[Vocational rehabilitation of pulmonary tuberculosis patients in rural locality].
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The article presents criteria of the medical and socio-occupational rehabilitation in postthrombophlebitic disease which allow to change the initial identification of the degree of working ability in 22% of 135 patients.
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Rehabilitation problems in the shipyard industry have been analysed basing on the data on workers undergoing rehabilitation at the professional rehabilitation centre at the naval shipyard within 6 years. The analysis of the data on 1471 people undergoing rehabilitation at this time demonstrated that in the structure of rehabilitated people those aged 31-40 (42.5% of the total number of subjects) dominated; those were welders employed for 6-10 years (22.7%). The most important contraindications for the continuation of work were diseases and traumata caused by accidents at work (18.7%) and occupational diseases (3.5%).
Over a 10-year period the author studied remissions in 110 patients with paroxysmal schizophrenia. The postmanifest remission and social and occupational readaptation after the attack were studied in detail. These parameters are collated with the clinical picture of initial disturbances and of a manifest attack. Variants of adaptation of patients with different types of remission are described. The authors have also studied the effect of clinical characteristics of the initial and manifest period on the subsequent adaptation of patients. The results of the examination may serve as a basis for the development of rehabilitative measures for patients with paroxysmal schizophrenia.
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In connection with the reconstruction of the educational system and occupational training of the youths, the problem of the effect of the occupational factors on the organism of the juveniles is of exceptional importance. The search of early changes by the application of immunological tests in that aspect is very rational. The state of microflora of the deep layers of the skin, the microbic contamination of nasal mucosa have been studied as well as the content of complement in serum and serum immunoglobulins G, A and M and the phagocytosis in the students from SPTS. The experimental subjects have exposed to a complex of toxic-chemical substances with different intensity during their occupational training and practice. It has been established that the training under the specific conditions for mastering the specialty has led to a slight decrease of the antimicrobic resistance and reduction of the phagocytic function of leukocytes, not affecting the humoral factors of natural immunity.
Using clinical and special medico-psychological methods, the authors studied 154 patients with schizophrenia with different rates of the disease progression and at different stages of the disease. The authors studied the condition of the patients' self-consciousness in relation to the possibilities of their social and occupational readaptation. It has been established that the working ability of patients depends on a number of factors, including their profession and working conditions, the influence of the family, the degree of progression of the schizophrenic process and the severity of negative symptoms. At the same time the level of patients' self-consciousness exerts a considerable influence on their social and occupational readaptation which should be taken into account in developing rehabilitative measures and in the course of expert medical examination of working capacity in such patients.
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