Model of the organization of complex rehabilitation of invalids in a large industrial region, characteristic of the basic links of the model, estimated criteria of its realization are presented in the article.

Electro-acoustic correction is the basic method of rehabilitation of patients with hearing acuity disturbance as well as cochlear implantation in case of deafness. The article considered the criteria of efficiency of aerophone use, which were determined not only by the type and quality of hearing-aid itself but by the correct selection of its electro-acoustic parameters and adequate individual fitting for the particular ear including individual earphone production.

Features of determination of disablement groups in patients with Parkinson's disease with various age of the disease onset were analyzed. We examined 86 patients with PD registered at the Nizhniy Novgorod office on assistance to the patients with extrapyramidal pathology including early and late onset of the disease. Slower tempo of progressing was characteristic for the patients with early onset, and their disablement developed in later terms from the moment of the disease development than in patients with late onset. Earlier disablement of the patients with late onset of the disease depended on more rapid development of postural instability, vegetative and cognitive disturbances. Medico-social examination demands taking into account the specificity of the disease course depending on the age of its onset.

The most up-to-date forward-looking trends of rehabilitation activity of psychoneurologic hostels were considered. The role of differentiated approach to rehabilitation of invalids based on the subjective and objective factors scientifically substantiated "accompaniment" of rehabilitation; use of innovative approach to rehabilitation was shown in the article.

The essential scientific trends of rehabilitation due to the psychic diseases based on bio-psycho-social concept of psychic diseases and psychiatric rehabilitation were considered in the article. Systemic approach underlied the coverage of this problem.

Clinical-social features and degrees of ability to work loss were analyzed by the example of patients staying at the psychoneurologic hospital. Clinical material made 159 patients. Female patients were mostly of retirement age (37.2%), and male patients age was from 21 to 30 (28.5%). Incapable were 3.6% of male patients and 4.7% of female patients. Various forms of schizophrenia prevailed in the structure of hospital pathology; it was equally presented both among males (47.8%) and females (48.8%). Females were significantly rarer registered at the dispensary and rarer violated the outpatient pharmacokinetics regimen.

The problem of social adaptation of the elderly patients at the gerontopsychiatric center was considered. Subjective and objective factors of social adaptation of elderly patients with psychic disturbances were presented as well as the stages of social adaptation. The participation of different specialists in the realization of the social adaptation process was shown.

The article considers the role of medico-social expertise in social protection of invalids, particularly those disabled due to psychic diseases who underwent compulsory treatment in connection with unlawful actions. The author emphasized features of social protection of invalids over 50 discharged from the clinic for the outpatient follow-up at psychoneurologic dispensary as well as the features of individual rehabilitation program.

The results of study of clinical expert work of municipal polyclinics were presented. High level of appeal for medico-social problems solution was detected. The structure of the patients' appeal was presented including the rural regions. Time necessary for medical expertise by the commission of experts was determined.

The study of the authors included interviews of about 300 doctors. Interviews have shown that medical expert should possess a certain combination of psychological features necessary to fulfill his duties successfully. Structural logic, which is supposed to predominate in the structure of personality, is the critical quality. Logical-intuitive introvert is an optimal psychological type for expert activity. It is also necessary to create a high quality system of education for experts including basic professional education and expertise training according to the specialization, expert analysis and expert decision-making skills development, individual work in a group of experts, expert decision management, forming a need of self-perfection; psychological training; permanent improvement in basic professional specialization and expertise.

The indices of primary and general tuberculosis incidence and indices showing the phthisiologic service in Krasnodar Territory are presented for the 5-year period.

The article presents the analysis of dynamics and structure of primary disablement due to tuberculosis in Krasnodar Territory for the period 2005-2009.

Regional features of primary disablement structure of the Nizhniy Novgorod Region adult population according to groups of disablement for the 18-year period were studied. Mean annual values were calculated and dynamics of invalids rate of I, II, II groups in structure of contingent of primarily determined invalids due to certain classes of diseases (general number of follow-up units - 674 137 primarily determined invalids at Medico-Social Expertise Units for the period 1992-2009). Classes of diseases with the most severe incapacitating consequences (circulatory system diseases, malignant neoplasms, psychic and behavioral disorders, tuberculosis) were determined. Knowledge of regional features of the disablement formation process is necessary for optimal management decision-making in forming an efficient, regionally orientated policy in spheres of healthcare and social protection of population.

Secondary disablement due to diabetes mellitus in Altai Territory for the 5-year period (2005-2009) was analyzed in dynamics; structure of disablement according to the groups and gender was determined as well as the level of disablement.

Congenital malformations are one of the leading causes of infantile disablement and infantile mortality. In the structure of primary disablement in Murmansk Region congenital malformations take the second place. Maldevelopments of circulatory system predominate among congenital malformations.

Indices of circulatory diseases incidence and temporary disability and invalidity were studied at the basis of municipal polyclinic ь 195 of the Western Administrative District of Moscow for the period 2004-2007. Among the primarily determined invalids the share of invalids of II group decreased from 73.1% in 2004 to 41.8% in 2007, and the share of invalids of III group increased from 21.6% to 52.7% respectively. The obtained data is evidence of importance of social factor in invalidity determination.

Treatment and rehabilitation of elderly patients are very often complicated by combined pathology. Chronic diseases, absence of acute clinical picture, pharmacological pathomorphosis, simultaneous or consecutive multi-causal monosymptomatology, alternating pharmacokinetics and pharmacodynamics of drugs condition the development and introduction of new forms and methods of complex rehabilitation into practice.

The article presents an analysis of family status of the patients of neurologic and cardiologic medical rehabilitation departments according to the results of questionnaire. We have interrogated 400 patients aimed at studying their family status, family relations, readiness and possibility of family members to organize everyday care in private life for a patient after acute myocardial infarction or stroke hospitalized to the medical rehabilitation departments.

The investigation of cardiac rhythm variability features in patients and invalids with cardiovascular pathology was aimed at studying possibilities of using indices for evaluation of the severity of state and degree of cardiovascular system disturbances and functioning as a whole.It was shown that disturbances of cardiac rhythm neurohumoral regulation were characteristic for the examined patients; significant deviations from norm corresponded to the severity of state increase according to clinical features that confirmed its informative significance for the functional state and functional reserves of the organism characteristic.

The results of sociologic study conducted in 2009 were analyzed and the condition of awareness of the parents bringing up disabled children was evaluated as well as the problems solution basing on their social adaptation. Authors considered the creation of a forum, site and specialized literature publishing as a method of perfection of the process of social adaptation of families with disabled children.

Practical recommendations on introduction of a new organizational-methodical registration form for the disabled patients staying in psychoneurologic hostels were designed and given as psychological rehabilitation record of the patient showing basic clinical-demographic, social-environmental and psychological dispositions of the patient.