Vol 18, No 3 (2015)

Articles

The quality of medical and social expertise: modern aspects of the formation of the clinical and functional diagnosis

Puzin S.N., Memetov S.S., Shurgaya M.A., Lapteva A.E., Kuznetsova E.A.

Abstract

The article highlights the legal basis of medical diagnosis, highlight the role of the physician in the clinical diagnosis according to ICD-10. The analysis of the medical powers of organization and service of medical and social assessment at the present stage.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):4-6
pages 4-6 views

Clinical and anamnestic characteristics of patients with uterine fibroids after surgical treatment in the gynecology department of Belgorod oncology hospital in 2011-2014

Dmitriev V.N., Zybenko I.I., Shamanov A.V., Beshmel'nitsyna E.A., Boroznenko A.V.

Abstract

The analysis of the database of patients admitted to Belgorod Oncology Hospital with suspected cases of malignant changes in uterine fibroids and given surgical treatment in 2011-2013 shows 11.7 % incidence of uterine sarcomas. Statistically significant average age of patients (p<0,05) varies: 48,73 ± 9,51 years for patients with benign tumors, and 58,82 ± 12,03 years for patients with uterine sarcomas. The data obtained suggest the older age of patients with malignant tumors of the uterus and allow considering it as a risk factor for uterine sarcoma.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):7-10
pages 7-10 views

Expert and rehabilitation activity of a psychologist at the stage of system reorganization of medical and social assessment and rehabilitation of the disabled

Vojtenko R.M., Karasaeva L.A., Sakovskaja V.G.

Abstract

The paper discusses main activities of an expert psychologist in the bureau of medical and social assessment (MSA) at the stage of system reorganization of medical and social assessment and rehabilitation of the disabled. The optimal way of expert psychologist’s activity was determined on the basis of legal and methodological documents regulating special features of their professional education. The authors presented specific tasks of the psychologist’s work in the field of medical and social expertise and rehabilitation of the disabled.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):10-13
pages 10-13 views

Characteristics of general disability as a consequence of eye diseases

Nazarian M.G.

Abstract

The article presents characteristics of disability due to age-related macular degeneration of the retina and possible ways of rehabilitation.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):13-15
pages 13-15 views

The role of chronic pain in the formation of «internal picture of the disease» in patients after lower-limb amputation and myocardial revascularization before and after a course of empatho-technique

Ishinova V.A., Mityakova O.N., Povorinskiy A.A.

Abstract

The paper presents the results of the study of specific influence of phantom and anginal pain on formation of “internal picture of the disease” in patients after myocardial revascularization and lower-limb amputation. The main amputation reasons were chronic diseases and different traumas. The patients with coronary heart disease (CHD) and those with phantom limb pain, who had amputations as a result of trauma, revealed the most severe disturbances in the emotional sphere. Recommencement of the anginal pain after myocardial revascularization and a dramatic change of social and economic status of patients with phantom pain lead to more marked changes of psychological and biological components of “internal picture of the disease” in these groups. The empatho-technique application favored the decrease of pain intensity, reduction of psychopathological symptom manifestation and improved quality of life in all of the three patient groups. Correlation analysis showed special interrelations between pain characteristics and other components of “internal picture of the disease” in patients with phantom and anginal pain.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):15-21
pages 15-21 views

Socio-hygienic characteristics of disability and features of the nosological structure of disability due to pathology of the nervous system in children according to the medico-social examination in Moscow

Grishina L.P., Naumenko L.L., Tskhovrebova L.G.

Abstract

The article provides an analysis of child disability by age, sex due to diseases of the nervous system, due to congenital anomalies. For the first time the structure of the main nosological forms was determined in children uptake in pediatric BMSE which has a practical value for experts. Article differs from other articles, as 7 age groups are highlighted, the structure by sex and age is studied. The nosological structure of disability due to diseases of the nervous system as a result of congenital anomalies and due to all pathologies of the central nervous system was studied.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):22-25
pages 22-25 views

Status of the primary disability in children in the Ivanovo region during 2008-2012

Rogacheva N.K., Zhdanova L.A., Rogachev D.A.

Abstract

The article is an analysis of the primary childhood disability in the Ivanovo region, which reveals the dominant pathology, leading to disability in children of different age and gender. This study is necessary for the development and optimization of programs of medical and social support for children with disabilities.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):25-30
pages 25-30 views

Primary disability of the adult population in the Altai region in 1997-2012

Gorshkov V.I., Sapozhnikova D.V.

Abstract

Examines the state of primary disability of the adult population of the Altai territory for 1997-2012, based on statistics of disability services of medical-social examination (MSE). The data was aggregated to reflect changes in the period of occurrence of adult age (2001). In the analyzed period has been changed several times and regulatory framework service ITU and the system of pension provision in the Russian Federation, which entailed a change in the number of disabled and structure of primary disability of the adult population. In General, in the period 1997-2005 period marked by the intensive growth of the index of primary disability (from 87.2 in 1997 to 181,3 in 2005), a significant decrease in 2006-2008 and stable level over the last four years at the level of 55.2 (2009) - 58,5 (2012). Statistical indicators of primary disability in the Altai region are given in comparison with the similar Russian Federation.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):30-33
pages 30-33 views

Dynamics of repeated disability as a result of ischemic cardiac disease in the russian federation and its subjects in 2009-2014

Chandirli S.A.

Abstract

The paper analyzes the rate of repeated disability as a result of ischemic cardiac disease in the Russian Federation, federal regions and in all subjects in dynamics over 2009-2014.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):34-37
pages 34-37 views

Specific features of group structure of repeated disability as a result of ischemic cardiac disease in the russian federation, federal regions and its subjects

Chandirli S.A.

Abstract

The paper analyzes group structure of repeated disability as a result of ischemic cardiac disease in all federal regions and in 83 subjects of the Russian Federation. It is necessary to note that group structure of disability has not changed significantly over the last years. The detailed analysis for 2014 reflects consistent patterns of the last years.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):37-40
pages 37-40 views

Sociological monitoring of the rights of the disabled according to the UN convention on the rights of persons with disabilities

Shestakov V.P., Svintsov A.A., Rocheva Y.S.

Abstract

The ratification of the United Nations (UN) Convention on the Rights of Persons with Disabilities (the Convention) by the Russian Federation requires the improvement of approaches to solving the problem of realization of this social group’s rights. This paper presents some aspects of the sociological component of the monitoring of keeping the rights of the disabled, which aims to identify the changes associated with various aspects of the Convention implementation, prevention of negative trends and short-term forecasting of social processes and problems. Special attention was paid to the concept of sociological monitoring, its significance, object, subject, aim, objectives, special features of empirical indicators determination, and requirements to the respondent selection, as well as the questionnaire survey to collect the primary sociological information.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):41-46
pages 41-46 views

Demographic and medico-social aspects of disability in elderly

Puzin S.N., Shurgaya M.A., Memetov S.S., Lapteva A.E.

Abstract

The status of disability and rehabilitation services for the disabled is the most important indicator of public health and health care. The elderly make up the vast majority of patients of health care facilities, medical - social examination and medico-social services. The level of primary disability in the pension age is significantly higher than that in the able-bodied age. National strategy of action in the interests of the elderly should be aimed at improving the efficiency of health and social services, extent, types and quality of which correspond to the demographic features of the population.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):46-49
pages 46-49 views

Psychological well-being and social (interpersonal) support in patients with spinal cord injury

Boulyubash I.D.

Abstract

The review of scientific articles over the past fifteen years studies the links between social (interpersonal) support and psychological well-being of the patients. It describes the types and methods of investigation of social support and its relation to depression and somatic complications, as well as adaptation and satisfaction with person’s life. The review revealed «white spots» of rehabilitation and employment in studying relations between different types of social support and motivation in patients with spinal cord injury consequences and the unresolved issue of correlation between social skills and types of social support. The study of specific social skills that support social integration of patients with spinal cord injury and improve their communication with others seems promising. Understanding this issue will allow psychotherapist to make individual and group work with the patients more effective.
Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):50-56
pages 50-56 views

Vladimir Nikolaevich Potapov (of the occasion of his 60 th birthday anniversary)

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Medical and Social Expert Evaluation and Rehabilitation. 2015;18(3):57-57
pages 57-57 views

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