Vol XLII, No 4 (2010)

There was performed a complex study of epidemiologic and clinical characteristics of epileptic adult patients of the Republic of Tatarstan. Stratified by age and sex, the prevalence of epilepsy among adult population was 2, 84 per 1000 people, being higher among men (4, 02) as compared to women (1, 84). The morbidity was 15, 00 per 100, 000 people, being also higher for men.

While studying of 655 mental cases with accompanying addictive pathology there were revealed and analyzed components of addictive pattern - this is typical for each nosology patient's age and conditions of beginning of systematic use of pshycoactive substances, of preference of concrete substances, of form and the rhythm of the use, of clinical picture of intoxication and abstinence syndrome. Taking into account this specific pattern enriches traditional concept of comorbiding disorders and promotes making early diagnosis of mental disorders.

There were studied clinic-organizational aspects of rendering medical aid to patients to patients with acute lesions of cerebral bloodflow both at pre-hospital stage and in conditions of neurology hospital. The most significant defects of rendering urgent and stationary aid to patients with acute lesions of cerebral bloodflow have been established. There were developed and introduced into practices «Protocols of treating patients with acute lesions of cerebral bloodflow in conditions of neurology hospital».

Due to studying the risk factors of epilepsy development in adults it was revealed, that cerebrovascular diseases are ones of the prevalent risk factors. The complex examination of the patients with ischemia of brain, having epileptic seizures, showed a number of clinical, neuro-imaging and functional peculiarities of vascular epilepsy.

This article examines the epistemological and institutional conditions which facilitate this practice of ''placebo therapy'', for which data had been collected during 14 months of fieldwork at narcological clinics in St. Petersburg. Wide usage of therapeutic methods, based on suggestion and use of disulfiram - an alcohol antagonist, was formed by a clinical style of reasoning specific to a Soviet and post-Soviet psychiatry.

Basic psychological mechanisms common for the all forms of all kinds of addictive disorders, including chemical and non-chemical addictions have been analyzed. There were shown personal features, allowing development of addictive process, as well as significance of displaced into unconscious destructive self-object relations, evoking unconscious threat, depression and feeling of guilt. There were given main psychoanalytical conceptions of addiction developing.

The report examines the relevance of the problem of back pain, the results of a meta-analysis to study the pharmacological and non-drug therapies, the efficiency and safety of NSAIDs, muscle relaxants, anticonvulsants, and antidepressants.

There was shown a case of clinical supervision in the family with myotonic dystrophy (МД1, 19q13.2-13.3). One of the family members had been falsely made the diagnosis of NS demielinizing disease.