Psychological treatment of problematic sexual interests: cross-country comparison.

This paper reviews the use of psychotherapeutic approaches to treat individuals who have committed sex crimes and/or have problematic sexual interests (PSI); including types of psychotherapy used, descriptions of preventive and reintegration programmes, and highlighting specific theoretical controversies. In the second part, experts from Canada, the Czech Republic, Russia, the United Kingdom, and the United States, who participated in an International Consensus Meeting held in Prague (2017), summarize treatment programmes in their countries. The comparison revealed some general findings: each country has variability between its own programmes; most countries have different programmes for people who are in custody and who are in the community; the state-directed treatment programmes are primarily focused on criminal individuals, while non-criminal individuals are treated in preventive programmes and/or in special clinics or are untreated; the presence of PSI in patients is acknowledged in most programmes, although specific programmes exclusively for individuals with PSI rarely exist.

International review of sexual behaviour assessment labs.

This article provides a comparison and comprehensive analysis of varied approaches to the assessment of sexual interest and behaviours at different international sexual behaviour assessment labs. The assessment protocols are described for four sexual behaviour laboratories: the Royal Ottawa Mental Health Centre's Sexual Behaviours Clinic in Canada; the Medical University of South Carolina's Sexual Behaviours Clinic and Laboratory in the US; the Laboratory of Evolutionary Sexology and Psychopathology in the Czech Republic; and the Laboratory of Forensic Sexology in Russia. An overview of examinee demographics and types of cases assessed is provided for each lab.

Vaccination against infectious diseases: international standards of patient's rights.

Objective: Introduction: The spread of infectious diseases, the increasing number of people who refuse immunization, the study of international standards of patient's rights during immunization in modern conditions are relevant in modern medical law. The aim: The aim of this research is clarification of patient's rights international standards for vaccination against infectious diseases and ways of their further implementation in Ukraine.

Patients And Methods: Materials and methods: The research is conducted using general and special scientific methods (philosophical-dogmatic, dialectical, logical-normative, system-functional and comparative-legal analysis, statistical and others).

[Oculomotor activity as an indicator of disturbances in perception and programming in patients with schizotypal disorder].

Aim: To consider the patterns of stimuli analysis and task execution in conditions of voluntary and involuntary attention in people with schizotypal disorder from the psychopathological and psychological points of view.

Material And Methods: A total of 40 subjects were examined including 16 patients diagnosed with schizotypal disorder, 13 with personality disorders and 11 without psychiatric pathology (controls). In the first part of the study, subjects looked upon various static images without any instructions, followed by a test with antisaccade task in vertical and horizontal directions; the last task duplicated the first, but the subjects were asked to remember the presented images as best as possible.

The effects of hormones of the hypothalamo-hypophyseal-adrenal, renin-angiotensin, and thyroid hormone systems on the formation of dyscirculatory encephalopathy.

Measurements were made of plasma levels of free (f) thyroxine (fT4), triiodothyronine (fT3), thyrotropic hormone (TSH), adrenocorticotrophic hormone (ACTH), aldosterone, and renin in patients with dyscirculatory encephalopathy (DE). Their influences on the development of chronic circulatory insufficiency were assessed. A total of 39 patients were studied (aged 45-73 years) with DE stages I and II, without acute or chronic (in the exacerbation phase) somatic illness.

[The influence of the hormones of hypothalamo-pituitary-adrenal, renin-angiotensin, and thyroid hormonal systems on formation of vascular encephalopathy].

The aim of the study was to investigate the concentration changes of free (f) thyroxine (fT4), triiodothyronine (fT3), thyrotrophic hormone (TTH), adrenocorticotrophic hormone (ACTH), aldosterone and renin in the blood plasma of patients with vascular encephalopathy (VE) and to evaluate their influence on formation of chronic blood circulation deficiency. Thirty-nine patients with VE of stages I and II, aged 45-73 years, without current acute or chronic (in exacerbation stage) other somatic diseases have been studied. The results revealed that a different extent of diffuse lesion of brain tissue was accompanied by an own pattern of thyroid homeostasis: 1) significantly higher TTH levels with intact regulatory negative feedback "fT3-TTH" in patients with VE, stage 1; 2) significant TTH concentration decrease, with pronounced suppression of thyroxine conversion to triiodothyronine and interaction disturbance in the "fT3--pituitary gland" system, in patients with VE in stage II.

[Intraoperative radiation therapy: its technological support, potentials and prospects].

The authors' experience with intraoperative radiotherapy (IORT) in 129 patients with a tumorous process at various sites has demonstrated that in most clinical events, single radiation doses of 10-20 Gy is insufficient to have a persistent local effect and requires additional pre- or postoperative remote irradiation. The use of IORT as a single component of radiation exposure does not lead to significant radiation damages to normal tissues. When IORT is combined with remote irradiation (the latter using doses of 30-60 Gy), 30% of patients develop radiation-induced normal tissue lesions.

[Prospects of development of radiotherapy in an oncological clinic].

It is believed that new anticancer potential of radiotherapy lies in further research efforts in the fields of: clinical radiobiology, utilization of the last developments in radiological equipment, overall high quality of radiological service. Research in radiobiology should be aimed at the design of nonstandard dose fractionation, introduction of various modifiers and their combinations, prediction of individual responses of the tumor to ionizing radiation. First-hand clinical data on 3000 cases support the promise of such approach.

[Present trends in the development of radiotherapy].

New potentialities of radiotherapy of cancer patients are associated with three scientific directions: investigations in clinical radiology, the use of advantages of radiation advanced technology and guarantees of therapeutic quality. The first direction includes scientifically substantiated regimens of non-classic dose fractionation, various radiomodifiers and their combinations, and individual prognosis of a tumor response to ionizing radiation. This direction based on 3000 cases, holds promise.

[Possibilities for the polyclinic cardiologist in treating hyperlipoproteinemias in men with risk factors for ischemic heart disease].

A total of 158 males with coronary risk factors and excessive (4 to 55% above normal) body weight were treated by diet and exercise for hyperlipoproteinemia in an out-patient clinic for 18 months. Blood cholesterol decreased significantly, by 14.4% (p less than 0.

[Relation of the levels of thyroid hormones and cortisol and the degree of systolic arterial pressure in 11- and 12-year-old boys].

An epidemiologic evaluation of relationships between arterial BP changes, and thyroid and adrenocortical hormones was carried out in eleven- and twelve-year-old boys. Different patterns of correlation were demonstrated between plasma thyrotropic hormone, thyroid hormones and cortisol levels, on one hand, and systolic BP variation, on the other. There was a correlation between thyroid hormones and cortisol in these groups.

[Blood levels of glycosylated hemoglobin and ATP in diabetes mellitus in children].

To elucidate possible role of alterations in levels of glycosylated hemoglobin and ATP of blood in pathogenesis of diabetic impairments, 29 children with insulin-dependent diabetes mellitus were studied. In these children the blood content of the glycosylated hemoglobin was distinctly increased simultaneously with a decrease in ATP level. The alterations were especially distinct in the children the parents of which suffered from ischemic heart disease, myocardial infarction, insult, hypertension, diabetes mellitus.

[Radiotherapy of cancer of the stump of the cervix uteri].

The paper is concerned with the results of combined radiotherapy provided to 68 patients with cancer of the cervix uteri stump. An impossibility of homogenous irradiation of the whole affected organ due to its anatomic specificities during intracavitary gamma-therapy following the prior supravaginal amputation of the uterus results in a dose deficiency in the cupola of the cervix uteri stump which should be made up for by gamma-beam therapy. It makes it possible to achieve the 5-year survival in 81.

[Efficiency of chromatographic separation of the pigment-protein lipid complexes of the reaction centers of photosystems 1 and 2 from pea chloroplasts on DEAE-cellulose].

Using a previously developed procedure, further optimization of isolation of the functionally active pigment-protein lipid complex of the reaction center of photosystem 2 (PPLC RC PS-2) by DEAE-cellulose chromatography has been carried out. Preliminary chromatographic separation of PPLC RC PS-1 and PS-2 in the presence of a light-harvesting complex has proved to be the most efficient technique. In the latter case the admixture of P700 within PPLC RC PS-2 decreases (1.