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1.
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med ; 27(Special Issue): 543-551, 2019 Aug.
Artigo em Russo | MEDLINE | ID: mdl-31747145

RESUMO

The study conducted in the framework of "Our Patient - Our Citizen" Project has examined methods and possibilities of rehabilitating mentally ill people who were prone to anti-social behaviors and have been committed to involuntary treatment. The research has introduced the criteria for identifying patients with high rehabilitation potential. The work has described methods and possibilities of their rehabilitation in hospital (training psychological programs, ergotherapy, art therapy, occupational therapy, etc.) and analyzed possibility of their outpatient implementation. Concrete examples of such successful rehabilitation have been considered. Financial value was determined.


Assuntos
Transtornos Mentais , Pessoas Mentalmente Doentes , Humanos , Transtornos Mentais/reabilitação , Defesa do Paciente
2.
Eksp Klin Gastroenterol ; (5): 83-87, 2016.
Artigo em Russo | MEDLINE | ID: mdl-28614649

RESUMO

Working in conditions of physical and psychological overload, occupational hazard makes health workers vulnerable to the development of burnout syndrome. Currently, 67.6% of physicians in Russia suffer from emotional burnout syndrome. This syndrome is characterized by a certain symptoms, which have their predictors. Prevention and treatment of emotional burnout syndrome - a complex problem that can be solved with the participation of heads of medical institutions, full- time psychologists and psychotherapists with the direct involvement of health professionals.


Assuntos
Esgotamento Profissional/prevenção & controle , Pessoal de Saúde , Satisfação no Emprego , Carga de Trabalho , Esgotamento Profissional/psicologia , Pessoal de Saúde/psicologia , Humanos , Serviços de Saúde Mental , Carga de Trabalho/psicologia
4.
Artigo em Russo | MEDLINE | ID: mdl-39072560

RESUMO

To analyze the stages of development of the problem, identify the evolution of views and the main directions of current research in the field of bipolar affective disorder, which occurs with psychopharmacotherapy-induced manic phases, the search for publications by keywords «pharmaco-induced mania¼", «bipolar affective disorder¼ was carried out in the PubMed/MEDLINE, Russian Citation index and other sources from the mid-19th century to the present. The issue of adequate treatment of bipolar depression became relevant back in the 20th century; numerous observations indicated the presence of associated risks when using antidepressants in patients with bipolar affective disorder, namely, the likelihood of affect inversion and aggravation of the course of the disease (accelerated cyclicity, continuum). In recent years, due to the expansion of research capabilities and the introduction of biological psychiatry, works have appeared that consider this problem from both clinical and pharmacodynamic, genetic and neurophysiological aspects, which opens up the prospect of developing advanced methods of personalized medicine for the diagnosis and treatment of bipolar disorder, taking into account the need to minimize iatrogenic effects.


Assuntos
Antidepressivos , Transtorno Bipolar , Mania , Humanos , Transtorno Bipolar/tratamento farmacológico , Transtorno Bipolar/induzido quimicamente , Mania/induzido quimicamente , Mania/tratamento farmacológico , Antidepressivos/efeitos adversos , Antidepressivos/uso terapêutico
5.
Zh Nevrol Psikhiatr Im S S Korsakova ; 120(6. Vyp. 2): 99-104, 2020.
Artigo em Russo | MEDLINE | ID: mdl-32729697

RESUMO

OBJECTIVE: To explore the dynamics of admission of patients for repeated compulsory treatment to a medical setting providing general and specialized psychiatric care. MATERIAL AND METHODS: The dynamics of admission of patients for repeated compulsory treatment in the «Moscow Psychiatric clinical hospital No5¼ for the period 1991-2019 was analyzed based on medical records of two groups of patients: the main group (n=1325) and the comparison group (n=15 100). RESULTS AND CONCLUSION: Over the past 5 years, there is a decrease in repeated admissions of patients to compulsory treatment who have committed a new socially dangerous act. This positive dynamic is due to compliance with the principles of continuity and phasing between inpatient and outpatient units of compulsory treatment. The transition of patients from inpatient compulsory treatment to compulsory treatment in outpatient settings is an effective measure to prevent patients from committing repeated socially dangerous acts.


Assuntos
Internação Compulsória de Doente Mental , Transtornos Mentais , Hospitais Psiquiátricos , Humanos , Pacientes Internados , Moscou
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