Rossiyskiy Meditsinskiy Zhurnal

ю04-003
ALCOHOLISM AND DRUG ADDICTION: THE ISSUE OF NATIONAL SECURITY
Bardenshteyn L.M.

barden@mail.ru, Array
Abstract: Array
Keywords:

ю04-004
THE RESULTS OF MONITORING OF NARCOTIZATION OF POPULATION IN CHUVASHIA
Bulygina I.E., Golenkov A.V.

The I.N. Uliyanov Chuvashia state university, 428015 Cheboksary, Russia
Abstract: In Chuvashia, the prevalence of drug addiction in population is 2.57 times lower as compared with Russia and Privolzhskiy Federal okrug. Nevertheless, the trend of annual 4-5% increase of number of patients with drug addiction and cases of intoxication by psychoactive substances as well is still present. The comprehensive assessment of narcologic care and medical social rehabilitation of persons with drug abuse is presented. The implementation of the Republic target antidrug programs and results of activities in the fi eld of prevention of non-medical use of psychoactive substances are described.
Keywords: мониторинг, употребление наркотиков, Чувашия, monitoring, drug abuse, Chuvashia

ю04-008
THE REGIONAL STATISTIC MODELS OF TOBACCO SMOKING
Golenkov A.V.

The I.N. Uliyanov Chuvashia state university, 428615 Cheboksary, Russia
Abstract: The representative sampling of 1027 smoking residents of Chuvashia (737 males and 290 females aged from 16 to 90 years, mean age — 35.8±13.4 years) was used to calculate the statistic models of tobacco smoking tobacco addiction, willingness for denial and break of tobacco smoking. The factorial model included nine indicators predicting tobacco smoking in the republic for 79.4% (motives and duration of tobacco smoking, age of respondent, number of smoked cigarettes per day, intensity of tobacco addiction, time of smoking fi rst cigarette after wake up, desire to stop smoking tobacco). The valuable factors impacting the forecasting of tobacco smoking also included gender, university education, cigarettes brand, level of nicotine and tar in one cigarette. The established patterns can increase the effectiveness of anti-nicotine curative preventive activities in the region.
Keywords: табакокурение, табачная зависимость, Чувашия, многофакторные статистические модели, tobacco smoking, tobacco addiction, Chuvashia, multi-factorial model

ю04-011
THE POSSIBILITIES OF XENON APPLICATION IN COMPLEX THERAPY OF PSYCHO-PATHOLOGIC DISORDERS IN PATIENTS OF NARCOLOGIC PROFILE
Tzigankov B.D., Shamov S.A., Rykhletskiy P.Z., Davletov L.A.

The I.A. Evdokimov Moscow state medical stomatological university of Minzdrav of Russia, 127473 Moscow, Russia
Abstract: The article presents the analysis of effectiveness and safety of xenon inhalation therapy concurrently with reduction of psycho-pathologic disorders in 120 patients with syndrome of alcohol or opioid addiction in the period of acute withdrawal manifestation.
Keywords: психопатологические расстройства, синдром отмены алкоголя, синдром отмены опиоидов, ингаляционная терапия ксеноном, psycho-pathologic disorders, syndrome of alcohol withdrawal, syndrome of opioid withdrawal, xenon inhalation therapy

ю04-014
THE ROLE OF EXOGENOUS FACTORS IN THE DEVELOPMENT OF ACUTE TRANSIENT PSYCHOTIC DISORDERS
Aleshkina G.A.

The I.A. Evdokimov Moscow state medical stomatological university of Minzdrav of Russia, 127473 Moscow, Russia
Abstract: The article considers the issue of the role of exogenous factors, alcoholization included in the development of acute transient psychotic disorders. The comparative study was carried out using two groups of patients with acute transient psychotic disorders without symptoms of schizophrenia (n=35, average age=30.5±10.3 years) and with symptoms of schizophrenia (n=35, average age=28.6±9.3 years). The clinical psycho-pathologic, clinical catamnesis and statistical methods were applied. The etiologic pathogenic aspects of acute transient psychotic disorders were discussed. The comparative analysis of premorbid characteristics of patients with acute transient psychotic disorders is presented. The unfavorable impact of alcoholization on course of disorders of schizophrenic spectrum is established.
Keywords: острые преходящие психотические расстройства, шизофрения, триггерные факторы, алкоголизация, acute transient psychotic disorders, schizophrenia, triggering factors, alcoholization

ю04-016
ABOUT COMPARATIVE CHARACTERISTIC OF ALCOHOLIC AND NEUROLEPTIC CARDIOMYOPATHY
Volkov V.P.

The M.P. Litvinov Tver oblast clinical psychiatric hospital №1, 170546 Burashevo village, Tver oblast, Russia
Abstract: The comparative analysis of clinical, electrocardiographic and morphologic manifestations of alcoholic (50) and neuroleptic (80) cardiomyopathies in comparison with control group (100 patients without cardiologic pathology). The statistic and morphometric research techniques were applied on macroscopic and microscopic levels. The results revealed no valuable differences between studied types of pathology. The conclusion is made that neuroleptic cardiomyopathy alongside with alcoholic cardiomyopathy is a single nosology unit (disease) with IDC (10th revision) code 142.7 ("Cardiomyopathy, conditioned by impact of medications and other external factors").
Keywords: алкогольная и нейролептическая кардиомиопатии, сравнительное клинико-морфологическое изучение, нозологическая принадлежность, alcoholic cardiomyopathy, neuroleptic cardiomyopathy, comparative clinical morphologic study, nosology set

ю04-019
THE DIFFERENTIATED OUT-PATIENT COGNITIVE BEHAVIORAL THERAPY OF ALCOHOL ADDICTION IN PATIENTS WITH DIFFERENT TYPES OF CHARACTER
Nikolayev V.M., Petrova E.V., Petrov O.A.

The Penza institute of post-graduate training of physicians of Minzdrav of Russia, 440060 Penza, Russia
Abstract: The article presents the out-patient psychotherapy program for patients with alcohol addiction. The program applies the cognitive behavioral approach and differentiated implementation of cognitive behavioral techniques and methods to patients with different types of character. In toto, at the sampling of 116 patients of main group one remission longer than one year was observed in 69.8% of patients and two year remission was observed in 30.2% 0f patients
Keywords: когнитивно-поведенческая психотерапия, амбулаторная программа, алкогольная зависимость, типы характера, cognitive behavioral psychotherapy, out-patient program, alcohol addiction, types of character

ю04-022
THE SIGNIFICANCE OF MOTIVATION, STAGES OF READINESS TO BEHAVIOR CHANGES, FACTORS OF COMPLIANCE TO TREATMENT OF ALCOHOL ADDICTION
Salmina-Khvostova O.I., Zyablitsev D.V.

The Novokuznetsk state institute of post-graduate training of physicians of Minzdrav of Russia, 654005 Novokuznetsk, Russia
Abstract: The study was carried out to analyze motivation, stages of readiness to behavior changes, factors of compliance to treatment of alcohol addiction. The sampling included 50 male and female patients aged from 35 to 65 years with established diagnosis "alcohol addiction" (F10.2). The study revealed that fi rst place among the motives which stimulated patient to visit physician for the purpose of formation of life-style of temperance was for "the issues at workplace - threat of discharge" with 55%. Among examined patients, 31.8% were at the fi rst stage of readiness for behavior changes. The results approved that among patients with alcohol addiction taking into account the medical psychological aspects of compliance to treatment increases effectiveness of therapy and improve the quality of life.
Keywords: алкоголизм, мотивация, изменения, приверженность, лечение, alcoholism, motivation, changes, compliance, treatment

ю04-025
THE EPIDEMIOLOGIC SITUATION CONCERNING THE ALCOHOL ADDICTION: THE REGIONAL ASPECT
Govorin N.V., Sakharov A.V.

The Chita state medical academy of Minzdrav of Russia, 672090 Chita, Russia
Abstract: The article presents the model of studying the alcohol situation in Trans-Baikal Krai. The study established the characteristics of level and structure of prevalence of registered pathology and high percentage of alcohol disorders in youth people and patients of hospital somatic department. The main methodological approaches are presented to assess alcohol mortality. The social economic damage because of debauchery and alcoholism of population is calculated. On the basis of study results the system of monitoring was developed. This system can be implemented in other regions of the Russian Federation to collect the data following the unifi ed technique.
Keywords: мониторинг, алкогольные расстройства, алкоголизм, алкогольная смертность, экономический ущерб, monitoring, alcohol disorders, alcoholism, alcohol mortality, economic damage

ю04-029
THE ALCOHOL AND NEUROTIC DISORDERS AMONG PHYSICIANS: THE DATA OF CLINICAL EPIDEMIOLOGIC STUDY
Govorin N.V., bodagova E.A., Sakharov A.V.

The Chita state medical academy of Minzdrav of Russia, 672090 Chita, Russia
Abstract: The article presents the analysis of prevalence of alcohol and neurotic disorders, syndrome of emotional burning-out in 383 physicians working in medical institutions of city of Chita. The narcologic pathology related to alcohol consumption is established in 10.6% of cases, syndrome of alcohol dependence (2.6%) included.
Keywords: врачи, алкоголизм, эмоциональное выгорание, physician, alcoholism, emotional burning-out

ю04-032
THE APPROACHES TO TREATMENT OF WITHDRAWAL AND POST-WITHDRAWAL CONDITION IN NARCOLOGIC PATIENTS
Tsygankov B.D., Shamov S.A., Zemskov M.N., Array Array

The A.E. Evdokimov Moscow state medical stomatological university, 127473 Moscow, Russia
Abstract: The article considers the issue of selection of effective method of treatment of alcoholism and drug addiction on the basis of analysis of actual situation in this fi eld. The alternatives of pathogenic impact during therapy selection are proposed considering the known mechanisms of development of narcologic disease. The review of scientifi c data is presented concerning the directions of pharmaceutical effect on withdrawal and post-withdrawal condition of narcologic patients. The effectiveness of combined application of neuroleptics, benzodiazepines, antidepressants, and blockers of opium receptors (i.e. therapeutic model) is emphasized in case of treatment as an element of formation of lasting remission.
Keywords: синдром зависимости, абстинентный синдром, аффективные нарушения, психофармакотерапия, ремиссия, syndrome of addiction, withdrawal syndrome, affective disorders, psychopharmacological therapy, remission

ю04-036
THE ANGIOSURGERY PATHOLOGY UNDER DRUG ADDICTION: THE ISSUE REVIEW
Sajin A.V., Klimiashvili A.D., Mikhaiylov D.Yu., Gulina L.D., Lisyn S.V., Safaryan S.L., Kornilova V.I.

The N.I. Pirogov Russian national research medical university Minzdrav of Russia, 114907 Moscow, Russia
Abstract: The article presents the analysis of national and international scientifi c literature considering the issue of drug addiction and the complications related to intravascular introduction of various drug agents. The national tendency of increasing of percentage of persons with drug addiction is depicted. In Russia, according the offi cial statistic data, 674 thousand citizens are taken various types of drug substances. In Moscow their number exceeds 35 thousand. Mainly, the drug addiction is a disease of young people. More and more adolescents and women are involved into process of narcotization. In Russia, about 60% of drug addicts are persons aged from 16 to 30 years. The ongoing increase of narcotization results in the increase of level of morbidity and mortality of young body-abled population. At that, among drug addicts 50.9% of terminal outcomes were causeв by somatic disease. The data concerning different localization of vascular lesions is presented. In more than 50% the vessels of inguinal region are affected. Along with it, the lesions of shoulder and subclavicular arteries are presented too. The different considerations of researchers are proposed related to the mechanism of lesion of vascular wall impacting the different types of course of pathologic occurrences. It is noted that in drug addicts thrombosis of venous vessels has a non-embolic character. The causes of lower risk of pulmonary embolism in this category of patients are mentioned. The methods of radiologic diagnostic of vascular pathology in patients after intravascular introduction of drug substances are explained, including the comparative analysis of their reliability. Mostly, the factual cases of practice are described. Only several publications can be considered as a summary review. Hence, all negative factors occurring in case of lesion of blood vessels in drug addicts and their complications are rather actual issues of both angiosurgery and medicine in general. This condition testifi es the need of comprehensive study of issues of diagnostic and treatment of this pathology. The benevolent outcome of pyo-septical complications in patients with drug addiction demands the development of rational approaches to diagnostic and treatment of this extremely severe category of patients.
Keywords: наркомания, аневризма, тромбоз, тромбоэмболия, ишемия, drug addiction, aneurysm, thrombosis, embolism, ischemia

ю04-040
THE ALCOHOLISM AS MANIFESTATION OF NON-ADAPTIVE COPING IN ONCOLOGICAL PATIENTS
Averiyanova S.V., Velsher L.Z.

The Railroad clinical hospital of the Railroads of Russia, 410004 Saratov, Russia; The A.E. Evdokimov Moscow state medical stomatological university, 127473 Moscow, Russia
Abstract: The choice of coping style at the fi rst contact with oncological service determines the quality of life of oncological patients and impacts the effectiveness of anti-tumor therapy and ultimately the prognosis of disease. The alcoholization is the most frequent manifestation of non-adaptive coping strategies. The comprehensive study of coping strategies is needed to diagnose "the cancer" and further development of correction techniques targeting the decrease of the level of psychological deadaptation.
Keywords: рак, копинг, алкоголизм, cancer, coping, alcoholism

ю04-043
THE SYNDROME OF ADDICTION TO PSYCHOACTIVE SUBSTANCES AS RISK FACTOR OF HETERO-AGGRESSIVE BEHAVIOR IN WOMEN
Bardenshtein L.M., Shaklein K.N.

The A.E. Evdokimov Moscow state medical stomatological university, 127473 Moscow, Russia
Abstract: The article considers the issue of hetero-aggressive behavior in women. The analysis of publication data is presented concerning epidemiology of psychic disorders diagnosed in women being in institutions of confi nement. The relationship between aggressive behavior and presence of psychic pathology predisposing to aggressionб specifi cally addiction to psychoactive substances, is emphasized. The usage of psychoactive substances is an independent risk factor of aggression and results in adding more severety to present pathology hence supporting realization of aggressive behavior.
Keywords: психические расстройства у женщин, синдром зависимости от психоактивных веществ, агрессия, пенитенциарная психиатрия, psychic disorder, woman, syndrome of addiction, psychotropic substance, aggression

ю04-045
THE EXPERIENCE OF REHABILITATION ACTIVITIES IN THE SYSTEM OF CARE OF INDIVIDUALS WITH PSYCHOACTIVE SUBSTANCES ABUSE
Bryun E.A., Savtchenko L.M., Sobornikova E.A.

The Russian medical academy of post-graduate education of Minzdrav of Russia, 123995 Moscow, Russia
Abstract: The article deals with the analysis of rehabilitation activities in the system of care of individuals with psychoactive substances abuse as applied on the international level, in the Russian Federation and in countries of CIS. The principles and existing alternatives of rehabilitation care organization are described. The rehabilitation according the principles of therapeutic community applying multidisciplinary approach is considered as the most effective model of long-term rehabilitation. The defi ciency of professional rehabilitation programs in the public sector of health care is noted as an issue of modern narcology. The ultimate actuality is given to the development of hospital substitute out-patient forms of rehabilitation as the most low-costs technologies.
Keywords: система наркологической помощи, реабилитация пациентов наркологического профиля, терапевтическое сообщество, мультидисциплинарный подход, system of narcologic care, rehabilitation, patient of narcologic profi le, therapeutic community, multidisciplinary approach