Medical and Social Expert Evaluation and Rehabilitation

Peer-review quarterly medical journal.

Editor-in-chief

Journal founders

  • Izdatelstvo "Meditsyna"
  • Eco-Vector Publishing Group

Publisher

About

The journal is intended for practitioners and specialists involved in disability issues.

It covers the following topics:

  • theoretical and practical aspects of prevention and prevalence of disability;
  • medical and social evaluation;
  • medical, vocational, and social rehabilitation of people with disabilities;
  • legal, regulatory, and economic issues relating to disability;
  • the training of, and refresher courses for, specialists from institutions for medical and social evaluation;
  • and rehabilitation of people with disabilities.

The journal disseminates information on the current state and future of Russia’s social policy for people with disabilities, the practices of Russian regional and territorial agencies working in the field of social protection, and modern approaches to solving the problems of disabled people in other countries. Special attention is devoted to original research focused on new promising methods of diagnosis and treatment of disabling conditions.


Types of accepted articles

  • reviews
  • systematic reviews and metaanalyses
  • original research
  • clinical case reports and series
  • letters to the editor
  • short communications
  • clinical practice guidelines

Publications

  • in English and Russian
  • quarterly, 4 issues per year
  • continuously in Online First
  • with Article Submission Charge (ASC)
  • distribution in hybrid mode - by subscription and/or Open Access
    (OA articles with the Creative Commons Attribution 4.0 International License (CC BY-NC-ND 4.0))

Indexation

  • Russian Science Citation Index (Web of Science)
  • Russian Science Electronic Library (eLibrary.ru)
  • Google Scholar
  • Ulrich's Periodicals directory
  • WorldCat
  • Crossref

Announcements

 
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Current Issue

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Vol 25, No 2 (2022)

Cover Page

Full Issue

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Expertise and rehabilitation

Current issues of medical and social expertise of children with diseases of the cardiovascular system
Adrianov A.V., Kolcheva J.A., Nepomnyashchaya S.A.
Abstract

The use of International Classification of Diseases 10th revision (ICD-10) and International Classification of Functioning, Disability and Health (ICF) are proposed for objective evaluation of impaired functions. A set of significant clinical and functional factors was identified. The study presents an example of the new disability criteria for children with cardiovascular diseases.

To determine the main directions for improving the organizational, legal, and methodological approaches to the establishment of disability in children in the Russian Federation.

Data from the state statistics (Rosstat and Ministry of Labor and Social Protection of the Russian Federation), current Russian legal documents, provisions of the Convention on the Rights of Persons with Disabilities, ICF biopsychosocial concept of disability, methodological and information materials, experience of federal institutions of medical and social expertise in the Russian Federation were analyzed regarding the disability in children.

The use of ICD-10 and ICF was proposed for the objective evaluation of impaired functions. A set of significant clinical and functional factors was identified. An example of new disability criteria for children with cardiovascular disease was presented.

To eliminate information barriers in medical and public organizations, among parents, and other interested parties, systematic work information is needed to disseminate knowledge about methodological, organizational, and methodological approaches to establishing disability in children.

Medical and Social Expert Evaluation and Rehabilitation. 2022;25(2):97-102
pages 97-102 views
Regional peculiarities of disability due to uterine cancer
Idrisova L.S., Suleymanov E.A., Shurgaya M.A., Puzin S.N.
Abstract

BACKGROUND: The federal project “Fight against oncological diseases for 2018–2024” has been launched in Russia within the framework of the national project “Healthcare.” There is significant regional variability in the level and severity of malignant neoplasms (MN), which determines the relevance of studying and monitoring the characteristics of health disorders due to MN in the regions. Disability, as the most important indicator of population health, makes the judgment of the effectiveness of treatment, rehabilitation, and preventive measures possible.

AIMS: To analyze the dynamics and structure of the disability of the female population due to uterine cancer in the Chechen Republic

MATERIALS AND METHODS: Units of observation included newly recognized disabled (NRD) and repeated recognized disabled (RRD) due to uterine cancer during the year. The object of the study included a combination of NRD and RRD due to uterine cancer in the Chechen Republic. The analysis was conducted by three age groups of the adult population (young, middle, and old). This epidemiological, retrospective, and evaluative study was conducted from 2014 to 2020 using documentary, data copying, statistical, and graphical research methods.

RESULTS: The age structure of disability due to uterine cancer revealed 218 (65.5%) elderly, 87 (26.1%) middle-aged, and 28 (8.4%) young females with disabilities. The dynamics by 2020 established that the contingent of young people with disabilities has not significantly changed, with decreased middle-aged and increased elderly females (p=0.0070). The third and second group of disabilities was more often established during the repeated (66.1%) and new (45.6%) examinations, respectively. Concurrently, the proportion of disabled people who were assigned to the first disability group was higher in the RRD cohort. Persistent dysfunctions of the blood system and immune system (100%) in disabled people were accompanied by various types of capacity limitations, with the predominance first degree of their severity. Moreover, a violation of the ability to work of the second degree was diagnosed with a large proportion in the young age segment of the disabled.

CONCLUSION: Within the framework of the project “Fight against oncological diseases for 2018–2024,” considering the regional features of the dynamics and structure of the disability of the female population is necessary due to uterine cancer in the Chechen Republic. The presented results of epidemiological and clinical-expert diagnostics should be used in the development of priority areas of anticancer medical and social activities for the prevention of disability (primary and secondary) due to oncogynecological diseases at the regional healthcare level.

Medical and Social Expert Evaluation and Rehabilitation. 2022;25(2):103-111
pages 103-111 views

Original study

Population trends of the working age and over-the-working age in the Republic of Dagestan
Aliev A.K., Vladimirova O.N., Puzin S.N., Goryainova M.V.
Abstract

BACKGROUND: To analyze the state and trends in the population, the study of age characteristics and other indicators is the basis of targeted social support programs for citizens of working age and older than working age in the Russian Federation.

AIMS: To identify the demographic characteristics of the population in the Republic of Dagestan and determine current trends in the demographic development of the region.

MATERIALS AND METHODS: The study population included individuals of working age and older-than-working age in the Republic of Dagestan. Official data of the territorial body of the Federal State Statistics Service for the Republic of Dagestan were used. Analytical methods, expert assessment methods, and statistical and demographic analyses were employed, which ensured the validity of the research results. A continuous longitudinal study was conducted. When analyzing the trend in the dynamics of the adult population in the Republic of Dagestan (1999–2020), Excel automatically calculated the R2 value, which characterizes the accuracy of the approximation: the closer the R2 value to 1, the more reliably the trend line approximated the process under study. In the study, the R2 value was 0.902.

RESULTS: Demographic indicators of the population reflect the state of the public health, being important criteria for assessing the working capacity of the population, quality of life, and level of socioeconomic development of the society. Periods of significant growth were identified. In 2004, the visibility indicator was 122.7%, whereas in 2003, the visibility indicator was 103.7%, i.e., the population increased by 18.3%, and the growth rate in 2004 was 18.3%. In 2011, the visibility indicator was 140.65, whereas in 2003, the visibility indicator was 129.1%, with a growth rate of 8.9%.

CONCLUSIONS: The results of the analysis of the working-age and older-than–working-age population in the Republic of Dagestan are of practical importance for ministries and departments involved in the development of measures for social support of citizens.

Medical and Social Expert Evaluation and Rehabilitation. 2022;25(2):113-123
pages 113-123 views
State of health among academicians of higher medical and postgraduate educational organizations
Magomedova A.M., Vasiliev M.D., Chumakov A.S., Makarova E.V., Vasilieva T.P.
Abstract

BACKGROUND: The work of the teaching staff and department head is associated with great emotional stress, prolonged attention strain, and possibility of computer radiation exposure that affects vision.

AIMS: To characterize the state of health of teachers of higher medical and postgraduate educational organizations.

MATERIALS AND METHODS: During the study, content analysis, analytical methods, direct observation, organizational experiment, copying data from information and statistical documents, expert assessments, and questionnaire and personalized survey were conducted. In total, 1209 questionnaires were processed during the study (each teacher and head filled out 3 questionnaires). The main importance was on the state of health.

RESULTS: Various diseases, regardless of the workplace, were detected in 76.6% of the interviewed department heads and 75.6% of the teachers. Risks for morbidity with central nervous, cardiovascular, and musculoskeletal diseases increased with work experience, indicating the relationship between morbidity and professional activities of teachers and department heads. The results showed that teachers and department heads do not always undergo regular medical examinations, which causes health deterioration and subsequently negatively affects the desire to improve their competencies.

CONCLUSIONS: Insufficient preventive work in various educational organizations contributes to high levels of morbidity among doctors, especially nervous system disorders, leading to the syndrome of “psycho-emotional burnout” in the department heads of medical higher and postgraduate educational organizations.

Medical and Social Expert Evaluation and Rehabilitation. 2022;25(2):125-134
pages 125-134 views
Competencies of specialists engaged in the life management rehabilitation
Starobina E.M., Gordievskaya E.O.
Abstract

BACKGROUND: The need to create qualified human resources of institutions and organizations involved in the comprehensive rehabilitation and habilitation of persons with mental disorders is relevant.

AIMS: To study the content of available professional standards of specialists in the current modern direction of the life management and support for citizens with mental disorders to make the necessary additions and changes based on relevant competencies.

MATERIALS AND METHODS: During the study, data search was conducted. The content of the professional standards of social profile specialists was analyzed. Moreover, information sources regarding the target orientation of the activities of specialists who promote the life and support of citizens with mental disorders were analyzed.

RESULTS: The lists of general professional, personal, and special competencies of specialists involved in the life management and support of citizens with mental disorders were determined. Proposals were made to adjust and introduce new formulations into the substantive parts of their professional standards based on relevant competencies of specialists.

CONCLUSION: The above proposals will be the basis for making reasonable additions to the professional standards of specialists engaged in the life management and support of citizens with mental disorders to improve the system of their professional development and retraining.

Medical and Social Expert Evaluation and Rehabilitation. 2022;25(2):135-144
pages 135-144 views


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