Vol 14, No 2 (2011)

Articles

Model of the organization of complex rehabilitation of invalids at the regional level

Mavlikaeva Y.A., Mavlikayeva Y.A.

Abstract

Model of the organization of complex rehabilitation of invalids in a large industrial region, characteristic of the basic links of the model, estimated criteria of its realization are presented in the article.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):3-6
pages 3-6 views

Individual program of rehabilitation of aurally disabled - an adequate electro-acoustic correction

Biryulina Y.K., Brazhkina N.B., Dmitriev N.S., Biryulina Y.K., Brazhkina N.B., Dmitriev N.S.

Abstract

Electro-acoustic correction is the basic method of rehabilitation of patients with hearing acuity disturbance as well as cochlear implantation in case of deafness. The article considered the criteria of efficiency of aerophone use, which were determined not only by the type and quality of hearing-aid itself but by the correct selection of its electro-acoustic parameters and adequate individual fitting for the particular ear including individual earphone production.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):6-8
pages 6-8 views

Features of disablement expertise in patients with Parkinson's disease with various age of the disease onset

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

Abstract

Features of determination of disablement groups in patients with Parkinson's disease with various age of the disease onset were analyzed. We examined 86 patients with PD registered at the Nizhniy Novgorod office on assistance to the patients with extrapyramidal pathology including early and late onset of the disease. Slower tempo of progressing was characteristic for the patients with early onset, and their disablement developed in later terms from the moment of the disease development than in patients with late onset. Earlier disablement of the patients with late onset of the disease depended on more rapid development of postural instability, vegetative and cognitive disturbances. Medico-social examination demands taking into account the specificity of the disease course depending on the age of its onset.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):9-11
pages 9-11 views

Perspectives of the development of the system of rehabilitation of invalids due to psychic diseases at the social protection units

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

Abstract

The most up-to-date forward-looking trends of rehabilitation activity of psychoneurologic hostels were considered. The role of differentiated approach to rehabilitation of invalids based on the subjective and objective factors scientifically substantiated "accompaniment" of rehabilitation; use of innovative approach to rehabilitation was shown in the article.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):12-14
pages 12-14 views

Scientific substantiation of the system of complex rehabilitation of invalids at psychoneurologic social protection units

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

Abstract

The essential scientific trends of rehabilitation due to the psychic diseases based on bio-psycho-social concept of psychic diseases and psychiatric rehabilitation were considered in the article. Systemic approach underlied the coverage of this problem.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):15-18
pages 15-18 views

Gender clinico-social features and the degree of ability to work loss of mentally diseased hospitalized to the psychoneurologic hospital

Samorodskaya I.V., Vatolina M.A., Kislyy N.D., Samorodskaya I.V., Vatolina M.A., Kisliy N.D.

Abstract

Clinical-social features and degrees of ability to work loss were analyzed by the example of patients staying at the psychoneurologic hospital. Clinical material made 159 patients. Female patients were mostly of retirement age (37.2%), and male patients age was from 21 to 30 (28.5%). Incapable were 3.6% of male patients and 4.7% of female patients. Various forms of schizophrenia prevailed in the structure of hospital pathology; it was equally presented both among males (47.8%) and females (48.8%). Females were significantly rarer registered at the dispensary and rarer violated the outpatient pharmacokinetics regimen.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):19-21
pages 19-21 views

Factors of social adaptation of the elderly patients at gerontopsychiatric charity center and stages of its realization

Sokolov D.A., Sokolov D.A.

Abstract

The problem of social adaptation of the elderly patients at the gerontopsychiatric center was considered. Subjective and objective factors of social adaptation of elderly patients with psychic disturbances were presented as well as the stages of social adaptation. The participation of different specialists in the realization of the social adaptation process was shown.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):21-23
pages 21-23 views

Medico-social expertise of mentally diseased law-violators over 50 and its role in social protection of compulsory treated invalids

Krivoruchko Y.D., Krivoruchko Y.D.

Abstract

The article considers the role of medico-social expertise in social protection of invalids, particularly those disabled due to psychic diseases who underwent compulsory treatment in connection with unlawful actions. The author emphasized features of social protection of invalids over 50 discharged from the clinic for the outpatient follow-up at psychoneurologic dispensary as well as the features of individual rehabilitation program.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):24-26
pages 24-26 views

Clinical expert work of municipal polyclinics

Doyutova M.V., Doyutova M.V.

Abstract

The results of study of clinical expert work of municipal polyclinics were presented. High level of appeal for medico-social problems solution was detected. The structure of the patients' appeal was presented including the rural regions. Time necessary for medical expertise by the commission of experts was determined.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):26-28
pages 26-28 views

Psychological portrait of medical expert viewed from socionics approach position

Berdutin V.A., Guseva N.K., Sokolov V.A., Doyutova M.V., Berdutin V.A., Guseva N.K., Sokolov V.A., Doyutova M.V.

Abstract

The study of the authors included interviews of about 300 doctors. Interviews have shown that medical expert should possess a certain combination of psychological features necessary to fulfill his duties successfully. Structural logic, which is supposed to predominate in the structure of personality, is the critical quality. Logical-intuitive introvert is an optimal psychological type for expert activity. It is also necessary to create a high quality system of education for experts including basic professional education and expertise training according to the specialization, expert analysis and expert decision-making skills development, individual work in a group of experts, expert decision management, forming a need of self-perfection; psychological training; permanent improvement in basic professional specialization and expertise.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):29-33
pages 29-33 views

Tuberculosis incidence and the state of phthisiologic service in Krasnodar Territory

Romanenko I.A., Zakharchenko Y.I., Romanenko I.A., Zakharchenko Y.I.

Abstract

The indices of primary and general tuberculosis incidence and indices showing the phthisiologic service in Krasnodar Territory are presented for the 5-year period.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):34-35
pages 34-35 views

Analysis of the state and dynamics of primary disability due to tuberculosis in Krasnodar Territory for the period 2005-2009

Romanenko I.A., Romanenko I.A.

Abstract

The article presents the analysis of dynamics and structure of primary disablement due to tuberculosis in Krasnodar Territory for the period 2005-2009.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):35-37
pages 35-37 views

Regional features of primary disablement of the Nizhniy Novgorod Region adult population taking into account groups of disablement

Bazaeva E.A., Marusheva L.G., Trifonova O.B., German S.V., Bazayeva E.A., Marusheva L.G., Trifonova O.B., German S.V.

Abstract

Regional features of primary disablement structure of the Nizhniy Novgorod Region adult population according to groups of disablement for the 18-year period were studied. Mean annual values were calculated and dynamics of invalids rate of I, II, II groups in structure of contingent of primarily determined invalids due to certain classes of diseases (general number of follow-up units - 674 137 primarily determined invalids at Medico-Social Expertise Units for the period 1992-2009). Classes of diseases with the most severe incapacitating consequences (circulatory system diseases, malignant neoplasms, psychic and behavioral disorders, tuberculosis) were determined. Knowledge of regional features of the disablement formation process is necessary for optimal management decision-making in forming an efficient, regionally orientated policy in spheres of healthcare and social protection of population.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):37-41
pages 37-41 views

Level and structure of the secondary disablement in diabetes mellitus in Altai Territory

Vasil'kova N.A., Naumova T.V., Vasilkova N.A., Naumova T.V.

Abstract

Secondary disablement due to diabetes mellitus in Altai Territory for the 5-year period (2005-2009) was analyzed in dynamics; structure of disablement according to the groups and gender was determined as well as the level of disablement.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):42-43
pages 42-43 views

State of the primary disablement due to congenital malformations among the Murmansk Region infantile population for the period 2007-2009

Zhilyuk M.A., Bessonova N.Y., Pavlova S.V., Zhilyuk M.A., Bessonova N.Y., Pavlova S.V.

Abstract

Congenital malformations are one of the leading causes of infantile disablement and infantile mortality. In the structure of primary disablement in Murmansk Region congenital malformations take the second place. Maldevelopments of circulatory system predominate among congenital malformations.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):43-45
pages 43-45 views

Temporary disability and invalidity in cardiovascular diseases

Samorodskaya I.V., Fufaev E.N., Samorodskaya I.V., Fufayev E.N.

Abstract

Indices of circulatory diseases incidence and temporary disability and invalidity were studied at the basis of municipal polyclinic ь 195 of the Western Administrative District of Moscow for the period 2004-2007. Among the primarily determined invalids the share of invalids of II group decreased from 73.1% in 2004 to 41.8% in 2007, and the share of invalids of III group increased from 21.6% to 52.7% respectively. The obtained data is evidence of importance of social factor in invalidity determination.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):45-46
pages 45-46 views

Rehabilitation of the elderly patients suffering from combined somatic pathology. Modern possibilities and perspectives

Malichenko S.B., Idrisova L.T., Payanidi Y.G., Skripnikova I.A., Yavisya A.M., Shibilova M.U., Malichenko S.B., Idrisova L.T., Payanidi Y.G., Skripnikova I.A., Yavisya A.M., Shibilova M.U.

Abstract

Treatment and rehabilitation of elderly patients are very often complicated by combined pathology. Chronic diseases, absence of acute clinical picture, pharmacological pathomorphosis, simultaneous or consecutive multi-causal monosymptomatology, alternating pharmacokinetics and pharmacodynamics of drugs condition the development and introduction of new forms and methods of complex rehabilitation into practice.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):47-48
pages 47-48 views

Family status of the patients of neurologic and cardiologic medical rehabilitation departments as an important part of social-hygienic characteristic

Gusev A.O., Gusev A.O.

Abstract

The article presents an analysis of family status of the patients of neurologic and cardiologic medical rehabilitation departments according to the results of questionnaire. We have interrogated 400 patients aimed at studying their family status, family relations, readiness and possibility of family members to organize everyday care in private life for a patient after acute myocardial infarction or stroke hospitalized to the medical rehabilitation departments.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):49-50
pages 49-50 views

Features of cardiac rhythm variability in cardiovascular pathology

Khazova I.V., Devyatova O.F., Khazova I.V., Devyatova O.F.

Abstract

The investigation of cardiac rhythm variability features in patients and invalids with cardiovascular pathology was aimed at studying possibilities of using indices for evaluation of the severity of state and degree of cardiovascular system disturbances and functioning as a whole. It was shown that disturbances of cardiac rhythm neurohumoral regulation were characteristic for the examined patients; significant deviations from norm corresponded to the severity of state increase according to clinical features that confirmed its informative significance for the functional state and functional reserves of the organism characteristic.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):51-52
pages 51-52 views

Awareness as a factor of social adaptation of the families with disabled children

Nizova L.M., Perepelkina I.V., Nizova L.M., Perepelkina I.V.

Abstract

The results of sociologic study conducted in 2009 were analyzed and the condition of awareness of the parents bringing up disabled children was evaluated as well as the problems solution basing on their social adaptation. Authors considered the creation of a forum, site and specialized literature publishing as a method of perfection of the process of social adaptation of families with disabled children.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):53-54
pages 53-54 views

Psychological rehabilitation record as an instrument of rehabilitation process registration

Morozova E.V., Burlakova D.I., Morozova E.V., Burlakova D.I.

Abstract

Practical recommendations on introduction of a new organizational-methodical registration form for the disabled patients staying in psychoneurologic hostels were designed and given as psychological rehabilitation record of the patient showing basic clinical-demographic, social-environmental and psychological dispositions of the patient.
Medical and Social Expert Evaluation and Rehabilitation. 2011;14(2):54-56
pages 54-56 views

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