Psycho-somatic Diseases in Childhood

2015 ◽  
pp. 187-195
Author(s):  
Anna M. Kulka
Keyword(s):  
Somatic Diseases

Progesterone contraceptives: a place in practical gynecology (to practitioner aid)

GYNECOLOGY ◽  
2018 ◽  
Vol 20 (3) ◽  
pp. 48-51
Author(s):  
Y E Dobrokhotova ◽  
E I Borovkova ◽  
S A Zalesskaya
Keyword(s):  
Diabetes Mellitus ◽  
Family Planning ◽  
Disease Control ◽  
Main Mechanism ◽  
Metabolic Processes ◽  
Tumor Pathology ◽  
Control And Prevention ◽  
Somatic Diseases

Progesterone-containing contraceptives do not have a significant impact on metabolic processes and can be prescribed to patients with systemic (diabetes mellitus, obesity) and other diseases. Desogestrel is a part of oral preparations in a dose of 75 mcg. The main mechanism of its contraceptive action is Suppression of ovulation (in 97% of cases). The frequency of pregnancy is 0.17 for 100 women-years. Progesterone-containing contraceptives should not be considered, as preparations of the second choice when deciding on the issue of family planning. According to the recommendations of the Center for Disease Control and Prevention organization of health, desogestrel is an acceptable contraceptive option for women with somatic diseases, defined tumor pathology and thrombotic states in the anamnesis.

Somatoform disorders: diseases of the civilization

2020 ◽  
pp. 25-30
Author(s):  
I. Kukhtevich
Keyword(s):  
Health Professionals ◽  
Somatoform Disorders ◽  
Neuropsychiatric Disorders ◽  
The Other ◽  
Significant Part ◽  
Organic Basis ◽  
Autonomic Disorders ◽  
The One ◽  
Somatic Diseases

Functional autonomic disorders occupy a significant part in the practice of neurologists and professionals of other specialties as well. However, there is no generally accepted classification of such disorders. In this paper the authors tried to show that functional autonomic pathology corresponds to the concept of somatoform disorders combining syndromes manifested by visceral, borderline psychopathological, neurological symptoms that do not have an organic basis. The relevance of the problem of somatoform disorders is that on the one hand many health professionals are not familiar enough with manifestations of borderline neuropsychiatric disorders, often forming functional autonomic disorders, and on the other hand they overestimate somatoform symptoms that are similar to somatic diseases.

scholarly journals NERVE-CELL CHANGES IN SOMATIC DISEASES

1898 ◽  
Vol 55 (2) ◽  
pp. 231-240
Author(s):  
Aug. Hoch
Keyword(s):  
Nerve Cell ◽  
Somatic Diseases ◽  
Cell Changes

scholarly journals Cognitive Behavioral Therapy of Patients with Somatic Symptoms—Diagnostic and Therapeutic Difficulties

2021 ◽  
Vol 10 (14) ◽  
pp. 3159
Author(s):  
Agata Orzechowska ◽  
Paulina Maruszewska ◽  
Piotr Gałecki
Keyword(s):  
Mental Health Problems ◽  
Mental Disease ◽  
Behavioral Therapy ◽  
Physical Symptoms ◽  
Behavioral Approach ◽  
Cognitive Behavioral ◽  
Diagnostic Dilemma ◽  
Number Of Patients ◽  
Psychological Element ◽  
Somatic Diseases

In every somatic disease we can find a psychological element, just as it is not uncommon for numerous physical symptoms to occur in a mental disease. Nowadays, the patient is no longer just the “owner” of the sick organ but is considered and treated as a “whole”. The interpenetration of somatic manifestations with mental health problems forces patients who experience subjective suffering, including mental suffering, from current symptoms to visit specialists from different fields of medicine, and their treatment does not bring about any improvement. Cognitive behavioral psychotherapy (CBT) is one form of therapy that attempts to respond to the needs of an increasing—in recent years—number of patients who demonstrate somatic disorders of a multifaceted nature. The co-occurrence of physical and mental disorders repeatedly makes it impossible to determine which symptoms were the cause and which were the effect; hence, it is difficult to establish clear boundaries between the categories of these disorders and diseases. The therapist, to whom the patient with somatic diseases is eventually referred, may be faced with a diagnostic dilemma, the solution of which will give direction to further psychotherapeutic work. The common feature of this group of patients is a strong focus on physical ailments, while omitting or almost completely ignoring the psychological factors involved. The purpose of this paper is to present the causally diverse circumstances in which a patient with physical symptoms needs diagnosis and therapeutic support from the perspective of a cognitive behavioral approach.

The viral myocarditis with cardiac аrrhythmia as complication of COVID-19 in the practice of family doctor of the tuberculosis dispensary

2021 ◽  
Vol 25 (3) ◽  
pp. 41-49
Author(s):  
Irina V. Yubrina ◽  
Ludmila N. Degtyareva ◽  
Igor A. Bozhkov
Keyword(s):  
General Practitioner ◽  
Family Doctor ◽  
Viral Myocarditis ◽  
Complex Investigation ◽  
Cardiac Pathology ◽  
Coronavirus Infection ◽  
Chronic Somatic Diseases ◽  
Somatic Diseases ◽  
Therapeutic Profile ◽  
The Coordinator

BACKGROUND: About 70% of TB dispensary patients have chronic somatic diseases which not only prevent effective treatment of TB but also take progressive course themselves. AIMS: To timely detect and treat acute and chronic somatic disease combined with TB. MATERIALS AND METHODS: since 2020 the algorithm of patient complex investigation by specialists of therapeutic profile was developed in the Tuberculosis Dispensary No. 5, among them the general practitioner was the coordinator of the patients medical route. This became especially relevant during the COVID-19 pandemic. RESULTS: In accordance with the developed algorithms of diagnostic search the patient was comprehensively examined. There were no signs of tuberculosis were in him, however the general practitioner involving to specialists team could diagnose signs of complex cardiac arrhythmia the probable cause which was a new coronavirus infection that he had had six weeks before. CONCLUSIONS: The organization of a new form of medical service for phthisiatric patients allowed general practitioner to reveal serious cardiac pathology directly at the TB dispensary, to refer the patient for consultation to the cardiologist-arrhythmologist, to follow the patient and perform recommended cardiologic treatment simultaneously with measures or medical supervision over persons contacting with tuberculosis.

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