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At least 109 records · Page 6Linked to original sources

[Methodologic approaches to assessing the noise level of health resorts and places of mass recreation of the population].

Methodological approaches to the assessment of noise regime at health resorts and places of rest of the population were set forth when carrying out preventive and current sanitary surveillance. The sources governing the noise regime of health resorts and places of rest were identified, and the problems of zone arrangement of places of rest according to its type (long-term or short-term) analysed. Permissible noise levels were given for various functional zones and the measures for normalization of noise regime proposed.

Health Resorts↗

[The treatment of diabetics at the health resort of Truskavets].

Results are reported of the treatment of 265 patients with different complications of diabetes mellitus at the endocrinological department of the Truskavets health resort. In patients with fatty hepatosis treatment resulted in normalization of the lipid complex of the blood and intrahepatic blood flow while patients with diabetic angionephropathy showed an increase of glomerular filtration and tubular reabsorption. The efficacy of different methods of health resort treatment in these patients is described.

Combined Modality Therapy↗

[Indicators of the blood kinin system in patients with bronchial asthma during health resort treatment].

Indicators of the blood kinin system were studied in 57 persons including 42 patients with asthma and 15 healthy persons (control group) in the Kislovodsk health resort area. Activation of the blood kinin system (a decrease in the content of prekallikrein, fast- and slowly reacting kallikrein inhibitors) was observed in patients with infectious-allergic and mixed forms of asthma. Positive shifts of the kinin system indicators pointing to a decrease in the "production" of free kinins were observed in the patients under the influence of multimodality therapy at the health resort.

Adult↗

[The efficacy of health resort treatment of psoriatic arthritis at Yevpatoriya].

The authors analyze the efficacy of treatment of 162 patients suffering from psoriatic arthritis in Evpatoria health resort. The treatment modalities included brine baths, mud applications, climatotherapy, etc. Clinical cure or considerable improvement has been achieved in 21.8% of patients, improvement in 74.3%, no therapeutic effect in 3.9%. Along with alleviation of the clinical manifestations of psoriatic arthritis, a number of immunological and biochemical parameters (albumin, lysozyme, IgM levels) have shown a tendency to normalization. The combined health resort therapy is an effective means of the after-care of psoriatic arthritis.

Arthritis↗

[Results of treating the residual manifestations of uveitis of rheumatic and rheumatoid etiology at a health resort (the town of Yevpatoriya)].

The effect of a complex health resort treatment including eye applications of medical mud from the Sax lake has been studied in 100 patients (172 eyes) with residual effects after uveitis of rheumatic and rheumatoid etiology. Besides improvement of the general patient's state, the treatment provided a rise of visual functions, reduction of recurrences in remote terms. This effect can be, to a great extent, explained by antiinflammatory, resolving and desensitizing action of medical mud. The positive results obtained allow to recommend this method of treatment in conditions of a health resort and outside it (imported medical mud).

Adult↗

[Effect of Archman health resort factors on the bile chemistry of chronic cholecystitis patients].

During remission, patients (n-83) with chronic cholecystitis showed the presence of lithogenic bile, a disorder which was eliminated under the action of Archman (the Turkmenian SSR) health resort factors. The efficacy of health resort treatment manifested itself in the improvement of the patients' clinical status, normalization of the kinetics of the gallbladder and bile chemistry. The choleretic and cholelytic properties of Archman mineral water permit recommending its use both for the purpose of correcting bile lithogenicity and prevention of the lithogenesis.

Adult↗

[Effectiveness of the combined treatment of patients with the exogenous constitutional form of obesity at sanatoria and health resorts].

The treatment of patients with exogenous-constitutional obesity with the dietetics (low caloric diet, fasting days) coupled with health resort and physical factors, especially at the hospital-health resort Dzhermuk stage, ensures a positive time course of changes in the laboratory indicators. The function of the hepatobiliary system and pancreas involved into the pathogenesis of obesity improves. The increased compensatory possibilities of these organs promote the attainment of favourable results.

Adult↗

[Physical training and sports exercises within the framework of an early rehabilitation programme at a health resort (author's transl)].

The article reports on early rehabilitation measures carried out at a health resort on nearly 4000 patients with signs of "wear and tear", degenerative and other changes of the musculo-skeletal system as well as insufficiencies of cardiovascular system. Provided the preliminary diagnostic examinations are carried out and medical supervision ensured physical training and sports become increasingly important as integral parts of an active treatment plan including natural healing methods. Sport-physiological experiences have, however, shown that a real and measurable positive training effect can only be achieved if these components are administered in the correct dosages. This holds particularly true if a wide spectrum of gymnastic and sports exercises is offered - primarily in groups and under professional supervision - which are not only intended to increase physical capacity, but also respond to individual inclinations. Thus, in addition to its therapeutic value, early rehabilitation at a health resort can provide the feeling of achievement appropriate to give the rehabilitees new impulses at home. As a consequence, these programmes make a positive contribution to the well-being of the general public.

Balneology↗

[Effect of Zaditen in patients with atopic bronchial asthma at Sandanski health resort].

Zaditen effect was studied in 20 patients with atopic bronchial asthma, aged from 16 to 48 (average age 34.2 years) with a duration of the disease from 1 to 18 years. The study was conducted in the Sandanski resort zone, characterized by exceptionally favourable bioclimatic constants for climate-treatment of patients with respiratory diseases. All patients, in an open experiment, received 1 mg Zaditen two times daily. The results obtained were with a positive effect in 90 per cent. Very good effect from the treatment was established in 80 per cent of the patients. The functional, biochemical, enzymatic and immunologic indices were favourably affected. Zaditen treatment, under the conditions of Sandanski resort, proved to be highly effective.

Adolescent↗

[Climate therapy studies at Sandaski health resort of bronchial asthma patients during the cold and warm months of the year].

Two hundred patients with bronchial asthma were examined, 110 being examined during the warm and 90 during the cold months of the year. The bioclimatic constants of Sandanski resort have a favourable effect upon the clinical and functional indices. Especially manifested in the effect during the cold months of the year. The results obtained are with a high statistical significance. The very favourable effect on the bronchial asthma patients, both during the warm and cold months at Sandanski resort, makes it unique for a round-year climate treatment. The problem treats national and international interests.

Adult↗

[Five years of movement therapy - experiences from health resort work (author's transl)].

Based on the experiences gained with over 10,600 patients affected by attritional, degenerative or other changes of the locomotor system, as well as by insufficiencies of the cardiovascular system, early rehabilitative health resort measures are reported on. Assuming appropriate prior diagnostic as well as monitoring procedures being provided form movement therapy and sports, conceived as integrative components of an active treatment plan comprising natural remedies, are gaining increased importance. In line with sports physiology evidence, adequate improvement, however, presupposes application of these measures at a rate apt of achieving an appreciable, measurable training effect. This is true especially in those cases where a wide spectrum of gymnastic or sports activities - with an emphasis on group activity and expert supervision - are offered that are not based on the principles of increased performance alone but are designed to give some scope to personal inclinations. Along with its purely therapeutical value, health resort early rehabilitation conceived on these lines offers meaningful opportunities for actively experiencing success, an experience that is capable of giving new impulses for a modified life style at home, thereby contributing positively towards the general health of our population.

Bone Diseases↗

[Selection for health resort treatment of patients who have undergone radical surgery for stomach cancer].

The paper deals with the preliminary results of a randomized study on the efficacy of health resort and sanatorium treatment of patients who underwent surgery for stomach tumors. Out of the total number of the patients who had applied for the treatment and had been examined by local oncologists, 35.4% proved to have recurrences and metastases, while the treatment was contraindicated in 25.6% of cases. It is recommended that practising oncologists should consult specialized oncological establishments in each particular case of application for health resort or sanatorium treatment.

Health Resorts↗

[The characteristics of the adaptation to the hypoxic conditions at a low-altitude health resort in IHD patients after an aortocoronary bypass].

Adaptation to hypoxia is an important training factor for patients with ischemic heart disease subjected to aortocoronary shunting. In the conditions of low-maintain health resort this adaptation lasts for 3-5 days and most of the patients avoid complications. Pathological reactions occur in patients with inadequate reserves of the coronary system, having essential hypertension, severe concomitant diseases, in those who arrived at health resort earlier than 5 months after aortocoronary shunting.

Adaptation, Physiological↗

[Principles of the differentiated use of the natural and preformed therapeutic factors of a health resort in patients with chronic pancreatitis].

With the purpose of enhancing efficacy of health-resort treatment of chronic pancreatitis, patients with relevant clinical form and stage of the disease course, early revealed distinguishing features of disturbances in the exocrine function of pancrease should be referred to those health resorts having adequate mineral waters. 75 patients with chronic pancreatitis presenting with various type pancreatic secretion derived benefit from differentiated use of mineral water and physiotherapeutic procedures.

Chronic Disease↗

[Participants of mother-child health resort treatments].

Mother-child health-resort treatments have for many years been a major component of rehabilitative and preventive health care for women. The rising significance of health-promotion measures on the one hand, and increased attention to women's health aspects in rehabilitation and prevention on the other, have made in-depth consideration of the issues involved in target-groups, participation in and conceptual potential of mother-child programmes necessary. In a questionnaire study of n = 103 women participating in a mother-child programme, data were collected concerning their life situation, life satisfaction, psychosocial burdens and psychovegetative complaints, the expectations and needs hoped to be met by the preventive and rehabilitative programme features, as well as the motives for participating. The findings show that the life situation of the women in our study is characterized by a high degree of stress and strain, by physical complaints and dissatisfaction with life. The women clearly state the relationships they see among their current life situation, their subjective emotional state, their health behaviours, and their subjective physical status. Programme participation, on the one hand, has to do with needing a rest and easing of tension; yet on the other hand, the responding women also express a desire to confront current life themes, to find room for reconsidering attitudes, behaviours and the potential for change. Implications for shaping women-specific rehabilitative and preventive programmes are formulated on the basis of the study findings. Future studies in the field of mother-child health resort programmes should be directed at evaluating the treatment programmes available.

Adolescent↗

[The organizational status and tasks of sanatorium-health resort treatment and health promotion for children suffering as a result of the Chernobyl catastrophe].

Al the Ukrainian Research Institute of Childhood Health-Resortology and Physiotherapy, more than 1000 children who became victims of the Chernobyl disaster were studied for their health status and time-related indices of same under the influence of the chief health-resort factors with the aid of the present-day clinical-and-laboratory, immunobiochemical, neurophysiological and radioimmunoassay techniques. The efficacies of the instituted therapies (87.9%) suggest that the above children may derive benefit from treatment at the Yevpatoriya health resort, with improvement of their health being consequent upon it. At the same time, primary tasks have been outlined, the solution of which tasks will, we believe, help in improving the diagnosis and quality of the treatments administered.

Child↗

Transvaginal sonographic technique: targeted organ scanning without resorting to "planes".

The orientation of the sonographer performing a transvaginal scan is currently based on a concept of anatomical planes, which is customary in transabdominal sonography. We challenge this concept and propose a different approach altogether based on focusing on target organs rather than anatomic planes. The problem of orientation in transvaginal sonography stems from the following: (1) There is a very short distance between the relatively high-frequency transvaginal transducer-probe and the scanned area; a close-up image is generated encompassing a single organ or only part of it. (2) The scanning angle is initially perpendicular to that of abdominal sonography. (3) Transvaginal sonography is an endocavitary dynamic scanning technique. According to the experience in our department (30,000 examinations during the past 4 years) and in two other medical centers, best results from the transvaginal ultrasonographic examination are achieved when the operator searches for every specific organ as the main target, without resorting to pelvic "planes." The guidelines for targeted organ scanning and the associated change in orientation are reported together with the limitations. Targeted organ scanning without resorting to "planes" helps the operator to resolve the problem of orientation during the transvaginal ultrasonographic examination, and to simplify the procedure to a great extent.

Fallopian Tubes↗

Transport of winter resort injuries to regional trauma centers.

INTRODUCTION: This study examined the epidemiology of winter resort injuries presenting to regional trauma centers by helicopter (HEMS) or ground (GEMS) ambulance. METHODS: Five hundred seventy-five patients (GEMS 289; HEMS 286) were identified from trauma registries and HEMS transport records. Demographic data, hospital interventions, and discharge status were examined. RESULTS: HEMS patients had a significantly lower Glasgow coma score (GCS) and trauma score (TS), longer intensive care unit (ICU) length of stay (LOS), and more deaths than did GEMS patients (P < 0.05). Despite this, significantly more HEMS patients were discharged home from the emergency department (24.5% vs. 4.8%; P < 0.001). HEMS patients had more isolated head/facial injuries and multiple injuries, with less isolated extremity injuries than did GEMS patients (P < 0.05). Regardless of transport mode, patients with multiple injuries, thoracoabdominal injuries, or head injuries with a GCS < or = 13 were more likely to require immediate interventions (intubation, chest tube, blood products). Patients with isolated extremity injuries rarely needed immediate care. CONCLUSION: HEMS patients had a higher acuity and different injury pattern when compared to GEMS patients. Approximately 24.5% of HEMS patients were discharged home from the ED. This reflects significant overtriage of patients to HEMS. A prospective study examining the initial triage of patients injured at winter resorts would help to determine which subset of patients are best served by HEMS transport.

Adolescent↗