Social and psychological components in rehabilitation medicine

Aim: analysis of the current status and evaluation of the effectiveness of rehabilitation measures for patients with impaired motor function in the early recovery period of cerebral stroke in the conditions of a specialized inpatient department. Material and methods. The data of the state of patients with motor deficit after a cerebral stroke were analyzed in the rehabilitation department from November 2016 to March 2017. Results. During the study period, the effectiveness of the rehabilitation department for patients in the early recovery period of cerebral stroke was assessed. Improvements in cognitive functions were detected in these patients, and these patients also have a high potential for self-esteem of the social significance of the disease and the condition (anxiety and depression) at the time of being in the inpatient rehabilitation department. Conclusion. The presented data testify to the need to take into account the characteristics of patients in the early recovery period of cerebral stroke in the development of rehabilitation activities within the inpatient department.</p

Ohtahara II sydrome as a rare epileptic encephalopathy

We present information about Ohtahara II syndrome which is a rare epileptic encephalopathy, and our own clinical case: a 4-year old child with this disorder

Headache in pediatric practice: multifactor analysis of clinical and social predictors

The purpose of this work is to define the clinical and social predictors of headaches in children and adolescents. Material and Methods. We performed clinical examination of children and adolescents, which included studying their symptoms, anamnesis, somatic and neurological objective signs, survey using our original questionnaire and survey in the framework of an international project to study headaches «World Children and Adolescent Headache Project». The type of headache was diagnosed using international diagnostic criteria of the International Classification of Headache Disorders, 3rd edition (beta release). As a result of our study, we obtained the data about the most significant lifestyle factors (among those studied) influencing the number of days with headache per month, calculated linear coefficients and a predicting mathematical model for children. The sensitivity of the model for the prognosis of chronic tension type headache is 63%, specificity — 81 %. Conclusion. In this paper we describe criteria for the prognosis of primary headaches in patients aged from 8 to 18 years old

Posttraumatic stress disorder after stroke: rate, risk factors, approaches to prevention and treatment

The rate of posttraumatic stress disorder (PTSD) averages 23% within the first year after stroke and 11% in succeeding years. Its risk is particularly high following subarachnoid hemorrhage or restroke in young patients and in patents with a history of mental illness. PTSD decreases quality of life in patients after stroke and their adherence to drugs for the secondary prevention of vascular diseases. PTSD patients are predisposed to post-stroke depressive disorders. PTSD treatment after stroke involves medication and psychotherapy

Objective assessment of postural function and falls prevention

A literature review on evaluation of postural function in elderly patients is presented in the article. The detailed description of the main methods of diagnostics of balance disorders is given in the work

РЕЗОЛЮЦИЯ ЭКСПЕРТНОГО СОВЕТА ПО ПРОМЕЖУТОЧНЫМ РЕЗУЛЬТАТАМ СТАТИСТИЧЕСКОГО НАБЛЮДЕНИЯ "ЭФФЕКТИВНОСТЬ ФИКСИРОВАННОЙ КОМБИНАЦИИ ОРФЕНАДРИНА И ДИКЛОФЕНАКА У ПАЦИЕНТОВ С ОСТРОЙ БОЛЬЮ В СПИНЕ И ШЕЕ"

Back pain (BS) is one of the most pressing medical and social problems. It occupies one of the first places among the causes of temporary and persistent disability and seeking medical care. The management of patients with back pain requires a differentiated approach and, in many cases, joint efforts of physicians of different medical specialties.Боль в спине (БС) относится к числу наиболее актуальных медицинских и социальных проблем. Она занимает одно из первых мест среди причин временной и стойкой потери трудоспособности и обращения за медицинской помощью. Ведение пациентов с болью в спине требует дифференцированного подхода и во многих случаях совместных усилий врачей различных медицинских специальностей