Vol 14, No 4 (2011)

The article covers the topic of rehabilitation measures, which are performed in the polyclinic. Regular medical check-up and educational programs will increase the number of patients receiving regular therapy for preventive measures of repeat stroke and other cardiovascular diseases. It is significant to point an important rote of regular check-up, cognitive function evaluation and emotional condition of stroke patients.

The main strategy of reproductive help to oncological patients before antitumor treatment is based on the thesis "Freezing everything that can be frozen. This strategy doesn‘t guaranty but gives hope. The main strategy of helping patients, who have already received antitumor treatment and didn’t use cryopreservation treatment, is the use of donor ovum, spermatozoon, embryos and surrogate mother.

The article discusses the actual issue of backache chronization. The method of expertise is proposed to evaluate the prospective of transformation of backache from acute in chronic form. This approach permits to apply primary stratification of patients with individual mild and high risk of backache persistence and to assess the outcome in the case of acute backache.

The article analyzes the international data on epidemiology, working capacity and medical care organization in patients with inherent heart valvular disease. The organization of medical care is to be based on the team approach. The professional team has to include surgeons, anesthesiologists, nurses, laboratory assistants, social workers, financial consultants, psychologists, geneticists and specialists who can be considered as experts in inherent heart valvular disease in adult patients.

The diabetic cardiomyopathy leads to the premature aging of myocardium, which loses its catecholamine compliance and sensitivity. This condition becomes health dangerous as far as the essential hypertension and coronary heart disease progress. The neuropathic denervation of heart, most of the time partial, impacts on the parasympathetic nervous system and deteriorate the heart functional system and can become a cause of sudden death. In patients with diabetes mellitus, such consequences as specific disturbances of lipid metabolism, triglyceridemia, potentiated chronic hyperglycemia, insulin resistance, essential hypertension, disturbance of coagulation are the issues to be discussed.

The patients with established autoimmune hepatitis having alkaline phosphatase or alkaline phosphatase/AST correlation increase more than 1,5 and whose conditions didn 7 improve after immunasuppressor treatment should undergo ERCP or MRT cholangiography to identify the primary sclerosing cholangitis or AM A and to verify the possible primary biliary cirrhosis. On the other side, a range of patients with PBC and PSC had a high activity of hepatic processes that can be caused by combined autoimmune hepatitis. A combined therapy of immunosuppressor and ursodeoxycholic acid can impact the disease prognosis.

Nowadays, the issue of life quality improvement is an actual topic in patients with oncological pathology treatment. It was established that it is reasonable to discuss the issues of patients ’ rehabilitation after radical surgeries on small pelvis organs, which are often accompanied with changes in life-style and sexual function.

The article discusses the issues of life quality, anxiety and depression among 130 women of reproductive age with stress cephalalgia. The MOS SF-36 (Medical Outcomes Study Short-Form 36) questionnaire has been used in the study, translated and validated by the company "Evidence - clinical pharmacological studies" and the Institute of clinical pharmacological studies (USA-St. Petersburg) and the Spielberg anxiety scale and the Beck depression questionnaire as well. The results demonstrated in patients’ considerable decrease in quality of life, namely the psychological and physical components and low and slight anxiety and slight depression. The study data can be applied in elaboration of individual and group approach in patients’ management.

In the near future the medical social expertise is expected to be performed in accordance with the International classification of functioning, disability and health (ICF). The application of ICF is intended to make changes and supplements to rehabilitation individual programs. To develop the recommendations according to ICF, it is necessary to change medical social expertise methodology and guidelines of disability diagnose according to ICF in compliance with the context factors and parameters of condition aspects.