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

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    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

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    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

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    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

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    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.Objective – 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 18–59. 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 – 1.59–16.17); 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

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    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)

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    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

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    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 4 kHz, 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

    ΠΠ°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ памяти ΠΈ внимания Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ

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    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 18–59. 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.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅.Β ΠΠ°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ памяти ΠΈ внимания ΡˆΠΈΡ€ΠΎΠΊΠΎ распространСны Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской болью. ΠšΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ ΠΈ хроничСская боль ΠΈΠΌΠ΅ΡŽΡ‚ мноТСство ΠΎΠ±Ρ‰ΠΈΡ… патогСнСтичСских ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠΎΠ². Π’ Ρ‚ΠΎ ΠΆΠ΅ врСмя Π½Π°Π»ΠΈΡ‡ΠΈΠ΅, частота встрСчаСмости ΠΈ клиничСскоС Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ этих Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Π·Π°Ρ‡Π°ΡΡ‚ΡƒΡŽ Π½Π΅Π΄ΠΎΠΎΡ†Π΅Π½ΠΈΠ²Π°ΡŽΡ‚ΡΡ.ЦСль исслСдования – ΠΈΠ·ΡƒΡ‡Π΅Π½ΠΈΠ΅ ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… расстройств Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ (Π₯М).Β ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹.Β Π’ исслСдовании приняли участиС 53 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с Π₯М ΠΈ 22 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с Ρ€Π΅Π΄ΠΊΠΎΠΉ эпизодичСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ (головная боль Π½Π΅ Π±ΠΎΠ»Π΅Π΅ 4 Π΄Π½Π΅ΠΉ Π² мСсяц) Π² возрастС 18–59 Π»Π΅Ρ‚, ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π°Π½Π½Ρ‹Ρ… ΠΏΠΎ ΠΏΠΎΠ»Ρƒ ΠΈ возрасту. ВсСм ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌ ΠΏΡ€ΠΎΠ²Π΅Π΄Π΅Π½Ρ‹ клиничСскоС нСврологичСскоС исслСдованиС ΠΈ Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅: опросник дСмографичСских ΠΈ клиничСских характСристик, Π³ΠΎΡΠΏΠΈΡ‚Π°Π»ΡŒΠ½Π°Ρ шкала Ρ‚Ρ€Π΅Π²ΠΎΠ³ΠΈ ΠΈ дСпрСссии HADS (Hospital Anxiety and Depression Scale), опросник для ΠΎΡ†Π΅Π½ΠΊΠΈ качСства Π½ΠΎΡ‡Π½ΠΎΠ³ΠΎ сна PSQI (Pittsburg Sleep Quality Inventory). Π’Π°ΠΊΠΆΠ΅ всСм участникам Π²Ρ‹ΠΏΠΎΠ»Π½Π΅Π½ΠΎ исслСдованиС ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ с ΠΏΠΎΠΌΠΎΡ‰ΡŒΡŽ ΠœΠΎΠ½Ρ€Π΅Π°Π»ΡŒΡΠΊΠΎΠΉ ΡˆΠΊΠ°Π»Ρ‹ ΠΎΡ†Π΅Π½ΠΊΠΈ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ MoCA (Montreal Cognitive Assessment), тСста Π·Π°ΠΌΠ΅Π½Ρ‹ Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… символов DSST (Digital Symbol Substitution Test), тСста РСя Π½Π° слухорСчСвоС Π·Π°ΡƒΡ‡ΠΈΠ²Π°Π½ΠΈΠ΅ RAVLT (Rey Auditory Verbal Learning Test) ΠΈ опросника воспринимаСмого Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Π° PDQ-20 (Perceived Deficits Questionnaire).Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹.Β Π–Π°Π»ΠΎΠ±Ρ‹ Π½Π° Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠ΅ памяти ΠΏΡ€Π΅Π΄ΡŠΡΠ²Π»ΡΠ»ΠΈ 56 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π₯М. Π‘Π½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ Ρ‚Π°ΠΊΠΆΠ΅ выявлСно ΠΏΡ€ΠΈ самооцСнкС ΠΏΠΎ опроснику PDQ-20. ΠŸΡ€ΠΈ ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΠΌ исслСдовании ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ Π₯М ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ сниТСниС Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² тСста DSST, ΠΎΠ±Ρ‰Π΅Π³ΠΎ числа Π·Π°ΠΏΠΎΠΌΠ½Π΅Π½Π½Ρ‹Ρ… слов, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΡƒΡ…ΡƒΠ΄ΡˆΠ΅Π½ΠΈΠ΅ показатСля обучСния. Π£ 44 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π₯М диагностированы ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅ расстройства ΠΏΠΎ шкалС MΠΎCA. НаиболСС часто сниТСниС суммы Π±Π°Π»Π»ΠΎΠ² ΠΏΠΎ шкалС MoCA наблюдалось ΠΏΠΎ функциям внимания (75 %), памяти/отсрочСнного воспроизвСдСния (50 %), Ρ€Π΅Ρ‡ΠΈ (50 %) ΠΈ ΠΈΡΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ (37 %). ΠžΡ‚ΠΌΠ΅Ρ‡Π΅Π½Π° коррСляция уровня дСпрСссии ΠΈ качСства сна лишь с ΠΎΡ‚Π΄Π΅Π»ΡŒΠ½Ρ‹ΠΌΠΈ ΠΏΠ°Ρ€Π°ΠΌΠ΅Ρ‚Ρ€Π°ΠΌΠΈ тСстов ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ.Π—Π°ΠΊΠ»ΡŽΡ‡Π΅Π½ΠΈΠ΅.Β Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π₯М выявлСна высокая Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½Π΅Π½Π½ΠΎΡΡ‚ΡŒ ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… (56 %) ΠΈ ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… (44 %) Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ. Π’ ΠΏΠ΅Ρ€Π²ΡƒΡŽ ΠΎΡ‡Π΅Ρ€Π΅Π΄ΡŒ отмСчаСтся сниТСниС памяти ΠΈ внимания. НСобходимо ΠΎΠ±Ρ€Π°Ρ‰Π°Ρ‚ΡŒ особоС Π²Π½ΠΈΠΌΠ°Π½ΠΈΠ΅ Π½Π° ΠΏΡ€Π΅Π΄ΡŠΡΠ²Π»ΡΠ΅ΠΌΡ‹Π΅ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌΠΈ ΡΠΎΠΎΡ‚Π²Π΅Ρ‚ΡΡ‚Π²ΡƒΡŽΡ‰ΠΈΠ΅ ΠΆΠ°Π»ΠΎΠ±Ρ‹, Π° тСрапия Π΄Π°Π½Π½Ρ‹Ρ… расстройств ΠΌΠΎΠΆΠ΅Ρ‚ ΠΏΠΎΠ²Ρ‹ΡΠΈΡ‚ΡŒ качСство ΠΆΠΈΠ·Π½ΠΈ ΠΈ Ρ‚Ρ€ΡƒΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡ‚ΡŒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Π₯М

    ДСпрСссия – Π½Π΅ СдинствСнная ΠΏΡ€ΠΈΡ‡ΠΈΠ½Π° ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ

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    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.Objective – 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 18–59. 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 – 1.59–16.17); 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.Π’Π²Π΅Π΄Π΅Π½ΠΈΠ΅.Β Π–Π°Π»ΠΎΠ±Ρ‹ Π½Π° сниТСниС памяти ΠΈ внимания Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ ΡˆΠΈΡ€ΠΎΠΊΠΎ распространСны Π² клиничСской ΠΏΡ€Π°ΠΊΡ‚ΠΈΠΊΠ΅. ΠŸΡ€ΠΈ этом частота встрСчаСмости и структура ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ ΠΏΡ€ΠΈ хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΠΈ практичСски Π½Π΅ ΠΈΠ·ΡƒΡ‡Π΅Π½Ρ‹.ЦСль исслСдования β€“Β ΠΈΠ·ΡƒΡ‡ΠΈΡ‚ΡŒ Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½Π΅Π½Π½ΠΎΡΡ‚ΡŒ ΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡ‡Π΅ΡΠΊΡƒΡŽ структуру ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ, Π° Ρ‚Π°ΠΊΠΆΠ΅ Ρ„Π°ΠΊΡ‚ΠΎΡ€ΠΎΠ², ΠΈΠΌΠ΅ΡŽΡ‰ΠΈΡ… Π·Π½Π°Ρ‡Π΅Π½ΠΈΠ΅ для ΠΈΡ… развития.ΠœΠ°Ρ‚Π΅Ρ€ΠΈΠ°Π»Ρ‹ ΠΈ ΠΌΠ΅Ρ‚ΠΎΠ΄Ρ‹.Β Π’ исслСдовании приняли участиС 62 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π° с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ ΠΈ 36 ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с Ρ€Π΅Π΄ΠΊΠΎΠΉ эпизодичСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ (Π½Π΅ Π±ΠΎΠ»Π΅Π΅ 4 Π΄Π½Π΅ΠΉ Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΉ Π±ΠΎΠ»ΠΈ Π² мСсяц) Π² возрастС ΠΎΡ‚ 18 Π΄ΠΎ 59 Π»Π΅Ρ‚, ΠΏΠΎΠ΄ΠΎΠ±Ρ€Π°Π½Π½Ρ‹Ρ… ΠΏΠΎ ΠΏΠΎΠ»Ρƒ ΠΈ возрасту. ВсСм ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚Π°ΠΌ ΠΏΡ€ΠΎΠ²Π΅Π»ΠΈ клиничСскоС нСврологичСскоС обслСдованиС ΠΈ Π°Π½ΠΊΠ΅Ρ‚ΠΈΡ€ΠΎΠ²Π°Π½ΠΈΠ΅ с использованиСм опросника дСмографичСских ΠΈ клиничСских характСристик, Π³ΠΎΡΠΏΠΈΡ‚Π°Π»ΡŒΠ½ΠΎΠΉ ΡˆΠΊΠ°Π»Ρ‹ Ρ‚Ρ€Π΅Π²ΠΎΠ³ΠΈ ΠΈ дСпрСссии (Hospital Anxiety and Depression Scale, HADS), ΡˆΠΊΠ°Π»Ρ‹ нСтрудоспособности Π¨ΠΈΡ…Π°Π½Π° (Sheehan Disability Scale). Π’Π°ΠΊΠΆΠ΅ всСм участникам исслСдования ΠΏΡ€ΠΎΠ²Π΅Π»ΠΈ тСстированиС ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ ΠΏΡ€ΠΈ ΠΏΠΎΠΌΠΎΡ‰ΠΈ ΠœΠΎΠ½Ρ€Π΅Π°Π»ΡŒΡΠΊΠΎΠΉ ΡˆΠΊΠ°Π»Ρ‹ ΠΎΡ†Π΅Π½ΠΊΠΈ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ (Montreal Cognitive Assessment, MoCA), тСста Π·Π°ΠΌΠ΅Π½Ρ‹ Ρ†ΠΈΡ„Ρ€ΠΎΠ²Ρ‹Ρ… символов (Digital Symbol Substitution Test, DSST), тСста РСя Π½Π° слухорСчСвоС Π·Π°ΡƒΡ‡ΠΈΠ²Π°Π½ΠΈΠ΅ (Rey Auditory Verbal Learning Test, RAVLT) ΠΈ опросника воспринимаСмого Π΄Π΅Ρ„ΠΈΡ†ΠΈΡ‚Π° (Perceived Deficits Questionnaire, PDQ-20).Π Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Ρ‹.Β Π’ исслСдовании 58 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ ΠΏΡ€Π΅Π΄ΡŠΡΠ²Π»ΡΠ»ΠΈ ΠΆΠ°Π»ΠΎΠ±Ρ‹ Π½Π° Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠ΅ памяти. Π‘Π½ΠΈΠΆΠ΅Π½ΠΈΠ΅ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ Ρ‚Π°ΠΊΠΆΠ΅ выявлСно ΠΏΡ€ΠΈ самооцСнкС ΠΏΠΎ опроснику PDQ-20. ΠŸΡ€ΠΈ ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½ΠΎΠΌ исслСдовании Π² Π³Ρ€ΡƒΠΏΠΏΠ΅ хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΠΈ ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½ΠΎ Π·Π½Π°Ρ‡ΠΈΠΌΠΎΠ΅ сниТСниС Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚ΠΎΠ² тСста DSST, ΠΎΠ±Ρ‰Π΅Π³ΠΎ числа Π·Π°ΠΏΠΎΠΌΠΈΠ½Π°Π΅ΠΌΡ‹Ρ… слов, Π° Ρ‚Π°ΠΊΠΆΠ΅ ΡƒΡ…ΡƒΠ΄ΡˆΠ΅Π½ΠΈΠ΅ показатСля обучСния. Π’Π΅Ρ€ΠΎΡΡ‚Π½ΠΎΡΡ‚ΡŒ ΡƒΡ…ΡƒΠ΄ΡˆΠ΅Π½ΠΈΡ Ρ€Π΅Π·ΡƒΠ»ΡŒΡ‚Π°Ρ‚Π° ΠΏΠΎ тСсту DSST ΠΏΡ€ΠΈ хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΠΈ Π±Ρ‹Π»Π° Π·Π½Π°Ρ‡ΠΈΠΌΠΎ Π²Ρ‹ΡˆΠ΅ ΠΏΠΎ ΡΡ€Π°Π²Π½Π΅Π½ΠΈΡŽ с эпизодичСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ (ΠΎΡ‚Π½ΠΎΡˆΠ΅Π½ΠΈΠ΅ шансов 5,07 (95 % Π΄ΠΎΠ²Π΅Ρ€ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ ΠΈΠ½Ρ‚Π΅Ρ€Π²Π°Π» 1,59–16,17); p = 0,003). Π£ 40 % ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ диагностировали ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅ расстройства ΠΏΠΎ шкалС MΠΎCA. НС ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½Π° коррСляция уровня дСпрСссии ΠΈ Ρ‚Ρ€Π΅Π²ΠΎΠ³ΠΈ с показатСлями тСстов ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ. НаличиС хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΠΈ (частой Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΉ Π±ΠΎΠ»ΠΈ) ΠΈ Π΄Π»ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΡΡ‚ΡŒ Π°Π½Π°ΠΌΠ½Π΅Π·Π° Ρ†Π΅Ρ„Π°Π»Π³ΠΈΠΈ (Π½ΠΎ Π½Π΅ дСпрСссия) Ρ‚Ρ€Π΅Π²ΠΎΠ³Π° ΠΈ Π·Π»ΠΎΡƒΠΏΠΎΡ‚Ρ€Π΅Π±Π»Π΅Π½ΠΈΠ΅ Π°Π½Π°Π»ΡŒΠ³Π΅Ρ‚ΠΈΠΊΠ°ΠΌΠΈ ΡΠ²Π»ΡΡŽΡ‚ΡΡ нСзависимыми Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ риска развития ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ.Π’Ρ‹Π²ΠΎΠ΄Ρ‹. Π£ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ ΠΎΡ‚ΠΌΠ΅Ρ‡Π΅Π½Π° высокая Ρ€Π°ΡΠΏΡ€ΠΎΡΡ‚Ρ€Π°Π½Π΅Π½Π½ΠΎΡΡ‚ΡŒ ΡΡƒΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… ΠΈ ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΉ, Π² ΠΏΠ΅Ρ€Π²ΡƒΡŽ ΠΎΡ‡Π΅Ρ€Π΅Π΄ΡŒ сниТСния памяти ΠΈ внимания. Π”Π»ΠΈΡ‚Π΅Π»ΡŒΠ½Ρ‹ΠΉ Π°Π½Π°ΠΌΠ½Π΅Π· Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠΉ Π±ΠΎΠ»ΠΈ ΠΈ Π½Π°Π»ΠΈΡ‡ΠΈΠ΅ хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΠΈ ΡΠ²Π»ΡΡŽΡ‚ΡΡ нСзависимыми Ρ„Π°ΠΊΡ‚ΠΎΡ€Π°ΠΌΠΈ риска развития ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Ρ… Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΠΉ Ρƒ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской ΠΌΠΈΠ³Ρ€Π΅Π½ΡŒΡŽ

    Π₯роничСская боль, дСпрСссия ΠΈ ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ: тСсныС взаимосвязи

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    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.Π‘ΠΎΠ»Π΅Π΅ ΠΏΠΎΠ»ΠΎΠ²ΠΈΠ½Ρ‹ ΠΏΠ°Ρ†ΠΈΠ΅Π½Ρ‚ΠΎΠ² с хроничСской болью (Π₯Π‘) ΠΏΡ€Π΅Π΄ΡŠΡΠ²Π»ΡΡŽΡ‚ ΠΆΠ°Π»ΠΎΠ±Ρ‹ Π½Π° ΠΊΠΎΠ³Π½ΠΈΡ‚ΠΈΠ²Π½Ρ‹Π΅ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ (КН), ΠΊΠΎΡ‚ΠΎΡ€Ρ‹Π΅ cΠ½ΠΈΠΆΠ°ΡŽΡ‚Β ΠΈΡ… Ρ‚Ρ€ΡƒΠ΄ΠΎΡΠΏΠΎΡΠΎΠ±Π½ΠΎΡΡ‚ΡŒ ΠΈ качСство ΠΆΠΈΠ·Π½ΠΈ. Π’ ΡΡ‚Π°Ρ‚ΡŒΠ΅ прСдставлСн ΠΎΠ±Π·ΠΎΡ€ исслСдований, ΠΏΡ€ΠΎΠ΄Π΅ΠΌΠΎΠ½ΡΡ‚Ρ€ΠΈΡ€ΠΎΠ²Π°Π²ΡˆΠΈΡ… ΠΎΠ±ΡŠΠ΅ΠΊΡ‚ΠΈΠ²Π½Ρ‹Π΅ Π½Π°Ρ€ΡƒΡˆΠ΅Π½ΠΈΡ памяти, внимания, скорости ΠΌΡ‹ΡˆΠ»Π΅Π½ΠΈΡ ΠΈ ΠΈΡΠΏΠΎΠ»Π½ΠΈΡ‚Π΅Π»ΡŒΠ½ΠΎΠΉ Ρ„ΡƒΠ½ΠΊΡ†ΠΈΠΈ ΠΏΡ€ΠΈ Π₯Π‘. Π’Π°ΠΊΠΆΠ΅ ΠΎΠ±ΡΡƒΠΆΠ΄Π°ΡŽΡ‚ΡΡ ΠΎΠ±Ρ‰ΠΈΠ΅ ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΡ‹ ΠΏΠ°Ρ‚ΠΎΠ³Π΅Π½Π΅Π·Π° КН ΠΈ Π₯Π‘: Π½Π΅ΠΉΡ€ΠΎΠΏΠ»Π°ΡΡ‚ΠΈΡ‡Π½ΠΎΡΡ‚ΡŒ Π² ΠΎΠ±Ρ‰ΠΈΡ… Π·ΠΎΠ½Π°Ρ… Π³ΠΎΠ»ΠΎΠ²Π½ΠΎΠ³ΠΎ ΠΌΠΎΠ·Π³Π°, Π½Π΅ΠΉΡ€ΠΎΠΌΠ΅Π΄ΠΈΠ°Ρ‚ΠΎΡ€Π½Ρ‹Π΅ ΠΈ Π΄Ρ€ΡƒΠ³ΠΈΠ΅ молСкулярныС ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΡ‹. ΠŸΡ€Π΅Π΄ΡΡ‚Π°Π²Π»Π΅Π½ ΠΎΠ±Π·ΠΎΡ€ ΠΎΠ±Ρ‰ΠΈΡ… патогСнСтичСских ΠΌΠ΅Ρ…Π°Π½ΠΈΠ·ΠΌΠΎΠ² дСпрСссии, Π₯Π‘ ΠΈ КН. Π’Π°ΠΊΠΆΠ΅ ΠΏΡ€ΠΈΠ²Π΅Π΄Π΅Π½ΠΎ сравнСниС Ρ€Π°Π·Π»ΠΈΡ‡Π½Ρ‹Ρ… антидСпрСссантов Π² ΠΊΠΎΡ€Ρ€Π΅ΠΊΡ†ΠΈΠΈ КН ΠΏΡ€ΠΈ дСпрСссии ΠΈ Π₯Π‘
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