Vol 15, No 1 (2012)

Recently, a purposeful development of medical care and medico-social examination of disabled and eldery people is hapenning. It is nessesary to point out that medico-social examination influences the realisation of rights and receipt of social services by disabeled and eldery patients. The problem of medico-social examination is currently widely discussed, because its current status does not fit the rising requirements of citizens and interested parties (judicial, insurance companies, employment organisations and etc.) for social services.

The correlation between sleep and clinic-psychological condition of people during wake has been proved. In 90 examined patients with psychophysiological syndrome, 66 have shown to have psychophysiological insomnia. Sleep disturbance has been diagnosed in 2/3 patients with psychophysiological syndrome. Patients with sleep disturbance have noticed more expressed on vegetative disturbances and changes in the psychoemotional sphere. In patients without sleep disturbance have low degree of expression and complaints on the bad sleep are not linked with the increase of vegetative dysfunction. In patients with insomnia sleep hygiene disturbance has been noticed.

The questioning of doctors, which were performing postgraduate training at the department of endocrinology and diabetology in the Russian Academy of Postgraduate Education for the revelation and estimation of care quality in patients with diabetical polyneuropathy has shown the main problems on different steps rehabilitational care.

Methodological approach to complex psychiatric-legal and medico-social expertise was presented. The complex character of each indicated expert assessment due to the participation of different specialists was shown. A complicated substantiated character of the complexity of psychiatric-legal and medico-social expertise in statics and dynamics of the compulsory treatment of mentally diseased was presented.

The comparative analysis of general and recurring disability as a result of malignant new growth in Russian Federation, North-Caucasian Federal Region and its constituent members.

The aim of the study is analysis of sensitivity and specificity of FRAX method during application of it in different age groups with concomitant pathology and validity risk factors. 7785 women with osteoporosis, who have been chosen according to the bone mineral densitometry test, FRAX estimation of 10 year fracture probability, Leiding, Cooper test scales, EQ-5D questionnaire and analysis of concomitant pathology and bone-mineral metabolism have participated in the trial. The trial has shown the absence of reliable differences with control group according to the estimation of validity risk factors. At the same time reliable differences were found during estimation of factors, which are not included in the FRAX method such as physical and motor activity, emotional disturbances, cognitive dysfunction, concomitant pathology, intensity of symptoms was different in different age groups.

Regular methods of psycho-pharmacotherapy and psychotherapy are used during treatment and prophylaxis of patients with psychopathological disturbances and cardio-vascular pathology in the cardiac department of the hospital. According to the estimation performed, psycho-pharmacotherapy and psychotherapy combination has shown greater effectiveness in comparison to solely psycho-pharmacotherapy. It has been proven that individually selected psycho-pharmacotherapy and psychotherapy increases the effectiveness and stabilizes physiological values.

The authors suggested a method for examination of patients with knee-joint arthritis including algorithm of static-dynamic function determination as well as a method of calculating an evaluation of the degree of its impairment via integral index. The scheme illustrating a notion of static-dynamic function was presented. The determination of integral index, explanation of calculating an evaluation of the degree of static-dynamic function impairment used by the authors in examination of patients with knee-joint osteoarthritis deferments were given.