Vol 21, No 3 (2017)

Articles
The classification of acute myocardial infarction types and the preconditions for its development. Type II myocardial infarction
Kuznetsova O.Y., Dubikaitis T.A., Frolova E.V., Moiseeva I.E., Zobenko I.A.

Abstract

The article presents the concept of myocardial infarction of the second type in the context of the universal definition of acute myocardial infarction. The problem of differential diagnosis for heart attacks first vs. the second types is discussed.

Russian Family Doctor. 2017;21(3):5-15
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Expertise of quality of medical care in general practice
Moiseeva I.E.

Abstract

The article presents some results of the expertise of the quality of medical care by general practitioners (family doctors) in outpatient medical organizations working in the system of obligatory medical insurance. The most common errors in the collection of information, the diagnosis and the treatment, identified during the expertise of the quality of care by the assessment of patient medical records, as well as comments on the often-occurring defects in the preparation of medical records are listed.

Russian Family Doctor. 2017;21(3):16-22
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The prevalence of anxiety and depression among patients with obstructive ventilation disorders: the Respect study. Part I
Andreeva E.A., Pokhaznikova M.A., Moiseeva I.E., Kuznetsova O.Y., Degryse J.-.

Abstract

The article presents an analysis of the prevalence of anxiety and depression in people with obstructive ventilation disorders based on the results of the RESPECT population study (RESearch on the PrEvalence and the diagnosis of COPD and its Tobacco-related aetiology). The findings indicate a high prevalence of subclinical and clinical anxiety (18.4%) or depression (21.3%) among people with persistent obstructive ventilation disorders. People with such disorders have been inclined to show more severe health problems and a lower self-esteem for their health.

Russian Family Doctor. 2017;21(3):23-30
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The nutritional status and actual food of patients with metabolic syndrome and intestinal dysbiosis
Kopchak D.V., Zakrevskii V.V.

Abstract

The article presents the study of the nutritional status and actual nutrition in patients with metabolic syndrome and intestinal dysbiosis under outpatient observation for subsequent correction of nutrition. The nutritional status and actual nutrition in the conditions of outpatient care was studied in 117 patients aged 18-60 years (60 men and 57 women) living in the service of one of the clinics of St Petersburg. Patients Body composition was studied by impedance monitoring with diagnostic complex “Diamond”. Power studied questionnaire-ballot method, and using the computer program “Analysis of Human Nutrition states” (version 1.2.4 Institute of Nutrition, 2003-2006). Characteristic body components imbalance in these patients on a background of excess weight and body mass index was an increase in fat mass and total fluid. Structure of food packages, and nutrientny caloric composition of the diet of patients with metabolic syndrome and intestinal dysbiosis unbalanced and can not serve the purpose of preventing and treating this disease.

Russian Family Doctor. 2017;21(3):31-37
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Current aspects of the safety hospital environment
Lapteva E.S., Tsutsunava M.R.

Abstract

When providing medical assistance either in terms of the medical institution or outside, there are always certain risks posing a threat to the patients and personnel health. According to the patients opinions, those risks are linked closely to medical practitioners professionalism level, their compliance with disinfection and sterilization regimes, proper hands decontamination, wearing gloves, availability of the disposable sterile equipment / instruments. Other studies found evidence of it in terms of health care setting and, specifically, indicate violation of the hospital hygiene and epidemiology standards, disinfection being carried out manually using the working disinfectant solutions, “human factor” demonstrating through non-compliance with the disinfectant application regimes. Only about one-third of the medical workers showed satisfactory knowledge on hand hygiene. All these problems mentioned and others require to explore conceptual framework of the educational program “Safe hospital environment” which is taught to the medical students and are supposed to be reviewed annually and updated accordingly, taking into account the latest scientific achievements. This article provides an overview of a new concept of “Safe hospital environment” as the educational module, included in the nursing discipline “Training for developing Basic Professional Skills, including Basic Skills in Scientific Research”. Discipline is studied by the first level medical students.

Russian Family Doctor. 2017;21(3):38-44
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