Polypharmacy problem in treatment of children in outpatient practice

The drug load that children receive is often superfluous and unreasonable. A typical example is the appointment of antibacterial drugs and immunomodulators in acute respiratory infections (ARI). In this work, there were analyzed 714 appeals to primary care physicians due to ARI in children under five years of age. The morbidity structure and frequency of use of drugs of various groups in this age period are presented. Unjustified use of antibacterial drugs has been noted in 59 % of cases. The average total number of drugs received by a child due to ARIs in his first five years of life was 44, some of which did not have proven effectiveness and safety

Training of interns in the specialty "General practice – Family medicine" on the subject "Dermatovenereology" at the Department of Skin and Sexually Transmitted Diseases of the State Establishment "Dnipropetrovsk Medical Academy of Health Ministry of Ukraine"

The issue of training interns in the specialty "General Practice – Family Medicine" on the subject "Dermatovenereology" at the Department of Skin and Sexually Transmitted Diseases of the State Establishment "Dnipropetrovsk Medical Academy of Health Ministry of Ukraine" is considered. It is noted that Dnepropetrovsk region of Ukraine is included in the pilot project of health care reform for the organization of family medicine. The basic information on the health care reform in the region and data on the State Establishment "Dnipropetrovsk Medical Academy of Health Ministry of Ukraine" are given. Рассмотрены вопросы подготовки врачей-интернов специальности «Общая практика – Семейная медицина» по предмету «Дерматовенерология» на кафедре кожных и венерических болезней Государственного учреждения «Днепропетровская медицинская академия Министерства здравоохранения Украины». Отмечено, что Днепропетровская область Украины включена в пилотный проект реформы здравоохранения по организации семейной медицины. Даны основные сведения о реформе охраны здоровья в регионе и данные о Государственном учреждении «Днепропетровская медицинская академия Министерства здравоохранения Украины»

Clinical and «Clip on» thinking at different training stages according to «General practice – family medicine» specialty

There was carried out an anonymous questioning– a survey of 6th-year students who received an internship assignment in the specialty «General Practice – Family Medicine», interns and students doing courses in the same specialty in order to diagnose the pre­sence of «clip-on» thinking. M.B. Litvinova test method which is characterized by criterial and categorical validity and corresponds to reliability criterion was used. «Clip on» thinking was diagnosed in 36.5% of the surveyed students on training a budgetary basis and 37.8% of students studying on a contract basis, plus 38.5% of them were at risk. At the stage of postgraduate education (internship training), the percentage of «screen people» (with «clip» type of thinking) was significantly lower, but at the same time the share of the risk group on formation of a «clip» type of thinking was increased. The predominant increase in «people of the book» («long» thinking) among physicians with a certain length of service mainly is due to their age characteristics. Modern medical postgraduate education requires the formation of a qualitatively new approach to the educational process, based on the formation and development of clinical thinking, taking into account psychological characteristics of the modern youth and older colleagues. This phenomenon requires detailed social, andragogical and medical research, the creation of new educational technologies based on «live» communication

A case report of cardiogenic syncope in the adolescent

The article presents authors’ observation of a clinical case of the girl aged 15 years old with cardiogenic syncope due to sick sinus syndrome, which progressed from normocardia sinus rhythm to pauses of the cardiac rhythm lasting 10.2-second during 3 years’ period