Vol 15, No 1 (2012)

Articles
PROVIDING MEDICAL CARE AND MEDICO-SOCIAL SERVICE TO DISABLED AND ELDERY PEOPLE IN RUSSIAN FEDERATION. MODERN OPPORTUNITIES AND PROSPECTS
Puzin S.N., Khrapylina L.P., Kudryavzev V.V., Kaplan M.Z., Lapteva A.E.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):3-5
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REHABILITATION OF PATIENTS AFTER RHINO-SURGICAL OPERATIONS
Batrak M.V., Borzov E.V.
Abstract
The influence of low-energy laser radiation on the patients ’ condition during postoperational period after operation on the nasal cavity for the reduction of rehabilitational period. The usage of low-energy radiation laser during rhinosurgical operations supports more rapid functional recovery and decreases rehabilitation period of such patients group and supports the recovery of working capacity.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):6-7
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SLEEP REGIMEN DURING REHABILITATION IN PATIENTS WITH INSOMNIA
Morozova L.G., Rasskazova E.I., Posokhov S.I., Kovrov G.V.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):8-13
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INTRAOSTEAL BLOCKADES DURING REHABILITATION IN PATIENTS WITH DISTAL DIABETICAL POLYNEUROPATHY
Sokov E.L., Kornilova L.E., A Arsyukhin N.A.
Abstract
The results of intraosteal blockades usage in patients with distal diabetical polyneuropathy have been publicated. The investigation included 69 patients. The effectivness has been estimated by the analysis of changes in the clinico-neurological status, visual scale index, TSS scale and NIS-LL scale before and after treatment. High effectivness of intraosteal blockades in comparison with amytriptillin has been shown.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):14-16
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REHABILITATIONAL CARE IN PATIENTS WITH DIABETICAL NEUROPATHY
Doskina E.V.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):16-18
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REHABILITATION OF REPRODUCTIVE FUNCTION IN WOMEN AFTER SURGICAL TREATMENT OF OVARIUM
Serebrennikova K.G., Kuznetsova E.P., Lapshikhin A.A., Ivanova T.V., Khmelevskaya V.F.
Abstract
The aim of the study was development and apply of rehabiltational procedures after surgical treatment of the ovarium in healthy women. The prospective study included 923 women after surgical treatment of cysts and non-cancerous growths. The methods of reproductive function rehabilitation have been detemined after the operations on ovarium taking into account endometrium condition and ovarial reserve. The effectiveness of fertility in patients after surgical treament on ovarium with the usage of auxiliary reproductive technology is 21,43% and 12,09 during natural cycle.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):18-22
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SCIENTIFICALLY SUBSTANTIATED APPROACH TO COMPLEX EVALUATION OF PSYCHIATRIC-LEGAL AND MEDICO-SOCIAL EXPERTISE OF INVALIDS DUE TO MENTAL DISEASES STAYING UNDER COMPULSORY TREATMENT
Krivoruchko Y.D.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):22-25
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COMPARATIVE ANALYSIS OF PRIMARY DISABILITY AS A RESULT OF ENDOCRINE SYSTEM DISEASES IN RUSSIAN FEDERATION, CENTRAL FEDERAL REGION AND ITS CONSTITUENT MEMBERS
Grishina L.P., Radikova Y.N.
Abstract
The analysis of primary disability in patients with primary disability as a result of endocrine pathology in Russian Federation, Central Federal Region and its constituent members.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):26-29
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THE ANALYSIS OF GENERAL AND RECURRING DISABILITY RATE AS A RESULT OF MALIGNANT NEW GROWTH IN RUSSIAN FEDERATION, NORTH-CAUCASIAN FEDERAL REGION AND ITS CONSTITUENT MEMBERS IN 2006—2010
Temirkhanova K.T.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):29-32
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PECULIARITIES OF PRIMARY AND RECURRING DISABILITY AS A RESULT OF RESPIRATORY DISEASES IN THE ROSTOV REGION OVER A PERIOD OF 5 YEARS (2006-2010)
Budagova T.B.
Abstract
The analysis of primary and recurring disability as a result of respiratory diseases in the Rostov region over a period of 5 years (2006-2010).
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):33-35
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CLINICO-DEMOGRAPHIC CHARACTERISTICS OF PATIENTS WITH OSTEOPOROSIS FROM DIFFERENT AGE GROUPS WHO HAVE BEEN CHOSEN BY VALIDITY RISK FACTORS
Malichenko S.B., Maschenko E.A., Malichenko V.S., Kudryavzev V.V., Kaplan M.Z., Lapteva A.E.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):36-41
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THE MODERN POSSIBILITIES OF DIAGNOSTICS, TREATMENT AND REHABILITATION OF PATIENTS WITH VARIANT FORMS OF AUTOIMMUNE DISEASES OF LIVER (PART II)
Burnevitch E.Z., Arion E.A., Aleksandrova E.A.
Abstract
The patients with established autoimmune hepatitis having alkaline phosphatase or alkaline phosphatase/AST correlation increase more than 1,5 and whose conditions didn’t improve after immunosuppressor treatment should undergo ERCP or MRT cholangiography to identify the primary sclerosing cholangitis or AMA 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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):42-45
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PECULIARITIES OF PRIMARY AND RECURRING REHABILITATION OF PATIENTS WITH PSYCHOPATHIC DISTURBANCES AND CARDIOVASCULAR PATHOLOGY
Medvedev V.E.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):45-48
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ESTIMATION OF REHABILITATION PROGNOSIS IN PATIENTS WITH ALCOHOLIC BILIARY CIRRHOSIS
Kislaya S.N., Ivanov G.G., Kisly N.D.
Abstract
24 patients (16 men and 8 women, average age 40,1±2,2) with alcoholic biliary cirrhosis without clinical signs of ascetic syndrome. The condition of water balance has been studied by using multirate segmental biompedansometry. Hyperhydratation has been evaluated in all water spheres of organism due to the increase of extracellular fluid in patients with alcoholic biliary cirrhosis during the period of absence of acsetic syndrome. The amount of extracellular fluid in women is significantly higher than in men.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):49-51
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APPLICATION OF INTEGRAL INDEX FOR EVALUATION OF STATIC-DYNAMIC FUNCTION IN PATIENTS WITH OSTEOARTHRITIS DEFORMANS OF KNEE-JOINT
Borodulin S.N., Bratchikova V.A., Karyagin V.V., Achimov A.P.
Abstract
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.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):52-55
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ROLE OF ORTHOTICS IN COMPLEX REHABILITATION OF PATIENTS WITH CONSEQUENCES OF VERTEBRO-MEDULLISPINAL TRAUMA
Mironov E.M.
Abstract
The author indicated the severity of vertebro-medullispinal trauma consequences manifested by movement and sensitivity disorders and trophic disturbances leading to the persistent loss of the ability to work and to disability. Timeliness and expediency of orthotics for this category of patients was determined as well as indications for administration of this or that orthopedic ware.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(1):56-57
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