Vol 15, No 2 (2012)

Articles
MEDICAL AND SOCIAL ASSISTANCE EMPLOYMENT OF DISABLED PEOPLE IN THE MARKET CONDITIONS
Puzin S.N., Khrapylina L.P., Ogay D.S.
Abstract
The article presents the authors theoretical and methodological developments in various aspects of employment and maintenance of employment for the disabled in market conditions. The necessity of medical and social support for employment of disabled persons and prevention of labor potential loss of such workers.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):3-6
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REHABILITATION OF PATIENTS WITH VERTEBRO-MEDULLISPINAL TRAUMA
Mironov E.M.
Abstract
Severity of spinal and medullispinal damage in patients and rehabilitation problems were considered. Movement disorders noted in 100% of cases were leading symptoms in clinical picture. Functional stimulation aimed at restoration of independent walking function was the basic trend in treatment of such patients. The suggested method significantly shortens rehabilitation period and could be recommended for wide application in practice.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):6-9
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INTRAOSTEAL BLOCKADES IN THE REHABILITATION OF PATIENTS WITH THE SYNDROME OF UNSUCCESSFUL SURGERY ON THE INTERVERTEBRAL DISCS
Sokov E.L., Kornilova L.E., Garabova N.I., Arsyukhin N.A.
Abstract
A total of 54 patients with recurrent pain after removal of herniated disc have been examined. A new medical technology -intraosseous blockades has been included to all patients in the rehabilitation program for the treatment of recurrent pain and restore movement disorders. The effectiveness of rehabilitation has been evaluated according to the dynamics data of the visual analogue scale of pain, russified MakGill pain questionnaire, the "body scheme" and stimulation electromyography. A significant regression ofpain, restoration of motion function, improving the speed of conduction along the peroneal nerve on the side ofpain in patients with the syndrome of unsuccessful surgeries on the spine have been revealed.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):9-12
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MEDICO-SOCIAL CHARACTERISTIC OF PRIMARILY DISABLED DUE TO EPILEPSY IN THE ALTAY TERRITORY IN 2006-2010
Timoshnikova N.N., Baranova L.N., Vladimirova I.A., Yakovleva S.I.
Abstract
The analysis of the primary disability level due to epilepsy in the Altay Territory was presented based on the material of the bureau of medico-social expertise. The conducted analyses of examination of the patients suffering from epilepsy for the period of2006-2010 allowed to establish the decrease in number of primarily disabled (at that the indices were compared with the period 2002-2006) to 78%, of which 94% consisted of invalids of the 3 rd group mostly at the able-bodied age. The causes of primary disability dynamics were analyzed.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):12-15
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EVALUATION OF BASIC REHABILITATION REQUIREMENT OF THE DISABLED DUE TO DISSEMINATED SCLEROSIS (BY THE EXAMPLE OF AMUR REGION)
Lugovtsova Y.A.
Abstract
The need in various kinds of rehabilitation of invalids due to disseminated sclerosis was studied with help of analysis of individual rehabilitation programs given to invalids by medico-social expertise institutions of Amur Region. It was detected that many kinds of rehabilitation in patients suffering from disseminated sclerosis have been underestimated.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):15-17
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PRIMARY DISABILITY OF THE ADULT POPULATION DUE TO MALIGNANT NEOPLASMS IN THE BELGOROD REGION IN THE DYNAMICS FOR THE YEARS 2000-2009
Dmitriyev V.N.
Abstract
Annual number of newly recognized disability due to malignant neoplasms increased by 21% In the Belgorod region in 10 years of observation (2000-2009). Their share increased from 9.8 to 22% of the total repeatedly registered as disabled. In 2009, malignant neoplasms as a cause of primary disability were the second cause of disability after the diseases of the circulatory system. The contingent was first recognized as disabled due to malignant neoplasm is formed predominantly by persons of retirement (47.7%) and medium age (32.9%), disability groups II (64.6%). The primary disability evaluation is becoming more complicated with age. The negative dynamics of the levels, structure and trends of primary disability of the adult population due to malignant neoplasms shows the relevance and a large medico-social and economic significance of the problem.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):18-21
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RECURRING DISABILITY DUE TO DISEASES OF MUSCULOSKELETAL SYSTEM DEPENDING ON THE SEX
Petrunko I.L.
Abstract
Gender-specific recurring disability due to disease of the musculoskeletal system in the Irkutsk region in 2006-2010 has been studied. Disability due to diseases of the musculoskeletal system in the Irkutsk region was higher in women with recurring disability than in men (57, 4%) during these years. Recurring disability prevailed in both sexes, but the proportion of men was higher (up to 96.4 % in 2006). The share of recurring disability in the retirement age for both men (from 3.6 to 16.8%) and women (from 10.4 to 44.2%) increased from 2006 -2010.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):21-23
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ANALYSIS AND TENDENCIES OF PRIMARY DISABILITY DUE TO THE CARDIOVASCULAR PATHOLOGY IN 5 YEARS IN KEMEROVO REGION (2006-2010)
Bratchikova V.A., Lobanova V.S., Poltarykhina L.T., Simchina Y.V., Sass E.A.
Abstract
The analysis of primary disability due to cardiovascular diseases during 5 year dynamics with regard to age, severity of disability, disease classes in the Kuzbass.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):24-26
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METHOD OF EXAMINATION OF THE PATIENTS WITH SPEECH DISORDERS APPLIED IN MEDICO-SOCIAL EXPERTISE PRACTICE IN THE ALTAY TERRITORY
Timoshnikova N.N., Timoshnikov A.V., Vladimirova I.A., Dashina M.G.
Abstract
The topicality of the problem of diagnostic evaluation of speech disorders in clinical practice and conducting medico- social expertise was substantiated. The steps of examination procedure of the patients with speech disorders during the examination process were suggested. Method of evaluation of the named category of patients in the structure of experimental psychological examination was presented separately. The volume of the suggested method corresponds to the conditijns and equipment of the primary affiliated branches of medico-social expertise service.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):27-29
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CONNECTION OF ORGANIZATIONAL AND LEGAL WORK IN THE ACTIVITY OF INSTITUTIONS OF MEDICO-SOCIAL EXPERTISE SERVICE
Akimov E.I., Goncharenko A.G., Kalashnikova L.K.
Abstract
The problems connected with the activity of the regional federal state institutions of medico-social expertise were considered. The authors share their experience in the area of practical application of modern medical law. The experience of the service of the medico-social expertise service of the Altay Territory allows judging the efficiency of work in interrelation and coordination of different departments of the institution.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):30-32
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THE USE OF INNOVATIVE FRAX TECHNIQUE FOR FRACTURE RISK EVALUATION IN ELDERLY PATIENTS NOT PREVIOUSLY EXAMINED AND TREATED WITH ANTI-OSTEOPOROTIC THERAPY BENEFITS AND POSSIBLE RISKS
Malichenko S.B., Mashchenko E.A., Ogay D.S.
Abstract
To compare the effectiveness of fracture risk assessment standard survey methods and FRAX innovative technique FRAX in the elderly, 3152 women members of the Veterans’ Council" of Moscow, not previously examined, and not receiving anti-osteoporotic therapy were examined. Densitometry has been performed to assess bone density as well as testing with FRAX method. 32.4% of patients have a history of atraumatic fractures, and 56.4% - osteoporosis, diagnosed by standard methods of the survey, 72.7% require medical intervention according to testing by the method of FRAX. The sensitivity of FRAX patients requiring treatment according to standard techniques (in patients with osteoporosis without pathological fractures, with osteoporosis in the presence of low-energy fractures and osteopenia in the presence of a pathological fracture) 70.3%, 71.5% and 24.3% respectively. Thus, among the majority of women aged 65-75 years who have not been previously examined and not receiving osteoporosis therapy, revealed violations of bone turnover, fracture history. According to this FRAX method is not always the method of choice for assessing fracture risk in these patients.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):33-36
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MEDICAL AND SOCIAL FACTORS THAT AFFECT THE CONTINUATION OF THE PROFESSIONAL ACTIVITIES OF ELDERLY PEOPLE AND RAISE THE AGE OF ENTERING THE LABOR PENSION
Khrapylina L.P.
Abstract
The article deals with contemporary problems of increasing the age of exit for labor pension in Russia. The motivation to work for the elderly has been considered. Substantiated medical and social factors affecting the continued professional activity of older people. The methodical approach to the assessment of occupational risks and the fundamentals of medical and social protection against loss of employment potential of these workers.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):36-40
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NEW DIAGNOSTIC TECHNOLOGY “LYTOS-SYSTEM” IN THE STUDY OF SYNOVIAL FLUID IN PATIENTS WITH OSTEOPOROSIS
Kanayev A.S., Shatokhina I.S., Shabalin V.N.
Abstract
The paper shows the possibility of new diagnostic technology, "Litos-System" for the study of solid state structures of the synovial fluid, obtained from elderly patients with coxarthrosis by the wedge-shaped dehydration. It was found that a marker of degenerative-dystrophic lesions of cartilage tissue is spindle-shaped structure in the fascia of the synovial fluid. Comparison of inorganic chemical elements in the fascia of patients with coxarthrosis in the fascia of the synovial fluid showed a fivefold increase in the phosphorus content and a sevenfold in calcium compared to controls. This indicates the destruction of the bone-joint tissue and the accumulation of degradation products that bind phosphorus and calcium salts.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):41-44
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REGIONAL ASPECT OF HANDICAPPED CHILDREN PROBLEM-SOLVING DIFFICULTIES
Kirichenko Y.N., Razinkov D.V.
Abstract
The authors consider series of problems concerning rehabilitation, education of disabled children, creating a barrier-free environment for their activities, conditions for going in for sports and creative work, which in compliance with the amendments to the federal legislative acts are under the jurisdiction of the state executive authorities of the Russian Federation. By the example of Kursk Region the authors show that at present the arrangements conducted within the framework of the regional goal-oriented program "Social support and improvement of status of Kursk Region children for 2009-2010” were insufficient to change the situation with rendering social support to the handicapped children and to the families with handicapped children.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):44-46
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THE VALUE OF THE RATIONAL USE OF ANGIOTENSIN-CONVERTING ENZYME INHIBITOR PERINDOPRIL DURING THE REHABILITATION PROGRAMS FOR CARDIAC PATIENTS
Malykhina A.I., Zhuravleva M.V., Starodubtsev A.K., Serebrova S.Y.
Abstract
I-ACEs are effective and safe drugs that reduce the activity of the renin-angiotensin-aldosterone system. One of the most studied I- ACEs is perindopril. Its efficacy and safety has been proven by many clinical studies. The effectiveness of perindopril is due to a set of hemodynamic, neurohormonal and metabolic effects, providing a positive prognosis for patients with cardiovascular disease. Therefore, perindopril can rightly be considered one of the drugs for the prevention and performance of various rehabilitation programs for patients with cardiovascular disorders and comorbidity.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):47-50
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INDICES OF PSYCHOPHYSIOLOGICAL ADAPTABILITY AND CEREBRAL HEMODYNAMICS IN PATIENTS WITH CONSEQUENCES OF CRANIOCEREBRAL TRAUMA
Sizaya N.A., Portova L.Z., Gromakova S.V.
Abstract
Results of multi-parameter analysis of multisystem reactions of psychophysiologic adaptability and characteristics of cerebral hemodynamics in patients with consequences of craniocerebral trauna were presented. Pathologically changed cerebral circulation of blood was detected in all the examined patients along with multifunctional disturbances of the central nervous system (effectiveness of the specified activity, sensomotor response, mental ability to work, adaptability to the loads with mental stress). Correlation of psychophysiological and physiological indices of adaptation to mental loads and rheoencephalographic indices was shown. Statistic correlation dependences between particular and integral indices were analyzed; the most significant among them, which were characteristic for the studied data sample, were detected.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):50-54
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LIFE QUALITY OF PATIENTS WITH POSTTRAUMATIC DEFECTS OF THE EARS BEFORE AND AFTER RECONSTRUCTIVE SURGERY
Karyakina I.A.
Abstract
The paper shows the results of studies of psychological features of patients with partial and subtotal defects of the ears after the trauma of various origins. In the social survey involved 28 patients aged 25 to 41 years. All the patients underwent reconstruction of the auricle. As a control group randomly 25 men aged 26 to 40 years have been taken. The study was conducted using the WHO QOL questionnaire 100 [6], the adapted version of the I.O Elkina [4]. The presented results of social survey pay attention to assessing the quality of life of patients with defects of the ears before and after surgery as compared with the control group.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(2):54-57
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