly of Fe3 states in octahedral environment at small concentration of Fe atoms along with essentially smaller content of Fe4 states in octahedral environment where the latter contribution increases with increasing Fe content. Also a presence of Fe3 states in tetrahedral environment with Fe content higher than 50 is traced. A certain amount of Fe2 ions in an octahedral environment was also found in the STFO compound prepared by spray pyrolysis with Fe content higher than 75 . The O1s K absorption spectra point to increase in oxygen vacancy concentration with increasing Fe content. The lowest degree of structure distortions was traced in STFO35. Hence, the STFO35 compound seems to be mostly appropriate for technical application
Migraine and neck pain: Mechanisms of comorbidity
Neck pain and migraine are common diseases. Neck pain seldom occurs in a patient with migraine. However, the relationship between migraineΒ and neck pain has been inadequately investigated.Objective: to analyze neck pain in patients with migraine to determine possible comorbidity mechanisms of these diseases.Patients and methods. The investigation enrolled 63 patients with chronic migraine (CM) and 40 with episodic migraine (EM) diagnosed inΒ accordance with the International Classification of Headache Disorders, 3rd edition (ICHD-3). Winking reflex (WR) and nociceptive flexionΒ reflex (NFR) were examined to evaluate the function of antinociceptive systems.Results. In the patients with CM, neck pain was more common than in those with EM (53.03% versus 14.02%); and panful tenderness, sensitivity,Β and tension of neck muscles were more marked. There was also a significant reduction in WR and NFR thresholds. Neck pain was notedΒ to be an integral component of the pathogenesis of CM in a large number of patients with this condition. The authors proposed several pathophysiologicalΒ mechanisms of a relationship between migraine and neck pain. Neck muscles and craniovertebral junction areas serve as a sourceΒ for the arrival of nociceptive pain pulses in the central nervous system (peripheral sensitization), promoting pain chronization. Muscle dysfunctionΒ in this area may be, in turn, a reflection of central sensitization and impaired descending pain control
Depression is not the only cause of cognitive impairment in chronic migraine
Background.Β Patients with the chronic migraine frequently present with memory and attention complaints. However, the prevalence and phenotype of such impairment in chronic migraine have not been studied.ObjectiveΒ β to evaluate the prevalence of the objective cognitive deficit in patients with chronic migraine and factors underlying its etiology.Β Materials and methods.Β We recruited 62 subjects with chronic migraine and 36 genderand age-matched controls with low-frequency episodic migraine (not more, then 4 headache days per month) aged 18β59. All patients filled in the Hospital Anxiety and Depression Scale (HADS) and Sheehan Disability Scale. Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA), Digital Symbol Substitution Test (DSST), Rey Auditory Verbal Learning Test (RAVLT), and the Perceived Deficits Questionnaire (PDQ-20).Results.Β In this study 58 % of patients with chronic migraine complained of memory loss. Cognitive impairment was also found with PDQ-20. Objectively, we found a significant decrease in 90-second DSST results and RAVLT total recall and learning rate. In 40 % of subjects with chronic migraine scored lower than 26 points on MoCA. Patients with chronic migraine more frequently had lower DSST rates as compared to episodic migraine (odds ratio 5.07 (95 % confidence interval β 1.59β16.17); p = 0.003). Depression and anxiety did not correlate with performance on cognitive tests. Chronic migraine (frequent headache) and longer headache history, but not depression, anxiety or medication overuse were independent predictors of cognitive impairment.Conclusion. Subjective and objective cognitive deficits are prevalent in the chronic migraine population. Most often memory and attention are impaired. Longer headache history and presence of chronic migraine are independent risk factors for cognitive impairment in patients with chronic migraine
Dispersion force for materials relevant for micro and nanodevices fabrication
The dispersion (van der Waals and Casimir) force between two semi-spaces are
calculated using the Lifshitz theory for different materials relevant for micro
and nanodevices fabrication, namely, gold, silicon, gallium arsenide, diamond
and two types of diamond-like carbon (DLC), silicon carbide, silicon nitride
and silicon dioxide. The calculations were performed using recent experimental
optical data available in the literature, usually ranging from the far infrared
up to the extreme ultraviolet bands of the electromagnetic spectrum. The
results are presented in the form of a correction factor to the Casimir force
predicted between perfect conductors, for the separation between the
semi-spaces varying from 1 nanometre up to 1 micrometre. The relative
importance of the contributions to the dispersion force of the optical
properties in different spectral ranges is analyzed. The role of the
temperature for semiconductors and insulators is also addressed. The results
are meant to be useful for the estimation of the impact of the Casimir and van
der Waals forces on the operational parameters of micro and nanodevices
Safe Use of Contrast Media in Radiology (Clinical Guidelines)
In recent years, the frequency of contrast-enhanced radiological studies has increased significantly, and the issues of their selection and rational use do not lose their relevance. These methodological recommendations represent a complete up-to-date guide for using contrast agents (CA) in radiology. Types of currently used CA inΒ computed tomography, magnetic resonance imaging, and ultrasound examinations are described. Safety rules for injection of each CA type are systematized, the principles of dosing and possible side effects are explained. In addition, it is important to highlight the issues of interactions between CA and other drugs that patient might take, in particular, the possible deterioration of renal function when using CA in diabetes mellitus patients taking metformin. It should be noted that these recommendations have undergone significant changes in recent years. Also questionnaire templates for patients prior to the contrast-enhanced study are given in the supplements. The methodological guidelines are based on current publications ofΒ international experts on CA use in radiology as well as on the data of two major guidelines: American College of Radiologists (ACR) Guidelines (2023) and European Society of Urogenital Radiology (ESUR) Safety Recommendations (2018, version 10). Thus, the information presented is validated, which provides grounds for its application in real clinical practice. The guidelines will be actualized as new scientific evidence becomes available, but to date they appear to be the most relevant
Physical constraints of cultural evolution of dialects in killer whales
Data collection was supported by a variety of organizations, including the Russian Fund for the Fundamental Research (Grant No. 15-04-05540), the Rufford Small Grants Fund, Whale and Dolphin Conservation, the Fundação para a CiΓͺncia e a Tecnologia (Grant No. SFRH/BD/30303/2006), Russell Trust Award of the University of St. Andrews, the Office of Naval Research, the Icelandic Research Fund (i. RannsΓ³knasjΓ³Γ°ur), the National Geographic Society Science and Exploration Europe (Grant No. GEFNE65-12), Vancouver Aquarium Marine Science Centre, the Canadian Ministry of Fisheries and Oceans, and the North Gulf Oceanic Society.Odontocete sounds are produced by two pairs of phonic lips situated in soft nares below the blowhole; the right pair is larger and is more likely to produce clicks, while the left pair is more likely to produce whistles. This has important implications for the cultural evolution of delphinid sounds: the greater the physical constraints, the greater the probability of random convergence. In this paper the authors examine the call structure of eight killer whale populations to identify structural constraints and to determine if they are consistent among all populations. Constraints were especially pronounced in two-voiced calls. In the calls of all eight populations, the lower component of two-voiced (biphonic) calls was typically centered below 4βkHz, while the upper component was typically above that value. The lower component of two-voiced calls had a narrower frequency range than single-voiced calls in all populations. This may be because some single-voiced calls are homologous to the lower component, while others are homologous to the higher component of two-voiced calls. Physical constraints on the call structure reduce the possible variation and increase the probability of random convergence, producing similar calls in different populations.PostprintPeer reviewe
ΠΠ°ΡΡΡΠ΅Π½ΠΈΡ ΠΏΠ°ΠΌΡΡΠΈ ΠΈ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ
Background.Β Memory and attention deficits are prevalent in the chronic pain population. There are multiple common mechanisms in chronic pain and cognitive impairment. However, the presence, prevalence and clinical burden of such impairment are frequently underestimated.Objective:Β to evaluate subjective and objective cognitive deficits in patients with chronic migraine (CM).Materials and methods.Β We recruited 53 subjects with CM and 22 genderand age-matched controls with low-frequency episodic migraine (a maximum of 4 headache days per month) aged 18β59. All patients filled in the HADS (Hospital Anxiety and Depression Scale) anxiety and depression scale and Pittsburg Sleep Quality Inventory (PSQI). Cognitive function was assessed with Montreal Cognitive Assessment (MoCA), Digital Symbol Substitution Test (DSST), Rey Auditory Verbal Learning Test (RAVLT) and the Perceived Deficits Questionnaire (PDQ-20).Results.Β 56 % of patients with CM complained of memory problems. Decreased cognitive function was also observed during self-assessment using the PDQ-20 questionnaire. Objectively, we found a significant decrease in 90-second DSST results and RAVLT total recall and learning rates. 44 % of subjects with CM scored lower than 26 points on MoCA. Most frequently we found impairments in attention (75 %), memory/delayed recall (50 %), language (50 %) and executive function (37 %). Depression and sleep quality correlated with only several parameters of cognitive tests.Conclusion.Β Subjective and objective cognitive deficits are prevalent in the CM population. Most often memory and attention are impaired. Cognitive complaints need to be carefully assessed, and treatment of such impairment may improve quality of life and decrease disability in CM.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅.Β ΠΠ°ΡΡΡΠ΅Π½ΠΈΡ ΠΏΠ°ΠΌΡΡΠΈ ΠΈ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ ΡΠΈΡΠΎΠΊΠΎ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Ρ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»ΡΡ. ΠΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΠΈ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠ°Ρ Π±ΠΎΠ»Ρ ΠΈΠΌΠ΅ΡΡ ΠΌΠ½ΠΎΠΆΠ΅ΡΡΠ²ΠΎ ΠΎΠ±ΡΠΈΡ
ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΠΎΠ². Π ΡΠΎ ΠΆΠ΅ Π²ΡΠ΅ΠΌΡ Π½Π°Π»ΠΈΡΠΈΠ΅, ΡΠ°ΡΡΠΎΡΠ° Π²ΡΡΡΠ΅ΡΠ°Π΅ΠΌΠΎΡΡΠΈ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ ΡΡΠΈΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Π·Π°ΡΠ°ΡΡΡΡ Π½Π΅Π΄ΠΎΠΎΡΠ΅Π½ΠΈΠ²Π°ΡΡΡΡ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡΒ β ΠΈΠ·ΡΡΠ΅Π½ΠΈΠ΅ ΡΡΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
ΠΈ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ² Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ (Π₯Π).Β ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ.Β Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΡΠΈΠ½ΡΠ»ΠΈ ΡΡΠ°ΡΡΠΈΠ΅ 53 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° Ρ Π₯Π ΠΈ 22 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° Ρ ΡΠ΅Π΄ΠΊΠΎΠΉ ΡΠΏΠΈΠ·ΠΎΠ΄ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ (Π³ΠΎΠ»ΠΎΠ²Π½Π°Ρ Π±ΠΎΠ»Ρ Π½Π΅ Π±ΠΎΠ»Π΅Π΅ 4 Π΄Π½Π΅ΠΉ Π² ΠΌΠ΅ΡΡΡ) Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ 18β59 Π»Π΅Ρ, ΠΏΠΎΠ΄ΠΎΠ±ΡΠ°Π½Π½ΡΡ
ΠΏΠΎ ΠΏΠΎΠ»Ρ ΠΈ Π²ΠΎΠ·ΡΠ°ΡΡΡ. ΠΡΠ΅ΠΌ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ ΠΏΡΠΎΠ²Π΅Π΄Π΅Π½Ρ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΈ Π°Π½ΠΊΠ΅ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅: ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊ Π΄Π΅ΠΌΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ, Π³ΠΎΡΠΏΠΈΡΠ°Π»ΡΠ½Π°Ρ ΡΠΊΠ°Π»Π° ΡΡΠ΅Π²ΠΎΠ³ΠΈ ΠΈ Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΠΈ HADS (Hospital Anxiety and Depression Scale), ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊ Π΄Π»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° Π½ΠΎΡΠ½ΠΎΠ³ΠΎ ΡΠ½Π° PSQI (Pittsburg Sleep Quality Inventory). Π’Π°ΠΊΠΆΠ΅ Π²ΡΠ΅ΠΌ ΡΡΠ°ΡΡΠ½ΠΈΠΊΠ°ΠΌ Π²ΡΠΏΠΎΠ»Π½Π΅Π½ΠΎ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ Ρ ΠΏΠΎΠΌΠΎΡΡΡ ΠΠΎΠ½ΡΠ΅Π°Π»ΡΡΠΊΠΎΠΉ ΡΠΊΠ°Π»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ MoCA (Montreal Cognitive Assessment), ΡΠ΅ΡΡΠ° Π·Π°ΠΌΠ΅Π½Ρ ΡΠΈΡΡΠΎΠ²ΡΡ
ΡΠΈΠΌΠ²ΠΎΠ»ΠΎΠ² DSST (Digital Symbol Substitution Test), ΡΠ΅ΡΡΠ° Π Π΅Ρ Π½Π° ΡΠ»ΡΡ
ΠΎΡΠ΅ΡΠ΅Π²ΠΎΠ΅ Π·Π°ΡΡΠΈΠ²Π°Π½ΠΈΠ΅ RAVLT (Rey Auditory Verbal Learning Test) ΠΈ ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊΠ° Π²ΠΎΡΠΏΡΠΈΠ½ΠΈΠΌΠ°Π΅ΠΌΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° PDQ-20 (Perceived Deficits Questionnaire).Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ.Β ΠΠ°Π»ΠΎΠ±Ρ Π½Π° Π½Π°ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΠΌΡΡΠΈ ΠΏΡΠ΅Π΄ΡΡΠ²Π»ΡΠ»ΠΈ 56 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π₯Π. Π‘Π½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ ΡΠ°ΠΊΠΆΠ΅ Π²ΡΡΠ²Π»Π΅Π½ΠΎ ΠΏΡΠΈ ΡΠ°ΠΌΠΎΠΎΡΠ΅Π½ΠΊΠ΅ ΠΏΠΎ ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊΡ PDQ-20. ΠΡΠΈ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ Π² Π³ΡΡΠΏΠΏΠ΅ Π₯Π ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ Π·Π½Π°ΡΠΈΠΌΠΎΠ΅ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΡΠ΅ΡΡΠ° DSST, ΠΎΠ±ΡΠ΅Π³ΠΎ ΡΠΈΡΠ»Π° Π·Π°ΠΏΠΎΠΌΠ½Π΅Π½Π½ΡΡ
ΡΠ»ΠΎΠ², Π° ΡΠ°ΠΊΠΆΠ΅ ΡΡ
ΡΠ΄ΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΠΎΠ±ΡΡΠ΅Π½ΠΈΡ. Π£ 44 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π₯Π Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠΎΠ²Π°Π½Ρ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΠ΅ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π° ΠΏΠΎ ΡΠΊΠ°Π»Π΅ MΠΎCA. ΠΠ°ΠΈΠ±ΠΎΠ»Π΅Π΅ ΡΠ°ΡΡΠΎ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΡΠΌΠΌΡ Π±Π°Π»Π»ΠΎΠ² ΠΏΠΎ ΡΠΊΠ°Π»Π΅ MoCA Π½Π°Π±Π»ΡΠ΄Π°Π»ΠΎΡΡ ΠΏΠΎ ΡΡΠ½ΠΊΡΠΈΡΠΌ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ (75 %), ΠΏΠ°ΠΌΡΡΠΈ/ΠΎΡΡΡΠΎΡΠ΅Π½Π½ΠΎΠ³ΠΎ Π²ΠΎΡΠΏΡΠΎΠΈΠ·Π²Π΅Π΄Π΅Π½ΠΈΡ (50 %), ΡΠ΅ΡΠΈ (50 %) ΠΈ ΠΈΡΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΡΠ½ΠΊΡΠΈΠΈ (37 %). ΠΡΠΌΠ΅ΡΠ΅Π½Π° ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΡ ΡΡΠΎΠ²Π½Ρ Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΠΈ ΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²Π° ΡΠ½Π° Π»ΠΈΡΡ Ρ ΠΎΡΠ΄Π΅Π»ΡΠ½ΡΠΌΠΈ ΠΏΠ°ΡΠ°ΠΌΠ΅ΡΡΠ°ΠΌΠΈ ΡΠ΅ΡΡΠΎΠ² ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ.ΠΠ°ΠΊΠ»ΡΡΠ΅Π½ΠΈΠ΅.Β Π£ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π₯Π Π²ΡΡΠ²Π»Π΅Π½Π° Π²ΡΡΠΎΠΊΠ°Ρ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΡΡΡ ΡΡΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
(56 %) ΠΈ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
(44 %) Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ. Π ΠΏΠ΅ΡΠ²ΡΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ ΠΎΡΠΌΠ΅ΡΠ°Π΅ΡΡΡ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΠΌΡΡΠΈ ΠΈ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ. ΠΠ΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎ ΠΎΠ±ΡΠ°ΡΠ°ΡΡ ΠΎΡΠΎΠ±ΠΎΠ΅ Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ Π½Π° ΠΏΡΠ΅Π΄ΡΡΠ²Π»ΡΠ΅ΠΌΡΠ΅ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌΠΈ ΡΠΎΠΎΡΠ²Π΅ΡΡΡΠ²ΡΡΡΠΈΠ΅ ΠΆΠ°Π»ΠΎΠ±Ρ, Π° ΡΠ΅ΡΠ°ΠΏΠΈΡ Π΄Π°Π½Π½ΡΡ
ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ² ΠΌΠΎΠΆΠ΅Ρ ΠΏΠΎΠ²ΡΡΠΈΡΡ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ ΠΈ ΡΡΡΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Π₯Π
ΠΠ΅ΠΏΡΠ΅ΡΡΠΈΡ β Π½Π΅ Π΅Π΄ΠΈΠ½ΡΡΠ²Π΅Π½Π½Π°Ρ ΠΏΡΠΈΡΠΈΠ½Π° ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ
Background.Β Patients with the chronic migraine frequently present with memory and attention complaints. However, the prevalence and phenotype of such impairment in chronic migraine have not been studied.ObjectiveΒ β to evaluate the prevalence of the objective cognitive deficit in patients with chronic migraine and factors underlying its etiology.Β Materials and methods.Β We recruited 62 subjects with chronic migraine and 36 genderand age-matched controls with low-frequency episodic migraine (not more, then 4 headache days per month) aged 18β59. All patients filled in the Hospital Anxiety and Depression Scale (HADS) and Sheehan Disability Scale. Cognitive function was assessed with the Montreal Cognitive Assessment (MoCA), Digital Symbol Substitution Test (DSST), Rey Auditory Verbal Learning Test (RAVLT), and the Perceived Deficits Questionnaire (PDQ-20).Results.Β In this study 58 % of patients with chronic migraine complained of memory loss. Cognitive impairment was also found with PDQ-20. Objectively, we found a significant decrease in 90-second DSST results and RAVLT total recall and learning rate. In 40 % of subjects with chronic migraine scored lower than 26 points on MoCA. Patients with chronic migraine more frequently had lower DSST rates as compared to episodic migraine (odds ratio 5.07 (95 % confidence interval β 1.59β16.17); p = 0.003). Depression and anxiety did not correlate with performance on cognitive tests. Chronic migraine (frequent headache) and longer headache history, but not depression, anxiety or medication overuse were independent predictors of cognitive impairment.Conclusion. Subjective and objective cognitive deficits are prevalent in the chronic migraine population. Most often memory and attention are impaired. Longer headache history and presence of chronic migraine are independent risk factors for cognitive impairment in patients with chronic migraine.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅.Β ΠΠ°Π»ΠΎΠ±Ρ Π½Π° ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΠΌΡΡΠΈ ΠΈ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ ΡΠΈΡΠΎΠΊΠΎ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Ρ Π² ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΏΡΠ°ΠΊΡΠΈΠΊΠ΅. ΠΡΠΈ ΡΡΠΎΠΌ ΡΠ°ΡΡΠΎΡΠ° Π²ΡΡΡΠ΅ΡΠ°Π΅ΠΌΠΎΡΡΠΈΒ ΠΈ ΡΡΡΡΠΊΡΡΡΠ° ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΠΏΡΠΈ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΠΈ ΠΏΡΠ°ΠΊΡΠΈΡΠ΅ΡΠΊΠΈ Π½Π΅ ΠΈΠ·ΡΡΠ΅Π½Ρ.Π¦Π΅Π»Ρ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ βΒ ΠΈΠ·ΡΡΠΈΡΡ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΡΡΡ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΡΡ ΡΡΡΡΠΊΡΡΡΡ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ°ΠΊΡΠΎΡΠΎΠ², ΠΈΠΌΠ΅ΡΡΠΈΡ
Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ Π΄Π»Ρ ΠΈΡ
ΡΠ°Π·Π²ΠΈΡΠΈΡ.ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ.Β Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ ΠΏΡΠΈΠ½ΡΠ»ΠΈ ΡΡΠ°ΡΡΠΈΠ΅ 62 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ° Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ ΠΈ 36 ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ ΡΠ΅Π΄ΠΊΠΎΠΉ ΡΠΏΠΈΠ·ΠΎΠ΄ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ (Π½Π΅ Π±ΠΎΠ»Π΅Π΅ 4 Π΄Π½Π΅ΠΉ Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΉ Π±ΠΎΠ»ΠΈ Π² ΠΌΠ΅ΡΡΡ) Π² Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ ΠΎΡ 18 Π΄ΠΎ 59 Π»Π΅Ρ, ΠΏΠΎΠ΄ΠΎΠ±ΡΠ°Π½Π½ΡΡ
ΠΏΠΎ ΠΏΠΎΠ»Ρ ΠΈ Π²ΠΎΠ·ΡΠ°ΡΡΡ. ΠΡΠ΅ΠΌ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠ°ΠΌ ΠΏΡΠΎΠ²Π΅Π»ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ΅ Π½Π΅Π²ΡΠΎΠ»ΠΎΠ³ΠΈΡΠ΅ΡΠΊΠΎΠ΅ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΈ Π°Π½ΠΊΠ΅ΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ Ρ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½ΠΈΠ΅ΠΌ ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊΠ° Π΄Π΅ΠΌΠΎΠ³ΡΠ°ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΡ
Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΡΡΠΈΠΊ, Π³ΠΎΡΠΏΠΈΡΠ°Π»ΡΠ½ΠΎΠΉ ΡΠΊΠ°Π»Ρ ΡΡΠ΅Π²ΠΎΠ³ΠΈ ΠΈ Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΠΈ (Hospital Anxiety and Depression Scale, HADS), ΡΠΊΠ°Π»Ρ Π½Π΅ΡΡΡΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΠΈ Π¨ΠΈΡ
Π°Π½Π° (Sheehan Disability Scale). Π’Π°ΠΊΠΆΠ΅ Π²ΡΠ΅ΠΌ ΡΡΠ°ΡΡΠ½ΠΈΠΊΠ°ΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΡΠΎΠ²Π΅Π»ΠΈ ΡΠ΅ΡΡΠΈΡΠΎΠ²Π°Π½ΠΈΠ΅ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ ΠΏΡΠΈ ΠΏΠΎΠΌΠΎΡΠΈ ΠΠΎΠ½ΡΠ΅Π°Π»ΡΡΠΊΠΎΠΉ ΡΠΊΠ°Π»Ρ ΠΎΡΠ΅Π½ΠΊΠΈ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ (Montreal Cognitive Assessment, MoCA), ΡΠ΅ΡΡΠ° Π·Π°ΠΌΠ΅Π½Ρ ΡΠΈΡΡΠΎΠ²ΡΡ
ΡΠΈΠΌΠ²ΠΎΠ»ΠΎΠ² (Digital Symbol Substitution Test, DSST), ΡΠ΅ΡΡΠ° Π Π΅Ρ Π½Π° ΡΠ»ΡΡ
ΠΎΡΠ΅ΡΠ΅Π²ΠΎΠ΅ Π·Π°ΡΡΠΈΠ²Π°Π½ΠΈΠ΅ (Rey Auditory Verbal Learning Test, RAVLT) ΠΈ ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊΠ° Π²ΠΎΡΠΏΡΠΈΠ½ΠΈΠΌΠ°Π΅ΠΌΠΎΠ³ΠΎ Π΄Π΅ΡΠΈΡΠΈΡΠ° (Perceived Deficits Questionnaire, PDQ-20).Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ.Β Π ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ 58 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ ΠΏΡΠ΅Π΄ΡΡΠ²Π»ΡΠ»ΠΈ ΠΆΠ°Π»ΠΎΠ±Ρ Π½Π° Π½Π°ΡΡΡΠ΅Π½ΠΈΠ΅ ΠΏΠ°ΠΌΡΡΠΈ. Π‘Π½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ ΡΠ°ΠΊΠΆΠ΅ Π²ΡΡΠ²Π»Π΅Π½ΠΎ ΠΏΡΠΈ ΡΠ°ΠΌΠΎΠΎΡΠ΅Π½ΠΊΠ΅ ΠΏΠΎ ΠΎΠΏΡΠΎΡΠ½ΠΈΠΊΡ PDQ-20. ΠΡΠΈ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠΌ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΈ Π² Π³ΡΡΠΏΠΏΠ΅ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΠΈ ΠΎΡΠΌΠ΅ΡΠ΅Π½ΠΎ Π·Π½Π°ΡΠΈΠΌΠΎΠ΅ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² ΡΠ΅ΡΡΠ° DSST, ΠΎΠ±ΡΠ΅Π³ΠΎ ΡΠΈΡΠ»Π° Π·Π°ΠΏΠΎΠΌΠΈΠ½Π°Π΅ΠΌΡΡ
ΡΠ»ΠΎΠ², Π° ΡΠ°ΠΊΠΆΠ΅ ΡΡ
ΡΠ΄ΡΠ΅Π½ΠΈΠ΅ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»Ρ ΠΎΠ±ΡΡΠ΅Π½ΠΈΡ. ΠΠ΅ΡΠΎΡΡΠ½ΠΎΡΡΡ ΡΡ
ΡΠ΄ΡΠ΅Π½ΠΈΡ ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠ° ΠΏΠΎ ΡΠ΅ΡΡΡ DSST ΠΏΡΠΈ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΠΈ Π±ΡΠ»Π° Π·Π½Π°ΡΠΈΠΌΠΎ Π²ΡΡΠ΅ ΠΏΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΡ Ρ ΡΠΏΠΈΠ·ΠΎΠ΄ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ (ΠΎΡΠ½ΠΎΡΠ΅Π½ΠΈΠ΅ ΡΠ°Π½ΡΠΎΠ² 5,07 (95 % Π΄ΠΎΠ²Π΅ΡΠΈΡΠ΅Π»ΡΠ½ΡΠΉ ΠΈΠ½ΡΠ΅ΡΠ²Π°Π» 1,59β16,17); p = 0,003). Π£ 40 % ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΡΠΎΠ²Π°Π»ΠΈ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΠ΅ ΡΠ°ΡΡΡΡΠΎΠΉΡΡΠ²Π° ΠΏΠΎ ΡΠΊΠ°Π»Π΅ MΠΎCA. ΠΠ΅ ΠΎΡΠΌΠ΅ΡΠ΅Π½Π° ΠΊΠΎΡΡΠ΅Π»ΡΡΠΈΡ ΡΡΠΎΠ²Π½Ρ Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΠΈ ΠΈ ΡΡΠ΅Π²ΠΎΠ³ΠΈ Ρ ΠΏΠΎΠΊΠ°Π·Π°ΡΠ΅Π»ΡΠΌΠΈ ΡΠ΅ΡΡΠΎΠ² ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ. ΠΠ°Π»ΠΈΡΠΈΠ΅ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΠΈ (ΡΠ°ΡΡΠΎΠΉ Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΉ Π±ΠΎΠ»ΠΈ) ΠΈ Π΄Π»ΠΈΡΠ΅Π»ΡΠ½ΠΎΡΡΡ Π°Π½Π°ΠΌΠ½Π΅Π·Π° ΡΠ΅ΡΠ°Π»Π³ΠΈΠΈ (Π½ΠΎ Π½Π΅ Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΡ) ΡΡΠ΅Π²ΠΎΠ³Π° ΠΈ Π·Π»ΠΎΡΠΏΠΎΡΡΠ΅Π±Π»Π΅Π½ΠΈΠ΅ Π°Π½Π°Π»ΡΠ³Π΅ΡΠΈΠΊΠ°ΠΌΠΈ ΡΠ²Π»ΡΡΡΡΡ Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΡΠΌΠΈ ΡΠ°ΠΊΡΠΎΡΠ°ΠΌΠΈ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ.ΠΡΠ²ΠΎΠ΄Ρ. Π£ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ ΠΎΡΠΌΠ΅ΡΠ΅Π½Π° Π²ΡΡΠΎΠΊΠ°Ρ ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΠΎΡΡΡ ΡΡΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
ΠΈ ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
ΡΡΠ½ΠΊΡΠΈΠΉ, Π² ΠΏΠ΅ΡΠ²ΡΡ ΠΎΡΠ΅ΡΠ΅Π΄Ρ ΡΠ½ΠΈΠΆΠ΅Π½ΠΈΡ ΠΏΠ°ΠΌΡΡΠΈ ΠΈ Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ. ΠΠ»ΠΈΡΠ΅Π»ΡΠ½ΡΠΉ Π°Π½Π°ΠΌΠ½Π΅Π· Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΉ Π±ΠΎΠ»ΠΈ ΠΈ Π½Π°Π»ΠΈΡΠΈΠ΅ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΠΈ ΡΠ²Π»ΡΡΡΡΡ Π½Π΅Π·Π°Π²ΠΈΡΠΈΠΌΡΠΌΠΈ ΡΠ°ΠΊΡΠΎΡΠ°ΠΌΠΈ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΡ
Π½Π°ΡΡΡΠ΅Π½ΠΈΠΉ Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ ΠΌΠΈΠ³ΡΠ΅Π½ΡΡ
Π₯ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠ°Ρ Π±ΠΎΠ»Ρ, Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΡ ΠΈ ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ: ΡΠ΅ΡΠ½ΡΠ΅ Π²Π·Π°ΠΈΠΌΠΎΡΠ²ΡΠ·ΠΈ
Over a half of chronic pain (CP) patients present with cognitive complaints, which increase their disability and impact quality of life. The paper reviews objective impairments in memory, attention, processing speed and executive function demonstrated in the CP population. The paper also reviews common pathology underlying cognitive impairment and CP: neuroplasticity in the shared brain areas, neurotransmitter and other molecular mechanisms. Common mechanisms in CP and depression precipitating cognitive impairment are also discussed. The paper also compares the potential of different antidepressants to improve cognitive functions in depression and CP.ΠΠΎΠ»Π΅Π΅ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Ρ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² Ρ Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΎΠΉ Π±ΠΎΠ»ΡΡ (Π₯Π) ΠΏΡΠ΅Π΄ΡΡΠ²Π»ΡΡΡ ΠΆΠ°Π»ΠΎΠ±Ρ Π½Π° ΠΊΠΎΠ³Π½ΠΈΡΠΈΠ²Π½ΡΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ (ΠΠ), ΠΊΠΎΡΠΎΡΡΠ΅ cΠ½ΠΈΠΆΠ°ΡΡΒ ΠΈΡ
ΡΡΡΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡΡ ΠΈ ΠΊΠ°ΡΠ΅ΡΡΠ²ΠΎ ΠΆΠΈΠ·Π½ΠΈ. Π ΡΡΠ°ΡΡΠ΅ ΠΏΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΎΠ±Π·ΠΎΡ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠΉ, ΠΏΡΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡΡΠΈΡΠΎΠ²Π°Π²ΡΠΈΡ
ΠΎΠ±ΡΠ΅ΠΊΡΠΈΠ²Π½ΡΠ΅ Π½Π°ΡΡΡΠ΅Π½ΠΈΡ ΠΏΠ°ΠΌΡΡΠΈ, Π²Π½ΠΈΠΌΠ°Π½ΠΈΡ, ΡΠΊΠΎΡΠΎΡΡΠΈ ΠΌΡΡΠ»Π΅Π½ΠΈΡ ΠΈ ΠΈΡΠΏΠΎΠ»Π½ΠΈΡΠ΅Π»ΡΠ½ΠΎΠΉ ΡΡΠ½ΠΊΡΠΈΠΈ ΠΏΡΠΈ Π₯Π. Π’Π°ΠΊΠΆΠ΅ ΠΎΠ±ΡΡΠΆΠ΄Π°ΡΡΡΡ ΠΎΠ±ΡΠΈΠ΅ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΡ ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅Π·Π° ΠΠ ΠΈ Π₯Π: Π½Π΅ΠΉΡΠΎΠΏΠ»Π°ΡΡΠΈΡΠ½ΠΎΡΡΡ Π² ΠΎΠ±ΡΠΈΡ
Π·ΠΎΠ½Π°Ρ
Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π°, Π½Π΅ΠΉΡΠΎΠΌΠ΅Π΄ΠΈΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΈ Π΄ΡΡΠ³ΠΈΠ΅ ΠΌΠΎΠ»Π΅ΠΊΡΠ»ΡΡΠ½ΡΠ΅ ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΡ. ΠΡΠ΅Π΄ΡΡΠ°Π²Π»Π΅Π½ ΠΎΠ±Π·ΠΎΡ ΠΎΠ±ΡΠΈΡ
ΠΏΠ°ΡΠΎΠ³Π΅Π½Π΅ΡΠΈΡΠ΅ΡΠΊΠΈΡ
ΠΌΠ΅Ρ
Π°Π½ΠΈΠ·ΠΌΠΎΠ² Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΠΈ, Π₯Π ΠΈ ΠΠ. Π’Π°ΠΊΠΆΠ΅ ΠΏΡΠΈΠ²Π΅Π΄Π΅Π½ΠΎ ΡΡΠ°Π²Π½Π΅Π½ΠΈΠ΅ ΡΠ°Π·Π»ΠΈΡΠ½ΡΡ
Π°Π½ΡΠΈΠ΄Π΅ΠΏΡΠ΅ΡΡΠ°Π½ΡΠΎΠ² Π² ΠΊΠΎΡΡΠ΅ΠΊΡΠΈΠΈ ΠΠ ΠΏΡΠΈ Π΄Π΅ΠΏΡΠ΅ΡΡΠΈΠΈ ΠΈ Π₯Π
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