Method of psychopathological estimation of psychic state of infants and preschool children

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, in particular to psychiatry and can be applied for psychopathological estimation of psychic state of infants and preschool children. To perform psychopathological estimation of psychic state of infants and preschool children estimation of child's psychic and neurological state is performed. As symptoms of patient's psychic state estimated are state of sphere of cognitive functions: play, thinking, memory, speech; state of sphere of psychic activity: aim-oriented behaviour, volitional desires, motives, workability; state of emotional sphere, sphere of attraction, sensor perception, impairment of perception: acousma, photopsia, hallucinations, self-consciousness and state of sphere of social behaviour: communication disorders, autistic symptom, social skills. As symptoms of patient's neurological state, state of sphere of neurological signs, motor activity and state of initial vegetative tome - vagotonia and sympaticotonia are estimated. Estimation of each symptom is performed in points from 0 to 7. Total value of average point of identified symptoms for each sphere, reflecting severity of patient's psychic and neurological state, is calculated. Average points are summed up for each sphere and severity of state is determined in accordance with determined values, namely if the total sum of average points is from 0 to 9, psychic state is estimated as child's practical health; if value is from 10 to 18 points, presence of boundary psychic disorders is estimated, from 19 to 27 points - as mild severity of psychic disorders, from 28 to 36 - as moderate severity, from 37 to 45 points - as medium, from 46 to 54 - as severe, from 55 to 63 points, psychic state is estimated as extremely severe degree of psychic disorders.

EFFECT: method makes it possible to increase accuracy of psychic state of infants and preschool children due to application of differential and diagnostic criteria of symptoms of psychic disorders.

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The invention relates to the field of medicine, particularly psychiatry, and can be applied for qualitative and quantitative psychopathological assessment of the mental state of children of early and preschool age.

A known method for the diagnosis of mental status using the PANSS scale (S.R. Kay, Fiszbein a, Opler LA The Positive and Negative rating Scale (PANSS) for schizophrenia. // Schizophr.Bull. 1987, vol.13, p.261-276), which allows us to quantitatively assess the mental status of schizophrenic patients by 5 leading areas disorders: positive and negative symptoms, thought disorder, impulsivity, aggression and depression, as well as scale General psychopathology. The disadvantage of this scale is limited its use in young children or in adults patients with other entities.

Known way to assess the mental state of children by taking into account the negative and positive symptoms of the mental state of the patient, namely, thinking disorders, impulsivity, aggression and depression: a Glossary of mental disorders of childhood (Glossary of mental disorders in children: guidelines / Kovalev V.V., Kozlovskaya, GV - Approved by Management for the introduction of new drugs and medical equipment Ministry of health of the USSR on August 2, 1976 - 100 C.). However, this method has not found wide application because of the and also that the Glossary was not quantified, it could not be used as a formalized scheme of history. In addition, since that time, new data were obtained on the forms and dynamics of the flow of mental disorders in childhood, which in this way are not taken into account that directly affects the accuracy of the assessment of the mental state of children of early and preschool age.

The technical result of the invention is to improve the accuracy assessment of the mental state of children of early and preschool age through the use of formalized scheme of history, including the list of violations in both mental and neurological symptoms.

The technical result is achieved by the fact that for the psychopathological assessment of the mental state of children of early and preschool age, are counted negative and positive symptoms of the mental state of the patient, namely, thinking disorders, impulsivity, aggression and depression, and the assessment of negative and positive symptoms of conduct in the process of defining mental and neurological status of the patient through the nine spheres, with the mental state of the patient is assessed as follows:

- reveal the status of cognitive functions, namely: the presence of symptoms of unsustainable is sustainable attention hypermetamorphosis attention, pseudoglioma, the presence of delayed or perverted or stereotyped play, slow or fast pace, cliffs thoughts, diverse thinking, its slippage, in the form of flows and automaticity, metaphysical intoxication, reasoning, reflection, obsessive thoughts, overvalued formations, pathological fantasy, delusional disorders, critical thinking, reduction of memory, or hypermnesia, or selectivity, or confabulation, pseudoresistance, the presence of fast or slow speech rate with oligophrenia or mnogoluchevogo its content and characteristics of its formation is delayed, perelivami or Allie, and echolalia, mutism, stuttering, schizophasia, perserverance, verbigeration or stamped speech;

- identify the situation in the sphere of mental activity, namely the presence of symptoms reduced or increased or paradoxical clearinterval behavior, increased, reduced, distorted or impulsive, strong-willed desires, motives, increased, reduced or distorted health,

- reveal the status of the emotional sphere, namely the presence of symptoms of inadequacy, paradox, Hyper - and hypocholesterolaemic emotional resonance, irritable weakness, lability, Distin and, depression, painful anesthesia, dysphoria, increased hypertonie, mania, raptus, fears, anxiety disorders, panic reactions, ambivalence, deficiency, apathy, sadness, diurnal and seasonal fluctuations of emotions;

- reveal the status of the sphere of desire, namely the presence of symptoms of bulimia, anorexia, symptoms peak, care, vagrancy, arson, coprolalia, auto-aggression, suicidal behavior, sexualisierung behavior, external aggression, attraction to alcohol, drugs, victimization behaviors, Samokhvalov, character, kleptomania;

- identify the state of the touch areas, namely the presence of symptoms, delay the formation of spatial perception, hyperesthesia, gipestesia, paradoxical sensations, Senapati, cenesthopathic;

- identify the condition of the scope of perception, namely the presence of symptoms of akoasma, photopsia, illusions, auditory and visual, true and pseudo hallucinations visual, auditory, olfactory, bodily and visceral disorder identity - depersonalization, derealization, BDD, psychosensory disorder, split "I" or lack of "I", the sense of an outsider, a feeling of "completeness", the negation of vitality;

- reveal the status of social behavior, namely symptoms of disorders of communication: the availability of ambitendency the tee, rejection, negativity, indifference and impulsive behavior, autistic traits - the phenomenon of identity, rituals, photodiagnosis, pseudovelocity and stereotypie in speech, motor skills, social skills: detained or distorted - grooming, self-service, food, or social behavior;

and neurological status of the patient assessed, identifying violations of the motor, namely, the presence of symptoms of hypomimia, paramkey, grimaces, awkward or pretentious fine motor or gross motor skills dexterity, gait, coordination, presence of non-localized neurological signs - oculomotor symptoms, attacks "eye care", myocloni, diffuse muscular hypotonia, muscle dystonias, homeopathic symptoms, delay reduction labyrinth reflexes, reflex repulsion, shimmering right gamesindiana, and syndromes of disorders: delayed or advanced motor skills, giperdinamicheskim syndrome, lethargy, stupor, ticks, stereotypia, catatonia, seizures and lack of control of the pelvic functions

then identify violations of vegetatio - source autonomic tone, namely, the presence of symptoms of vagotonia on erythematous skin color, marbling its vascular pattern, red dermographism, distal hyperhidrosis, p is the state of thermoregulation - the presence of a body temperature less than 36 degrees, warm hands and feet, prolonged fever with infections by the state of meteochuvstvenosti - increased endurance of cold and low heat tolerance, as the eyes of their reduced gloss, eye narrowed to slits and pupils, the game of pupils and increased tearing, the state of the cardiovascular system - the presence of labile bradycardia, respiratory system - slow respiratory rate and duplicate sighs, as the digestive system is reduced appetite, increased salivation, regurgitation and vomiting, spastic constipation, gas formation and increased body weight, as urinary system - reduced water demand, availability pastoznost and rare urination, according to the state of the immune system to the presence of frequent allergic reactions and enlarged, friable lymph glands, the system state of sleep and wakefulness to deep sleep and rhythm owls,

as well as the presence of symptoms of sympathotony condition white colour, not the severity of vascular pattern, white dermographism, dry skin, thermoregulation - the presence of normal body temperature over 36.7 degrees, cold hands and feet, more than 38 degrees temperature for infections, as meteors the reality - reduced tolerance to cold, increased tolerance to heat, as the eyes of their enhanced gloss, enhanced eye slits and pupils, games inhibition and reduced tearing, the state of the cardiovascular system - the presence of unstable tachycardia, respiratory system - its more frequent frequency, the condition of the digestive system - increased appetite, reduced salivation, lack of regurgitation and vomiting, the presence of a weak peristalsis and atonic constipation and reduced body weight, urinary system, increased water demand, lack pastoznost and the presence of frequent urination, according to the state of the immune system to the presence of rare allergic reactions and no enlarged lymph glands, the system state of sleep and wakefulness - sleep surface and rhythm of the lark

Express symptoms by severity in points from 0 to 7 where 0 is the absence of the symptom and never was; 1 - healthy; today it is absolutely not sick, the symptom was intermittent in the past; 2 - edge mental disorder, questionable pathology - symptom occurs rarely 1-2 times per year, self-follows : 3 - sick easily, symptom occurs 1-2 times per month; treatment is not required; 4 - moderately ill - symptom occurs in a situation of stress is, 1-2 times a week, does not define the behavior of the patient, the condition can be overcome psychotherapeutic techniques; 5 - moderate - symptom is observed continuously, the behavior can be ordered, with difficulty restraining self-control; effective treatment of small doses of sedative drugs; 6 - very sick - the symptom is observed continuously, prevents normal communication with others; a need of continuous treatment; 7 - extremely ill - disorder completely determines the condition of the patient, which is not able to control their behavior, emotions, marginalized, disabled, calculate the total average score of the identified symptoms for each area, reflecting the severity of mental and neurological status of the patient, and then summarize the average scores for the nine spheres and determine the severity of the condition in accordance with the established values, namely when the total value of the mean scores from 0 to 9 assess the mental state as a practical child health; the assessment from 10 to 18 points assessed as having borderline mental disorders, from 19 to 27 points - how easy the burden of mental disorders, from 28 to 36 - as a moderate, from 37 to 45 points as average from 46 to 54 as severe, from 55 to 63 points assess the mental state as a very severe extent the ü mental disorders.

The method is as follows.

The inventive Protocol clinical observations", hereinafter the "Protocol"is a set of registration tables for a formalized qualitative and quantitative assessment of the mental status of the child. All scale divided into spheres of mental activity generated in the form of tables. In the minutes note the physical condition of the child, which examined upon admission of the child. Determine weight, height, body temperature, blood pressure, hold a General analysis of blood, urine, biochemical blood tests, electrocardiogram. Then the child explore all sides of mental and neurological status on nine areas: cognitive function, mental activity, emotions, desires, sensations, perception disorder, social behavior, and neurological signs, motor skills and vegetation. In this study all symptoms on nine areas carried out according to standard techniques described in special publications: "Guide to psychiatry. In 2 volumes. Edited by A.S. Tiganov etc., M.: Medicine, 1999, P.17-407"; "Handbook of psychology and psychiatry of childhood and adolescence. Edited by HE Zirkin, SPb, Ed. "Peter", 1999, S-627"; "Autonomic disorders. Under. editor A. M. Wayne, M.: Medicine, 1998, P.7-98"; "Badalyan LO and other Guidance what about the neuroscience of early childhood, Kiev: Health, 1980, P.5-108.". First of all conduct a study of cognitive impairment, identifying disorders of attention, a variety of thought disorder, games, memory, and developmental disorders of speech. Namely determine the presence of symptoms of unstable attention, hypermetamorphosis attention, pseudoglioma, the presence of delayed or perverted or stereotyped play, slow or accelerated pace of thinking, cliffs thoughts, diverse thinking, its slippage, flows and automation, metaphysical intoxication, reasoning, reflection, obsessive thoughts, overvalued formations, pathological fantasy, delusional disorders, reduction of critical thinking, reduction of memory, or hypermnesia, or selectivity, or confabulate, pseudoresistance, the presence of fast or slow speech rate with oligophrenia or mnogoluchevogo its content and characteristics of its formation is delayed, or perelivami Allie, and echolalia, mutism, stuttering, schizophasia, perserverance, verbigeration or stamped speech. Assess the severity of the violations identified symptoms in points from 0 to 7, as shown in table 1.

Table 1
ASSESSMENT IS AND the SEVERITY of the symptoms of
0 - no symptom, never was
1 - healthy; today it is absolutely not sick, the symptom was intermittent in the past
2 - edge mental disorder, questionable pathology symptom can be rarely 1-2 times per year, independently passes
3 - sick easily, symptom occurs 1-2 times per month; treatment not required
4 - moderately ill - symptom occurs rarely in a situation of stress, not more than 1-2 times per week, does not define the behavior of the patient, the condition can be overcome psychotherapeutic techniques
5 - moderate - symptom is observed continuously, the behavior can be ordered, with difficulty restraining self-control; effective treatment of small doses of sedatives
6 - ill - symptom is observed continuously, prevents normal communication with others; needs constant treatment

The scale for assessing the severity of violations allows you to track and quantify not only expressed a mental disorder, but also intermediate risk with the presence of certain symptoms, is still not fit into the classical picture of the deployed syndrome. The absence of disorder is indicated at the points 0, no symptom in the presence of it in the past - figure 1, is questionable pathology - figure 2. Edge level of gravity, when at various times, the patient may experience short-term symptoms of symptom, is estimated as 3. Next level - 4 - corresponds to the situation when there are systematic emergence of a separate disorder, that is, every time you hit a child in an unusual situation involving excitement, experience of stress, causing the patient the appearance of symptoms. Levels 4 to 7 describe the increase of the intensity of the painful manifestations of time during which they are observed, as well as the severity of decompensation.

The presence of deviations noted in the corresponding line Protocol score under the table estimates the severity of the condition.

Then identify the assessment of the severity of the condition cognitive functions by calculating the average score (CGI summarize the scores assigned in accordance with table estimates the severity of the condition revealed a symptom, and the resulting sum is divided by the number of identified symptoms in this area).

Then determine the child's disorder mental activity. That is, the presence of symptoms reduced or increased or paradoxical clearinterval behavior, increased, reduced, distorted or impulsive, strong-willed desires, motives, increased, reduced or distorted health. The definition of these symptoms are conducted using tests described in the manuals listed above. Assess the severity of the violations identified during studies of symptoms in points from 0 to 7, in table 1, and the severity of the condition spheres of mental activity, calculating the average score on CGI, as described above.

Then evaluate the severity of symptoms sphere of emotions, namely identify the signs and symptoms of inadequate, paradoxicality, Hyper - and hypocholesterolaemic emotional resonance, irritable weakness, instability, dysthymia, depression, painful anesthesia, dysphoria, increased hypertonie, mania, raptus, fears, anxiety disorders, panic reactions, am is valentinetti, deficiency, apathy, sadness, diurnal and seasonal fluctuations of emotions. Assess the severity of the violations identified during the survey of symptoms in points from 0 to 7 in table 1, and then the severity of the emotional sphere, calculating the average score on the CGI.

Next, assess the condition of the severity of the symptoms field inclinations, namely identify the signs and symptoms of bulimia, anorexia, symptoms peak, care, vagrancy, arson, coprolalia, auto-aggression, suicidal behavior, sexualisierung behavior, external aggression, attraction to alcohol, drugs, victimization behaviors, Samokhvalov, character, kleptomania. Assess the severity of the violations identified during the examination of symptoms, scores from 0 to 7 in table 1 and the severity of the condition of the sphere of attraction, calculating the average score on the CGI.

Then evaluate the sensory field of the condition of the severity of the symptoms, namely to detect the presence of delays in the formation of spatial perception, hyperesthesia, gipestesia, paradoxical sensations, Senapati, cenesthopathic. Assess the severity of the violations identified during the examination of symptoms, scores from 0 to 7 in table 1 and the severity of the sensory sphere, calculating the average score on the CGI.

Then assess the condition of the severity of the symptoms the condition of the scope of perception is, detecting the presence of akoasma, photopsia, illusions, auditory and visual, true and pseudohallucinations visual, auditory, olfactory, bodily and visceral disorders identity - depersonalization, derealization, dysmorphophobia, psychosensory disorders, the splitting of the "I" or lack of "I", the feelings of a stranger, feelings, for that matter, the denial of vitality. Assess the severity of the violations identified during the survey of symptoms in points from 0 to 7 in table 1 and the severity of the condition spheres of perception, calculating the average score on the CGI.

And, finally, evaluate the severity of symptoms of social behavior, identifying the violation of the communications: the presence of ambientintensity, rejection, negativity, indifference and impulsive behavior, autistic traits - the phenomenon of identity, rituals, photodiagnosis, pseudovelocity and stereotypie in speech and motor skills, delayed or distorted social skills: grooming, self-service, food, or social behavior. Assess the severity of violations of the symptoms identified during examination of the child, in points from 0 to 7 in table 1 and the severity of social behavior, calculating the average score on the CGI.

Then the child explore all sides of a neurological condition. Determine violations in the areas of"neurological signs", motility, initial autonomic tone: the vagotonic and sympathotomy. Neurological status assess according to the traditional areas, which are considered violations of motor skills, in particular, reveal the presence of symptoms of hypomimia, paramkey, grimaces, awkward or pretentious fine motor or gross motor skills dexterity, gait, coordination, presence of non-localized neurological signs, namely, the oculomotor symptoms - seizures "eye care", myocloni, diffuse muscular hypotonia, muscle dystonias, homeopathic symptoms, delay reduction labyrinth reflexes, presence of reflex repulsion, shimmering right gamesindiana, as well as syndromes of disorders in the development of motor skills - giperdinamicheskim syndrome, lethargy, stupor, ticks, stereotypia, catatonia, seizures and lack of control of the pelvic functions. Assess the severity of the violations identified during the examination of symptoms, scores from 0 to 7 in table 1 and the severity of the condition of areas of motor skills, counting the average score on the CGI.

Next, identify violations of vegetatio - source autonomic tone, namely identifying the severity of symptoms vagotonia the condition of the skin - it erythematous color, marbling vascular pattern, red dermographism, distal hyperhidrosis, along with the being thermoregulation - the presence of normal body temperature less than 36 degrees, warm hands and feet, prolonged fever with infections by the state of meteochuvstvenosti - high tolerance cold, and reduced heat tolerance, as the eyes of their reduced brilliance, narrow eye slits and pupils, games inhibition and increased tearing, the state of the cardiovascular system - the presence of labile bradycardia, respiratory system - its slow rate of breathing and sighs, as the digestive system is reduced appetite, increased salivation, regurgitation and vomiting, spastic constipation, gas formation and increased body mass, the condition of the urinary system - reduced water demand, availability pastoznost and rare urination, according to the state of the immune system to the presence of frequent allergic reactions and enlarged, friable lymph glands, the system state of sleep and wakefulness to deep sleep and rhythm owls. Then assess the severity of the symptoms of sympathotony, revealing the skin - it is white, not the severity of vascular pattern, white dermographism, dry skin, thermoregulation - the presence of normal body temperature over 36.7 degrees, cold hands and feet, more than 38 degrees temperature for infections, with the status of meteochuvstvenosti - reduced tolerance to cold, increased tolerance to heat, as the eyes of their enhanced gloss, enhanced eye slits and pupils, games inhibition and reduced tearing, the state of the cardiovascular system - the presence of unstable tachycardia, respiratory system - its more frequent frequency, the condition of the digestive system - increased appetite, reduced salivation, lack of burping and vomiting, the presence of a weak peristalsis and atonic constipation and reduced body weight, urinary system, increased water demand, lack pastoznost and the presence of frequent urination, according to the state of the immune system to the presence of rare allergic reactions and no enlarged lymph glands, the system state of sleep and wakefulness - sleep surface and rhythm lark. Assess the severity of the violations identified during examination of the symptoms of vagotonia and sympathotony, in points from 0 to 7 in table 1 and the weight of the state sector vegetatio, calculating the average score on the CGI.

There are three types of vegetative response: Estonia, sympathotomy, vagotonic. Atonia means the balance of the autonomic response, and corresponds to the level of practical health. In those cases, when you register divergent responses between different the mi systems of life, the judge "empathie", in which the observed shifts of regulation in both branches of the autonomic nervous system (ANS). Detectable changes in autonomic responses suggest dysfunction and impaired maturation of the autonomic or secondary vegetative pathology in the framework of various diseases. When balanced manifestation of autonomic signs state estimate as atonio.

The condition of the child is assessed in all 9 areas disorders. Summarize the average scores for 9 areas and make a conclusion about the mental health of the child. The total average scores from 0 to 9 mental state appreciate how practical the health of the child; if the sum of scores from 10 to 18 - assessed as having borderline mental disorders, from 19 to 27 points - how easy the burden of mental disorders, from 28 to 36 - as a moderate, from 37 to 45 points as average from 46 to 54 as severe, from 55 to 63 points assess the mental state as extremely severe mental disorders.

For each area exhibited an average score of violations, which is calculated as the arithmetic average of the sum of all exposed assessments of symptoms. If the result is not an integer, then the digital value is rounded to an integer in accordance with existing mathematical rules (if the number is ovno or less than 0.5, the number is rounded to a smaller number if the value is above 0.5, it is rounded to the next whole number). Calculating the arithmetic mean of the sum of all scores in a separate area, is judged on the violation of this particular sphere. At the end of the Protocol are summarized assessment on all 9 mental spheres. For this final evaluation is judged on the mental health of the whole child.

Examples of implementation of the method.

Example 1. Dmitry Century 14 years. Observed with a diagnosis of infantile autism. The proband from 5 pregnancies, 3 urgent delivery. Birth weight 3320, length 54 see Motor development was a few minutes ahead: head keeps 2 weeks, turns 4 months old, sitting with a 7, got up, walked at 9 months. Pre-speech development of timely, to 10 months appeared active babble syllables. Skills neatness formed by the end of 1 year.

Specific features of development in the form of individual symptoms was noted from an early age in the form of hyperesthesia (intolerance touch), the syndrome of identity. In 10 months the state has gradually changed. Attention became unstable. Appeared in episodes of "care in itself" without loss of consciousness. It was noted impulsivity, pseudoglioma with normal hearing. At times arose, as outlined episodes during the day, the attacks excitation with a eld behavior. Year state Adebola deteriorated. Was often agitated, or immersed in their experiences, did stereotyped movement in the form of pulling out threads from the tissues. On appeal reacted immediately, after 4-6 hits.

By the year ceased to pronounce the syllables, then completely lost it. Phrase it did not appear up to 5 years. Game for a long time was stereotypical. With 3 years played in the wheel, rolled on the floor, tried to roll, and other toys. Behavior was noticed excessive neatness, could not stand the slightest dirt on his hands.

In 3.5 years was first stationroad in DPB No. 6. Received treatment with sonaecom, Cerebrolysin. During the period of hospital stay was hiding his hands behind his back, nothing took arms. For a long time and after discharge, if you wanted something to ask my mother, pushed her shoulder, was explained by gestures. In the future, the state remained heavy to 5 years, which were marked seasonal exacerbation. Behavior was determined manifestations of photodiagnosis, symptoms identities, and autism.

In connection with dyspeptic phenomena that occur when receiving dairy food, 4.5 years were examined in the research Institute of Pediatrics: diagnosed intolerance of gluten, casein. Started to get a special diet, goat milk. Since that time, improved physical condition, and further began to improve and mental state. With 5.5 years appeared reckonedly phrase. In 6 years he started to smile relatives, to give a hand, to join in elementary contact. For specification of the diagnosis and selection of therapy was sent for consultation in the national mental health research center of RAMS.

Assess the child's condition according to the claimed method, and data was entered in the Protocol.

MENTAL STATE
I. COGNITIVE FUNCTION200620092011
Impaired attention
Unstable544
Hypermetamorphosis attention
Pseudoglioma544
Game

Arrested544
Perverted544
Stereotypical544
Thinking
RateSlow544
Accelerated
Cliffs thoughts544
Varied is here 544
Slipping off544
Flows, automation
Metaphysical intoxication
Rezonerstvu
Reflection
Obsessive thoughts
Overvalued education
Pathological fantasy544
Delusional disorder
Severity544
Memory
Reduction
Hypermnesia544
Selectivity544
Confabulate, pseudoresistance
It
RateExpress
Delayed544
ContentOligophagy544
Mnogoluchevoi
Peculiarities of formationArrested544
Pereslaivaniya
Alalia
Echolalia
Mutism
Stuttering, hesitation544

Schizophasia
Pressed544
Perseverate
Assessment of severity on the CGI (GPA)544
II. MENTAL ACTIVITY200620092011
Clearinterval behavior
Reduced
High
Paradoxical54 3
Strong-willed desires, urges
Elevated
Reduced544
Distorted543
Impulsivity532
Performance
High
reduced (fatigue)
distorted (paradoxical)544
Assessment of severity on the CGI (GPA)543
III. EMOTIONS200620092011
Emotional resonance (inadequatethe paradox,hypersensitivityhypocholesterolaemic) (underline)444
Irritable weakness411
Lability
Dysthymia
Depression (melancholy)
Anesthesia painful
Dysphoria
Elevated (hypertime, mania)
Mania

Raptus
Fears
Anxiety disorders444
Panic reactions
Ambivalence411
Deficienct444
Apathy
The joylessness (anhedonia)444
Daily fluctuations444
Seasonal fluctuations
Assessment of severity on the CGI (GPA)433
IV. DRIVE200620092011
Anorexia
Bulimia
The peak symptom
Care
Vagrancy
Arson
The voyeurism
Autoaggression
Suicidal behavior
Sexualized behavior533
External AGR is Russia
The attraction to alcohol, drugs
Victimization behavior
Smoothbore, character
Kleptomania
Assessment of severity on the CGI (GPA)533
V. SENSORY20062009011
The delay in the formation (spatial perception)433
Hyperesthesia
Hypoesthesia

td align="justify"> Corporal
Paradoxical sensations
Senapathi (algii)
Cenesthopathic
Assessment of severity on the CGI (GPA)43 3
VI. DISORDERS of PERCEPTION200620092011
1. Akoasma, photopsia
2. Illusion (auditory, visual)
3. Hallucinations (true pseudo)
Visual
Hearing
Olfactory
Visceral
4. Identity
Depersonalization322
Derealisation
The BDD
Psychosensory disorders
Split "I"
No "I"
The feeling of a stranger
The feeling of "completeness"
Denial of vitality
Assessment of severity on the CGI (GPA)322
VII. SOCIAL BEHAVIOR200620092011
A. violation of the communications (with the mother,children, adults) (underline)
Ambientintensity
Rejection
Negativism554
Indifference554
Impulsive behavior554

B. Autistic symptoms (emotional, games, physical, visualtotal) (underline)
the Phenomenon of identity 554
Rituals
Photodiagnosis532
Pseudoglioma554
Stereotypie (speech, motor skills)
C. Social skills (neatness, self-service, food,social behavior) (type skill underline)
Delayed554
Distorted 554
Assessment of severity on the CGI (GPA)554
NEUROLOGICAL STATUS
VIII. NEUROLOGICAL SIGNS AND MOTILITY200620092011
Mimicry (hypomimia,paramkey grimaces) (underline)443
Fine motor skills (awkward, pretentious)443
Large motor skills (dexterity, gait, coordination) (underline)443
Pathological pyramid reflexes
Non-localized neurological signs
Oculomotor symptoms: (nystagmus,saccadic movementeyes, stop, look,weakness innervation4, 6 pairs)443
Attacks "eye care"
Myoclonia
Diffuse muscular hypotonia
Muscular dystonia443
Goreaphobia symptoms
Delay reduction labyrinth reflexes
Reflex repulsion
Shimmering right gamecentral
Syndromes, disorders
The development of motor skills (delayed, anticipatory)

Giperdinamicheskim syndrome
Lethargy, stupor443
Tiki443
Stereotypia411
Catatonia443
Cramps
The pelvic control functions (enuresis, encopresis have)443
Assessment of severity on the CGI (GPA)443
IX. VEGETATIO (Initial autonomic tone)200620092011
Leatheris the
ColorVagotonic - erythematous
Sympathotomy - white444
Vascular patternVagotonic - marbling
Sympathotomy is not defined444
DermographismVagotonic - red
Sympathotomy - white444
SweatingVagotonic - distal hyperhidrosis
Sympathotomy - dryness
Thermoregulation
Body temperatureVagotonic - <36,0
Sympathotomy - >36,7443
The temperature of the hands, feetVagotonic - warm444
Sympathotomy - cold
Temperatures infectionsVagotonic - prolonged fever
Sympathotomy - >38,0
Meteosensitivity
Cold toleranceVagotonic - improved
Sympathotomy - discounted
The heat toleranceVagotonic - reduced
Sympathotomy - improved
Eyes
Shine eyesVagotonic - reduced, dim443
Sympathotomy - reinforced

Palpebral fissure Vagotonic - limited
Sympathotomy - extended
PupilsVagotonic - limited
Sympathotomy - extended
Game of pupilsVagotonic -
Sympathotomy -
TearingVagotonic - enhanced
Sympathotomy - discounted
Cardiovascular system
Heart rateVagotonic - labile bradycardia441
Sympathotomy - labile tachycardia
Respiratory system
Respiratory rateVagotonic - slow-motion, sighs
Sympathotomy - fast
Digestive system
AppetiteVagotonic - discounted443
Sympathotomy - promoted
SalivationVagotonic - enhanced
Sympathotomy - reduced
Regurgitation, vomitingVagotonic typical
Sympathotomy - not typical
Peristalsis of intestineVagotonic - spastic constipation, flatulence
Sympathotomy weak, atonic constipation443
WeightVagotonic - improved554
Sympathotomy - discounted
Urinary system
The need for waterVagotonic - discounted
Sympathotomy - improved
PastosVagotonic typical
Sympathotomy no
With this in place of-
of
Vagotonic - rare
Sympathotomy - frequent
Immune system

Allergic reactionVagotonic - frequent
Sympathotomy - rare131
Lymph glandVagotonic enlarged, friable
Sympathotomy is not enlarged
System sleep-Wake
SleepVagotonic - deep432
Sympathotomy - surface
RhythmVagotonic - owl433
Sympathotomy - lark
Assessment of severity on the CGI443
The total scores for all areas393228

Diagnosis. Autism due to other causes (ICD-10). Syndromes - autistic, emotionally-volitional disorders, psychopathic, fragmentary catatonic disorders. The scores on the basic mental functions during the first survey (2006) was 39 points, which corresponds to the average severity of the disease. As follows from the results of the examination of the patient, the greatest changes were found in the field of cognitive functions, mental activity, attraction, and social behavior. Mental illness the boy is accompanied by autonomic disorders. In General, the typical boy impotencebuy type of regulation: the sympathetic skin, agathonissi eye, cardiovascular, it is annoy and sleep-wakefulness, mixed (impotencebuy) for thermoregulation digestive systems; the severity of autonomic variance is reduced by the background of therapy. In accordance with the detected violations and the severity of the condition of the patient was qualified treatment. Gradually, the condition has improved in all areas. In dynamics there is a tendency towards improvement, the amount of balls on the basic mental functions in 2009 totaled 32 points, and by 2011 - 28 points (moderate severity).

Example 2. Patient Vyacheslav S. 13 years. Seeing a neuropsychiatrist from an early age. Early development of the schizoid type. Speech, motor skills within age. In the same period was observed transient neurological disturbances in the form of regressive symptoms in motor skills (walking on tiptoe, etc.), symptoms of identity, affective lability.

With 3 years deteriorated behavior became almost unmanageable, minor issue noted irritability. Increased mental rigidity, ritual behavior. At the age of 4.5 years had developed psychotic affective state-catatonic patterns. The most difficult period was noted at the age of 5.5 years. The proposed hospitalization in DPB No. 6. From the proposed hospitalization, the mother refused. Examined in the Department of early childhood NMHC RAMS. The response is some research has revealed the emotional and motivational disturbances in the endogenous type. The child was classified as schizophrenia child type (F.20.8.003). A survey of the child according to the claimed method, and the data entered in the Protocol.

MENTAL STATE
I. COGNITIVE FUNCTION20012009
1. Impaired attention
Unstable
Hypermetamorphosis attention61
Pseudoglioma61
2. Game
Arrested
Perverted
Stereotypical51
3. Thinking
RateSlow
Accelerated61

Cliffs thoughts
Diversity61
Slipping off61
Flows, automation
Metaphysical intoxication
Rezonerstvu
Reflection
Obsessive thoughts
Overvalued education51
Pathological fantasy
Delusional disorder61
Severity61
4. Memory
Reduction
Hypermnesia51
Selectivity
Confabulate, pseudoresistance
5. Itis the
RateExpress61
Delayed
ContentOligophagy
Mnogoluchevoi
Peculiarities of formationArrested
Pereslaivaniya
Alalia
Echolalia
Mutism
Stuttering, hesitation51
Schizophasiais the
Pressed
Perseverate
Verbigeration
Assessment of severity on the CGI (GPA)61

II. MENTAL ACTIVITY20012009
1. Clearinterval behavior
Reduced
High2
Paradoxical62
2. Strong-willed desires, urges
Elevated3
Reduced
Distorted52
Impulsivity51
3. Performance
High
reduced (fatigue)71
distorted (paradoxical)
Assessment of severity on the CGI (GPA)62
III EMOTIONS20012009
Emotional resonance (inadequate, paradox, hypersensitivity, hypocholesterolaemic) (underline)63
Irritable weakness
Lability63
Dysthymia63
Depression (melancholy)
Anesthesia painful
Dysphoria62
Elevated (hypertime, mania)
Mania
Raptus
Fears
Anxiety disorders
Panic reactions
Ambivalence63
Deficienct6 3

Apathy
The joylessness (anhedonia)62
Daily fluctuations63
Seasonal fluctuations63
Assessment of severity on the CGI (GPA)63
IV. DRIVE20012009
Anorexia
Bulimia
The peak symptom
Care
Vagrancy
Arson
The voyeurism51
Autoaggression
Suicidal behavior
Sexualized behavior
External aggression51
The attraction to alcohol, drugs
Victimization behavior
Smoothbore, character
Kleptomania
Assessment of severity on the CGI (GPA)51
V. SENSORY20012009
The delay in the formation of 31
Hyperesthesia
Hypoesthesia
Paradoxical sensations
Senapathi (algii)
Cenesthopathic
Assessment of severity on the CGI (GPA)31
VI. DISORDERS of PERCEPTION20012009

1. Akoasma, photopsia
2. Illusion (auditory, visual)
3. Hallucinations (true pseudo) (underline)
Visual
Hearing
Olfactory
Corporal
Visceral
4. Identity
Depersonalization41
Derealisation
The BDD
Psychosensory disorders
Split "I"
No "I"
The feeling of a stranger
The sense of "SDE is Anesti"
Denial of vitality
Assessment of severity on the CGI (GPA)41
VII. SOCIAL BEHAVIOR20012009
A. violation of the communications (with mother, children, adults) (underline)
Ambientintensity
Rejection62
Negativism62
Indifference
Impulsive behavior62
B. Autistic symptoms (emotional, games, physical, visual, total) (underline)
The phenomenon of identity62

Rituals62
Photodiagnosis
Pseudoglioma and other62
Stereotypie (speech, motor skills)61
C. Social skills (neatness, self-service, food,social behavior) (type skill underline)
Delayed
Distorted62
Assessment of severity on the CGI (GPA)6 2
NEUROLOGICAL STATUS
VIII. NEUROLOGICAL SIGNS
MOTILITY20012009
Mimicry (hypomimia,paramkey grimaces) (underline)41
Fine motor skills (awkward, pretentious)
Large motor skills (agility,gait, coordination) (underline)41
Pathological pyramid reflexes
Non-localized neurological signs
Oculomotor symptoms: (nystagmus,saccadic movementeyes, stop the Zora, weakness innervation 4, 6 pairs)41
Attacks "eye care"
Myoclonia
Diffuse muscular hypotonia
Muscular dystonia41
Goreaphobia symptoms41
Delay reduction labyrinth reflexes
Reflex repulsion
Shimmering right gamecentral
Syndromes, disorders

The development of motor skills (delayed, anticipatory)
Giperdinamicheskim syndrome51
Lethargy, stupor
Tiki
Stereotypia
Catatonia41
Cramps
The pelvic control functions (enuresis, encopresis have)41
Assessment of severity on the CGI (GPA)41
IX. VEGETATIO (the similar vegetative tonus) 20012009
Leather
ColorVagotonic - erythematous
Sympathotomy - white44
Vascular patternVagotonic - marbling
Sympathotomy is not defined44
DermographismVagotonic - red43
Sympathotomy - white
SweatingVagotonic - distal hyperhidrosis
Sympathotomy - dryness
Thermoregulation
Body temperatureVagotonic - <36,0
Sympathotomy - >36,733
The temperature of the hands, feetVagotonic - warm33
Sympathotomy - cold
Temperatures infectionsVagotonic - prolonged fever41
Sympathotomy - >38,0
Meteosensitivity
Cold toleranceVagotonic - improved
Sympathotomy - discounted
Tolerance to heat the Vagotonic - reduced
Sympathotomy - improved
Eyes
Shine eyesVagotonic - reduced, dim31

Sympathotomy - reinforced
Palpebral fissureVagotonic - limited32
Sympathotomy - extended
PupilsVagotonic - limited33
Sympathotomy - extended
Game of pupilsVagotonic -
Sympathotomy -
TearingVagotonic - enhanced
Sympathotomy - discounted
Cardiovascular system
Heart rateVagotonic - labile bradycardia44
Sympathotomy - labile tachycardia
Respiratory system
Respiratory rateVagotonic - slow-motion, sighs
Sympathotomy - fast
Digestive system
AppetiteVagotonic - discounted44
Sympathotomy - promoted
SalivationVagotonic - enhanced
Sympathotomy - reduced
Regurgitation, vomitingVagotonic typical
Sympathotomy - not typical32
Peristalsis of intestineVagotonic - spastic constipation, flatulence
Sympathotomy weak, atonic constipation
WeightVagotonic - improved
Sympathotomy - discounted55
Urinary system
The need for waterVagotonic - discounted
Sympathotomy - improved53
PastosVagotonic typical
Sympathotomy no44

15
UrinationVagotonic - rare
Sympathotomy - frequent
Immune system
Allergic reactionVagotonic - frequent
Sympathotomy - rare33
Lymph glandVagotonic enlarged, friable
Sympathotomy is not enlarged33
System sleep-Wake
SleepVagotonic - deep43
Sympathotomy - surface
RhythmVagotonic - owl
Sympathotomy - lark43
Assessment of severity on the CGI (GPA)43
The total scores for all areas44

Diagnosis: Schizophrenia child type, phase-affective paroxysmal for the remission of type C. was examined according to the Protocol. Global signs at the age of 5.5 years scored 44 points, which corresponds to the average severity of the disease. As follows from the results of the examination of the patient, the greatest violation was detected in the field of cognitive functions, mental activity, emotions, and social behavior. In accordance with the detected violations and the severity of the condition of the patient was qualified treatment. In the field of vegetatio noted the identification of different symptoms in the system of the skin, thermoregulation, digestive system, sleep-wakefulness, bagatnieka orientation in the regulation of the cardiovascular system, the sympathetic in the regulation of urinary and immune systems, the severity of which is reduced from moderate to light during therapy. Gradually, the condition has improved in all areas. At the age of 7 was able to enroll in school and stay in the team. For 13 years the patient was classified as mild severity of mental disorder. Could do without treatment. Established contacts with peers. Attentive to the mother. Found a common language with her stepfather. A good student. Makes plans for the future. In remission total score from all SF the RAM reaches 15 points (i.e. the level of practical health).

Example 3. Vladislav M. From the anamnesis it is known that at an early age was seen by the neurologist about perinatal encephalopathy, muscle dystonia, increased nervno-reflex excitability. Received treatment with nootropics.

At the age of 3 years parents went to see a psychiatrist due to restlessness, motor disinhibition. In psychomotor development did not lag behind. In 7 years he entered high school with personal training. Showed ability, was considered one of the best students. However, with children relationships were formal enough, to anyone not tied, clashed. Bad coexisted in the team. Needed in the selection of therapy, appealed to the Department of early age NMHC RAMS. Examined according to the Protocol by the claimed method.

MENTAL STATE
I. COGNITIVE FUNCTION20062011
1. Impaired attention
Unstable 44
Hypermetamorphosis attention
Pseudoglioma
Other
2. Game
Arrested41
Perverted
Stereotypical
other41
3. Thinking
RateSlow
Accelerated
Cliffs thoughts
Diversity43
Slipping off54
Flows, automation
Metaphysical intoxication
Rezonerstvu
Reflection44
Obsessive thoughts
Overvalued education53
Pathological fantasy
Delusional disorder

td align="center" namest="c3" nameend="c4"> 2
Severity43
4. Memory
Reduction
Hypermnesia
Selectivity
Confabulate, pseudoresistance
5. It
The Accelerated pace44
Delayed
ContentOligophagy
Mnogoluchevoi53
Peculiarities of formationArrested
Pereslaivaniya
Alalia
Echolalia
Mutism
Stuttering, hesitation33
Schizophasia
Pressed
Perseverate
Verbigeration
Assessment of severity on the CGI (GPA)43
II. MENTAL ACTIVITY20062011
1. Clearinterval behavior
Reduced43
High
Paradoxical43
2. Strong-willed desires, urges
Elevated
Reduced4
Distorted43
Impulsivity33
3. Performance

High
reduced (fatigue)43
distorted (paradoxical)44
Assessment of severity on the CGI (GPA)43
III. EMOTIONS20062011
Emotional resonance (inadequacy, paradox, hypersensitivity, hypocholesterolaemic) (underline)5 3
Irritable weakness
Lability53
Dysthymia
Depression (melancholy)
Anesthesia painful
Dysphoria
Elevated (hypertime, mania)
Mania
Raptus
Fears53
Anxiety disorders63
Panic reactions
Ambivalence43
Deficienct53
Apathy52
The joylessness (anhedonia)
Daily fluctuations53
Seasonal fluctuations53
Assessment of severity on the CGI (GPA)53
IV. DRIVE20062011
Anorexia
Bulimia
The peak symptom
Care

Vagrancy
Arson
The voyeurism
Autoaggression (provokes peers to fight and sometimes beaten)53
Suicidal behavior
Sexualized behavior
External aggression
The attraction to alcohol, drugs
Victimization behavior
Smoothbore, character
Kleptomania
Assessment of severity on the CGI (GPA)53
V SENSORY20062011
The delay in the formation of32
Hyperesthesia
Hypoesthesia
Paradoxical sensations
Senapathi (algii)32
Cenesthopathic
Assessment of severity on the CGI (GPA)32
VI. DISORDERS of PERCEPTION20062011
1. Akoasma, photopsia
2. Illusion (auditory, visual)31
3. Hallucinations (true pseudo) (underline)
Visual
Hearing
Olfactory
Corporal
Visceralis the
4. Identity
Depersonalization

Derealisation
The BDD
Psychosensory disorders
Split "I"
No "I"
The feeling of a stranger
The feeling of "completeness"
Denial of vitality
Assessment of severity on the CGI (GPA)31
VII SOCIAL BEHAVIOR20062011
A. violation of the communications (mother, children, adults) (underline)
Ambientintensity53
Rejection
Negativism42
Indifference
Impulsive behavior42
B. Autistic symptoms (emotional, games, physical, visual, total) (underline)
The phenomenon of identity
Rituals
Photodiagnosis
Pseudoglioma and other
Stereotypie (speech, motor skills) stamps43
C. Social skills (neatness, self-service, food, social behavior) (type skill underline)
Delayed64
Distorted74
Assessment of severity on the CGI (GPA)53
NEUROLOGICAL STATUS
VIII. NEUROLOGICAL SIGNS, MOTILITY20062011

Mimicry (hypomimia,paramkey grimaces) (underline)43
ELCA motility ( awkward, artsy)43
Large motor skills (agility, gait, coordination) (underline)43
Pathological pyramid reflexes
Non-localized neurological signs
Oculomotor symptoms: (nystagmus, saccadic eye movements, stop, look,weakness innervation 4, 6 pairs)42
Attacks "eye care"
Myoclonia
Diffuse muscular hypotonia
Muscular dystonia
Goreaphobia symptoms
Delay reduction labyrinth reflexes
Reflex repulsion
Shimmering right gamecentral
Syndromes, disorders
The development of motor skills(delayed, anticipatory)
Giperdinamicheskim syndrome41
Lethargy, stupor
Tiki41
Stereotypia
Catatonia42
Cramps
The pelvic control functions (enuresis, encopresis have)
Assessment of severity on the CGI (GPA)42
IX. VEGETATIO (Initial autonomic tone)20062011
Leather
ColorVagotonic - erythematous
Sympathotomy - white
Vascular patternVagotonic - marbling
Sympathotomy is not defined44
DermographismVagotonic - red

Sympathotomy - extended Respiratory system
Sympathotomy - white44
SweatingVagotonic - distal hyperhidrosis
Sympathotomy - dryness
Thermoregulation
Body temperatureVagotonic - <36,0
Sympathotomy - >36,7
The temperature of the hands, feetVagotonic - warm44
Sympathotomy - cold
Temperatures infectionsVagotonic - prolonged fever
Sympathotomy - >38,053
Meteosensitivity
Cold toleranceVagotonic - improved
Sympathotomy - discounted33
The heat toleranceVagotonic - reduced54
Sympathotomy - improved
Eyes
Shine eyesVagotonic - reduced, dim
Sympathotomy - reinforced43
Palpebral fissureVagotonic - limited43
PupilsVagotonic - limited
Sympathotomy - extended
Game of pupilsVagotonic -
Sympathotomy -
TearingVagotonic - enhanced
Sympathotomy - discounted
Cardiovascular system
Heart rateVagotonic - labile bradycardia44
Sympathotomy - labile tachycardia
Respiratory rateVagotonic - slow-motion, sighs
Sympathotomy - fast
Digestive system
AppetiteVagotonic - discounted

Sympathotomy - promoted
SalivationVagotonic - enhanced43
Sympathotomy - reduced
Regurgitation, vomitingVagotonic typical
Sympathotomy - not typical
Peristalsis of intestineVagotonic - spastic constipation, flatulence44
Sympathotomy weak, atonic constipation
WeightVagotonic - improved
Sympathotomy - discounted
Urinary system
The need for waterVagotonic - discounted43
Sympathotomy - improved
PastosVagotonic typical
Sympathotomy no
UrinationVagotonic - rare
Sympathotomy - frequent
Immune system
Allergic reactionVagotonic - frequent
Sympathotomy - rare
Lymph glandVagotonic enlarged, friable
Sympathotomy is not enlarged
System sleep-Wake
SleepVagotonic - deep
Sympathotomy - surface54
RhythmVagotonic - owl53
Sympathotomy - lark
Assessment of severity on the CGI (GPA)43
The total scores for all areas3723

Diagnosis. The state determines schizotypical personality disorder (ICD 10). Syndromes - microbatteries disorders, emotional deficienct. The sum of the scores of all areas at the first examination, component of the 37 points, the condition of the teenager is assessed as moderate mental disorders. The most significant disturbances are observed in the sphere of emotions, desire and communications - social behaviour. The type of vegetative regulation a child has avotone systems skin (skin color, dermographism), thermoregulation, meteochuvstvenosti, eyes, sleep-wakefulness, and only identified individual symptoms in the cardiovascular, digestive and urinary systems observed violations by type of vagotonia.

According to the follow-up monitoring during the observations received treatment low doses of antipsychotics for metabolic therapy. Over the years there has been improvement in mental state. According to the severity of autonomic disorders of the state has changed from moderate to mild. Decreased tension, conflict, seeks to communicate with their peers, appeared timely teen's interests, friends. He graduated from secondary school, then the school of music. In 2010, worked as an external student, was preparing to enter the school of music. Currently enrolled in College. Ippolitov-Ivanov class music history. After 5 years of follow-up and treatment of the condition is estimated at 23 points, on a scale of assessment refers to minor violations.

Example 4. Michael K. Family was under surveillance with the birth of the child. The proband from 3 pregnancies occurring with easy early toxemia, anemia in the second half of pregnancy. The mother suffered from varicose veins hepatolienal circle. Labor at 38 weeks Caesarean section due to increasing circulatory failure, weak perturbations of the fetus. Birth weight 2700, length 43 see Diagnosis at birth: intrauterine hypoxia of 1 degree. The adaptation period was proceeding satisfactorily. Chest is applied on day 5 due to the heavy state of the mother. Was discharged from the hospital on day 11.

Was seen by a neurologist, respectively, the ratios of 1 year is. Up to 3 months was noted mild hypertonicity of Flexural hands. After 3 months of muscle tone was normal.

Grew active, alive, emotionally balanced child. Ate well, the first months were breastfed. From 6 months on consumption. It is easy to learn new foods, complementary foods. At night, slept well, without revivals within 6-7 hours. Woke up in the morning easily, without tears. During the day rarely capricious.

The engine was developed with a small lead. The head was held 2 months, turned over on his stomach with 3 months, back to 5, independently of the villages in 6 months, walked with support for 9 months, independently from 10 months.

Agyare, early cooing began in 2-3 months, melodious cooing - 5, the first words (5-6) spoke to one year, to phrase it with 1 year 9 months. The mother began to allocate in 3 months, foreign - 6-7. First smile - at the end of 1 month, laughter - with 3 months. After the death of his mother when he was 7 months old, was raised by her grandmother and father. Reach for the toys started 3 months, 4 well - kept them in his hand. Played with toys by age, with half a year began to prefer the subject, in the form of fluffy toys.

Skills neatness were formed according to age, on the wet diaper was a clear reaction, independently controlled using the pot already to 1.5 years. To 2.5 years independently ate with pomology solid and liquid food, drank from a Cup. Notice, if soiled, something for yourself shed. Wet, dirty clothing himself dragged with itself. After 2 years, loved to help my grandmother in the kitchen, trying to wash the dishes, to collect the plates. To close was very attached. Loved grandmother, was a little afraid of Santa. Father, whom I had only seen on the weekend, loved, and rejoiced at his coming. Was affectionate towards friends. Even if offended, angry at his grandmother, but could only threaten, but do not hit. House liked to play in the presence of loved ones, opened the doors to keep the grandmother, although explicit fear not shown. A lot of time could have constructors, table games, I could organize a game. After 2.5 years, there have been game story. For example, the machine was loaded with cotton wool. My grandmother offered to carry bread", played hide and seek, also involved in outdoor games grandmother. Went to watch children's shows: "good night kids"cartoons. Liked to listen to music on the radio, singing along. With 10 months began to reach out to peers, and closer to the year he was asked to put him to play for children. With 3 years trying to interact with the game, could take the child's favourite toy, but he gave her easily. Communication was patient, even-tempered. Quite easily communicated with the older age children.

In nature from an early age zyloprim, showed perseverance, loves to be fully accomplished.

At the age of 2 years, there was a period when pouwelse darkness. Before you enter a dark room, lit the light. Walking through the apartment, in the dark lit everywhere light. After 3-4 months, this fear has passed. At the age of about 3 years, achieving his goal, could recapitalise, to fall on the floor, kicking him. However, this behavior stopped when the grandmother on the advice of the doctor stopped paying attention to the "hysteria", and after some time, when the boy stopped crying, and went to the grandson and began to agree with him. Realizing that tears he can't get adults to fulfill its demands, the boy began to walk towards adults.

From infancy dynamically screened according to the Protocol.

MENTAL STATE
I. COGNITIVE FUNCTION199920012010
Impaired attention
Unstable431
Hypermetamorphosis attention
Pseudoglioma
Game
Arrested
Perverted
Stereotypical
Thinking
RateSlow
Accelerated
Cliffs thoughts
Diversity
Slipping off
Flows, automation

Metaphysical intoxication
Rezonerstvu
Reflection
Obsessive thoughts
Overvalued education
Pathological fantasy
Delusional disorder
Severity
Memory
Reduction
Hypermnesia
Selectivity
Confabulate, pseudoresistance
It
RateExpress431
Delayed
ContentOligophagy
Mnogoluchevoi
Peculiarities of formationArrested
Pereslaivaniya
Alalia
EcholaliaMutism
Stuttering, hesitation
Schizophasia
Pressed
Perseverate
Verbigeration
Assessment of severity on the CGI (GPA)431
II. MENTAL ACTIVITY199920012010
1. Clearinterval behavior
Reduced
High

Paradoxical
2. Strong-willed desires, urges
Elevated
Reduced
Distorted41
Impulsivity311
3. Performance
High
reduced (fatigue)
distorted (paradoxical)
Assessment of severity on the CGI (GPA)321
III. EMOTIONS199920012010
Emotional resonance (inadequacy, paradox, hypersensitivity, hypocholesterolaemic) (underline)
Irritable weakness4
Lability41
Dysthymia
Depression (melancholy)
Anesthesia painful
Dysphoria
Elevated (hypertime, mania)
Mania
Raptus
Fears41
Anxiety disorders41
Panic reactions
Ambivalence
Deficienct
Apathy
The joylessness (anhedonia)
Daily fluctuations
Seasonal fluctuations

Assessment of severity on the CGI (GPA)0 41
IV. DRIVE199920012010
Anorexia
Bulimia
The peak symptom
Care
Vagrancy
Arson
The voyeurism
Autoaggressionthe
Suicidal behavior
Sexualized behavior
External aggression31
The attraction to alcohol, drugs
Victimization behavior
Smoothbore, character
Kleptomania
Assessment of severity on the CGI (GPA)031
V. SENSORY199920012010
The delay in the formation of
Hyperesthesia
Hypoesthesia
Paradoxical sensations
Senapathi (algii)
Cenesthopathic
Assessment of severity on the CGI (GPA)000
VI. DISORDERS of PERCEPTION1999 20012010
Alazmi, photopsia
2. Illusion (auditory, visual)
3. Hallucinations (true pseudo) (underline)

Visual
Hearing
Olfactory
Corporal
Visceral
4. Identitythe
Depersonalization
Derealisation
The BDD
Psychosensory disorders
Split "I"
No "I"
The feeling of a stranger
The feeling of "completeness"
Denial of vitality
Assessment of severity on the CGI (GPA) 000
VII. SOCIAL BEHAVIOR199920012010
A. violation of the communications (mother, children, adults) (underline)
Ambientintensity
Rejection41
Negativism
Indifference
Impulsive behavior341
B. Autistic symptoms (emotional, games, physical, visual, total) (underline)
The phenomenon of identity
Rituals41
Photodiagnosis
Pseudoglioma
Stereotypie (speech, motor skills)

C. Social skills (neatness, self-service, food, social behavior) (type skill underline)
Delayed
Distorted
Assessment of severity on the CGI (GPA)3 41
NEUROLOGICAL STATUS
VIII. NEUROLOGICAL SIGNS
MOTILITY199920012010
Mimicry (hypomimia, paramkey grimaces) (underline)
Fine motor skills (awkward, pretentious)
Large motor skills (dexterity, gait, coordination) (underline)431
Pathological pyramid reflexes411
Non-localized neurological signs
Oculomotor symptoms: (nystagmus, saccadic eye movements, stop, look, with absti innervation 4, 6 pairs)
Attacks "eye care"
Myoclonia
Diffuse muscular hypotonia
Muscular dystonia
Goreaphobia symptoms
Delay reduction labyrinth reflexes
Reflex repulsion
Shimmering right gamecentral
Syndromes, disorders
The development of motor skills (delayed, anticipatory)
Giperdinamicheskim syndrome431
Lethargy, stupor
Tiki
Stereotypia
Catatonia

Cramps
The pelvic control functions (enuresis, encopresis have)
Assessment of severity on the CGI (GPA) 421
IX - VEGETATIO (Initial autonomic tone)199920012010
Leather
ColorVagotonic - erythematous
Sympathotomy - white
Vascular patternVagotonic - marbling111
Sympathotomy is not defined
DermographismVagotonic - red
Sympathotomy - b is ly 222
SweatingVagotonic - distal hyperhidrosis
Sympathotomy - dryness
Thermoregulation
Body temperatureVagotonic - <36,0
Sympathotomy - >36,7222
The temperature of the hands, feetVagotonic - warm221
Sympathotomy - cold
Temperatures infections Vagotonic - prolonged fever
Sympathotomy - >38,0422
Meteosensitivity
Cold toleranceVagotonic - improved222
Sympathotomy - discounted
The heat toleranceVagotonic - reduced222
Sympathotomy - improved
Eyes
Shine eyesVagotonic is reduced, uscle
Sympathotomy - reinforced221
Palpebral fissureVagotonic - limited
Sympathotomy - extended331
PupilsVagotonic - limited
Sympathotomy - extended231
Game of pupilsVagotonic -

Vagotonic - enhanced
Sympathotomy -
Tearing
Sympathotomy - discounted
Cardiovascular system
Heart rateVagotonic - labile bradycardia
Sympathotomy - labile tachycardia231
Respiratory system
Respiratory rateVagotonic - slow-motion, sighs111
Sympathotomy - fast
Digestive the system
AppetiteVagotonic - discounted
Sympathotomy - promoted331
SalivationVagotonic - enhanced
Sympathotomy - reduced
Regurgitation, vomitingVagotonic typical
Sympathotomy - not typical221
Peristalsis of intestineVagotonic - spastic constipation, flatulence
But tetonia - weak, atonic constipation
WeightVagotonic - improved342
Sympathotomy - discounted
Urinary system
The need for waterVagotonic - discounted221
Sympathotomy - improved
PastosVagotonic typical222
Sympathotomy no
UrinationVA is otone - rare221
Sympathotomy - frequent
Immune system
Allergic reactionVagotonic - frequent
Sympathotomy - rare
Lymph glandVagotonic enlarged, friable222
Sympathotomy is not enlarged
System sleep-Wake

Sleep Vagotonic - deep332
Sympathotomy - surface
RhythmVagotonic - owl
Sympathotomy - lark333
Assessment of severity on the CGI221
The total scores for all areas16207

Diagnosis: 1 year hypoxic-ischemic CNS damage, minimal brain dysfunction mild. The sum of points of all the spheres in the first year of life component 16 points the child is assessed as having borderline mental disorders. The most significant disturbances observed in the field of cognitive functions, the field of emotions and in the field of neurological signs and motor skills.

In the 2nd year of life, the mental state is dorowa child is estimated at 20 points, that light reaches the severity of mental disorders. This is manifested through the appearance of neurosis-like disorders (podskalan mental activity, emotions, inclinations, impaired social skills). Autonomic regulation does not significantly deviates from atonia. In the regulation system of the eye, cardiovascular system prevails sympathetic, urinary systems, meteochuvstvenosti, respiratory - bagatnieka orientation. The condition of the skin, thermoregulation, digestive system and sleep-Wake in different manifestations (amputee)that even in the first years of life remain at the level of the lungs and questionable deviations. Only 1 year of life is marked hyperthermia diseases (4 points). Further vegetative regulation consistent with atonia (healthy).

After a survey was conducted appropriate psychotherapeutic work done medical purpose that has improved the condition of the boy. Follow-up examination showed that by 7 years of life the child's condition is stable. The boy was taken on the initiative of the father in a new family. Learned the new rules of communication with their families. Willingly went to school, started to study well. In the class acquired friends. The characteristics of the classroom teacher, a successful student, dobrogelatel the hydrated obedient, to adequately respond to the comments, a good friend. At the present time has passed the 5th grade (12 years old). In somatic status, neurological deviations. During examination at the age of 11 Protocol is gaining a total of 7 points that fit into the framework of practical health.

By the present method, developed in the form of a Protocol, a survey of 235 patients. The results of the application of the method confirmed the achievement of the purpose of the invention is to improve the accuracy of assessment of the mental state of children of early and preschool age.

New in this psychodiagnostic system is the use of the full range of mental disorders in accordance with the authors conducted their own research.

In addition, the compact scale; using the scoring method allows you to quickly and visually to assess the intensity and structure of mental disorder, to see the dynamics in the child not only a doctor, but doctors from other institutions and professions.

This method of assessment can be used by doctors, psychiatrists, experts in child and early childhood. It is suitable for monitoring the mental state in the process of drug therapy, screening mental status during medical examination or scientific research in the sphere of the psychiatry.

The way psychopathological assessment of the mental state of children of early and preschool age, which takes into account the negative and positive symptoms of the mental state of the patient, namely, thinking disorders, impulsivity, aggression and depression, characterized in that the evaluation of negative and positive symptoms of conduct in the process of defining mental and neurological status of the patient through the nine spheres, with the mental state of the patient is assessed as follows: identify the situation in the sphere of cognitive functions, namely: the presence of symptoms of unstable attention, hypermetamorphosis attention, pseudoglioma, the presence of the detained, or perverted, or stereotyped play, slow or fast pace, cliffs thoughts, the diversity of thought, slipping in the form of flows and automaticity, metaphysical intoxication, reasoning, reflection, obsessive thoughts, overvalued formations, pathological fantasy, delusional disorders, critical thinking, reduction of memory, or hypermnesia, or selectivity, or confabulation, pseudoresistance, the presence of fast or slow speech rate with oligophrenia or mnogoluchevoi its content and characteristics of its formation is delayed, perelivami or Allie, and echolalia, mutism, which Chania, schizophasia, perserverance, verbigeration or stamped speech, reveal the situation in the sphere of mental activity, namely the presence of symptoms is reduced, or increased, or paradoxical clearinterval behavior, increased, reduced, distorted or impulsive, strong-willed desires, motives, increased, reduced or distorted health, identify the state of the emotional sphere, namely the presence of symptoms of inadequacy, paradox, Hyper - and hypocholesterolaemic emotional resonance, irritable weakness, instability, dysthymia, depression, painful anesthesia, dysphoria, increased hypertonie, mania, raptus, fears, anxiety disorders, panic reactions, ambivalence, deficiency of, apathy, sadness, diurnal and seasonal fluctuations of emotions, reveal the situation in the sphere of attraction, namely the presence of symptoms of bulimia, anorexia, symptoms peak, care, vagrancy, arson, coprolalia, auto-aggression, suicidal behavior, sexualisierung behavior, external aggression, attraction to alcohol, drugs, victimization behaviors, Samokhvalov, character, kleptomania, reveal the state of the touch areas, namely the presence of symptoms, delay the formation of spatial perception, hyperesthesia, gipestesia, paradoxical sensations, Senapati cenesthopathic, identify the situation in the sphere of perception, namely the presence of symptoms of akoasma, photopsia, illusions, auditory and visual, true and pseudohallucinations visual, auditory, olfactory, bodily and visceral, identity - depersonalization, derealization, dysmorphophobia, psychosensory disorders, projection "I" or lack of "I", the feelings of a stranger, feelings, for that matter, denial of vitality, reveal the situation in the sphere of social behavior, namely symptoms of disorders of communication: the presence of ambientintensity, rejection, negativity, indifference and impulsive behavior, autistic traits - the phenomenon of identity, rituals, photodiagnosis, pseudovelocity and stereotypie speech and motor skills, social skills: detained or distorted grooming, self-service, food, or social behavior, and neurological status of the patient assessed, revealing violations in the sphere of "neurological signs, motor skills, namely the presence of symptoms of hypomimia, paramkey, grimaces, awkward or pretentious fine motor or gross motor skills dexterity, gait, coordination, presence of non-localized neurological signs, namely the oculomotor symptoms, attacks "eye care", myoclonia, diffuse muscular hypotonia, muscle dystonias, homeopathic symptoms, delay reduction is abyrinth reflexes, reflex repulsion, shimmering right gamesindiana, as well as syndromes of disorders in the development of motor skills, giperdinamicheskim syndrome, retardation, paralysis, tick, stereotypia, catatonia, seizures and lack of control of the pelvic functions, then reveal violations of vegetatio - source autonomic tone, namely the presence of symptoms of vagotonia the condition of the skin - it erythematous color, marbling vascular pattern, red dermographism, distal hyperhidrosis, as thermoregulation of body temperature less than 36 degrees, warm hands and feet, prolonged fever with infections by the state of meteochuvstvenosti - increased endurance of cold and low heat tolerance as eye - reduced their brilliance, narrow eye slits and pupils, games inhibition and increased tearing, the state of the cardiovascular system - the presence of labile bradycardia, respiratory system - its slow rate of breathing and sighs, as the digestive system is reduced appetite, increased salivation, regurgitation and vomiting, spastic constipation, gas formation and increased body weight, urinary system, reduced water demand, availability pastoznost and infrequent voiding, the state is of the immune system - the availability of frequent allergic reactions and enlarged, friable lymph glands, the system state of sleep and wakefulness is the presence of deep sleep and rhythm owls, and the presence of symptoms of sympathotony the condition of the skin - its white color, not the severity of vascular pattern, white dermographism, dry skin, thermoregulation of body temperature over 36.7 degrees, cold hands and feet, more than 38 degrees temperature for infections, as meteochuvstvenosti - reduced tolerance to cold and high heat tolerance, as the eyes of their enhanced gloss, enhanced eye slits and pupils, pupils and games reduced tearing, the state of the cardiovascular system - the presence of unstable tachycardia, respiratory system - its more frequent breathing rate, digestive system - increased appetite, reduced salivation, lack of regurgitation and vomiting, the presence of a weak peristalsis and atonic constipation and reduced body weight, urinary system, increased water demand, lack pastoznost and the presence of frequent urination, according to the state of the immune system to the presence of rare allergic reactions and no enlarged lymph glands, the system state of sleep and wakefulness - the presence of the surface is at and rhythm of the lark Express symptoms by severity in points from 0 to 7, with 0 - no symptom and never was; 1 - healthy; today it is absolutely not sick, the symptom was intermittent in the past; 2 - edge mental disorder, questionable pathology, symptom might be rarely 1-2 times per year, self-follows : 3 - sick easily, symptom occurs 1-2 times per month; treatment is not required; 4 - moderately ill - symptom occurs rarely in a situation of stress, not more than 1-2 times per week, does not define the behavior of the patient, the condition can be overcome psychotherapeutic techniques; 5 - moderate - symptom is observed continuously, the behavior can be ordered, with difficulty restraining self-control; effective treatment of small doses of sedative drugs; 6 - very sick - the symptom is observed continuously, prevents normal communication with others; a need of continuous treatment; 7 - extremely ill - disorder completely determines the condition of the patient, which is not able to control their behavior, emotions, marginalized, disabled, calculate the total value of the average score of the identified symptoms for each area, reflecting the severity of mental and neurological status of the patient then summarize the average scores of all nine areas and determine the severity of sostoyaniya accordance with the values, namely, when the total average scores from 0 to 9 assess the mental state as a practical child health; the assessment from 10 to 18 points - assessed as having borderline mental disorders, from 19 to 27 points - how easy the burden of mental disorders, from 28 to 36 - as a moderate, from 37 to 45 points as average from 46 to 54 as severe, from 55 to 63 points assess the mental state as extremely severe mental disorders.



 

Same patents:

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine and is intended for determination of time of person's response to object which is moving away from them. Closed limiting contour, inside which test object of analogous configuration is concentrically placed, is shown on videomonitor screen. Test object is magnified in accordance with specified rate, with imitation of its movement towards the tested person. At the moment of supposed coincidence if dimensions of limiting closed contour and test object the tested person stops magnification of test object diameter by pressing "Stop" button. After that, calculated is error of mismatch of diameters of test object and limiting circle - time of lag error with positive sign or advance error with negative sign and specified time tested person is again shown closed contour, inside which test object with initial size and configuration is located concentrically. After that, time Tp of person's response to moving object is calculated as arithmetic mean by formula: where ti is i-th lag error with positive sign or advance error with negative sign, ms; n is number of tests, closed contour simultaneously with magnification of test object is reduced in diameter at specified rate, after that, reduction of closed contour diameter is stopped by "Stop" button, and after specified time closed contour of initial size is shown to tested person.

EFFECT: method makes it possible to increase technological possibilities due to determination of response time under conditions of simultaneous movement of object relative each other.

1 dwg, 2 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to neurology, and can be used for diagnostics of dysmnestic cognitive impairment, associated with first ischemic hemispheric stroke in period from 2 to 4 week of disease and identification of patients with higher risk of developing Alzheimer's disease. Parameter "Memory" is calculated for patient by summing up result of subtest "reproduction" MMSE and result of delayed reproduction of "Five words test", and if its value is lower than 8 points, ELISA of day urine is performed to patient to determine content of main melatonin metabolite 6-sulphatoxymelatonine, and if its value is lower than 4.0 ng/ml, dysmnestic cognitive impairment is diagnosed.

EFFECT: method makes it possible to accurately identify dysmnestic cognitive impairment in people after first ischemic hemispheric stroke in order to carry out timely inclusion into group of higher risk of Alzheimer's disease development and selection of pathogenetically grounded therapeutic and rehabilitative procedures.

3 ex

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to narcology, to estimating risk of episodic intake of drugs by people of adolescent age. Index of aggressiveness is determined by means of Bass-Darky questionnaire (IA), gender index is determined by means of Boehm questionnaire (GI), level of autoantibodies to noradrenalin is determined by ELISA (ABN) and risk is calculated by formula Y=0.17(IA)-2(GI)-3.05(ABN). If Y is higher than 0, level of risk is determined as high.

EFFECT: method makes it possible to estimate risk of episodic intake of drugs by people of adolescent age with high accuracy.

1 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular to carrying out pre-clinical tests of medications with application of transcutaneous electric pain stimulation. Device for transcutaneous electric pain stimulation of laboratory animals includes illuminated compartment, connected with darkened compartment, which has electrode floor, via a door. Illuminated compartment is provided with detachable source of light with graduated regulator of illumination and has transparent walls with non-transparent covering in the lower part. Electrode floor is made in form of two separate metal plates, electrically isolated from each other, has possibility to move outwards and is connected to electrical stimulator and microammeter.

EFFECT: application of the invention will make it possible to increase efficiency of installation operation due to ensuring required threshold or above-threshold transcutaneous electric pain stimulation with application of low-power electrical stimulators and selection of individual parameters of stimulation in work with different animals.

4 dwg

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to psychology, psychophysiology, optics, human ecology and can be used in education system at all its levels in studying brain activity; neuroscience, in creating new principles of neural network activity; can be applied in elaboration of computers of parallel principle of activity; in business and any other field, connected with application of creative artistic abilities. Visual system is used, impact with pictures, built by stereoscopic principle, is performed on it. It is taught to observe stereoscopic depth on it, to built pictures. Six stages are realised: at the first it is taught to observe depth in modes of superposition for generalised stereoscopic projections, or identically similar structures in two conditions of glance concentration - before picture or at remote subjects, for which purpose stereoscopic projection is used as identically similar picture "I" with building stereoscopic depth with k-elements. It is demonstrated to visual system, mode of superposition of structures is obtained; a number of elements q on picture "I" is fixed. If q is larger than k, the second stage of perception of pictures of primary condition of their observation as a whole and by separate details is started. At the second stage it is taught to independently build identically-similar pictures, starting from the simplest single images, with constant realisation of mode of superposition of structures in the process of their building, and teaching is continued to the level, when visual perception of single image separation from the background in mode of superposition begins, and after that, without superposition. Determination of number of elements of depth on picture "I" in conditions of superposition is repeated. At the third stage it is taught principles of creating and building and identically similar pictures with continuous overlap of images with d elements of stereoscopic depth, teaching is continued to the level, when visual perception of depth is observed for p larger than d number of images in mode of superposition and is finished, when analogical effects of depth remain and without condition of superposition. Number of elements of depth on picture "I" is checked in mode of superposition and without it. At the fourth stage identically similar pictures and conditions of their building are made more complex, for which purpose pictures with monocular spatial perspective of pictures with W elements of stereoscopic depth are used. Level of teaching is continued to the state, when perception of depth for number H, larger than number W, is fixed, and perspective of spatial perception of images remains without mode of superposition. At the fifth level pictures with effect of picture relief are selected, identically similar pictures are made on its basis, and levels of teaching are continued to volumetric perception of intensity of images of entire picture, conditions of appearance of depth of flat images are classified. At the sixth level abilities for any pictures to regulate perception of depth of flat images on flat pictures between each other both in mode of superposition of identically similar pictures and without it, where k, d, q, p, W, H are integers, informing about the number of images on pictures, for which stereoscopic displacement has been performed and number of images, for which effects of depth are observed.

EFFECT: method makes it possible to develop abilities of regulating perception of depth of flat images on flat pictures.

8 dwg

FIELD: information technology.

SUBSTANCE: device includes groups of input registers, input registers, groups of delay elements, switches, groups of cumulative adders, cumulative adders, groups of divider units, divider units, groups of output registers, output registers, registers, display units, groups of modulo subtractor units, groups of display units, a group of comparator units, groups of switches, OR elements, counters, a group of squarers, a group of digital inverters, multiplier units, subtractor units, square-root extractor units, NOT a clock pulse generator and a pulse distributor.

EFFECT: high objectiveness, reliability and speed of testing.

5 dwg, 4 tbl

FIELD: medicine.

SUBSTANCE: present invention refers to medicine, namely neurology, and may be used for the quantitative assessment of the cognitive function disorders. The patients suffering dyscirculatory encephalopathy are examined for praxis, gnosis, memory status, speech, attention and mentality by image brick test representing four small bricks sides of which shows parts of those characters to be further collected. The tasks are performs as follows: to name six objects on the pictures; to collect six topics on the picture; all the topics shall be collected in a sequence on the picture; to count the collected characters and bricks used to collect each picture. The patient shall name the collect objects 20 minutes later and assess the correctness of each task within the range of 0 to 6 points. Each task occurred to be correct makes 1 point; total score is calculated taking into account the time for tasks 1-4 that normally makes 35-40 seconds; if longer, 2 points is deducted from total score. If total score falling within the range of 32 to 34 point enables stating the cognitive disorders to be absent completely; total score being 29 to 31 shows the presence of the mild cognitive disorders, while total score 28 to 24 testifies to the moderate disorders, and the values less than 23 require stating the evident disorders.

EFFECT: technique enables providing higher diagnostic cognitive disorders in the patients with dyscirculatory encephalopathy and judging the presence or absence of the same.

2 tbl, 1 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to neurology, psychiatry and pediatrics. Factors of perinatal pathology risk are determined: extragenital diseases of mother during pregnancy and labour, complications of pregnancy and labour, low gestational age, estimation by Apgar scale and compromised obstetric history. Also determined is presence of neurological malfunctions during 1-st year of life: syndromes of motor malfunctions, increased neuroreflex excitability, vegetative-visceral disorders, depression, retardation of physhomotor and speech development; and in older age - cerebrosthenic syndrome and syndrome of child dysphasia in structure of symptom complex of MBD, epileptiform activity by EEG. Results of questionnaire for MBD detection are evaluated in points. Prognostic coefficients F1 and F2 are calculated in discriminating equations. If F1 is higher than F2, favorable courseof MBD is predicted, if F1 is less than F2, unfavorable course of MBD is predicted.

EFFECT: method makes it possible to increase reliability of MBD course prediction.

2 tbl, 2 ex

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to methods of determining state of human operator in system of "human-machine". Tested person in rested and tired state is shown signals of variable frequency, formed in form of tests that require solution, the number of which is set equal for rested and tired states; parameters of tested person's response to shown signals are measured. Time of correct solution of one test in rested state is determined in accordance with the formula Tsr=(Tavr1+Tavr2+Tavr3+…+Tavrn)/n, where Tsr is standard time of correct solution of one test in rested state, Tavr is average time of correct solution of one test in rested state, 1, 2, 3, … n are ordinal numbers of performed experiments, n is the number of performed experiments Estimation of state of human operator further is carried out by relative change of average time of correct solution of one test in tired state according to the formula (Tavt-T'sr) 100%/Tavt, where Tavt is the average time of correct solution of one test in tired state under condition of preservation of admissible accuracy.

EFFECT: method makes it possible to estimate state of human operator more accurately and reliably by degree of its tiredness and predict change of professional indices of operators

FIELD: medicine.

SUBSTANCE: invention relates to medicine and can be used for treatment of negative emotional experiences in short term. At first, patient verbalises in word or phrase a negative emotional experience. After that, they concentrate on their body sensations, detect theirs(head, chest, abdomen). Then, doctor determines presence of macrosaccades in smooth circular movement of eyes when they follow a moving object (for instance, a pencil) within motor vision field of eye. After that, patient closes eyes, covers them with hands and peers into darkness. First, there will be black background before eyes. Then, some points, strips, colours, etc. start to appear against it. Patient concentrates on the image they see. After that, doctor touches with a hand the place of patient's body sensation. At the same time patient is suggested to make chaotic movements by eye balls under eyelids for 15-40 seconds and repeat aloud or to themselves a word or phrase, which characterises negative emotional experience. Movements of eyeballs are stopped in the quadrant of detected macrosaccade. After that, patient's closed eyes are lit by pocket torch from the distance of 10-20 cm for 10-15 sec. Course of treatment constitutes 1-3 procedures.

EFFECT: method makes it possible to activate and stimulate process of information processing due to focusing patient's attention simultaneously on five stimuli.

3 ex

FIELD: medicine.

SUBSTANCE: method involves forming signals as tests requiring solution. The tests are shown with frequency changed proportionally to the frequency they are solved. The number of tests is set to be the same in the cases of recovered and tired state. General amount of time spent for finding solution for given number of tests and the number of tests having right solutions are determined in each state. Mental fatigue degree is evaluated from relative change of mean time needed for finding the right test solution using a relationship like (Tm.r- Tm.t)100%/Tm.t, where Tm.t = Tsum.t/Kr.t, Tm.r = Tsum.r/Kr.r, Tm.t is the time spent for finding the right answer in tired state, Tm.r is the time spent for finding the right answer in recovery state, Tsum.t is the total time spent to solve given number of tests in tired state, Tsum.r is the total time spent to solve given number of tests in recovered state, Kr.t is the number of right answers to the tests in tired state, Kr.r is the number of right answers to the tests in recovered state.

EFFECT: reliable estimation of fatigue degree.

FIELD: medicine.

SUBSTANCE: method involves determining prognostic parameter values like those of lung ventilation function after spoken rational and irrational test texts. Three values are calculated from the obtained data using linear classification functions. They are compared and functional cerebral asymmetry pattern is to be predicted from their values.

EFFECT: high accuracy and reliability of prognosis.

FIELD: medicine, neurology.

SUBSTANCE: by the table of quantitative evaluation of affected praxysis and gnosis as the value of cerebral corical disorders and degree of dementia manifestation level one should calculate in points these disorders. Moreover, if total value is above 24 points one should diagnose no disorders, if 20-23 points - light disorders, if 10-19 points - moderate disorders, and if below 9 points - pronounced functional disorders are stated upon.

EFFECT: higher accuracy of diagnostics.

1 ex, 1 tbl

FIELD: medicine, pediatrics.

SUBSTANCE: the present method deals with predicting deviations in psychic disorders in small children to detect initial manifestations of psychic disorders in children aged 1 mo - 3 yr. A child undergoes diagnostic tests to study 5 spheres of psychic activity: sensorics including the studying of vision, hearing, reflector tactile sensitivity and individual tactile sensitivity; emotions; the sphere of gnosis including the studying of attention, expressive and impressive speech, peculiarities of one's thinking; in behavioral sphere one should evaluate biological behavior that includes alimentary behavior and one's skills to be neat, and, also, social behavior that includes the development of "mother-child" system and communication with alien people, moreover, for every age period there are 20 test questions and each task is evaluated by 5 points, then one should determine the coefficient of psychic development (CPD) by the following formula: CPD = Σ (+ n), where Σ (+ n) - the sum of points for all fulfilled age tasks and at CPD being equal to 90 - 110 points one should detect normal psychic development, at CPD being equal to 80 - 89 and 111 points and higher the risk for the development of nervous-psychic pathology is detected and at CPD being equal to 79 points and less one should state nervous-psychic development as affected.

EFFECT: higher quality of diagnostics.

4 ex

FIELD: medicine, medicinal psychology.

SUBSTANCE: one should test a patient by seven scales: frequency, duration, intensity, sensor perception of pain, emotional attitude towards pain, neurotization level, adaptation capacity level to evaluate the results obtained by the scales mentioned from 0 to 6 points. Moreover, the scales for sensor perception and emotional attitude, the levels of neurotization and adaptation capacity should be evaluated in accordance to the Tables given in description. Additionally, one should, compare the degree of psychogenic constituent of pain according to chromatic choice made by a patient depending upon, at least, three choices of pain intensity: "pain during testing", "no pain", "severe pain" in accordance to the Tables given in description. Then, according to the results of testing one should evaluate the degree of patient's pain feelings both quantitatively and qualitatively. Moreover, by the scale of frequency the appearance of pain should be evaluated from "pain appeared once during several days or rarely" to "constant pain". By the scale of duration pain should be evaluated from "momentary pain" to "constant pain". By the scale of intensity the pain should be evaluated from "very weak pain" to "unbearable pain". By the scale of neurotization level one should take into account basic behavioral factors, such as anxiety, emotional lability, aggression, depression, psychogenia, hypochondria. The present innovation enables to increase significance in evaluating pain achieved due to broadened verbal description of patient's pain feelings.

EFFECT: higher accuracy of evaluation.

5 cl, 4 dwg, 2 ex, 17 tbl

FIELD: medicine, psychotherapy.

SUBSTANCE: the method deals with correcting neurological and psychopathological disorders with anxiety-phobic symptomatics due to individual trainings. The method includes evaluation of body reaction to stimulating signals, seances of individual training performed due to the impact of two quasiantipodal stimulating signals of similar physical modality applied in time of sporadic character, and as a signal one should present biological feedback for the altered value of physiological parameter adequately reflecting body reaction to the impact of stimulating signal. At the first stage of training it is necessary to achieve body adaptation to the impact of quasiantipodal stimulating signals, at the second stage it is necessary to obtain conditional reflex for one out of stimulating signals, for this purpose one should accompany this stimulating signal with discomfort impact, during the third stage, finally, due to volitional efforts one should suppress body reaction to stimulating signal. The devise suggested contains successively connected a transformer of physiological parameter into electric signal and a bioamplifier, an analysis and control block with a connected block to present the signals of biological feedback, a block for presenting discomfort impact, an indication block and that of forming and presenting quasiantipodal stimulating signals. The innovation enables to have skills to control one's emotions, decrease sensitivity threshold to environmental impacts and learn to how behave during stress situations.

EFFECT: higher efficiency of training.

15 cl, 8 dwg

FIELD: medicine.

SUBSTANCE: method involves measuring patient weight, recording age and sex of the patient. The patient is positioned in front of computer display unit. The data are inputted into the computer comprising software containing a program for estimating organism organs and systems condition. The following organs are detected. Lung, spleen, heart, kidneys, liver are proved for having deviations from norm with negative sign towards hypofunction or with positive sign towards hyperfunction. The data are displayed with the program on the screen as a table with reference and current values being shown in relative units with plus or minus sign. Canal states are estimated from detected organs being under maximum stress on the basis of infogram: lung canal P, spleen - canal RP, heart - canal C, kidneys - canal R, liver - canal F. When estimating organ state with deviation having plus sign, that means hyperfunction, canal state is estimated as having energy excess. When organ state deviation has plus sign, that means hyperfunction, canal state is estimated as having lack of energy. Eye diseases are diagnosed from state of organs and canals of P, RP, C, R and F. Hyperfunction in organ and excess in canal being available, initial ophthalmic disease stage is diagnosed. Hypofunction in organ and deficit in canal being available, chronic ophthalmic disease stage is diagnosed.

EFFECT: wide range of functional applications.

3 cl, 7 tbl

FIELD: medicine.

SUBSTANCE: method involves carrying out situation, planning, self-control and correction analysis. Volitional effort is included into functional self-organization process structure components. Functional self-organization process structure components characterize the following individual human specific characteristics: 1) goal-setting as taking and retaining aims; 2) situation analysis as revealing and analyzing circumstances essential from the point of view of achieving the set goal; 3) planning as scheduling private activity; 4) volitional effort as changing private activity sense; 5) self-control as controlling and estimating private actions; 6) correction as adjusting private goals, situation analysis, plan of actions, private activity sense, estimation criteria and self-control forms. Human self-organization process structure diagnosis is set after relaxation training aimed at relieving emotional effort and overfatigue. The relaxation training is exercised in coachman position with calming musical accompaniment and comprises the following stages: 1) respiratory exercises (inspiration duration is equal to expiration one, breath is hold between the inspiration and expiration for a time twice as short as inspiration time) 4 min long; 2) relaxation exercises (invoking heaviness and warmth sensation) of head, arms, legs and body -8 min long; 3) rest in maximum relaxation state - 4 min long.

EFFECT: high accuracy of diagnosis.

3 cl, 1 tbl

FIELD: medicine.

SUBSTANCE: method involves showing sequence of two luminous pulses of 10 ms duration separated by 150 ms long pause. The pulses are repeated in constant 1.5 s long interval. Pause duration between two luminous pulses is reduced at the first measurement stage at constant speed of 20ms/s until a testee fixes fusion of two luminous pulses into single one in subjective assessment mode. Pause duration between two luminous pulses is increased at the second measurement stage with given constant step of 0.4 ms until the testee identifies the moment of subjective perception of two luminous pulses separation. Pause duration is reduced in discrete mode with given constant 0.1 ms long step at the third measurement stage until the testee identifies the moment of subjective perception of two luminous pulses fusion into single one. Human vision system persistence time is determined to be equal to pause duration between two luminous pulses when subjective fusion into single pulse takes place at the third measurement stage.

EFFECT: high accuracy in determining human vision system persistence time.

3 dwg

FIELD: medicine.

SUBSTANCE: method involves asking patient to tell or write down 5-7 novels. Rhetorical structure representations of the novels are built. Rhetorical structure mean depth being greater than 8, branching index being greater than 88 and occurrence of relations like sequence and consequence being less than 8, cognitive source relation being greater than 5, opposition relation being greater than 2 per 100 discourse units, neurotic disorder is to be diagnosed.

EFFECT: high accuracy of the method.

2 dwg, 1 tbl

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