Sanatorium Conditions Research Articles

ПЕРСПЕКТИВЫ ПРИМЕНЕНИЯ МЕТОДОВ НАУЧНОЙ МУЗЫКОТЕРАПИИ И АРТ-ТЕРАПИИ ПАЦИЕНТАМ ПОЖИЛОГО ВОЗРАСТА В УСЛОВИЯХ САНАТОРНО-КУРОРТНОГО ЛЕЧЕНИЯ

This article is devoted to the prospects of applying scientific music therapy as psychophysiological assistance to elderly and senile people during their stay in a sanatorium-resort institution. The issues of the psychosomatic status of elderly and senile patients and the possible consequences of psychosomatic disorders, as well as the possibility of using scientific music therapy in the treatment of psychosomatic diseases and other health disorders are discussed. The article presents a description of receptive and active methods of scientific music therapy, as well as methods of music and art therapy in the framework of treatment, rehabilitation and rehabilitation in sanatorium conditions. The expediency and necessity of active introduction and application of scientific music therapy technologies to elderly patients in the conditions of sanatorium treatment is substantiated.

Principles of sanatorium-resort treatment of adult and pediatric patients who have undergone COVID-19

Spa treatment plays an important role in the recovery process of both adult and pediatric patients after a coronavirus infection. Currently, medical rehabilitation programs of this stage are being worked out and, as the accumulated data show, an integrated approach with the inclusion of various methods is more effective. Sanatorium-resort care for patients who have undergone COVID-19 is provided on a planned basis and is based on the principles of phasing, continuity and continuity between medical organizations. Treatment of patients with the consequences of a coronavirus infection in sanatorium conditions is carried out in the late recovery period at the III stage of rehabilitation care. The main advantage of spa treatment is the use of natural therapeutic factors: climate, landscape, balneo- and peloidotherapy. An important part of the comprehensive treatment program is the methods of physical rehabilitation, which should be selected individually, taking into account the functional reserves and patient tolerance. Also, the program of spa treatment includes diet therapy, according to indications, hardware physiotherapy, psychotherapy.

Drug-Free Therapy of Lipid Metabolism in Patients with Cardiovascular Pathology, after COVID-19, in Course of Aftertreatment (Rehabilitation) in Sanatorium Conditions

COVID-19 has seen a rise in cardiovascular diseases (CVD). Treatment (rehabilitation) of COVID-19 survivors is one of the most difficult tasks, and non-drug correction of lipid metabolism in COVID-19 survivors is complicated by the low level of research on this issue. Aim. To conduct a comparative assessment of lipid metabolism and to estimate the efficacy of COVID-19 patients at the stages of rehabilitation in a sanatorium. Material and methods. The study enrolled 117 patients with CVD and after endovascular treatment (EV) who underwent COVID-19 for the last 6 months. Three groups for non-drug treatment with intranasal B1 electrophoresis and low-intensity infrared laser irradiation (LILI) were formed in patients with CVD who underwent COVID-19. Results and discussion. A significant increase in total cholesterol (TC) and triglycerides (TG) was found in 75.5% of patients after COVID-19, which was reflected in the electrocardiogram (ECG) in the form of right ventricular (RV) overstress. In addition to drug therapy, a combination of intranasal drug electrophoresis B1 and low-intensity infrared laser radiation (LILI) in pulsed mode (l=904 nm, power (PM) – 8-10 W/cm2, pulse duration 100-150 ns, frequency 80- 10000 Hz) on projection zones of the liver (angle of the 9th intercostal space in front/right and behind/right 5 minutes each) with special physical exercises can become as a method of additional lipid-correcting action. Lipidogram values in patients with IBI, HD and MI differ significantly, with the prevalence of total cholesterol levels, especially in patients with CAD and MI after a history of covid-infection, demonstrating the negative impact of viral infection on metabolic processes. Physiotherapeutic treatment in sanatoriums helped to eliminate lipid-vascular shifts – potential risks of thrombotic complications. Conclusion. Lipid metabolism correction in patients with CVD after COVID-19 allows reducing the risk of complications of the underlying disease and increasing the efficiency at the stage of recovery (rehabilitation) in a sanatorium.

Assessment of the Quality of Life of Patients with Diabetic Polyneuropathy Using Hydrogen Sulphide Baths

Aim: Evaluation of the effect of hydrogen sulfide baths on the quality of life of patients with diabetic polyneuropathy. Materials and Methods: 125 patients with type 2 diabetes mellitus complicated by diabetic polyneuropathy were examined. The patients were divided into 2 groups: the 1st group included 61 patients who received standard treatment in outpatient settings, whereas 64 patients of the 2nd group, in addition to standard treatment, received hydrogen sulfide baths in sanatorium conditions. Quality of life was assessed using the EQ-5D-3L questionnaire before treatment, followed by subsequent assessments made 14 days, 3 and 6 months after the treatment, to assess the durability of the effect. Results: Positive changes in physical, psychological and social condition were noted in all studied patients, and the patients who took hydrogen sulfide baths managed to achieve statistically significant positive changes and maintain positive dynamics for 3 months. However, after 6 months, quality of life indicators began to decrease, which shows the need for a repeated course of balneotherapy to be taken no later than 6 months. Conclusions: The use of hydrogen sulfide baths in the complex treatment of diabetic polyneuropathy improves the quality of life of patients for up to 6 months.

Evaluation of the Сolor Pulse Reflexology and Autogenous Training Effectiveness in Complex Rehabilitation Programs for Patients with Myocardial Infarction after Coronary Artery Bypass Grafting in Сlinical Sanatorium Conditions

Aim. To evaluate the effectiveness of the color pulse reflexology (CPR) methods and autogenous training (AT) in rehabilitation programs for patients after myocardial infarction (MI) and coronary artery bypass grafting (CABG). Material and methods. The study included 157 male patients with coronary artery disease aged 53.7 + 4.3 years who had undergone myocardial infarction and CABG surgery for 1 to 2 months. The patients were prescribed a standard program of sanatorium-resort treatment using natural factors and necessary medicines. The first – the control group of patients (CG, 63 people) was added to the AT treatment program, and the second – the main group (MG, 52 people) – the CPR method – 10 sessions of each method. The apparatus «Amulet 201» was used to correct the psycho-emotional state of patients with signals of the green and yellow ranges of the optical spectrum through a visual analyzer. Results. In the first group of patients, people with anxiety-depressive and asthenic syndromes experienced “restructuring” of the personal values scale: significantly reduced irritability, mental and physical fatigue, which contributed to the elimination of astenization, the restoration of nervous and physical potential, the behavioral functions and sleep normalization after a course of the treatment. In the second group of patients with cardiophobic and anxiety-sensing syndromes, there was improvement in well-being, sleep, decreased fatigue and phobic experiences, internal tension and anxiety, intensity and frequency of pain in the heart after the treatment. The majority of patients who took CPR and were re-admitted to sanatorium-resort treatment within 12 months after MI showed a significant improvement in their general condition and quality of life. Conclusion. When identifying asthenic, anxiety-depressive and agrypnia syndromes with an average daily non-dipper curve in cardiac surgery patients, the use of AT and CPR against the background of complex sanatorium-resort treatment in most cases gave a good and stable therapeutic effect, helped to correct the psychological and hemodynamic profiles, restore efficiency and improve the quality of life.

Hardware and software method preclinical detection of pathological conditions in persons arriving for medical and psychological rehabilitation in the sanatorium conditions

BACKGROUND: It is important to identify the risks of developing somatic disorders, for further clarification by laboratory and instrumental diagnostic methods. An objective assessment of the effectiveness of the medical and psychological rehabilitation (MPR) of a serviceman is important.
 AIMS: The aim of the study is to determine the informative value of the Diamed-MBS hardware and software complex as a method of preclinical detection of pathological conditions by assessing heart rate variability (HRV), electrosomatography, bioelectrography (BEG), as well as the psychosomatic context of complaints and identified deviations.
 MATERIALS AND METHODS: Along with the methods of the Diamed-MBS agro-industrial complex, the MPR program of military personnel included a regulated scope of measures: examination for UPFT-1/30 "Psychophysiologist" (simple visual-motor reaction and variational cardiointervalometry); registration of the levels of "energy potential" and stress background by gas-discharge visualization on the pulse analyzer "GRV-Express", determination of the compositional composition of the body by bioimpedance measurement on the analyzer "Tanita BC-532".
 The automated system of assessment in points (APC) allows for differentiated diagnostics of the somatic and psychoemotional profile of military personnel who arrived at the MPR; to personalize the rehabilitation program; to evaluate the effectiveness of the MPR program. The data of a group of 85 military personnel undergoing MPR were processed in the Statistica 10 (StatSoft Inc., USA).
 RESULTS: In the branches of the Federal State Budgetary Institution SKK "Privolzhsky" of the Ministry of Defense of the Russian Federation ("Volga Clinical Sanatorium", "Chebarkulsky Sanatorium", "Yeltsovka Sanatorium") within the framework of the psychotherapy office (psychologist's office) with the category of MPR, work was carried out on the Diamed-MBS hardware and software complexes for 9 months. This allowed for a short examination time (up to 20 minutes) to conduct an objective assessment of the psychosomatic state of a person: respiratory, digestive, immune, genitourinary, musculoskeletal, cardiovascular, endocrine systems, as well as the general state of the body and psychological status.
 After the course of MPR, the improvement of the indicators of the condition of military personnel was noted to a greater extent due to the indicators according to the survey data (Questionnaire 1, 2) (p 0.000) (the subjective component of the study), which ultimately reflected the improvement of the integral indicator (Integral 1, 2) (p 0.007). Changes in the psychoemotional (Psychoemotional 1, 2) and somatic state (Soma 1, 2) were not statistically significant (p 0.05).
 CONCLUSION: The restoration of the psychoemotional background and the necessary training in stress resistance skills requires a revision of the duration of the MPR by military personnel. The advantage of the Diamed agro-industrial complex is the arrangement of three diagnostic complexes in one device: for determining the parameters of heart rate variability, electro-tomography, bioelectrography; in the mode of express diagnostics, the determination of the state of the body in the range "healthy-practically-healthy-weakened-premorbid state-sick-critical condition".
 The possibility of creating a single information and analytical center for processing the final protocols of the examination of military personnel under the MPR program in the CCM sanatoriums.

Assessment of hemodynamics in patients with hypertension using dry carbon dioxide baths and ozone therapy

BACKGROUND: Despite the wide prevalence of arterial hypertension in modern society, including in the Russian population, patients sometimes do not suspect the presence of the disease, and among patients with an established diagnosis, drug therapy has low effectiveness.
 AIMS: Of the study was to study the effect of dry carbon dioxide baths and ozone therapy on heart rate variability and reocardiography in patients with hypertension.
 MATERIALS AND METHODS: We observed 71 patients with stage I hypertension and grade 12 arterial hypertension. Patients were randomly selected into three groups: in the control group (n=18), patients received complex spa treatment, including diet, physical therapy, massage of the collar area and aromatherapy; in the comparison group (n=20) basic spa therapy and dry carbon dioxide baths; in the main group (n=33) basic spa therapy, ozone therapy and dry carbon dioxide baths.
 RESULTS: The combined use of dry carbon dioxide baths and ozone therapy in the complex treatment of patients with hypertension in sanatorium conditions is accompanied by a significant improvement in heart rate variability and central hemodynamics.
 CONCLUSION: Complex spa treatment of patients with hypertension with the additional appointment of dry carbon dioxide baths and ozone therapy helps to reduce the tension of the central mechanisms of regulation of the cardiovascular system, restore vegetative balance and vascular tone.

Effect of radon therapy on epithelial cells of the respiratory tract mucosa in patients with occupational chronic obstructive pulmonary disease

The influence of natural radon waters on the state of the respiratory tract mucosal cells in patients working in the coal and metallurgical industries with occupational chronic obstructive pulmonary disease was studied. The positive effect of common radon baths on the restoration of cytological changes in the respiratory mucosa was revealed.Indicators of local immunity of the respiratory tract mucosa in patients with occupational chronic obstructive pulmonary disease on the background of the use of general radon baths.The aim of the study is to explore the effect of natural radon water in the form of shared baths on epithelial cells of the respiratory mucosa in patients with occupational chronic obstructive pulmonary disease based on the analysis of cytological changes in the respiratory mucosa. Patients of the main group with professional chronic obstructive pulmonary disease were given general radon baths from a natural source in sanatorium conditions. Patients in the control group had shared freshwater baths. All patients before and after treatment studies were conducted cytologic changes in the smears from the mucous membrane of the nose and phlegm. The use of common radon baths in the main group revealed a pronounced corrective effect on the function of cellular protection of the respiratory mucosa, which was expressed in a significant decrease in destructive processes in cells of all types with an increase in their functional activity, normalization of mucociliary clearance. There were no significant changes in indicators in the control group.The use of common radon baths at the stage of rehabilitation in workers of the coal and metallurgical industry with professional chronic obstructive pulmonary disease leads to the restoration of the integrity of the cellular composition of the epithelial cover of the respiratory tract mucosa, preserves the functional activity of cells of local protection factors.The authors declare no conflict of interests.

ДИНАМИКА ПРИВЕРЖЕННОСТИ У ПАЦИЕНТОВ С АРТЕРИАЛЬНОЙ ГИПЕРТОНИЕЙ 1-11 СТЕПЕНИ НА ФОНЕ КОМПЛЕКСНОГО САНАТОРНО КУРОРТНОГО ЛЕЧЕНИЯ С ПРИМЕНЕНИЕМ ОБУЧАЮЩИХ ТЕХНОЛОГИЙ В РАМКАХ ШКОЛЫ ЗДОРОВЬЯ «АРТЕРИАЛЬНАЯ ГИПЕРТОНИЯ»

The purpose of the study: to assess the impact of educational activities in the health school "Arterial hypertension" on the immediate and long-term results of treatment in patients with hypertension of I-II degree during the basic Spa treatment. Materials and methods: examination, treatment and dynamic monitoring of 94 patients with arterial hypertension of I-II degree in sanatorium conditions for 21 days was carried out. Patients were randomly divided into the main group and the comparison group. Patients of the main group received basic Spa therapy and studied at the health school "Arterial hypertension". The comparison group received only the basic treatment. Results: the highest increase was found according to the indicator of adherence to medical support, the indicator increased by 32.5 % (p<0.05), and remained consistently high in the catamnesis, after 3 months by 29.8 % (p<0.05), after 6 months by 23.8 % (p<0.05) and after 12 months by 14.4 % (p<0.05). In terms of adherence to lifestyle modification, it significantly increased by 26.7 % (p<0.05), after 3 months by 24.9 % (p<0.05), after 6 months by 19.3 % (p<0.05), and after 12 months by 15.3 % (p<0.05). Adherence to drug therapy significantly increased by 16.9 % (p<0.05) immediately after treatment, after 3 months by 16.2 % (p<0.05), after 6 months by 13.0 % (p<0.05) and after 12 months by 9.0 % (p<0.05). In the main group, after treatment, integral adherence significantly increased by 25.2 % (p<0.05). Patients in the main group maintained a high level of integral adherence throughout the year, besides it was significantly higher than in the comparison group. Conclusion: the inclusion of educational classes at the health school "Arterial hypertension" in the complex Spa treatment of patients with hypertension I-II grade has a statistically significant positive effect on treatment adherence immediately after training, and in the catamnesis after 3, 6 and 12 months.

Актуальні питання стану та тенденції розвитку дослідницьких робіт за напрямком «Дитяча діабетологія»

Мета — вдосконалення науково-інформаційного забезпечення фахівців галузі охорони здоров’я дітей і підлітків за напрямком «Дитяча ендокринологія». Матеріал і методи. Дослідження проводили за даними бази рефератів звітів науково-дослідних (39) і дисертаційних робіт (79), які проведено в Україні 2001-2017 pp. з актуальних питань дитячої ендокринології, з використанням семантичного, інформаційного, наукометричного, бібліографічного, патентного, статистичного методів. Для вивчення інформованості лікарів щодо наукового продукту, створеного за напрямком «Дитяча ендокринологія», використано розроблений авторами опитувальник. Результати. У статті наведено дані про розвиток дослідницького процесу за напрямками дитячої ендокринології протягом тривалого терміну (2001-2017 рр.). Визначено кількісні показники збільшення проведення науково-дослідних і дисертаційних робіт, їх тематичну спрямованість, обсяг і структуру створеного наукового продукту, його використання фахівцями з дитячої ендокринології. Висновки. В Україні стабільно здійснюється дослідницький процес за актуальними напрямками дитячої ендокринології, у тому числі діабетології, створюється відповідний інформаційний та інноваційний ресурс, основним змістом якого є: вдосконалення ранньої діагностики цукрового діабету, визначення чинників ризику його виникнення в дітей і підлітків, розробка терапії згідно з протоколами лікування цього контингенту хворих, удосконалення диспансерного нагляду, навчання хворих на цукровий діабет принципам самоконтролю, реабілітація дітей і підлітків у санаторно-курортних умовах. Надзвичайно важливим є подальший розвиток наукометричних досліджень за напрямком дитячої ендокринології для вибору перспективних і пріоритетних досліджень, моніторинг дослідницьких розробок і науково-технічної продукції для вдосконалення впровадження результатів досліджень у практику дитячих ендокринологів, оптимізації їх науково-інформаційного забезпечення.

Гипотензивный эффект сочетанного применения транскраниальной магнитотерапии и фитотерапии в комплексной профилактике артериальной гипертонии у работников промышленных предприятий

The article describes the results of studying the course application of transcranial magnetotherapy and phytotherapy in the integrated prevention of arterial hypertension of the 1st degree in workers of industrial enterprises under sanatorium conditions. It is shown that the basic treatment regimens added with the course use of transcranial magnetotherapy in combination with phytotherapy contribute to more pronounced regression of clinico-functional manifestations of arterial hypertension. In this case, a favorable restructuring of the microhemodynamics system is observed, which is caused by an increase in the oscillation of the myogenic and endothelial ranges. The result of activation of local mechanisms of tissue blood flow was adequate modulation of the microcirculatory bed, aimed at increasing its volumetric characteristics, enhancing the transport function of blood, improving transcapillary exchange and tissue trophism. The obtained results give grounds to consider the complex application of transcranial magnetotherapy and phyto-drugs as an effective technology for the prevention and treatment of arterial hypertension, which has a pronounced corrective effect on the key links in the pathogenesis of this disease.

ОРГАНІЗАЦІЯ ВІДНОВНОГО ЛІКУВАННЯ ХВОРИХ З ПАТОЛОГІЄЮ ШКІРИ ТА ПІДШКІРНОЇ КЛІТКОВИНИ В САНАТОРНИХ УМОВАХ

Мета: проаналізувати стан організації відновного лікування хворих із патологією шкіри та підшкірної клітковини в санаторних умовах.Матеріали і методи. Вивчалися статистичні дані про кількість і контингент хворих, які перебували на лікуванні в ДП «Санаторій «Немирів» у 2006–2014 рр., у т.ч. за класом «Хвороби органів шкіри та підшкірної клітковини». Методи: бібліосемантичний, системного підходу, структурно-логічного аналізу, медичної статистики, інформаційний.Результати. Протягом 2006–2014 рр. у санаторії пролікувалися 17858 пацієнтів, з них 18,79% – хворі із захворюваннями шкіри та підшкірної клітковини; найчастішою патологією був псоріаз (49,87%). У результаті проведеного лікування у всіх хворих, в т.ч. з патологією шкіри та підшкірної клітковини, відмічалося покращання стану, зменшилась кількість хворих з обмеженим самообслуговуванням, зросла здатність самостійно пересуватися.Висновки. Відновне лікування на санаторному етапі сприяє підвищенню ефективності лікування та зниженню втрати працездатності. Відновне лікування в умовах санаторію дає можливість через прискорення процесу відновлення основних функцій шкіри покращити імунний захист організму, нормалізувати стан нервової системи, очистити організм, поліпшити загальний стан пацієнта, сприяти зросту його функцій життєдіяльності.

ОПТИМІЗАЦІЯ РЕАБІЛІТАЦІЙНИХ ПРОГРАМ У САНАТОРНИХ УМОВАХ ДЛЯ ПАЦІЄНТІВ ІЗ ПЕРВИННИМ ГОНАРТРОЗОМ ЗАЛЕЖНО ВІД КЛІНІКО-ПАТОГЕНЕТИЧНОГО ВАРІАНТУ ПЕРЕБІГУ

Запропоновано новий підхід до розробки індивідуальних програм реабілітації у пацієнтів із первинним гонартрозом (ПГА). Для визначення клінічної ефективності застосування комплексних програм медичної реабілітації у хворих на ПГА розроблено схему індексної оцінки тяжкості патології та ефективності лікування на санаторно-курортному етапі реабілітації. Доведено, що для оптимізації реабілітації у санаторних умовах необхідне індивідуально орієнтоване застосування природних, фізіотерапевтичних, фізичних та альтернативних чинників лікувально-відновлювальних комплексів, що зумовлює зменшення частоти ускладнень, збільшення ефективності реабілітації та подовження тривалості ремісії.

Analysis of relation of sports schools employees to modern system of payment

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Efficiency of the complex usage of means of physical culture in sanatorium conditions

Efficiency of the complex usage of means of physical culture in sanatorium conditions

The influence of the recreative beach volleyball training on mature aged men organism in sanatorium conditions

The influence of the recreative beach volleyball training on mature aged men organism in sanatorium conditions

Manifestations of accentuations of the psychoemotional sphere in patients in a sanatorium-resort environment

In order to identify the prevalence of accentuations of the psychoemotional sphere in patients in sanatorium-resort conditions, testing was carried out according to the Shmishek questionnaire. In patients with neurasthenia, a greater severity of dysthyma, cyclothymic, exaltation, pedantry, and inertia of the effect was revealed. Possible ways of accelerating the psychological adaptation of patients to sanatorium conditions are proposed, depending on the specific type of accentuation of their psychoemotional sphere.

BLOOD-PRESSURE STUDIES IN TUBERCULOSIS AT A HIGH ALTITUDE. REPORT OF SIX HUNDRED CASES

Six years ago one of us (Peters) began the study of blood-pressure in tuberculous individuals living under sanatorium conditions at an elevation of 6,000 feet. A preliminary report¹was made in 1908 covering a series of one hundred cases. The findings at that time were in such marked contrast to the work of other observers, notably Gardiner and Hoagland²of Colorado Springs, that we decided to continue our observations until we had obtained readings in a sufficient number of cases to make the conclusions of some value from a scientific standpoint. With this idea in view we have made records covering a series of six hundred cases, and are gratified to note that the conclusions reached in our earlier report are even more strongly borne out by a more exhaustive research. The question of blood-pressure in tuberculosis has usually been dismissed with the dogmatic statement