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Adherence to therapy persons extreme professions

DOI 10.18127/j20700997-201805-03

Keywords:

A.G. Goncharova – Dr. Sc. (Med.), Leader Research Scientist, State Scientific Center of the Russian Federation – Institute of Medicobiological Problems of the RAS (Moscow)
E-mail: Goncharova.anna@gmail.com
I.E. Zicova – Dr. Sc. (Med.), Center of medicobiological and environmental problems of the RANS (Moscow)
L.Ch. Bragin – Dr. Sc. (Med.), Leader Research Scientist, State Scientific Center of the Russian Federation – Institute of Medicobiological Problems of the RAS (Moscow)
G.A. Tikchonova – Ph.D.(Med.), Senior Research Scientist, State Scientific Center of the Russian Federation – Institute of Medicobiological Problems of the RAS (Moscow)
E-mail: gtikhonova@mail.ru
I.N. Goncharov – Therapist, Scientifically Educational Center of Lomonosov Moscow State University
E-mail: igorgoncharov@gmail.com
L.H. Pastushkova – Dr. Sc. (Biol.), Leader Research Scientist, State Scientific Center of the Russian Federation – Institute of Medicobiological Problems of the RAS (Moscow)
E-mail: lpastushkova@mail.ru
I.M. Larina – Ph.D.(Med.), Head of Laboratory of Proteomics, State Scientific Center of the Russian Federation – Institute of Medicobiological Problems of the RAS (Moscow)
E-mail: Irina.larina@gmail.com


The high level of medical selection in employment and the annual periodic medical examinations of persons of extreme oc-cupations significantly reduce the list of nosologies that require therapy. To these types of work, practically healthy people are allowed who can have health features without clinical manifestations (obesity 1–2 st, dyslipidemia, tolerance to carbo-hydrates, hypertension 1 with minimal risk of cardiovascular complications, etc.). Given the asymptomatic nature of these conditions, it is important to justify the need for treatment, based on data from evidence-based clinical studies on reducing the risks of diseases and complications in the future; conduct a dynamic observation with an assessment of adherence to treatment. Preference should be given to measures to change the way of life, motivation for professional longevity, an active life position. The chosen tactics of therapy should be understandable for the patient, simple, it is preferable to use sustained-release drugs with a minimum frequency of observed side effects.

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