Vol 22, No 2 (2018)

Articles
Herpes virus infections caused by lymphotropic viruses. Part IV
Neverov V.A., Demidenko T.P., Vasiliev V.V.
Abstract

The lecture addresses the issues of provision of medical care and treatment to patients affected with herpes diseases caused by lymphotropic viruses (Epstein-Barr virus, cytomegalovirus, human herpesvirus-6, human herpesvirus-7, human herpesvirus-8).

Russian Family Doctor. 2018;22(2):5-13
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The possibility of early diagnostics of atrial fibrillation in patients with high risk of it’s development
Devyashina K.S., Oganyan K.G., Panchoyan S.M., Yakovleva Y.A., Frolova E.V.
Abstract

Atrial fibrillation (AF) is the most common rhythm disorder. The consequences of undiagnosed AF are an increased risk of developing of heart failure and thromboembolic complications. The article is devoted to study of the possibility of using the medical device MyDiagnostick 1001R® in clinical practice for patients with the risk of AF development for early stage diagnosis.

Methods. A group of subjects included 30 patients who did not have a history of AF, but who had the risk factors for its development — arterial hypertension, diabetes, obesity, ischemic heart disease (IHD). The average age of participants was 65.9 ± 12.1 years. A questionnaire containing 16 questions was developed to identify the risk factors of AF development.

Results. From 30 participants 80% had arterial hypertension, 43.3% diabetes, 3.3% were obese, 50% suffered from IHD, 16.6% had stroke in anamnesis and 23.3% were smokers. All patients had a combination of risk factors. As a result, with the help of MyDiagnostick 1001R® 26.7% (8 patients) of the group was discovered to have AF episodes. For all participants recommendations for further examination and treatment were given.

Conclusions. MyDiagnostick 1001R® is a simple device that does not require additional equipment, and allows to identify previously undiagnosed AF within 24 hours for subsequent diagnosis. It allows us to recommend this device for screening of patients with AF risk factors.

Russian Family Doctor. 2018;22(2):14-18
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Professional burnout and workload of doctors
Sorokin G.A., Suslov V.L., Yakovlev E.V.
Abstract

The purpose of the research was to establish the relationship patterns of acute and chronic (professional burnout, PV) fatigue of doctors with the workload that was characterized by a combination of the length of the working week and the intensity of the labor process. The study involved 325 women doctors. A special questionnaire was used to identify the symptoms of acute and chronic fatigue, duration and intensity of work, to assess the professional and non-professional causes of usual fatigue at work. It was found that the average workload of doctors was 44.9 hours per week, taking into account the physiological intensity of labor — 50.3 normalized hours (NH). The frequency of most of the symptoms of PV increases by 2–3 times at NH > 58 hours, compared with the load at NH < 42 hours. In case NH > 47 hours on a daily fatigue doctors are largely influenced by the factors: work in evening and night shifts; the imbalance of effort and reward; the uncertainty of the obligations; extra-working load; lack of free time. The daily fatigue of doctors is also significantly affected by their individual characteristics — health and anxiety type of behavior.

Russian Family Doctor. 2018;22(2):19-24
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Comprehensive geriatric assessment in nursing home
Ammosova E.E.
Abstract

The using of comprehensive geriatric assessment (CGA) in nursing home of Yakutia is described. The efficiency and possible ways of using of CGA are analyzed. The clinical case confirms importance of CGA.

Russian Family Doctor. 2018;22(2):25-29
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Prevalence of the geriatric syndromes in geriatric practice in outpatient cliinic and possible ways of its correction
Shleptsova M.V., Frolova E.V.
Abstract

The results of investigation of sample of 107 patients 60 years and older during one month are described. This sample was collected in geriatric outpatient departments. The prevalence of geriatric syndromes was assessed. The main geriatric syndromes revealed were high risk of falls, risk of malnutrition, depression and cognitive disorders. 67% of patients were frail. All geriatric syndromes caused high level of dependency. The geriatrician made recommendations for correction of main problems. All recommendations need to use multidisciplinary approach.

Russian Family Doctor. 2018;22(2):30-36
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