scholarly journals Features of psychological status in women with functional ovarian cysts

2020 ◽  
Vol 36 (6) ◽  
pp. 41-47
Author(s):  
E. A. Sandakova ◽  
I. G. Zhukovskaya ◽  
A. F. Vaganova
Keyword(s):  
Pain Syndrome ◽  
Psychological Status ◽  
Ovarian Cysts ◽  
Second Phase ◽  
Pituitary Dysfunction ◽  
Group I ◽  
Social Functioning Scale ◽  
Reactive Anxiety ◽  
Characteristic Features ◽  
High Level

Aim. To analyze the psychological status indices in women with functional cysts of the ovaries. Materials and methods. The group of observation (group I) included 35 women with functional ovarian cysts (follicular and yellow body cysts), the group of comparison (group II) 34 patients with no cysts available and normal ovarian volume. The mean age of the patients examined was 28.7 5.2 and 29.3 4.8 years, respectively. The methods used included registration of complaints and anamnesis data, standard general clinical and gynecological studies, ultrasound scanning of pelvic organs using apparatus Sonoscape 6000, survey with Beck Depression Inventory, Spielberger-HaninScale, MOS SF-36. Results. Health status of women with functional cysts of the ovaries is characterized by abdominal pain syndrome (91.3 % and 14.7 6.0%; p 0.001), mastodynia in the second phase of cycle (37.1 % and 8.8 4.9 %; p 0.01), dysmenorrhea (37.1 % and 14.7 6.0 %; p 0.05) that undoubtedly influences the indices of psychoemotional status. It is worth noting that the prevalence of smoking among women of group I is high (26.5 % and 2.9 % respectively; p 0.01). The characteristic features of psychological status of group I patients are the following: high level of reactive anxiety (Spielberger-Hanin Anxiety Scale 45.7 1.9 and 35.8 0.9 scores; p 0.001), elevated level of depression (Beck scale 18.9 3.4 and 9.5 5.3 scores; p 0.01) and, as a result, decrease in the quality of life, especially with the Role Functioning Scale (25.71, 61.79 scores, p 0.01) and Social Functioning Scale (26.60 and 62.93 scores, p 0.05). Conclusions. Improvement of health among women with functional ovarian cysts should be complex and include modification of the way of life (refusal from smoking), anti-inflammatory therapy, correction of hypothalamic-pituitary dysfunction and psychological status.

scholarly journals POSSIBILITIES OF THERAPY OF PAIN SYNDROME IN ENDOMETRIOSIS

2021 ◽  
pp. 23-29
Author(s):  
Yu. A. DUBOSSARSKAYA ◽  
Z. M. DUBOSSARSKAYA ◽  
L. P. GREK
Keyword(s):  
Pelvic Pain ◽  
Depressive Disorders ◽  
Pain Syndrome ◽  
Underlying Disease ◽  
Proliferation Index ◽  
Ki 67 ◽  
Immunohistochemical Markers ◽  
Group I ◽  
Choice Of Treatment ◽  
Reactive Anxiety

Therapeutic tactics of endometriosis are aimed primarily at overcoming the pain syndrome, the absence of recurrence of the underlying disease, maintaining fertility and improving the psycho-emotional state of women. The objective to develop, pathogenetically substantiate treatment and rehabilitation measures taking into account pathogenetic preconditions in women with endometriosis in combination with pain. Materials and methods 85 patients with genital endometriosis with severe pelvic pain (VAS 7-10 points) (n = 44) - group I and moderate (VAS 4-6 points) (n = 41) - group II. The mean age of women in clinical trials I and II of the study was 37.71 ± 0.93 and 41.05 ± 1.08 (M ± m) years, respectively. The choice of treatment tactics was determined on the basis of immunohistochemical markers: estrogen receptors (ER), progesterone (PGR), proliferation index (Ki-67), vasculoendothelial growth factor (VEGF), cyclooxygenase-2 (COX-2) in eutopic acid., psychoemotional characteristics and intensity of pelvic pain. Rеsultes of treatment in the examined patients a significant (p <0.05) reduction of pelvic pain was determined, both in the short and long term. After 6 months, the level of personal anxiety decreased - by - 38.62%, after 12 months. – at - 48.15% (p <0.05). The rate of decrease in the level of depressive disorders on the Hamilton scale of all studied women was: - 32.2% after 6 months and -42.15% after 12 months (p <0.05). Conclusion our approach to treating endometriosis helped to overcome pain in 83.53% of women, improve psycho-emotional and general condition, normalize sleep - was determined in 88.3% of women, reduce reactive anxiety and depressive disorders in 84.7% of patients, indicates the effectiveness proposed therapy.

A Strategy for Analysing Multiple Risk Factors with Application to Cervical Pain Syndrome

1989 ◽  
Vol 28 (01) ◽  
pp. 14-19 ◽  
Author(s):  
J. F. Dartigues ◽  
Ph. Peytour ◽  
E. Puymirat ◽  
P. Henry ◽  
M. Gagnon ◽  
...  
Keyword(s):  
Risk Factors ◽  
Low Power ◽  
Head Trauma ◽  
Pain Syndrome ◽  
Psychological Status ◽  
Confounding Factors ◽  
Cervical Pain ◽  
Extreme Form ◽  
Explanatory Variables ◽  
Multiple Risk Factors

Abstract:When studying the possible effects of several factors in a given disease, two major problems arise: (1) confounding, and (2) multiplicity of tests. Frequently, in order to cope with the problem of confounding factors, models with multiple explanatory variables are used. However, the correlation structure of the variables may be such that the corresponding tests have low power: in its extreme form this situation is coined by the term “multicollinearity”. As the problem of multiplicity is still relevant in these models, the interpretation of results is, in most cases, very hazardous. We propose a strategy - based on a tree structure of the variables - which provides a guide to the interpretation and controls the risk of erroneously rejecting null hypotheses. The strategy was applied to a study of cervical pain syndrome involving 990 subjects and 17 variables. Age, sex, head trauma, posture at work and psychological status were all found to be important risk factors.

scholarly journals The Effectiveness Of Quadriceps Strengthening Exercises Combined With Neuromuscular Electrical Stimulation on Patellofemoral Pain Syndrome

2017 ◽  
Vol 5 (2_suppl2) ◽  
pp. 2325967117S0010
Author(s):  
Sezen Karabörklü Argut ◽  
Nilgün Türker ◽  
Derya Çelik ◽  
Önder İsmet Kılıçoğlu
Keyword(s):  
Electrical Stimulation ◽  
Muscle Strength ◽  
Neuromuscular Electrical Stimulation ◽  
Pain Syndrome ◽  
Quadriceps Strength ◽  
Patellofemoral Pain ◽  
Group I ◽  
Strengthening Exercises ◽  
Group Ii ◽  
And Function

Objective: The weakness of the quadriceps strength in patellofemoral pain syndrome (PFPS) is very evident. Therefore, quadriceps strengthening exercises are very important part of the rehabilitation program. Neuromuscular Electrical Stimulation (NMES) is considered one of the methods for increasing quadriceps muscle strength. To evaluate the effectiveness of combined NMES and strengthening exercises to improve the recovery of quadriceps strength and function in patients with PFPS. Methods: This study was planned as a randomized controlled pilot study. A total of 27 patients (mean age=38.9±10.8 years, range=20-60 years; 16 females) with PFPS were assessed and randomly assigned into 2 groups. Group I received a standard program (quadriceps strengthening, hip strengthening and hamstring stretching) and NMES combined with quadriceps strengthening exercises simultaneously. Group II received the same standard program without NMES. Both groups were enrolled 3 times per week for 40 minutes per day in 6 weeks. Patients were assessed at the baseline, 3 rd, 6th, and 12th weeks of treatment. Quadriceps strength was evaluated by isokinetic dynamometer. The range of motion at testing was set between 0 for extension to 90 for flexion. The test was performed at 60 degrees/sn and concentric maximum peak torque value was recorded. Kujala and Lysholm scores were used for functional assessments. The data were analyzed using the SPSS 20.0. Shapiro-Wilk test was used to assess the distribution of data. The changes in dependent variables before treatment, 3 rd, 6th, and 12th weeks were analyzed using a 2 by 4 mixed-model analysis of variance (ANOVA). Pairwise comparisons with paired t test were used to determine whether the Group I or Group II, has changed over time. An intention- to- treat analysis was performed to impute values for missing data. An alpha level of 0.05 was established. Results: The study was completed with 20 patients. Group I (n=10; mean age=39.4±8.5 years; 7 females) and group II (n=10; mean age=43.2±11.7 years; 5 females) had no differences in pre-operative measures (p>.05). There was significant improvements in within groups statistics of all parameters for both groups (p<.05). No differences in quadriceps strength, Kujala and Lysholm scores between groups were found at the different time points (F= 0.86; p = 0.12, F=0,001; p =0.97, F=0.12; p=0.73, respectively) Conclusion: NMES combined with quadriceps strengthening exercises has no additional effect on PFPS patients’ on muscle strength and function. When considering these results, we believe that there is no need to continue the study in progress. [Table: see text]

Influence of environmental factors on the psychoemotional state of young athletes

2020 ◽  
pp. 53-63
Author(s):  
Elena Aleksandrovna Potapova ◽  
Elena Viktorovna Scherba ◽  
Dmitriy Alekseevich Zemlyanoy ◽  
Viktoriya Valerievna Danilova ◽  
Viktor Gennadievich Puzyrev ◽  
...  
Keyword(s):  
Female Athletes ◽  
Emotional State ◽  
Sport Activity ◽  
Stressful Events ◽  
Dynamic Monitoring ◽  
Daily Routine ◽  
Young Athletes ◽  
Reactive Anxiety ◽  
Personal Anxiety ◽  
High Level

Sport activity are associated with significant physical and psychological stress and determine the relevance of monitoring the conditions for sports, studying the health of athletes and their regime. The purpose of the study: to study the sanitary and hygienic conditions in sports schools, the features of the daily routine and lifestyle of young athletes and their psycho-emotional state. Materials and methods. The analysis includes data from a study of 70 girls aged 13–15 who are engaged in rhythmic gymnastics. We used methods of sanitary and hygienic research, questionnaires, methods for identifying the level of situational and personal anxiety (Spielberger C. D.) and competitive anxiety (R. Martens), a questionnaire for studying one’s own reaction to stressful events (Greenberg). Results. The number of violations of sanitary and hygienic requirements for the conditions of sports activities have been identified. The most common violations of the day-lack of sleep and stay in the fresh air, a high amount of training load. Moderate personal anxiety was detected in 76 % of athletes, 7 % of respondents — low anxiety, 17 % — high personal anxiety. A high level of reactive anxiety was detected in 24 % of female athletes, and high-level sports anxiety was observed in 25 % of those surveyed. The relationship between the severity of violations of hygiene standards and the level of manifestation of personal and reactive anxiety was Revealed. The age dynamics for all diagnosed types of anxiety was revealed: higher rates of anxiety were observed in the age group of 13 years compared to 14 and 15-year-old athletes. Conclusion. The results of the study showed the need for dynamic monitoring of the state of health, including psycho-emotional state of athletes, allocation of athletes with pronounced errors in the regime to observation groups, carrying out preventive measures to explain the importance of compliance with hygiene rules and monitoring and assistance in their implementation in the lifestyle of young athletes.

Features of psychoemotional condition and stress-assosiatate hormons bioproduction in pregnant women after application of assisted reproductive technologies

2018 ◽  
pp. 118-121
Author(s):  
L.M. Vygivska ◽  
◽  
I.A. Usevych ◽  
I.V. Maidannyk ◽  
V.F. Oleshko ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Emotional State ◽  
Assisted Reproductive Technologies ◽  
Past History ◽  
Reproductive Technologies ◽  
Main Group ◽  
Psychological Status ◽  
Perinatal Complications ◽  
History Of ◽  
High Level

The article represents the results of a prospective clinical and paraclinical examination of women with a history of infertility, pregnancy in which occurred as a result of the assisted reproductive technologies application. The objective: was to study the dynamics of pregnancy features of the psycho - emotional state and the concentration of stress-associated hormones in the serum of pregnant women after the application of assisted reproductive technologies in order to improve the tactics of antenatal care and prevention of obstetric and perinatal complications. Materials and methods. The main group consisted of 80 pregnant women with endocrine infertility, in which pregnancy occurred as a result of therapeutic cycles of ART, control – 50 first-pregnant women with spontaneous fertilization, taken in an arbitrary order of clinical, statistical and laboratory and instrumental studies. In pregnant women of the study groups, in order to determine the psycho emotional state in the screening mode, a clinical interview was conducted by filling out questionnaires that contained the Spilberger test questions in modification of Y.L. Hanina and «Test of relationof pregnant» by the method of I.V. Dobryakova. In the dynamics of pregnancy, the concentration of prolactin (PRL) and cortisol (K) was determined by the enzyme immunoassay on the Reader-MSR-1000 apparatus using test systems manufactured by Hema-Medicament (Russia). Results. Pregnant women with infertility in past history were characterized by a state of chronic stress. According to the results of the Spielberger test in modification Y .L. Hanina every second pregnant of main group had a high level of reactive and every fourth personal anxiety. Almost 90.0% of pregnant women after art are characterized by the presence of pathological PKGD, among which an alarming and depressive type was registered in every sixth and twelfth pregnant woman, respectively. The obtained data are confirmed by the results of the study of the level of K and PRL. For women with a history of infertility and pregnancy, which is the result of therapeutic cycles of ART, inherent in increasing concentrations of stress-associated hormones – cortisol and prolactin, which is one of the reasons for the complicated course of pregnancy and requires reasonable pathogenetic correction. Conclusion. For women who are pregnant as a result of the use of therapeutic cycles of art characterized by a high level of personal and reactive anxiety and PKGD, which confirm the presence of neuropsychiatric and afferent disorders. Increasing the concentration of stress-associated hormones is one of the causes of complicated pregnancy and requires a reasonable pathogenetic correction. Key words: pregnancy, infertility, assisted reproductive technologies, psychological status, cortisol, prolactin.

ASSOCIATION OF OVARIAN VITAMIN D AND HORMONE RECEPTORS EXPRESSION IN WOMEN WITH POLYCYSTIC OVARY SYNDROME

2021 ◽  
Vol 10 (4) ◽  
pp. 36-42
Author(s):  
S. T. Aigul ◽  
G. A. Demyashkin ◽  
M. R. Orazov ◽  
S. Yu. Kalinchenko ◽  
G. M. Shaimardanova ◽  
...  
Keyword(s):  
Vitamin D ◽  
Hormone Receptors ◽  
Polycystic Ovary ◽  
Married Couples ◽  
Ovarian Cysts ◽  
Control Group ◽  
Endocrine Disorders ◽  
Social Burden ◽  
Metabolism Disorder ◽  
Group I

Infertility is one of the most common diseases of the reproductive system, which carries a significant medical and social burden, affecting from 10 to 15% of married couples, and one of the causes of which is polycystic ovarian syndrome (PCOS), associated with menstrual and endocrine disorders. Changes in the concentration of key enzymes of the metabolic pathway of vitamin D in PCOS may affect the regulation of local tissue homeostasis. Mechanisms of inhibition of cell proliferation under the action of vitamin D have not been fully explored. The aim of the study is to investigate the expression of VDR and hormone receptors in the ovaries of women with PCOS. Material and methods. Patients were divided into main (I) and control groups (II), that included women (n=60) aged 18 to 44 years (mean age - 29.1±3.3 years), who at diagnostic laparoscopy due to infertility of unknown cause. Immunohistochemical (IHC) study of ovarian cysts was performed according to a standard protocol using antibodies to VDR, AR, ERß, PR. The expression of VRD, 1α-OH, 24-OH in samples of ovarian cysts was determined by polymerase chain reaction in real time (PCR-RT). Results. The following IHC expression of the studied markers was observed in the samples of the 1st group cysts of women with PCOS: VDR - 67.7±2.1%; AR - 51.7±1.3%; ERß - 23.1±1.2%; PR - 89.3±2.1%. According to PCR-RT data, the relative VDR expression in group I was 4,31±0,18 arb. u., vs 2,17±0,11 arb. u. in the control group. Conclusions. The key role in PCOS pathogenesis is played by complex metabolism disorder of vitamin D and androgen-estrogen balance as well as decrease of ERß and increase of PR expression level.

scholarly journals Treatment of Type 1 Complex Regional Pain Syndrome in 14 Years Old Child

2014 ◽  
Vol 21 (4) ◽  
pp. 79-82
Author(s):  
V. N Merkulov ◽  
A. I Dorokhin ◽  
A. I Krupatkin ◽  
M. V Merkulov ◽  
M. A Avakova
Keyword(s):  
Complex Regional Pain Syndrome ◽  
Pain Syndrome ◽  
Hand Injury ◽  
Psychological Status ◽  
Interventional Treatment ◽  
Bolus Administration ◽  
Right Hand ◽  
Foot Injury ◽  
The Right

Case report on 14 years old girl with type 1 complex regional pain syndrome (CRPS) is presented. At first admission in 5.5 months after right hand injury and development of type 1 CRPS, paravasal sympathectomy on the right upper extremity was performed. Complete elimination of pain syndrome and restoration of the extremity function was achieved. Five and a half months after discharge the left foot and in 3 weeks later the right hand were injured. In both cases injuries were accompanied by pronounced CRPS clinical picture. At second admission in 6 weeks after foot injury interventional treatment with placement of catheters next to nerve trunks and bolus administration of antibiotics was performed for 1 week and enabled to achieve remission of the disease. It was noted that not only hypersymphaticotony but also psychological status of a patient were important for the disease development.

scholarly journals The CMS Trigger Upgrade for the HL-LHC

2020 ◽  
Vol 245 ◽  
pp. 01031
Author(s):  
Thiago Rafael Fernandez Perez Tomei
Keyword(s):  
High Performance ◽  
Second Phase ◽  
Level Trigger ◽  
Cms Experiment ◽  
Rejection Factor ◽  
Reconstruction Software ◽  
Efficient Data ◽  
Level 1 ◽  
High Level ◽  
Selection Algorithms

The CMS experiment has been designed with a two-level trigger system: the Level-1 Trigger, implemented on custom-designed electronics, and the High Level Trigger, a streamlined version of the CMS offline reconstruction software running on a computer farm. During its second phase the LHC will reach a luminosity of 7.5 1034 cm−2 s−1 with a pileup of 200 collisions, producing integrated luminosity greater than 3000 fb−1 over the full experimental run. To fully exploit the higher luminosity, the CMS experiment will introduce a more advanced Level-1 Trigger and increase the full readout rate from 100 kHz to 750 kHz. CMS is designing an efficient data-processing hardware trigger that will include tracking information and high-granularity calorimeter information. The current Level-1 conceptual design is expected to take full advantage of advances in FPGA and link technologies over the coming years, providing a high-performance, low-latency system for large throughput and sophisticated data correlation across diverse sources. The higher luminosity, event complexity and input rate present an unprecedented challenge to the High Level Trigger that aims to achieve a similar efficiency and rejection factor as today despite the higher pileup and more pure preselection. In this presentation we will discuss the ongoing studies and prospects for the online reconstruction and selection algorithms for the high-luminosity era.

scholarly journals Еvaluation data somatosensory evoked potentials and electromyography in patients with multiple sclerosis in the aspect comorbidity

2017 ◽  
pp. 22-29
Author(s):  
G. Chupryna ◽  
N. Svyrydova ◽  
T. Parnikoza
Keyword(s):  
Multiple Sclerosis ◽  
Evoked Potentials ◽  
Somatosensory Evoked Potentials ◽  
Clinical Signs ◽  
Pain Syndrome ◽  
Pathological Process ◽  
Psychological Status ◽  
Sensorimotor Polyneuropathy ◽  
Initial Stage ◽  
Prevalence Of Pain

The paper shows the results of electrophysiological methods of investigation in patients with multiple sclerosis (MS) in the aspect of comorbidity. The studies of somatosensory evoked potentials (SSEP) in 216 patients with MS and electroneuromyography in 158 patients with MS, together with the assessment of neurological and psychological status. It is shown that according SSEP increase latency peripheral response in a progressive course of MS compared to remitting associated with older age of patients with progressive MS, and due to involvement in the pathological process of the peripheral nervous system (PNS) and the prevalence of pain syndrome (PS) in patients MS with comorbidity. It is demonstrated, on the basis of electroneuromyographic that MS patients with comorbidity tends to be deeper shock PNS. The data electroneuromyographic clinically appropriate initial stage of sensory or sensorimotor polyneuropathy, which proceeded in 84.8% of patients with MS subclinical and 15.2% had a clear clinical signs.

scholarly journals Winged scapula caused by rhomboid paralysis: a case report

Joints ◽  
2016 ◽  
Vol 04 (04) ◽  
pp. 247-249 ◽  
Author(s):  
Maria Benedetti ◽  
Alessandro Zati ◽  
Silvia Stagni ◽  
Isabella Fusaro ◽  
Roberta Monesi ◽  
...  
Keyword(s):  
Myofascial Pain ◽  
Correct Diagnosis ◽  
Pain Syndrome ◽  
Myofascial Pain Syndrome ◽  
Shoulder Function ◽  
Scalene Muscle ◽  
Scapular Winging ◽  
Function Recovery ◽  
Comprehensive Rehabilitation ◽  
High Level

Scapular winging secondary to dorsal scapular nerve (DSN) damage is an underestimated condition. It is often caused by entrapment of the nerve due to a hypertrophic middle scalene muscle, or by stretching of the DSN during traumatic movements. The condition has also been attributed to myofascial pain syndrome of the rhomboids with entrapment of the DSN. The non-specific symptomatology reported by patients is often incorrectly diagnosed, and this can result in a high level of disability of the upper limb.A clinical case of misdiagnosed dorsal scapula entrapment is presented. Satisfactory shoulder function recovery, pain relief and reduction of disability were obtained after correct diagnosis of the condition and a comprehensive rehabilitation approach.

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