scholarly journals Fibromyalgia from a psychiatric point of view

2021 ◽  
Vol 21 (2) ◽  
pp. 128-133
Author(s):  
Maja Hasterok ◽  
◽  
Magdalena Piegza ◽  
Paweł Dębski ◽  
◽  
...  

Fibromyalgia is a disorder bordering on rheumatology and psychiatry, which was included in the ICD-10 (M79.7) classification in the 1990s. It is characterised by a triad of symptoms including chronic widespread pain, sleep disturbances, and mental or physical exhaustion. According to various estimates, fibromyalgia affects from 2 to 4% of the population, particularly individuals between 50 and 60 years of age. There is a lack of consistent data in the available literature on the prevalence of the disorder between sexes. Depending on the criteria used, the female/male ratio is reported to be 13.7:1, 4.8:1 or 2.3:1. Despite nearly three decades of fibromyalgia presence in the ICD classification system, the nature and treatment of the disease have not been sufficiently recognized and arouse a lively discussion among researchers of various medical specialties. The paper attempts to systematise selected issues related to fibromyalgia which seem particularly important from the point of view of psychiatry. The introduction presents the history of the debate on the concept of fibromyalgia, problems relating to the definition and classification of the condition and, finally, symptomatology. The article focuses on the psychiatric aspect of fibromyalgia and reviews reports of the association of fibromyalgia with mental disorders, as well as issues relating to pathophysiological and therapeutic concepts that may be useful to both psychiatrists and other specialists who may encounter the disorder in their practice.

2021 ◽  
Vol 21 (S6) ◽  
Author(s):  
Saskia E. Drösler ◽  
Stefanie Weber ◽  
Christopher G. Chute

Abstract Background The new International Classification of Diseases—11th revision (ICD-11) succeeds ICD-10. In the three decades since ICD-10 was released, demands for detailed information on the clinical history of a morbid patient have increased. Methods ICD-11 has now implemented an addendum chapter X called “Extension Codes”. This chapter contains numerous codes containing information on concepts including disease stage, severity, histopathology, medicaments, and anatomical details. When linked to a stem code representing a clinical state, the extension codes add significant detail and allow for multidimensional coding. Results This paper discusses the purposes and uses of extension codes and presents three examples of how extension codes can be used in coding clinical detail. Conclusion ICD-11 with its extension codes implemented has the potential to improve precision and evidence based health care worldwide.


2021 ◽  
Vol 27 (3) ◽  
pp. 148-154
Author(s):  
Natalia A. Guz ◽  
Yulia G. Babicheva

The purpose of the work is to explore the point of view in Vasily Shukshin's short stories in its systematic and diverse manifestation. Topicality is provided by the exceptional significance of this category in narratology. The study of the point of view based on the material of short stories by Vasily Shukshin has been conducted for the first time. The article briefly traces the history of scientific understanding of the category of point of view in foreign and Russian philology and notes the variety of approaches and definitions in the formulation of the concept. The authors use the classification of Boris Uspenskij for analysis and consider the point of view in Vasily Shukshin's short stories in psychological, ideological (evaluative), spatial-temporal and phraseological terms. The positions of Boris Korman, Yuri Lotman, Wolf Schmid and Franz Karl Stanzel also take into account. The authors note the features of Vasily Shukshin's narration that affect the expression of the point of view in the text. Vasily Shukshin's short stories are characterised by a dynamic and frequent change of points of view, which indicates the technique of “montageˮ and similarities in this regard with cinematic techniques. The conclusions generalise the variety of ways and forms of expression of the point of view in the studied artistic material. The point of view in the considered stories is characterised by variability in the correlation of subjects of speech and subjects of consciousness, alternation of external and internal points of view, mutual transitions from one to the other, text interference and other hybrid phenomena.


2017 ◽  
Vol 4 (2) ◽  
pp. 350
Author(s):  
Sumit Chandak ◽  
Sunil N. Gowda

Background: There is a higher incidence of acute and transient psychotic disorder, however there are not much data on the course of disease and its association with sociobiological factors. We assessed the outcome in patients who met the ICD 10 DCR criteria for acute and transient psychotic disorder, at a follow up period of 6 months.Methods: We conducted a prospective observational study conducted at out-patient department of the Institute of Psychiatry and Human Behaviour, Bambolim, Goa. Fifty-seven patients were enrolled and were followed up for a period of 6 months from the day of enrollment. The outcome was ‘review of diagnosis and ‘no review of diagnosis at the end of 6 months.Results: The mean age of the study sample was 32.25 years. In three-fourth of the patients, there was no change in the diagnosis. Nearly 65% of the patients were women and 35% of them were men. No review in diagnosis was made in significant proportion of the population. Average duration of education was 7.35 years. Most of them were unskilled laborers and homemakers. A significant number of the study population was migrants. Two-third of the population did not have any family history of psychiatric disorder. The onset was acute in majority of the patients. Suicidal thoughts were present at the time of diagnosis in certain patients. The treatment adherence was lower in those whose diagnoses did not change at the end of 6 months. Sleep disturbances, ideas of persecution, and concentration difficulties were the frequently reported symptoms.No repeat episodes were noted in our study.Conclusions: No review in diagnosis was made in significant proportion of the population. The treatment adherence was lower in those whose diagnoses did not change at the end of 6 months.


1989 ◽  
Vol 154 (S4) ◽  
pp. 21-23 ◽  
Author(s):  
J. E. Cooper

This paper gives a brief outline of the present state of development of the psychiatric chapter of the tenth revision of the International Classification of Diseases (ICD-10). It is written from the point of view of one of the many consultants to the Division of Mental Health, World Health Organization (WHO), Geneva, and thus is not an authoritative or official statement on behalf of WHO. The responsibility for decisions about ICD-10 Chapter V (F) rests with Dr Norman Sartorius, Director of the Division of Mental Health, though many psychiatrists in many countries have contributed to ICD-10 Chapter V (F), and will continue to do so, since much work is still to be done before the final form is officially agreed and published in about 1990. Before he left WHO, Geneva in September, 1986, Dr Assen Jablensky also carried a great deal of responsibility for the arrangements necessary for the production of the drafts of ICD-10 Chapter V (F) that are now being developed.


Legal Concept ◽  
2021 ◽  
pp. 55-62
Author(s):  
Kirill Korovin

the German history of concepts became popular after the translation into Russian of some articles from “The Historical Dictionary of Socio-Political Language in Germany”. This event is remarkable for legal science, since legal concepts are of particular importance for both the legislator and legal scientists when developing legal doctrine. The purpose of the paper is to apply a historical and conceptual approach to the study of state-legal phenomena in the history of political and legal doctrines. Methods: the methodological basis of this study is a systematic approach that allows to structure the constituent elements of the German history of concepts, as well as a structural and functional one, thanks to which the application of specific elements in practice was shown. Results: as a result of the analysis of the German experience of studying concepts, the author made conclusions that reflect the possibility of its use in law. First of all, the classification of concepts used in the dictionary is important. It allows you to structure and systematize the concepts used in the political and legal doctrines. The processes of transformation of concepts described methodologically by the Germans can be analyzed by analogy in Russian historical and legal science. The context of the emergence and evolution of the concepts reflects the fundamental changes in society and the state, so its description is necessary to explain the features of legal concepts. Conclusions: the adaptation of historical concepts with the help of modern legal language to the terminological apparatus of the theory of state and law is possible through the diachronic principle. The linguistic basis of the German dictionary is certainly interesting for lawyers from the point of view that the distinction between terms and concepts contributes to the improvement of legal techniques. Thus, the German history of concepts is largely interrelated with the history of political and legal doctrines, and further development of this issue is required.


Author(s):  
Tamara O. Kutsaieva

The first attempt in the scientific practice of the National Museum Ukrainian History to conduct an individual and complex studying of marginal inscriptions has been done in this article. There is the case study of the Hand Press Books and antiquarian books from the library of the mentioned museum. The object of the study has been characterized and reasoning why the antiquarian books published in XIX century, but after 1830, have been chosen as the objects of this research, besides the classical objects of the study of marginal inscriptions (Hand Press Books and antiquarian books). Sources and historiography of the research as well as publications of the museum specialists have been systemized. The conclusion about the small attention of researchers to the library of the National Museum of Ukrainian History has been done too. The author of the article has substantiated one more conclusion about the absence of publications dedicated to the library as the source of information about the history of book printing in Ukraine or museum book collections = historical libraries beyond the museum. The generally accepted scientific criteria for the classification of marginal inscriptions have been generalized on the basis of historiography. Four additional criteria for studying marginal inscriptions have been proposed for the discussion. Challenges of the research have been analyzed in the main part of the article. There is the absence of attribution and fixation of the history of acceptance of the books in the museum library because of the specific status of all museum libraries in Ukraine; absence of a formal right to use such definitions of the Ukrainian legislation as the Rare and Valuable Books concerning the books published in XVIII – the early XIX centuries and some antiquarian books; problems of identifications of handwriting exactly as a marginal inscription, not a written bookplate (exlibris). Some samples to the mentioned challenges have been proposed. The author of the article has implemented the aim of the research and presented attribution of the marginal inscriptions in eleven Hand Press Books and three antiquarian books, including one handwritten antiquarian book – the object of this study. The content of the marginal inscriptions in Mykola Zakrevskyi‘s book “Depiction of Kyiv” (1868) – the most unique book from the point of view of the historical narrative as well as the invitation letter to Mykola Zakrevskyi (the object of the museum importance or so-called “Museum finding”) has been presented in this research. The maximum of available information about the content and classifications of the types of marginal inscriptions (handwritten, marginal glosses, and Marginal inscriptions of publishing houses) has been presented in the article too. Contribution in research and popularisation of the collection of the National Museum of Ukrainian History, studying of the history of a book as the object of the material and spiritual heritage, the personality of (less)known readers and reading cultures in different йpoques have been done based on the results of attribution, bibliographical description, and classification of the books, marginal inscriptions, and bookplates. Another essential result of the research is entering in the scientific circulation the Preliminary list of the Hand Press Books and antiquarian books with marginal inscriptions that have been chosen as the objects of this research. The stress on the urgent relevance of continuation of the complex studying of these books with the aim to give them the status of the Rare and Valuable Books through the entry in the State Register of the National Cultural Heritage has been done. The author has determined some perspectives of this research. They are a continuation of the complex studying of the marginal inscriptions, searching of new marginal inscriptions and fragments of historical libraries that nowadays are parts of the collection of the National Museum of Ukrainian History in other museums, archives, and libraries for contribution to the development of the museum communication and studying of Auxiliary Sciences of History. Keywords: bookplate, book research, in script, marginal inscription, National Museum of Ukrainian History.


Author(s):  
Aleksey Ogorodnikov

The article provides the history of the formation and organization of financial control and audit from Ancient Greece to modern Russia. The current representation of the concepts of «internal financial control» and «internal financial audit» are determined. The formation of internal financial control and audit in the context of the importance of the management of social and economic development is considered. The article points out the validity and effectiveness of internal financial control and audit in the system of executive authorities. The author describes the interrelation between the availability of internal financial control and audit in the financial and budgetary sphere and the effectiveness of solving social and economic tasks of the public sector of the economy. The article also provides the authors opinion about the classification of responsibilities for the implementation of internal financial control of executive authorities. The article describes the methods of internal financial control and audit that are presented by author as a range of financial procedures in the field of budgetary and financial and economic planning. The internal financial control and audit as one of the most important management functions that is carried out at all levels of subordination is a system of observations and checks of the correct functioning of the public authority in the process of implementation of taken decisions. The author also gives an idea of the current methods of conducting internal financial audit in the system of executive authorities. The article also presents the authors point of view about the concept of internal financial control and internal financial audit in public authorities.


2020 ◽  
Author(s):  
Dae-Geun Kim ◽  
Hae-Dong Jang ◽  
Gi-Won Seo ◽  
Hyun-Uk Lee ◽  
Hye-Won Nam

Abstract Background A history of osteoporotic fracture (OF) is strongly associated with subsequent OFs. It is important to treat osteoporosis following OFs to prevent subsequent fractures. A distal radius fracture (DRF) is the most common type of OF in people in their 50s and could be a hallmark of future OFs. We compared the rate of osteoporosis treatment within 6 months post-DRF with hip fracture (HF). Methods We used data from the Korean Health Insurance Review and Assessment Service nationwide claims database from 2010 to 2016. International Classification of Diseases 10th revision (ICD-10) codes and procedures codes were used to identify patients older than 50 years with newly diagnosed DRFs and HFs. Then the rate of prescription and kinds of osteoporosis medications in these patients were analysed. We also compared the trends in both groups using the Cochran–Armitage trend test. Results A database search identified 77,209 DRFs and 72,044 HFs in patient aged 50 years or older from 2011 to 2016. Insufficient DRF and HF patients had osteoporosis medications (17.2% and 34.5%) and the numbers of osteoporosis medication for both DRFs and HFs decreased significantly annually ( P <0.0001). Bisphosphonates were used most often, although the use of selective oestrogen receptor modifiers (SERMs) increased gradually in both groups.Conclusions Clinicians who treat OFs should treat osteoporosis to prevent subsequent fractures and pay more attention to DRF patients who fail to get proper osteoporosis treatment.


2019 ◽  
Vol 21 (3) ◽  
pp. 503-512
Author(s):  
Eduard E Shults

The article analyzes several ideas suggested by American political scientist Theda Skocpol in regards to the theory of revolution. From the author’s point of view, Skocpol’s attitudes are noteworthy both in terms of studying the history of political science and understanding the current state of “the theory of revolution” as a scientific direction. The author critically examines the classification of “generations of the theory of the revolution contributors” offered by J. Goldstone, according to which T. Skocpol belongs to “the third generation”. At the same time, the key provisions of Skocpol’s concept continue the ideas of the first and second generations, as is suggested by Goldstone. The author highlights the importance of the conceptual provisions related to the questions of social system failures and the reasons and consequences of revolutions in the context of revolutionary modernization.


2020 ◽  
Vol 4 (2) ◽  
pp. 41-46
Author(s):  
Shirin Jalilova ◽  

In the article the author briefly defines the Uzbek dance from a historical point of view, as well as reveals the stage of development of Uzbek choreography in the field of ethno choreography. Although there is no clearly defined periodicity in the history of the development of Uzbek dance, the most important periods in its history have already been recognized by scholars.


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