Vol 18, No 4 (2014)

Articles

DIAGNOSIS, TREATMENT AND PREVENTION OF OSTEOPOROSIS IN GENERAL PRACTICE. CLINICAL GUIDELINES

Lesnyak O.M., Toroptsova N.V.

Abstract

Clinical Recommendations for diagnosis, treatment and prevention of osteoporosis were approved at the IV All-Russian Congress of general practitioners (family doctors) of the Russian Federation, November 15, 2013 in Kazan. Developed on the basis of the guidelines of the Russian Association on Osteoporosis (2009, 2012) and clinical recommendations for the glucocorticoid osteoporosis of the Russian Association of Osteoporosis, Russian Respiratory Society and the Association of Rheumatologists of Russia (2013). The text specified levels of evidence (A, B, C or D), which are provided at the respective statements in parentheses.
Russian Family Doctor. 2014;18(4):4-17
pages 4-17 views

CORRELATION BETWEEN PARTICIPATION IN HIV PREVENTION PROGRAMS AND HARMFUL PRACTICES AMONG PEOPLE WHO INJECT DRUGS IN SEVERAL REGION OF RUSSIAN FEDERATION

Barinova A.N., Plavinski S.L., Vinogradova N.H.

Abstract

Injecting drug users (IDU) have high risk of acquisition of HIV and other blood-borne viruses, because they frequently share needles, syringes and other injecting paraphernalia. The article analyzes the prevalence of harmful practices among IDU and how the behavior changes among participants of harm reduction programs. It is shown that proportion of those engaging in harmful practices are decreasing, but remains relatively high, demonstrating epidemiological significance of those practices for development of HIV epidemics.
Russian Family Doctor. 2014;18(4):18-23
pages 18-23 views

THE PREVALENCE OF SMOKING AS A RISK FACTOR OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE IN ST. PETERSBURG

Pokhaznikova M.A., Kuznetsova O.Y., Lebedev A.K., Nemysheva O.A., Zernuk Y.A.

Abstract

There is an analysis of the prevalence of smoking as a major risk factor for chronic obstructive pulmonary disease (COPD) among the population of St. Petersburg on the basis of the results of the first phase of an epidemiological study RESPECT (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). 2121 persons aged 35-70 years were randomly chosen from the lists of 10 primary care centers in St. Petersburg. The response rate was 72,7% (n = 2121 of 2917). The prevalence of smoking and its relationship with socio-demographic characteristics were studied. Overall, 30,6% currently smoked (46,8% men and 23,2% women), 18,5% was ex-smoked (26,5% men and 14,9% women). The average smoking history was 23,1 pack/years, ex-smokers - 14,2 pack-years. 48,5% of smokers and 28,8% of ex-smokers smoked more than 20 pack-years. The highest percentage of smokers (41,9%) was found among those aged 55 to 64 years. It was found the relationships between the rate of smoking and level of education. The prevalence of smoking among persons with higher education was lower than among those without (44,7% and 51,9% respectively, p < 0,001). The lack of higher education increases the chance of smoking (OR = 0,75; 95% CI 0,627-0,892). Smokers with low income were significantly more than those with high income (63,4% and 36,8%, respectively, p < 0,05). Low income is associated with a higher chance of smoking more than 20 pack-years among ever smokers persons compared with the same persons with high income (OR = 0,66; 95% CI 0,51-0,85). These data suggest the meaningful prevalence of smoking among residents of St. Petersburg at the age of 35-70 years.
Russian Family Doctor. 2014;18(4):24-32
pages 24-32 views

INFLUENCE OF VIRAL LOAD ON TRANSPLACENTAL OF HEPATITIS C

Filipovich O.M., Kuznetzov N.I., Karev V.E.

Abstract

Chronic hepatitis C virus (HCV) is common in recent years, among the younger age groups, including pregnant women. HCV is often detected for the first time in a woman during pregnancy by screening study. It was determined based on observation of 30 pregnant women with chronic hepatitis C, studies of their placentas and surveys of infants that the risk for infection of the placenta does not depend on viral load, and regardless of the presence of antigens of hepatitis C virus in the placenta, transplacental infection occurs.
Russian Family Doctor. 2014;18(4):33-35
pages 33-35 views

QUALITY OF LIFE AND EDUCATIONAL PROCESS CHARACTERISTICS OF MEDICAL FACULTY UNDERCLASSMEN

Margoshina I.Y., Nikolskaya I.M.

Abstract

The pilot research's results of quality of life and educational process of medical faculty underclassmen are presented. Such general indicators of quality of life as positive subjective assessment of physical and mental health, high satisfaction of life, family and friendly relations, general high satisfaction of social well-being, including the opportunity to receive high-quality education are found out. A high level of adaptation and motivation to learn, predominant motives, valuables of education process, dissatisfaction of technical and methodological equipment of the University are defined. The communication between life satisfaction, assessment of health status and level of motivation of educational activity is established
Russian Family Doctor. 2014;18(4):36-39
pages 36-39 views

THE INFLUENCE OF PHYSICAL EXERCISE ON PHYSICAL AND PSYCHOEMOTIONAL STATUS OF PATIENTS WITH HYPERTENSION

Kildebekova R.N., Dmitriev A.V., Iskhakov E.R., Mingazova L.R.

Abstract

It is established that individually selected complexes of physical rehabilitation for patients with hypertension in the outpatient clinics enable to increase tolerance to physical activities and to improve psychological health, level of self-esteem in comparison with the group of positive control.
Russian Family Doctor. 2014;18(4):40-43
pages 40-43 views


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