Cooperation with patients - guarantee of successful treatment.

The aim of the study was to substantiate the necessity of efficient therapeutic cooperation between the doctor and the patient. The main factors determining such cooperation are considered including odontological behaviour of the physician, the choice of the adequate treatment model, compliance with the principles and rules of medical ethics, deontological requirements regulating the patient/physician relationship. Special attention is given to such issues as the doctor's authority, patient's confidence, and professional preparation of the first patient's visit. The authority of the physician depends on his professional skills and moral qualities, such as sense of duty, humanism, and love for his occupation. The causes behind failed relationships between the doctor and the patient are considered with special reference to deontological flaws on the part of the physician.

[Deontologic aspects of the doctor's attitude toward aged and elderly patients].

Major aspects of medical deontology are discussed with respect to elderly patients, such as "do no harm" and "do good" principles, principles of justness and patients' rights. The importance of considering psychological characteristics of this age group is emphasized. Deontological errors ensuing from the lack of attention on the part of physicians to patients of this category and from the underestimation of the age factor are discussed.

Localization of the gene responsible for familial benign polycythemia to chromosome 11q23.

Familial benign polycythemia (FBP) (OMIM 263400) is a rare autosomal recessive condition characterized by erythrocytosis, normal leukocyte and platelet counts, normal uric acid level, and usually increased erythropoietin production. There is a high incidence of this disorder in Chuvashia (Russian Federation), probably due to a founder effect. In an attempt to locate the gene responsible for this disorder, we have carried out linkage studies in 12 Chuvash families, with 35 affected and 32 unaffected members. Linkage to the erythropoietin and erythropoietin receptor loci was excluded, and the FBP gene was assigned to the region of chromosome 11q23 between D11S4142 and D11S1356, with a maximal lod score of 6.61.

[Hyperuricemia as a risk factor for noninfectious diseases in the inhabitants of Chuvashia]. / Giperurikemiia kak faktor riska nekotorykh neinfektsionnykh zabolevanii zhitelei Chuvashii.

The relation of hyperuricemia with obesity, arterial hypertension, hyperlipoproteinemia, high intensity of lipid peroxidation, hyperinsulinemia, diabetoid carbohydrate disturbances (abnormal tolerance to carbohydrates and type-II diabetes mellitus) has been investigated in an epidemiological survey of a random population. The study covered 594 citizens of Chuvashia aged 16-65 years (mean age 39.4 +/- 0.5 years). Hyperuricemia is shown to be related with hyperlipidemia, arterial hypertension, obesity, high activity of lipid peroxidation and hyperinsulinemia. It is evident that on the population level hyperuricemia may serve an indicator of hormonal-metabolic athero-, diabetogenic shifts.

[Various aspects of violation of medical ethics in the practice of an internist]. / O nekotorykh narusheniiakh vrachebnoi étiki v praktike terapevta.

The attention is drawn to the most frequent deontological errors of general practitioners as to their official interpersonal relations and proper attitude to the patients. Ethic problems caused by current tendencies to medicine specialization are under consideration.