Autonomic dysfunction and psychosomatic changes in patients after cholecystectomy and gastroesophageal reflux disease
Bibliographic record
Abstract
Introduction. Psychosomatic conditions that occur in a gastroenterology clinic are an urgent problem today. The purpose of the study: to determine the features of autonomic dysfunction (AD) and neuropsychometric changes in patients after cholecystectomy (CE) and gastroesophageal reflux disease (GERD). Object and research methods. There were examined 62 patients after CE and GERD. The patients were divided into two groups: the first group was included the patients after CE with typical esophageal manifestations of GERD (n=38); the II group was consisted of patients after CE with atypical extra-esophageal manifestations of GERD (n=24). All examined patients were undertaken general clinical examinations, as well as determination of vegetative status and neuropsychometric testing. Research results and their discussion. AD was diagnosed in both groups of patients after CE and GERD. The overwhelming majority of patients in both study groups often complained of mood lability, increased irritability, emotional stress, anxiety, sleep disturbances, headache, fatigue, palpitations, and heart failure. More pronounced manifestations of AD were diagnosed in patients of group II. The state of the emotional sphere and its severity in the examined patients after CE and GERD were characterized using neuropsychometric tests. The data on the Spielberg-Hanin self-assessment scale indicate severe situational anxiety in the examined patients of both groups (55.3–54.2% of patients, respectively – p<0.01). Determination of the emotional sphere according to the BDI scale indicates moderate and severe depression in patients of group II (41.7% (p<0.05) and 33.3% (p<0.01) of patients, respectively). According to the Zung scale, moderate depression was also more often diagnosed among patients in group II (54.2% of patients – p<0.05). Conclusions. 1. Autonomic dysfunction was found in patients after CE, especially among those with atypical clinical course of GERD. 2. Neuropsychometric testing indicates manifestations of moderate and severe depression in patients after CE, mainly with atypical course of GERD according to the Spielberg-Hanin scale, BDI, Zung, and the Toronto alexithymic scale.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".