Vestnik Rossiĭskoĭ akademii meditsinskikh nauk / Rossiĭskaia akademiia meditsinskikh nauk
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Vestn. Akad. Med. Nauk SSSR · Jan 2011
[Emotional burnout syndrome and pedagogical styles in teachers of a medical high school].
The study involved 20 teachers of medical institutions who gave consent to be examined for emotional burnout syndrome (EBS). Diagnosis of moderate EBS was confirmed by relevant clinical tests and analysis of pedagogical communication style in 30% of the participants. The pedagogical style of teachers exhibiting no signs of burnout is characterized by personality-oriented model of communication with differential attitudes toward students and active interaction with them. Teachers presenting with EBS relied on the disciplinary model of communication prevailed by authoritarian and dictatorial behaviour lacking communicability and flexibility; these persons showed pronounced hyperreflexia.
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Vestn. Akad. Med. Nauk SSSR · Jan 2011
[Etiotropic therapy of influenza: lessons from the last pandemic].
Analysis of the experience gained during the last pandemic of 'swine' influenza A (H1N1) sw1 is presented with reference to clinical studies and etiotropic therapy. The mechanism of development of severe pneumonia as a result of mutations at the binding site of hemagglutinin receptor enhancing a2'-3'-sialoside specificity and pneumotropism of the virus is described. The data on the efficiency of Ingavirin, a new Russian antiviral for the treatment of influenza, are reported.
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The modern classification of influenza A viruses (Orthomyxoviridae, Influenza A virus) at the subtype and genotype levels is presented. The former data on epidemic (pandemic), epizootic, and historical influenza A strains are revised in the context of the new nomenclature of whole-genome genotypes.
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Vestn. Akad. Med. Nauk SSSR · Jan 2011
[Predictors of the patients' satisfaction with the quality of hospital-based medical care].
The paper reports results of sociological analysis of satisfaction of the patients with the medical care provided in in-patient facilities of Arkhangelsk and Vologda regions and Komi Republic. The authors distinguish three groups of factors (professional, organizational, informational) that determine the patients' content with the quality of medical services. The study revealed the generally low level of patients' satisfaction estimated based on selected criteria for medical aid and services.