Biomedical subjects
Publications and source records attributed to L M Zelenskaia.
The article presents some methodical issues on postgraduate education of physicians studying at Zaporozhye Institute for advanced physicians training, chair of family medicin. The authors showed the priority of programmed learning and modern educational technologies in postgraduate education of physicians.
Results are submitted of ultrasonic monitoring of gallbladder, pancreas and duodenum during the I, II, III phases of digestion in 186 patients who ranged from 30 to 60 years old. The form was studied of the gallbladder as was its size and location together with the volume, thickness of walls, presence of deformities; echogenicity of pancreas, outline, state of the main duct. Interdigestive duodenal motility and intracavitary pressure were recorded. Relationship has been established of the gallbladder and pancreas contraction phases to the condition of the intracavitary pressure in the duodenum.
To compare informative value of probing and intragastric pH-metry, relevant examination was performed in 130 patients with chronic gastritis, 132 patients with noncomplicated peptic ulcer and 50 healthy subjects. pH values obtained with probing and intragastric pH-metry did not differ significantly in defects of gastric mucosa, superficial gastritis, peptic ulcer. In apparent atrophic gastritis intragastric pH-metry detected minimal secretion of H ions in all the patients, whereas probing failed to show it. Intragastric pH-metry is useful in recognizing duodenogastric reflux and decompensated acid stomach as shown by antral basal pH (below 2.0).
The training of gastroenterologists at the respective specialized department of the Institute for Postgraduate Medical Training should first identify individual shortcomings of postgraduate experience and use them as the basis for further studies employing a variety of forms and methods, with independent clinical work, daily analysis of cases and the mastering of new diagnostic and therapeutic procedures being prominent among those. Experience shows that therapeutists, with at least 5 years of field work behind them, make the best gastroenterologic specialists.
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