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Background: At present, diagnostics of premorbid conditions in medical college students is of particular importance owing to the extensive use of modern educational equipment, technologies and materials. Objective: To assess the functional status of first to third-year medical college students majoring in orthopedic dentistry. Materials and methods: In April–May 2023, we conducted a cross-sectional study of 182 male students of the medical college at the Volgograd State Medical University, all majoring in orthopedic dentistry. The subjects were divided into three observation cohorts consisting of 66 first-year college students (mean age: 18.29 ± 0.11 years), 60 second-year students (19.84 ± 0.20 years), and 56 third-year students (20.66 ± 0.24 years). We established their heart rate variability and analyzed integrative indicators of functioning of the regulatory systems with a focus on adaptive capacities according to the method by R.M. Baevsky. The functional state of the central nervous system of the students was assessed using variational chronoreflexometry. Results: We observed balanced heart rate regulation (type 1) in most subjects (73 %). At the same time, by the final year of study the number of students with excessive sympathicotonic reaction was found to increase. Some young men showed an increase in the activity of regulatory systems above normal values. Suboptimal activity of the autonomic nervous system can reduce its efficiency and induce rapid CNS fatigue, which was confirmed by the results of variational chronoreflexometry. Discussion: We revealed a slight tension of regulatory systems having no adverse health effects in the male students. Yet, excessive sympathicotonic reaction noted in the third-year students indicated predisposition to disruption of mechanisms of adaptive capacity in some young men. Optimization of schoolwork pressure is one of the measures of preventing further negative changes in the functional status of student youth. The assessed score of schooling intensity of future dental technicians was 3.1. Conclusions: Our findings show that the study load causes increasing tension of the regulatory systems of the body. They justify the importance of improving the curriculum and developing a set of targeted measures for an increase in functional reserves of medical college students majoring in orthopedic dentistry.
Background: At present, diagnostics of premorbid conditions in medical college students is of particular importance owing to the extensive use of modern educational equipment, technologies and materials. Objective: To assess the functional status of first to third-year medical college students majoring in orthopedic dentistry. Materials and methods: In April–May 2023, we conducted a cross-sectional study of 182 male students of the medical college at the Volgograd State Medical University, all majoring in orthopedic dentistry. The subjects were divided into three observation cohorts consisting of 66 first-year college students (mean age: 18.29 ± 0.11 years), 60 second-year students (19.84 ± 0.20 years), and 56 third-year students (20.66 ± 0.24 years). We established their heart rate variability and analyzed integrative indicators of functioning of the regulatory systems with a focus on adaptive capacities according to the method by R.M. Baevsky. The functional state of the central nervous system of the students was assessed using variational chronoreflexometry. Results: We observed balanced heart rate regulation (type 1) in most subjects (73 %). At the same time, by the final year of study the number of students with excessive sympathicotonic reaction was found to increase. Some young men showed an increase in the activity of regulatory systems above normal values. Suboptimal activity of the autonomic nervous system can reduce its efficiency and induce rapid CNS fatigue, which was confirmed by the results of variational chronoreflexometry. Discussion: We revealed a slight tension of regulatory systems having no adverse health effects in the male students. Yet, excessive sympathicotonic reaction noted in the third-year students indicated predisposition to disruption of mechanisms of adaptive capacity in some young men. Optimization of schoolwork pressure is one of the measures of preventing further negative changes in the functional status of student youth. The assessed score of schooling intensity of future dental technicians was 3.1. Conclusions: Our findings show that the study load causes increasing tension of the regulatory systems of the body. They justify the importance of improving the curriculum and developing a set of targeted measures for an increase in functional reserves of medical college students majoring in orthopedic dentistry.
The Fifty-eighth World Health Assembly, having considered the report on disability, provides for “the need to invest in health and rehabilitation services necessary to ensure equality of opportunity and a good quality of life for people with disabilities.” The Convention on the Rights of the Child and the Law on Education of the Russian Federation include the possibility of obtaining education, vocational guidance and vocational training for persons with disabilities. Objective is to assess the medical and social problems of adaptation of children with intellectual disabilities in educational institutions, vocational guidance for choosing the appropriate profession, training and employment. Review of current data on the problems of education and health care of children with mental retardation, their professional orientation, vocational training. Assessment of the modern regulatory framework for teaching children and adolescents with disabilities. The search for information was carried out using the eLibrary information portals.RU, PUBMED, Web of Science and Scopus. It is shown that there are problems of attracting adolescents with mental retardation in the management of vocational education, where the number of students remains minimal. New regulatory documents are presented, which define the conditions and training loads for persons with disabilities in educational institutions. The necessity of improving the quality of medical, psychological and pedagogical support of students with disabilities with the involvement of doctors of the appropriate profile has been established. The development of the material and technical base for the upbringing, training and rehabilitation of children with mental retardation is shown. The problems with the readiness of teachers to work with children with disabilities in the implementation of the State program “Accessible Environment” are noted. The “Concept of the development of education of children with disabilities”, developed by teachers-defectologists, is considered. The modern regulatory framework for vocational training and employment of persons with disabilities is presented. Conclusion. The results of the review are aimed at identifying problems with professional orientation and training of adolescents with mental retardation. They can be useful for specialists dealing with such children and adolescents.
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