SCIENTIFIC SUBSTANTIATION OF COGNITIVE-INFORMATIONAL PROSTHETICS (MEDICAL-SOCIOLOGICAL ANALYSIS OF NATURAL REPARATION OF SELF-PRESERVATION MOTIVATION MATRIX)

Purpose. To develop an information-cognitive methodology for assessing and regulating individual, group and population health. Tasks: 1) to form an idea of the motivational matrix of modern Russians; 2) to develop an indicator system for fixing the volume and quality of socially significant information; 3) to determine the level of “accumulated morbidity” (AM) in groups with different motivational matrix. Materials and methods. Self-assessment of physical health by the criterion: AM (1,657 adults in the Southern and North Caucasus federal districts (age: 16–80 years)). Measurement of information-cognitive parameters of the personal motivational matrix (MM): discreteness, content of cells and their effect on AM. The expediency of using MM parameters as a self-preservation potential (SP) was shown. The medical efficacy of MM changes by AM criteria exceeded the corresponding indicators of traditional risk factors by 2–20 times. Information part of the joint venture included the sociological registration of the presence (absence) of the afferent flow (gradient of afferentation (GA)) from socially significant objects (SSO), and cognitive part – recognition and comprehension of the acquisition or loss of these SSO. The methods used to measure current aggregate identified needs (in the phase of “acquisition” or “loss”) allowed to calculate the average, optimal and maximum possible number of MM cells held by a person simultaneously. The authors calculated the self-preservation potential of the individual, group and the population as a whole by registering the facts of the receipt of information from acquired or not received from the recently lost SSO. Results. Positive gradient of afferentation (GA) was observed in 46.3 ± 1.2%, negative – in 9.8 ± 0.7% of respondents on average in the sample. The remaining participants in the survey had a truly zero GA value from a socially significant object. Absence of acquisitions and losses corresponds to the neurophysiological norm of the population, which provides the accumulated morbidity of 854.3 ± 53.0‰. In accordance with the linear trend (R² = 73.2%), the loss (acquisition) of each SSO changes the AM by 10.9% (corresponding to 274.7‰) in the direction of increase (decrease). Conclusions. Health is a response to the flow characteristics of information (its volume and quality) under equals other conditions. Economic, political and social instability affect the population indirectly through the information-cognitive parameters of MM. The developed methods make it possible to evaluate and predict changes in individual and public health using visualization of information-cognitive flows from existing or lost SSO. Programs of active correction of the incidence rate should be developed on the basis of the formation of new medical (paramedical) SSO - the so-called “cognitive-informational prostheses”