ABSTRACT
2380 workers have been screened and provided with findings of their health status and recommendations with regard to identified risk factors for chronic non-communicable diseases (CNCD) and for CNCD themselves. The study of the influence of the training cycle on the attitude of students-subinterns toward preventive part of physician activity indicated the increase in the level of knowledge on prevention issues of CNCD and recognition of the necessity to include preventive measures into the activity of district physician. The experience gained in joint activities of the All-Union Research Centre for Industrial Medicine, The USSR Ministry of Health, and the Chair of out-patient medicine of the Kalinin Medical Institute suggests the need for improving the existing system of students training.
Subject(s)
Education, Medical, Undergraduate , Occupational Medicine/education , Preventive Medicine/education , Attitude to Health , Female , Humans , Male , Surveys and Questionnaires , USSRSubject(s)
Depression/diagnosis , Gastrointestinal Diseases/complications , Neurocirculatory Asthenia/complications , Adolescent , Adult , Chronic Disease , Depression/etiology , Depression/psychology , Female , Gastrointestinal Diseases/psychology , Humans , Male , Middle Aged , Neurocirculatory Asthenia/psychology , Neurologic Examination , Neurotic Disorders/diagnosis , Neurotic Disorders/etiology , Neurotic Disorders/psychologySubject(s)
Autonomic Nervous System Diseases/etiology , Gastritis/complications , Adolescent , Adult , Chronic Disease , Female , Humans , Male , Middle AgedABSTRACT
Examination of 102 patients with chronic gastritis (CG) showed in 49% neurotic or neurosis-like disorders accompanied by changes in the segmental and suprasegmental parts of the autonomic nervous system. These patients were characterized by a prolonged, often monotonous course of disease with frequent and marked exacerbations which were resistant to routine therapy. Besides patients with psycovegetative disturbances usually had extensive and marked structural changes in the gastric mucosa, distinct disturbances in acetylcholine and histamine metabolism and in motor-tonic function of the gastroduodenal zone. A conclusion was made of the necessity of early detection of psychovegetative disturbances in CG patients (particularly in a prolonged and grave course of disease) and a search for ways of their adequate correction during therapeutic and rehabilitation measures.
Subject(s)
Autonomic Nervous System Diseases/complications , Gastritis/etiology , Neurotic Disorders/complications , Psychophysiologic Disorders/etiology , Stomach/innervation , Adult , Chronic Disease , Female , Gastritis/psychology , Humans , Male , Middle AgedSubject(s)
Gastritis/diagnosis , Peptic Ulcer/diagnosis , Psychophysiologic Disorders/diagnosis , Adult , Aged , Ambulatory Care , Chronic Disease , Female , Gastritis/psychology , Humans , Male , Middle Aged , Peptic Ulcer/psychologyABSTRACT
A clinicopsychological study of 130 patients with peptic ulcer and chronic gastritis with secretory insufficiency at hospital and out-patient stages of rehabilitation made it possible to reveal an inadequate (neurotic) attitude to disease in most of them. The most common types of personal reaction of the patients to disease were described. A psychiatrist should be necessarily involved in therapeutic-prophylactic measures for these patients with peptic ulcer and chronic gastritis.
