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Suicidal behavior as a result of maladjustment of servicemen to the conditions of military service in Ukraine

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Mykhalchuk N., Pelekh Y., Kharchenko Y., Ivashkevych E., Zukow W., Ivashkevych E., Yatsjuryk A.
European Journal of Clinical and Experimental Medicine
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2023
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issue 1
90-107
EN
Introduction and aim. The purpose of the article is to analyze the peculiarities of suicidal behavior as a result of maladjustment of servicemen to the conditions of military service in Ukraine. The tasks of the article are to identify among militaries: 1) the most significant risk factors for autoregressive and suicidal behavior; 2) the psychological peculiarities of adaptive disorders that may lead to suicide; 3) protective factors against autoregressive and suicidal behavior. Material and methods. To solve the problem of our research, a set of methods was used: theoretical methods – theoretical and methodological analysis of scientific sources, their systematization, classification, generalization; empirical methods – the observation, the interview, a questionnaire, testing, the method of expert assessments. In general 420 militaries were participated in our research. The participants of the 1st stage of the study were 240 militaries in the age 18-25 years old with suicidal and auto-aggressive behavior in anamnesis and one or more attempts of suicide. These militaries were treated in the psychiatric hospital № 1 in Kyiv (Ukraine). At the 2nd stage of the study 180 militaries were participated. They were treated in the Main Military Clinical Hospital (the Center), Kyiv, Ukraine. The research was organized during May–November, 2021. Results. We investigated that 120 militaries had various forms of post-suicidal encephalopathy, such as acute affective, non-psychotic state. The number of patients with residual psychoorganic pathology was 41 people (34.16%); after poisoning there were 37 people, the number of patients with toxic encephalopathy – 33 people (27.5%); after self-arson – 9 people, there were 4 patients (3.33%) with burn encephalopathy. We identified the following clinical variants of depressive reactions as a result of maladjustment and suicidal attempts: 1) the reaction of disadaptation in combination with neurosis-like disorders (48.9%); 2) the reaction of maladjustment including hypochondriacal inclusions (in 23.4% of cases of respondents); 3) maladaptive reactions with an anxious component were observed in 28.6% of cases. Conclusion. It was shown that the suicidal behavior of soldiers depended on many external and internal risk factors. We showed protective factors against autoregressive and suicidal behavior.
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Application of kinesitherapy within the process of rehabilitation of patients with Charcot-Marie-Tooth nerval amyotrophia

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Rybalko L., Kletsenko L., Vyshar Y., Heta A., Żukow X., Levkov A., Zukow W., Muszkieta R., Hagner-Derengowska M., Smoleńska O., Kindrat V.
European Journal of Clinical and Experimental Medicine
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2023
|
issue 1
169-179
EN
Introduction and aim. Researching inherited polyneuropathy is vastly topical in the course of the contemporary practice of physical therapy and ergotherapy. The article unveils the results of the application of kinesitherapy in the process of rehabilitation of patients with Charcot-Marie-Tooth nerval amyotrophia. Inherited Charcot-Marie-Tooth neuropathy is a genetical disease, which is manifested with the slow reduction of the size of muscles of limbs and weakening of distal locations, is the most widespread clinical form of inherited polyneuropathies, which affect people regardless of generational and gender-based; mostly young and workable people become the objects suffering from its impact. Description of the case. Due to the relatively low frequency of the multiplication of the disease within the population (according to the data from clinical statistics, the prevalence of all types of Charcot-Marie-Tooth amyotrophia per 100 thousand people is approximately 36 cases) four patients with Charcot-Marie-Tooth nerval amyotrophia aged in the area from 14 to 20 years took part in the research. In the course of the research, we applied the method of electroneuromyography, which provided the opportunity of detecting the rate of impulse impact via afferent and efferent ways, the duration of M-response and the number of movable entities within lower limbs. Conclusion. As a result of classes being held and carried out according to the experimental kinesitherapy study program, there was the detection of positive tendencies of changing the psychophysical state of patients, diagnosed with “Charcot- -Marie-Tooth nerval amyotrophia”.
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