Vol XLIII, No 1 (2011)

In article the problem of public danger of mentally sick is analyzed. There was made the conclusion about specific differences of socially dangerous actions of mentally sick patients and criminal behavior of mentally healthy people. It is noticed that at adequately organized system of out-patient compulsory supervision and treatment of mentally sick patients, making dangerous actions and recognized deranged, their social danger decreases in comparison with recidivism of social danger of healthy patients. The same tendency is observed while comparing choices of a way of compulsory supervision and treatment. In this connection it is essential to change a paradigm of compulsory treatment.

There have been studied psychological peculiarities of children's families with psychosomatic disorders in children, having gastrointestinal tract diseases and bronchial asthma. It was established that an abdominal pain syndrome or an asthma attack during an exacerbation of the disease carries out the morphostatic function in a family system. It is observed that the increase of severity of disease decreases the patients' adaptive capacity and the adaptive capacity of systemic family level. The author developed and approved the model of «diamond-shaped» vector family therapy that promotes adaptive functioning of the family system at the time of exacerbation of the disease and allows using sanogenic effect of the family for the child's recovery.

The article considers the psychological factors of antisocial behaviour in adolescent boys, such as their gender identity and perception of the parents. The research shows links between certain characteristics of the images of the parents and inclination towards antisocial behaviour and some aspects of gender identity. It has been proved that adolescent boys with antisocial behaviour tend to perceive their parents as less caring or controlling, while analysis of their gender identity reveals hypermasculinity of the ideal self.

There was studied the role of cerebral lesions, caused due to light whiplash cervical trauma in pathogenesis of clinical manifestations of chronic whiplash associated syndrome. There had been performed two-stage clinical and instrumental investigation of 147 patients with whiplash cervical trauma of stages I or II (according to Quebec classification), either with combined with closed craniocerebral injury or without it. It was shown that combined craniocerebral trauma leads to chronization of symptoms: with isolated whiplash cervical trauma chronic whiplash syndrome developed in 24% of patients, with combined trauma of head and neck - in 61% of patients.

We studied the state of vegetative regulation according to the spectral analysis of heart rate variability in hypertensive patients with different rates of sodium-lithium countertransport in erythrocyte membranes. We found the association of the change in systolic blood pressure during antihypertensive therapy with the character of autonomic response. We revealed correlation of sympatho-vagal ratio with genetically determined rate of Na-Li - countertransport in erythrocyte membranes in hypertensive patients.

Retrospective analysis of medical services for helping acute cerebral circulation impairment (ACCI) patients, who had been treated at home during the acute period of the disease, was performed. Dynamics of the first aid service calls in Kazan for 2002- 2009 years, structure of non-hospitalized group, clinical characteristics of patients and reasons for leaving patients with ACCI at home were investigated. There was analyzed effectiveness of introducing «Protocol for treating acute cerebral circulation impairment patients in «hospital-at-home» by comparison between two groups of patients, who survived during a year after the disease with the use of Bartel, NIHSS, MMSE, GES-D scales.

Ethnic aspects of alcoholic dependence are discussed. Ethnoses of high risk of development of alcoholic dependence are described. If epidemiological researches cover the majority of ethnic populations' methods of preventive maintenance, therapies and rehabilitations of alcoholic dependence remain to be insufficiently developed and should be solved taking into account specific features of formation of alcoholic dependence, influence of ethnic and other factors.

The authors discuss the role of spondylogenic factor and «tight cistern magna» syndrome for the centromedullar cervical myelopathy development. Results of their own investigations were presented.

On the basis of commercial medical institution the branch of the non-drug help to children with behavioral infringements was set up. The western colleagues experience was studied and the program, collecting our own experience and the advanced foreign technologies has been worked out. The program of complex rehabilitation of children with a syndrome of deficiency of attention and hyperactivity was introduced.

There was described a clinical observation of 29 year old woman with Wernicke's encephalopathy. This rare complication of pregnancy was caused by thiamine deficiency due to severe vomiting.