Vol 12, No 5 (2013)

The paper presents the basic concepts of development of medical rehabilitation in the Russian Federation, the main documents, regulating the medical rehabilitation of subjects of the Russian Federation, purpose, objectives, principles, targets, indicators, separation of powers of State health authorities and health care organizations, health care providers. The model of development of medical rehabilitation

In article are provided data on a current state of sanatorium service in the Russian Federation and the main ways of its improvement in the conditions of formation of three-level system of the organization of health care are designated. Special concern is caused by the tendency which has outlined recently to decrease in number of the sanatorium organizations, deficiency of personnel capacity of the branch, insufficient material base of a number of establishments, including having the social importance. The perspective directions of improvement of sanatorium service are: prevention of the most widespread diseases of citizens at medical examination; the organization of an aftercare and medical rehabilitation of patients after rendering to it specialized, including hi-tech medical care.

Relevance of rehabilitation of newborns and infants is determined by the frequency and severity of perinatal pathology. Quality of life of children and their social adaptation is largely determined not only by treatment of the acute period of the disease, but also by early and full rehabilitation. The article presents work experience of the early intervention department as a model of early intervention service to children in the structure of the state medical institution

The need for medical rehabilitation of adult population is defined and analyzed, and the number of visits to the doctor for medical rehabilitation in accordance with the basic classes and some specific diseases are calculated. Estimated number of applications and visits of adult population of the Russian Federation for the medical rehabilitation as a whole are 695.8 and 2106.8 per 1000 adult population, respectively. Diseases, requiring medical rehabilitation of Russian adult population in the outpatient setting are identified. First three places among the classes of the diseases that form the cohort of patients who need medical rehabilitation on an outpatient basis per 1000 population occupy the disease of: circulatory system (236.2), musculoskeletal system and connective tissue (129.2), and respiratory system (65.5). Using the proposed calculated number of applications and the number of visits to the doctor for medical rehabilitation in an outpatient setting, health care authorities of any region of the Russian Federation can calculate the need for medical rehabilitation.

An assessment of the microvasculature in women of late reproductive age with a diagnosis of chronic endometritis. According to the laser Doppler flowmetry to identify three types of functional changes in the microvasculature of patients with chronic endometritis, which had the highest correlation coefficient with the results doplerometrii uterine blood flow.

The genetic components are involved in aetiology of the multifactorial human diseases. Impressive advances in the studies of human genome laid the foundation of predictive personalized medicine and its methodological basis is genetic testing. Possibilities for the identification of genetic factors predisposed to the multifactorial diseases and condition for the introduction of genetic testing into clinical practice are discussed.

The paper presents some modern methods of instrumental diagnosis of motor function, used for research purposes, and for the practical rehabilitation in rehabilitation clinics with a view to the correction of motor disorders of any etiology. Summarizes the methods and options for their effective use.

Under intense exercise metabolism increases, and without nutraceutical support may be reduced physical and mental performance. Intense exercise can be one of the causes of iron deficiency states in athletes while an imbalance of other chemical elements may occurs in the body. This article presents three series of studies by the student-athletes. Patients were taking vitamin and mineral complex (Vitrum, Centrum, Duovit and Gerimaks Energy with adaptogens) and iron monopreparations (Sorbifer- Durules, Ferro-Gradumet, Gemofer). Were investigated exchange of iron, copper and manganese by balance method, and physical performance of athletes in intense training. It is shown that the reception of vitamin and mineral complexes significantly improves exercise performance and is accompanied by a positive balance of iron, copper and manganese in the body. At that time, in the controls the negative balance of iron, copper and manganese was observed. This indicates the presence of trace element deficiencies in athletes. Iron monopreparations against appreciable iron retention displaced copper and manganese from the body. Illustrated antagonistic relationship between the studied trace elements require careful treatment of iron deficiency by iron drugs.