[Prediction of postoperative pain on the basis of the psychological characteristics of patients and standard pain stimuli].

Practical physicians do not have instruments for objective pain assessment despite recent advances of neurophysiology and pain pharmacology. The article deals with the study of relations between preoperative pain sensitivity (finger prick and venipuncture) and pain level after surgery. 60 patients involved in the study were divided into two groups. Pain sensitivity was assessed in all patients by visual analogue scale before surgery, after awaking, in 1 hour and in 3 hours after awaking and in 1 day after the surgery. Psychological status of patients was assessed by integration anxious test, neurotic disorders questionnaire and type of attitude to the disease questionnaire. All patients were assessed by 70 criteria (54 psychological). Results of the study show that postoperative pain syndrome is affected by different psychophysiological factors. Therefore it is difficult to forecast the level of postoperative pain syndrome.

[Social-psychological problems and their solution in anesthesiologists-resuscitators with different length of professional work].

Problems of professional stress in anesthesiologists-resuscitators at the workplace depending on the length of professional work and possibilities to overcome it are discussed on the basis of an analysis of results of psychological testing. The greatest emotional dissatisfaction of the doctors was noted in the sphere of welfare standards. An increased emotional stress and dissatisfaction result in worse constructive stress-overcoming behavior. It is especially typical for the doctors of the older age groups who are dissatisfied with different aspects of life (professional sphere included) that stimulates not an active struggle with the source of dissatisfaction but an avoidance or underestimation of the problem.

[Mechanisms of psychological adaptation of anesthesiologists-resuscitators to the stress-induced conditions of professional occupation and possibilities of their correction within a teaching process].

High psychological tension results in the development of specific coping behavior. Ninety-six anesthesiologists, including 62 (64.6%) males and 34 (35.4%) females, were examined to reveal the mechanisms of psychological adaptation to stress-induced conditions of professional occupation. The respondents were ascertained to most frequently use cognitive, emotional, and behavioral constructive copings in settling stress situations. Nonadaptive copings most commonly contemplate a refusal to get over difficulties due to the lack of faith in power, to the underestimation of the importance of negative events, to passivity, isolation, etc., which is traditionally considered to be a manifestation of the emotional burnout syndrome in attendants. Psychological training within a teaching process may be regarded as a help to physicians in developing constructive coping strategies, training in self-diagnosis and self-help in the early manifestations of emotional burnout.

[Use of know-how engineering technologies for psychological diagnosis with the aid of personal computers]. / Primenenie tekhnologii inzhenerii znanii dlia psikhologicheskoi diagnostiki s pomoshch'iu personal'nykh komp'iuterov.

The development of computer versions of psychodiagnostic procedures for individualized clinical studies is considered. A number of criteria that may form a basis for psychodiagnostic questionnaire procedures and that determine the computer interpretation of an examinee's testing results are outlined.

[Study of the effectiveness of individual computer-assisted prediction of the results of rehabilitation treatment of patients with schizophrenia]. / Effektivnost' individual'nogo vychislitel'nogo prognozirovaniia rezul'tatov vosstanovitel'noi terapii bol'nykh shizofreniei.

The rehabilitation automated information system was used to analyze the data of 768 formalized case reports of schizophrenia patients with a purpose of elaboration and control of the efficacy of the computing rules of individual prediction of the remission pattern. Two algorithms of image recognition were employed: a nonuniform statistical procedure and Bayes++'s method. A study was made of the relationship between the prediction accuracy and the number of traits (from 10 to 86), ranged on the basis of prognostic information content according to the Kulbak's measure. Using 86 traits with the aid of Bayes' method, 76% of correct prognoses, 20% of erroneous and 4% of indefinite ones were obtained. The computing prediction tables were designed, intended for practicing physicians, requiring no use of computers.

[Information value of the clinical, personality and psychosocial characteristics of schizophrenics for the prognosis of results of rehabilitative therapy]. / Informativnost' klinicheskikh, lichnostnykh i psikhosotsial'nykh kharakteristik bol'nykh shizofreniei dlia prognozirovaniia rezul'tatov vosstanovitel'noi terapii.

The authors compared formalized case records contained in the data bank "Rehabilitative Automated Information System" (RAIS) for two groups of schizophrenics who have received a course of restorative therapy. The first group consists of 173 patients with A and B remissions, the second one, of 155 patients with D and C remissions and without remissions. The authors have analyzed 487 morbid characteristics of patients and identified 209 of them, which allow the differentiation of the groups under study at a statistically significant level. Forty of the most informative signs were utilized for constructing on the basis of image-recognizing algorithms of determinants for the individual prognosis of the remission type.

[Informational value of the premorbid psychosocial characteristics of patients with schizophrenia for the prognosis of results of rehabilitative therapy in the clinic]. / Informativnost' premorbidnykh psikhosotsial'nykh kharakteristik bol'nykh shifofreniei dlia prognozirovaniia rezul'tatov vosstanovitel'noi terapii v usloviiakh kliniki.

The authors have compared standardized case reports contained in the data bank of "Rehabilitation Automatic Information System" of two groups of schizophrenic patients who received a course of rehabilitation therapy. The first group comprised 173 patients with A and B remissions; the second, 155 patients with C, D, O remissions. A total of 343 signs characterizing the premorbid condition of the patient have been analyzed. Eighty of them have been found to differentiate the two groups on a statistically significant level. Fifty of the most prognostically informative indicators have been used for developing on the basis of image recognition algorithms of the principal rules for the individual prognosis of the type of remission.