REMOTE REHABILITATION: ROLE AND OPPORTUNITIES

Medical rehabilitation is a complex, long-term and financially costly process of restoring the physiological functions of the body after injuries and the consequences of past diseases. The need for an individual approach to each life situation necessitates the search and development of new technologies in the method of providing rehabilitation assistance. One of the principles of a successful rehabilitation process is continuity, which, in most cases, is disrupted after the transfer of patients to the outpatient stage. The 21st century, in contrast to the previous one, is distinguished by more accessible technologies for everyday and individual use. A separate category of patients are patients with the consequences of brain damage, socialization and the return of the ability to self-serve for whom is one of the most difficult in rehabilitation practice. One of these technologies is distance rehabilitation, which provides the principle of continuity, social and informational support for relatives who provide care for patients on an outpatient basis.

CORRECTIONAL GEOGRAPHY AND WAYS OF MAINTAINING SOCIALLY BENEFICIAL CONNECTIONS

Общение лиц, осужденных к лишению свободы, с родственниками является основополагающим фактором, влияющим на их успешную реабилитацию и социальную адаптацию. В результате анализа статистических данных выявлен факт несовпадения региона проживания близких осужденных с регионом отбывания наказания, что неблагоприятно влияет на поддержание социально-полезных связей. В статье рассмотрены способы взаимодействия осужденных с близкими (при помощи электронных сервисов ФСИН России) в случае отсутствия возможности поддержания личного контакта. Сommunication of persons sentenced to imprisonment with their relatives is a fundamental factor influencing their successful rehabilitation and social adaptation. As a result of the analysis of statistical data, the fact of a discrepancy between the region of residence of close convicts and the region of serving sentences was revealed, which adversely affects the maintenance of socially useful ties. The article discusses the ways of interaction of convicts with loved ones (using the electronic services of the Federal Penitentiary Service of Russia) in the absence of the possibility of maintaining personal contact.

Seizing and realizing the opportunity: A salutogenic perspective on rehabilitation after burnout

BACKGROUND: Most research on burnout has focused on its antecedents, correlates, and consequences. However, little empirical attention has been paid to what constitutes successful rehabilitation after burnout, especially among young employees. OBJECTIVE: The present study empirically examined resources supporting successful rehabilitation after burnout among young employees (between 18 and 35 years of age) from a salutogenic perspective. METHODS: Interpretative phenomenological analysis was used as a methodological framework to explain the experiences of young employees underlying their rehabilitation after burnout. RESULTS: The analysis showed that the rehabilitation process comprises four phases: 1) facing the crisis; 2) addressing the root causes; 3) seizing and achieving the opportunity; and 4) remaining at work. Essential overarching resources facilitating successful recovery after burnout included receiving social support from family, friends, and colleagues, as well as having a feeling of control over the rehabilitation process. Participants learned to be aware of potential pitfalls that could trigger burnout symptoms, while having confidence in their ability to prevent burnout from reoccurring. These continuous learning processes were experienced as a prerequisite to remain at work. CONCLUSIONS: Receiving social support and experiencing a feeling of control over the rehabilitation process appear to be key resources in facilitating a stable, meaningful return to work after burnout.

Juniperus L. for Restoration of Degraded Forest Lands in Turkey

Degraded forests are among of the most important environmental and commercial problems around the world. Turkey has 22.74 million hectares of forest area, out of which 9.656 million ha (42%) are unproductive. To transform these unproductive forests into productive ones, forest restoration including rehabilitation is one of the best actions. In this sense, juniper species play an important role for degraded lands because they are drought-tolerant and withstand aridity and poor soils better than most timber species grown in Turkey. Therefore, this review presents the ecological considerations for the restoration of degraded forest lands in Turkey under the conditions of climate change. Within this framework, it focuses on the production of planting stock of juniper species, the significance of site-species matching, and post-planting site maintenance for successful rehabilitation.

Stigmatization as a psychological resource for rehabilitation of cardiology clinic patients

Aim. Identify the adaptive level of stigma and describe its characteristics. Methods. Adapted for the cardiology clinic questionnaire of N. Sartorius, symptomatic questionnaire SCL-90-R (Simptom Check List-90-Revised), Schutzs Interpersonal relations questionnaire (1958), Tobol test method of the type of attitude to disease and treatment, and the Personal differential questionnaire. The data obtained were processed using the statistical program SPPS 20. Results. The study determined the optimal degree of stigmatization, which performed a positive role in relation to the state of health, helping patients to adequately assess the severity of the pathology, identify themselves with the disease and realize the necessary measure of their own responsibility in the treatment process (from 48 to 60). Clinical and social factors of optimal degree of stigmatization and successful rehabilitation of cardiology clinic patients are identified (resources): the patients higher education and the familys tendency to low-protecting position potentially contribute to the treatment and rehabilitation of cardiology clinic patients with moderate severity of their somatic condition. Clinical and social factors (anti-resources) that prevent the formation of an optimal degree of stigmatization and successful rehabilitation of patients are identified: the operative type of treatment, the overprotective position of the family, which is not justified by a real need, and the low level of education. It is established that the absence of pronounced pathocharacterological features and difficulties in interpersonal interaction of patients with an average level of stigmatization is an argument for determining this level of stigmatization as a resource. According to the results of the study the tasks for the medical psychologist of the cardiology clinic are set: 1) diagnostic, which consists in determining the level of stigmatization, analyzing the ratio of the degree of stigmatization and the degree of severity of cardiovascular pathology, studying individual resources and anti-resources (attitude to the disease and treatment, pathocharacterological features and interpersonal features); 2) psychocorrective, which consists in forming an adequate position in relation to the disease and treatment of patients and their families, restoring intra-family ties, changing inadequate responses to the disease, creating realistic attitudes to treatment in patients and their family members. Conclusion. The average degree of stigmatization is formed in patients in the absence of a pronounced personal and interpersonal problems, allowing them to receive social support in the conditions of restrictions imposed by the disease, and adapt to it. The average level of stigmatization in this case acts as an additional psychological resource for patients.

Pista direta planas para tratamento de mordida cruzada anterior funcional – relato de caso

Anterior crossbite is a malocclusion frequently found in deciduous and mixed dentitions, it can be classified as dental, skeletal or functional. This last one has a favorable prognosis when the treatment occurs in early stages. Considering this, Planas direct tracks have been showing to be an effective and less invasive alternative when few dental elements are involved. This paper presents a clinical case of a 6-year-old patient with functional unilateral anterior crossbite whose differentiated diagnosis and early intervention allowed a successful treatment. By manipulating the jaw and positioning the condyles in centric relation (CR), the presence of occlusal interference between the upper and lower deciduous canines on the right side was noticed, which are the causes of mandible anterior displacement with occlusion in MIH. For correction, Planas direct track therapy was used on the upper right canine with composite resin followed by slight wear on the lower right canine. The premature contacts were eliminated, creating an inclined plane of approximately 45 degrees on the palatal face of the upper canine and a slight occlusal adjustment on the incisal surface of the lower right canine. The use of this technique allowed the correction of the functional anterior crossbite immediately after the removal of the occlusal interference. This case shows that the early treatment of crossbites increases the chances of a successful rehabilitation of stomatognathic system. The use of Planas direct tracks proved to be an effective, low-cost, and easy to implement alternative for functional crossbites correction.

Reunion with the mother: a successful rehabilitation strategy for displaced wild Rusty-spotted Cat Prionailurus rubiginosus (I. Geoffroy Saint-Hilaire, 1831) (Mammalia: Carnivora: Felidae) kittens

One of the common challenges for wildlife rehabilitators and conservationists is dealing with displaced young animals, needing intervention and help. Most commonly, such displaced animals are moved to zoos or rescue centers where they are hand-raised. In some cases, the hand-raised animals are rehabilitated back in the wild following suitable protocols. For young animals that are not injured or ill, however, reuniting them with their mothers in the wild might be the best option. There are few reports on such reunion efforts. We report successful reunions of 26 Rusty-spotted Cat Prionailurus rubiginosus kittens with their mothers in the period of six years in the Junnar Forest Division, Maharashtra, India. The kittens found by the villagers were examined for injuries or signs of sickness, and physiological parameters were recorded. If found healthy, they were placed in a plastic basket at the same location in the evening of the same day for a reunion with their mothers. In all cases, the mother cat was in the vicinity and took the kittens away after a brief period. The success of reunion effort was confirmed by direct observation or vocalization of the kittens combined with the presence of pugmarks of an adult cat at the site, or just by the presence and appearance of pugmarks. The results of our efforts show that displaced kittens of small wild cats can be successfully reunited with their mothers, provided that the time gap between separation and reunion effort is minimized.

Multidisciplinary principle of management in stroke patients. Criterions of efficiency and factors of successful rehabilitation

The article is devoted to the principles and features of the multidisciplinary team’s activity which are providing the adequate maintaining in stroke patients. The principles of carrying out, advantages and risks of early rehabilitation and early verticalization are considered. The main principles of physical rehabilitation are analyzed also.