scholarly journals Clinical-catamnestic and medical-social characteristics of periodic endogenous psychoses as a result of pathopersonological transformations (a comparative analysis)

2019 ◽  
Vol 0 (3) ◽  
Author(s):  
M. Ye. Khomitskyi
Author(s):  
George Petrovich Kostyuk ◽  
Burygina Larisa Andreevna Burygina Larisa Andreevna ◽  
Andrey Yurevich Berezantsev ◽  
Valeriya Vasilyevna Surikova

The article presents the results of a comparative analysis of the clinical and social characteristics of patients with schizophrenic spectrum disorders (SSD) and organic mental disorders (OMD) who received care in day hospitals and intensive psychiatric care units (Moscow). During the study, a random sample of 487 discharge epicrises was studied, of which 392 (80,49%) were patients with SSD and OMD, who were subjected to further analysis. The study revealed gender differences and low rates of labor and family adaptation in both nosological groups of patients. The highest percentage of patients observed on a long-term basis in neuropsychiatric dispensaries and the rate of hospitalization in a round-the-clock inpatient unit were among the patients with diagnoses of schizophrenic spectrum disorders who were treated in intensive psychiatric care units. There were significant differences in the routing of patients depending on the pathology: district psychiatrists more often refer patients with a diagnosis of schizophrenia to the intensive psychiatric care unit in order to prevent hospitalization and patients with organic mental disorders - to day hospitals for therapy selection and medical and social rehabilitation, while doctors of the round-theclock hospital – vice versa (in order to continue treatment or follow up in out-of-hospital conditions). There was also a circulation of patients between the intensive psychiatric care unit and the day hospitals. Isolated episodes of compliance violations were noted. Indicative indicators such as hospitalization in a round-the-clock psychiatric inpatient unit within a year after the discharge from partial inpatient units was low and was usually due to severe continuous forms of the disease and the formation of therapy resistance in patients. Day hospitals and departments (offices) of intensive psychiatric care in general effectively perform the functions of inpatient unit substitution.


Baltic Region ◽  
2020 ◽  
Vol 12 (2) ◽  
pp. 40-53
Author(s):  
R. H Simonyan ◽  
L. N. Slutskin

Given the unique diversity of Russian regions, regional studies are becoming particularly important for ensuring the stability and development of Russia. There is an extensive body of literature on the economic and social characteristics of Russian regions, their types and ranking whereas the study of collective consciousness requires further attention. It is the collective consciousness that shapes human activity, the results of which largely determine the development of countries and their regions. The authors study the spiritual sphere of regions, the inner world of people, who are human capital. This study is particularly important in relation to Russian youth, who have become one of the most active social groups. The public demand for the analysis of collective consciousness has been constantly growing. The authors argue that there are regional differences in collective consciousness, which are manifested most prominently in the comparison of eastern and western regions. The growing intensity of interaction between Europe and Asia makes the comparison of the western and eastern border regions of Russia particularly important from the geopolitical point of view. The authors employ the principles of an emerging scientific direction, border regional studies, for a comparative analysis of the collective consciousness of students from two border regions located on the Russia-European Union and Russia-China borders. The authors present the results of the survey they conducted in the Immanuel Kant Baltic Federal University (Kaliningrad) and Amur State University (Blagoveshchensk). They examine the sociological phenomenon of ‘regional consciousness’ and substantiate the criteria for selecting the objects of research. It is the first time in sociology that logistic regression models reflecting the main characteristics of regional consciousness have been built. The article aims to confirm the multiplicity of types of regional consciousness and to demonstrate that in the socially homogeneous group, Russian graduate students, there are still regional differences even in the generally similar assessments of the ongoing social processes.


Solution of the problems of differential diagnosis, treatment and social rehabilitation of patients with endogenous psychoses with episodic course is one of the most complex and urgent problems of clinical psychiatry, which is caused by polymorphism and variability of symptoms, decrease or loss of critical attitude toward the disease, with grave social and economic consequences. The aim of the study is to establish, on the basis of the results of the comparative analysis of the characteristics of the personal profile, the features and nosospecific differences of post-manifest pathopersonаlogical transformations in patients with schizophrenia, schizoaffective disorder and affective disorders in remission / intermissions. The study examined the personality characteristics of endogenous psychoses with an episodic course in remission / intermission conditions and established signs and nosospecific differences in post-manifest pathological transformations in patients with schizophrenia, schizoaffective disorder, and affective disorders. Existing pathopersonalogical transformations are characterized by signs of multidirectional tendencies of compensatory tension of personal resources, which is confirmed by the presence of several moderately elevated (65-75 T-points) indicators of individual scales and a simultaneous increase in indicators of both hyposthenic (2nd and 7th scales) and hypersthenic ( 4th and 9th scales) registers. In schizoaffective disorder, such scales are the 2nd (65.36±12.28 T-points), 4th (73.23±11.83 T-points), 8th (68.40±12.33 T-points) and 9th (66.05±12.02 T-points); in affective disorders, these are the 2nd, 4th and 8th scales (67.72±13.96, 67.08±9.53 and 65.90±10.08 T-points, respectively); for schizophrenia, such scales are the 2nd (72.37 ± 16.80 T-points), 4th (69.47±12.48 T-points), 7th (66.59±15.69 T-points) ) and 8th (71.73±19.95 T-points). The obtained data can be used as a component of the differential diagnosis system and personified psychotherapeutic support.


Author(s):  
Mykola Khomitskyi

The determination of the nosological affi liation of a separate clinical case in the group of endogenous psychoses is a decisive factor in adequate psychopharmacotherapy. The clinical aspects of post-manifestation pathopersonological transformations of endo genous psychosis with an episodic course remain the least studied and require study to improve the quality of diff erential diagnosis, treatment and rehabilitation. The aim of this study was to conduct a comparative analysis of personal characteristics, types of attitude toward the disease and adaptability of patients with schizophrenia and schizoaff ective disorder. On the basis of the Regional Clinical Psychiatric Hospital (Zaporizhzhia, Ukraine), 312 patients were examined, among them 102 patients with aff ective disorders; 102 patients suffering from schizoaffective disorder and 108 patients diagnosed with schizo phrenia, paranoid form, episodic course. The main research methods were clinical-psychopathological, clinical-follow-up, clinical-anamnestic and medical-social, as well as medicalstatistical analysis. The study revealed signs and nosospecific diff erences in indicators of social (labor and family) maladjustment, as well as positive, negative and general psychopathological disorders (according to PANSS) in endogenous psychoses with an episodic course, confi rming the presence of post-manifestation pathopersonological transformations. In the group of endogenous psychosis with an episodic course, pathopersonological transformations in schizoaff ective disorder are characterized by the most complex structure and are a nosospecific marker. Further studies of remission/intermission in endo genous psychosis open up the possibility of developing a differential diagnostic system and algorithms for providing personalized medical and rehabilitation care. Keywords: schizoaffective disorder, affective disorders, schizophrenia, clinic, social maladjustment, differential diagnosis, pathopersonological transformations


Südosteuropa ◽  
2020 ◽  
Vol 68 (3) ◽  
pp. 343-364
Author(s):  
Dunja Poleti Ćosić

AbstractThe subject of this study is work orientations, their change over time, as well as their distribution among the economically active citizens of Serbia. Particular attention is paid to work-motivated spatial mobility. The aim of this study is twofold: firstly, to determine which work orientations have been the most important for economically active individuals in the period of consolidation of the capitalist system in Serbia and to explore and explain the changes in their choices that have occurred since 2000; and secondly, to examine whether there are differences in prioritizing work orientations among actors with various social characteristics. The method of comparative analysis used in this paper was possible due to survey data collected during longitudinal research conducted by the Institute for Sociological Research in Belgrade over the last twenty years.


Author(s):  
Rushan GALLYAMOV ◽  
◽  
Igor KUCHUMOV ◽  
◽  

The article analyzes the regional group of Russian Bashkiria in the system of demographic and ethno-linguistic processes developing in a multinational environment during the XX century. Russian Russian ethnic group's "urban" character has evolved at various stages of historical development over the past century, and a comparative analysis of the basic social characteristics of the Russian population has been conducted in comparison with non- Russian peoples, mainly Bashkirs and Tatars. The process of significant influence of large-scale urbanization on the development of various areas of bilingualism and ethno-linguistic assimilation is considered.


Author(s):  
Сухова ◽  
Elena Suhova

The job function of the personnel Manager and the required skills are in the professional standards. This book presents the results of a study of the psychological and social characteristics of young workers and Mature age, comparative analysis of their motivation to work, the results of a study of personal needs, and the learning process. Designed for HR managers, managers, HR professionals and career counseling, experts of personnel services, Department of training, social development, as well as students and undergraduates in the direction of preparation "personnel Management", "human resource Management", "Management", business managers. May be of interest to all persons who in the course of their employment have to interact with people.


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