Health Resorts Research Articles

Health Resort Treatment of metabolic Syndrome in the Republic of Belarus

As a result of the clinical study of patients with metabolic syndrome receiving individual complex programs of health resort treatment, there is a tendency to reduce body weight, reduce waist circumference, reduce cholesterol and normalize blood pressure. To preserve the result of treatment, the lifestyle must be combined with a rational diet, optimal physical activity and using the methods of increased motivation.

Comparison of social thermalism in health systems

Social Thermalism refers to access of balneotherapy in National Health System. Although Brazil has no great tradition in balneotherapy, Social Thermalism is proposed in the National Policy of Integrative and Complementary Practices in Brazilian in the Public Health System. However, it is necessary to establish guidelines, financing, training for the implementation of balneotherapy in Brazil. Therefore, it is necessary to understand the social thermalism in different health systems in order to elaborate a proposal for Brazilian health system. Objectives: To compare Social Thermalism in different European health systems, aiming a proposal of possibilities to enhance this practice in Brazil. Methodology: Official documents were studied from European countries that have Balneotherapy in public health system. The following aspectswere analyzed: Access / Coverage, Financing, Organization and provision of services, Essential medical products and technologies, Problems and current trends. Preliminary results indicated that there are different forms of access of balneotherapy in National Health System, for example, while in France there are no restrictions as to age, in Spain the IMSERSO (thermalism program) is aimed at those over 65 years of age. Also another difference is about therapeutic indication and duration of treatment: in Germany there is a mandatory prescription by specialist in resort therapy or spa doctor; in Spain the prescription is indicated by the doctor. Portugal: spa doctor, general practices or specialist. France and Italy there are a mandatory prescription by general practitioners or specialist. Number of days of treatment: Germany: 18, Spain: 10 to 12 days; France: 18; Italy: 12 and Portugal 12 to 21 days. Financing: Portugal - after cutting off in 2011, Ministry of Health studies a proposal for reimbursement in 2018. France: Social security reimburses treatments since 1947; however occurred a freezing of the base of reimbursement for cares since 2013. Problems and current trends: health systems experience similar problems, such as tendency of not to cover certain treatments by health plan, freezing of financing, lack of investment in infrastructure, lack of research support. Also there are few health professionals specialized in this area. Therefore, it is necessary to stimulate training of health professionals in this area, investing in research that promote benefits of this modality, elaborating guidelines and financing for maintenance of health resorts and application of thermal practices. Preliminary considerations: This study aims to deepen comparison of balneotherapy in different National Health Systems, describing their approaches and distances, giving visibility to the problems faced in health systems and to identify future trends. This knowledge may facilitate discussions for growth of balneotherapy in public health policies in Brazil.

Влияние лечебного туризма на экономику Азербайджана

Wellness tourism plays an important role in the socio-economic development of Azerbaijan. Because the landscape and climatic features of the republic contribute to the resort and tourist facilities development, the availability of the dry subtropical climate over large areas has a positive effect on human health, and alpine and tundra landscape offers great opportunities for the development of winter sports, presence of mineral waters, medicinal oil and mud along with an increase in value of the resorts, create the opportunity for their year-round activities. This sphere of services is young enough for our country. This article is primarily focused on wellness tourism, originally conceived as a marketing tool to attract international demand for health care services. The article is aimed at summarizing the promoting wellness tourism in the developing countries as Azerbaijan, as well as to assess the opportunities and constraints of its development in the current socio-economic conditions. The article investigates the role and place of wellness tourism in Azerbaijan, and determines the effect of revenue from wellness tourism. The special attention is given to the advantages and disadvantages associated with the national medical and health tourism, and to the prospects of tourism in Azerbaijan. The article also analyzes the difference between the services provided by private and public health resorts in the country, the level of services provided by them, the value added generated in medical and health institutions of the country, and other indicators. Additionally, this article has calculated a logarithmic regression that causes the connection between the increase of 1% of tourists coming to the country for the purpose of wellness tourism and the change in the volume of paid services in the sanatorium institutions.

Potential of Health Resort Treatment of Cardiovascular Diseases

The current study is devoted to the problems of using the health resort potential of the Republic of Dagestan for the implementation of cardiovascular rehabilitation programs. The main objective of this study is to develop measures that improve accessibility of cardiac rehabilitation for population and increase the efficiency of using the health resort facilities of the region. Methods of statistical data analysis, retrospective and comparative analysis of indicators are used in the study. Using these methods, the results on the incidence of cardiovascular diseases (CVDs) and the development of the health resort facilities of the Republic of Dagestan are obtained. Results of the study of the incidence of CVDs in the Republic of Dagestan allow to make a conclusion that CVDs are the leading cause of mortality and disability in the Republic of Dagestan. Dagestan is a relatively prosperous region of Russia in terms of prevalence of CVDs, disability and mortality of the population from CVDs. Nevertheless, the death rate from CVDs remains quite high. Results of the analysis of health resort facilities show that the existing recreational potential for implementing cardiac rehabilitation programs in the region is not being used efficiently enough. The following is proposed as the main areas of development of the cardiac health resort infrastructure: to develop a cardio health resort of the regional level that implements specialized rehabilitation programs; to comprehensively modernize the health resort facilities that implement rehabilitation programs for patients with CVDs; to develop measures to encourage the use of undeveloped land plots and unfinished construction sites located in the resort areas of the Republic of Dagestan. Regional authorities need to take measures to create favorable conditions for the industry infrastructure.

The Economic Performance and Size of Firms: the Case of Russian Health Resort Market

The article shows how external and internal macro-economic factors (the reduction of real income of the population, the depreciation of the local currency to the US dollar in 2014 -2015, the promotion of Crimea as a direction for health and resort services for Russian citizens) impact on the financial and economic indicators of health and resort organizations in Russia during 2012–2015. The calculations based on a variety of Federal Service of State Statistics data demonstrate the positive dynamics of the development of regional markets of health and resort services, due to the regional markets of health and resort services of Krasnodar, Stavropol and Altai regions and due to the inclusion of the Federal District of Crimea within the Russian macroeconomic indicators. The econometric model based on a sample of 272 organizations proves the hypothesis about the more beneficial impact of the changes in macroeconomic factors for large health and resort organizations (with a total annual revenue of 400 million roubles) compared with smaller organizations. It is expressed in the growth of sales profitability and annual revenue. The calculations have shown that the organization size as an independent variable in a sample of data related to 2014–2015, increased its positive influence on the dependent variable of annual revenue growth comparing to sampling for 2012–2013. The tough financial constraints in the country trigger the discussion of new opportunities and tools for the development of market conditions, which will stimulate the demand for investment in material and technical base renewal and innovations from the side of large health and resort organizations. In addition to improving the transport accessibility of federal resort regions and measures for promoting and improving the quality of the general health and resort infrastructure, there are discussions to create a favorable competitive environment, improve the public procurement system (including the procurement of state-owned companies), as well as to stimulate the market participants to introduce product, marketing and organizational innovations.

Основные способы решения кадровой проблемы в колхозах Красноярского края в послевоенные годы (1946-1953)

The key issue of the article is the staff resources on collective farms in Krasnoyarsk Krai by the beginning of the post-war reconstruction and agriculture development. The labor force sources are identified and the efficiency of their attraction is assessed. The study is based on the archival materials introduced for the first time. The author points out that solving the problem of labor shortages caused by the great Patriotic war was necessary for the successful agriculture recovery and development in the USSR and in Krasnoyarsk Krai in particular. During the war the number of productive farmers declined by more than 50 % in the region. The situation was gradually improved due to the armed forces demobilization. Returning to collective farms and employment of about 80 thousand productive farmers were important factors of agricultural development. Moreover, measures were taken to employ disabled veterans. All of the above allowed partially to fill the gaps of staff shortage. Furthermore, forced labor was used to compensate for labor shortages as well. The article contains the following facts: at the end of the war politically unreliable Russians, Poles, Soviet Germans, Ukrainian and Baltic collaborators were delivered from the former occupied European part of the country. Eventually, 170 thousand deportees, resettled in 37 districts, were registered in the region in 1953. Most of their families were placed in the local farms, where they had to work. Japanese prisoners of war were another category of forced laborers. However, in March 1946 only 2.6 % of the total number of war prisoners were involved in agriculture, and their work was ineffective due to their weak health. In addition, the regional authorities repeatedly appealed to the USSR Council of Ministers with requests for relocation of the working-age population from other areas to the region. 4,000 families of farmers were to be resettled to the region in 1952-1953. However, the regional authorities were unable to provide essential reception, housing and arrange the workflow. As a result, the resettlement process was suspended. The author also concludes that some results were obtained through the managing staff reduction policy, the involvement of farm heads' families in work. There were preschools in the farms for women with young children to be able to work. Medical and health institutions, health resorts and children's camps opened, which reduced people's temporary incapacity and improved their health. The author comes to a conclusion that the regional and national authorities took various measures to solve the staff issue in the collective farms. There were a lot of important and difference-making processes: the external human resources inflow (demobilization, migration, using prisoner labor, farm families and collective farms resettlement), internal farmers redistribution from administrative work to production and working-age women involvement. These measures contributed to the improvement of collective farms staff potential; however, solving the problem and providing workers to every farm in the region was an impossible task.

Local Resource Based Community Care Development as Asset for the Silver Economy of the Region

Introduction : The national and local authorities are hesitant in moving forward with care reforms as those demand serious investment from state resources. None of the care reform proposals actually proposes how to generate income to build community based system. In this research we are proposing a community based integrated care model that is established on local resources lateral to the care services such as senior tourism. Local Resource Based Community Care Development can function as a strong motivation for the authorities to reform care to integrate services and professionals. Methods : 1. Extraction of epidemiological data and Risk Factors Assessment 2. VES -13 self-administered CGA questionnaire to measure i-ADL of the >65y.o. cohort. GIS mapping of population in a scale of primary and secondary prevention and care needs embedded in a care monitoring E-Health platform 3. Regression analysis of care means to the needs per CGA risk factor. Desk research analysis of the region 4. Alignment of the local Health and Care services and professionals of the area ; drawing the vision and strategy 5. Focus Groups and structured interviews to establish an MoU to create the Care Hub managed by PPP 6. Setting the Investment Facility between the Municipal Authorities, a Bank in Greece and the public and private providers ;elaborating the Business Plan 7. Investment blending at different stages of the Care Hub deployment until stabilization of the RoI and the cashable savings Results : 1. Needs analysis for care service and HR for the local population delivered; primary and social care services aligned. Telemedicine for acute care and 2nd opinion deemed possible. 2. Care Hub structure and business plan delivered 3. Senior Tourism and Health Tourism model designed and delivered 4. Investment blending, investment familiarization tour to health resorts organized Key Conclusions : 1) In order to kick off integrated care reform in a locality it is necessary to provide the means that will cover the reform cost and assure sustainability of operations in the long run. 2) For that it is necessary to apply a PPP structure to manage a Care Hub that will centralize organization, coordination and management of all Long Term Care services. 3) This structure does not depend on health or social policy central authorities;it is run locally by a new Care institution 4) Investment and innovative financing and business innovation is necessary for any community care structure. 5) Local Resource Based, Community Based Care can assure LTC sustainable care operations in the long run 6) the first priorities to implement integrated care by order of priority are: a. leadership awareness and on the job training b. Deliberation of the integrated care plan with the local health ecosystem stakeholders c. build the right investment blend until the Care Hub is sustainably run with constant RoI d. the Care Hub has to be independent from central authorities, to local control for commissioning e. Workforce training and patient empowerment are the next step to engage to.

Czy smog ma wpływ na częstość występowania zaostrzeń przewlekłego zapalenia krtani? Analiza na przykładzie mieszkańców województwa małopolskiego.

Due to dynamic industrialisation smog became a frequent phenomenon in most developing cities. According to the last WHO report from Global Urban Ambient Air Pollution Database, Krakow has been classified in the 11th place among the most polluted cities in Europe. It seems to be an urgent issue because of the influence of air pollution on the condition of upper respiratory tract. Materials & Methods: In December 2015 there were 141 patients aged 17-91 years with upper respiratory tract diseases admitted to the phoniatric outpatient clinic in the University Hospital in Cracow. They suffered from cough, hoarseness and periodic aphonia. On the basis of the results of videolaryngostroboscopy 60 patients with exacerbation of the chronic laryngitis were selected into two numerically equal groups: from Cracow and from other places at least 60 km away. The groups were equal to each other also in three categories: sex, age and voice usage. The patients were referred to the Pedagogical University in Cracow for laryngography to evaluate the movement of the vocal folds and to trace a voice profile. Finally, there were two possible types of treatment - conventional pharmacotherapy or subterraneotherapy in the underground Health Resort in the "Wieliczka" Salt Mine. Pearson correlation coefficient between the distance from the place of residence to Cracow and the scale of exacerbation of inflammation of upper respiratory tract presenting as vocal fold dysfunction was observed (r= 0,617; p<0,05). The place of residence (in or out of the industrial area) and exacerbations of chronic laryngitis are highly correlated. Air pollution seems to be the main factor influencing on the condition of upper respiratory tract. In our local conditions of Lesser Poland Voivodeship subterraneotherapy may be an interesting, non-invasive method preventing from exacerbations of upper respiratory tract diseases.

THE USE OF DRINKING MINERAL WATERS FOR THE TREATMENT AND REHABILITATION: A MODERN VIEW OF THE PROBLEM

The article covers the issues related to the use of mineral waters in clinical practice. It has been found that mineral waters, if chosen and prescribed appropriately for a given patient, help to restore regulation of gastric and pancreatic juices to the normal values seen in healthy individuals, to stimulate biliary formation and secretion, to exert the positive influence on the hormonal and neurohumoral regulation. Mineral waters help to improve different types of metabolic processes and immune regulation as well as to enhance the blood flow in kidneys and liver. The mineral waters are efficient for the treatment of the urinary system disorders, diabetes mellitus, obesity, and other pathologies, including those that are characterized by concomitant metabolic disorders. On the other hand, mineral waters are prescribed for or advised to be used by the patients not only by the doctors affiliated with the health resorts, but also by other healthcare practitioners who occasionally fail to be fully aware of the specific problems related to their clinical application. For this reason, the present article was designed to cover the main principles related to the prescription of mineral waters for the clinical use and elaborate the proper procedures that would serve as the guidelines on their application as well as to provide general information for the physicians of different specialty profiles on the availability of the extensive range of natural and spa mineral waters that originate from various regions of this country. The emphasis is placed on the filling of the expertise gaps related to the classification of mineral waters and their main properties that are believed their efficient clinical use.

THE ANALYSIS AND PLANNING OF THE REHABILITATION EFFECTIVENESS IN THE PATIENTS PRESENTING WITH RHEUMATOID ARTHRITIS BASED ON THE APPLICATION OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONING, DISABILITY AND HEALTH CORE SET

The objective of the present study was the analysis of the comprehensive rehabilitation programs for the patients suffering from rheumatoid arthritis (RA). They were based on the International Classification of Functioning, Disability and Health (ICF) core set. The authors have undertaken the evaluation of the effectiveness of rehabilitation for two groups of patients with rheumatoid arthritis who had received the treatment based at different medical facilities (clinical hospitals, spa and health resorts). It was demonstrated that the use of the ICF core set for rheumatoid arthritis proved helpful for the development of a comprehensive rehabilitation program, the optimal distribution of responsibilities between the professionals, and the correct evaluation of the effectiveness of the programs. The implementation of the rehabilitation program based on the ICF core set resulted in a more effective sequence of the rehabilitation measures. The comprehensive rehabilitation program elaborated based the core set of the International Classification of Functioning, Disability and Health possesses ensured a highly efficient rehabilitation that permits to consider it as a practical rehabilitation technology that can be recommended for a wide clinical application.

Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients.

The objective of this study is to determine the use and efficacy of spa therapy in patients with a wide spectrum of rheumatic and musculoskeletal diseases under real-life clinical practice circumstances. In this retrospective observational study at the Medical Ecology and Hydroclimatology Department of Istanbul Faculty of Medicine, the records of all adult patients with rheumatic and musculoskeletal diseases who were prescribed a spa therapy in various health resorts in Turkey between 2002 and 2012 were analyzed. Patients sojourned to and stayed at a health resort and followed a usual 2-week course of spa therapy. The patients were examined within a week before and after the spa therapy at the department by the physicians and outcome measures were pain intensity (visual analog scale, VAS), patient's general evaluation (VAS), physician's general evaluation (VAS), Health Assessment Questionnaire (HAQ), Lequesne's Functional Index (LFI), Western Ontario and McMaster Universities Index (WOMAC), Waddell Index (WI), Neck Pain and Disability Scale (NPDS), Shoulder Disability Questionnaire (SDQ), Fibromyalgia Impact Questionnaire (FIQ), and Beck's Depression Inventory (BDI). In total, 819 patients were included in the analysis. The diagnoses were 536 osteoarthritis; 115 fibromyalgia; 50 lumbar disc herniation; 34 cervical disc herniation; 23 nonspecific low back pain; 22 ankylosing spondylitis; 16 rheumatoid arthritis; 9 rotator cuff tendinitis; and 14 other conditions/diseases including scoliosis, stenosing flexor tenosynovitis, congenital hip dislocation in adult, Behçet's disease, de Quervain tendinopathy, psoriatic arthritis, osteoporosis, fracture rehabilitation, and diffuse idiopathic skeletal hyperostosis. Statistically significant decrease in pain scores was found in all patients except hip osteoarthritis (p=0.063) and rheumatoid arthritis (p=0.134) subgroups; and statistically significant improvement in function in all patients except hip osteoarthritis (p=0.068), rheumatoid arthritis (p=0.111), and rotator cuff tendinitis (p=0.078) subgroups. In daily clinical practice, spa therapy is prescribed and practiced mainly for osteoarthritis, then fibromyalgia, lumbar/cervical disc herniation, and nonspecific low back pain; and less for ankylosing spondylitis, rheumatoid arthritis, and rotator cuff tendinitis. The study results suggest that real-life spa therapy may be effective in a variety of rheumatic and musculoskeletal diseases by improving pain and function.

ДОСВІД ВИКЛАДАННЯ ОКРЕМИХ ПИТАНЬ КЛІМАТОТЕРАПІЇ СТУДЕНТАМ 6 КУРСУ АНГЛОМОВНОЇ ФОРМИ НАВЧАННЯ НА КАФЕДРІ ГІГІЄНИ ТА ЕКОЛОГІЇ НАЦІОНАЛЬНОГО МЕДИЧНОГО УНІВЕРСИТЕТУ ІМЕНІ О. О. БОГОМОЛЬЦЯ

Мета дослідження – поділитися встановленими нами особливостями та досвідом викладання окремих тем, зокрема питань кліматотерапії, студентам-іноземцям медичних вузів, що знаходяться на завершальному етапі свого навчання.Матеріали та методи дослідження. У роботі використано методи аналізу, синтезу та систематизації інформації, статистичні методи. Як джерела інформації використано дані Міністерства освіти і науки України та офіційного сайту НМУ. Результати й обговорення. Кліматотерапія – це доступний та приємний для пацієнта спосіб лікування, який має виражені терапевтичні та профілактичні властивості, допомагає в лікуванні хронічних та аутоімунних захворювань. Зважаючи на те, що більше 80 % студентів-іноземців НМУ імені О.О. Богомольця англомовної форми навчання приїхали із країн з жарким кліматом і повернуться туди ж працювати лікарями, більше уваги колектив кафедри гігієни та екології приділяє розгляду питань використання кліматичних курортів саме пустельної та степової зон з метою лікування та профілактики захворювань. Для наочності навчання нами з використанням методичних рекомендацій кафедри курортології Ужгородського університету були створені матеріали у вигляді блок-схем, які включають інформацію щодо особливостей кожного типу кліматичних курортів, кліматичних факторів, механізму їх дії, показань та протипоказань до їх використання. Студенти навчаються застосовувати схеми використання кліматичних курортів для лікування і профілактики конкретних захворювань на прикладі ситуаційних задач з детальним описанням клінічної ситуації: анамнезу, симптоматики захворювання, місця проживання та роботи пацієнта тощо.Висновок. Розроблена кафедрою методологічна база для викладаня питань кліматотерапії студентам англомовної форми навчання сприяєотриманню ними необхідних практичних навичок та підвищенню рівня загальної професійної підготовки.

RESOR DAN SPA KESEHATAN DENGAN PENDEKATAN KONSEP HEALING ENVIRONMENT DI KAWASAN PEMANDIAN AIR HANGAT CUMPLENG, TAWANGMANGU

<em>The design of Health Resort and Spa is considered by urban people health concerns due to the high level of anxiety as well as unhealthy life pattern. Urban people tend to issuing high cost to restore their physical and psychological conditions. This tendency can be captured as one of the potential to develop a health resort and spa. The purpose of this design is to get a building design that can embody the activity of a health resort and spa that is integrated with the Cumpleng Warm Spring in a Healing Environment or design environment that provides therapeutic effect for visitors.</em> <em>The question of the design to be resolved include: designing the facilities at the resort and spa that are able to maximize the potential of Cumpleng Warm Spring; site designing that support the activities therein; landscape designing that suit to the needs of the users of the building;</em> <em>applying the healing environment concept in shape, appearance, and interior of the building.</em> <em>The used method is a method of designing architecture with the approach of the concept of a healing environment. The result is a resort and spa with health and fitness facilities that is integrated with the Cumpleng Warm Spring area that serve an environment with therapeutic effects to restore physical and psychological condition of the visitors.</em>

Investment, Industrial Growth and Conflict in Kashmir: An Analysis

For a predominantly agrarian economy like ours, development of industries is highly essential in view of the fact that the primary sector in the state which is constrained with low man-land ratio and other structural limitations cannot take the state to high growth path. The state does not enjoy wide variety of mineral resources but is well endowed with some proven natural resources like, lime-stone, gypsum, coal, lignite, quartzite, while clay, Borax etc. The state is also rich in forest wealth and in some industrially important agriculture and horticulture products. Due to temperate climatic conditions, Kashmir is the only place in the Indian union highly suitable for rearing Univoltine and Bio-voltine silkworm races, which are famous for high quality silk. The definite comparative advantage in these and other natural resource endowments certainly provide sufficient scope for industrialization in the lines based on these resources. The state is also gifted with scenic beauty, world famous health resorts, fascinating landscape and historical legacies in craftsmanship skills, thus enjoying a distinct and an important place in handicrafts and tourism industry. For sustainable development in the industrial sector, there is an equal need for peace and stability but unfortunate the state has remained politically most unstable right from the beginning. It is a bone of contention between India & Pakistan and the two countries have fought three wars over the state right from 1947. As a result of the lack of peace and stability, the state has suffered on all fronts including the industrial front. The present paper is a modest attempt to find out the impact of political conflict in the state on investments & industrial development. On the basis of facts and figures it is being found that the lack of lasting peace and stability in the state is the most important factor responsible for the under development of the state’s industrial economy.

Business Performance of Health Spa Tourism Providers in Relation to the Structure of Employees in the Republic of Croatia.

Health spa tourism services are provided in special hospitals for medical rehabilitation and health resorts, and include controlled use of natural healing factors and physical therapy under medical supervision in order to improve and preserve health. Health tourism is a service industry and therefore labor-intensive industry in which human resources are one of the key factors of business success. The aim of this study was to analyze business performance of special hospitals for medical rehabilitation and health resorts in Croatia in relation to the structure of employees, specifically the number of physicians and total medical personnel, as well as the share of physicians and medical personnel in the total number of employees. The assumption was that those who employ more physicians and medical employees are more successful. The empirical research was conducted and the assumption was tested firstly by correlation analysis and afterwards by regression analysis. The total number of employees in the researched health resorts and special hospitals amounted to 2,863, of which the share of physicians specialists accounted for almost 7%, while the share of total medical staff was almost 53%. From the results of our research, it can be concluded that special hospitals for medical rehabilitation and health resorts, which employ more physicians and medical personnel, are achieving better financial business performance. Based on the results obtained, it is possible to provide guidance for further growth and development in the direction of basing the primary offer on medical-health offer, rather than on wellness offer, which is a strong trend in the world. These findings are important for planning the health and tourism policies in Croatia and similar countries.

The modular strategy for the informational support of medical activities based at the spa and health resort facilities under conditions of infrastructure deficit

The Crimean peninsula, by virtue of its unique geographical conditions, has a variety of natural resources providing a basis for the maintenance of the health resort activities in the region. However, most local health centers suffer from the chronic and difficultly avoidable in the short term problems with logistical support, including the shortage of computers and the lack of modern network infrastructure. This circumstance limits the deployment capabilities of high-grade medical information systems for the automation of all components of the activity of health resorts and the significant improvement of the performance of other aspects of their work, such as efficient patient routing, workflow optimization, limiting the opportunities for the realization of certain corruption schemes by the staff. We have studied the routing of patients and the associated document flow in a number of Crimean spa and health resort facilities (sanatoriums). As a result, the basic work places at which information contained in the documents is undergoing changes were identified. Based on these data, the basic (modular) concept of the development of medical information system was formulated. According to the principle of modularity, the structure of the information system has been modified and optimized. The stages of implementation of this approach at various levels of logistic facilities were described, defined and justified. The key feature of the proposed system consists in that even the minimal equipment of computing infrastructure units (starting from a single workplace, such as a «medical receptionist») may be sufficient to achieve the significant degree of automation in the workflow, provide monitoring and analysis of the medical records of the spa and health resort facilities. By gradually increasing the number of related automated workplaces and modules, it is possible to expand the capabilities of the system up to the full automation of a given health resort facility.

An Assessment of the Quality of Services Offered by the Nałęczów Health Resort And Spa SA

An Assessment of the Quality of Services Offered by the Nałęczów Health Resort And Spa SA

CLASSIFICATION OF THE RESORT IN THE LEGAL AND ORGANIZATIONAL ASPECTS

The aim of the paper is to find out an answer of the question - what economic solutions and law regulations will stimulate the efficient functioning and development of the Polish health resorts, in conditions of strong competition on the European market of tourist-spa. An additional aim of this work is to identify the drivers of competitiveness and quality of tourist.

Tourism development challenges on the Dead Sea shore

Abstract The Dead Sea along with Jerusalem belongs to one of the most well-known spots visited by tourists in Israel. Because of many factors, such as the water level of the Dead Sea at a depth of 430 m b.s.l. (in 2015), average salinity of 26%, hot springs and many healing salts located there, it is a unique tourist attraction on a global level. Its attractiveness is heightened by its proximity to other sites of interest, such as the Jewish fortress at Masada, Jericho, Qumran, where the Dead Sea Scrolls were found, as well as Petra, Madaba and Al-Karak on the Jordanian side of the Dead Sea. High salinity and a microclimate create perfect conditions for the development of health resorts and medical tourism. Extracting healing salts from its waters for the needs of the chemical industry is important for both the economy and medical tourism. However, as a consequence of the agricultural and urban use of the waters of the River Jordan, which flows into the Dead Sea, a persistent decrease in the lake water level has been observed over the last century. This has created a number of economic and political issues. The problems which still have to be resolved are associated with the Red Sea-Dead Sea Conduit (Canal), the division of Jordan’s water resources, conservation of the unique reservoir of the Dead Sea and the threat of hindering the development of tourism within the region. The presentation of these issues is the main aim of this research paper. The study is based on the analysis of changes in tourism flows, results of research studies and the prognosis of changes in the water level of the Dead Sea. It presents an assessment of the effects of this phenomenon on the tourist economy. At the current level of tourism flows within the region, the tourist capacity of local beaches will be exceeded in areas where the most popular tourist resorts are located. Increased expenditure on development of tourism infrastructure in the coastal zone can also be observed. The predicted decreasing water level will result in further modifications and expansion of tourism infrastructure, decreased accessibility to the coastline for tourists, increased costs of visiting and may lead to an ecological disaster.

Research of Dry Mix Quality Indices based on Vegetable Components for Soft Ice Cream Production

Background/Objectives: The article studies the process of identification of fat oxidation degree and pattern in the process of dry mix sample storage for soft ice cream production containing milk fat in its formula which by 100% can be replaced by vegetable fat. Method: In the process of storage the odor of test samples was studied on odor analyzer using piezoquartz resonators with different film sorbents on the electrodes. Titratable and active acidity was analyzed using both protolytometric and potentiometric methods. Quality microbiological indices in the process of storage were determined by taking a culture in relevant media using standard methods. Findings: Dry mix for soft ice cream with 100% content of milk fat was used as a reference sample. It has been revealed that in equilibrium gas-phase over test samples upon completion of 9 months of storage total change of highly volatile organic compounds made 83% and 51%, respectively, i.e. sample spoilage with milk fat is by 1.6 times more intensive. It has also been established that mix with vegetable fat upon completion of storage period had less values of titratable (by 1.7 times) and active (by 1.2 times) acidity compared with a sample containing milk fat. Based on the results of analysis of microbiological indices of test samples in the process of storage it has been determined that the shelf life of a dry mix with vegetable fat is 9 months at the storage temperature of 10±2oC. Improvements: Multi-component dry mix developed is particularly intended for soft ice cream production in health and leisure institutions, health resorts, holiday hotels, recreation camps and in the areas remote from raw material sources.