scholarly journals Pharmaceutical care and active treatment in patients with osteochondrosis

Pharmacia ◽  
2021 ◽  
Vol 68 (1) ◽  
pp. 223-226
Author(s):  
Maria Stamova Vakrilova Becheva ◽  
Stefka Аchkova Ivanova ◽  
Angelina Georgieva Kirkova-Bogdanova
Keyword(s):  
Pain Intensity ◽  
Active Treatment ◽  
International Classification Of Diseases ◽  
The Body ◽  
Cartilage Tissue ◽  
Comprehensive Treatment ◽  
Intensity Increase ◽  
Back Muscles ◽  
Classification Of Diseases ◽  
Pain Symptoms

According to the International Classification of Diseases, osteochondrosis is included in the group of diseases of the musculoskeletal system, mainly the spine. The mechanism of the disease is expressed in the disturbance of blood circulation, which nourishes the bone, and hence the damage to bone and cartilage tissue. Objective: This paper aims to present the effect of applied pharmacological and active treatment in 10 patients diagnosed with lumbar osteochondrosis. Methods: We conducted a comprehensive treatment of 10 patients diagnosed with lumbar osteochondrosis without any neurological symptoms during the period 2017–2020. This pharmacological and active treatment lasted from 15 to 17 days. The intensity of the pain symptoms, the general mobility of the spine, and the mobility of the lumbar spine were measured to determine the deficit of the patients. The strength of the flexor and extensor muscles of the body was tested. Results: A decrease in pain intensity, increase in the strength of the abdominal and back muscles and improvement of the mobility of the back muscles were found in all patients after the complex treatment. As a result of the therapy, a reduction in the patient’s dysfunctions and the risk of developing disabilities was found. Conclusion: The application of a multidisciplinary approach in patients with osteochondrosis is of great importance for reducing pain intensity and achieving a good functional recovery of motor and stabilizing function of the muscles of the spine.

Major Factors Associated with Congenital Malformations in the Agadir Region of Morocco

2020 ◽  
Vol 3 (8) ◽  
Author(s):  
SAID EL MADIDI
Keyword(s):  
Risk Factors ◽  
Congenital Malformations ◽  
International Classification Of Diseases ◽  
The Body ◽  
Explanatory Variables ◽  
Classification Of Diseases ◽  
History Of ◽  
Major Factors

Introduction: Congenital malformations are a global health problem around the world. MCs is one of the main causes of death and disability of newborns worldwide, but the majority of its risk factors are still poorly understood. Objective: The aim of this study is to determine the main causes that are related to the incidence of congenital malformations (CMs) in the region of Agadir in Morocco. Material and Methods: A prospective cases-control study at regional level was conducted in the pediatrics and neonatology department of Hassan II hospital in Agadir from April 2016 to April 2018. Data on child and maternal variables were recorded for 3701 newborns. The types of congenital malformations  have been classified according to the codes of the International Classification of Diseases. Univariate analyzes were performed to identify the variables associated with the etiology of the malformations. Multiple logistic regression was used to characterize the associations between the MC and the determining explanatory variables taken into account simultaneously. Results: The results of these studies showed that there is a significant association between the incidence of the Congenital anomalies and the level of the consanguinity of the child, the prematurity of childbirth, the family history of CMs, the body mass index of the mother and the presence of major trauma during pregnancy. Conclusion: our results have made it possible to highlight the existence of an association between a certain number of risk factors and the occurrence of congenital malformations. Additional studies are needed to confirm and clarify the role of these risk factors.

scholarly journals Experience of dermatological patients’ treatment in the psychosomatic unit

2018 ◽  
Vol 20 (2) ◽  
pp. 36-39
Author(s):  
L V Kochorova ◽  
A A Maksimova ◽  
V S Skripov
Keyword(s):  
Social Research ◽  
International Classification Of Diseases ◽  
Comprehensive Treatment ◽  
Psychotherapeutic Approach ◽  
Dermatological Disease ◽  
Classification Of Diseases ◽  
Underlying Illness ◽  
Psychotherapeutic Techniques ◽  
The Moment

The patients’ attitude to the possibility of combining the traditional treatment of the basic dermatological disease with psychotherapeutic methods, based on the results of medical and social research, is determined. A social portrait of a dermatological patient of a psychosomatic department has been drawn up, which requires an individual approach in the treatment process. Of all the examined patients, 38,5% of patients had a dermatologic diagnosis, included in the rubric«Dermatitis and eczema». In the structure of psychiatric pathology, the greatest contribution (30,6%) was made by disorders related to the International Classification of Diseases of the 10th revision to the heading «Organic, including symptomatic psychiatric disorders». The combination of anxious and depressive states have 23,9% of patients, depression - 19,6%, anxiety - 13,1% of the patients surveyed. Anxiety disorders are more common in women than in men - 22,7% versus4,2%. In addition, 13% assess their mood as poor, and 56,5% as satisfactory. It was found that 67,4% of patients consider treatment in the psychosomatic department more effective than in the usual dermatological department. 65,2% of patients note improvement of their psycho-emotional background from the moment of treatment start. It has also been established that patients understand the causes of their underlying illness and the importance of comprehensive treatment that is, both treating the dermatological disease and correcting the mental status with the help of various psychotherapeutic techniques. The compliance of patients with the use of methods of psychotherapeutic influence was revealed. 73,9% of patients note the importance of the psychotherapeutic approach during the inpatient phase of treatment, and 50% expressed a desire to continue receiving psychotherapeutic counseling after discharge from the hospital.

Chronic pain syndromes in ICD 11. Complex therapy concept

2021 ◽  
pp. 7-12
Author(s):  
M. V. Putilina ◽  
N. V. Teplova ◽  
A. V. Naumov
Keyword(s):  
Chronic Pain ◽  
Treatment Plan ◽  
International Classification Of Diseases ◽  
Epidemiological Studies ◽  
Comprehensive Treatment ◽  
Pain Syndromes ◽  
Therapy Strategy ◽  
Complex Therapy ◽  
Classification Of Diseases ◽  
Icd 10

In the International Classification of Diseases (ICD‑10), the diagnosis of chronic pain is not presented, which makes it difficult to conduct accurate epidemiological studies and prevents the development of an adequate diagnosis and multimodal therapy strategy. ICD‑11 will be the first version to include chronic pain as a diagnosis. According to the new concept, chronic pain is a real disease associated with multiple changes in the nervous, endocrine and immune systems. Developing a comprehensive treatment plan is of paramount importance and requires a multimodal plan that includes non‑drug and pharmacotherapeutic strategies for pain management. One of the promising areas of pharmacotherapy is the use of complex therapy regimens: meloxicam (Amelotex) – tolperisone (Calmirex) – B vitamins (compliments B).

Peculiarities of pregnancy course and pregnancy outcomes in tobacco smoking

2014 ◽  
Vol 63 (2) ◽  
pp. 50-58 ◽  
Author(s):  
Tatyana Valeryevna Semenova ◽  
Olga Nikolayevna Arzhanova ◽  
Olesya Nikolayevna Bespalova ◽  
Yuliya Pavlovna Milyutina ◽  
Valentina Mikhaylovna Prokopenko ◽  
...  
Keyword(s):  
Tobacco Smoking ◽  
Perinatal Outcomes ◽  
International Classification Of Diseases ◽  
The Body ◽  
Folate Metabolism ◽  
Prevention And Treatment ◽  
Classification Of Diseases ◽  
Negative Effect ◽  
Maintenance And Inspection

Tobacco is an urgent problem in Russia and in the world. Recent years have seen increased prevalence of smoking among the population. Tobacco dependence is included in the international classification of diseases, the American Psychiatric Association. From habit associated increase in the frequency of chronic diseases, mortality. In Russia smokes about 30 % of women and half of them continue to smoke during pregnancy. Proved that chronic nicotine intoxication has a negative effect on the pregnancy and fetus, worsens perinatal outcomes. It is also known that when tobacco smoking increases the level of homocysteine in the body, which in turn have toxic effects on vasculature. With many gestational hyperhomocysteinemia associated complications (gestoses, placental insufficiency, miscarriage and other). Already, there are methods of prevention and treatment of hyperhomocysteinemia. However, studies on folate metabolism in pregnant smoking a little. No clear approaches to the maintenance and inspection of this group of patients. I would like to draw attention to the state of folate metabolism in pregnant women with nicotine intoxication, reveal features of pregnancy, methods of prevention and treatment of gestational complications.

Comparison of Alcohol Use Disorders in DSM and ICD

2020 ◽  
Vol 66 (3) ◽  
pp. 143-153
Author(s):  
Jessica W. M. Wong ◽  
Friedrich M. Wurst ◽  
Ulrich W. Preuss
Keyword(s):  
Alcohol Use Disorders ◽  
International Classification Of Diseases ◽  
Clinical Use ◽  
Diagnostic Systems ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Historical Developments

Abstract. Introduction: With advances in medicine, our understanding of diseases has deepened and diagnostic criteria have evolved. Currently, the most frequently used diagnostic systems are the ICD (International Classification of Diseases) and the DSM (Diagnostic and Statistical Manual of Mental Disorders) to diagnose alcohol-related disorders. Results: In this narrative review, we follow the historical developments in ICD and DSM with their corresponding milestones reflecting the scientific research and medical considerations of their time. The current diagnostic concepts of DSM-5 and ICD-11 and their development are presented. Lastly, we compare these two diagnostic systems and evaluate their practicability in clinical use.

Angststörungen – von der ICD-10 zur ICD-11

2020 ◽  
pp. 1-5
Author(s):  
Timo D. Vloet ◽  
Marcel Romanos
Keyword(s):  
Mental Disorders ◽  
International Classification Of Diseases ◽  
International Classification ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Dsm 5 ◽  
Classification Of Diseases ◽  
Icd 10

Zusammenfassung. Hintergrund: Nach 12 Jahren Entwicklung wird die 11. Version der International Classification of Diseases (ICD-11) von der Weltgesundheitsorganisation (WHO) im Januar 2022 in Kraft treten. Methodik: Im Rahmen eines selektiven Übersichtsartikels werden die Veränderungen im Hinblick auf die Klassifikation von Angststörungen von der ICD-10 zur ICD-11 zusammenfassend dargestellt. Ergebnis: Die diagnostischen Kriterien der generalisierten Angststörung, Agoraphobie und spezifischen Phobien werden angepasst. Die ICD-11 wird auf Basis einer Lebenszeitachse neu organisiert, sodass die kindesaltersspezifischen Kategorien der ICD-10 aufgelöst werden. Die Trennungsangststörung und der selektive Mutismus werden damit den „regulären“ Angststörungen zugeordnet und können zukünftig auch im Erwachsenenalter diagnostiziert werden. Neu ist ebenso, dass verschiedene Symptomdimensionen der Angst ohne kategoriale Diagnose verschlüsselt werden können. Diskussion: Die Veränderungen im Bereich der Angsterkrankungen umfassen verschiedene Aspekte und sind in der Gesamtschau nicht unerheblich. Positiv zu bewerten ist die Einführung einer Lebenszeitachse und Parallelisierung mit dem Diagnostic and Statistical Manual of Mental Disorders (DSM-5). Schlussfolgerungen: Die entwicklungsbezogene Neuorganisation in der ICD-11 wird auch eine verstärkte längsschnittliche Betrachtung von Angststörungen in der Klinik sowie Forschung zur Folge haben. Damit rückt insbesondere die Präventionsforschung weiter in den Fokus.

Störungen durch Substanzgebrauch und abhängige Verhaltensweisen in der ICD-11

2020 ◽  
pp. 1-8
Author(s):  
Nicolas Arnaud ◽  
Rainer Thomasius
Keyword(s):  
International Classification Of Diseases ◽  
International Classification ◽  
Classification Of Diseases

Zusammenfassung. Der Beitrag informiert über die Eingliederung der Suchtstörungen in die 11. Auflage der International Classification of Diseases (ICD-11) der Weltgesundheitsorganisation (WHO). Die Revision der ICD soll einem gewandelten Verständnis der Suchtstörungen und deren Diagnostik Rechnung tragen und die klinische Anwendbarkeit vereinfachen. Im Bereich der substanzbezogenen und nicht substanzbezogenen Störungen sind gegenüber der Vorgängerversion erhebliche Neuerungen eingeführt worden. Die wichtigsten Änderungen betreffen ein erweitertes Angebot an Stoffklassen, deutliche (vereinfachende) Anpassungen in den konzeptuellen und diagnostischen Leitlinien der substanzbezogenen Störungsbilder und insbesondere der „Abhängigkeit“, sowie die Einführung der Kategorie der „abhängigen Verhaltensweisen“ und damit verbunden die Zuordnung der „Glücksspielstörung“ zu den Suchtstörungen sowie die Aufnahme der neuen (bildschirmbezogenen) „Spielstörung“. Zudem findet eine Erweiterung der diagnostischen Optionen für frühe, präklinische Phänotypen der Suchtstörungen („Episodisch Schädlicher Gebrauch“) erstmals Eingang in den ICD-Katalog. Im vorliegenden Beitrag werden die Änderungen Episodisch schädlicher Gebrauch für den Bereich der Suchtstörungen aus kinder- und jugendpsychiatrischer Sicht zusammenfassend dargestellt und diskutiert.

Zusatzklassifikation zur Kennzeichnung von Personen ohne akute Beschwerden oder Krankheiten)

1968 ◽  
Vol 07 (03) ◽  
pp. 141-151 ◽  
Author(s):  
H. Fassl
Keyword(s):  
International Classification Of Diseases ◽  
International Classification ◽  
Classification Of Diseases

In Krankenprotokollen finden sieb, nicht selten Angaben über den Patienten, die nicht mehr als Diagnosen anzusprechen sind. Dennoch sollten diese Feststellungen nicht verworfen werden, da sie wichtige Informationen darstellen. In der vorliegenden Arbeit wird (dem Vorschlag der Weltgesundheitsorganisation folgend) eine sog. Y-Klassifikation vorgestellt, mittels derer Feststellungen bei Personen ohne akute Klagen oder. Erkrankungen verschlüsselt werden können (z. B. Zustand nach einer Krankheit oder Verletzung, Verdacht auf eine Krankheit, Nachsorgemaßnahmen, prophylaktische Maßnahmen usw.). Der Entwurf folgt der Systematik der ICD (International Classification of Diseases) und kann dazu benutzt werden, gewisse Lücken darin zu überbrücken.

Four-Corner Arthrodesis versus Proximal Row Carpectomy: Risk Factors and Complications Associated with Prolonged Postoperative Opioid Use

2020 ◽  
Author(s):  
Neill Y. Li ◽  
Alexander S. Kuczmarski ◽  
Andrew M. Hresko ◽  
Avi D. Goodman ◽  
Joseph A. Gil ◽  
...  
Keyword(s):  
Risk Factors ◽  
International Classification Of Diseases ◽  
Opioid Use ◽  
Proximal Row Carpectomy ◽  
Use Patterns ◽  
Patient Demographics ◽  
Implant Complications ◽  
Increased Risk ◽  
Classification Of Diseases

Abstract Introduction This article compares opioid use patterns following four-corner arthrodesis (FCA) and proximal row carpectomy (PRC) and identifies risk factors and complications associated with prolonged opioid consumption. Materials and Methods The PearlDiver Research Program was used to identify patients undergoing primary FCA (Current Procedural Terminology [CPT] codes 25820, 25825) or PRC (CPT 25215) from 2007 to 2017. Patient demographics, comorbidities, perioperative opioid use, and postoperative complications were assessed. Opioids were identified through generic drug codes while complications were defined by International Classification of Diseases, Ninth and Tenth Revisions, Clinical Modification codes. Multivariable logistic regressions were performed with p < 0.05 considered statistically significant. Results A total of 888 patients underwent FCA and 835 underwent PRC. Three months postoperatively, more FCA patients (18.0%) continued to use opioids than PRC patients (14.7%) (p = 0.033). Preoperative opioid use was the strongest risk factor for prolonged opioid use for both FCA (odds ratio [OR]: 4.91; p < 0.001) and PRC (OR: 6.33; p < 0.001). Prolonged opioid use was associated with an increased risk of implant complications (OR: 4.96; p < 0.001) and conversion to total wrist arthrodesis (OR: 3.55; p < 0.001) following FCA. Conclusion Prolonged postoperative opioid use is more frequent in patients undergoing FCA than PRC. Understanding the prevalence, risk factors, and complications associated with prolonged postoperative opioid use after these procedures may help physicians counsel patients and implement opioid minimization strategies preoperatively.

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