[Data bank on post-stroke patients: experience in organization and use].

The bank of clinical data concerning restorative therapy of neurological patients was characterized. These data were included in computer program "System of management of data bank on poststroke patients" which was elaborated in the department of V.M.

[Viral hepatitis A: causes of lingering].

The examination covered 756 patients with viral hepatitis A (90 of them were followed up for 1.5 years) who had antigens and antibodies to hepatitis A, B, C, E and D viruses. It was found that: lingering viral hepatitis A may be caused by viral persistence marked by specific antibodies (IgM anti-HAV); lingering hepatitis followed by verification of chronic hepatitis is related to manifestation of previous hepatitis B and C; detection of IgM anti-HAV in patients with exacerbation of chronic hepatitis B, C and D (hepatitis D) evidences for the presence of mix-infection (acute hepatitis A in chronic hepatitis B, C or D).

[The results of rehabilitative treatment in diseases of the brain of a poststroke and posttraumatic nature and in diseases of the peripheral nervous system].

The authors summarize 20-year experience in the aftercare of 16,088 patients with aftereffects of brain apoplexy or trauma, diseases of the peripheral nervous system. The treatment was performed in special inpatient and outpatient aftercare centres in the city of St. Petersburg.

[Factors of nonspecific resistance in hepatitis B and acute hepatic insufficiency].

Studies of nonspecific resistance factors in grave forms of viral hepatitis B (VHB) have revealed their significance in the prediction of acute hepatic insufficiency (AHI) development and its unfavorable outcome. IgM and IgA levels were found the most informative as far as the prognosis is concerned; these levels were the highest in the patients with precoma eventuating in hepatic coma. C3 complement concentration was reduced in all the patients whatever the disease severity, but more so in those developing AHI, which fact may serve the criterion predicting AHI development in VHB; to add to this, C3 complement level reflects the degree of hepatocyte destruction whereas the degree of transferrin level reduction is explained by its impaired synthesis by the liver as well.

[Rehabilitation treatment of patients with sequelae of stroke at a specialized rehabilitation center in Leningrad].

The article reviews a ten-year experience with rehabilitation of post-stroke patients accumulated at specialized in- and out-patient rehabilitation centers. The authors present the principles of structuring the recovery process, as well as the main components of rehabilitation programmes, individual methods, and their combination. The ultimate results of rehabilitation treatment are considerably better than those observed following the traditional chemo- and physiotherapy.

[System for rehabilitating patients with vascular pathology of the brain].

The authors have developed a rehabilitation system intended for patients with different cerebrovascular diseases. The system covers initial manifestations of insufficiency of the cerebral blood supply, transient disorders of the cerebral blood circulation, as well as acute, restorative and residual periods of the stroke. The system is being realized in territorial polyclinics, neurologic departments of city hospitals, rehabilitative inpatient centres and polyclinics.

[Experience with the rehabilitation of stroke patients in a specialized rehabilitation polyclinic].

The success of treating 549 patients who had survived cerebral stroke and received a course of therapy at a specialized rehabilitation outpatient clinic has demonstrated the feasibility and efficacy of rehabilitation in outpatient conditions. Comparison of the results of treatment in the study (139 patients) and the control (100 patients) groups offers a good idea as to the social significance of such rehabilitation. 75.

[Use of portable biotechnological feedback devices in a system of active rehabilitative therapy in patients with post-stroke movement disorders].

The authors present an adaptive biotraining technique employing automatic portable devices designed for post-stroke patients with secondary motor disturbances. The principal feasibility of a directed central reorganization and formation of new motoric skills in post-stroke patients with the paresis of upper extremities is demonstrated. The principles of correcting motor disturbances, developed for this cohort of patients, have enabled the authors to theoretically substantiate and introduce into clinical practice this effective method of functional therapy based on the active mobilization of brain reserves.

[Forms and method of rehabilitation therapy and social-occupational rehabilitation of patients with the sequelae of cerebrovascular diseases].

The authors give some data on restitutional therapy of 516 patients (400 with sequelae following strokes and 116 with transient disorders of cerebral circulation). Treatment of the first group was made in a neurological ward, the second--in a cardiological sanatorium. The programme of restitutional therapy provided the use of psychosocial and biological methods, an appeal to the personality and stage-by-stage accomplishment of rehabilitative measures.