[Efficiency evaluation of the Neuromidin in the treatment of pain of the patients with discogenic lumbosacral radiculopathy: results of a multicenter post-registration prospective open comparative trial]. / Otsenka effektivnosti Neiromidina pri lechenii bolevogo sindroma u patsientov s diskogennoi poyasnichno-kresttsovoi radikulopatiei: rezul'taty mnogotsentrovogo postregistratsionnogo prospektivnogo otkrytogo sravnitel'nogo issledovaniya.

OBJECTIVE: Evaluation of the effect of Neuromidine on the dynamics of pain syndrome in the treatment of patients with discogenic lumbosacral radiculopathy. MATERIAL AND METHODS: Patients with a confirmed diagnosis of discogenic lumbosacral radiculopathy no more than one year old and moderate intensity of pain syndrome on a visual analog scale were included in the main group (OH, n=62, age - 53.1±15.6 yrs) and the comparison group (HS, n=40, age - 53.7±12.9 yrs). OG patients received Neuromidine (15 mg/1 mL 1 once a day IM for 10 days, then 20 mg 3 times a day for 8 weeks) in addition to the standard drug therapy, HS patients received only standard drug therapy. The duration of the study was 8 weeks. The degree of decrease in the intensity and dynamics of pain syndrome, activity and frequency of pain in the lumbar spine, changes in the level of physical activity, and the severity of emotional disorders were evaluated. The level of inflammatory markers in the blood and the dynamics of monosynaptic spinal H-reflex parameters were evaluated. RESULTS: Before the study, there were no statistically significant differences there were no results of clinical and laboratory-instrumental examination between groups. After 8 weeks, the reduction of pain by VAS in the main group was statistically significant in contrast to the comparison group (p=0.0001). In the main group there was a statistically significant increase in the mean cognitive impairment score (p=0.0029), as well as an improvement in psycho-emotional state with a significant decrease in GAD-7 (p=0.0002) and PHQ-9 (p=0.0096). After 8 weeks of therapy, IL-6 level in the main group was statistically significantly lower (p=0.0027) than in the comparison group. The results of H-reflex study revealed an increase in its amplitude and some shortening of latency at the end of Neuromidine therapy. The drug had no undesirable side effects and was well tolerated. CONCLUSION: Administration of Neuromidine 15 mg/1 ml once a day intramuscularly for 10 days followed by 20 mg 3 times a day for 8 weeks has an effective analgesic effect as adjuvant therapy in patients with discogenic lumbosacral radiculopathy. The inclusion of Neuromidine in the complex treatment of patients with pain syndrome in discogenic radiculopathy is superior in efficacy to standard drug therapy.

[Psychological and mental aspects of increased tooth abrasion]. / Psikhologicheskie i psikhicheskie aspekty povyshennoi stiraemosti zubov.

The analysis of literary and other information sources (in PubMed, Google Scholar, KiberLeninka and eLibrary databases) devoted to the study of dental manifestations of psychological conditions and the analysis of the ability of dentists to identify psychological predictors of increased tooth erasure in adolescents and young people. Disorders such as stress, depression, attention deficit hyperactivity disorder, alcohol dependence, eating disorders - may be risk factors for the development of increased tooth abrasion. Comorbid conditions such as bruxism and gastroesophageal reflux are also considered. Due to the high mortality of adolescents due to mental illness, early diagnosis of disorders of psychological and mental health of adolescents is extremely relevant. Attention is focused on the possibility of early diagnosis by dentists of psychological and mental problems by the presence and type of increased erasability of teeth. Effective examination and treatment of such patients requires a holistic, interdisciplinary approach.

[An analysis of complaints about sleep disorders as an indicator of poor sleep quality in patients with primary headache disorders]. / Analiz zhalob na narusheniya sna kak indikator nizkogo kachestva sna u bol'nykh s pervichnymi golovnymi bolyami.

OBJECTIVE: To assess the prevalence of various complaints indicating poor sleep quality and its disturbances in men and women with primary headaches. MATERIAL AND METHODS: In total 305 patients (mean age 45 years, age range 18-89 years) with primary headache disorders and complaints of poor quality of sleep were included in the study. Women prevailed among these patients (79%). The average age of men (41.6) and women (45.8) had no statistically significant differences (p=0.8). The initial examination and professional face-to-face interview were initially conducted by an experienced neurologist specializing in the treatment of headaches. Within a week after that, before the start of treatment, patients were interviewed by telephone using standardized questionnaires by specially trained students and physicians. RESULTS: A frequent occurrence of many complaints of sleep disturbances were found in primary headache disorders, both in men and women, they included daytime sleepiness (75.7%), lack of sleep (69.2%), difficulty in falling asleep (57.4%), sleep disruption (51.5%), early morning awakening (47.5%), snoring (18.7%). We found the predominance of these complaints in people over 50 years old. Women had these complaints more frequently than men, besides we determined sex differences in the prevalence of these complaints. CONCLUSION: Complaints about poor sleep quality are quite common in patients with primary headache disorders and have sex and age differences. Identification of the described complaints of poor sleep quality is a simple tool for the initial analysis of sleep disorders in the practice of any specialist. We recommend paying great attention to these complaints for further diagnostics of sleep disorders and their timely treatment.

[Solution of trap tube test by hooded crows (Corvus cornix L.)].

Eight hooded crows (Corvus cornix L.) were tested for their ability to use a piston (a stick with two attached clear plates between which the food is enclosed such that moving the stick would move the food) to get the reward out of a transparent tube avoiding a trap. Six out of eight crows learned to use a piston to extract a food reward from a transparent non-trap tube. One out of these six birds successfully performed the task in which it had to avoid a trap to retrieve a reward, in the first trial showing spontaneous comprehending of the task structure. Four crows learned to perform this task using the trial-and-error method. To find out a mechanism these crows used to perform the task, birds were presented with two transfer tasks (tests) in which we changed the relative positions of components in the apparatus. We found out that crows performed transfer tasks using rather concrete rules than immediate estimation of the relative positions of the components in the apparatus.

[Comparative study of the ability to solve a string-pulling task in Corvidae].

The ability of hooded crows (Corvus cornix L.) and common ravens (Corvus corax L.) to pull up a bait suspended from a horizontal perch by a string was tested. It was shown that some birds of both species successfully solved the string-pulling task. Considerable inter-individual and inter-species differences in task performance are discussed.

Crossbills (Loxia curvirostra) are able to form the "larger than" concept.

An original method for studying cognitive abilities in largely wild passerine birds was developed. Studies of five crossbills (Loxia curvirostra) showed that this approach could be used to assess their ability to form concepts. All five crossbills learned selection rules for the "larger number" feature over the range "1-10." The birds successfully transferred this to stimuli significantly different from those used in training, which were not comparable in terms of all quantitative properties, but only some (only area or number). Only one bird was able to transfer the learned choice rule to multiples in a new range ("10-20"). Thus, the ability of representative small forest passerine birds to form the "larger than" concept was demonstrated.

[What contributes to the transformation of Helicobacter pylori from symbiont into the etiopathogenetical factor of duodenal ulcer?].

UNLABELLED: The aim was to study the relationship duodenogastral reflux (DGR) and Helicobacterpylori infection (Hp) at duodenal ulcer (DU). MATERIAL AND METHODS: Group 1-50 patients with uncomplicated course of DU, Group 2-75 patients with destructive complications of DU; Group 3-40 "healthy" volunteers. It was performed daily EGDS, pH meter, semi-quantitative assessment of contamination of the Hp. RESULTS: The acidity in the body of the stomach was highest in group 2, and lowest--in group 3, patients diagnosed DU night rush giperatsidnosti. In the night period patients from the 1st and 3rd groups were recorded an increase of antral pH, including the expense of growth duration of DGR, while in group 2 reflux was extremely short. The maximum Hp dissemination was in a bulb at fetomaternal of DU. CONCLUSIONS: in healthy individuals DGR intragastral involved in the regulation of pH, in patients with uncomplicated DU while reducing the duration of this resonance persists compensation of antral alkalization, and complications throughout the DGR sharply depressed, which is accompanied by severe decompensation alkalization of antrum. Bulbs semination with Hp inversely proportional to the intensity of this resonance.

[Corvidae are able to understand the logical structure in string-pulling tasks].

The ability of the Corvidae to understand the logical structure in string-pulling tasks was studied in a set of experiments with varied position of strings. It was demonstrated that some hooded crows (Corvus cornix L.) and common ravens (Corvus corax L.) successfully completed the tasks where the strings were not intersected but placed so that the bait was positioned opposite the forepart of the empty string. Hooded crows also solved the task where the baits were attached to both strings, but one of the strings was disrupted. The task with two intersected strings where the bait was positioned opposite the forepart of the empty string was not solved by the crows. The results suggest the ability of both examined species to grasp the logical structure of such kind of tasks.

[Crossbills (Loxia curvirostra) are able to form concept "larger than"].

A new original method to investigate some cognitive abilities of wild passerine birds was developed. In the course of experiments with five crossbills (Loxia curvirostra), it was shown that the method can be used to evaluate the ability of birds to form concepts. Crossbills were presented with pairs of stimuli each consisting of 1 to 10 equal elements. All the five crossbills learned to choose, within a pair, a stimulus with a larger array of elements. The birds successfully transferred this performance to novel stimuli considerably different from the training pairs comparable with the latter only in the number or area. One of the birds showed a complete transfer of the acquired performance of choice to stimuli consisting of 10 to 20 equal elements. Thus, the ability of forest passerine birds to form concept "larger than" was shown.

[Circadian rhythms of acid production and alkalization in the stomach of healthy subjects and duodenal ulcer patients].

We studied 24-h rhythms of acid production and alkalization in 30 patients with duodenal ulcer (DU) and 30 healthy subjects using upper endoscopic examination and computer intragastric pH-metry. Gastric acid production was higher in DU patients and was more intensive in the daytime than at night. Healthy subjects had low and monotonous acid production. In DU decompensation of alkalization in the antral stomach and suppression of duodenogastric reflux is total. In healthy subjects antrum alkalization is more evident and intensive at night due to, among other causes, duodenogastric reflux.

[Characteristics of the psychological status of patients with peptic ulcer].

The article discusses changes in the psychological status and the forming of various types of attitude towards the disease in patients with a favorable and unfavorable course of peptic ulcer (PU). The subjects of the study were 82 patients with exacerbation of PU; among them there were 30 patients with a favorable and 52 patient with a complicated course. Patients with a favorable course of PU did not displayed prominent peaks in SMOL profile, which reflected a relatively benign state of their psychological status. Favorable type of response to the disease--harmonic and anosognostic--with lesser social disadaptation prevailed in these patients. On the contrary, patients with a complicated course of PU displayed a relative increase in the profile on the scales, reflecting a higher tension in combination with diadaptive response to the disesase, which should be taking into account when correcting treatment.

[Role of reflux in evolution and prognosis of acute thrombophlebitis of lower extremities varicose veins].

Role of venous reflux in evolution and prediction of acute varicotrombophlebitis (AVTP) has been evaluated with coloured duplex scanning performed as daily monitoring. It is demonstrated that venous reflux determines the direction and rate of thromb formation, it potential of embolism, promotes formation of floating thrombi. Study of venous reflux permits to predict the evolution of AVTP. It is one of the key elements which influences the thrombus formation and determines policy of treatment of varicose disease complicated with AVTP.

[Analysis of the effect of a training regime for the correct choice of matched learning in gray crows]. / Analiz vliianiia rezhima obucheniia na formirovanie pravila vybora po obraztsu u serykh voron.

It was shown that a large set of training stimuli promotes abstract concept learning. These experiments were designed to assess whether an application of a large set of training stimuli would facilitate matching learning in crows. Four hooded crows were trained with a set of 72 unique combinations of stimuli in two-alternative simultaneous matching tasks with stimuli of three different categories: achromatic color (white, light-grey, dark-grey, and black), shape (Arabic numerals from 1 to 4 used as visual shapes only), and number of elements (heterogeneous graphic arrays from 1 to 4 items). Although the performance of all crows was significantly above chance (p < 0.01) in some 72-trial blocks, birds were unable to establish matching and to reach the criterion of learning 80% correct or better over 72 consecutive trials) in 5184 trials. Thus, the modified training procedure was less efficient than the training technique previously used (successive cyclic repetition of three small sets of training stimuli), which allowed four of six crows to acquire the matching rule after 1780, 2360, 3830, and 5260 trials [4,9].

Prototype symbolization in hooded crows.

Studies were undertaken to determine whether four crows previously trained to an image-based abstract selection rule could establish a relationship between the number of elements in a group and initially indifferent symbols (arabic numerals) and operate with these symbols, i.e., studies addressed the ability of these birds to symbolize. Unlike other similar studies, there was no use of special development of associative connections between the symbols and the corresponding arrays of elements, but conditions were created in which birds could observe these relationships on the basis of comparison with previously obtained information. Demonstration series were performed for this purpose, in which correct solutions by the crow resulted in receipt of a number of larvae corresponding to the number of elements in the array pictured or numeral imaged on the stimulus selected by the crow. Images belonged to the same category as the corresponding stimulus for selection (the second stimulus was another category): if the image was an array, then the corresponding picture for selection also bore an array, and vice versa. Crows could solve the task successfully by using an image-based selection rule. In test series, the image and both selection stimuli were initially from different categories: if the image was a numeral, then both selection stimuli were arrays, and vice versa. All four crows successfully coped with this task. Despite the absence of any similarity between the image and "correct" stimulus, they selected the array corresponding to the numeral and vice versa. It is suggested that the birds could achieve this result by comparing the information obtained during the presentation series--about the number of reinforcement units corresponding to each stimulus. Similar experiments showed that crows could use numbers to perform operations analogous to arithmetic addition.

[Conditioning of gray crows (Corvus cornix L.) in a "giant" eight-arm radial maze]. / Obuchenie serykh voron (Corvus cornix L.) v "gigantskom" 8-rukavnom radial'nom labirinte.

Twelve adult hooded crows (Corvus cornix) were trained to perform a standard radial-maze task in a giant eight-arm outdoor radial maze constructed at the "Chistyi les" Biological Station (Tver oblast) for comparative investigations of spatial memory in birds and mammals. The maze consists of a central part of 250 cm diameter, and has arms of 650 cm length, 170 cm height and 80 cm width. The examined hooded crows showed good task performance. Errors (repeated visits to empty arms) were few in number and were predominantly connected with the tendency to avoid arms close to an observer.

[Prototype symbolization in hooded crows]. / Issledovanie sposobnosti servykh voron k élementam simvolizatsii.

The ability in prototype symbolization was studied in four crows trained in matching concept. The experimental approach was characterized by the absence of direct training providing an association between the pictured arrays and Arabic numerals. Experimental sessions were divided into demonstrative and test phases. In the demonstrative phases, the sample and the reinforced stimulus belonged to the same category: if the sample was a pictured array, the reinforced stimulus was also the pictured array, if the sample was a numeral, the reinforced stimulus was likewise a numeral. Matching-to-sample competence was sufficient to perform this task successfully. In case of a correct choice a crow received some mealworms, their number was equal to the number of items in the pictured array or the Arabic numeral. In the test phases, the sample and the comparison stimuli were of different categories. If the sample was a pictured array, the comparison stimuli were numerals; if the sample was a numeral, the comparisons were the pictured arrays. Such tests required the birds to choose a numeric symbol corresponding to the pictured array or to choose the array of pictured items numerically equal to the Arabic symbol. All four crows performed this task successfully. Birds were able to set up a correspondence between the Arabic numeral from 1 to 4 and the number of elements in pictured arrays by way of mental juxtaposition of the earlier received information. Similar experiments showed that crows are likely to be able to perform mental operations with numerals analogous to simple arithmetic addition.

A large outdoor radial maze for comparative studies in birds and mammals.

For a comparative neurobiological analysis of spatial learning and memory, a large outdoor eight-arm radial maze was constructed which permits behavioral assessment of many avian and mammalian species both from the laboratory or the wild, using the same metric space and session schedules. It consists of a central part of 250cm diameter, and has arms of 650cm length, 170cm height and 80cm width. In order to determine appropriate training schedules for comparison of different species, we tested four mammalian and two avian species during 9-15 sessions: 18 albino rats (Rattus norvegicus), nine outdoors and nine in a conventional small indoor maze; six guinea pigs (Cavia porcellus); six rabbits (Oryctolagus cuniculus); five hedgehogs (Erinaceus europaeus); seven hooded crows (Corvus corone cornix) and six chickens (Gallus domesticus). Rats learned fast in both mazes yet significantly better in the large one. Good-to-excellent learning was also observed in juvenile rabbits and wild-caught crows, although the latter tended to avoid arms in the vicinity of the observer. Hedgehogs and chickens did not show significant learning as a group, but some individuals appeared to learn the task. Guinea pigs remained continuously passive and could not be trained. Thus, in spite of species-specific demands for reward, adaptation and pre-training, this type of radial maze permits to directly compare a wide variety of species. Such comparability is essential for an analysis of underlying neurobiological mechanisms.

Use of number by crows: investigation by matching and oddity learning.

Hooded crows were trained in two-alternative simultaneous matching and oddity tasks with stimulus sets of three different categories: color (black and white), shape (Arabic Numerals 1 and 2, which were used as visual shapes only), and number of elements (arrays of one and two items). These three sets were used for training successively and repeatedly; the stimulus set was changed to the next one after the criterion (80% correct or better over 30 consecutive trials) was reached with the previous one. Training was continued until the criterion could be reached within the first 30 to 50 trials for each of the three training sets. During partial transfer tests, familiar stimuli (numerals and arrays in the range from 1 to 2) were paired with novel ones (numerals and arrays in the range from 3 to 4). At the final stage of testing only novel stimuli were presented (numerals and arrays in the range from 5 to 8). Four of 6 birds were able to transfer in these tests, and their performance was significantly above chance. Moreover, performance of the birds on the array stimuli did not differ from their performance on the color or shape stimuli. They were capable of recognizing the number of elements in arrays and comparing the stimuli by this attribute. It was concluded that crows were able to apply the matching (or oddity) concept to stimuli of numerical category.

[Teaching hooded crows (Corvus cornix L.) the abstract rule of choice by the matching/oddity of the sample]. / Obuchenie serykh voron (Corvus cornix L.) otvlechennomu pravilu vybora po sootvetstviiu/nesootvetstviiu s obraztsom.

Six hooded crows (Corvus cornix) were trained in alternative simultaneous matching-to-sample and oddity-from-sample tasks with visual stimuli. Bird's ability to acquire the abstract same/different concept was investigated. For this purpose three stimulus sets of the following categories were used: color (black and white cards), shape (Arabic numerals "1" and "2"), and numerousness (heterogeneous arrays of 1 or 2 elements). These three sets were used for training successively and repeatedly; each time the stimulus set was changed for the next one after the criterion (80% correct or better over 30 successive trials) was reached with the previous one. The training procedure was repeated until the criterion could be reached for each of the three stimulus sets within the initial 30-50 trials. After that, the abstractness of the rule acquired by birds was tested. First, the "partial" transfer tests were conducted, which consisted in presentation of novel stimuli with familiar ones (numerals and arrays in the range from 1 to 4). At the final stage, only sets of novel numerals and arrays in the range from 5 to 8 were presented. The crows demonstrated successful transfer in all of these tests, including the test with absolutely novel stimuli (in the first 24 presentations: min 75.0%, p < 0.02; max 83.3%, p < 0.01). The level of correct choices did not differ from the baseline (p > 0.05). This allows us to conclude that birds are capable for formation of the abstract same/different concept.