Vol 13, No 4 (2010)

Articles

Experience of application of International classification of functioning, disability and health for the estimation of results of rehabilitation on the basis of dynamics of indexes of quality of life for invalids because of ischemic heart disease, carrying the heart attack of myocardium

Gal'yanov A.A., Galyanov A.A.

Abstract

During an investigation within the framework of rehabilitation diagnostics and medical rehabilitation of invalids with ischemic heart disease in accordance with a standard, accepted in Federal Public Institution "Saint Petersburg Scientific and Practical Center of Medical and Social Expertise, Prosthetics and Rehabilitation of disabled named after G.A. Albrecht", the individual type of limitations of vital functions of invalid, which is the index of quality of life, related to the health has been made.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):3-6
pages 3-6 views

Use of clinical and expert diagnostics for the ground of limitation of capacity for labour activity, rehabilitation potential and rehabilitation prognosis of patients with ischemic heart disease

Zabolotnykh I.I., Kantemirova R.K., Ishutina I.S., Fidarova Z.D., Sugarova F.V., Zal'nova I.A., Mitkeeva V.O., Pushkarskaya O.V., Tsarakhova N.M., Zabolotnykh I.I., Kantemirova R.K., Ishutina I.S., Fidarova Z.D., Sugarova F.V., Zalnova I.A., Mitkeeva V.O., Pushkarskaya O.V., Tsarakhova N.M.

Abstract

There have been inspected 127 patients and invalids, suffering ischemic heart disease. Reliable cross-correlation connections of clinical and functional indexes (complaints, anamnesis, clinical and functional indexes of the blood circulation system) have been defined in comparison with the indexes of psychological diagnostics, professional, social factors and estimation of degree of limitation of capacity for labour activity, level of rehabilitation potential and rehabilitation prognosis.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):7-10
pages 7-10 views

Disability and ability to work of patients with the disseminated sclerosis

Karnaukh V.N., Karnaukh V.N.

Abstract

In the article there have been analyzed the neurological disturbances which conducted in the moment of determination of constant disability of patients with disseminated sclerosis. The most disabling are motive, cerebellum, pelvic and psycho -emotional disturbances. Early setting of constant disability - before 5 years from the beginning of disease - in a greater measure depends on activity of its clinical course , speed of progress, frequency of exacerbations.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):11-14
pages 11-14 views

Medical and social examination for patients with essential tremor

Shindryaeva N.N., Starovoytova I.M., Levin O.S., Shindryaeva N.N., Starovoitova I.M., Levin O.S.

Abstract

Essential tremor - is the most widespread extrapyramidal disease the basic display of which is making the progress postural and kinetic tremor. Inspection of 410 sick, being in an account in the Nizhegorodskiy town room of helping to the patients with extrapyramidal pathology, has been showed that during determination of group of disability the functional limitations, caused by tremor, are not taken into consideration. The analysis of difficulties and mistakes during realization of medical and social expertise of essential tremor has been conducted, the criteria of determination of group of disability have been worked out.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):14-16
pages 14-16 views

Criteria of valuation of rehabilitation efficiency by organic and vascular brain damages with neurotic and anxiety disturbances

Shestakov V.P., Milyutin S.M., Pinsker B.E., Shestakov V.P., Milyutin S.M., Pinsker B.E.

Abstract

Majority of authors regards as criteria of valuation of rehabilitation efficiency a subjective degree of rehabilitation's comfort - his quality of life. But questions of objective results of rehabilitation are not fully solved. On materials by specialized in-patient investigation of 57 patients with neurotic and anxiety disturbances at organic and vascular brain damages, we have revealed an objective indicators, which capable to be a frame in the valuation of rehabilitation efficiency criteria. There are established, that the criteria must to be based on three groups of indicators simultaneously: paraclinical, social (including restrictions of vital activity), clinical. Grounds for minimization of importance of neurotic disturbances were not discovered.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):17-19
pages 17-19 views

Innovative approaches in the rehabilitation of disabled people dwelling in psychoneurological boarding-houses

Dement'eva N.F., Zhigareva N.P., Dementieva N.F., Zhigareva N.P.

Abstract

Methodological basis of realization of rehabilitation space as exceptionally innovative approach by means of creation of multifunctional brigades - is conception of biopsychosocial picture of psychical illness and rehabilitation. The use of this approach in the conditions of psychoneurological boarding-houses will create the prospect of further development of rehabilitation direction of invalids in these establishments.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):20-23
pages 20-23 views

Observance of principle of necessary and sufficient terms in the process of social adaptation of invalids

Belousova N.Y., Belousova N.U.

Abstract

Materials on issue of social adaptation of invalids have been presented in this article. Success of their adaptation depends on an equal degree both on society and from own actions. The analysis of psychological and pedagogical literature in our research testifies the necessity of observance of scientific universal principle of necessary and sufficient terms decision the problem of social adaptation and integration in society of invalids.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):23-25
pages 23-25 views

Analysis of class of "other diseases" among the adult population of the Krasnoyarsk region for period 2007-2009

Vol'skaya G.N., Danyuk G.G., Volskaya G.N., Danuyk G.G.

Abstract

The study of structure of primary and repeated disability on a class "other diseases" among the adult population of Krasnoyarsk region has been stipulated by the height of disability because of this class of illnesses. In this article the analysis of structure of disability on a class "other diseases" of Krasnoyarsk region for 2007-2009 has been conducted. Within the framework of study of this problem it was worked out and inculcated additional annual form with more detailed decoding of line "other diseases".
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):25-27
pages 25-27 views

Primary disability caused by traumas of the supporting and motive system of the habitants of Kurganskaya area

Serkov A.A., Marchenkova L.O., Serkova E.V., Serkov A.A., Marchenkova L.O., Serkova E.V.

Abstract

In the article there has been given an analysis of primary disability caused by traumas of the supporting and motive system for period 2004-2006 taking into account sex, age, degree of loss of ability to work. Reasons, determining the degree of disability have been distinguished.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):27-30
pages 27-30 views

The peculiarities of disability because of illnesses of the supporting - motive system in regions and subdivisions of Russian Federation on appeals to the Bureau of Medical and Social Expertise in 2007-2009

Ondar V.S., Kukhta O.A., Verigina N.B., Ondar V.S., Kukhta O.A., Verigina N.B.

Abstract

In the article the analysis of primary, repeated and general disability has been given in all regions and subdivisions of Russian Federation in 2007-2009.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):30-36
pages 30-36 views

Basic performance of service employment of population indicators on the professional rehabilitation of invalids in Russian Federation

Karasaeva L.A., Svintsov A.A., Karasaeva L.A., Svintsov A.A.

Abstract

In the article the performance of service employment of population on the professional rehabilitation of invalids indicators in Russian Federation have been studied. The indexes of registration of unemployed invalids in services of employment of population, indexes of realizable services in professional preparation and employment for period 1995-2007 have been analyzed.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):36-39
pages 36-39 views

Analysis of child's disability because of congenital anomaly and chromosomal abnormalities in Republic Karelia for 2007-2009

Emel'yanov P.A., Nikitina S.E., Savinkova G.I., Zagrebina L.V., Stepina E.A., Emeliyanov P.A., Nikitina S.E., Savinkova G.I., Zagrebina L.V., Stepina E.A.

Abstract

In the article there has been presented an analysis of child's disability due to congenital anomaly and chromosomal abnormalities in Republic Karelia. There have been studied the structure and level of primary disability at the different forms of illnesses.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):39-40
pages 39-40 views

New possibilities of estimation of risk of fractures. Rehabilitation prognosis and rehabilitation potential of patients with a primary osteoporosis

Skripnikova I.A., Kislyy N.D., Skripnikova I.A., Kisly N.D.

Abstract

In the article the new approaches of exposure of persons with the high risk of fractures, developing on a background of osteoporosis are going come into question. Worldwide organization of health protection is offer an instrument for the estimation of individual absolute risk of fractures for men and women, worked out on the basis of the use of clinical risk and data of mineral bone density in neck of hip. New approaches in the estimation of risk of fractures will allow more exactly to determine the state of bone fabric and extend the possibilities of application of antiosteoporotic drugs.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):41-44
pages 41-44 views

Actual problems of treatment and rehabilitation of patients with chronic prostatitis

Andrianov O.V., Petrosyan G.E., Velikolug K.A., Andrianov O.V., Petrosyan G.E., Velikolug K.A.

Abstract

Prostatitis - is the most frequent urology disease among the men of genesial age. Besides medicinal therapy and digit massage of prostate gland the computer diagnostics and modern rehabilitation measures and methods of influence have been proved their efficiency.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):44-47
pages 44-47 views

Ways of upgrading of medically-rehabilitation measures for children-disabled with thermal damage

Gordova L.D., Kirichenko Y.N., Razin'kov D.V., Gordova L.D., Kirichenko U.N., Razinkov D.V.

Abstract

The high level of child's traumatism with thermal damages brings its over in the structure of reasons of primary child's disability on the Kursk area on 5 grade place among all nosologies. This circumstance requires realization of expert control of quality of medical care not only medical measures, conducted by medical and preventive establishments, but also cases of output on primary disability.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):48-49
pages 48-49 views

Features of forming of koping-strategy for the clinically healthy doctors of service of medical and social expertise, having risk factors of development of ischemic heart disease

Krovyakova E.A., Kirichuk V.F., Kodochigova A.I., Mikheeva L.A., Krovyakova E.A., Kirichuk V.F., Kodochigova A.I., Mikheeva L.A.

Abstract

An analysis of forming of koping-styles for clinically healthy doctors, busy in service of medical and social expertise and having risk factors of development of ischemic heart disease has been made. The educed similar tendencies in an emotional, cognitive and behavioral sphere testify the necessity of introduction the methods of psychological correction to the complex measures of primary prophylaxis of development of ischemic illness for the doctors of medical and social expertise.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):49-51
pages 49-51 views

To the question of estimation of therapy efficiency of neuropsychic diseases of the children and teenagers

Mitkevich V.A., Solov'ev A.G., Mitkevich V.A., Soloviev A.G.

Abstract

The methods of estimation of psychotherapy work efficiency have been offered with children and teenagers, including the criteria of symptomatic improvement, changes of relations in family and social changes of functioning of children in child's preschool establishment, school, relationships with coevals, allowing to conduct quantitative interpretation of efficiency of the conducted psychotherapy treatment and social rehabilitation. For gradation of levels of psychotherapy efficiency a dynamic total scale has been entered.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):52-53
pages 52-53 views

Up-to-date strategy of rehabilitation of patients with surplus mass of body and obesity

Puzin S.N., Malichenko S.B., Idrisova L.T., Payanidi Y.G., Yavisya A.M., Puzin S.N., Malichenko S.B., Idrisova L.T., Payanidi U.G., Yavisya A.M.

Abstract

Obesity has a large clinical value, as from one side is convertible, and on the other side the visceral obesity, dislipidemia and insulin resistance are played considerable role in development of diabetes, cardiovascular diseases, dominant among reasons of disability and death rate.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):54-55
pages 54-55 views

Medical secrecy

Kalashnikova L.K., Kalashnikova L.K.

Abstract

Undoubted interest presents that in this article there have been made examples from judicial practice. An author is share the experience in area of practice of application of modern medical law during realization of medical and social expertise.
Medical and Social Expert Evaluation and Rehabilitation. 2010;13(4):56-56
pages 56-56 views

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