[TOPICAL ISSUES OF MEDICAL REHABILITATION OF PATIENTS WITH THE CONSEQUENCES OF SEVERE TRAUMATIC BRAIN INJURY AT THE MUNICIPAL LEVEL].

The article presents the age-sex structure of people who have suffered severe traumatic brain injury on the example of a municipal medical organization providing medical care and medical rehabilitation in outpatient settings. The high prevalence of this type of injury among males of working age has been established. The duration of temporary disability and the timing of referral of this category of people for medical and social examination are reflected. There is a high level of disability among people who have suffered severe traumatic brain injury, and in most cases they are assigned more severe first and second disability groups. The article reflects the personnel problems of a municipal medical organization providing outpatient medical care in the formation of a multidisciplinary rehabilitation team, which require their resolution at the regional level.

[Analysis of disability among the elderly and senile on the example of the Rostov region.]

The article analyzes the dynamics of the main indicators of disability among people older than working age in the Rostov region. The trend decline in surveys of persons in this age group, including reducing the number of first and repeatedly recognized as disabled, on the background of growth in the region's population share of persons above working age. At the same time, there was an increase in accumulated disability.

[Some aspects of improving the medical and social rehabilitation of the elderly who permanently live in general-type boarding schools.]

The article reflects the age and gender structure of the contingent of elderly people living in a General boarding house. The most common diseases in this category of persons, the presence of a disability group and individual programs for rehabilitation (habilitation) of the disabled person were established. The need for medical care, including medicines, was studied. There is a need to improve measures for medical and social rehabilitation, including in improving the employment of this contingent of people and the development of their leisure time. Examples of positive experience in this area among other regions of the Russian Federation are given.

[Sex hormones and cerebral hemodynamics in men with cerebrovascular insufficiency]. / Polovye gormony i tserebral'naia gemodinamika u muzhchin s mozgovoi sosudistoi nedostatochnost'iu.

The authors determined content of steroid hormones (testosterone, estradiol) and gonadotropic pituitary hormones (follicle stimulating, luteinizing, prolactin) in blood plasma by means of radioimmunological assay and evaluated the state of cerebral hemodynamics by results of zonal rheoencephalography in 77 patients with initial manifestation of circulatory brain insufficiency, transient disorders of the cerebral circulation and in the restorative period of stroke against the background of cerebral atherosclerosis. Established was a significant correlation between the content steroid sex hormones and the main quantitative values of the rheoencephalograms of the above patients.

[Autonomic nervous system function in men with cerebrovascular insufficiency against a background of hormonal rearrangement]. / Sostoianie vegetativnoi nervnoi sistemy u muzhchin s mozgovoi sosudistoi nedostatochnost'iu na fone gormonal'noi perestroiki.

As many as 33 men with initial manifestations of brain blood supply insufficiency and transient disorders of brain circulation associated with cerebral atherosclerosis were examined for the vegetative characteristics (tone in the cardiovascular system, reactivity, physical activity supply) during age-associated hormonal rearrangement. RIA was used to measure the blood serum content of peripheral sexual hormones (testosterone, estradiol) and the content of gonadotropic hormones of the pituitary (follicle-stimulating and luteinizing). It has been revealed that the hypersympathetic direction of vegetative functions is combined with remarkable changes in the content of sex steroids in the form of testosteronemia and hyperestradiolemia. This dictates the necessity of correcting the function of the autonomic nervous system and the hormonal status.