Vol 12, No 6 (2013)

The need for medical rehabilitation of adult population in hospital is defined and analyzed, and the number of admissions and beds for medical rehabilitation in accordance with the basic classes and some diseases are calculated. Estimated number of admissions of adult population of the Russian Federation for the medical rehabilitation as a whole is 433.7 cases per 10 000 adults per year. The number of patients who need for medical rehabilitation on inpatient basis is about 21.1% of all patients treated in the hospitals. The article presents estimated figures of the need of Russian adult population in medical rehabilitation in the hospital (number of hospitalizations, hospital beds, and their structure), both for the classes and some specific diseases. First three places among the classes of the diseases that form the cohort of patients who need medical rehabilitation on an inpatient basis per 10 000 population occupy the diseases of: the circulatory system (242.4), respiratory system (54.2) and the musculoskeletal system and connective tissue (44.8). Using the proposed calculated number of hospitalizations and beds for medical rehabilitation on an inpatient setting, health care authorities of any region of the Russian Federation can calculate the need for medical rehabilitation of the region.

In the article the analysis of risk factors of osteoporosis progression of the Kazakh republic residents is expounded according to a special survey and ultrasonic analysis of strength properties of ostein (densitometer Sonost 3000, South Korea). According to analyses the ranking of risk factors associating with osteoporosis progression is made. In a ranking order interconnections between osteoporosis and age, region of habitation, smoking, low weight, gender, taking glucocorticoid, previous fractures are established. A high level of bone mass malfunction of the inhabitants of the south region of the republic, connected with negative influence of environment, is exposed. The absence of statistically significant difference in the detectability of osteoporosis of urban and rural population is noted.

The article, based on an analysis of personal characteristics of mothers of children of early-age with cerebral palsy, their interpersonal relationships in families and attitudes toward the rehabilitation of children, the necessity and direction of family psycho-FDI. Mothers of children with disabilities identified a set of interrelated psychological peculiarities: emotional disturbances, adverse to the health of mother and child child-parent relationship. Family set of mothers wearing compensatory. Not satisfied with the development of the child, their knowledge and skills, and helplessness in its rehabilitation, the uncertainty of its prospects, the underestimation of the role of many experts, carelessness, not satisfied with communication with specialists. Based on the identified features justified the direction of family therapy: correction of emotional problems in the mother, child-parent relationship, improving medical and psychological competence, thus enhancing the effectiveness of rehabilitation.

The paper presents a comprehensive analysis of the survey 437 patients (262 men and 175 women) from 18 to 60 years (age 31,3 ± 0,32 years) in the interim period of spinal cord injury (average time after injury 2,3+0,04 months ) with a syndrome of complete and incomplete spinal cord conduction disorders. In the rehabilitation of patients used locomotor robots Erigo and Lokomat. Complex clinical and neurophysiological (TMS and EP) survey was carried out on the 6, 21, and 42 day of spinal cord injury, and in the long term - 6 months. It was established, that in patients with consequences of spinal cord injury, the main predictors of recovery of motor function under the influence of robotic mechano are severity of injury and the change in conductivity of the spinal cord according TMS forecast with accuracy from 62 to 91%. The proposed integrated clinical and neurophysiological approach can be used to determine the rehabilitation potential of patients with traumatic spinal cord injury.

We examined 236 frequently ill children (FIC) (142 boys and 94 girls) in the age of 3 through 10 years old. We studied clinical, functional, metabolic and adaptation specific manifestations in children with adenoidal hypertrophy and chronic adenoiditis. Based on the risk factors responsible for health deterioration in FIL, we propose a working classification of nasopharyngeal lymphoid tissue condition. This classification will allow to optimize the strategy of the discussed patient category introduction.

The effect of increased physical activity on the content of chemical elements in the hair of students - female athletes of high school (37 people involved in various types of fitness) and sportsmen (110 people involved in various types of sport) was shown. Revealed significant differences compared with controls (19 female students and 67 males with low physical activity). Analysis of the hair back of the head on the content of macro- and trace elements carried out on a combination of methods for ICP-MS and AES-MS. The improved physical and psycho-emotional stress experienced by female athletes significantly influenced the content of chemical elements in the hair. Perspectivity of the use of hair analysis as a method of personalized monitoring and correction of the element status, and functional status in the sport was shown.

A study of a number of parameters in the saliva of the military (slgA , IgA, and IgG, lactoferrin and lysozyme ) as indicators of local immunity of the oral cavity with dental caries and chronic periodontitis, and after the rehabilitation of carious teeth. In addition identified a number of periodontal index. The study involved conscripts aged 18-22 years. Shown to reduce the local mechanisms of immunity and increased periodontal indexes, which indicates an increase of inflammation in periodontal tissues. Thus, on an example of saliva was shown that non-invasive methods of population surveys are informative for immunological monitoring.

The aim of the study was to evaluate the efficiency of the DAT for stroke patients. Methods: The study included 50 patients (50 to 70 у.с.) who had had an cerebral stroke for 3-4 months prior to the study. All the patients were divided into 3 groups: a control group (n=11), a DAT group (n=28) and a placebo group (n=11). Results. We couldn’t find the significant difference between results shown in the placebo and the control groups. The interaction didn’t influence the patients recovery after the stroke. However we found significant reduction or disability in the group of the DAT compared with the control group and the placebo groups. Conclusions: 1. The DAT is an effective method of the rehabilitation which is based on the principles of the increasing complexity of exercise-games with specially-trained dogs for stroke patients. 2. A simple dog-human interaction can’t be regarded as a therapy.

Studies on 40 student-athletes between the ages of 19 to 22 years old found that 2 week intake of vitamin and mineral complex (WMC) «Gerimax» combined with adaptogens was accompanied by considerable delay of iron, copper and manganese in the body, which indicates a lack of content in the body. However, with increased retention markedly increased excretion of iron medication copper and manganese with feces and urine. Reception of the WMC with herbal adaptogens was accompanied by significant increases in indicators of natural and specific immunity: complement, lysozyme and serum bactericidal activity (bass), relative and absolute number of lymphocytes, T-lymphocyte populations, increasing of the immunoglobulin classes G, M, and a Phagocytic activity and level of circulating immune complexes (CIC) against the background of a significant reduction in the concentration of B-cell lymphocytes.