[Emotional burn-out in narcologists].

To study the prevalence, structure and risk factors of emotional burn-out in narcologists, 90 practitioners in the field of narcology were studied. Emotional burn-out syndrome was found in 37.7% of narcologists. The stage of "resistance" characterized by the lowered interest in professional duties, sparing of emotions and feeling of being tired from interpersonal contacts was observed most frequently. Emotions were totally removed from the professional activity at the stage of "exhaustion". The emotional burn-out syndrome was most prevalent within the first 10 years of professional activity. The personality factors increasing the risk of burn-out were increased impulsiveness, lowered control of motivations and incentives, increased rigidity, inertness of mental processes, inability to exclude the traumatic experiences. The ability to plan the problem solving process and act in a logic and consistent way decreased the risk of the burn-out syndrome while the increased self-control produced the increased level of anxiety and contributed to the burn-out syndrome.

[Prevalence of HBV and HCV markers in patients of specialized medical institutions].

240 medical histories of patients admitted to Moscow clinical narcological hospital No. 17 with "opium addiction" diagnosis in 2000 and 2003 (120 histories for each year) were analyzed. From 1997 to 2003 4220 patients registered in narcological dispensary of Cherepovets city (Vologda region) were tested for HBsAg and anti-HCV. It has been shown that in new injection opiate drug users young patients (15 - 19 y.o.) predominated (41.7%). Tendency to development of drug addiction in younger age was revealed - in 2003 compared to 2001 percent of new injection drug users aged 11 - 14 years admitted to hospital raised in 1.5 times. In 2000 and 2003 in Moscow markers of HIV and/or HBV/HCV infection were detected in 84.2 and 91.7% of injection drug users respectively. Maximal rates of HBV and HCV infection in injection drug users in Cherepovets city were detected in 2001 - 11.7 and 83.1% respectively. Leading role of injection drug users in maintenance of HBVand HCV epidemic process activity in Russia was established.