PSYCHOSOMATIC MANIFESTATIONS OF MILITARY PSYCHOTRAUMA

Introduction. War is a super-powerful extreme event that causes adaptive capacity to decline. The need for a clearer understanding of the specifics of war psychotrauma and its clinical consequences for all components of human health determines the relevance of the topic of this study. The aim of the work is to study the peculiarities of psychosomatic relationships in persons with the consequences of war psychotrauma. Materials and methods. The experimental study group consisted of 32 patients from the number of temporarily displaced persons, the control group – 34 patients who did not change their place of residence during the entire period of the full-scale war. The diagnosis was aimed at identifying neurotic, stress-related and somatoform disorders, according to the rubric (F40-F48) of the ICD-10. Assessment of the somatic condition was carried out on the basis of analysis of anamnestic data, clinical examination of the patient and indicators of laboratory tests. Psychodiagnostic methods were used to assess the mental states of patients (Clinical Questionnaire for the Detection and Assessment of Neurotic States; Methodology for the express diagnosis of neurosis by K. Heck and H. Hess; Questionnaire SAN (Mood, Activity, Mood); Methodology for the diagnosis of Taylor's anxiety level; Self-assessment of mental states according to Eysenck; Ch. Spibleger's Reactive and Personal Anxiety Assessment Scale in the modification of Y. Hanin. Statistical processing of the research results was carried out in the Microsoft Excel program and with the help of the Social Science Statistics online calculator. Results. As a result of the analysis of anamnestic data, clinical examination and analysis of laboratory tests, psychosomatic disorders were found in patients of both research groups: in 29 (90.63%) patients of the experimental group and in 26 (74.47%) patients of the control group. Conclusions. It has been confirmed that a prolonged stressful extreme situation of a full-scale war causes the formation of negative mental states accompanied by psychosomatic manifestations, the formation of a closed vicious circle of a pathological psychosomatic process. A high close direct correlation was found between the level of reactive anxiety, autonomic disorders, well-being, activity, mood of patients and psychosomatic symptoms. The absence of a statistically significant difference in the risk of developing psychosomatic disorders as a result of war psychotrauma in temporarily displaced persons and those who did not change their place of residence was revealed

Efficacy of immune correcting therapy at varicose vein disease of pelvis minor in women

In the article the complex therapy of varicose vein disease of pelvis minor in women is suggested; it includes phlebotropic, metabolic and immunotropic drugs. Indicated scheme of treatment lead to improvement of hemodynamic parameters of venous system of pelvis minor. Positive changes of parameters of cytokine, cellular and humoral units of immune system are evidence for decrease of inflammatory response of venous vascular wall

Immune response and cytokine status at varicose vein disease of pelvis minor in women

The article describes participation of immune system in pathogenesis of varicose vein of pelvis minor. The study revealed elevation of proinflammatory cytokines, discovered disturbances in cellular and humoral units of immunity. Indicated changes are evidence for inflammatory character of changes in venous vascular wall, causing its destruction and varicose dilatation

Уровень обструкции сосудистого русла при тромбоэмболии легочной артерии и риск развития инфаркта легкого

The purpose of this work was to study the effect of the obstruction level associated with pulmonary embolism (PE) on development of pulmonary infarction (PI) and infarction-related pneumonia.Materials and Methods. Patients (n = 105) with PTE identified by results of multislice computed tomography (MSCT) with enhancement of pulmonary vessels were enrolled in the study. Among them patients with high risk PTE, survived the 1st week of the disease (n = 53), and with community-acquired pneumonia (n = 54) were present, and in these patients MSCT allowed to detect PTE was performed during week 1.Results. PI was detected in 58 (95.1%) of 61 PTE patients with obstruction of segmental pulmonary artery (PA) branches and 15 (32.6%) of 46 patients without obstruction of segmental arteries (p < 0.001). In PTE patients with upper obstruction level in PA trunk region, the involvement of segmental branches and PI development were observed in 20.0% of cases, with upper obstruction level in main branches region it was reported, respectively, in 31.8 and 52.3% of patients, and with pulmonary branches involvement – in 80.0 and 100.0% of patients.Conclusion. PI development is associated with obstruction of segmental branches of PA. The incidence of segmental branches involvement and risk of PI are increased in association with decreased upper obstruction level of PA.Целью работы явилось изучение влияния уровня обструкции при тромбоэмболии легочной артерии (ТЭЛА) на развитие инфаркта легкого (ИЛ) и инфарктной пневмонии.Материал и методы. В исследование включены пациенты (n = 107) с ТЭЛА, верифицированной по результатам мультиспиральной компьютерной томографии (МСКТ) с контрастированием легочных сосудов. Среди них наблюдались больные с ТЭЛА высокого риска, переживших 1-ю неделю заболевания (n = 53), и внебольничной пневмонией, у которых МСКТ, по данным которой выявлена ТЭЛА, проводилась в 1-ю неделю болезни (n = 54).Результаты. ИЛ выявлен у 58 (95,1%) из 61 больного ТЭЛА с обструкцией сегментарных ветвей легочной артерии (ЛА) и 15 (32,6%) из 46 пациентов, у которых обструкции сегментарных артерий не отмечалось (p < 0,001). У больных ТЭЛА с верхним уровнем обструкции на уровне ствола ЛА поражение сегментарных ветвей и развитие ИЛ отмечены в 20,0% случаев, при верхнем уровне обструкции на уровне главных ветвей – соответственно у 31,8 и 52,3% больных, при поражении долевых ветвей – у 80,0 и 100%.Заключение. Развитие ИЛ ассоциируется с обструкцией сегментарных ветвей ЛА. Частота поражения сегментарных ветвей и риск развития ИЛ возрастают при снижении верхнего уровня обструкции ЛА

Particular Characteristics of the Synthesis of Titanium Nitride Nanopowders in the Plasma of Low Pressure Arc Discharge

The method of producing TiN nanopowders in the plasma of low pressure arc discharge in nitrogen atmosphere is discussed. The influence of gas pressure on nanopowder dispersion is studied. It is shown that the particles have nanometer size and a narrow particle size distribution

First study of lithium boron composite as plasma facing material

Lithium-Boron Composite Material (LBCM) is presented as a plasma-facing material with a lot of promise from the perspective of liquid metal first wall. LBCM consists of ∼ 20 w.% boron and ∼ 80 w.% lithium, arranged in the form of a Li5B4 matrix filled with metal lithium, similar to capillary porous systems (CPS) already used as plasma-facing elements. The characteristic matrix cell size is approximately 5 µm. LBCM was subjected to electron flux and helium plasma in a linear PR-2 device. LBCM maintained physical integrity up to T > 900 °C. Boron didn’t evaporate from LBCM under electron irradiation, but was sputtered during helium bombardment. CPS-like properties, wherein Li from the whole of the LBCM sample was transported to the area of the highest thermal load were observed

Particular Characteristics of the Synthesis of Titanium Nitride

The method of producing TiN nanopowders in the plasma of low pressure arc discharge in nitrogen atmosphere is discussed. The influence of gas pressure on nanopowder dispersion is studied. It is shown that the particles have nanometer size and a narrow particle size distribution

The influence of magnetic field on the rate of cathode erosion at vacuum arc spraying

The influence of the magnetic field in the cathode space on the synthesis of metal oxide nanopowders by vacuum-arc spraying was studied. It was found that, depending on the geometry of the magnetic field and the pressure of gaseous medium in plasma-chemical reactor, particular conditions which enhance the efficiency of CuO synthesis, appear