Physical restraint in the provision of medical care in somatic hospital: ethics and law

The ethics and legality of the use of physical restraint (PR) in the case of patients with acute mental disorders in general practice are discusse

Functional capabilities of cardiovascular system of adolescents

We have studied functional capabilities of cardiovascular system in young men of service age in terms of indicators of сardiointervalography. It was stated that people who are 18-21 years old demonstrate increase of values of systolic, diastolic pressure and heart rate after physical activity in comparison with the values obtained in the rest state, while range values of Р, Q, R, S and Т deflections, interval sizes of P-Q, QRS and Q-T, reference and actual reference systole and systolic indicator decrease. Vagosympathetic index of the test persons after the functional test increased as compared with the rest state, which provides evidence of increase in tonus of sympathetic nervous system after physical activit

Sociophobia in medical students (Prevalence and Comorbidity)

This study aimed to verify the prevalence of social phobias and comorbid disorders among medical students to develop recommendations for the prevention. A sample of 724 Russian students of 1-6 years of education in the medical institute was examined using the psychometric, clinical, psychopathological and nonparametric statistics method

Social cognition and its influence on adaptation of people who suffered from the first psychotic episode of schizophrenia

Social cognition covers different fields that include a human ability to recognize and identify emotions, apperceive mental states and intentions, understand roles, rules and aims that are a base of social interaction. Disorder in these abilities of people diagnosed with schizophrenia may cause social dysfunction

Sociophobia in Medical Students (Prevalence and Comorbidity)

Social phobias are one of the most common anxiety-phobic disorders. This study aimed to verify the prevalence of social phobias and comorbid disorders among medical students to develop recommendations for the prevention. A sample of 724 Russian students of 1-6 years of education in the medical institute was examined using the psychometric, clinical, psychopathological and nonparametric statistics method

Social cognition and its influence on adaptation of people who suffered from the first psychotic episode of schizophrenia

Goal of research is verification of social intelligence characteristics and social intelligence influence on adaptation of people diagnosed with schizophrenia suffered from the first psychotic episode in order to elaborate recommendations relating psychosocial treatment and rehabilitatio

Attitude to diseases and social distance of persons with mental disorders

The stigma of a mental illness negatively affects the social status of patients, compliance, quality of life, and leads to self-stigmatization. The medical sociological method and the modified Bogardus social distance scale were used to examine 271 psychiatric patients in 3 regions of Russi

Оптимизация иммуносупрессивной терапии при выполнении третьей пересадки почки в раннем послеоперационном периоде. Клиническое наблюдение

The choice of immunosuppressive therapy is determined by the degree of sensitization to the histocompatibility gene complex on chromosome 6 (HLA). The risk of rejection in the early periods after surgery  increases for the patients with repeated kidney transplantation. Optimizing immunosuppressive therapy is the only  way to prolong the life of a patient with a terminal stage of chronic renal failure. имости на 6-й хромосоме (НLA). The analysis of a clinical case of a 47-year-old patient who was undergoing treatment at the N.V. Sklifosovsky Scientific Research Institute of Emergency Medicine after the third allotransplantation of a cadaveric kidney in 2016 was performed. The patient was diagnosed with chronic glomerulonephritis (IgA-nephropathy) chronic end-stage renal failure; in the early postoperative period, in addition to basic immunosuppression, anti-lymphocytic polyclonal antibodies were prescribed in combination with plasmapheresis sessions for the treatment and prevention of acute rejection crisis in the early postoperative period. For the first time, in order to prevent the development of an acute rejection crisis and minimize infectious complications of immunosuppressive therapy in the recipient after the third kidney transplant, plasmapheresis sessions were used using a plasmapheresis filter with a polymethylacrylate membrane in combination with a short course of polyclonal antibodies.Выбор иммуносупрессивной терапии определяется степенью сенсибилизации к  комплексу генов гистосовместимости на 6-й хромосоме (НLA). У пациентов при повторной  пересадке почки риск отторжения в ранние сроки после операции увеличивается. Оптимизация иммуносупрессивной терапии – единственный путь продления жизни пациента с хронической почечной недостаточностью в терминальной стадии. Проведен анализ  клинического случая пациента 47 лет после выполнения третьей аллотрансплантации  трупной почки в 2016 г., находившегося на лечении в НИИ СП им. Н.В. Склифосовского с диагнозом «хронический гломерулонефрит (IgA-нефропатия), хроническая почечная недостаточность, терминальная стадия». В раннем послеоперационном периоде помимо  базовой иммуносупрессии были назначены антилимфоцитарные поликлональные антитела в сочетании с сеансами плазмафереза для лечения и профилактики острого криза отторжения в ранние сроки после операции.Впервые с целью профилактики развития острого криза отторжения, минимизации  инфекционных осложнений иммуносупрессивной терапии у реципиента после третьей  пересадки почки были применены сеансы плазмафереза с использованием плазмофильтра с полиметокрилатной мембраной в сочетании с коротким курсом поликлональных антител

Psychiatric coercion and violence: ethical, legal and preventive aspects

The objective of this review was to provide an analysis of the ethical, legal, and preventive aspects of coercion and violenc

Coercion, violation of privacy and everyday difficulties as the cause of patient refusal treatment in psychiatric hospitals in Russia

Treatment in a psychiatric hospital is accompanied by a restriction of independence, violation of privacy, coercion, which causes displeasure of patients. The aim of the study was to verify the scale of everyday problems, violations of privacy and coercion in a psychiatric hospital to develop recommendations for the organization of a therapeutic environment. The study included 191 patients in a psychiatric hospital. Anonymous questionnaire was used. Statistical processing of the database was carried out by nonparametric method