[The general practice physician--myth or reality?].
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Biomedical subjects
Publications and source records attributed to N A Stadchenko.
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To optimize captopril therapy of patients suffering from stage II essential hypertension under ambulant conditions, use was made of an acute medicamentous test with that drug. The long-term systematic therapy (for a year) was provided to 50 patients with positive results of the test. The long-term systematic captopril therapy in individually selected doses led to a decrease and stabilization of blood pressure, minimized subjective disease manifestations and improved hemodynamic characteristics. The application of the drug in moderate doses prevented the development of side effects that might require drug discontinuance.
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Experience gained by one of the departments of the interregional diagnostic center (DC) provides evidence in favour of its setting up within the public health system. Owing to the department of functional diagnosis of the center, the outpatients can be examined skillfully, whereas previously only hospitalization was of help. Successful functioning of the department and perfection of its work require at least two conditions. The first one lies in sufficient equipment of the DC with up-to-date facilities and outfits, and the second one in the presence of good specialists, their desire and strivings for constant perfection of the available diagnostic methods and for introduction into medical practice of the new ones.
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The authors describe a clinical diagnosis center working in close cooperation with a chair of therapy. Analysis of the activities of the center demonstrated the usefulness of medical divisions of such kind for practical health service, for it is at such diagnostic centers that profound examinations of patients, making use of present-day diagnostic methods, is possible at the preclinical stage. Such a possibility was offered to the residents of a large region who previously had to be hospitalized for this purpose. A diagnostic center brings evident economic benefit and is a clinic where physicians of primary health centers upgrade their knowledge and skills.