Vol 15, No 4 (2012)
- Year: 2012
- Articles: 15
- URL: https://bakhtiniada.ru/1560-9537/issue/view/2050
Articles
HISTORY AND PRESENT STATE OF CLINICAL EXAMINATION OF PATIENTS WITH GYNECOLOGICAL CANCER
Abstract
A major focus of the population health prevention are examinations carried out by the state, society and health. This is especially true for those branches of medicine, with high levels of morbidity and mortality such as oncology. The basic principles of clinical examination used in oncogynaecology are described in the paper.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):3-6
3-6
7-10
REHABILITATION OF PATIENTS WITH CHRONIC MERCURY INTOXICATION DUE TO THE PROFESSIONAL ACITIVITY
Abstract
The current situation of patients rehabilitation suffering from chronic mercury intoxication due to professional activity. Analysis of the literature revealed the progressive nature of the disease, a high degree of disability and the extremely low efficiency of rehabilitation. It is concluded that to improve the efficiency of rehabilitation from chronic mercury intoxication, it is necessary to search for new approaches to the development of rehabilitation programs.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):10-14
10-14
THE MONITORING ORGANIZATION OF THE INDIVIDUAL REHABILITATION PROGRAMS IMPLEMENTATION EFFECTIVENESS IN NIZHNY NOVGOROD REGION
Abstract
An important condition for the effectiveness of rehabilitation measures is to dynamically monitor their progress. The results of effectiveness monitoring of individual rehabilitation programs (IRP) for patients with disabilities in the Nizhny Novgorod region for six years (2005 to 2010). Higher rates of IPR effectiveness were reported in parts of medical and social rehabilitation, the greatest difficulties arise in the implementation of vocational rehabilitation measures in the Nizhny Novgorod region.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):15-18
15-18
THE EXPERIENCE OF SOCIAL WORKERS ORGANISATION IN HEALTH AND SOCIAL ASSESSMENT OF THE ALTAI REGION
Abstract
The article focuses on the role of specialists in social work in a comprehensive assessment of the body condition during the medical and social assessment by analyzing clinical and functional, social, domestic, professional and labor data of the patient accoding to the classifications and criteria, including with Article 7 of the Federal Law «On social protection of disabled people in the Russian Federation «and the order of Ministry of Russia of 17.11.2009, № 906n. The authors share their experiences of the current legislation usage in the Altai region.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):19-20
19-20
ORGANIZATION PECULARITIES OF WORKING AGE INVALIDS MEDICAL REHABILITATION DURING POLYCLINIC STAGE
Abstract
The study involved 300 people with disabilities of working age who have undergone rehabilitation in the rehabilitation departments of clinics. The content of rehabilitation programs and the institutional structure of the rehabilitation route identified defects of outpatient medical rehabilitation stage: lack of focus on positive social purpose, lack of coverage with necessary rehabilitative effects of disabled, defective organization of the rehabilitation process (irrational sequence of rehabilitation), which reduces the efficiency of rehabilitation effects and fatigue patients. However, it should be noted the positive effect of rehabilitation in all patients.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):21-24
21-24
CHARACTERISTICS OF REHABILITATION POTENTIAL AND REHABILITATION PROGNOSIS OF DISABLED CHILDREN WITH CEREBRAL PARALYSIS
Abstract
Characteristics of rehabilitation potential and prognosis of rehabilitation of disabled children with cerebral paralysis(CP) within 4-10 years (2002-2010). In dynamics comprehensive evaluation of medical and social rehabilitation of 3,445 children - disabled with cerebral paralysis at the age of 17 years of life, inclusive, has been implemeted. Various aspects of the of the individual rehabilitation potential (PRI) implementation in children with cerebral paralysis, a comparative analysis of the conditions leading to disability before and after rehabilitation have been studied. Identify new approaches to ensure longterm comprehensive rehabilitation system according to the growth and development of the child ’s body. Rehabilitation forecast (RP) in children with cerebral paralysis was evaluated in five age groups with a 5-point scale. Revealed that the formation of IPR disabled children due to cerebral paralysis is determined by the age of the child, health indicators, severity, and clinical patterns of disease, severity of disability and degree of restriction of life, social and economic status of the family, the presence of her motivation for the implementation of the rehabilitation process. Optimization of the PRI and RP contributed significant reduction in the frequency of severe outcomes of perinatal brain lesions in cerebral paralysis in 42% of children and the formation of the less severe forms of disabling disease in 36% of children.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):24-27
24-27
ANALYSIS OF THE POPULATION PRIMARY DISABILITY DUE TO MENTAL AND BEHAVIORAL DISORDERS IN THE ORENBURG REGION IN 2008-2010
Abstract
The comparative performance characteristics of the primary disability of the population of the Orenburg region due to mental and behavioral disorders with the average for the Russian Federation and the Volga Federal District. The positive dynamics in the retirement age, negative changes in children. Growth of the primary disability group I. The dependence of the dynamics of primary mental disability from the socio-economic condition of society and the legal framework.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):28-32
28-32
PRIMARY DISABILITY DUE TO CIRCULATORY DISEASES DYNAMICS IN KRASNODAR REGION DURING 1996-2010
Abstract
The dynamics of the primary disability of the adult population in the Krasnodar region due to cardiovascular disease (CVD) in 1996-2010. Level of primary disability of the adult population of the Krasnodar region due to CVD for the period 1996-2005 increased 1.7 times, but there is a strong tendency to reduce it from 2006. In the structure of the primary disability nosological forms predominate cerebrovascular disease. The structure of disability severity was dominated by the disabled P group, the proportion of disabled W group had a strong tendency to increase, which is a positive prognostic factor.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):32-36
32-36
ORGANIZATIONAL AND LEGAL ISSUES ТО IMPROVE SUPERVISORY FUNCTIONS OF THE MAIN BUREAU OF MEDICAL AND SOCIAL EXPERTISE
Abstract
Learn the basic organizational and legal issues of the main medical and social assessment office of the Russian Federation of the control desk, and the correlation of the actual condition of this section and the regulations adopted by the Administrative Regulations. Pointed the insufficient legal framework for the examinations in order to control. Suggestions to improve the regulatory framework of the activity.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):37-40
37-40
THE METHOD OF OLECRANON FRACTURE TREATMENT OF ELDERLY PATIENTS WITH THE HELP OF THE INTERLOCKED NAIL
Abstract
The olecranon fracture makes up from 15% till 36% among all the infraarticular fractures. In spite of the numerous methods of conservative and operative treatment, in some cases there can emerge problems connected with the elbow joint function recovery. We have invented the method of olecranon fracturefixation with the help of quadrangular interlocked nail. Since 2011 till the beginning of the year 2012 we have performed 28 operations of such a type. According to statistics, the percentage of early and late epiphenomena has been reduced to 7,1%, and this number is much lower comparing with other treatment methods of sach a fracture category.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):41-44
41-44
PSYCHOPHYSIOLOGICAL CHARACTERISTICS OF CLINICALLY HEALTHY DOCTORS OF MEDICAL AND SOCIAL EXPERTISE WITH FAMILY HISTORY OF CORONARY HEART DISEASE
Abstract
The analysis of the psycho-physiological characteristics of healthy physicians employed in the service of medical and social assessment, having a family history of coronary heart disease and patients with this disease. Identify trends in the cognitive, emotional and behavioral spheres indicate the need to introduce a set of measures for primary prevention of coronary heart disease in medical service medical and social expertise personified psychological adjustment.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):45-47
45-47
CLINICAL CASES OF AGGRAVATION AND SIMULATION IN PATIENTS WITH OPHTHALMOPATHOLOGY DURING MEDICO-SOCIAL EXAMINATION
Abstract
Developed a method to identify aggravation and simulation in patients with ophthalmopathology with a view to the further introduction of the practice of medical and social assessment. For the experiment, we developed a special device (Patent number 2,269,921). The results support the use of this method to determine the true values of visual acuity in the conduct of medical and social assessment to determine the aggravation and simulation.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):48-50
48-50
ROLE OF MOTHER AND FAMILY IN THE LIFE OF A DISABLED CHILD
Abstract
There are a number of important issues, without which there can be no rehabilitation or integration of disabled children into society. While working with your child it is necessary to find out how the family is informed on issues not only of disease and rehabilitation of the child, but also as an adequate attitude to the defect, and to the child himself, because the success of rehabilitation depends on the capacity of the family.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):51-53
51-53
EVALUATION OF LIFE QUALITY IN DISABLED CHILDREN WITH CEREBRAL PARALYSIS IN DAGESTAN REPUBLIC
Abstract
Indicators of physical (Staten kinetic), somatic, emotional, intellectual, speech and mental development 3445 children with cerebral paralysis (CP) aged 17 or under were studied for the period 2002-2012. Quality of life (QOL) of disabled children with cerebral paralysis according to 10-point scale based on four types of functioning: physical, social, emotional, and role. Life quality comparison according to four compensation levels of motor, mental, intellectual, speech and sensory impairments. There is reduction of all types of operation, particularly severe violations were physical, social and role QOL component, which could indicate, in particular, the welfare and emotional deprivation of disabled children with cerebral paralysis of all ages, especially in the educational institutions in a number of objective and subjective reasons: lack of specialized education and training conditions, a professional staff of insolvency, lack of motivation and psychological support to the family, etc. Life quality of disabled children with cerebral paralysis of all ages can be seen as the final criterion of medical and social effectiveness, psychological and educational rehabilitation.
Medical and Social Expert Evaluation and Rehabilitation. 2012;15(4):54-56
54-56