Vol 16, No 3 (2012)

Discirculatory encephalopathy is the most common type of chronic cerebrovascular diseases and representsslowly progressing insufficiency of brain blood circulation, leading to lacunar infarction and leukoaraiosis, diffusesigns of brain atrophy with infringement of its functions. The modern concept of the heterogeneity cerebrovas-cular insufficiency is complemented by new facts and expands our understanding about pathogenesis chronicbrain ischemia. Treatment of chronic brain ischemia and vascular dementia is one of the most controversial sec-tions modern vascular neurology. Improvement of the efficiency discirculatory encephalopathy treatment pos-sible with the combination of etiopathogenetic principle in the treatment and use of drugs, whose effectivenesshas been confirmed in randomized controlled trials.

The article considers the features of work of primary care physicians in the requirements prescribed by theorders of medical care for therapeutic pathology. Specified contradictions that exist in the legal documents, bearingthe risk of impossibility of implementation of the requirements of the considered orders of magnitude in medicalpractice. There are some ways of overcoming the difficulties of the implementation of the orders of medical care.

The article represents the data on the prevalence of Chlamydia contamination of upper respiratory tract inchildren, who attend kindergartens. The authors show species composition of identified Chlamydiae structuredby gender and their predominance in children with respiratory chlamydiosis in acute and chronic pathology ascompared to non-contaminated children. The obtained results are based on examination of 121 children. Chla-mydiae diagnosis was carried out by implementing direct immune fluorescence.

The reliability of the full and abridged version of AUDIT questionnaire was studied in a sample of respondents from Moscow and St. Petersburg (n = 1538). It was shown that Cronbach's а for the full version is equal to 0,888 and for abridged, 3-item version (AUDIT-C) — 0,788. Standard error of measurement (SEM) was relatively high for AUDIT-C and comprised 21% of the full range of values. In comparison for the full AUDIT SEMwas only 12% of the range. Comparison of the dichotomized versions of the questionnaires showd that agreement was good but not excellent (Cohen's к = 0,736, 95%CI = 0,701-0,771). In the same time one question(AUDIT-3) has almost as good agreement with results of full questionnaire as AUDIT-C (к = 0,641, 95%CI = 0,600-0,681). taking into account lower reliability of AUDIT-C and possibility of significant disagreementit is recommended to use full version of AUDIT and in case of acute time shortage — one question AUDIT-3.

This article presents a brief review of the reports of the international conference «The Patient with chronicobstructive pulmonary disease in general practice. A new challenge for a family doctor».