RESUMEN
The article presents historical essays concerning each method of rehabilitation, period of its revision depending on time and pathological etiology of each disease, application of rehabilitation (health path, mechanotherapy), different modes of choosing each method of rehabilitation. The term "rehabilitation" became widespread after adoption of the Federal Law No. 181 of November 24, 1995 "On social protection of disabled people in the Russian Federation". This is the set of measures targeted to recuperation of functional reserves of organism, improving quality of life, maintaining working capacity of patient, one's integration into society, reducing incapacitating states impact to support people with impaired functions to adapt to new conditions of life in society. The rehabilitation and habilitation are processes targeting to ensure that the disabled could be able to achieve and maintain optimal levels of physical, sensory, intellectual, psychological and/or social functioning. The rehabilitation covers wide range of activities, including rehabilitative medical care, physiotherapy, psychotherapy, logopedics and ergotherapy and supportive services too. The disabled are to have access to both general medical services and appropriate rehabilitation services.
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Personas con Discapacidad , Medicina , Humanos , Calidad de Vida , Federación de Rusia , Ajuste SocialRESUMEN
The article presents the dynamics of disability due to cerebrovascular diseases in 2014-2018 in Moscow. The age gender analysis of the disabled in this category was carried out. It was established that 30% of total population of the disabled due to cerebrovascular diseases accounted for the share of those who were recognized as disabled for the first time in the structure of total population. The most frequently disabled persons are those who are older than able-bodied age. In total structure of the disabled due to cerebrovascular diseases, women predominate.
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Trastornos Cerebrovasculares , Personas con Discapacidad , Trastornos Cerebrovasculares/epidemiología , Femenino , Humanos , Moscú/epidemiologíaRESUMEN
The article analyzes the structure and dynamics of disability due to coronary heart disease of the Russian Federation at the retirement age in the period 2006-2017. Revealed the prevalence in the structure disabilities of retirement age in all years of the study. Their total number is large - 2,3 million and constantly decreases. The level of disability in this age group is high, in the first years of the study it is much less than the level of middle-aged disabilities, but in recent years they differ slightly. The structure of disability of retirement age since 2010 is formed by re-recognized disabled people.
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Enfermedad Coronaria , Personas con Discapacidad , Jubilación , Enfermedad Coronaria/complicaciones , Humanos , Persona de Mediana Edad , Prevalencia , Federación de RusiaRESUMEN
Atrial fibrillation is more common among elderly patients. Number of comorbidities, such as heart failure, coronary heart disease, disorders of the conduction system of the heart increases with age. Atrial fibrillation is a health problem. In developed countries, there is a high prevalence of the disease. The disease affects more than 33 million people worldwide. Spectral analysis of heart rate variability can be successfully used to evaluate the effectiveness of therapy. The use of this method gives an idea of the role of the autonomic nervous system in the regulation of chronotropic function of the heart. These data help to define conditions of manifestation of efficiency of antiarrhythmic drugs. In this study, spectral analysis were studied in patients with different forms of atrial fibrillation. The effect of amiodarone class III antiarrhythmic drug were studied this study. It is shown that the structure of spectrum of heart rate variability in patients with newly diagnosed atrial fibrillation differs significantly from that in patients with disease duration from 6 months to several years on the background of amiodarone.