Medical and Social Expert Evaluation and Rehabilitation
https://rjmseer.com/1560-9537
<div class="pop"> <p>Peer-review medical journal<br><strong>Editor-in-chief</strong>: Prof. Sergey N. Puzin, MD, Dr. Sci. (Medicine)<br><strong>Publications</strong>: quarterly with no APC in hybrid distribution model<br><strong>Indexation</strong>: Russian Science Citation Index, Google Scholar, Ulrich’s International Periodical Directory, Dimensions, CrossRef.<br><strong>ISSN</strong>: 1560-9537 (Print) <strong>ISSN</strong>: 2412-2092 (Online)</p> </div>
Eco-Vector
ru-RU
Medical and Social Expert Evaluation and Rehabilitation
1560-9537
<p>Authors who publish with this journal agree to the following terms:</p> <ol> <li>Authors retain copyright and grant the journal exclusive license to first publication.</li> <li>Authors are able to distribute the manuscript and/or the article in accordance with Self-Archiving policy of the journal (<a href="/1560-9537/about/editorialPolicies#authorSelfArchivePolicy" target="_blank" rel="noopener">see details</a>).</li> <li>The manuscript can be accepted for publication only by decision of the Editor-in-Chief and the Editorial board of the journal in accordance with the Manuscript stelection policy of the journal (<a href="/1560-9537/about/editorialPolicies#peerReviewProcess" target="_blank" rel="noopener">see details</a>).</li> <li>Published Article will be distributed in print and electronic version an will be available under subscription with Delayed Open Access or in Immediate Open Access under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (<a href="https://creativecommons.org/licenses/by-nc-nd/4.0/deed.ru" target="_blank" rel="noopener">CC BY-NC-ND 4.0</a>). The access model depends on the publisher's decision or is determined by a separate Open Access publishing agreement with the authors.</li> </ol> <p>An exclusive license for publication granted by authors allows the publisher to use the article in the following ways:</p> <ul> <li>Reproduction of the Article or its sections or parts, as well as the metadata of the Article in any languages, in any material form, including on paper and electronic media, as a separate work in the journal and/or databases (local or in the Internet) of the publisher and/or other persons, at the discretion of the publisher;</li> <li>Distribution of the Article or its sections or parts, as well as the metadata of the Article in any languages, on any medium as part of the journal and/or databases of the publisher or other persons, at the discretion of the publisher, or as an independent work around the world whether on Open-Access terms or for a fee without remuneration to the Author;</li> <li>Making the Article or any of its sections or parts, as well as the Article’s metadata in any languages, publicly available in such a way that any person can access the Article from any place, including via the Internet, and at any time of their own choosing;</li> <li>Granting permission/s for the use of the Article or its sections or parts, as well as its metadata in any languages, to third parties with notice to the Author made by posting relevant information on the journal’s website, without paying remuneration to the Author;</li> <li>Processing the Article (i.e., editing, correcting, annotating, tagging, translating to any languages, typesetting) and using the revised (translated) Article in the aforementioned ways.</li> </ul> <p>Other rights not directly transferred to the publisher under this License Agreement, including patent rights to any process, method etc., described by the Authors in the manuscript, as well as trademark rights, are reserved for the Authors.</p> <p>All the Copyright statements for authors are present in the standart Publishing Agreement (Public Offer) to Publish an Article in an Academic Periodical <strong>'Medical and Social Expert Evaluation and Rehabilitation'</strong>.</p> <p>- <a href="https://rjmseer.com/files/journals/83/doc/Copyrightagreement_final_eng_exclusive_v.2022.09.29.pdf" target="_blank" rel="noopener">DOWNLOAD</a> the print-version of the License Agreement.</p> <div><details> <summary><strong>READ the details online</strong> (tap to see in details)</summary> <p><strong>Author’s license agreement (public offer) on the publication of an article in a scholarly journal </strong><br /><strong>“Medical and Social Expert Evaluation and Rehabilitation”</strong></p> <p>Eco-Vector, represented by its CEO Evgeniy Schepin and acting on the basis of the Charter (hereinafter referred to as the Publisher), on the one hand, offers an indefinite circle of persons (hereinafter referred to as the Author), and on the other hand, hereinafter jointly referred to as the Parties, to execute this agreement (hereinafter referred to as the Agreement) on the publication of scientific article (hereinafter referred to as the Article) in a scholarly journal <strong>“Medical and Social Expert Evaluation and Rehabilitation”</strong> (further-the Journal) in accordance with the conditions stated below.</p> <p> </p> <p><strong>I. General Provisions</strong></p> <ol> <li>This Agreement, in accordance with clause 2 of Article 437 of the Civil Code of the Russian Federation, is a public offer (hereinafter referred to as the Offer) requiring full and unconditional acceptance (Acceptance), which, in accordance with Article 438 of the Civil Code of the Russian Federation, means the sending by the Author of his/her materials by way of uploading the same to the online electronic system designed to accept manuscripts for consideration, and subsequently posted in the corresponding section of the Journal’s website on the Internet information and telecommunications network (hereinafter referred to as the Internet).</li> <li>In accordance with the current legislation of the Russian Federation regarding the observance of copyright on electronic information resources, all materials found in a website, including submitted and published in electronic journals, may not be reproduced in whole or in part in any form (electronic or printed) without the prior written permission of the Publisher. Prior permission can be given by publishing an article in the open access with Creative Commons license. The journal requires license users to reference the original source, i.e., the publication, if the Author permits use of the public materials in the context of other documents.</li> </ol> <p> </p> <p><strong>II. Terms used in the Agreement</strong></p> <ol> <li>“Author” refers to an individual (or individuals) whose creative work has led to the creation of the manuscript of a scientific Article, or to a representative of these persons.</li> <li>“Manuscript” is the result of intellectual activity in the form of a scientific work containing text, graphic and numerical data, audiovisual information, program code and other elements submitted by the Author for publication in the Journal; it is also the mean “a draft of an Article submitted by the Author to be published in the Journal”.</li> <li>“Offer” is the current agreement (an offer to the author for the publication of an Article in the Journal).</li> <li>“Publication” is the process of placement of an Article in the Journal.</li> <li>“Article” is the manuscript that has been published in the Journal (after successful selection, editing, type-setting, copyediting, proofreading, translation).</li> <li>“Acceptance of the offer” refers to the full and unconditional acceptance of the offer on the terms specified in paragraph 3 of this agreement (the Author accepts offer by submitting a Manuscript to the Publisher via the online electronic submission system on the Journal’s Internet website).</li> <li>“Journal” is a scientific peer-reviewed periodical registered as a mass media entity in the Roskomnadzor register of the Russian Federation and ISSN-center.</li> <li>“Submission” is an electronic appeal of the Author to the Publisher for the publication of an Article in the Journal by uploading the manuscript and accompanying materials to the online electronic submission system on the Journal’s Internet website).</li> <li>“Publisher” refers to Eco-Vector, which is the Publisher of the journal.</li> <li>Article metadata includes the information that are intended for inclusion in International Scientific Databases and search engines, namely the following: <ul> <li>title of the Article;</li> <li>information about each of the Authors (surname and first name; patronymic; place of work with the postal address indicated, contact information (e-mail));</li> <li>abstract;</li> <li>keywords;</li> <li>thematic rubricator: UDC (Universal Decimal Classification) or other library and bibliographic classification and subject indexes;</li> <li>list of references.</li> </ul> </li> <li>“Editorial board” is the creative team that prepares the journal for publication.</li> <li>“Parties” refers to the Author and the Publisher.</li> <li>“Author Guidelines” are the requirements for Articles published in the Journal, posted in the “For authors” section of the Journal’s Internet website.</li> </ol> <p> </p> <p><strong>III. Subject of the Agreement (Offer)</strong></p> <ol> <li>Under this agreement, the Author grants the Publisher, free of charge for the entire period of validity in accordance with the legislation of the Russian Federation, an exclusive license to use the Article created by the former for publication in the Journal, as well as the rights to use the article in the following ways: <ul> <li>Reproduction of the Article or its sections or parts, as well as the metadata of the Article in any languages, in any material form, including on paper and electronic media, as a separate work in Journals and/or databases (local or in the Internet) of the Publisher and/or other persons, at the discretion of the Publisher;</li> <li>Distribution of the Article or its sections or parts, as well as the metadata of the Article in any languages, on any medium as part of the Journal and/or databases of the Publisher or other persons, at the discretion of the Publisher, or as an independent work around the world whether on Open-Access terms or for a fee without remuneration to the Author;</li> <li>Making the Article or any of its sections or parts, as well as the Article’s metadata in any languages, publicly available in such a way that any person can access the Article from any place, including via the Internet, and at any time of their own choosing;</li> <li>Granting permission/s for the use of the Article or its sections or parts, as well as its metadata in any languages, to third parties with notice to the Author made by posting relevant information on the Journal’s website, without paying remuneration to the Author;</li> <li>Processing the Article (i.e., editing, correcting, annotating, tagging, translating to any languages, typesetting) and using the revised (translated) Article in the aforementioned ways.</li> </ul> </li> <li>Other rights not directly transferred to the Publisher under this Agreement, including patent rights to any process, method etc., described by the Author in the Article, as well as trademark rights, are reserved for the Author.</li> <li>The territory where the rights to the Article are allowed to be used is the whole world.</li> <li>The validity of this Agreement commences only if the manuscript of the Article is accepted for publication in the Journal and only from the moment of sending a notification of acceptance of the Article for publication to the Author from the official e-mail of the Journal.</li> <li>The rights are granted by the Author to the Publisher free of charge; the publication of the Article in the Journal does not entail any financial deductions to the Author.</li> <li>If the Publisher decides to reject the Submission or refuse to publish the Article in the Journal (i.e., retraction of the published Article), this Agreement becomes invalid. The decision to refuse publication will be sent to the Author at the e-mail address specified in the Submission.</li> </ol> <p> </p> <p><strong>IV. Rights and Duties of the Parties</strong></p> <ol> <li>The Author guarantees that: <ul> <li>s/he holds the copyright the exclusive rights to the materials submitted to the Publisher as part of the manuscript of the Article;</li> <li>the rights granted to the Publisher under this agreement have not been previously transferred and will not be transferred to third parties in the future during the duration of the Agreement;</li> <li>the manuscript contains all references to the cited authors and/or publications (materials) provided for under the current copyright legislation;</li> <li>the Author has obtained all the necessary permissions for all information and other materials s/he holds no copyright to and that are used in the manuscript of the Article;</li> <li>the Article manuscript contains only materials permitted to be published in the open press in accordance with the current legislative acts of the Russian Federation, and its publication and distribution will not lead to the disclosure of secret (confidential) information (including state secrets);</li> <li>the Author has informed co-authors about the terms of this Agreement and has received their consent to execute this Agreement under the terms provided for in the Agreement.</li> </ul> </li> <li>The Author carries certain obligations under the terms of the Agreement: <ul> <li>s/he should prepare and submit the manuscript of the Article in accordance with the Author Guidelines posted on the Journal’s website;</li> <li>the Author should not use an electronic copy of the Article for commercial purposes and in other journal publications without the consent of the Publisher;</li> </ul> </li> <li>in the process of preparing a manuscript for publication, the Author is obligated to undertake the following: <ul> <li>make corrections to the text of the manuscript that have been marked by the peer-reviewers and accepted by the editorial board, and/or as necessary, upon the request of the Publisher and the editorial board, finalize the manuscript of the Article;</li> <li>revising and proofreading the manuscript of the Article in accordance with the editorial recommendations;</li> <li>suggest only the minimum of corrections to the type-setted (layout) Article.</li> </ul> </li> <li>The Author has the following rights and duties: <ul> <li>Use preprint or prior-to publication versions of an unpublished Article in the form and content accepted by the Publisher for publication in the Journal. Such prior-to-publish versions can be placed as electronic files on the personal websites of the Author (co-authors) or on the protected external websites of the employers of the Author; however, the Author cannot use the unpublished version(s) for commercial sale or for systematic external distribution by a third party (i.e., post on social media). The author or co-authors must, in turn, carry out certain duties, namely: <ul> <li>include the following warning in the prior-to-publish version: “This is prior-to-publish version of the article accepted for publication in (Journal’s name), © Eco-Vector (year)”;</li> <li>provide the corresponding electronic link to the Publisher’s website at <a href="https://journals.eco-vector.com/">https://journals.eco-vector.com/</a> and/or via the DOI.</li> </ul> </li> <li>Copy or transfer a copy of the published Article in whole or in part to colleagues free of charge for their personal or professional use, for the promotion of academic or scientific research, or for informational purposes of the Author’s employer.</li> <li>Use materials from a published Article in a book written by one of the co-authors.</li> <li>Use figures, tables and text excerpts from the Article for his or her (or co-authors’) own training purposes, or to include them in other published works in printed or electronic format by a third party, or to submit them in electronic format on an internal computer network, or on the public website of the Author (co-authors) or his/her employer.</li> <li>Include the Article in educational collections for use in the classroom, either for free distribution to the Author’s (co-authors’) students or in electronic format on a local server for access by students as part of the training course, as well as for internal training programs at the institution of the Author’s employer.</li> </ul> </li> <li>The Publisher, for its part, is obliged to: <ul> <li>publish the Author’s article in the Journal in printed and electronic form in accordance with the terms of this Agreement;</li> <li>if necessary, as so decided by the Journal’s editorial board, provide the Author with the proofreading of the manuscript and make a reasonable editing;</li> <li>provide to the Author the unlimited access to the final electronic version of the published Article (Version of Record) through the online electronic submission system on the Journal’s Internet website;</li> <li>comply with the Author’s rights as provided for by the current legislation, as well as protect them and take all necessary measures to prevent copyright infringement by third parties.</li> </ul> </li> <li>The Publisher has a right to: <ul> <li>conduct an expert evaluation of the manuscript (peer-reviewing and editorial evaluation) and invite the Author to make the necessary changes (revisions) to the manuscript;</li> <li>provide editing, copyediting, type-setting, proofreading, tagging, indexation and translation of the Article’s manuscript without altering the main content;</li> <li>in any subsequent authorized use by the Author (and/or other persons) of the Journal and/or Article (including any separate part or fragment thereof), require that a link to the Journal, Publisher, Author or other copyright holders, the title of the Article, the Journal’s volume/issue, and the year of publication be specified in the Journal;</li> <li>post preliminary and/or advertising information about the upcoming publication of the Article in the media and other information sources;</li> <li>make changes to the offer in accordance with the procedure established by the offer.</li> </ul> </li> <li>The editorial board of the Journal, headed by the editor-in-chief, has the exclusive rights to select and/or reject materials sent to the Journal editorial office for publications purposes. The manuscript sent by the Author to the Journal editorial office is not subject to return. The editorial board of the Journal does not enter into correspondence about rejection of submissions.</li> <li>In all cases not stipulated and not provided for in this agreement, the parties are obliged to be guided by the relevant current laws of the Russian Federation.</li> </ol> <p> </p> <p><strong>V. Acceptance of the Offer and Execution of the Agreement. Terms of the Agreement</strong></p> <ol> <li>The Author accepts the Offer by submitting the manuscript on the Article to the Publisher through the electronic manuscript submission system on the Journal's Internet website.</li> <li>Acceptance of the offer by the author creates an Agreement in writing (Articles 438 and 1286.1 of the Civil Code of the Russian Federation) on the terms of the offer.</li> <li>This Agreement is valid for the duration of the exclusive rights to the Article.</li> <li>When transferring (alienating) the exclusive right to the Article by the Author to a third party, this Agreement does not terminate.</li> </ol> <p> </p> <p><strong>VI. Procedure for changing and terminating the Agreement</strong></p> <ol> <li>The Publisher has the right to unilaterally change the terms of this Agreement, in advance, at least 10 (ten) calendar days before the entry into force of the intended relevant changes, but with notice to the Author through the Journal’s website or by e-mail to the Author’s e-mail address specified in the Author’s Submission. The changes will take effect from the date specified in the relevant notification.</li> <li>If the Author rejects the changes to the terms of this Agreement, s/he has the right to notify the Publisher by sending a written notification through the online manuscripts submission system, making sure that the same is sent to the official e-mail address of the editorial office.</li> <li>This Agreement may be terminated prematurely, either by agreement of the parties at any time, or on other grounds provided for in this Agreement.</li> <li>The Author has the right to unilaterally withdraw from the execution of this Agreement by sending the Publisher a corresponding notification in writing at least 60 (sixty) calendar days in advance before the expected date of publication of the Article in the Journal.</li> <li>Termination of the Agreement for any reason does not release the parties from liability for any violation of the terms of the Agreement that occurred during the validity period.</li> </ol> <p> </p> <p><strong>VII. Responsibility</strong></p> <ol> <li>The parties are responsible for non-fulfillment or improper fulfillment of their obligations under the Agreement in accordance with the current relevant legislation of the Russian Federation.</li> <li>All information provided by the Author must be reliable. The Author is expected to provide accurate and complete the information to the Publisher. When using false information received from the Author, the Publisher is not responsible for the negative consequences caused by his actions on the basis of the false information provided.</li> <li>With regard to the content of the Article, the Author is solely responsible for compliance with the requirements of the laws of the Russian Federation pertaining to advertising, copyright and related rights’ protection, protection of trademarks and service marks, and the protection of consumer rights.</li> <li>The Publisher does not bear any responsibility under the agreement: <ul> <li>for any actions that are a direct or indirect result of Author’s illegal actions;</li> <li>for any loss incurred by the Author, regardless of whether the Publisher could have foreseen the possibility of such losses or not.</li> </ul> </li> <li>The Publisher is released from liability for violation of the terms of the Agreement if such violation is caused by force majeure, including actions of state authorities (including the adoption of legal acts), fire, flood, earthquake, other natural disasters, lack of electricity and/or computer network failures, strikes, civil unrest, riots, etc.</li> </ol> <p> </p> <p><strong>VIII. Dispute resolution</strong></p> <ol> <li>Disputes and disagreements will be resolved by the parties through negotiations, and in case of failure to reach an Agreement they will strive to seek resolution in accordance with the current legislation of the Russian Federation.</li> <li>If there are unresolved disagreements, the parties agree to resolve the disputes in court at the jurisdiction covered by the Publisher’s location in accordance with the current legislation of the Russian Federation.</li> </ol> <p> </p> <p><strong>IX. Miscellaneous</strong></p> <ol> <li>All notifications, messages, requests, etc. (with the exception of documents that must be sent as originals in accordance with the laws of the Russian Federation) are considered received by the Author if they were transmitted (sent) by the Publisher through the Journal’s website (including by publication), fax, e-mail based on the address specified in the Submission, and other communication channels. The parties recognize the legal force of notifications, messages, requests, etc., transmitted (sent) by the above methods.</li> <li>In the event of claims against the Publisher related to the violation of the exclusive copyright and other intellectual property rights of third parties when creating an article or in connection with the execution of this Agreement by the Author, as well as in connection with the use of the Article by the Publisher in accordance with the Agreement, the author undertakes: <ul> <li>To immediately take measures to resolve disputes with third parties soon after receiving Publisher’s notification, and if necessary, enter into legal proceedings on the Publisher’s side and take all appropriate actions needed to exclude the Publisher from the list of defendants;</li> <li>To reimburse the publisher for the legal costs incurred and expenses and losses caused by the application of measures to secure the claim and execute a court decision, and the money paid to a third party for the violation of exclusive copyright and other intellectual property rights, as well as other losses incurred by the Publisher in connection with the Author’s non-compliance with the guarantees provided by them under this Agreement.</li> </ul> </li> </ol> <p> </p> <p><strong>X. Legal address and details of the Publisher</strong></p> <ul> <li>Eco-Vector</li> <li>Address: 191186, St. Petersburg, Aptekarsky Pereulok, 3 letter A, room 1N</li> <li>TIN: 7806423692; KPP: 784101001; OGRN: 1099847039907.</li> </ul> </details></div>
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Implementation of an Interdepartmental Model of Complex Rehabilitation in the Perm Region in a Specialized Centre
https://rjmseer.com/1560-9537/article/view/625574
<p><strong>BACKGROUND</strong><em>: </em>Contemporary Russian system of complex rehabilitation and habilitation of disabled people is in the process of transformation. Application of the biopsychosocial approach through the use of the International Classification of Functioning, Disability and Health as a planning methodology Implementation and evaluation of rehabilitation measures make it possible to implement the key principles of rehabilitation: earlier, comprehensiveness, continuity, individual approach.</p> <p><strong>AIM</strong><em>: </em>To substantiate the possibility of implementing a modern regional interdepartmental model of integrated rehabilitation in a specialized centre, taking into account the structure of disability and the formation of new target rehabilitation groups.</p> <p><strong>MATERIALS AND METHODS</strong><em>: </em>Analysis of the dynamics of primary disability of the adult population, description of the structural and functional model of the creation and operation of a multidisciplinary rehabilitation center in conditions of interdepartmental cooperation.</p> <p><strong>RESULTS</strong><em>: </em>The structure of primary and secondary disability in the Perm Region is characterized by the predominance of persons with disabilities of groups 1 and 2 (60%) of working age, whose disability is caused in 30% of cases by malignant neoplasms. This determines the content of individual rehabilitation and habilitation programs to be developed for persons with disabilities and should be reflected in the development of appropriate infrastructure in the region. Modernization of the whole system, involving the use of targeted rehabilitation groups, ensuring continuity of medical and social activities in the relevant organizations and creating conditions for their continuation in the place of residence, should contribute to the effectiveness of rehabilitation activities in general.</p> <p><strong>CONCLUSION</strong><em>: </em>Recommendations on improvement of the system of complex rehabilitation in the conditions of a specialized center on the basis of interdepartmental cooperation have been proposed as a result of the research.</p>
Vladimir A. Bronnikov
Milana I. Grigoreva
Yulia A. Mavlikaeva
Olga A. Plotnikova
Ksenia A. Sklyannaya
Copyright (c) 2023 Eco-Vector
https://eco-vector.com/for_authors.php#07
2023-12-20
2023-12-20
26 4
185
196
10.17816/MSER625574
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Analysis of the structure and dynamic of disability of uterine cancer patients in the Volgograd region
https://rjmseer.com/1560-9537/article/view/623831
<p><strong>BACKGROUND</strong><em>: </em>Among oncogynecological pathology, uterine cancer occupies the first rank place. A significant number of patients are women of working age, which makes the analysis of their disability relevant.</p> <p><strong>AIM</strong><em>: </em>Analysis of primary and repeated disability of uterine cancer patients in the Volgograd region.</p> <p><strong>MATERIALS AND METHODS</strong><em>: </em>The object of the study were 1978 patients with uterine cancer, who were recognized as disabled for the first time and again. The study period included 2018–2022 with an annual analysis of the number of disabled people in three age groups: young (18–44 years), middle (45–54 years) and older (55 years and older) age. Research methods: analysis of statistical forms, statistical analysis.</p> <p><strong>RESULTS</strong><em>: </em>Of the 1978 disabled: in 2018 there were 374 (18.9%), in 2019 — 346 (17.5%), in 2020 — 371 (18.8%), in 2021 — 429 (21.7%), in 2022 — 465 (23.5%) women. The total number of disabled has increased by 19.5% in 5 years (from 374 to 465). The age structure of the disabled: young patients accounted for 109 (5.5%), middle — 325 (16.5%) and older — 1544 (78%). Of all the patients, disability I gr. was established in 117 (5.9%), II gr. in 295 (14.9%) and III gr. in 1566 (79.2%). The structure of disability severity in three age groups remained stable for 5 years (<em>p</em>=0.35). In all age groups, there was increase in repeated disability, especially significant in older age group.</p> <p><strong>CONCLUSION</strong><em>: </em>In the course of the analysis of the structure and dynamics of disability of patients with malignant neoplasms of the uterus in the Volgograd region for 5 years, multidirectional trends were established. Based on the data obtained, it is advisable to plan further work to prevent disability and restore the ability of patients to work.</p>
Viktoriya V. Zhavoronkova
Tatiana I. Grushina
Vladimir A. Suvorov
Copyright (c) 2023 Eco-Vector
https://creativecommons.org/licenses/by-nc-nd/4.0/
2023-12-20
2023-12-20
26 4
197
204
10.17816/MSER623831
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Analysis of newly diagnosed disabilities dynamics among medical workers in the Irkutsk region from 2003 to 2021 period
https://rjmseer.com/1560-9537/article/view/625899
<p><strong>BACKGROUND</strong><em>: </em>The specificity of the professional activities of medical workers is one of the main reasons for their high morbidity, including due to the influence of unfavorable factors in the working environment. The need to reduce labor losses in the industry necessitates the study and analysis of the disability status of doctors within the framework of long-term observation.</p> <p><strong>AIM</strong><em>: </em>A study of the dynamics of primary disability indicators of doctors working in their specialty in the Irkutsk region at the time of examination, in comparison with the primary disability of the adult population of the Irkutsk region for 19 years from 2003 to 2021.</p> <p><strong>MATERIALS AND METHODS</strong><em>: </em>An observational retrospective continuous study of primary disability indicators of working doctors in the Irkutsk region for 19 years (2003–2021) was conducted. Analytical, statistical, data copying, and expert assessment methods were used.</p> <p><strong>RESULTS</strong><em>: </em>During the study period, 1,703 people working as doctors in the Irkutsk region were recognized as disabled for the first time. The average long-term intensive rate of primary disability of doctors for 19 years averaged 75.4 (±7.55) per 10 thousand working doctors, which is 17% lower than the same indicator for the adult population of the region. The following diseases took the first place among doctors during 2003–2011: diseases of the circulatory system, and over the past ten years since 2012 — malignant neoplasms.</p> <p><strong>CONCLUSIONS</strong><em>: </em>The level of primary disability in physicians responds more quickly and sensitively to changes in social legislation, and is less affected by changes in the number of physicians in the region than the corresponding rates in the adult population of the region as a whole. The nosological structure of doctors disabled mainly coincides with the indicators of the adult population.</p>
Natalya V. Rybchenko
Oksana N. Vladymyrova
Copyright (c) 2023 Eco-Vector
https://creativecommons.org/licenses/by-nc-nd/4.0/
2023-12-20
2023-12-20
26 4
205
214
10.17816/MSER625899
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Rehabilitation of the disabled with osteoarthritis in a multidisciplinary rehabilitation center
https://rjmseer.com/1560-9537/article/view/624988
<p><strong>BACKGROUND</strong><em>: </em>Current demographic trends indicate an increase in the proportion of elderly and senile people in the general population structure. Osteoarthritis is one of the most important causes of pain and limited mobility in old age. The most effective methods of treating osteoarthritis are physical therapy and teaching.</p> <p><strong>AIM</strong><em>: </em>To analyze the possibilities of inpatient rehabilitation departments of a multidisciplinary institution of social protection of the population in the rehabilitation of people with osteoarthritis.</p> <p><strong>MATERIALS AND METHODS</strong><em>: </em>The study is continuous, single-stage, single-center, retrospective. 6578 persons with disabilities who received inpatient rehabilitation from 2021 to 2023 were examined. Demographic indicators and nosological structure have been studied. A group of disabled people with osteoarthritis has been identified and studied in depth. The composition and scope of measures for the medical rehabilitation of people with ostearthritis have been studied.</p> <p><strong>RESULTS</strong><em>: </em>It was found that people with disabilities with osteoarthritis constitute the largest group among all people who received inpatient rehabilitation (37.9%). The vast majority of people with osteoarthritis with disabilities were female (88.8%). The basis of the inpatient rehabilitation program for patients with osteoarthritis was based on methods with proven effectiveness.</p> <p><strong>CONCLUSION</strong><em>: </em>Rehabilitation social protection institutions make a significant contribution to meeting the needs of people with disabilities, as one of the most socially vulnerable categories of the population, in rehabilitation assistance.</p>
Bela A. Syrnikova
Dmitry V. Storozhenko
Elena E. Storozhenko
Rustam A. Temirov
Copyright (c) 2023 Eco-Vector
https://eco-vector.com/for_authors.php#07
2023-12-20
2023-12-20
26 4
215
222
10.17816/MSER624988
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Resilience of elderly patients with sarcopenic obesity and age-related visual impairment
https://rjmseer.com/1560-9537/article/view/626945
<p><strong>BACKGROUND</strong><em>: </em>The development of visual deficit due to glaucoma or cataracts significantly limits motor activity and reduces the independence of elderly patients from others in daily activities. However, resilience among older patients with primary open-angle glaucoma and cortical cataract remains largely unexplored.</p> <p><strong>AIM</strong><em>: </em>To analysis of the resilience of elderly patients with primary open-angle glaucoma and cortical cataract</p> <p><strong>MATERIALS AND METHODS</strong><em>: </em>For this study, two clinical groups were formed: patients aged 60–74 years with primary open-angle glaucoma without secondary cataracts in the amount of 135 people (64 men and 71 women) and patients with cortical cataracts without combination with glaucoma in the number of 128 people (59 men and 69 women). To study the viability of patients, the Connor-Davidson Resilience Scale-25, validated in the Russian Federation, was used.</p> <p><strong>RESULTS</strong><em>: </em>To the greatest extent, representatives of both study groups differed in the subdomain “security in relationships” and “positivity of accepted changes” with a representative difference. The compared groups of patients also had statistically significant differences in such an important subdomain as individual perseverance (<em>p</em> <0.05) and competence in mean scores for each cohort. At the same time, there was a deterioration in age-related vitality according to the final parameter of patients on the Connor-Davidson Resilience Scale-25. At the same time, the decrease in the average value of the integral parameter according to the age-related vitality scale used in the study was 16.3 points with a statistically significant difference (<em>p</em> <0.05) in the group with cortical cataracts.</p> <p><strong>CONCLUSION</strong><em>: </em>As a result of the study, it was found that cortical cataracts and primary open-angle glaucoma contributed to a decrease in the vitality of elderly patients, and this was more pronounced in patients with primary open-angle glaucoma, which should be taken into account when justifying medical and psychological support for such patients.</p>
Andrey E. Kopylov
Mikhail A. Neudakhin
Natalya V. Popova
Copyright (c) 2023 Eco-Vector
https://creativecommons.org/licenses/by-nc-nd/4.0/
2023-12-20
2023-12-20
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10.17816/MSER626945