Vol 23, No 2 (2019)

Lectures
Basics of care for a patient with a stroke
Kandyba D.V.

Abstract

The lecture devoted to general practitioners presents modern ideas about the provision of qualified outpatient care for a patient who has had a stroke. The basic principles of detection and prevention of complications, developing mainly in elderly and senile patients, in the early recovery period after a stroke.

Russian Family Doctor. 2019;23(2):05-14
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Hypertension in pregnancy in general practice
Moiseeva I.Е.

Abstract

Hypertension occurs in 5–30% of pregnant women. Its medical and social significance is associated with the risk of a negative impact on the course of pregnancy and on the condition of the fetus and newborn.
This requires from the general practitioner to have enough knowledge and skills in this area.
Clinical variants of hypertension in pregnancy include pre-existing hypertension (chronic hypertension), gestational hypertension, chronic hypertension complicated by preeclampsia, and preeclampsia/eclampsia.
The main tasks of general practitioners — early diagnosis, proper treatment and prevention of complications of hypertension in pregnant women.

Russian Family Doctor. 2019;23(2):15-20
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Original studies
Diary of self-monitoring of the patient as a way to increase adherence to the treatment of patients with chronic heart failure
Frolova E.V., Ogorelysheva A.I., Spasenova E.S., Khalilova T.R.

Abstract

Chronic heart failure (CHF) is the most frequent and severe complication of cardiovascular disease (CVD). One of the most important aspects of management of patients with CHF remains to ensure adherence to treatment. The purpose of the study was to assess the effectiveness of therapy of patients with CHF with the use of a diary of self-control as a way of enhancing adherence to therapy.

Materials and methods. A continuous sequential sample was used to select 40 patients with diagnosed Heart Failure II-IV FC (NYHA), who were then randomized into two groups: the follow-up group (n = 20) and the control group (n = 20). The study duration was 8 weeks. Patients of the observation group received materials on self-control (“Diary of a patient with heart failure”). For them, 3 control visits and 8 phone calls were organized once a week. The participants of the control group were observed in the usual conditions of practical health care; 3 control visits to the doctor were provided for them.

The results obtained at week 8 of the study showed that the number of complaints of foot and Shin edema decreased by 2 times compared to the initial data; in the control group, the frequency of complaints did not have a positive dynamic. Conclusion. Use of a diary of self-control is the easiest method of improving adherence of patients with CHF to treatment.

Russian Family Doctor. 2019;23(2):21-26
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Medical Education
Innovative teaching methods. Problem-based learning and distance-learning technologies
Kuznetsova O.Y., Degtyareva L.N., Moiseeva I.E.

Abstract

The article describes modern methods of education, the most effective in teaching of clinical disciplines. Outlines the basic principles of problem-oriented learning compared with traditional methods of teaching. The characteristic of distance learning technologies is given. The role of the student in the process of mastering knowledge and practical skills is emphasized. It justifies the need to use innovative technologies in medical education, especially when development of new competencies by doctors who have their own clinical experience, particularly, in geriatrics training.

Russian Family Doctor. 2019;23(2):27-34
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Features of postgraduate education program in family medicine at the University of Iowa
Turusheva A.V., Kuznetsova O.Y.

Abstract

The article presents a brief overview of individual elements of postgraduate education in the field of family medicine used at the University of Iowa (USA).

Russian Family Doctor. 2019;23(2):35-40
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Chronicle
Results of II International Forum of Doctor General Practice/Family Doctors
Kuznetsova O.Y., Grigorovich M.S.

Abstract

The article presents information about the second international forum of general practitioners/family doctors, which was held on May 29–30, 2019 in Nizhny Novgorod. The main provisions of the reports included to the program of this forum are presented.

Russian Family Doctor. 2019;23(2):41-45
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