Peculiarities of psychosocial stress in relative of cerebrovascular pathology patients

A disease is stressful situation both for the patient and for his family. Materials and methods. On the grounds of PIC at the base of Emergency Medicine Centre of Kharkiv Regional Clinical Hospital during 2016-2018, 252 relatives of cerebrovascular pathology patients were examined. The patients had different stages of the diseases. The psychosocial stress was assessed according to L. Reeder’s “Psychosocial Stress Scale”. To analyze the potential stressor factors, each group was subdivided according to Boston Stress Test for stress-resistance. Results. The appearance of clinical symptoms of somatic illness in a patient was accompanied by an increasing rate of psychosocial stress among family members (1.44±0.63 points in the relatives of patients without disease; 1.51±0.67 points in relatives of cardiovascular risk patients; 1.67±0.65 points in the relatives of transitory ischemic attacks patients and 2.0±0.47 points in the relatives of stroke patients, p < 0.05). The components of psychosocial stress were the destabilization of interpersonal communication against the background of manifestations and consequences of the disease, reducing the patient’s work capacity and respectively the growing need for physical and emotional support, redistribution of family’s roles and responsibilities, and the exhaustion of family resources (psychological, social, physical). It was revealed that increasing stress risk is accompanied by an increasing level of psychosocial stress among family members and jointly creates a psychopathogenetic basis for the development of family maladaptation in CVD patient’s family. Conclusions. Medico-psychological measures directed at the families of cerebrovascular pathology patients are an important component of complex help

Prevalence of carbohydrate metabolism disorders in patients with end-stage renal disease on hemodialysis therapy

There are quite a lot of scientific works today dedicated to the role of disorders carbohydrate metabolism (DCM) in the development of end-stage renal disease (ESRD), at the same time, the influence of chronic kidney disease (CKD) on the development of carbohydrate disorders remains insufficiently studied, especially in patients on renal replacement therapy (RRT). The annual steady increase in the number of patients with ESRD without diabetes mellitus (DM) requiring dialysis therapy leads to increased interest and the need to study carbohydrate status in these patients. It is known that hyperglycemia in patients without DM on hemodialysis (HD) is a predisposing factor to the development of cardiovascular accidents that worsen the quality of life and also increase mortality. The peculiarities of glucose metabolism in patients receiving RRT do not always allow adequate assessment of carbohydrate status using glycated hemoglobin (HbA1c). The review provides up-to-date information on the prevalence of DCM in patients with ESRD without DM receiving HD RRT, touches upon the peculiarities of glucose metabolism, interpretation of HbA1c and glycated albumin values, and mortality risk in hemodialysis patients with various DCM

NEXP-completeness and Universal Hardness Results for Justification Logic

We provide a lower complexity bound for the satisfiability problem of a multi-agent justification logic, establishing that the general NEXP upper bound from our previous work is tight. We then use a simple modification of the corresponding reduction to prove that satisfiability for all multi-agent justification logics from there is hard for the Sigma 2 p class of the second level of the polynomial hierarchy - given certain reasonable conditions. Our methods improve on these required conditions for the same lower bound for the single-agent justification logics, proven by Buss and Kuznets in 2009, thus answering one of their open questions.Comment: Shorter version has been accepted for publication by CSR 201

Explicit Evidence Systems with Common Knowledge

Justification logics are epistemic logics that explicitly include justifications for the agents' knowledge. We develop a multi-agent justification logic with evidence terms for individual agents as well as for common knowledge. We define a Kripke-style semantics that is similar to Fitting's semantics for the Logic of Proofs LP. We show the soundness, completeness, and finite model property of our multi-agent justification logic with respect to this Kripke-style semantics. We demonstrate that our logic is a conservative extension of Yavorskaya's minimal bimodal explicit evidence logic, which is a two-agent version of LP. We discuss the relationship of our logic to the multi-agent modal logic S4 with common knowledge. Finally, we give a brief analysis of the coordinated attack problem in the newly developed language of our logic

The estimation of efficiency of psychohygienic work with pregnant and feeding women of the Satkinskiy area of the Chelyabinsk region

The article represents the results of the estimation of pregnant women’s gestational dominants in the Chelyabinsk region, an interrelation of the type of a psychological component of a gestational dominant with medicobiologic factors and babies’ state of health, efficiency of psychocorrectional work with pregnant women is estimated. It is established that 45,8 % of women make a risk group of an early refusal from chest feeding and demand regular psychocorrectional work at a stage of pregnancy for successful chest feeding. Within the women of successful type of PCGD complications of pregnancy and childbirth were seldom registered, optimum terms of the first applying of the newborn to a breast and duration of chest feeding, optimum indicators of babies’ health were marked. Within the women who have received psychocorrection, smooth course of their pregnancy, a favorable result of childbirth, an increase of duration of chest feeding, successful adaptation of babies in postnatal period are more often marked.В статье представлены результаты оценки гестационной доминанты у беременных женщин Челябинской области, установлена взаимосвязь типа психологического компонента гестационной доминанты с медико-биологическими факторами и состоянием здоровья детей, оценена эффективность психокоррекционной работы с беременными. Установлено, что 45,8% женщин составляют группу риска по раннему отказу от грудного вскармливания и требуют систематической психокоррекционной работы еще на этапе беременности для успешного грудного вскармливания. У женщин с благополучным типом ПКГД достоверно реже регистрировались осложнения беременности и родов, отмечались оптимальные сроки первого прикладывания новорожденного к груди и продолжительности грудного вскармливания, оптимальные показатели здоровья детей. У женщин, получивших психокоррекцию, чаще отмечается гладкое течение беременности, благоприятный исход родов, увеличение продолжительности грудного вскармливания, успешная адаптация детей в постнатальном периоде

Vestibular vertigo treatment in a polymorbid patient

Many physicians have difficulty managing patients with vertigo. Incorrect routine diagnoses are frequently made in patients with peripheral vestibulopathy, which makes therapy fail. Most cases of vestibular vertigo are caused by peripheral vestibular disorders (otolithiasis, hydrops, neuronitis). Rehabilitation maneuvers are effective in the treatment of benign paroxysmal positional dizziness; salt-free diet, diuretics, and betahistine dihydrochloride are for MОniПre’s disease (syndrome); vestibular rehabilitation is for vestibular neuronitis. Betahistine dihydrochloride is most effective among all the medicines used in different causes of vestibular vertigo, including that of unclear origin. The paper gives the positive experience with betahistine made in Russia for vestibular vertigo