Saratov JOURNAL of Medical and Scientific Research

Kodochigova A.I.

Saratov State Medical University, Department of Inner Diseases Propaedeutics, Professor, Doctor of Medical Science

Individually-typological heterogeneity of prehypertension in young men

Year: 2016, volume 12 Issue: №3 Pages: 344-348
Heading: Cardiology Article type: Original article
Authors: Olenko E.S., Kodochigova A.l., Kirichuk V.F., Barylnik Yu.B., Trayber L.V.
Organization: Saratov State Medical University, «Psychiatric Hospital №13», Klin, Moscow Region
Summary:

Objective: to study the individually-typological features of the person of young men with prehypertension. Material and Methods. With the help of complex tests: Reduced Multiple Personality Questionnaire for research (MMPI), the Heck — Hess, Spielberger — Hanin, Index lifestyle were examined 95 healthy young men with different levels of blood pressure: optimal, normal and high normal. Results. It has been shown that people with normal and high normal blood pressure have different individually-typological features of the person and, based on this criterion can not be combined into a single group prehypertension. Men with normal blood pressure values on the studied parameters were similar to individuals with optimal blood pressure value. Persons with high normal level of blood pressure had a psychosomatic predisposition personality profile MMPI, with its fixation on physical sensations, with the increase of anxiety, neuroticism and the overall intensity of psychological protection. Conclusion. It is advisable to carry out a personalized approach to the psychological correction of identified changes in primary prevention of arterial hypertension in young men.

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Psychophysiological features of male and female young patients with minor heart anomalies depending on degree of their intensity

Year: 2012, volume 8 Issue: №2 Pages: 209-213
Heading: Physiology and Pathophysiology Article type: Original article
Authors: Kurako М.М., Kirichuk V.F., Kodochigova A.I., Papshitskaya N.Y., Olenko E.S., Sulkovskaya L.S.
Organization: Saratov State Medical University
Summary:

Research Objective: To compare the features of personal response in young patients with minor heart anomalies according to gender and severity of abnormalities. Materials and Methods: Physiological characteristics of 124 male and female (mean age — 22,16±2,42 years) have been examined by means of Toronto Alexithymic scale, reduced multifactorial questionnaire for the study of personality and psychogeometric test. Results: It has been found that both women and men with moderate degree of minor heart anomalies manifest polar intrapsychic tendencies, higher levels of alexithymia than in those with a lesser degree of dysplasia of the connective tissue of the heart. Conclusion: Patients with moderate degree of minor heart anomalies have experienced the conflicting intrapsychic tendencies and higher levels of alexithymia than patients with minor heart anomalies of a minimal degree, regardless of the gender. Male patients with varying degrees of severity are more likely to suffer from alexithymia than females

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Renal dysfunction and state of metabolic and hemodynamic factors in patients with arterial hypertension

Year: 2011, volume 7 Issue: №4 Pages: 837-842
Heading: Internal Diseases Article type: Original article
Authors: Kurkina T.V., Bogoslovskaya S.I., Svistunov А.А., Kodochigova A.L, Glybochko G.Kh., Klochkov V.A.
Organization: Saratov State Medical University, Saratov Regional Hospital for Veterans of Wars, Saratov Institute of Cardiology, Russia, First Moscow State Medical University n.a. I.M. Sechenov
Summary:

The aim of the investigation is to carry out comparative evaluation of metabolic and hemodynamic indices in patients with arterial hypertension (AH) and renal dysfunction; to study the interrelation between arterial blood pressure level normalization and the presence or lack of microalbuminuria (MAU) in the morning urine portion of patients with AH after therapy with antihypertensive preparations (APs) of various groups. Methods. 121 persons have been investigated, 91 out — patients of both sexes, aged 33-55, with the diagnosis of arterial hypertension of stage II risk III, who have been taking Perindopril, Telmisartan and Bisoprolol for3 months. The control of arterial pressure level, biochemical analysis of metabolic indices and morning urine portion test for microalbuminuria has been carried out. Results. MAU has been revealed in 17,6% patients, occurring more frequently in men than in women. Microalbuminuria is accompanied by reliable decrease of total and ionized calcium and magnesium concentrations, an increase of potassium level in blood plasma, increase of cholesterol, triglycerides, glucose and levels. Patients with AH and renal dysfunction reliably demonstrate higher levels of systolic and diastolic arterial pressure in the morning and evening hours, their normalization effect after APs intake is significantly interconnected with MAU presence. Conclusion. In patients with AH and MAU the main risk factors of cardio-vascular diseases development are more expressed. Microalbuminuria is a risk factor in patients with arterial hypertension and may influence on the basic blood electrolyte balance. While carrying out antihypertensive therapy the presence of MAU should be taken into consideration

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Topicality of ischemic heart disease prophylaxis in specialists of medical-social expertise

Year: 2011, volume 7 Issue: №2 Pages: 387-389
Heading: Physiology and Pathophysiology Article type: Author's opinion
Authors: Krovyakova Е.А., Kirichuk V.F., Kodochigova A.I.
Organization: Saratov State Medical University
Summary:

Realization of professional duties for specialist of medical-social expertise is accompanied with high intellectual and emotional obligations. Daily extreme and psychogenic situations lead to psychological and occupational maladjustment of physicians, development of anxiety and depression among them, which can be exacerbated by the presence of alexithymia. Negative psycho-emotional factors increase the risk of coronary heart disease. In order to prevent this pathology development in specialists of medical-social expertise, identification of changes in their psycho-emotional sphere and personified correction of revealed disorders are necessary

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Comparative analysis of psychophysiological characteristics of clinically healthy persons with an average teeth resistance to caries harmonious and anxious personality types

Year: 2011, volume 7 Issue: №2 Pages: 385-387
Heading: Physiology and Pathophysiology Article type: Short message
Authors: Khalturina V.G., Kirichuck V.F., Kodochigova A.I., El-bubu М.М. M. A., Kucherov M.G.
Organization: Saratov State Medical University, Penza Regional Children's Clinical Hospital n.a. N.F.Filatov
Summary:

When analyzing the results of psychophysiological study of healthy individuals aged 18 to 30 years with an average teeth resistance to caries of harmonious and anxious personality types, it was revealed that the number of representatives of anxious type were more than of harmonic type; and high neuroticism, anxiety and conflicting intrapersonal tendencies which are the risk factors for dental caries origin and progression, were observed in their personal radical. In this regard, the plan of preventive arrangements for carious process progression in clinically healthy persons of anxious psycho-type seems to be the rational measure

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Psychophysiological types of clinically healthy individuals with different levels of teeth resistance to caries

Year: 2010, volume 6 Issue: №2 Pages: 271-273
Heading: Physiology and Pathophysiology Article type: Original article
Authors: V.G. Khalturina, V.F. Kirichuck, A.I. Kodochigova, E.S Olenko, O.V. Medvedeva, M.G. Kucherov, M.M.M. El-bubu, I.D. Pavlishcheva
Organization: Saratov State Medical University, Saratov City Hospital №9, Penza Regional Children's Clinical Hospital n.a. N.F.Filatov
Summary:

The work is a result of the psychophysiological tests with the help of cutting examination and psychogeometrical tests for 76 healthy individuals ages 20,18±1,25 years, having different caries resistance. It is known that group of people with poor caries resistance has a conflict type of personality. There is a positive tendency to growth of anxiety level and reducing caries resistance. The article concludes that the prophylaxis of caries and its complications must contain methods of psychophysiological correction

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Clinical, psychophysiological and psychological aspects of risk factors of periodontal disease development in clinically healthy persons

Year: 2009, volume 5 Issue: №4 Pages: 516-520
Heading: Physiology and Pathophysiology Article type: Original article
Authors: O.V. Medvedeva, V.F. Kirichuk, A.I. Kodochigova, M.G. Kucherov, I.N. Nikulina
Organization: St. Petersburg State University, Saratov State Medical University, Penza Regional Children's Clinical Hospital n.a. N.F.Filatov
Summary:

The research goal is to determine risk factors of periodontal disease development, psychophysiological personal types and their interrelations in clinically healthy persons. 47 first-year cadets of St.-Petersburg Military School of radio electronics have been examined. This group of respondents has been chosen by presence of such social stressor as change of place of living (97,9% cadets have arrived in St.-Petersburg from other cities and republics of the Russian Federation) and strict disciplinary conditions. The research has revealed a low level of oral hygiene, cases of mild gingivitis in most respondents. The general mental state of group under study is characterized by raised level of personal anxiety and low indices of reactive anxiety. The examined group has demonstrated anxiety, tension, indecision and lowered stress stability. Clinically healthy persons are more liable to develop inflammatory and inflammatory-destructive periodontal diseases. It was possible to determine psychophysiological features correlated with physiological parameters of risk degree of periodontal diseases. It may have a great significance in defining of periodontal disease etiology and pathogenesis

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PATHO-PHYSIOLOGICAL MECHANISMS OF TOBACCO SMOKING EFFECT ON THE CARDIOVASCULAR SYSTEM

Year: 2007, volume 3 Issue: №3 Pages: 49-52
Heading: Physiology and Pathophysiology Article type: Review
Authors: N.V. Novikova, A.I. Kodochigova, V.F. Kirichuk, D.S. Novikov, V.G. Halturina
Organization: Saratov State Medical University
Summary:

Modern patho-physiological mechanisms with the help of which tobacco smoking contributes to the development of cardiovascular pathology are represented in the review. The most significant of them are endothelial dysfunction, progressing of atherosclerotic processes, alteration of rheologic properties of blood, increase of carboxyhemoglobin levels, activation of sympathetic nervous system of the heart.

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THE ROLE OF PSYCHOPHYSIOLOGIC AND ANTHROPOMETRIC DESCRIPTIONS IN THE BEGINNING OF PSYCHOSOMATIC PATHOLOGY: IS THE DEFICIENCY OF BODY WEIGHT A RISK FACTOR?

Year: 2007, volume 3 Issue: №3 Pages: 25-28
Heading: Clinical Psychology Article type: Original article
Authors: A.G. Martinova, A.I. Kodochigova, V.F. Kirichuk, V.N. Nikolenko, T.M. Demina, T.I. Mareeva
Organization: Saratov State Medical University
Summary:

In order to find out psychophysiologic preconditions for the beginning of psychosomatic pathology, 264 clinically healthy persons of both sexes were examined (the average age was 22,16 + 2,42). All of them were divided into 2 groups according to their body weight index: the first group had normal body weight index, the second had deficiency of body weight. With the help of psychodiagnostic methods (Reduced Multiple Questionnaire for the examining of the Personality, Psychogeometrical test, Spielberger's test, Subbotin's test, Ekkles's test) it was found that persons with deficiency of body weight had had conflicting personality features, which form prepsychosomatic radical of personality. It underlies the development of psychosomatics diseases and deviant behavior.

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CLINICAL PSYCHOLOGY – ACTUAL DIRECTION IN GROUNDING OF HEALTH MANPOWER

Year: 2007, volume 3 Issue: №3 Pages: 22-25
Heading: Clinical Psychology Article type: Review
Authors: P.V. Glybochko, A.A. Svistunov, V.F. Kirichuk, A.I. Kodochigova, E.S. Olenсo, M.G. Kucherov , E.A. Krovaykova
Organization: Saratov State Medical University
Summary:

In 90-ies years of last century in our country happened the crash of the system of values with transition to the standards of capitalistic society, and it lead to the formation of chronicle psychosocial stress of high and medium levels. Medics of all directions started to face functional psychosomatic diseases. Raised the necessity in grounding of health manpower in discipline of clinical psychology, with the learning of psychophisiological bases of diseases and possibilities if their correction. This direction of development of soviet medical education and health service in general seems progressive and prospective.

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