Vol 22, No 3 (2018)

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

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(3):5-13
Etiology, pathogenesis, classification and clinical picture of acne vulgaris. Modern view of the problem
Barinova A.N.

The article reviews contemporary data on epidemiology, classification, pathogenesis of acne. The classification according to the ICD-10, clinical classification of acne by G. Plewig and M. Kligman, classification of acne according to the type of lesion are given and explained. The role of different cytokines imbalance described and data on changing understanding of the role of P. acnes in acne pathogenesis are provided. 

Russian Family Doctor. 2018;22(3):14-22
Modern principles of anti-viral therapy of hepatitis C
Kuznetsov N.I., Romanova E.S., Startseva G.Y.

The article presents the basic principles of antiviral therapy for hepatitis C. The main objectives and importance of antiviral therapy for hepatitis C are considered. The concept of a sustained virological response is given. The necessity of determining the causal relationship between infection with the hepatitis C virus and liver damage is substantiated. The article discusses the principles of antiviral therapy using interferon and interferon-free therapy with direct-acting antiviral drugs in both patients with acute and chronic hepatitis C.

Russian Family Doctor. 2018;22(3):23-27
Medical Education
Effectiveness of basic cardiopulmonary resuscitation in students in the specialty “general medicine”
Lopatin Z.V., Kuznetsova O.Y., Evstratova A.V., Abdusalamova A.I., Bogdanova O.G., Moiseeva I.E.

Improving the quality of CPR is an important task for future doctors, which is why it is necessary to understand the degree of loss of skill during the training. The study was conducted with the purpose of revealing the degree of decrease in the effectiveness of performing resuscitation measures for graduate students in the specialty “General Medicine”. Training and control skills were carried out at the Department of Family Medicine and at the Attestation and Training Simulation Center of North-West State Medical University. I.I. Mechnikov. Statistical analysis was carried out on a random sample from the general population, the results obtained (n = 366). The parameters were evaluated: the depth of compression, the position of the hands during compression, the complete release of the hands between the compressions, the frequency of compression, the volume of inspiration with artificial ventilation (IVL), the inspiration rate of the ventilator. The obtained results revealed a tendency to decrease the efficiency of cardiopulmonary resuscitation. Considering the results, it should be noted that most of the estimates for the initial control are in the range 79-85% (mean 78.51%), and at a repeated evaluation in a month in the range of 70-73% (mean value 73.23%). Based on the results obtained, it follows that the “survivability” of the skill for one month is maintained at a consistently high level, but it should be noted a slight decrease in the effectiveness of the indicators: the position of the hands during compression, the complete release of the hands between the compressions, the inspiration rate of the ventilator.

Russian Family Doctor. 2018;22(3):28-32

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