Федеральное государственное бюджетное учреждение «Российский научный центр "Восстановительная травматология и ортопедия" им. акад. Г.А. Илизарова» Министерства здравоохранения Российской Федерации, г. Курган
Goal. Analysis of the development of rehabilitation infrastructure in the Russian Federation, including organizations of various departmental affiliations and forms of ownership, providing rehabilitation services to children with autism spectrum disorders (ASD).
Methods.Analytical: the level of primary child disability due to mental and behavioral disorders, including ASD, was studied in the Russian Federation for 2017-2019. according to the official statistics of the Ministry of Labor of Russia. The work of 1,788 organizations providing rehabilitation measures to children with ASD is analyzed based on Federal Resource Center for the Organization of Comprehensive Support for Children with Autism Spectrum Disorder (as of October 2019). Rehabilitation infrastructure for children with ASD is grouped by Federal Districts and presented in the diagrams. The data of the Federal Resource Center for the Organization of Comprehensive Support for Children with Autism Spectrum Disorder (as of October 2019) were used.
Results. The data were obtained on the growth of the level of primary disability among children with mental and behavioral disorders, including autism, in the Russian Federation. Rehabilitation activities for children with ASD are provided by organizations of various departmental affiliations: education (91%), social protection (3%), healthcare (0.5%), culture and sports (0.6%), non-profit organizations (5%). The most developed rehabilitation infrastructure for children with ASD has developed in the education system. For coordination and methodological guidance, 23 regional resource centers for people with ASD were created, of which 87% are in the field of education, 13% in the social protection system.
Conclusion.In modern Russia, there is an increase in the disability of children with mental and behavioral disorders, including autism, in this regard, the rehabilitation infrastructure for children with ASD is intensively developing. At the same time, the network of regional resource centers needs to be developed. There is a need for a unified comprehensive approach to assessing the condition, identifying needs and implementing rehabilitation measures for children with ASD, which is applicable both in departments and at the interdepartmental level. The International Classification of Functioning, Disabilities and Health (WHO, 2001) is such a universal language for interdepartmental and interdisciplinary interaction.
Ставропольский государственный медицинский университет, Российская Федерация 2 Городская клиническая больница № 2, Ставрополь, Российская Федерация eXperience in TreaTmenT of paTienTs WiTh The neW coronaVirus infecTion-coVid-19 complicaTed WiTh pneumonia in The inTensiVe care deparTmenT of a ciTY hospiTal muravyeva a. a. 1 , obedin a. n. 1 , Zinchenko o. V. 1 , Vladimirova o. V. 1 , mazharov V. n. 1 , Bylim a. i. 1, 2 , suslova n. a. 2 , Trutneva o. s. 2 1 stavropol state medical university, russian federation 2 city clinical hospital № 2, stavropol, russian federation Проведен анализ первых месяцев лечения больных с новой коронавирусной инфекцией COVID-19 в условиях реанимационного отделения городской больницы. Тяжелое течение заболевания (перевод в ОАР) наблюдалось у 28,4 % пациентов. Необходимость в ИВЛ отмечена в 72 % случаев. Летальность в ОАР составила 63,7 %. Полученные результаты явились основой для разработки оптимальной тактики ведения больных, рациональной противовирусной и антибактериальной терапии. Ключевые слова: новая коронавирусная инфекция COVID-19, антибактериальная терапия, противовирусная терапия, ИВЛ The analysis of the first months of treatment of patients with the new coronavirus infection-COVID-19 in the intensive care unit of the city hospital was carried out. A severe course of the disease was observed in 28.4 % of cases. The need for mechanical ventilation was noted in 72 % of patients. The mortality rate was 63.7 %. The results obtained formed the basis for the development of optimal tactics for managing patients, rational antiviral and antibiotic therapy.
Analysis of the state and trends in the population, the study of age characteristics and other indicators are the basis for the formation of targeted social support programs for citizens of working age and older than working age at the level of the subject of the Russian Federation.
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