Vaccination and Multiple Sclerosis - Current Situation.

Active immunization of patients with autoimmune diseases is a current challenge. Vaccination of patients with multiple sclerosis (MS) has been shown not to be associated with increased risk of exacerbation. A personalized approach to immunization of this group of patients is required, taking account of ongoing therapy and the nature of the course of illness. MS is not an absolute contraindication for vaccination against the new coronavirus infection. Vaccination can be with any of the currently authorized immunoformulations.

[Vaccination and multiple sclerosis at the present stage]. / Vaktsinatsiya i rasseyannyi skleroz na sovremennom etape.

Immunization of the patients with autoimmune diseases is rising a lot of concerns. It was previously demonstrated that vaccination in MS patients was not associated with an increased risk of exacerbations. A personalized approach is needed to define the immunization schedule. A decision should be made based on the course of the disease and the treatment used. Multiple sclerosis is not an absolute contraindication to vaccination. Any authorized vaccine can be used in MS patients.

Organization of remote rehabilitation of moscow children with cerebral palcy during COVID19 pandemic using cross-cutting digital technologies

The tense epidemic situation in the Russian Federation in connection with the spread of the new COVID-19 coronavirus infection has caused the need to search for new forms of medical care for children that ensure a step-by-step and continuous process of providing medical rehabilitation to children, and, at the same time, do not provide for daily visits to medical institutions. The aim of the work was to develop and implement a project for rehabilitation of children with diseases of the nervous system and musculoskeletal system using digital technologies. The results of the work was a unique joint project of the state medical Research and Clinical Centre of Pediatric Psychoneurology Moscow Department of Public Health in collaboration with the Research Institute of Health Organization and Medical Management Moscow Department of Public Health on the remote day hospital. The results of an open prospective follow-up of 680 children with cerebral palsy who received a remote rehabilitation course showed the effectiveness and safety of the new rehabilitation approach in patients of this nosological group. Постановка проблемы. Напряженная эпидемическая ситуация, сложившаяся в Российской Федерации в связи с распространением новой коронавирусной инфекции COVID-19, вызвала необходимость поиска новых форм медицинской помощи детям, обеспечивающих этапность и непрерывность процесса оказания медицинской реабилитации детям, и, при этом, не предусматривающих ежедневного посещения ими лечебных учреждений. Цель работы - разработка и реализация проекта реабилитации детей с заболеваниями нервной системы и опорнодвигательного аппарата с применением цифровых технологий. Результаты. ГБУЗ «НПЦ детской психоневрологии» ДЗМ в сотрудничестве с ГБУ «НИИОЗММ» ДЗМ создан уникальный совместный проект дистанционного дневного стационара. Практическая значимость. Результаты открытого проспективного наблюдения 680 детей с церебральным параличом, получивших реабилитационный курс в дистанционном режиме, показали эффективность и безопасность нового реабилитационного подхода у пациентов этой нозологической группы.