ABSTRACT
Analysis of the work of the ++somato-psychiatric departments entering a multiple-discipline hospital has shown that admission to these departments of patients with concomitant mental and somatic pathologies may be viewed as an episode for such patients. The latter ones cannot be regarded as a permanent group to be treated at the above departments. The duration of the stay at hospital is largely determined by the character of somatic pathology and, in a considerable number of cases, represents a stage in the psychiatric inpatient treatment. The data indicate that the present-day bed capacities in such departments (0.65 per 10 thousand adult and adolescent population) are insufficient. It is highly advisable that the number of such departments be increased.
Subject(s)
Hospitals, General/organization & administration , Mental Disorders/therapy , Psychiatric Department, Hospital/organization & administration , Psychophysiologic Disorders/therapy , Adult , Female , Hospitals, General/trends , Humans , Male , Middle Aged , Moscow , Psychiatric Department, Hospital/trends , RussiaABSTRACT
Pathomorphosis of the disease has been studied on the basis of clinical and autopsy observations in the last three decades. The importance of staphylococcus, enterococcus, and gram-negative bacteria has been shown to increase among the causative agents of septic endocarditis; frequently the infectious agents have been observed to alternate in the course of the disease. Many manifestations of endocarditis were established to be associated with the circulating immune complexes containing bacterial antigens. In the last decade, primary septic endocarditis comprised about half of the observations. The proportion of isolated endocarditis and destructive changes of aortal valves increased. Myocarditis has become more frequent and in more than half of the cases it is associated with glomerulonephritis. In contrast, peripheral manifestations of endocarditis have considerably lost their diagnostic value. Among thromboembolic complications, venous thromboembolus of the pulmonary artery, and pulmonary infarction became more prevalent.
