Medical and Social Expert Evaluation and Rehabilitation

Protecting and promoting the health of the working population, which is the basis of economic well-being of society, is one of the most important public issues. The modern concept of health-care system for people working in harmful and (or) dangerous conditions include improvement measures to reduce the risk of exposure to adverse factors of the labor process, based on the evaluation criteria of hygienic occupational risk of harm caused to the health worker, the introduction of uniform criteria for their medical rehabilitation.

This paper presents an approach to medical and social assessment and rehabilitation of vegetative dystonia syndrome, which is not homogeneous and includes psychovegetative syndrome, progressive autonomic failure, and autonomic-vascular trophic syndrome. The necessity of taking into account a set of factors for quality medical and social assessment and rehabilitation in this state.

According to the dynamics primary disability of Orenburg adult population as result of stroke, the effectiveness of the Health Ministry order № 389n and № 357n implementation in a particular regional center. Despite the minor trend of the acute cerebrovascular accidents (CVA) incidence reduction, revealed a significant positive dynamics of disability reduction among adults due to cerebral vascular accidents. There was a trend of rejuvenation of disability as a result of the stroke effect with preferential access to the disabled males. There was a significant increase in the third group primary disability, along with a reduction in mortality, a moderate increase of people with the first disability degree. The dependency of the disability from stroke type and level of education. Low efficiency of rehabilitation has been noted.

The results of study of various characteristics of households that are differentiable on the specifics of psychophysical and socioeconomic status. Identified and ranked social risk factors which form neuropsychological development deviations in infants with perinatal central nervous system lesion.

Federal Bureau of Medical and Social Expertise, Moscow This article highlights the problematic issues of medico-social institutions licensing, the procedure of licensing, licensing requirements, a set of required licensing documents, issues of staff, training and retraining of specialists in the field of medical and social expertise.

The article is devoted to the development of the block diagram for the measuring- informational system of biotech force characteristics of the wrist grab evaluation. The results of the system testing on two groups of patients according to the base of the St. Petersburg Medical and Social Expertise, Prosthetics and Rehabilitation Center.

Currently, research problems and the relationship between PBS psychopathology were not considered in connection with the rehabilitation, in particular by using the methods of psycho-physiological self-regulation in all available literature. The article shows the results of changes investigation in the intensity of the FBS in medical rehabilitation using empatotehniki and examines the relationship between PBS and the mental state of patients with lower limb stumps. The study showed the dependence on the presence of psychopathology phantom pain, and the impact of depression on the severity of PBS. Comprehensive rehabilitation measures contributed to a corrective PBS improve emotional and effective replacement.