ISSUE 1 2020

APUD SYSTEM WHEN EXPOSED TO IONIZING RADIATION ON HUMANS AND ANIMALS

Shashlov S.V.

KEYWORDS:

АPUD-SYSTEM, BIOGENIC AMINES AND POLYPEPTIDE HORMONES, ACUTE RADIATION SICKNESS

ABSTRACT:

An analytical review of the diffuse neuroendocrine APUD system and its role in acute radiation sickness is given. It is shown that one of the general patterns of the reaction of an irradiated organism is a change in the metabolism of biogenic amines and polypeptide hormones, which is observed in all forms of acute radiation sickness and is characteristic of all types of animals, and, therefore, this is a general biological pattern. In therapy and medical rehabilitation, affected by ionizing radiation injuries, it seems appropriate to take into account, track and correct the shifts observed by the cells of the APUD system.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 1: 3-18

RISK PREVENTION OF DEVELOPMENT OF PROFESSIONAL, INDUSTRIAL-DEPENDENT DISEASES AND INDUSTRIAL INJURIES IN TRANSPORT WORKERS

Vilk M.F., Pankova V.B., Fedina I.N., Volokhov L.L., Ivanov V.N., Nikolaev E.E.

KEYWORDS:

OCCUPATIONAL RISK, PRODUCTION-DEPENDENT, OCCUPATIONAL DISEASES, PREVENTION CONCEPT.

ABSTRACT:

The issues of risk prevention of production-dependent and occupational diseases of transport workers are discussed. The concept of organizing the preservation of health and reducing injuries in the workplace includes forms and means of preventing collective and individual risk.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 1: 19-25

SPA TREATMENT OF PATIENTS WITH CHRONIC INTERSTITIAL NEPHRITIS

Kiyatkin V.A., Shashlov S.V., Kazantsev S.N., Myagkov Yu.A.

KEYWORDS:

CHRONIC INTERSTITIAL NEPHRITIS, MEDICAL REHABILITATION, SPA TREATMENT

ABSTRACT:

169 patients with chronic interstitial nephritis were examined using generally accepted clinical and diagnostic methods. The study demonstrates the advantage of using complex therapy with the inclusion of physical factors in these patients compared with only the course of antibiotic drug therapy. Spa treatment is indicated for these patients in the period of partial or complete remission. It is advisable to treat at balneological resorts with the use of physical factors, both natural and preformed.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 1: 25-33

REHABILITATION OF PATIENTS WITH CORONARY HEART DISEASE NON-DRUG METHODS

Lebedeva O.D.

KEYWORDS:

ISCHEMIC HEART DISEASE, PSYCHOLOGICAL AND PSYCHOPHYSIOLOGICAL RESEARCH, COMPLEX OF ELECTROSTIMULATION AND GENERAL IODINE-BROMINE BATHS, HYPERSYMPATHICOTONIA, TREATMENT EFFECTIVENESS

ABSTRACT:

A treatment complex including electrostimulation and General iodine-bromine baths was developed and used to determine the effectiveness of treatment in 120 patients with coronary heart disease. Common mechanisms for the implementation of the complex's therapeutic action are limiting excessive sympathetic effects on the heart, normalizing the vegetative balance and myocardial function, and reducing the manifestations of chronic coronary insufficiency. Non-drug treatment of patients with IHD has a psychocorrective effect, reduces the functional reactivity of the cardiovascular system at rest and during psychoemotional stress, and leads to an improvement in the diastolic and contractile functions of the myocardium. Using methods of mathematical statistics, the effectiveness of medical and health measures was evaluated.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 1: 33-42

ANALYSIS OF THE BASIC MANIFESTATIONS OF METEOPATHIC REACTIONS IN PERSONS WITH DISEASES OF THE CIRCULATORY SYSTEM AND CONSTRUCTION OF A MATHEMATICAL MODEL FOR THE DEVELOPMENT OF METEOPATHIC REACTIONS

Yakovlev M.Yu.

KEYWORDS:

METEOPATHIC REACTIONS OF THE BODY, METEOSENSITIVITY, FUNCTIONAL RESERVES OF THE BODY, WEATHER CONDITIONS, DISEASES OF THE CIRCULATORY SYSTEM.

ABSTRACT:

The presented results of the study showed that ambient temperature, electrical activity of the atmosphere, atmospheric pressure and magnetic storms are the most common causes of meteopathic reactions in patients with circulatory diseases. A correlation was found between a low level of functional reserves of the body and the severity of meteopathic reactions.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 1: 42-53

MECHANISMS OF ATMOSPHERIC AIR POLLUTANTS INFLUENCE ON THE CARDIOVASCULAR SYSTEM

German S.V., Balakaeva A.V.

ABSTRACT:

The danger of air pollution to health and life of population is common knowledge. According to WHO about 80% of deaths are associated with cardiovascular disease (CVD) and stroke. Many studies have shown an association of air pollutants with an increase in the frequency of coronary heart disease (CHD), including myocardial infarction, arterial hypertension, cardiac arrhythmias, heart failure and stroke. The mechanisms of inducing CVDs by airborne pollutants still remain poorly understood. Prevention and reduction of harmful effects of this environmental threat on public health requires an understanding of toxic effects of air pollutants on cardiovascular system (CVS). The objective of this review is to summarize studies results accumulated over the past 10 years on influence mechanisms of air pollutants on CVS.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 1: 54-71

ISSUE 2 2020

FEATURES OF HORMONAL REGULATION METABOLIC PROCESSES IN THE ARCTIC ZONE AND NON-MEDICINAL METHODS FOR OPTIMIZING THEM

Bobrovnitsky I.P., Nagornev S.N., Frolkov V.K.

KEYWORDS:

ARCTIC ZONE OF THE RUSSIAN FEDERATION, POLAR METABOLIC TYPE, DRINKING MINERAL WATERS, SYSTEM OF HORMONAL REGULATION OF METABOLISM, PREVENTION OF ENVIRONMENTALLY CAUSED DISEASES

ABSTRACT:

The influence of the complex of unfavorable ecological and geographical factors of the Arctic zone of Russia on a person is accompanied by the development of the polar stress syndrome, or Northern stress. In conditions of long-term exposure to stressors in the far North, there is a depletion of the mechanisms of General protection, adaptation and compensation, which leads to the development of chronic environmentally caused diseases - metabolic syndrome, arterial hypertension, and insulin-independent diabetes mellitus. These pathogenetic States are United by a significant change in the secretion of hormones that control metabolism and the functioning of the cardiovascular system. The article substantiates the possibility and proves the effectiveness of the use of mineral waters for drinking purposes that have a pronounced hormone-modulating effect on the gastroenteropancreatic endocrine system through the activation of the functional enteroinsular axis. It is shown that the drinking use of mineral waters in the mode of course prophylactic intake contributes to the development of adaptive processes and optimization of energy exchange, which is accompanied by an increase in the body's resistance to the effects of stress factors of different nature. It is concluded that the ease of using mineral waters, the absence of any side effects, and significant savings in financial resources during mass preventive measures make this factor very attractive when developing new methods for correcting metabolic disorders and increasing the body's resistance to climate-geographical factors in the Arctic zone.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 4-18

INFLUENCE OF METEOROLOGICAL FACTORS ON THE ATMOSPHERIC POLLUTION LEVEL

Shopina O., Saltykova M.

KEYWORDS:

AIR POLLUTION, NITROGEN OXIDES, SULFUR OXIDES, PARTICULATE MATTER, OZONE, PAH: WEATHER CONDITIONS

ABSTRACT:

Air pollution depends on many factors, meteorological conditions occupy a significant place among them. They determine the conditions of reactions between substances in the atmosphere and also provide the dispersion, transfer and leaching of components. This paper gives an overview on the behaviour of major atmospheric pollutants depending on weather and climate conditions. It is concluded that there is no state of the atmosphere that contributes to a decrease in the concentrations of all pollutants. Thus, the anticyclonic weather regime with a high income of solar radiation leads to the rapid decomposition of substances such as benzo(a)pyrene and nitrogen dioxide but causes an increase in the content of ozone and formaldehyde. On the other hand, the cyclone regime (with high cloudiness and wind speed) leads to the dispersion of pollutants, but the absence of solar radiation prevents the decomposition of toxic substances.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 18-28

THE EFFECTIVENESS OF SPA TREATMENT OF PATIENTS WITH ERECTILE DYSFUNCTION

Kiyatkin V.A., Konchugova T.V., Kulchitskaya D.B., Istoshin A.N., Stafforandov N.V., Mashnin V.V., Shashlov S.V.

KEYWORDS:

SPA TREATMENT, CHRONIC INFECTIOUS AND INFLAMMATORY DISEASES OF THE REPRODUCTIVE SYSTEM, PATHOSPERMIA, ERECTILE DYSFUNCTION

ABSTRACT:

The purpose of the study is the development and scientific substantiation of personalized sanatorium treatment programs for andrological patients with pathospermia, erectile dysfunction and chronic infectious and inflammatory diseases of the reproductive system based on the integrated use of natural and preformed physical factors. The analysis of scientific sources that testify to the effectiveness of the use of natural physical factors, including in combination with preformed, in patients with andrological diseases, is carried out. The use of natural and preformed physical factors in patients with chronic infectious and inflammatory diseases of the reproductive system is scientifically substantiated. Patients receiving complex spa treatment showed an improvement in clinical symptoms according to the International Index of Erectile Dysfunction (ICEF-5), Goldstein's hardness scale, which was confirmed by improved penile hemodynamics according to Doppler ultrasound, and a decrease in the activity of the inflammatory process according to indicators of a microscopic study of secretion prostate, improved spermogram.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 28-38

COMPARISON OF THERAPEUTIC EFFECTIVENESS OF DIFFERENT NUTRITIONAL SUPPORT PROGRAMS IN THE REHABILITATION OF PATIENTS WITH METABOLIC SYNDROME

Sergeev V.N., Musaeva O.M., Gilmutdinova I.R.

KEYWORDS:

OBESITY, METABOLIC SYNDROME, METABOLIC STATUS, CRITERIA FOR METABOLIC SYNDROME, HYPOCALORIC DIET, SPECIALIZED, FUNCTIONAL PRODUCTS AND DIETARY SUPPLEMENTS

ABSTRACT:

The article reflects the comparative results of different nutritional technologies of correction of disturbed metabolic status in patients with obesity and metabolic syndrome including the developed low-caloric diet, specialized, functional products and dietary supplements. The important role of normalization of the digestive transport conveyor in revealing the imbalance of the brain-liver-gastrointestinal microbiota axis in this category of patients and as a consequence the adequate optimization of the neuroimmune-endocrine regulation of metabolism is shown.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 39-54

STRATEGIC TRENDS IN HEALTHCARE DEVELOPMENT AND IMPROVING THE QUALITY OF LIFE OF THE POPULATION IN THE ARCTIC ZONE OF THE RUSSIAN FEDERATION

Khudov V.V., Yudin S.M., Nagornev S.N.

KEYWORDS:

ARCTIC ZONE OF THE RUSSIAN FEDERATION, HEALTH CARE, HEALTHY LIFESTYLE, QUALITY OF LIFE, SOCIAL INFRASTRUCTURE, HEALTH SAVING TECHNOLOGIES

ABSTRACT:

This paper presents an analysis of the main problems of socio-economic development and health of the Arctic zone of the Russian Federation that affect the quality of life and health of the population of the Arctic regions. The quality of life of the population of the Russian Arctic is a complex characteristic of socio-economic, medico-biological, cultural, mass and environmental factors and conditions of existence in extreme conditions of the North, which reflects the level of satisfaction of people's needs and their life plans in accordance with the conditions of economic and social development of the region. The assessment of the current state of social development, quality of life and health problems is given. It is shown that among the factors that have a pronounced impact on the management of the quality of life of the population, the primary place is given to the level of development of social infrastructure, consisting of housing and socio-cultural objects, health and education institutions, enterprises and organizations of recreation, leisure, trade, public catering, etc. The development of social infrastructure components is a necessary condition for improving the quality of life of the population, the level of which is determined by the model of economic and social development of the region and is considered as an informative indicator of human capital assessment. Defined the strategic directions of development of health care and improve the quality of life in the Arctic zone of the Russian Federation, including the provision of accessibility and improvement of quality of rendering of medical care, development of medical care aimed at preserving and promoting the health of the population, modernization of social infrastructure, training, retraining and advanced training of specialists, ensuring ethno-cultural development of indigenous peoples, protection of their primordial habitat and traditional lifestyle, etc. It is shown that the priorities of state policy of the Russian Federation in the development of health care and improve the quality of life in the Arctic zone include the implementation of accessibility to primary health care in settlements located in remote areas, improving the quality of life of the population of the Russian Arctic, the promotion of healthy lifestyles, the development of technologies for health and increasing longevity of the population in Arctic conditions.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 54-70

TOPICAL ISSUES OF REHABILITATION FOR PAIN IN THE LOWER BACK

Guryanova E.A., Tichoplav O.A.

KEYWORDS:

BACK PAIN, REHABILITATION, EXERCISE, QIGONG

ABSTRACT:

Low back pain is a common condition that affects a heterogeneous population with varying degrees of duration (acute and chronic), severity, pain intensity and functional limitation. Recovering patients with back pain is an important medical task. The role of alternative practices (such as yoga, qigong gymnastics, tai chi) is less clear, and the benefits of aerobic exercise for chronic back pain are not clear. Other rehabilitation procedures: individual orthopedic products, balneotherapy, kinesiotherapy, cognitive-behavioral therapy, occupations with an occupational therapist are also quite effective. The aim of the review is to provide information on the effectiveness of the use of physical rehabilitation technologies for pain in the lower back. The results of meta-analyzes and individual randomized studies on the potential benefits of physical exercises, Pilates exercises, qigong and other techniques in the rehabilitation system of patients with back pain are presented. The necessity of developing standard protocols and conducting large randomized comparative kinetic studies with a long patient follow-up period in order to find out the potential for using various types of physical exercises is emphasized.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 70-84

ASSESSMENT OF THE CARCINOGENIC HAZARD OF BLACK CARBON (SOOT) AND RELATED POLYARENES INDUSTRIAL EMISSIONS INTO THE AIR OF POPULATED AREAS

Prilipko N.S., Turbinsky V.V., Raputa V.F., Bortnikova S.B.

KEYWORDS:

BLACK CARBON (SOOT), POLYARENES, ATMOSPHERIC AIR, CARCINOGENIC HAZARD INDEX, INDICATOR RATIOS OF POLYARENES

ABSTRACT:

Typical patterns of polyarenes formation during combustion of different types of fuel are shown in the features of the composition of the formed substances - indicator ratios between individual polyarenes. Indicator ratios of polyarenes make it possible to predict their content and the degree of danger to human health, depending on the conditions and type of fuel being burned. The regulation of the European Parliament and of the Council of the European Union on the use of persistent organic compounds requires an inventory of 3,4-Benz(a)pyrene, benzo(b)fluoranthene, benzo(k)fluoranthene and indeno(,2,3-cd)pyrene (polyarenes) released into the air. The purpose of the study was to assess the carcinogenic hazard of black carbon (soot) and related priority polyarenes. The objects of the study were emissions to the atmosphere of industrial enterprises of heat and power engineering and construction production. The research materials included information on state statistical reports of enterprises on emissions into the atmosphere, data on the content of polyarenes in soot from furnaces, internal combustion engines, scientific reports on the assessment of risk to public health when justifying the size of sanitary protection zones of enterprises. The research methods included a hazard identification procedure and a methodology for assessing the risk to public health when exposed to chemicals that pollute the environment. It is shown that black carbon (soot) emissions from the gross mass of emissions into the atmosphere at enterprises are: heat power industry 0.28%-7.3%; construction industry 0.02%-0.60%. The total carcinogenic hazard of emissions is 98% due to black carbon (soot), and among individual substances 3,4-Benz(a) pyrene (from 47% to 88%) and Benz(b) fluoranthene (from 6% to 38%) predominate. Conclusions are made that taking into account the features of the composition of polyarenes allows increasing the level of the total index of carcinogenic hazard of substances released into the atmosphere by 0.09%-17.74%. Determination of the specific content of polyarenes in the mass of black carbon (soot) can be used for the examination of the danger to public health of emissions into the atmosphere of populated areas of products from the combustion of mineral fuels.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 2: 84-102

ISSUE 3 2020

HYGIENIC EVALUATION OF PERSONALIZED HEALTH RISK FOR PREVENTION OF ENVIRONMENTALLY DISEASED DISEASES IN THE PRIMARY HEALTH CARE SYSTEM. OVERVIEW

Prilipko N.S., Turbinsky V.V., Bobrovnitsky I.P.

KEYWORDS:

CHEMICAL, PHYSICAL AND BIOLOGICAL ENVIRONMENTAL FACTORS, HYGIENIC HEALTH RISK ASSESSMENT, SANITARY AND HYGIENIC LITERACY OF THE POPULATION, ENVIRONMENT AND HEALTH

ABSTRACT:

Ecological conditionality of diseases, which are the main causes of mortality, determines the relevance of reducing the adverse effects of environmental factors on humans and increasing, on this basis, the effectiveness of preventive measures. An important area of preventive work is the hygienic education of citizens, aimed at the implementation by each person in the course of their life. A review of the methods of hygienic risk assessment of human health under the influence of adverse physical, including climatic, as well as chemical, factors, microbial contamination of food and drinking water, lifestyle and traffic noise, electromagnetic radiation, x-ray studies. It is shown that the methods of hygienic assessment of individual health risk under the influence of adverse environmental factors are harmonized with international practice and include the main four stages: hazard identification, dose-response analysis, exposure assessment, risk characterization. Analytical and calculated risk assessment procedures are institutionalized in accordance with established authority. Directions for further improvement of methodological approaches to assessing individual health risk are outlined - unification of diagnostic criteria - “exposure markers”, “response markers”, exposure scenarios, for certain groups of the population. It is proposed to use the methodology for assessing individual health risk under the influence of environmental factors in the conceptual model of professional activity of specialists in medical and preventive care, including hygienists in terms of: a) instilling public hygiene literacy, including the formation of personal knowledge and relevant skills; b) an assessment of the functional and adaptive reserves of the body in individuals exposed to adverse environmental influences in order to conduct recreational activities. in the health care system. Conclusions are drawn on the need to publish a practical guide to analyzing personalized environmentally related risks to human health for doctors on medical prevention and general hygiene when counseling patients on the prevention of chronic noncommunicable diseases.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 3: 5-35

MAIN DIRECTIONS FOR IMPROVING THE ACTIVITIES OF HEALTH CENTERS IN THE ARCTIC ZONE OF THE RUSSIAN FEDERATION

Bobrovnitsky I.P., Nagornev S.N., Khudov V.V., Yakovlev M. YU.

KEYWORDS:

HARDWARE AND SOFTWARE COMPLEX, ARCTIC ZONE OF THE RUSSIAN FEDERATION, GENERAL HYGIENE DOCTOR, TELEMEDICINE, HEALTH CENTER, CORPORATE PROGRAMS FOR HEALTH PROMOTION OF EMPLOYEES

ABSTRACT:

This article presents an analysis of the main directions for the reorganization and improvement of the network of health centers in the Arctic zone of the Russian Federation. The strategic functional focus of the Central Bank is to conduct a comprehensive assessment of the reserve capabilities of the human body, screening for risk factors for socially significant chronic non-communicable diseases, as well as to develop and implement individual programs for improving the health of the population in a timely manner. With regard to the conditions of the Arctic zone of Russia, this core set of CL tasks should be expanded through measures that include analysis of the adverse impact of climatic and environmental factors and the evaluation of medical-biological determinants of health risk in this region. For effective primary prevention of chronic non-communicable diseases at the individual, group and population levels in the Far North, health centers must undergo a number of organizational and technical changes aimed at improving their activities. In particular, it is proposed to introduce the staff of experts TSZ doctor on General hygiene that will complement the main activities of the Centres activities to assess the risk of development of ecologically determined pathology; to introduce the standard equipment of CL hardware-software complex, allowing to carry out a screening assessment of level of psychophysiological and somatic health, functional and adaptive reserves of the body, as well as create targeted Wellness programs based on the corrective technologies of restorative medicine; implement the use of telemedicine technologies in the practice of Central health centers, which will allow achieving broad coverage of the target population with primary preventive measures aimed at improving the level of medical literacy and public commitment to health care; organize a health center at the enterprises of the Arctic zone of Russia, which will allow to diagnose and monitor the health of the working population under the influence of professional factors, as well as develop corporate programs to strengthen the health of employees in accordance with the set goals of the Federal project "strengthening public health".

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 3: 35-55

THE STUDY OF METEOZAVISIMOSTI AND METEOPATHIC REACTIONS OF STUDENTS AT THE UNIVERSITY

Ganuzin V.M., Baraboshin A.T.

KEYWORDS:

STUDENTS, METEOSENSITIVITY, PREVALENCE OF METEOTROPIC REACTIONS, DIAGNOSTICS

ABSTRACT:

The article discusses the issues of meteosensitiviti in students. Given the prevalence. Are the main symptoms and syndromes encountered in specific and nonspecific reactions. Diagnosis meteotropic states is discussing.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 3: 56-61

ALGORITHM OF NUTRITIONAL SUPPORT OF PATIENTS AT THE SANATORIUM TREATMENT STAGE

Sergeev V.N., Musaeva O.M., Scherbova Z.R.

KEYWORDS:

NUTRITIONAL STATUS, METABOLIC THERAPY, ESSENTIAL MICRONUTRIENTS, DIGESTIVE TRANSPORT CONVEYOR, GUT MICROBIOME, GUT-BRAIN AXIS, SPECIALIZED AND FUNCTIONAL FOODS, DIETARY SUPPLEMENTS, OPTIMAL AND PERSONALIZED NUTRITION

ABSTRACT:

The article shows the important role of deficiency of essential micronutrients in modern diets: vitamins, minerals, polyunsaturated fatty acids, omega 3, pre and probiotics, etc., which perform important coenzyme, cofactor and plastic functions in enzymes and hormones that regulate metabolism and are the main etiopathogenetic factor in the formation and spread of alimentary-dependent non-infectious diseases. The presented algorithm of optimal nutrition based on the use of nutritionally balanced dietary rations that include a variety of traditional foods as well as specialized and functional foods and food supplements for its optimization and personalization. The algorithm is designed to organize nutritional support for patients with non-infectious alimentary-dependent diseases.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 3:61-77

THE HEALTH SCHOOL'S EFFECTIVENESS IN A SANATORIUM FOR PATIENTS UNDERGOING ACUTE CORONARY SYNDROME

Yakovlev M.U., Tumanova-Ponomareva N.F., Fesyun A.D., Ismailova L.A., Ambrazhuk I.I.

KEYWORDS:

REHABILITATION AFTER ACUTE CORONARY SYNDROME, SCHOOL OF HEALTH, SANATORIUM-RESORT TREATMENT

ABSTRACT:

The article describes the importance of training at the School of Health for patients after acute coronary syndrome (ACS), including during spa treatment. The study included 48 people. Conclusions: The School of Health for patients after ACS under conditions of spa treatment is an effective method of increasing compliance with treatment and has several advantages over Health Schools in the second stage of rehabilitation measures, when the patient is under stress after a recent ACS. The passage of the School of Health prevents a decrease in adherence to medication. When passing Health Schools, attention should be paid to the topic of strict adherence to the regimen of taking medications during and after spa treatment.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 3: 78-89

CARDIOREHABILITATION: EVIDENCE OF EFFECTIVENESS

Vladimirsky V.E., Vladimirsky E.V., Lunina A.N., Tubekova M.A., Yakovlev M.Yu.

KEYWORDS:

CARDIAC REHABILITATION, CARDIOVASCULAR DISEASES, META-ANALYSIS

ABSTRACT:

Cardiac rehabilitation currently plays an extremely important role in the recovery of patients after diseases of the cardiovascular system. It is important to remember that only thanks to well-chosen methods of rehabilitation treatment it is possible to achieve successful results in patients with these diseases. The review examines the benefits and positive effects of cardiac rehabilitation measures on the health and psycho-emotional state of patients, including a decrease in the risk of relapse and mortality. The studies conducted on this indicator are discussed, a meta-analysis of the data obtained is carried out. Also, various options for the future development of such a direction as cardiac rehabilitation, new rehabilitation programs and the use of modern technologies are given.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 3: 89-125

ISSUE 4 2020

AIR POLLUTION AS A REASON OF INCREASED MORTALITY OF THE POPULATION

Saltykova M.M., Shopina O.V., Balakaeva A.V., Bobrovnitsky I.P.

KEYWORDS:

AIR POLLUTION, MORTALITY, CIRCULATORY SYSTEM DISEASES, CANCER, RESPIRATORY DISEASES

ABSTRACT:

The aim of this work was to analyze the effect of air pollution on mortality from major non-communicable diseases among women in cities with similar climatic and socio-economic conditions. The study included only data on the mortality of women, which made it possible to reduce the potential contribution to mortality of harmful production factors and smoking. The results of the study showed that a high level of air pollution affects the morbidity and mortality from circulatory system diseases, this influence is noticeable in all age groups. At the same time, the effect on the mortality from respiratory diseases and oncological diseases is significant but much less common. The mortality rate of women from cancer (not related to the respiratory system) is higher in cities with a high level of air pollution in young age groups from 20 to 45 years. Since circulatory system diseases are the most frequent cause of mortality in Russia, seems necessary not only to reduce the level of air pollution in industrial cities but also to develop methods aimed at early detection of pathological changes in the cardiovascular system in people living or working in conditions with high air pollution. This approach can significantly reduce mortality and increase life expectancy in industrial cities.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 4-16

NON-DRUG REHABILITATION OF PATIENTS WITH CARDIOVASCULAR DISEASES UNDER THE CONTROL OF MODERN METHODS OF FUNCTIONAL DIAGNOSTICS

Lebedeva O.D., Bokova I.A.

KEYWORDS:

HARDWARE AND SOFTWARE COMPLEX, CARDIOINTERVALOGRAPHY, OSCILLOMETRY, BIOIMPEDANCE, VEGETATIVE REGULATION, RISKS OF DISEASE DEVELOPMENT, PREDICTORS

ABSTRACT:

We examined and treated 45 patients aged 31 to 56 years with CVD who received various types of non-drug physiotherapy rehabilitation, including carbon dioxide baths and Aqua aerobics in the pool. Along with General clinical research methods, a hardware-software complex (APC) was used to assess the functional reserves and risks of common non-communicable diseases "Physiocontrol-R", including psychological testing, questionnaires, cardiointervalography, high-resolution oscillometry, and bioimpedance. The result of the application of non-medicamental rehabilitation was obtained improvement in clinical and psychoemotional state, and also proved by diagnostic hardware-software complex statistical analytical programs, improvement to various degrees expressed, indicators of vegetative regulation of the cardiovascular system, designed algorithms for quantitative assessment of functional reserves of an organism and risk of development of common diseases, determined the predictor of the effectiveness of rehabilitation, this indicates that modern methods of functional diagnostics are informative.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 16-22

A CLINICAL CASE OF REHABILITATION AFTER COVID-19-ASSOCIATED PNEUMONIA

Guryanova E.A., Tikhoplav O.A., Turnikova S.R.

KEYWORDS:

BILATERAL PNEUMONIA, COVID-19, REHABILITATION

ABSTRACT:

The article presents a clinical case of a patient who had bilateral pneumonia associated with a new coronavirus infection COVID-19. Rehabilitation measures carried out in the sanatorium rehabilitation center of "Chuvashiyakurort" JSC are described, the effectiveness of rehabilitation measures is shown. Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 22-35

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 22-35

RISK OF ANTIBIOTIC RESISTANCE EXTENSION VIA ENVIRONMENTAL OBJECTS AND FOOD PRODUCTS (REVIEW)

Antropova N.S., Ushakova O.V., Vodyanova M.A., Savostikova O.N.

KEYWORDS:

PHARMACEUTICAL WASTES, ANTIBIOTICS, ANTIBIOTIC RESISTANCE, FOOD PRODUCTS, ENVIRONMENTAL HYGIENE

ABSTRACT:

The article indicates the problem of pollution of environmental objects by pharmaceutical drugs, in particular antibiotics, which result in serious consequences for human health. The ways of their entry into the environment are shown, and methods of quantitative determination of medicinal drugs in environmental objects are described. A negative impact on both biota and humans affected by uncontrolled release of medicinal products into the environment is registered. A review of foreign researches on the detection of various concentrations of antibiotics in water, soil and food products of plant origin confirms the relevance of researches aimed at studying the migration routes and mechanisms of accumulation of antibiotics from soil to agricultural plants, which in turn will help to study the prevalence of antibiotic resistance. The implementation of the developed methods and rationing will improve the criteria for controlling food products of plant origin.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 36-51

RADIATION-INDUCED HEART DISEASE

Shashlov S.V., Yakovlev M.Yu.

KEYWORDS:

RADIATION-INDUCED HEART DISEASE, RADIATION, CARDIAC PATHOLOGY

ABSTRACT:

An analytical review of the state of the cardiovascular system during radiation therapy of tumors is given. It has been shown that early diagnosis and timely treatment of radiation-induced heart disease is one of the urgent problems for cancer survivors after radiation therapy. In therapy and medical rehabilitation of patients affected by ionizing radiation damage, as well as in radiation therapy of patients with tumors, it seems appropriate to take into account, monitor and correct the changes observed in the cardiovascular system.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 52-59

COMPARATIVE DYNAMICS OF CLINICAL AND FUNCTIONAL CONDITIONS OF PATIENTS WITH PATHOLOGICAL SKIN SCARS IN COMBINATION WITH METABOLIC SYNDROME AND WITHOUT IT WITH THE COMBINED APPLICATION OF PHYSIOTHERAPY TECHNOLOGIES

Kazantseva K.V., Nagornev S.N., Frolkov V.K.

KEYWORDS:

METABOLIC SYNDROME, MICROCIRCULATORY-TISSUE SYSTEMS, CICATRICIAL CHANGES IN THE SKIN, PHONOPHORESIS, FERMENCOL, AND FRACTIONAL LASER PHOTOTHERMOLYSIS

ABSTRACT:

The article analyzes the effectiveness of complex application of fractional laser photothermolysis and ultraphonophoresis of fermenkol against the background of metabolic syndrome in patients with cicatricial changes of the skin from the pathogenic positions. It has been shown that the effectiveness of combined physiotherapy decreases if it is administered to patients with metabolic syndrome. It has been proved that the leading pathogenic factors of the metabolic syndrome, which reduce the therapeutic potential of physiotherapeutic procedures, are insulin resistance, as well as the disorders of carbohydrate and lipid metabolism caused by it, and inhibition of microhemodynamics in the area of scar tissue. It was found that the use of fractional photothermolysis and phonophoresis of fermencol does not significantly affect the main parameters of the metabolic syndrome both in patients without metabolic syndrome, and with its presence. The predominant influence of the considered method of correction of cicatricial skin on individual compartments of the microcirculatory-tissue system indicates the effectiveness of the technology of complex application of fractional photothermolysis and ultraphonophoresis of collagenases, which has a pathogenetically oriented therapeutic effect. The presence of metabolic syndrome as a background disease significantly limits the severity of the corrective effect, which necessitates the use of means and methods from the arsenal of restorative medicine based on the predominant use of non-drug therapeutic factors that have a pronounced sanogenetic potential.

Russian Journal of Environmental and Rehabilitation Medicine. 2020. 4: 59-70

ISSUE 1 2019

STRATEGIC DIRECTIONS AND PRIORITIES SCIENTIFIC AND TECHNOLOGICAL DEVELOPMENT IN THE FIELD ARCTIC MEDICINE AND HUMAN ECOLOGY IN THE NORTH

Bobrovnitsky I.P., Nagornev S.N., Khudov V.V., Yakovlev M.Yu.

KEYWORDS:

ARCTIC MEDICINE, SCIENTIFIC AND TECHNOLOGICAL DEVELOPMENT, PROGRAM-TARGET METHOD, DEVELOPMENT STRATEGY OF THE ARCTIC ZONE OF RUSSIA, HUMAN ECOLOGY IN THE NORTH

ABSTRACT:

The article substantiates the approach to strategic planning and project management in the formation and implementation of the state policy on public health and biomedical support of high human capacity in the Arctic zone of the Russian Federation (Russian Arctic). According to this approach, the formation of scientific and technological development projects in this area is carried out on the basis of the program-target method, and the priority of measures for the formation and implementation of state policy is determined by the challenges of scientific and technological development of the Arctic zone of the Russian Federation and the resulting tasks to eliminate them. Priority projects of scientific and technological development in the field of Arctic medicine and human ecology in the North for the period up to 2024 and further being developed in the framework of activities aimed at solution of tasks of the relevant key areas of the Interagency comprehensive target program "Arctic technology". With regard to the formation of target programs for the development of Arctic medicine, the basic principles and critical technologies of scientific and technological development are highlighted. The most important methodological approach to solving these problems is the use of the program-target model of innovative development of health care in the Arctic zone of Russia, consisting of a set of mutually related terms, performers and resources of activities aimed at achieving priority goals. The expected results of the implementation of measures for the development of scientific and technical reserve in the field of Arctic medicine and human ecology for the development of the Arctic zone of the Russian Federation are presented.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 4-15

THE DEPENDENCE OF THE INDEX INDICATORS OF DENTAL STATUS AND ITS CORRECTION IN THE ASSESSMENT OF QUALITY OF LIFE

Ryabtsun O.I., Edelev D.A., Nagornev S.N., Frolkov V.K., Puzyreva G.A., Radchenko S.N., Buntin D.V.

KEYWORDS:

QUALITY OF LIFE, OHIP-14 DENTAL QUESTIONNAIRE, CHRONIC GENERALIZED PERIODONTITIS, OZONOTHERAPY, TRANSCRANIAL MAGNETOTHERAPY, DENTAL INDICES

ABSTRACT:

The article provides an analysis of the degree of dependence between the index indicators of the dental status and the quality of life of patients with chronic generalized periodontitis in the conditions of the course integrated use of ozone and transcranial magnetic therapy. A comparison of patients and healthy individuals made it possible to establish that chronic generalized periodontitis is characterized by a pronounced decrease in the quality of life of patients, assessed using the OIRP-14 Oral Health Questionnaire (Oral Health Imrout Profile) validated in Russia. It is established that the course application of ozone in combination with transcranial magnetic therapy in patients with chronic generalized periodontitis compared with traditional treatment is a more effective therapeutic method that provides reliable positive dynamics of subjective signs and basic dental indices. Observed regression of the clinical manifestations of the disease underlies a pronounced improvement in the quality of life of patients, which allows them to lead a full life without experiencing the inconvenience associated with eating and communicating with people. The combination of identified positive relationships between dental status indicators and quality of life domains proves the informativeness of using the ONI-14 questionnaire as a criterion for choosing a therapy method and evaluating the clinical effectiveness of the treatment of chronic generalized periodontitis.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 16-27

THE ROLE OF PREVENTIVE NUTRITION AND HEALTH RESORT STAGE OF REHABILITATION

Sergeev V.N.

KEYWORDS:

SANATORIUM-RESORT REHABILITATION, TREATMENT-AND-PROPHYLACTIC FOOD, STANDARD DIET, SPECIALIZED AND FUNCTIONAL FOOD PRODUCTS AND DIETARY SUPPLEMENTS

ABSTRACT:

The article shows the important role of adequate therapeutic and preventive nutrition at the stage of sanatorium rehabilitation. as an important factor that potentiates other non-drug technologies (physical therapy, balneotherapy, physiotherapy, massage, etc.) aimed at restoring the patient's health and improving the quality of life. The features of the organization of the therapeutic and prophylactic stage at the sanatorium stage of rehabilitation are shown. The structure of the algorithm for the study of nutritional status and correction of violations of nutritional and metabolic agents, including standard diets, specialized and functional products and food additives.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 28-46

NORMOBARIC INTERVAL HYPOXIC TRAINING - RATIONALE FOR CREATING A NEW GENERATION OF THE HYPOXICATOR HYPO -OXY-1 (REVIEW ARTICLE)

Tsyganova T.N.

KEYWORDS:

NORMOBARIC INTERVAL HYPOXIC TRAINING, ADAPTATION, HYPEROXIA, REACTIVE OXYGEN SPECIES, HYPOXICATOR

ABSTRACT:

The analysis of the results of treatment of various diseases using interval hypoxic training by many authors including our own observations was carried out, as well as experimental justification of the combined use of hypoxic and hyperoxic impacts. The treatment indices by using normobaric interval hypoxic training in various diseases were analyzed that forced us to think about the options for using hypoxytherapy, especially in its combination with hyperoxia. The possibility of using the new normobaric interval hypoxic training method was justified. The task was to reduce the duration of treatment when using this method. It is known that a factor in the development of organism resistance is not only the actual effect of hypoxia, but also the effect of the transition from hypoxia to normoxia - reoxygenation. Reactive oxygen species appear. The latter, as is well known, possess, at high concentrations, a damaging effect. But in recent years, it has been shown that ROS take part in the initial stages of intracellular redox signaling, triggering signal transmission to the cell nucleus. As a result, redox signaling leads to saturation of the cell with molecules that increase its protection from damaging effects, and endogenous, i.e., protection formed in the cell itself, is much more effective than external, with the help of exogenous additives. The method became known as normobaric hypo-hyperoxic training. It was on these principles that the main provisions of the creation of a new generation of hypoxicator were formulated, which not only gives hypoxic mixtures, but also hyperoxic (up to 35% -40% oxygen) in inhaled air. And the presence of additional devices - a spirometer and a pulse oximeter, an ECG sensor for determining heart rate variability and control of ST segment offset, allows determination of many functional parameters that allow to evaluate and monitor the condition of the patients.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 47-66

IMMUNITY AND METEOFACTORS

Makovetskaya A.K.

KEYWORDS:

IMMUNITY, WEATHER CONDITIONS, CLIMATIC FACTORS, SUBJECTS OF THE RUSSIAN FEDERATION

ABSTRACT:

The impact of adverse weather conditions on the immune status of residents of subjects of the Russian Federation leads to the development of severe stress reactions, as well as the adaptation reserves of the body. The study of the general patterns of changes in immunological reactivity in specific climatic and geographical conditions or in connection with certain factors will make it possible to develop personalized programs for the prevention of the development of morbidity in the population, including chronic weather-related diseases.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 67-77

EFFECT OF CLIMATE ON THE VITAL ACTIVITY OF THE ORGANISM

Koganova Z.I.

KEYWORDS:

CLIMATIC CONDITIONS, INHABITANTS OF THE NORTH, HUMAN HEALTH, COLD DISCOMFORT

ABSTRACT:

The article presents the materials of the impact of adverse environmental factors, primarily climatic factors, on residents of the North, as well as shift workers. Studying the general patterns of the influence of meteorological factors will allow the development of individual prevention programs.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 78-88

MEDICAL, MEDICAL AND SOCIAL REHABILITATION AND RECOVERY TREATMENT HEARING LOSS FROM NOISE

Pankova V.B., Vilk M.F., Fedina I.N., Serebryakov P.V., Volokhov L.L.

KEYWORDS:

INDUSTRIAL NOISE, PROFESSIONAL HEARING LOSS, SANATORIUM-RESORT TREATMENT, REHABILITATION, INDIVIDUAL HEARING PRESERVATION PROGRAM

ABSTRACT:

The issues of hearing loss caused by industrial noise prevailing in the structure of occupational morbidity of employees of the Russian Federation are discussed. Presents modern approaches to occupational health, occupational health and medical and social expertise in determining the tactics of treatment, rehabilitation, professional suitability.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 1: 89-101

ISSUE 2 2019

MECHANISMS OF ADVERSE EFFECTS NATURAL AND GEOGRAPHICAL FACTORS OF THE ARCTIC ZONE ON HUMAN HEALTH: METABOLIC AND PATHOPHYSIOLOGICAL ASPECTS

Nagornev S.N., Bobrovnitsky I.P., Yudin S.M., Khudov V.V., Yakovlev M.Yu.

KEYWORDS:

ARCTIC ZONE OF THE RUSSIAN FEDERATION, METABOLISM, POLAR METABOLIC TYPE, HYPOXIA, NORTHERN STRESS, ARTERIAL HYPERTENSION

ABSTRACT:

The current stage of development of medicine is largely focused on the development and application of resource-saving and high-tech models of public health, which, in relation to the Arctic zone of the Russian Federation, provides for the study and analysis of the basic mechanisms of adverse effects of climatic factors on metabolism, physiological and adaptive processes that determine the reserve capacity of Evaluation of human functional reserves in the Arctic provides for the study of the peculiarities of metabolic processes and their hormonal regulation, because only their full restructuring can ensure the expansion of human regulatory capabilities and support the adaptive properties of its functional systems aimed at preserving homeostasis. At the same time, the development of the vast majority of chronic non-communicable diseases, which are the leading cause of death, disability and large labor losses, is based on typical pathological processes, which are a complex of interrelated changes in damage and at the same time developing mechanisms of protection, compensation, reparation and adaptation. The article deals with the pathogenic mechanisms of such frequent stereotypical pathological processes and typical forms of pathology as hypoxia, polar stress syndrome (Northern stress) and hypertension. Understanding the main mechanisms of the adverse impact of natural and geographical factors of the Arctic zone on human health allows a reasonable approach to the formation of a system of preventive and rehabilitation measures that reduce the risk of dysadaptation and environmentally determined diseases, as well as accelerating the recovery processes by modulating (optimizing) physiological functions, metabolic processes and behavioral reactions.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 2: 4-30

IMMUNOPATHOLOGICAL CHARACTERISTICS OF BEDSORES IN TRAUMATIC DISEASE OF THE SPINAL BRAIN

Shashlov S.V., Paukov V.S., Saltykov B.B., Yermakova N.G.

KEYWORDS:

TRAUMATIC DISEASE OF THE SPINAL CORD, BEDSORES, IMMUNOPATHOLOGICAL REACTIONS

ABSTRACT:

Using immunological, histological, electron microscopic and immunomorphological methods, we studied blood, biopsy and surgical material obtained from 36 patients of both sexes aged from 19 to 37 years old, who suffered spinal cord injury and development of pressure sores. It has been established that in 80% of patients in the blood the level of circulating immune complexes (CIC) significantly increases, the concentration of immunoglobulins changes: A, M and G; in all cases, the chemotactic activity of leukocytes decreases, which is of great importance in the mechanisms of elimination of the CIC. In the walls of the vessels of the granulation tissue of the bedsores, fixation of immunoglobulins G and A was noted, which was combined with the development of more often productive, less often purulent vasculitis, and also diffuse or focal, mainly perivascular lymphoplasmacyto-macrophage infiltrates. This leads to fibrotic changes of the intima of the vessels up to the obliteration of their lumens, which is accompanied by the development of hypoxia of the tissue, which complicates the repair of the bedsores. In most cases of sores, despite their long existence - up to 1.5 years, immature type III collagen was noted - the main component of granulation tissue, less often type I, characteristic of mature connective tissue. In no case in the basement membrane of the epidermis was not revealed type IV collagen, which is one of its most important structural elements, without which full epithelialization of the bedsores is not possible. Thus, in the morphogenesis of bedsores, a significant role is played by developing immunopathological reactions causing the chronic course of the process, which must be taken into account in the complex pathogenic therapy of patients with traumatic disease of the spinal cord.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 2: 30-40

CRITICAL ISSUES CONCERNING EPIDEMIOLOGICAL AND ENVIRONMENTAL HEALTH ASSESSMENT OF THE ENVIRONMENT AND PUBLIC HEALTH IN THE RUSSIAN ARCTIC

Meshkov N.A., Bobrovnitskii I.P., Yudin S.M., Skovronskaya S.A., Valtseva E.A.

KEYWORDS:

CLIMATE, INDUSTRY, SOURCES OF POLLUTION, INCIDENCE RATE, MORTALITY, AREAS OF RESEARCH

ABSTRACT:

Fundamentals of the State Policy of the Russian Federation in the Arctic in the Period Through 2020 and Beyond, a document approved by the Russian President, has determined the future of expanding the country's presence in the Arctic regions and their sustainable development. Maintaining health in the local communities, both aboriginal and immigrant, is crucial for economic progress of the Russian Arctic. This study aims to analyze and reveal issues in assessing environmental risk factors and social and economic conditions and their impact on the health situation and incidence rate in the Russian Arctic, as well as to provide rationale for the key areas of research needed to address health protection and life quality improvement issues in the Arctic regions. The research looked at results of Russian and foreign studies that were publicly available, using analysis and generalization as its main methods. Results: Quite a large amount of data has been accumulated so far on the impact of environmental factors in in the Northern territories. A range of comprehensive studies have been carried out in recent years analyzing the environmental impact on health in certain Russian regions in the Arctic. The article reviews these studies, providing information on the nature, climate and environment in the Arctic, as well as the health situation and health risk factors in the Russian Arctic. In conclusion, the article outlines the key areas and preferred methods for undertaking epidemiological and environmental health studies.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 2: 40-73

INTERFERENTIAL CURRENTS AND RADOTHERAPY IN COMPLEX TREATMENT OF PATIENTS WITH CHRONIC PYELONEPHRITIS

Kiyatkin V.A., Shashlov S.V., Cherenkov S.A., Chernyakhovsky O.B.

KEYWORDS:

CHRONIC PYELONEPHRITIS, INTERFERENCE CURRENTS, RADON THERAPY, MEDICAL REHABILITATION

ABSTRACT:

The effectiveness of complex treatment using interference currents and radon therapy in 69 patients with chronic pyelonephritis (CP) was investigated. It has been established that complex therapy has anti-inflammatory, analgesic, hypotensive effects, improves the functional state of the kidneys and upper urinary tract, reduces the excretion of oxalates and calcium in the urine, which significantly reduces the risk of stone formation. The proposed method of treatment is effective in patients with CP with a latent phase of inflammatory activity and a remission phase, in combination with hyperoxalaturia and hypercalciuria without disturbing the passage of urine through the urinary tract.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 2: 74-87

MORPHOFUNCTIONAL PREDICTORS AND METHOD FOR INTEGRATED EVALUATION OF CLINICAL EFFICIENCY OF THE USE OF NON-MEDICATIC TESTS OF TREATMENT CHRONIC PARADONTITIS

Edelev D.A., Ryabtsun O., Nagornev S.N., Frolkov V.K., Radchenko S.N., Datiy A.V.

KEYWORDS:

EFFICIENCY PREDICTORS, CHRONIC GENERALIZED PERIODONTITIS, OZONE THERAPY, TRANSCRANIAL MAGNETIC THERAPY, DENTAL INDICES, MICROCIRCULATION, QUALITY OF LIFE

ABSTRACT:

The results of building a multiple regression model to determine the predictors of ozone efficacy in combination with transcranial magnetic therapy in the treatment of patients with chronic generalized periodontitis are presented. As independent morphofunctional variables (signs-factors), index indicators of dental status, microcirculation evaluation results, parameters of peroxide metabolism and activity of antioxidant enzymes, indicators of quality of life of patients were analyzed. The resultant symptom (criterion variable) was the integral treatment efficiency ratio, calculated from the dynamics of four indicators reflecting the state of periodontal status (papillary-marginal-alveolar and periodontal indices), the efficiency of oxygen metabolism in periodontal tissue and the quality of life of patients. To assess the specification of the multiple regression model, independent variables were selected taking into account their intercorrelation. It was found that the most effective treatment was determined by a group of indicators, the state and mechanisms of regulation of microhemodynamics, antioxidant status, quality of life patterns responsible for communication and daily activities, as well as the degree of bleeding of the gingival sulcus. The clinical and laboratory cluster identified as a result of mathematical analysis (bleeding index of the gingival sulcus, nutritive blood volume, fluorescent oxygen consumption, quality of life in the domain “Daily life”), has a prognostic information regarding the effectiveness of combined use of ozone and transcranial magnetic therapy in patients with chronic generalized periodontitis, serves as the methodological basis for determining indications and contraindications to the use of this Technology, as well as the choice of the most optimal treatment of inflammatory diseases.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 2: 88-107

INFLUENCE OF COURSE RECEPTION OF MINERAL WATER FOR INSULAR REGULATION OF THE CARBOHYDRATE EXCHANGE IN PATIENTS WITH URBAN DISEASE OF THE DUKENIUM DIAGNOSTIC AFTER SELECTIVE PROXIMAL VAGOTOMY

Edelev D.A., Blumenkrants A.E., Nagornev S.N., Frolkov V.K.

KEYWORDS:

SELECTIVE PROXIMAL VAGOTOMY, ENTEROINSULAR AXIS, MINERAL WATER, CARBOHYDRATE METABOLISM

ABSTRACT:

The use of selective proximal vagotomy in the treatment of patients with duodenal ulcer leads to the development of postoperative complications. Postvagotomichesky syndrome 30 days after surgery is characterized by inhibition of the activity of the entero-insular axis and the development of alimentary hyperglycemia. 1 year after vagotomy, these reactions weaken slightly, which indicates the formation of adaptive processes. Mineral water (with a salt concentration of 3.4 g / l) stimulates the early phase of insulin secretion and helps reduce the hyperglycemic response in the oral glucose tolerance test. In exchange intake of mineral water, starting from the 30th day after vagotomy, insulin secretion increases in the early phase of the reaction to the standard glucose load, which leads to a decrease in nutritional hyperglycemia. When prescribing a course intake of mineral water 1 year after surgery, the effectiveness of its action on insulin regulation of carbohydrate metabolism decreases. The hypothesis about the possibility of using mineral water in the early stages after vagotomy to accelerate the formation of adaptation-compensatory reactions is discussed.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 2: 107-123

ISSUE 3 2019

MAIN DIRECTIONS OF SOCIAL AND ECONOMIC DEVELOPMENT SCIENTIFIC AND TECHNOLOGICAL DEVELOPMENT OF THE ARCTIC ZONE OF THE RUSSIAN FEDERATION IN THE FIELD OF PUBLIC HEALTH AND BIOMEDICAL SUPPORT OF HUMAN ACTIVITIES IN THE NORTH

Bobrovnitskii I.P., Nagornev S.N., Khudov V.V., Yudin S.M.

KEYWORDS:

ARCTIC MEDICINE, SCIENTIFIC AND TECHNOLOGICAL DEVELOPMENT OF THE ARCTIC, THE DEVELOPMENT STRATEGY OF THE ARCTIC ZONE OF RUSSIA, HUMAN ECOLOGY IN THE NORTH

ABSTRACT:

This paper analyzes and identifies the main directions of socio-economic, scientific and technological development of the Arctic zone of the Russian Federation in the field of Arctic medicine and human ecology in the North. The assessment of the current state of socio-economic development of the Russian Arctic, taking into account the risks and threats. In preparation of the proposals in the draft "strategy of development of the Arctic zone of the Russian Federation and national security for the period up to 2035" main directions of development ASFR in terms of health protection of the population, aimed to improve the quality of life of the indigenous population and social conditions economic activity in the Arctic, modernization and development of the Arctic transport system, modern information and telecommunications infrastructure. Characteristic directions of scientific-technological development of Arctic medicine and human ecology in extreme climatic conditions are presented from the standpoint of fundamental research of the RAS on 2021-2035 he Noted that the priority directions of scientific-technological development should be formed based on the patterns and interrelatedness of fundamental, search and applied scientific researches in the field of medicine and public health in the Arctic, for which the composition of the Scientific Council of the Department of medical Sciences established the Commission on medical problems of the Arctic. The implementation of these directions will make it possible to make a breakthrough in the scientific, technological and socio-economic development of the Arctic region and ensure the achievement of the national development goals of the Russian Federation in the form of sustainable natural population growth and increased life expectancy of the population of the Arctic zone of Russia, including the indigenous peoples of the North.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 3: 4-25

PROSPECTS FOR THE USE OF FUNCTIONAL MEAT PRODUCTS IN THE NUTRITION OF PATIENTS WITH DIGESTIVE SYSTEM DISEASES

Sergeev V.N., Dydykin A.S., Musaeva O.M., Aslanova M.A., Petukhov A.B.

KEYWORDS:

DIGESTIVE SYSTEM DISEASES, RATIONAL, OPTIMAL NUTRITION, FUNCTIONAL AND SPECIALIZED MEAT-BASED FOODS

ABSTRACT:

The article shows the widespread dissemination of diseases of the digestive system in both children and adults, despite the development of new technologies for their treatment and prevention. The central role and relevance of the use of therapeutic, functional and specialized nutrition in the treatment of this category of patients is confirmed. The prospects of developing and using functional meat-based food products in the treatment and prevention of diseases of the digestive system have been proved.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 3: 25-49

MORPHOFUNCTIONAL CHARACTERISTICS OF APUD-SYSTEM CELLS, PANCREAS, AND ENDOCRINE SYSTEM OF THE KIDNEYS WITH CEREBRAL SHAPE OF ACUTE RAY DISEASE

Shashlov S.V., Rabkina E.Yu., Shevchenko A.A., Puzyreva G.A., Yakovlev M.Yu.

KEYWORDS:

АPUD-SYSTEM, PANCREAS, ENDOCRINE SYSTEM OF THE KIDNEYS, PATHOGENESIS, CEREBRAL FORM OF ACUTE RADIATION SICKNESS, MEDICAL REHABILITATION

ABSTRACT:

Experimentally, using histological, histochemical, and histophyme-chemical methods, it was found that irradiation of rats at a dose of 300 Gray in cells of the APUD system, pancreas, and endocrine system of the kidney in cerebral form of acute radiation sickness, pathological changes that can be classified as acute acute apudiopathy , acute radial diabetes mellitus, acute radial alterative pancreatitis, and acute radial renal dysfunction. An increase in the functional activity of the studied systems immediately after the end of exposure leads to pronounced hemodynamic disorders (venous congestion of the internal organs, spasm of the arteries, impaired microcirculation - stasis, sludge-phenomenon), as well as the formation of small-focal myocardial damage. At a later date, shifts on the part of the systems studied, realizing their influence through disturbances on the part of water-electrolyte balance and blood glucose, largely predetermine changes in the type of edema-swelling of neurons in the rat cerebral cortex. The obtained experimental data on the increase in the functional activity of the cells of the APUD-system during irradiation in super-lethal doses, largely coincide with those of those who died after the accident at the Chernobyl nuclear power plant. Thus, during the treatment and medical rehabilitation of victims of ionizing radiation lesions, it seems appropriate to take into account and correct the changes observed by the cells of the APUD system, the pancreas and the endocrine system of the kidneys.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 3: 49-62

COMPARATIVE ANALYSIS OF THE ACTION OF DIFFERENT TYPES OF LASER THERAPY ON THE COURSE OF CHRONIC GASTRODUODENITIS

Musaeva O.M., Sergeev V.N., Bystrova O.E.

KEYWORDS:

LASER THERAPY, LASERVARIORAKURS, ACID-FORMING FUNCTION OF THE STOMACH

ABSTRACT:

The article is devoted to the strategy of choosing the type of laser treatment in the treatment of chronic gastroduodenitis. The most promising is the use of laser therapy in the BIO mode and lazeraurikulopunktury compared with previously used laser therapy in the constant frequency mode. In this case, laser therapy in the BIO mode is indicated for older patients (40 years and older), disease duration of more than 5 years, high acid-forming function of the stomach and pronounced evacuation-motor disorders. Lazeroaurikulopunktura recommended for patients with a disease duration of less than 5 years, with normal or moderately high acidity of gastric juice.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 3: 62-70

POLYMETHYLSILOXANE ENTEROSORBENT EFFICIENCY POLYHYDRATE IN THE TREATMENT OF NONCOMMUNICABLE DIARRHEA

Pavlov A.I., Fadina J.V., Slivinsky D.V., Shakula A.V.

KEYWORDS:

DIARRHEA, DIARRHEA SYNDROME, ENTEROSORBENTS, ENTEROSGEL, SMEKTA

ABSTRACT:

To evaluate the effectiveness and safety of the use of enterosorbent Polymethylsiloxan polyhydrate (Enterosgel) in the treatment of non-infectious diseases with diarrhea. Materials and methods. Examined 169 patients with a clinical picture of diarrhea of varying severity, admitted to the FGBU "3 Central military clinical hospital named. A.A. Vishnevsky" Russian Defense Ministry. All patients underwent conventional therapy. The patients were randomly divided into three groups: 62 patients were prescribed Enterosgel in the standard dose of 1 tbsp. 3 times a day between meals, 56 patients were prescribed dioctahedral smectitis, 51 patients were not prescribed enterosorbents. According to the etiology of diarrhea, patients were distributed as follows: 32 were diagnosed with antibiotic-associated diarrhea, 8 with irritable bowel syndrome with diarrhea (IBS-D) and ulcerative colitis, 6 patients with diverticular disease and chronic pan-creatitis with extracurricular insufficiency, 2 patients with NSAIDs enteropathy. The bowel movements frequency (number of stools per day) and duration of inpatient treatment were evaluated. Results. The study showed that the inclusion of enterosorbents in the complex therapy of non-infectious diarrhea can shorten the treatment period and contribute to the acceleration of normalization of the stool. The effect of Enterosgel and Smekty is comparable. The maximum effect was obtained using Enterosgel for the treatment of antibiotic-associated diarrhea and irritable bowel syndrome with diarrhea. Conclusion. The results of Enterosgel enterosorbent application in the treatment of diarrhea of non-infectious genesis of various origin prove the effectiveness of its inclusion in the complex therapy of these diseases

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 3: 71-90

DETERMINATION OF METEOPATHIC REACTIONS IN PATIENTS WITH DISEASES OF THE CIRCULATORY SYSTEM

Yakovlev M.Yu., Ponomareva A.V., Raspertov M.M.

KEYWORDS:

METEOPATHIC REACTIONS, CIRCULATORY SYSTEM DISEASES, PHYSIOTHERAPEUTIC TECHNOLOGIES, HELIOGEOPHYSICAL FACTORS

ABSTRACT:

Data on the dependence of the development of exacerbations of meteopathic reactions in patients with chronic diseases of the circulatory system on the meteorological and geoheliphysic factors observed. The analysis of the survey data of 120 patients with circulatory system diseases undergoing spa treatment, including physiotherapeutic procedures, showed that in most cases (67.5%, 81 people) meteorological dependence manifests itself as a general deterioration in patients' well-being. It was determined that the most frequent signs of manifestation of meteopathic reactions are the following: persistent increase in blood pressure - 67.5% (81 people), headache attacks - 51.6% (62 people), insomnia - 42.5% (51 people). The results obtained confirmed the prospect of creating a mathematical model for the development of increased meteorological sensitivity to the effects of adverse weather factors, with the subsequent formation of recommendations for its use in personalized programs for the sanatorium-resort treatment of weather-dependent diseases, with the mandatory use of physiotherapy technologies.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 3: 90-97

ISSUE 4 2019

EPIDEMIOLOGY OF NON-INFECTIOUS DISEASES ASSOCIATED WITH HARMFUL ENVIRONMENTAL IMPACTS AND HUMAN ACTIVITIES IN THE ARCTIC

Nagornev S.N., Khudov V.V., Bobrovnitsky I.P.

KEYWORDS:

ARCTIC ZONE OF THE RUSSIAN FEDERATION, ARCTIC MEDICINE, DEVELOPMENT STRATEGY OF THE ARCTIC ZONE OF RUSSIA, PREVENTION OF NON-INFECTIOUS, ENVIRONMENTALLY CAUSED DISEASES, HUMAN ECOLOGY IN THE NORTH, EPIDEMIOLOGY OF NON-INFECTIOUS DISEASES

ABSTRACT:

The present review presents an analysis of environmental and occupational factors of the environment and human activity in the conditions of the Arctic zone of the Russian Federation (AZRF), as well as the main pathogenetic mechanisms of their adverse effects on health. It is noted that the adverse effects of the complex of extreme climatic and geographical factors of the AZRF have a significant impact on the human body, forming the basis for the development of pathological processes. The dynamics of chronic non-infectious diseases of the AZRF population has been assessed, showing a clear heterogeneity in different Arctic regions. Reasons are considered to be different ecological situation, different social and living conditions of residence and labor activity, different level of medical service and preventive measures, different level of diagnostic measures, differences in morbidity of indigenous and aboriginal population, migration of population and others. The peculiarities of organization of medical assistance to the population in the conditions of AZRF, which has a three-level system of organization, enhanced by aviation ambulance service, are considered. For the Arctic zone with its large territory and distances the telemedicine network covering the central regional hospitals (telemedicine centers), national dispensaries and centers has a special socio-economic significance. At the same time, the issues of improving the system of health care organization in AZRF should be considered in close connection with the tasks of practical implementation of the achievements of regenerative medicine and balneology, aimed at active use of useful, therapeutic and health promoting factors of natural and health-improving environment, including in relation to prevention and treatment of environmentally deterministic pathology. Based on the Strategy of healthcare development in the Russian Federation for the period until 2025, the priority directions of Arctic medicine development are considered. It is concluded that to protect national interests and improve life-support systems in the region, an objective, scientifically substantiated assessment of the real situation using the latest technologies aimed at early diagnosis of diseases in northerners, optimization of approaches to their prevention and treatment taking into account the specifics of disease development in extreme climatic and geographic conditions is vital.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 4: 3-37

MULTIDISCIPLINARY APPROACH TO REHABILITATION OF PATIENTS AFTER SURGICAL TREATMENT OF DISEASES OF THE MUSCULOSKELETAL SYSTEM. POTENTIAL OPPORTUNITIES AND UNSOLVED ISSUES

Tumanova N.F., Chekanov A.S., Fesyun O.A., Lutfullin M.F., Buntin D.V., Ivanov V.N., Nikolaevskii E.E.

KEYWORDS:

EVIDENCE-BASED MEDICINE, METABOLIC THERAPY, MULTIDISCIPLINARY APPROACH, PERIOPERATIVE PROPHYLAXIS, EARLY REHABILITATION, REHABILITATION

ABSTRACT:

Statistical evidence indicates the widespread pathology of the musculoskeletal system: second place in the structure of causes of temporary disability of the adult population and third place among causes of disability and mortality. Modern methods of surgical treatment of diseases of the musculoskeletal system can achieve the restoration of lost functions even in severe clinical cases. However, despite the rapid development and improvement of surgical, including high-tech techniques, the key to the effectiveness of surgical treatment is a properly conducted medical rehabilitation. The need for a multidisciplinary approach to ensuring the perioperative period is not in doubt, however, the introduction of modern ideas about rehabilitation measures in routine clinical practice requires active organizational and scientific-methodological work. The article describes current problems and medical rehabilitation and possible solutions.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 4: 37-47

MEDICAL ENVIRONMENTAL GEOCHEMISTRY. THE IMPACT OF ELEMENTAL COMPOSITION OF THE ENVIRONMENT ON HUMAN HEALTH

Shopina O.V.

KEYWORDS:

MEDICAL ENVIRONMENTAL GEOCHEMISTRY, ENDEMIC DISEASES, GEOCHEMICAL ANOMALIES, POLLUTION

ABSTRACT:

The concentration of elements in environment has an impact on human health, because it directly affects the content of elements in the organism. High and low concentrations of elements can cause metabolic disorders, specific endemic diseases (illnesses associated with geographical surroundings) or worsen the state of some common diseases. While the human impact grows, cities and suburban zones become polluted and their environment starts to contain higher concentration of toxic elements (technogenic geochemical anomalies starts to appear). In these conditions it is important to understand the specifics of natural elemental composition of the territory (it can originally contain extremely high or low concentrations of some elements - can be a natural geochemical anomaly). In this article a review of the main researches in medical environmental geochemistry is made, pathological conditions and diseases caused by disbalance of elements in organism are given, data on the main natural and technogenic anomalies located in Russia are summarized.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 4: 47-67

HEALTH RISK ASSESSMENT OF THE IMPACT OF AIR POLLUTION

Saltykova M.M., Banchenko A.D.

KEYWORDS:

RISK ASSESSMENT, AIR POLLUTION, WHO, RELATIVE RISK

ABSTRACT:

This article provides an overview of the literature and reports of the World Health Organization on the assessment of the impact of air pollution on human health. It is shown that the new air quality monitoring model developed by WHO shows a stronger impact of air pollution both indoors and outdoors on cardiovascular and respiratory diseases than previously anticipated in the 2005 reports. The risk of exposure to air pollution to public health is usually assessed using the concentration-effect function, which is usually based on a relative risk assessment derived from epidemiological studies of a given population.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 4: 67-81

TREATMENT AND REHABILITATION POTENTIAL OF TRADITIONAL MEDICINE METHODS

Agasarov L.G.

KEYWORDS:

TRADITIONAL MEDICINE, SPECTRAL PHOTOTHERAPY, PHARMACOPUNCTURE, ELECTROMAGNETIC STIMULATION

ABSTRACT:

This scientific article describes the basic principles that form the basis for reducing sexual activity in relatively healthy males, which made it possible to justify and apply the method of spectral photo stimulation of reflexogenic zones. According to studies conducted on the correction of stress disorders in law enforcement officers and the liquidators of the Chernobyl accident, a significant advantage of the combination of psychological training and low-frequency electromagnetic stimulation has been proved. An analysis of the obtained data on the use of pharmacopuncture in patients with dorsopathies is also presented. As a result, the comprehensive program that has been formed has made it possible to optimize the practical use of methods of restorative medicine.

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 4: 81-86

ANALYSIS OF METEOROLOGICAL CHARACTERISTICS OF THE MOSCOW REGION

Yakovlev M.Yu.

KEYWORDS:

MOSCOW REGION CLIMATE, AMBIENT TEMPERATURE, ATMOSPHERIC PRESSURE, ABNORMAL WEATHER CONDITIONS

ABSTRACT:

The analysis of meteorological characteristics of Moscow and the Moscow region is presented. According to the average ambient temperature, as well as its maximum values, it should be concluded that the number of days increases when the temperature differs from the climatic norm. The results of the analysis of atmospheric pressure also have frequent deviations from the norm in recent decades. All this indicates an increase in the number of days with abnormal weather conditions

Russian Journal of Environmental and Rehabilitation Medicine. 2019. 4: 87-97

ISSUE 1 2018

MAIN ASPECTS OF THE METHODOLOGY OF EVALUATION OF THE LEVEL OF HUMAN RIGHTS IN THE CONDITIONS OF ADVERSE RADIATION ENVIRONMENT

Razumov A.N., Matyukhin V.A.

KEYWORDS:

BIOPHYSICS, THE EFFECT OF PHYSICAL FACTORS ON THE ORGANISM OF ANIMALS AND HUMANS, THE EFFECT OF IONIZING RADIATION, ECOLOGICAL RADIOBIOLOGY

ABSTRACT:

The article is devoted to actual problems of life of modern man in the changed habitat and ways of minimizing the negative influence of extreme natural and man-made factors on the human body. Four blocks of radiation safety are considered: the assessment and establishment of a regional norm for the radiation load and the forecast of the annual dose limit at a particular point, the rules of human life, the rules for additional protective measures, the program for the active removal of radionuclides from environmental objects.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 1: 3-13

STATE OF CELLS OF BRAIN SUBSTANCE OF ADRENALS IN PERSONS AFFECTED AFTER ACCIDENT AT CHERNOBYL NPP

Shashlov S.V., Yakovlev M.Yu., Puzyreva G.A., Gozulov А.S.

KEYWORDS:

MORPHOFUNCTIONAL ACTIVITY, ADRENAL MEDULLA CELLS, CHERNOBYL NUCLEAR POWER PLANT ACCIDENT, MEDICAL REHABILITATION OF VICTIMS OF IONIZING RADIATION DAMAGE

ABSTRACT:

Using histological, histochemical methods and methods of statistical analysis, the cells of the adrenal medulla of 27 persons who died on the 14th -96th day after the accident in 1986 at the Chernobyl nuclear power plant were examined. It has been established that the adrenal medulla cells proved to be safe, only isolated endocrinocytes with signs of necrobiosis were noted in individual observations. Signs of increased secretory and synthesizing activity of cells in all 27 observations were noted, which was especially pronounced among those who died in the "early" periods after the accident. High secretory activity of cells, obviously, leads to the release into the blood of a number of biologically active substances (biogenic amines, peptide hormones), which contributes to the development of a number of pathological conditions. First of all, this refers to the formation of small-focal damage to the myocardium, the violation of microcirculation (stasis, sladj-phenomenon). According to the case histories, in a number of cases, various symptoms developed, in the genesis of which, in our opinion, the change in the functional activity of adrenal medulla cells is most directly related. This occurrence on the 3rd day after the "sympathoadrenal crisis" accident - case No. 8; development on the 10th day of "orthostatic collapse" - case No. 12; the worsening of the condition of the victim on the 89th day, manifested in a short-term loss of consciousness - the case No. 27. Thus, it seems advisable, in the therapy and medical rehabilitation of the affected ionizing radiation, to take into account, monitor and correct the shifts observed from the adrenal medulla.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 1: 14-22

MORPHOFUNCTIONAL CHARACTERISTICS OF THE CELLS APUD-SYSTEM GASTROINTESTINAL TRACT IN THOSE WHO DIED AFTER THE CHERNOBYL NUCLEAR POWER PLANT

Shashlov S.V., Gozulov A.S., Puzyreva G.A., Glazkov S.А.

KEYWORDS:

MORPHOFUNCTIONAL STATE, CELLS OF THE APUD-SYSTEM OF THE GASTROINTESTINAL TRACT, AN ACCIDENT AT THE CHERNOBYL NUCLEAR POWER PLANT, MEDICAL REHABILITATION OF VICTIMS OF IONIZING RADIATION DAMAGE

ABSTRACT:

As a result of the analysis, it was established that the apodocytes were preserved. Marked signs of increasing secretion and synthesizing activity apudocytes in all 27 observations that were especially pronounced and statistically significant criterion χ², have died in the "early" as possible after the accident. Functional activity apudocytes gastrointestinal tract, along with the autonomic nervous system, in our opinion contributes to the genesis of various "early" symptoms was observed in the affected (fire): anorexia, pain in the salivary glands, nausea, vomiting, diarrhea. The correlation between the severity of bowel syndrome and apudocytes number - the higher the severity of bowel syndrome, the less apudocytes, which was especially pronounced in the thin and thick sections of the intestine (r = -0,682 and r = -0,586, p <0,05, respectively). Thus, it seems appropriate in the treatment and rehabilitation of victims of ionizing radiation losses, to consider, monitor and correct the shifts observed from cells APUD-system of the gastrointestinal tract.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 1: 23-31

PSYCHOLOGICAL ASPECT OF INFLUENCE OF METEOFACTORS IN PATIENTS WITH DISEASES OF THE SYSTEM OF CIRCULATION

Yakovlev M.Yu., Bobrovnitskii I.P., Nagornev S.N., Banchenko A.D., Gozulov А.С.

KEYWORDS:

PSYCHOLOGICAL TESTING, EXACERBATION OF DISEASES OF THE CIRCULATORY SYSTEM, METEOSENSITIVITY, WEATHER CONDITIONS, DISEASES OF THE CIRCULATORY SYSTEM

ABSTRACT:

In the article, data of a verbal and communicative examination of 174 patients with circulatory system diseases located at a sanatorium-resort treatment are shown that in most cases (79.8%, 139 people) the manifestation of meteosensitivity manifested itself in the form of a decrease in the patient's well-being according to the results of the differential self-assessment test "SAN"). Also, in the course of the study, it was found that the examined subjects, namely 44.8% (78 people) had a high risk of development of streptogenic diseases, as well as sleep disturbances - 45.9% (80 people), high reactive anxiety the Spielberger-Hanina scale) in 44.2% (77 people). These studies indicate the prospect of using psychological correction programs within the framework of sanatorium-and-spa treatment of meteorological disorders.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 1: 32-38

PHYSICAL FACTORS IN COMPLEX THERAPY OF PATIENTS WITH CHRONIC BACTERIAL VESICULITIS

Kiyatkin V.A., Bobkov A.D., Kazantsev S.N., Shashlov S.V.

KEYWORDS:

CHRONIC BACTERIAL VESICULITIS, LASER IRRADIATION, SINUSOIDAL MODULATED CURRENTS, MAGNETOTHERAPY

ABSTRACT:

The article is devoted to the scientific substantiation of the use of sinusoidal modulated currents (SMC), magnetic field and laser radiation in complex therapy of patients with chronic bacterial vesiculitis (CVV). It is shown that the use of physical factors in patients with CVV increases the effectiveness of drug therapy and reduces the incidence of relapse of the disease.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 1: 39-49

PREDICTORS OF THE EFFECTIVENESS OF TRANSCRANIAL MAGNETOTHERAPY IN COMBINATION WITH PHYTOTHERAPY IN TREATMENT OF ARTERIAL HYPERTENSION

Abdurakhmanova R.Z., Nikonorova M.V., Nagornev S.N., Khudov V.V.

KEYWORDS:

ARTERIAL HYPERTENSION, PREDICTORS OF EFFICACY, TRANSCRANIAL MAGNETOTHERAPY, PHYTOTHERAPY

ABSTRACT:

The results of the study of the predictors of the effectiveness of transcranial magnetotherapy in combination with phytotherapy during the sanatorium-and-spa treatment of patients with arterial hypertension of the 1st degree are presented. Dynamics and interrelations of morphofunctional variables reflecting the parameters of central hemodynamics, heart rate variability indices, microcirculation evaluation results, lipid profile of blood and its hormonal regulation, and quality of life indicators are analyzed. The mathematical matrix formed on the basis of the obtained array of data made it possible to evaluate the reliability of changes in indices during the treatment, as well as to reveal informative predictors of the effectiveness of transcranial magnetotherapy and phytotherapy in the regime of mono-actions and combined application. It is shown that the combined use of factors is most effective when the clinical manifestations of arterial hypertension and the minimal values of other pathogenetically significant parameters (dyslipidemia, insulin resistance, the tone of the autonomic nervous system and physical activity) are small in the initial state. The expediency of using transcranial magnetotherapy and phyto-influence for the correction of arterial hypertension at the initial stages of the disease, when the violations of functional parameters and the deviation of laboratory indicators are compensated, is explained by the presence of sufficient functional reserves that support the vital activity and adaptive properties of self-regulating body systems. The clinico-laboratory cluster (including microcirculation index, atherogenicity coefficient, heart rate variability, somatic health and physical activity), revealed by the mathematical analysis, having prognostic information about the effectiveness of the combined use of transcranial magnetotherapy and phytotherapy in patients with arterial hypertension, is a methodological the basis for determining indications and contraindications to the use of this technology, and also the choice of the most optimal regimen for the treatment of arterial hypertension in accordance with the principles of evidence-based medicine.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 1: 50-63

ISSUE 2 2018

METABOLIC CONSEQUENCES OF VAGOTOMY IN SURGICAL TREATMENT OF PULMONARY DISEASE OF THE TWELVE AND GASTROINTESTINAL DISEASE AND THEIR NON-CERAMIC CORRECTION

Nagornev S.N., Blyumenkrantz A.Е., Frolkov V.K.

KEYWORDS:

PEPTIC ULCER, VAGOTOMY, HORMONES OF THE DIGESTIVE SYSTEM, LIPID AND CARBOHYDRATE METABOLISM, DRINKING MINERAL WATERS

ABSTRACT:

The results of the dynamics of hormone secretion, carbohydrate and lipid metabolism in rats with gastroduodenal ulcer and subsequent bilateral subdiaphragmatic vagotomy, as well as in patients with duodenal ulcer and selective proximal vagotomy at various times after the operation are presented. It is shown that vagotomy significantly changes the secretion of hormones, while significant violations of lipid and carbohydrate metabolism are noted. It is proved that the increase in alimentary hyperglycemia after vagotomy is due to a decrease in the activity of enteroinsular interrelations, which is manifested by a multiple (up to four times) decrease in the early phase of insulin secretion in the digestive period. One of the causes of hormonal imbalance in the intestinal mucosa is a decrease in motor-evacuation function of the stomach after vagotomy. It was revealed that in the distant period (3 months after vagotomy in experimental animals and after 1 year in patients), weakly expressed adaptive reactions are formed against the background of the development of the metabolic syndrome. It has been established that low-mineralized water (3.3 g / l) is capable of activating the entero-insular axis and thereby optimizing metabolic processes. Course intake of mineral water for 21 days accelerates the formation of adaptive processes due to the activation of insulin regulation of the metabolism of carbohydrates and lipids, which leads to the optimization of metabolic reactions. The received results allow to consider the investigated technology as safe and effective in the metabolic plan of non-drug method used in complex programs of treatment of postvagotomical disorders.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 2: 3-16

RESONANT-WAVE UHF-THERAPY IN COMPLEX THERAPY OF PATIENTS WITH CHRONIC BACTERIAL PROSTATITIS

Kiyatkin V.A., Bobkov A.D., Shashlov S.V.

KEYWORDS:

CHRONIC BACTERIAL PROSTATITIS, LOW-INTENSITY ELECTROMAGNETIC RADIATION, RESONANT WAVE THERAPY

ABSTRACT:

The effectiveness of resonant-wave microwave therapy in the complex therapy of 50 patients with chronic bacterial prostatitis (CKD) was studied. An increase in therapeutic efficacy was shown in the group of patients with CKD who received resonant-wave microwave therapy compared to patients who received only basic drug therapy, which indicates the feasibility of using low-intensity electromagnetic radiation in this pathology.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 2: 17-25

DYNAMICS OF INDEXES OF LIPID EXCHANGE AND ITS HORMONAL REGULATION IN PATIENTS WITH ARTERIAL HYPERTENSION WITH INTEGRATED APPLICATION OF TRANSSCRANIAL MAGNETOTHERAPY IN COMBINATIONS WITH PHYTOTHERAPY

Abdurakhmanova R.Z., Nikonorova M.V., Nagornev S.N.

KEYWORDS:

ARTERIAL HYPERTENSION, LIPID METABOLISM, TRANSCRANIAL MAGNETOTHERAPY, PHYTOTHERAPY

ABSTRACT:

The results of the dynamics of the lipid metabolism index for the course use of transcranial magnetotherapy in combination with phytotherapy in patients with hypertension during the sanatorium treatment are presented. It is shown that the combined use of TMT and phytotherapy against the background of the basic treatment method caused more pronounced changes in comparison with the comparison group of the biochemical indicators indicating the effectiveness of the sanatorium treatment in patients with AH. This was manifested in a significant reduction in the atherogenic fraction of lipoproteins and triglycerides against a significant increase in HDL. The revealed reorganization of the lipid profile of blood caused a decrease in the coefficient of atherogenicity by 25%. An important pathogenetic result of the treatment was a decrease in the concentration of insulin and glucose, which objectively testified to the regression of insulin resistance of peripheral tissues. The observed decrease in leptin secretion provided additional optimization of almost all lipid metabolism parameters. A reliable increase in the level of cortisol after the end of the sanatorium treatment testifies, in our opinion, the intensification of the processes of adaptogenesis, including through the actualization of metabolic reactions. The conducted studies in the lipid metabolism system and its hormonal regulation in patients with hypertension convincingly testify to the sufficiently pronounced effectiveness of the combined use of TMT and phytotherapy in terms of regression of the main pathogenetic manifestations of the disease. The received results allow to consider the investigated technology as safe and effective in the metabolic plan physiotherapeutic method applied in complex programs of treatment of patients with AH.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 2: 26-36

COMPLEX PHYSIOBALNO-TREATMENT OF PATIENTS WITH URGENTIUM DISEASE AND URBUM DIATEZY

Kiyatkin V.A., Bobkov A.D., Kazantsev S.N., Shashlov S.V.

KEYWORDS:

UROLITHIASIS, UROLITHIASIS DIATHESIS, VIBROACOUSTIC EFFECTS, MINERAL WATER, SODIUM CHLORIDE BATHS, MEDICAL REHABILITATIO

ABSTRACT:

A medical technology has been developed, including vibroacoustic effects on the urinary tract, using Moscow-type mineral water and sodium chloride baths in the complex therapy of 50 patients with urolithiasis and urolithiasis diathesis. In the program of medical rehabilitation of patients with urolithiasis and urolithiasis diathesis, in order to increase its effectiveness, it is necessary to include, in addition to the basic drug therapy, physiotherapy treatments.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 2: 37-45

APPLICATION OF NON-MEDICAL TECHNOLOGIES IN PATIENTS WITH DISEASES OF THE CARDIOVASCULAR SYSTEM

Lebedeva O.D., Usmonzoda D.U.

KEYWORDS:

CIRCULATORY SYSTEM DISEASES, COMPLEX THERAPEUTIC PROGRAMS, ISCHEMIC HEART DISEASE, FUNCTIONAL RESERVES OF THE BODY, NON-DRUG TECHNOLOGIES

ABSTRACT:

In the course of the study, a comprehensive treatment program was developed, including stimulation and underwater shower-massage, which was used in 120 patients with coronary heart disease. The results showed that the integrated program has a psychocorrective effect, and also allows to reduce the functional reactivity of the cardiovascular system at rest and during psycho-emotional stress. Using the methods of mathematical statistics, the effectiveness of therapeutic and health measures was evaluated and predictors for their improvement were determined.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 2: 46-52

SYSTEM FOR EVALUATION OF ADAPTATIVE RESERVES OF THE ORGANISM IN ATHLETES OF CYCLIC AND GAME SPORTS

Fesyun A.D., Ambrazhuk I.I., Gruzintseva Yu.P.

KEYWORDS:

SPORTS MEDICINE, FUNCTIONAL STATE OF THE CARDIOVASCULAR SYSTEM, DIAGNOSTIC TECHNOLOGY, PHYSICAL ACTIVITY

ABSTRACT:

During the study, the information content of diagnostic technologies for assessing the functional state of the cardiovascular system in athletes involved in gaming and cyclic sports was studied. As a result, it was found that the most informative methods of studying the functional state of the cardiovascular system are: analysis of hemodynamic characteristics of the blood flow and echocardiography. Also determined a high degree of adaptation of the cardiovascular system to physical stress in athletes involved in cyclic sports compared with athletes involved in game sports.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 2: 53-58

ISSUE 3 2018

MODERNIZATION OF THE SANATORIUM ORGANIZATIONS PASSPORT SECTION IN THE SOFTWARE SYSTEM "RUSSIAN STATE RESORT REGISTRY"

Terehov А.S., Prilipko N.S.

KEYWORDS:

SOFTWARE, HEALTH RESORTS, REGISTRIES, SANATORIUM ORGANIZATIONS

ABSTRACT:

The article considers the positive role of information technologies in the healthcare sphere, the need for the development of domestic tourism and sanatorium-and-spa treatment. The intermediate position of the sanatorium-and-spa organizations between tourist and medical organizations is shown. The need to assess the current state of the sanatorium complex and its prospects, as well as the need to build an effective model for the development of sanatorium and resort business in the Russian Federation, was identified. The role of introducing information and reference medical information systems into practice as a method of such evaluation is shown. The legislative bases of the software system «Russian state resort registry» and its role in reviving the sanatorium and resort complex of the country as a modern mechanism for collecting information on health resorts, sanatoriums and natural healing factors are considered. The goal of modernization of the software system «Russian state resort registry» is shown. The results of the analysis of the status of the current composition of the fields of the passport of the sanatorium and resort organization of the software system «Russian state resort registry», the correspondence of the passport fields to Order No. 522 of August 6, 2007, The order of working of the Russian state resort registry". Also, the results of the analysis for compliance with modern requirements for the placement of information in the information and telecommunications network "Internet" are shown. The list of defects of the old version of the software system «Russian state resort registry» is considered. The main filling problems are described. Examples and methodology for drafting the technical task for the first stage of the modernization of the software system «Russian state resort registry», the methodology of description and examples of its screen forms are presented. The list of works completed within the framework of the first stage of modernization of the software system «Russian state resort registry», as well as the results of modernization. The prospects of the software system «Russian state resort registry» are outlined.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 3: 3-15

PHYSIOTHERAPYOFPATIENTSWITHCHRONICCYSTITIS

Kiyatkin V.A., Bobkov A.D., Shashlov S.V., Slivinsky D.V.

KEYWORDS:

CHRONIC CYSTITIS, ULTRASOUND, SINUSOIDAL MODULATED CURRENTS, TRANSCEREBRAL ELECTROTHERAPY (ELECTRO-ELECTRIC), IODIDE-BROMINE BATHS

ABSTRACT:

The use of ultrasound, sinusoidal modulated currents (SMT), electrosleep and iodine-bromine baths is a highly effective method of medical rehabilitation of patients with chronic cystitis in the phase of latent inflammation. Ultrasound in combination with electrosleep and iodide-bromine baths has a more pronounced anti-inflammatory effect and a bacteriostatic effect, while CMT in combination with electrosleep and iodine-bromine baths significantly improves the urodynamics of the lower urinary tract and has a significant analgesic effect. The study of the immediate and long-term results of treatment of patients with chronic cystitis showed the absence of exacerbations of the infectious-inflammatory process in the bladder for 6 months.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 3: 16-25

MECHANISMS OF INFLUENCE OF MINERAL WATER SUNZHENSKY DISTRICT OF THE CHECHEN REPUBLIC PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY

Edilbieva B.S., Nagornev S.N., Kulish A.V., Frolkov V.K.

KEYWORDS:

CHRONIC VENOUS INSUFFICIENCY, MINERAL WATERS FOR EXTERNAL AND INTERNAL APPLICATION, MECHANISMS OF ACTION OF BALNEOFACTORS

ABSTRACT:

In patients with chronic venous insufficiency, studies were carried out on the single application of hydrogen sulfide mineral water in the form of a bath and mineral water in small quantities. It is established that with internal application, mineral water effectively stimulates enteroinsular hormonal interrelations, which leads to optimization of carbohydrate metabolism, activation of antioxidant defense enzymes in the lipid peroxidation system. After taking a bath with hydrogen sulfide-containing mineral water, a decrease in blood pressure, an improvement in regional blood flow, a reduction in pain syndrome were revealed. A hypothesis is proposed about the expediency of complex application of balneofactors in spa therapy of chronic venous insufficiency.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 3: 26-34

INFLUENCE OF THE RESULTS OF BRAIN MRI ON THE TACTICS OF THE MANAGEMENT OF PATIENTS WITH PREECLAMPSIA

Shalina R.I., Simukhina M.A.

KEYWORDS:

PREECLAMPSIA, ATYPICAL PREECLAMPSIA, CENTRAL NERVOUS SYSTEM DAMAGE, BRAIN MRI, POSTERIOR REVERSIBLE ENCEPHALOPATHY SYNDROME (PRES)

ABSTRACT:

The article contains the results of an assessment of the prospects for using MRI of the brain in patients with PE and the effect of its results on the management of patients. A retrospective analysis of 36 birth histories of patients with severe pre-eclampsia who underwent an MRI scan of the brain. In 47.2% of patients with pre-eclampsia and neurological symptoms, according to MRI data, brain changes were detected. As a result, the use of GM MRI in patients with PE of any severity during the development of neurological symptoms will reduce the frequency of its severe complications, in particular - hemorrhages in the brain.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 3: 35-41

RUSSIAN EXPERIENCE IN DEVELOPING A STRATEGY FOR DEVELOPMENT OF MEDICAL REHABILITATION DEPARTMENTS

Ambrazhuk I.I., Yakovlev M.Yu., Fesyun A.D.

KEYWORDS:

MEDICAL REHABILITATION, PUBLIC HEALTH ORGANIZATION AND PUBLIC HEALTH, DISABILITY

ABSTRACT:

The article contains an analysis of the basic principles of development of medical rehabilitation departments, taking into account the experience gained. At the same time, the complex of rehabilitation measures is multifaceted and includes: medical rehabilitation, consisting of non-drug treatment methods, methods of drug therapy, psychological rehabilitation, vocational rehabilitation and social rehabilitation.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 3: 42-49

APPLICATION OF PHYSIOTHERAPEUTIC TECHNOLOGIES IN COMPLEX TREATMENT OF PATIENTS WITH OSTEOARTHROSIS

Vakulenko O.Yu.

KEYWORDS:

LOW-INTENSITY MAGNETOTHERAPY, LASER THERAPY, OSTEOARTHROSIS, COMPREHENSIVE PROGRAMS OF MEDICAL REHABILITATION, NON-DRUG TREATMENT METHODS

ABSTRACT:

The article presents the application of complex programs in patients with osteoarthritis. The basis of treatment programs, against the background of basic drug therapy and exercise therapy, included: low-intensity magnetotherapy and laser therapy. As a result of the analysis, the effectiveness of this complex in the treatment of patients with knee osteoarthritis was proved.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 3: 50-58

ISSUE 4 2018

HEALTH RESORT TREATMENT IN THE WORKERS OF THE GAS INDUSTRY

Sokolov A.V., Stoma A.V.

KEYWORDS:

SANATORIUM TREATMENT, GAS INDUSTRY WORKERS, FUNCTIONAL RESERVES OF THE BODY, CHRONIC NON-COMMUNICABLE DISEASES

ABSTRACT:

Survey data of gas industry workers who underwent annual spa treatment show high efficiency of its use. It was determined that during the last year of observation compared with the first year, the number of days of temporary disability among employees undergoing sanatorium-resort treatment decreased by 63%, in the second by 47%, and in the third increased by 21%.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 4: 3-11

OPTIMIZATION OF THE ORGANIZATION OF RENDERING MEDICAL AID TO SPORTSMEN

Fesyun A.D., Datiy A.V., Yakovlev M.Yu.

KEYWORDS:

FUNCTIONAL STATE OF THE BODY, CARDIOVASCULAR SYSTEM, ECG, ATHLETES

ABSTRACT:

According to the results of the survey, an assessment of the informativeness of the methods of examination of the functional status of athletes was carried out, and a high degree of adaptation of the cardiovascular system to physical stress among athletes involved in cyclic sports compared to athletes involved in game sports was determined. It was revealed that the analysis of hemodynamic characteristics of the blood flow and echocardiography are the most adequate methods for studying the functional state of the cardiovascular system in athletes.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 4: 12-18

MAIN ASPECTS OF STUDYING THE INFLUENCE OF METEOTROPIC REACTIONS

Saltykova M.M., Bobrovnitskii I.P., Banchenko A.D.

KEYWORDS:

METEOTROPIC REACTIONS, CLINICAL STUDIES, ENVIRONMENTAL FACTORS

ABSTRACT:

The article substantiates the need to develop a comprehensive assessment of the effects on the body of ambient temperature, barometric pressure, humidity and other meteorological indicators in a model clinical study using an appropriate test bench (weather stand).

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 4: 19-24

FREQUENCY OF EMERGENCE OF METEOTROPIC REACTIONS IN PATIENTS OF THE OUTDOOR NUMBER

Gruzdeva A.Yu.

KEYWORDS:

METEOTROPIC REACTIONS, NEUROLOGICAL DISEASES, ENVIRONMENTAL FACTORS

ABSTRACT:

According to a survey of 107 patients of the Outpatient Department of the Clinical Hospital No. 5, the subject of exacerbation of the underlying disease, depending on the impact of adverse weather factors, it was determined that most of the exacerbations occurred in patients with osteochondrosis (in 42 people), which amounted to 7, 2% of the total number of patients with this disease. In addition, a high frequency of exacerbations was observed in patients with cerebrovascular diseases (in 23 people), which amounted to 76.6% of the total number of patients with this pathology.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 4: 25-30

MAIN ASPECTS OF DEVELOPMENT OF MEDICAL REHABILITATIO

Ambrazhuk I.I., Fesyun A.D.

KEYWORDS:

MEDICAL REHABILITATION, ORGANIZATION OF HEALTH CARE AND PUBLIC HEALTH, REGULATORY LEGAL ACTS

ABSTRACT:

This work contains an analysis of the basic principles of the development of medical rehabilitation, taking into account recent changes in the regulatory legal acts of the Russian Federation. At the same time, the ultimate goal of measures aimed at improving and developing the medical rehabilitation service is to form a structured system of medical organizations with a rehabilitation profile of various forms of ownership.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 4: 31-36

DIAGNOSTIC AND SUBSEQUENT CORRECTION OF IMPROVED METEOUS SENSITIVITY IN PATIENTS WITH DISEASES OF THE CIRCULATORY SYSTEM

Yakovlev M.Yu., Shashlov S.V.

KEYWORDS:

METEOSENSITIVITY, CIRCULATORY SYSTEM DISEASES, PHYSIOTHERAPEUTIC TECHNOLOGIES, MEDICAL AND METEOROLOGICAL FORECAST

ABSTRACT:

The presented data on the dependence of the number of exacerbations of chronic diseases of the circulatory system on the observed values of meteorological and geomagnetic parameters, and also showed the need to develop methods for determining the physiological mechanisms of meteorological factors, including an assessment of the individual risks of their influence, followed by the use of corrective programs. The analysis of survey data of 168 patients with circulatory system diseases who underwent sanatorium-resort treatment, including physiotherapy procedures, showed that in most cases (76.8%, 129 people) meteorological dependence manifests itself in the form of a general deterioration of patients' well-being. The survey found that the most frequent signs of meteosensitivity are the following: a persistent increase in blood pressure - 67.8% (114 people), headache attacks - 41.6% (70 people), insomnia - 47% (79 people), the presence of pain in the joints and muscles - 43.4% (73 people). The obtained results allowed to confirm the prospect of creating a mathematical model of the development of increased meteosensitivity to the impact of adverse meteorological factors, with the subsequent formation of recommendations for its use in personalized programs of sanatorium-resort treatment of meteo-dependent diseases, with the mandatory use of physiotherapy technologies.

Russian Journal of Environmental and Rehabilitation Medicine. 2018. 4: 37-44

ISSUE 1 2017

FUNDAMENTAL AND APPLIED ASPECTS OF THE MODERN CONCEPT OF HEALTH PROTECTION

Razumov A.N.

KEYWORDS:

THE CONCEPT OF HEALTH PROTECTION, PREVENTIVE MEDICINE, HEALTHY LIFESTYLE, PREVENTING DISEASES, REDUCING MORTALITY

ABSTRACT:

The article describes the concept of health protection of a healthy person, as well as the direction of its implementation in the Russian Federation. The results of the implementation of the concept will reduce overall morbidity and improve the quality of life of the population.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 1: 3-23

WAYS OF IMPROVING THE HEALTH ORGANIZATION IN THE CONDITIONS OF GROWING ECOLOGICAL CHALLENGES OF LIFE SAFETY AND POPULATION HEALTH

Vyalkov A.I., Bobrovnitskii I.P., Rahmanin YU.A., Razumov A.N.

KEYWORDS:

REGENERATIVE MEDICINE, ENVIRONMENTAL MEDICINE, ENVIRONMENTALLY CAUSED PATHOLOGY

ABSTRACT:

The article is devoted to the solution of related problems of restorative medicine, environmental medicine, ecology and practical public health, namely the study of the effects of adverse environmental factors (chemical pollution, noise, vibration, electromagnetic fields, the influence of unfavorable climatic and weather conditions) on the human body and development Environmentally caused pathology. Timely diagnosis, prevention and treatment of pathology associated with the impact of environmental factors is one of the main tasks of modern health.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 1: 24-41

CULTUROLOGICAL ETHICS OF THE NATION''S HEALTH IN THE THIRD MILLENNIUM

Razumov A.N., Ponomarenko V.A.

KEYWORDS:

HEALTH OF A HEALTHY, THE CONCEPT OF PROTECTING HUMAN HEALTH, SPIRITUAL AND MORAL VALUES, PSYCHOLOGICAL HEALTH

ABSTRACT:

The article discusses the health problems of modern man from the point of view of medicine, spiritual knowledge and psychology. It is stated that the social policy of the state is mainly aimed at treating patients, but not preserving the health of the healthy. The importance of prevention for preserving and reproducing the health of the nation is proved, and the need to integrate the efforts of physicians, psychotherapists and psychologists to realize these goals is affirmed. Health centrist paradigm and author's concept of health protection of healthy people is formulated.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 1: 42-56

CONCEPTUAL AND METHODOLOGICAL ASPECTS OF HYGIENE AS THE BASIS FOR THE DEVELOPMENT OF PREVENTIVE HEALTH CARE

Rahmanin YU.A.

KEYWORDS:

HYGIENE, ENVIRONMENTALLY CAUSED DISEASES, PREVENTIVE MEDICINE, ADVERSE ENVIRONMENTAL FACTORS

ABSTRACT:

The article describes the conceptual and methodological aspects of hygiene, which is considered as the basis for the development of preventive health care. The problem of studying various physical factors of the environment is also considered. Perspectives of further studying the impact of physical factors on human health and the quality of the environment are presented.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 1: 57-78

ISSUE 2 2017

IMMUNO-BIOCHEMICAL SCREENING AND METABOLIC STRESS TESTS IN ASSESSING THE BODY''S FUNCTIONAL RESERVES

Nagornev S.N., Bobrovnitsky I.P., Khripac L.V., Khudov V.V.

KEYWORDS:

IMMUNO-BIOCHEMICAL SCREENING, FUNCTIONAL RESERVES OF THE ORGANISM

ABSTRACT:

The possibilities of studying and predicting the levels of functional reserves of the organism, its stress-stability through the use of glucose tolerance test and fat loading test are explored. The estimation of biochemical and immunological changes in an organism when exposed to polluted atmospheric air.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 2: 3-38

DEVELOPMENT OF INFORMATION SYSTEMS FOR THE ANALYSIS OF THE RISK OF DEVELOPING WIDESPREAD NON-INFECTIOUS DISEASES ON THE BASIS OF ASSESSING THE FUNCTIONAL RESERVES OF THE BODY

Bobrovnitsky I.P., Nagornev S.N., Sokolov A.V., Yakovlev M.Yu., Banchenko A.D., Shashlov S.V., Khudov V.V.

KEYWORDS:

INFORMATION SYSTEMS, HARDWARE-SOFTWARE COMPLEXES (APPARATUS-PROGRAMME COMPLEXES - APC), WIDESPREAD NON-INFECTIOUS DISEASES, DEVELOPMENT RISKS, DIAGNOSTIC AND CORRECTIVE TECHNOLOGIES

ABSTRACT:

The analysis of the most frequently used information systems and hardware-software complexes for assessing the functional state of the organism and the risks of the development of widespread non-infectious diseases is given. Present-day diagnostic and corrective technologies used in hardware and software systems are presented.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 2: 39-53

DEVELOPMENT OF HEALTH RESORT AND MEDICAL TOURISM IN THE SPHERE OF HEALTH PROTECTION OF A HEALTHY PERSON

Razumov A.N., Bobrovnitsky I.P., Turova E.A., Povazhnaya E.L., Gusakova E.V., Shashlov S.V., Lvova N.V.

KEYWORDS:

RESORT TOURISM, METHODS OF HEALING AND TREATMENT, NATURAL AND PREFORMED PHYSIOTHERAPEUTIC TECHNOLOGIES

ABSTRACT:

The basic principles of organization of sanatorium-and-spa treatment for citizens of the Russian Federation, the procedure for medical selection and sending patients to sanatorium-and-spa treatment are developed; Principles of organization of medical activities of sanatoriums, including children's, as well as indications and contraindications depending on the diseases and health factors of the resorts. The characteristic of various programs and resort technologies, including the use of non-drug methods, is given.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 2: 54-73

NORMATIVE BASE FOR FOOD QUALITY AND SAFETY ASSESSMENT

Tutelyan V.A., Nikityuk D.B., Khotimchenko S.A.

KEYWORDS:

FOOD SAFETY, REGULATORY AND METHODOLOGICAL BASE, HYGIENIC STANDARDS, RISK TO PUBLIC HEALTH

ABSTRACT:

The system of quality control and food safety includes: development of regulatory framework, organization of laboratory monitoring and monitoring of product quality and safety, conducting supervisory activities and taking administrative measures. The analysis of the regulatory and methodological base for the organization of therapeutic nutrition in medical organizations of the Russian Federation is presented. The experience of justification of hygienic standards of food safety with the use of risk criteria for public health is summarized.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 2: 74-120

ISSUE 3 2017

METHODS OF PSYCHO-CORRECTION OF HEALTHY

Ayvazyan T.A.

KEYWORDS:

PSYCHOTHERAPY, PSYCHOLOGY, NEUROLINGUISTIC PROGRAMMING, TEST SMOL

ABSTRACT:

Increasing the level of psychological adaptation, as well as the restoration of psychological reserves are the main goal of psychocorrection. Among the methods used in psychology and reconstructive medicine, the following are distinguished: rational, psycho-relaxation, cognitive-behavioral, suggestive, gestalt therapy, neurolinguistic programming, body-oriented psychotherapy.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 3: 3-16

DYNAMICS OF ACTIVITY OF NONCEPTEPTIVE SYSTEM IN SINGLE-TIME AND COURSE APPLICATION OF TRANSSCRANIAL MAGNETIC STIMULATION

Kulish A.V.

KEYWORDS:

TRANSCRANIAL MAGNETIC STIMULATION, HEADACHE, NOCICEPTIVE SYSTEM, PHYSIOTHERAPY, PAIN SYNDROME

ABSTRACT:

The article presents the results of studies of the effect of transcranial magnetic stimulation on the severity of pain syndromes of various genesis. As a result of the study, 82 patients showed that maximal effect was observed in patients with headache and chronic venous insufficiency under the form of transcranial magnetic stimulation, with the maximum reaction occurring within the first 10 minutes after the end of the procedure.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 3: 17-27

MAIN FORMS AND CLINICAL AND LABORATORY OPTIONS FOR NON-ALCOHOLIC FAT LIVER DISEASE

Roitberg G.E., Sharhun O.O., Platonova O.E.

KEYWORDS:

FATTY HEPATOSIS, LIVER, MARKERS, ENZYMES, PATIENT, LABORATORY DIAGNOSTICS, ULTRASOUND

ABSTRACT:

The article shows the results of a scientific and practical study of the patients of the clinic of OJSC "Medicine". The main forms and clinical-laboratory variants of non-alcoholic fatty liver disease have been studied. The results of ultrasound and laboratory studies are shown.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 3: 28-33

USING MINERAL WATER OF DRINKING APPLICATION TO INCREASE FUNCTIONAL RESERVES AND NON-SPECIFIC RESISTANCE OF THE ORGANISM

Frolkov V.C., Nagornev S.N., Bobrovnitsky I.P.

KEYWORDS:

MINERAL WATERS OF DRINKING USE, FUNCTIONAL RESERVES OF THE BODY, DIABETES MELLITUS, METABOLIC SYNDROME, SANATORIUM TREATMENT

ABSTRACT:

Mineral water for drinking has long and successfully been used in the treatment of various diseases, as evidenced by the huge number of clinical studies, including those related to preventive care. The investigations carried out by us on a large clinical-experimental material: in healthy volunteers, patients with gastroenterological diseases, with diabetes mellitus and with a metabolic syndrome (totaling more than 3,000 people), they theoretically substantiated new principles for the realization of the biological and therapeutic potential of mineral waters for drinking application and convincingly prove them using the most modern research methods.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 3: 34-61

ISSUE 4 2017

LEVEL OF FUNCTIONAL RESERVES OF THE HUMAN ORGANISM AND MORPHO-PSYCHO-FUNCTIONAL RELATIONS

Nikitiuk D.B.

KEYWORDS:

CONSTITUTION, PHYSICAL STATUS, SOMATOLOGICAL AFFILIATION, ANTHROPOMETRIC ANALYSIS

ABSTRACT:

The article analyzes the correlation between the constitution and the morpho-psycho-functional adaptive reserves of the organism. The conducted anthropometric analysis of patients of both sexes revealed constitutional stigma, indicating a significant, and, on the contrary, minimal probability of the development of alimentary obesity. Morphological markers (somatotypological affiliation) of the expected maximum and minimum efficacy of the dietoterie for a given nosological form have been determined. The medico-social significance of the data obtained is quite obvious, as well as the effectiveness of conducting the relevant clinical-anthropological parallels.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 4: 3-14

METHODS OF REPERFUSION OF THE BRAIN IN THE ACUTE PHASE OF ISCHEMIC STROKE. CONTEMPORARY STATUS OF THE QUESTION

Logvinenko R.L., Domashenko M.A., Arablinsky A.V.

KEYWORDS:

REPERFUSION THERAPY, ENDOVASCULAR THROMBECTOMY, ACUTE ISCHEMIC STROKE

ABSTRACT:

The article presents an overview of the re-authoritative therapy of acute ischemic stroke. The advantage of using endovascular thrombectomy in patients with this pathology is described. The use of the endovascular thrombectomy method further improves the efficiency and shortens the rehabilitation period for patients with acute ischemic stroke.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 4: 15-21

APPLICATION OF THERAPEUTICAL PHYSICAL TRAINING AND PHONOPHORESIS IN COMPLEX TREATMENT OF PATIENTS WITH OSTEOARTHROSIS OF KNIVES

Vakulenko O.Yu.

MEDICAL REHABILITATION, GONARTHROSIS, PHONOPHORESIS, PHYSIOTHERAPY EXERCISES, NON-MEDICINAL METHODS OF TREATMENT

The article presents the clinical and pathogenetic aspects of the application of methods of physiotherapy in the complex rehabilitation treatment of patients with gonarthrosis. The analysis of the application of methods of therapeutic physical training in the complex restorative treatment of patients with osteoarthritis was carried out. In the course of the study it is justified, the treated physical culture in combination with phonophoresis helps to reduce the pain syndrome and inhibits the progression of the disease.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 4: 22-29

ASSESSMENT OF ADAPTABLE RESERVES OF THE CARDIOVASCULAR SYSTEM IN SPORTSMEN OF VARIOUS SPORTS

Fesyun A.D., Yakovlev M.Yu., Gruzintseva Yu.P., Shashlov S.V.

KEYWORDS:

SPORTS MEDICINE, ADAPTATION OF THE CARDIOVASCULAR SYSTEM, UMO ATHLETES, ECHOCARDIOGRAPHY

ABSTRACT:

In the course of the study, the effectiveness of diagnostic techniques in assessing changes in the cardiovascular system in persons engaged in gaming and cyclic sports has been studied. As a result, it was determined that the most informative methods for studying the functional state of the cardiovascular system are: analysis of hemodynamic characteristics of blood flow and echocardiography. Also, a high degree of adaptation of the cardiovascular system to physical activity in athletes engaged in cyclical sports compared with athletes engaged in playing sports.

Russian Journal of Environmental and Rehabilitation Medicine. 2017. 4: 30-36

ISSUE 1 2016

HUMAN HEALTH AND SOCIAL STRESS

Velichkovsky B.T.

KEYWORDS:

SOCIAL STRESS, HUMAN HEALTH, STRESS, MOTIVATION, HEALTH

ABSTRACT:

The article reflects the impact of social stress on human health, examines the main pathogenetic mechanisms of the negative impact on health of excessive social stress caused by the loss of effective labor motivation by a capable population of the country.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 1: 3-18

THE SCIENTIFIC BASIS OF SOVERSHENSTVOVANIE OF THE MANAGEMENT OF HEALTH AND EDUCATION OF ENVIRONMENTAL MEDICINE, MEDICAL REHABILITATION AND SANATORIUM TREATMENT

Bobrovnitskii I.P., Nagornev S.N., Yakovlev M.Yu., Puzyreva G.A., Shashalov S.V., Banchenko A.D.

KEYWORDS:

PREVENTIVE MEDICINE, ENVIRONMENTAL MEDICINE, REHABILITATION MEDICINE, MEDICAL REHABILITATION, HEALTHCARE MANAGEMENT

ABSTRACT:

The article discusses the problems and current state of preventive medicine in the Russian Federation. Discusses the ways of development of preventive direction of public health in scientific-practical, educational and legal aspects

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 1: 19-37

ENVIRONMENTAL AND REGENERATIVE MEDICINE: THE WAY OF INTEGRATION IN ORDER TO IMPROVE THE CALCULATION OF RISK, PREVENTION AND TREATMENT OF ENVIRONMENTALLY RELATED DISEASES

Bobrovnitskii I.P., Nagornev S.N., Yakovlev M.Yu., Banchenko A.D.

KEYWORDS:

HUMAN ECOLOGY, REGENERATIVE MEDICINE, FUNCTIONAL RESERVES, ENVIRONMENTAL IMPACT, DISEASE PREVENTION, HARDWARE-SOFTWARE COMPLEXES

ABSTRACT:

The article is devoted to the medical environment and regenerative medicine, namely the effects of adverse environmental factors on the human body and its assessment of the functional reserves and their subsequent correction.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 1: 38-47

APPLICATION OF CYTOGENETIC MONITORING IN THE ESTIMATION OF THE INFLUENCE OF ENVIRONMENTAL FACTORS ON HUMAN HEALTH

Sycheva L.P.

KEYWORDS:

HUMAN CYTOGENETIC STATUS, MICRONUCLEAR TEST, ENVIRONMENTAL POLLUTION, HUMAN ECOLOGY

ABSTRACT:

An evaluation of the cytogenetic status and analysis of the number of congenital morphogenetic variants using a non-invasive multi-organ dental karyological test based on a micronucleus test was performed. In general, as a result of the conducted surveys of different populations of people, the following patterns have been revealed: environmental pollution leads to a significant increase in the frequency of exfoliative cells with cytogenetic disorders, and the apoptosis indices are significantly reduced. Positive results of correction of a cytogenetic status of the person after reception of antioxidants are received. In our study, 52% of the students had a lower frequency of cells with cytogenetic damage after taking vitamins A and C for a month than before the start of the admission, 38% of the students had no changes, 10% of the students had a higher level of cells with lesions within the estimated normative values. The mean group frequency of cells with cytogenetic lesions decreased from 1.93 ‰ to 1.17 ‰ (P <0.05), and the apoptotic index was increased from 30 ‰ to 36.7 ‰ (P <0.00, according to χ²).

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 1: 48-60

ISSUE 2 2016

IMPACT OF ENVIRONMENTAL FACTORS ON HUMAN HEALTH: METHODS OF ESTIMATION AND PREVENTION OF DISEASES

Ushakov I.B., Bobrovnitskii I.P.

KEYWORDS:

ADAPTIVE RESERVES OF THE ORGANISM, ENVIRONMENTAL FACTORS, OCCUPATIONAL HEALTH, ENVIRONMENTAL RISKS, PREVENTIVE MEDICINE

ABSTRACT:

The article considers the main aspects of the influence of environmental factors on the functional state of the human body. A system for maintaining (ensuring) sanitary and epidemiological welfare (safety) and methodology for assessing the health status and adaptive reserves of the body are presented. In general, approaches to the development of personalized programs of non-drug prevention, monitoring and enhancement of adaptive capacities.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 2: 3-31

METHODOLOGY OF SYSTEM USE OF TRANSSCRANIAL MAGNETIC EXPOSURES UNDER CONDITIONS OF HEMOCYRICULAR AND DISMITABOLIC DISTURBANCES

Nagornev S.N., Frolkov V.K., Kulish A.V., Samsonova O.S.

KEYWORDS:

ALGORITHMIZATION, TRANSCRANIAL MAGNETIC EFFECTS, FUNCTIONAL SYSTEM, MEDICAL REHABILITATION, VIOLATIONS DYSMETABOLIC

ABSTRACT:

The methodology of the use of transcranial magnetic factor on the basis of the functional system approach and algorithmization corrective action.The structural elements of the system, their interaction and the role in the formation of the final desired result. It is shown that use of the courses of the magnetic factor, aimed at activating and restorative mechanisms sano- adaptogenesis, it allows us to achieve the implementation of the final result in the form of increased clinical efficacy in conducting medical rehabilitation patients dysmetabolic gemotsirkulyatornymi and disorders. Implementation concept of these provisions aimed at increasing the human functional reserves by increasing energoplasticheskogo exchange and regulatory capabilities neurohumoral system to maintain the adaptive properties of the organism.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 2: 32-44

HEALTH ORGANIZATION UNDER THE CONDITIONS OF GROWING ENVIRONMENTAL CHALLENGES TO POPULATION

Vyalkov A.I., Bobrovnitskii I.P., Rakhmanin Yu.A., Razumov A.N.

KEYWORDS:

ORGANIZATION OF PUBLIC HEALTH AND PUBLIC HEALTH, ENVIRONMENTALLY CAUSED PATHOLOGY, MEDICINE OF ENVIRONMENT, RISK MEASUREMENT

ABSTRACT:

The solution of the presented tasks in the field of improving the organization of health care and medical education in the field of environmental medicine, sanatorium treatment and medical rehabilitation will significantly improve the effectiveness of providing therapeutic and preventive care to patients with risk factors for development and manifestations of environmentally-related pathology.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 2: 45-63

EFFICIENCY OF COURSE APPLICATION OF HYPOXIC TRAINING IN COMBINATION WITH PHYSICAL LOAD FOR CHRONIC OBSTRUCTIVE LUNG DISEASE

Khudov V.V., Nagornev S.N., Edilbievа A.S.

KEYWORDS:

HYPOXIC TRAINING, NORMOBARIC HYPOXIC THERAPY, PHYSICAL TRAINING, CHRONIC OBSTRUCTIVE PULMONARY DISEASE

ABSTRACT:

The article contains the results of the work on studying the effect of the course use of hypoxic training in combination with the physical load on the clinical and functional parameters of the state of patients with chronic obstructive pulmonary disease of mild and moderate severity. The work was based on the results of the study and the scientific and practical justification of the effectiveness of rehabilitation in 90 patients in a sanatorium using aerobic interval physical exertion and normobaric hypoxia. The results of the study indicate a high clinical effectiveness of the proposed complex methodology. This technique extends the possibility of treating patients with chronic obstructive pulmonary disease.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 2: 64-76

ISSUE 3 2016

SYSTEMATIC APPROACHES TO ASSESSING THE STATUS OF HUMAN HEALTH IN CONDITIONS OF ADVERSE RADIATION ENVIRONMENT

Il'in L.A.

KEYWORDS:

RADIATION PROTECTION, IONIZING RADIATION, INTERNATIONAL COMMISSION FOR RADIATION PROTECTION

ABSTRACT:

The article presents information on the current state of the problem of regulating the effects of ionizing radiation on human health. In an accessible form, scientific information on some quantitative population aspects of the biological effect of ionizing radiation is summarized. A new radiation protection directive is considered.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 3-15

HYPOTENZIVE POTENTIAL OF NON-DEMOCRATIC METHODS

Edelbiyeva R.А., Frolkov V.K., Nagornev S.N.

KEYWORDS:

SANATORIUM TREATMENT, ARTERIAL HYPERTENSION, METABOLIC SYNDROME, NON-DRUG TREATMENT METHOD

ABSTRACT:

The article presents an analysis of the effectiveness of a comprehensive program of sanatorium treatment, including: diet, exercise therapy, indications for hypotensive drugs, fresh baths, and general hydrogen sulphide baths with sulphide chloride-hydrocarbonate sodium water source number 1 with a mineralization of 3.4 g / l, containing 60 mg / l of hydrogen sulfide (village Sernovodskaya of the Sunzhensky district of the Chechen Republic). As a result of the use of this complex, it has been proved that mineral hydrogen sulfide baths have good hypotensive efficacy in patients with metabolic and carbohydrate metabolism disorders.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 16-29

IMPROVEMENT OF THE PERSONNEL TRAINING SYSTEM IN THE SPHERE OF PREVENTIVE HEALTH CARE

Starodubov V.I., Denisov I.N., Bobrovnitsky I.P., Bokova I.A., Saldan I.P.

KEYWORDS:

MEDICAL EDUCATION, PREVENTIVE MEDICINE, ACCREDITATION, PROFESSIONAL TRAINING OF MEDICAL PERSONNEL

ABSTRACT:

The article presents the main aspects of improving the system of medical education, concerning the prevention of diseases. The main amount of improvements in job duties in the field of prevention for doctors of various specialties was determined. The procedure of accreditation of medical and pharmaceutical specialists, which should come to replace the existing certification of a specialist, is considered.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 30-49

EFFECTIVENESS OF INTEGRATED APPLICATION OF TRANSCRANIAL MAGNETIC STIMULATION AND HERBAL MEDICINE FOR THE CORRECTION OF LIPID PEROXIDATION PROCESSES AND ANTIOXIDANT PROTECTION FACTORS IN PATIENTS WITH METABOLIC SYNDROME

Nagornev S.N., Bobrovnitskii I.P., Frolkov V.K., Samsonov O.S., Kulish A.V., Yakovlev M.Yu.

KEYWORDS:

METABOLIC SYNDROME, PHYTOESTROGENS, TRANSCRANIAL MAGNETIC THERAPY, LIPID PEROXIDATION, ANTIOXIDANT ENZYMES, MENOPAUSE

ABSTRACT:

The article analyzes the position of a pathogenic biochemical indicators of status and antioxidant defense in patients with menopausal metabolic syndrome. It is shown that the violation of the insulin-receptor interaction in conditions of estrogen deficiency is closely linked with the severity of lipid peroxidation processes and a reduction in the activity of antioxidant enzymes. Observed during menopausal metabolic syndrome accumulation of primary, secondary and end products of lipid peroxidation, is the basis of the development of oxidative stress, forms the basic clinical and metabolic manifestations of the disease. It was found that use of transcranial magnetic therapy Course in combination with phytoestrogen klimadinon drug has a pronounced effect on lipid peroxidation processes realized by direct antioxidant action of natural ingredients that make up klimadinona, as well as by the effects of transcranial magnetic magnetobiological factor. The totality of the identified effects, including a decrease in the accumulation of lipid peroxidation products and increased antioxidant potential, allows us to consider this approach as an effective technology pathogenetic correction of the main manifestations of menopausal metabolic syndrome and its prevention of the most common complications.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 50-61

ISSUE 4 2016

IMPROVEMENT OF METHODOLOGY AND ORGANIZATION OF ACTIVITIES OF HEALTH CENTERS

Razumov A.N., Kakorina E.P., Bobrovnitskii I.P., Zubkova I.I., Nagornev S.N., Yakovlev M.Yu.

KEYWORDS:

HEALTH CENTERS, PREVENTION, ECOLOGICALLY DEPENDENT PATHOLOGY, ENVIRONMENTAL FACTORS

ABSTRACT:

The issues of organization and further improvement of the activity of health centers are addressed according to the current trends in the development of health care. At the same time, the improvement strategy is considered taking into account the increasing threats related to the influence of unfavorable environmental factors on human health, including weather conditions. In this case, the issues of prevention and treatment of so-called. meteo- and eco-pathology seems to be the most reasonable and realized on the basis of the Health Centers with the use of non-medicinal technologies of restorative medicine.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 3-34

ASPECTS OF HEALTH OF SPORTSMEN

Badtieva V.A., Sharkin A.Sh.

KEYWORDS:

SPORTS MEDICINE, IN-DEPTH MEDICAL EXAMINATION, SPORTS CARDIOLOGY, PHYSICAL TRAINING, HEALTH CARE, PHYSICAL ACTIVITY

ABSTRACT:

The article presents the basics of the protection of individuals engaged in physical culture and sports. The issues of sports cardiology, including the risk of developing cardiovascular complications, are suggested, and classification of individuals engaged in physical culture in sports, depending on their level of health, is suggested. The main indicators of the level of health are used: the level of access to consumption and the metabolic equivalent. The authors emphasize that an in-depth medical examination should be carried out with a sight of pathologies, coupled with the possibility of sudden cardiac death. Presented negative and positive moments of physical training and sports at a professional level.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 35-43

VALIDITY OF THE APPLICATION OF CRYOTHERAPY FOR THE TREATMENT OF THE PATIENTS WITH OSTEOARTHRITIS

Vakulenko O.Yu., Rassulova M.A., Fesyun A.D., Lebedeva O.D., Ambrajack I.I.

KEYWORDS:

MEDICAL REHABILITATION, OSTEOARTHRITIS, MEDICAL GYMNASTICS, CRYOTHERAPY, PHYSICAL THERAPY

ABSTRACT:

The questions of application of cryotherapy methods for treatment of patients with osteoarthritis are considered. Clinico-pathogenetic aspects of application of cryotherapy methods in complex restorative treatment of patients with gonarthrosis are shown. The possibilities of cryotherapy influence on neuroimmunoendocrine regulation of metabolic processes, inhibition of inflammation are analyzed. Inclusion of cryotherapy methods in a complex individualized program of restorative treatment of patients with osteoarthritis, pathogenetically justified and contributes to the reduction of pain syndrome and inhibits the progression of the disease.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 44-58

PRECIPITORS OF EFFECTIVENESS OF APPLICATION OF TRANSSCRANIAL MAGNETOTHERAPY

Kulish V.V., Frolkov V.K., Nagornev S.N.

KEYWORDS:

TRANSCRANIAL MAGNETOTHERAPY, ARTERIAL HYPERTENSION, PREDICTORS OF EFFICACY, REGRESSION ANALYSIS

ABSTRACT:

It is shown that transcranial magnetotherapy helps to lower blood pressure, reduces the phenomenon of insulin resistance, increases the activity of antinociceptive mechanisms. The following predictors of the effectiveness of transcranial magnetotherapy in patients with arterial hypertension have been identified: a change in the index of insulin resistance, cephalgia - the dynamics of the pain syndrome according to the VAS scale.

Russian Journal of Environmental and Rehabilitation Medicine. 2016. 3: 59-63

ISSUE 1 2015

DETERMINATION OF GENERAL HEALTH STATUS AND RISKS OF COMMON NON-INFECTIOUS DISEASES AMONG STUDENTS OF A HIGH EDUCATIONAL INSTITUTION

Bobrovnitsky I.P., Yakovlev M.Yu., Fesyun A.D., Lebedeva O.D., Banchenko A.D.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 1: 3-11

INFLUENCE OF PULSED MAGNETIC FIELD IN COMBINATION WITH OZONE THERAPY ON THE CLINICAL CONDITION OF PATIENTS WITH DENTAL PERI-IMPLANTITIS

Nagornev S.N., Ramazanov N.G., Frolkov V.K., Gusakova E.V., Rygina K.V., Bobrovnitsky O.I., Puzyreva G.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 1: 11-26

INFLUENCE OF TRANSCRANIAL MAGNETIC STIMULATION IN COMBINATION WITH PHYTOTHERAPY ON LIPOPEROXIDE PROCESSES IN PATIENTS WITH METABOLIC SYNDROME

Nagornev S.N., Ramazanov N.G., Frolkov V.K., Kulish A.V., Gusakova E.V., Rygina K.V., Puzyreva G.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 1: 26-42

PERSPECTIVES FOR THE DEVELOPMENT OF SHOCKWAVE TREATMENT

Garilevich B.A., Bobrovnitsky I.P., Nagornev S.N., Rodin D.B., Semenov A.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 1: 42-51

ISSUE 2 2015

TREATMENT OF MUSCULOSKELETAL DISORDERS WITH THERMAL WATER OF BELOKURIHA AS A FOUNDATION FOR COMPREHENSIVE HEALTH RESTORATION

Karbisheva N.V., Lebedeva O.A., Petrova T.V.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 2: 3-9

MICROGEMODYNAMIC ASPECTS OF THE MECHANISM OF ACTION OF TRANSSCRANIAL MAGNETOTHERAPY

Kulish A.V.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 2: 10-18

HARD PHYSICAL THERAPY IN MEDICAL REHABILITATION OF PATIENTS WITH CHRONIC NON-INFECTIOUS HEPATITIS

Pavlov A.I., Lavrov G.K., Shakula A.V.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 2: 19-29

SOME PROBLEMS OF INFORMATIONAL AND STATISTICAL SUPPORT FOR STUDIES IN BIOMEDICAL SCIENCES

Frolkov V.K., Shanditsev A.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2015. 2: 30-57

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ISSUE 1 2022

IMPROVEMENT OF THE REGULATORY AND LEGAL FRAMEWORK IN THE SYSTEM OF ORGANIZATION AND PROVISION OF MEDICAL CARE FOR PATIENTS WITH ENVIRONMENTALLY CAUSED DISEASES

Prilipko N.S., Bobrovnitskiy I.P.

KEYWORDS:

HYGIENE AND ENVIRONMENTAL MEDICINE, ADVERSE ENVIRONMENTAL FACTORS, PREVENTION OF NON-COMMUNICABLE DISEASES, ENVIRONMENTALLY CONDITIONED DISEASES, ECOPATHOLOGY, HEALTH CENTERS.

ABSTRACT:

The pathogenic influence of adverse environmental factors comes down to the development of the so-called environmentally conditioned diseases. Issues of diagnostics, prevention and treatment of environmentally conditioned diseases are the subject of environmental medicine. In order to prevent environmentally conditioned diseases and take measures to promote a healthy lifestyle, the article proposes changes in the legal framework for the provision of medical care, including changes in the organization and implementation of prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle in medical organizations, in the structure and functions of Health Centers, the introduction of the position of a doctor in general hygiene and an ecopathologist in medical organizations, the introduction of scientific areas for the prevention and treatment of ecopathology in the system of training scientists (in drafts of new passports for scientific workers’ specialties). It is proposed to include diagnostic studies in Health Centers in order to assess the functional reserves and adaptive capabilities of a person exposed to the influence of adverse environmental factors, the appointment of appropriate health and preventive measures. The implementation of the proposed activities in the Health Centers will increase the efficiency of medical and preventive work of medical organizations and reduce the level of uncertainty of the preventive measures being taken, the expected results of the preventive activities of the general physician and general practitioner (family doctor). The proposed changes in the regulatory framework will help identify causal relationships between the state of public health and exposure to adverse environmental factors, the formation of risk groups for the adult population in accordance with the diagnostic criteria for risk factors for the development of pathological conditions and diseases associated with exposure to adverse environmental factors that increase the likelihood of developing environmentally conditioned diseases, referring of those in need in the presence of risk factors to a medical organization for an in-depth examination, carrying out the necessary therapeutic and preventive measures and dispensary and dynamic observation.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 1: 1-30

MITOCHONDRIA ARE ONE OF THE KEY TARGETS IN THE REHABILITATION OF PATIENTS AFTER COVID-19

Fesyun A.D., Yakovlev M.Yu., Tumanova-Ponomareva N.F.

KEYWORDS:

PATHOGENESIS OF COVID-19, SARS-COV-2, MITOCHONDRIAL DYSFUNCTION, ATP.

ABSTRACT:

The article presents review of the pathogenesis of COVID-19 and mitochondrial insufficiency caused by the SARS CoV-2 virus. The mechanisms of virus penetration into the cell and its further spread are considered. The role of mitochondrial dynamics disorders in the pathogenesis of COVID-19 is considered. The article provides a justification for the need to use mitochondria as an important target for the treatment of the acute period and rehabilitation of patients with COVID-19, since the restoration of mitochondrial function determines recovery. The main methods of treatment of mitochondrial dysfunction in COVID-19 are described.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 1: 31-48

CYTOKINE PROFILE IN PATIENTS WITH CHRONIC GENERALIZED PERIODONTITIS AND ITS DYNAMICS DURING THE USE OF NON-DRUG TECHNOLOGIES

Dzgoeva I.V.

KEYWORDS:

CHRONIC GENERALIZED PERIODONTITIS, LASER THERAPY, NORMOBARIC INTERVAL HYPOXIC TRAINING, CYTOKINES, HISTAMINE.

ABSTRACT:

The performed study is devoted to the assessment of the level of pro-inflammatory cytokines and inflammatory mediators during the complex treatment of patients with chronic generalized periodontitis using infrared laser therapy and normobaric interval hypoxic training. The established high level of cytokines in the blood indicates the pathogenetic significance of the immunopathological mechanism in the development of a chronic inflammatory-destructive process in periodontal tissues and the development of a systemic inflammatory response. It has been shown that the addition of the standard protocol for the treatment of patients with periodontitis with a course of laser therapy and hypoxic training causes a decrease in the concentration of pro-inflammatory factors of the immune nature, which indicates the manifestation of the immunomodulatory activity of physiotherapeutic factors. The complex use of laser radiation on periodontal tissues and the training effect of hypoxia is realized according to the mechanism of additive synergy and is accompanied by the development of the most pronounced corrective effect on cytokines and histamine.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 1: 49-62

EFFICIENCY OF THE COMBINED APPLICATION OF TRANSCRANIAL MAGNETOTHERAPY AND PULSED LOW-FREQUENCY ELECTROSTATIC FIELD IN CORRECTION OF DISORDERS CARBOHYDRATE AND LIPID METABOLISM

Benkov A.A., Nagornev S.N., Frolkov V.K.

KEYWORDS:

PULSED LOW-FREQUENCY ELECTROSTATIC FIELD, INSULIN RESISTANCE, LIPID METABOLISM, METABOLIC SYNDROME, TRANSCRANIAL MAGNETOTHERAPY.

ABSTRACT:

The article is devoted to the evaluation of the effectiveness of the simultaneous use of physiotherapeutic factors (transcranial magnetotherapy and pulsed low-frequency electrotherapy) in the correction of impaired carbohydrate and lipid metabolism in patients with metabolic syndrome. A simple, prospective, randomized study was performed in 90 people with evidence of metabolic syndrome. It has been established that the use of physiotherapeutic factors in the mode of mono-influence improves the metabolic parameters of patients. Combined use with is accompanied by the development of the maximum corrective effect due to the potentiating type of interaction of the factors under consideration.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 1: 63-74

INFLUENCE OF THE COMBINED APPLICATION OF PULSED LASER THERAPY ON THE DYE AND FERMENCOL PHONOPHORESIS ON PROCESSES OF LIPID PEROXIDATION IN PATIENTS WITH IMMATURE HYPERTROPHIC SKIN SCARS

Ismailyan K.V., Nagornev S.N., Frolkov V.K., Gusakova E.V.

KEYWORDS:

ANTIOXIDANT ENZYMES, IMMATURE HYPERTROPHIC SKIN SCARS, PULSED DYE LASER CARBONYL STRESS, OXIDATIVE STRESS, LIPID PEROXIDATION PRODUCTS, FERMENCOL PHONOPHORESIS

ABSTRACT:

The article analyzes the role of lipid peroxidation processes in the pathogenesis of immature (up to 6 months) hypertrophic skin scars. The initial indicators of LPO processes and antioxidant enzymes in patients indicate the development of oxidative stress and the accumulation of cytotoxic carbonyl products. The course application of a combination of a pulsed dye laser and fermenkol phonophoresis is accompanied by a decrease in the level of peroxide metabolism and an increase in the activity of enzymatic factors of antioxidant protection. The positive dynamics of lipid peroxidation parameters revealed in the main group indicates an increase in the reserve potential of antioxidant protection factors to maintain oxidative homeostasis in the range of physiological values. The manifestation of antioxidant activity with the combined use of physiotherapeutic factors allows us to consider this technology as an effective means of pathogenetic therapy for immature hypertrophic skin scars.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 1: 75-89

IMPACT OF LOW-DOSE RADIATION ON THE DEVELOPMENT OF CIRCULATION SYSTEM DISEASES

Saltykova M.M., Antipina U.I., Balakaeva A.V.

KEYWORDS:

IONIZING RADIATION, LOW DOSES OF RADIATION, DISEASES OF THE CIRCULATORY SYSTEM.

ABSTRACT:

The article presents a review of publications on the impact of low-dose radiation on the development of circulatory system diseases. Data obtained in recent years indicate that low-dose ionizing radiation can initiate the development of endothelial dysfunction, as well as the early development of atherosclerosis and its complications. At the same time, a long period (more than 10 years) may pass before the manifestation of CSD caused by long-term exposure to low-dose radiation. The results obtained in recent decades indicate the necessity of expand preventive measures aimed at early detection of vascular damage among people exposed to low-dose radiation for a long time. As well as to develop and put into practice preventive and remedial measures for this contingent. This becomes especially relevant due to using of ionizing radiation sources in various fields of human activity.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 1: 90-97

<a href="http://rjrm.ru/wp-content/uploads/articles/2021/Скачать PDF №3 2021.pdf">ISSUE №3

<a href="http://rjrm.ru/wp-content/uploads/articles/2021/Скачать PDF №4 2021.pdf">ISSUE №4

ISSUE 2 2022

THE EFFECTIVENESS OF CARDIOREHABILITATION WITH THE USE OF A RESPIRATORY SIMULATOR AND CARBON DIOXIDE BATHS IN A DAY HOSPITAL

Gilmutdinova L.T., Fаizova E.R., Garaev R.R., Galimulina E.N., Gilmutdinov B.R.

KEYWORDS:

CARDIOREHABILITATION, RESPIRATORY SIMULATOR, CARBON DIOXIDE BATHS, DAY HOSPITAL

ABSTRACT:

The work is devoted to the study of the effectiveness of cardiorehabilitation of 46 patients who underwent acute coronary syndrome using a developed program based on a respiratory simulator and carbon dioxide baths in a day hospital. It was found that the course of the developed rehabilitation program contributes to a more significant reduction in the level of functional dependence on outside help, an increase in physical performance, load tolerance, improvement of the parameters of quality of life, the psychological status of patients compared with the basic complex.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 2: 2-10

INFORMATION VALUE OF CORRELATION ADAPTOMETRY OF MORPHOFUNCTIONAL PATTERNS OF THE FIBROUS PROCESS AND CONSTRUCTION OF A MATHEMATICAL MODEL FOR FORECASTING THE EFFICIENCY OF THE APPLICATION OF PHYSICAL FACTORS IN THE THERAPY OF IMMATURE HYPERTROPHIC SKIN SCARS

Ismailyan K.V., Nagornev S.N., Frolkov V.K., Gusakova E.V.

KEYWORDS:

IMMATURE HYPERTROPHIC SKIN SCARS, PULSED DYE LASER, CORRELATION ADAPTOMETRY, EFFICACY PREDICTORS, MORPHOFUNCTIONAL PATTERNS, FERMENKOL PHONOPHORESIS

ABSTRACT:

The article presents an algorithm for constructing a mathematical model of multiple regression, which makes it possible to predict the effectiveness of the use of a pulsed dye laser in combination with Fermenkol phonophoresis for the treatment of immature hypertrophic skin scars. The use of the method of correlation adaptometry made it possible to objectify the information content of using the difference in the sum of points of the Vancouver scar tissue severity scale as a resultant sign of the regression model, reflecting the effectiveness of the treatment. The cluster of independent variables of predictors-biomarkers identified in the framework of the multiple regression model in the form of the antioxidant protection coefficient, the rate of oxygen consumption by the scar tissue and the level of matrix metalloproteinase-1 in the blood makes it possible to determine the initial criteria for achieving a high clinical result in the treatment of pathological skin scars at the maturation stage.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 2: 11-22

PHYSIOTHERAPY IN REHABILITATION OF PATIENTS WITH INTERSTITIAL LUNG LESIONS AFTER COVID-19

Kulikova N.G., Konchugova T.V., Chkheidze T., Tkachenko A.S.

KEYWORDS:

FUNCTION OF VITAL CAPACITY OF LUNGS, TIFFNO INDEX, PNEUMOSCLEROSIS, COVID-19, HYPERBARIC OXYGEN THERAPY, LOW-INTENSITY LASER IRRADIATION, MASSAGE, REHABILITATION, SPELEO-MECHANOTHERAPY, THERAPEUTIC PHYSICAL TRAINING

ABSTRACT:

Introduction: The main critical factor in the course of the disease and the increased risk of death after coronavirus infection (COVID-19) is the increase in respiratory failure, requiring the patient to be transferred to mechanical ventilation (ventilator). According to published data, the mortality rate of patients on ventilators in respiratory failure caused by the SARS-CoV-2 virus is 76.4 %, which requires a close resolution of this problem with the inclusion of rehablitation methods.Purpose. To increase the effectiveness and safety of treatment of patients with interstitial lung diseases (ILD) after COVID-19, to reduce the pharmacological risks and the burden of drug use, by including physiotherapeutic methods in the complex of rehabilitation measures.Materials and methods. We evaluated function of vital capacity of lungs (FVC) and function of vital capacity of the lungs on formed exhalation (FVC1), the Tiffno index in patients after COVID-19 who were admitted to the center's department with an ILD clinic. The average duration of the disease is 5.4 ± 0.45 months. Electrocardiogram scores and clinical symptoms of patients who received physiotherapeutic treatments were evaluated, which were compared with baseline parameters and similar indicators of patients from the control group, where treatment is based on a drug protocol. The distribution of patients with ILD was carried out in three groups: Comparison I — patients received medical chest massage in medium intensity mode, exposure to low-energy infrared laser radiation (low-intensity laser irradiation — λ = 904 nm, power 15 W) on the projection zone of the roots of the lungs in continuous mode for 10 minutes, low-intensity laser irradiation on the projection of cubital veins (two emitters) in the elbow (5 minutes each) followed by individually selected exercises in order to activate pulmonary metabolism, enhancing the effects of sound, drainage exercises and postural postures. To enhance the drainage and postural effects, group speleotherapy procedures and individual exercises on a rowing machine were prescribed. Comparison II — patients received medical chest massage in the medium intensity mode, exposure to hyperbaric oxygen therapy for 30–40 minutes (hyperbaric chamber at a pressure of the composition of the gas medium in the range of 0.25–0.35 kgf / cm2 and at a speed of movement of the gas medium of 0.05–0.1 m / s) followed by the performance of individually selected exercises in order to activate pulmonary metabolism, enhance the effects of sound, drainage exercises and postural postures. To enhance the drainage and postural effects, group speleotherapy procedures and individual exercises on a rowing machine were prescribed. In the control group, patients received standard drug therapy. Analysis of statistical data was carried out in Microsoft Office Excel (2017) and SPSS statistical processing (PASW Statistics version, 2018). Parametric (linear correlation method, Student's criterion) and nonparametric methods (Spearman rank correlation coefficient, unpaired Wilcoxon-Mann-Whitney criterion and Wilcoxon paired criterion) were used. The differences were considered significant at p < 0.05. Outcomes. Emphasis was placed on FVC and FVC1, Tiffno index, ECG and clinical symptoms of patients before / after the use of physiotherapy methods. Findings. Improvement of external respiratory processes, an increase in FVC and FVC1, the Tiffno index, a decrease in the clinical manifestations of respiratory failure, which shortens the duration of rehabilitation treatment and prevents the progression of pneumofibrosis in patients after COVID-19.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 2: 23-36

PROMISING DIRECTIONS OF SCIENTIFIC AND TECHNOLOGICAL DEVELOPMENT AND IMPROVEMENT OF THE HEALTHCARE ORGANIZATION AIMED AT COUNTERING MAN-MADE THREATS ASSOCIATED WITH AIR POLLUTION

Prilipko N.S., Bobrovnitskiy I.P.

KEYWORDS:

ATMOSPHERIC AIR POLLUTION, ENVIRONMENTALLY CAUSED DISEASES, ENVIRONMENTAL MEDICINE, FEDERAL PROJECT OF ENVIRONMENTAL SAFETY OF THE POPULATION

ABSTRACT:

Atmospheric air pollution is one of the priority risk factors for public health associated with the environment. The danger of atmospheric pollution for the health of the Earth's population is growing many times due to the proven influence of this factor on climate change and the increase in morbidity associated with an increase in the number of abnormal natural and climatic phenomena, an increase in the prevalence of meteopathic reactions in the population. caused by this influence. For healthy individuals, the increasing anthropogenic load on the environment is a stress factor and contributes the growth of environmentally determined morbidity, provoking the exacerbation of existing pathology. Thus, it is known that the adverse effects of atmospheric air pollution on humans play a very pronounced and so far underestimated role in the formation of common non-communicable diseases, in particular diseases of the circulatory system, oncological diseases and diseases of the respiratory system, timely prevention, diagnosis and treatment of which can be considered the most important state task in achieving national goals of saving health and increasing life expectancy. The solution of this important national task is possible solely on the basis of a program-oriented approach regulated by Federal Law FZ-172 of 06/28/2014. "On Strategic Planning in the Russian Federation", i.e. within the framework of state programs of the Russian Federation. In accordance with the Decree of the Government of the Russian Federation № 786 dated May 26, 2021 "On the management system of state programs of the Russian Federation" and the Order of the Ministry of Economic Development of the Russian Federation № 500 dated August 17, 2021 "On approval of Methodological recommendations for the development and implementation of state programs of the Russian Federation", all State programs of the Russian Federation must be reformatted, the structures of processed state programs provide exclusively such program-targeted tools as federal projects, departmental projects and complexes of process measures. Taking into account the existing regulatory and legal regulation in strategic planning in the prescribed manner, within the framework of the State Programs of the Russian Federation "Scientific and Technological development of the Russian Federation" and "Development of healthcare", it is proposed to form a federal project "Environmental safety of the population", whose activities would be aimed at interdepartmental interaction in solving the problems of reducing anthropogenic pressure on the environment, social protection of the population living in ecologically unfavorable regions, carrying out measures for the prevention of ecopathology, treatment and rehabilitation of persons exposed to the adverse effects of environmental factors, and first of all, pollution of atmospheric air.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 2: 37-52

THE INFLUENCE OF EXTREME CLIMATOGEOGRAPHICAL FACTORS OF THE ARCTIC ZONE OF THE RUSSIAN FEDERATION ON THE FUNCTIONAL STATE OF INDIGENOUS AND NEWLY-ARRIVED POPULATION

Nagornev S.N., Frolkov V.K., Khudov V.V.

KEYWORDS:

ARCTIC ZONE, INDIGENOUS AND NEWLY-ARRIVEDPOPULATION, LEVEL OF HEALTH, FUNCTIONAL SYSTEMS OF THE BODY

ABSTRACT:

In this work, a systematic analysis of the state of health of the indigenous and newly-arrivedpopulation of the Arctic zone of the Russian Federation was carried out. It has been established that representatives of the newly-arrivedpopulation have an increase in blood pressure, a decrease in the efficiency of the cardiovascular and autonomic nervous systems, which is integrated into a decrease in the main indicators of the WAM test and manifests itself in an increase in reactive anxiety. The presence of toxic microelements in the blood and hair is typical both for the indigenous population and for the newcomers, however, their spectrum was different, and the violation of elemental homeostasis is more typical to newcomers. There is every reason to believe that the degree of adaptation of the indigenous population to the harsh climatic and geographical factors of the Far North exceeds that of the newly-arrivedpopulation.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 2: 53-69

THE PROGRAM OF HARDWARE CORRECTION OF THE NEUROPSYCHIC STATE OF HIGHLY QUALIFIED ATHLETES USING MESODIENCEPHALIC MODULATION

Gornov S.V., Shestopalov A.E., Litvinenko A.B., Datkova E.V., Boychenko R.A.

KEYWORDS:

MESODIENCEPHALIC MODULATION, MDM, SPORTS MEDICINE, REHABILITATION, SPORTS MEDICINE DOCTOR, FATIGUE, PSYCHOLOGICAL SUPPORT, PSYCHOLOGICAL OVERLOAD

ABSTRACT:

The aim of the work is to develop and implement a program for the correction of the neuropsychic state of highly qualified athletes using the mesodiencephalic brain modulation apparatus. The methodology of the work consisted in the inclusion of the method of mesodiencephalic modulation in the basic program of rehabilitation of athletes in the conditions of the training camp. The study group included athletes, 82.5 % of whom were women. Athletes of the national volleyball team took part mainly in the study. The main results of the work showed that the developed program of correction of the neuropsychic state of highly qualified athletes proved its effectiveness.

Russian Journal of Environmental and Rehabilitation Medicine. 2022. 2: 70-80

ISSUE 3 2022

Historical, conceptual and practical aspects of the development of rehabilitation medicine as a scientific basis for health saving the population of the Russian Federation

Bobrovnitskiy I.P., Fesyun A.D., Yakovlev M.Yu., Tumanova-Ponomareva N.F.

KEYWORDS:

REHABILITATION MEDICINE, SANATORIUM AND RESORT TREATMENT, HEALTH SAVING, HEALTH-SAVING TECHNOLOGIES, NATURAL HEALING RESOURCES, REGULATORY FRAMEWORK, MEDICAL REHABILITATION, HEALTH OF A HEALTHY PERSON

ABSTRACT:

The paper gives a historical reference to the key stages of the formation of rehabilitative medicine as a section of medical science, which determines the formation of the methodology of non-medical technologies in the practice of primary and secondary prevention, sanatorium-resort treatment, medical and medical-social rehabilitation. The main scientific directions and technologies of rehabilitation medicine are described. The features, limitations and innovations of regulatory and legal frameworks regulating scientific research and the work of sanatorium-resort and other medical organizations based on the use of natural healing resources and other technologies of rehabilitative medicine are presented. The function of scientific and methodological guidance of RAS in scientific research in the field of rehabilitation medicine in the budgetary sphere is shown. The directions of scientific and methodological improvement of the system of sanatorium and sanatorium-resort treatment of the population of the Russian Federation are proposed.

Citation: Bobrovnitskiy I.P., Fesyun A.D., Yakovlev M.Yu., Tumanova-Ponomareva N.F. Historical, conceptual and practical aspects of the development of rehabilitation medicine as a scientific basis for health saving the population of the Russian Federation. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 2-21.

BALNEOLOGICAL FACTORS OF THE CHECHEN REPUBLIC IN THE COMPLEX THERAPY OF PATIENTS WITH CHRONIC VENOUS INSUFFICIENCY

Edilbieva B.S.

KEYWORDS:

CHRONIC VENOUS INSUFFICIENCY, DRINKING MINERAL WATERS, HYDROGEN SULFIDE BATHS, COMPLEX TREATMENT

ABSTRACT:

The article presents the results of research on the analysis of the effectiveness of spa treatment of chronic venous insufficiency using balneofactors: low-mineralized drinking water and hydrogen sulfide baths. It has been established that hydrogen sulfide baths improve microcirculatory processes, contribute to reducing the severity of edema of the lower extremities, normalize hemostatic parameters, while the course internal intake of mineral water activates the endocrine provision of carbohydrate and lipid metabolism and reduces the severity of the imbalance in the lipid peroxidation system. The combined use of these balneofactors significantly increases the effectiveness of treatment of patients with chronic venous insufficiency.

Citation: Edilbieva B.S. Balneological factors of the Chechen republic in the complex therapy of patients with chronic venous insufficiency. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 22-36.

THE USE OF LACTOBACILLUS BACTERIOCINS TO CONTROL MULTIRESISTANT STRAINS OF MICROORGANISMS

Sukhina M.A., Chistyakova D.A.

KEYWORDS:

BACTERIOCINS, ANTAGONISTIC ACTIVITY, LACTOBACILLI, ANTIBIOTIC-ASSOCIATED DIARRHEA, CLOSTRIDIOIDES DIFFICILE

ABSTRACT:

The main part of the indigene microbiota of the intestine consists of lactobacilli, which are responsible for the regulation of intestinal homeostasis through the production of various substances, including bacteriocins. The antagonistic activity of 51 strains of lactobacilli belonging to 25 species was studied in this work. Strains with high antagonistic activity were identified, among which strains Lactobacillus paracasei, Lactobacillus gasseri, Lactobacillus rhamnosus were isolated bacteriocins. Lactobacilli exhibit antagonistic properties regardless of the species, the level of antagonistic activity being a strain-specific feature. At the same time, the suppression of the growth of other microorganisms, especially those with multiple antimicrobial resistance, determines the possibility of their use to inhibit the growth of microorganisms with multiple antimicrobial resistance.

Citation: Sukhina M.A., Chistyakova D.A. The use of lactobacillus bacteriocins to control multiresistant strains of microorganisms. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 37-47.

SYSTEMIC MANIFESTATIONS OF POST-COVID SYNDROME

Chelombitko E.G., Gusakova E.V.

KEYWORDS:

COVID-19, POST-COVID SYNDROME, SYSTEMATIC ANALYSIS, CORRELATION PLEIADES

ABSTRACT:

The performed study is devoted to the analysis of the initial state of various functional systems of the organism in patients with post-COVID syndrome. It was revealed that on the background of relatively low, but reliable changes of cardiovascular and respiratory systems, there were rather significant differences from the reference values of parameters of carbohydrate and lipid exchange, activity of inflammatory processes, insulin resistance index, severity of stress reactions, while imbalance in hemostasis system occupied an intermediate place in this plan. It was found that in post-COVID syndrome the degree of variation of some indices was significantly higher than in healthy volunteers, and first of all it was characteristic for blood oxygen saturation, indices of stress and inflammatory reactions, severity of insulin resistance. The centers of correlation pleids, integrating pathological changes in various functional systems of the organism of patients with post-COVID syndrome, were identified, and in descending order of their significance (according to the significance of the correlation graph) they are located as follows: insulin resistance index, leukocytosis, blood oxygen saturation, concentration of malonic dialdehyde. The hypothesis on the expediency of developing methods of post-COVID syndrome treatment focused primarily on the correction of correlation pleiadings centers is considered.

Citation: Chelombitko E.G., Gusakova E.V. Systemic manifestations of post-COVID syndrome. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 48-60.

IMMEDIATE AND LONG-TERM RESULTS OF PATIENT THERAPY WITH ARTERIAL HYPERTENSION WITH THE HELP TRANSCRANIAL MAGNETOTHERAPY

Abdurakhmanova R.Z., Nikonorova M.V.

KEYWORDS:

ARTERIAL HYPERTENSION, TRANSCRANIAL MAGNETOTHERAPY, AMBULATORY BLOOD PRESSURE MONITORING, SPA TREATMENT, FOLLOW-UP STUDY

ABSTRACT:

The article presents an analysis of the hypotensive effect of the course use of transcranial magnetic therapy in patients with arterial hypertension of the 1st degree at the stage of spa treatment. It has been established that the addition of a basic complex of spa treatment with a course transcranial effect contributes to the development of a more pronounced hypotensive effect, which is confirmed by the positive dynamics of hemodynamic parameters during daily monitoring of blood pressure. The basis of the clinical result is the ability of transcranial magnetic therapy to have a corrective effect on the key links in the pathogenesis of arterial hypertension. The results of the follow-up study convincingly testify to the advantages of the course use of transcranial magnetic therapy, since this technology, unlike other blood pressure correction schemes, makes it possible to achieve a significant reduction in the facts of exacerbations in terms of the underlying pathology and the number of days of temporary disability, as well as the stable preservation of the results of the quality of life in the separated period.

Citation: Abdurakhmanova R.Z., Nikonorova M.V. Immediate and long-term results of patient therapy with arterial hypertension with the help transcranial magnetotherapy. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 61-74.

Efficiency of rhythmic transcerebral magnetic therapy and computer cognitive training in comprehensive rehabilitation of patients with strokes

Kuzyukova A.A., Zagainova A.Yu., Rashidova E.Sh., Rachin A.P., Dobyarkova V.V., Yurova Yu.A.

KEYWORDS:

COGNITIVE REHABILITATION, RTMS, RHYTHMIC TRANSCEREBRAL MAGNETIC STIMULATION, COMPUTER-ASSISTED COGNITIVE TRAINING, STROKE, POST-STROKE REHABILITATION

ABSTRACT:

Due to the high burden of ischemic stroke and the high frequency, in addition to motor deficits, of cognitive impairments in these patients, along with the lack of development of cognitive rehabilitation programs for them, it seems highly relevant to search for promising techniques aimed at eliminating / preventing cognitive deficits. In this randomized study, within the framework of the state task 2021 / 2023, the impact of the use of computer cognitive training (CT) aimed at improving the function of attention and working memory, and high-frequency rhythmic transcerebral stimulation (rTMS) of the left dorsolateral prefrontal cortex in complex cognitive and motor (using modern robotic techniques with biofeedback) rehabilitation is studied patients from 45 to 75 years old who suffered an ischemic stroke for up to a year in the system of the medial cerebral artery. The following parameters are evaluated: the Montreal Cognitive Function Assessment Scale (MOSA), the Questionnaire of the mini-study of cognitive state (MMSE); Schulte tables, active attention and the amount of working memory using a computer screening diagnostic system. For this purpose, 4 groups of patients were formed: a control group (receiving a high-tech basic complex aimed at eliminating motor deficits), a basic complex + rTMS, a basic complex + CT, a basic complex + rTMS + CT. The results obtained at the intermediate stage of the study, based on the analysis of 66 observations, indicate a positive effect of rehabilitation measures on cognitive functions, the least pronounced in the control group (do not achieve statistical reliability), the most in the group of complex use of rTMS and CT, in which the improvement of cognitive functions is statistically significant for most of the studied parameters and in the largest number of subjects. The obtained encouraging results of the positive complex effect of CT and rTMS indicate the high importance of further in-depth study of the method on a larger number of patients with an assessment of the general condition of patients and the identification of predictors of the effectiveness of this method.

Citation: Kuzyukova A.A., Zagainova A.Yu., Rashidova E.Sh., Rachin A.P., Dobyarkova V.V., Yurova Yu.A. Efficiency of rhythmic transcerebral magnetic therapy and computer cognitive training in comprehensive rehabilitation of patients with strokes. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 75-84.

RESPONSE OF NEUROENDOCRINE SYSTEMS UNDER INFLUENCE OF IONIZING AND NON-IONIZING RADIATION

Shashlov S.V., Yakovlev M.Yu.

KEYWORDS:

NEUROENDOCRINE SYSTEMS, NON-IONIZING RADIATION, IONIZING RADIATION, GENERAL BIOLOGICAL REGULARITY

ABSTRACT:

An analytical review of the state of neuroendocrine systems under non-ionizing irradiation is given. The results of our own research under the action of ionizing radiation are presented. It is shown that one of the general regularities of the reaction of the organism of experimental animals and humans is an increase in their functional activity both when exposed to ionizing and non-ionizing radiation. This can be viewed as a general biological pattern of adaptive or compensatory-adaptive nature. Purposeful, point-like exposure to various medicinal and non-medicinal agents can be influenced in order to suppress or excite the activity of neuroendocrine systems that produce a variety of biologically active substances to achieve the assigned tasks both under the action of ionizing and non-ionizing radiation.

Citation: Shashlov S.V.1, Yakovlev M.Yu. Response of neuroendocrine systems under influence of ionizing and non-ionizing radiation. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 85-102.

ISSUE 4 2022

ENVIRONMENT AND HEALTH

Gololobova T.V., Yudin S.M.

KEYWORDS:

ENVIRONMENT, PUBLIC HEALTH, MONITORING, INFORMATION AND ANALYTICAL SYSTEM

ABSTRACT:

Increasing life expectancy to 78 years is a necessary condition for ensuring natural population growth - one of the national development goals of the Russian Federation for the period up to 2024, approved by a decree of the Government of the Russian Federation. Human health and the environment are inextricably linked. There is a combined package of both national and international documents regulating the assessment of anthropogenic impact on human health and the environment in order to identify, prevent, and mitigate the consequences of this impact. To achieve the above goal, the concept of the information-analytical system "Environment — health" is proposed, aimed at obtaining reliable information about the combined influence of environmental factors on the health of the population. For the formation of the information and analytical system "Environment — Health" work is required in two basic areas. Firstly, it is necessary to carry out scientific research directly on the territory, which will include several “blocks” of work. Collection and analysis of information on the state of public health, levels of environmental pollution by industrial facilities, etc. And secondly, the creation of an information and analytical system that will consolidate all data on the state of both the state of the environment and the state of health of the population in the Territory, followed by the formation of a passport of the Territory, as well as analysis of the data obtained. All this information will be necessary to identify specific adverse environmental factors that contribute to the formation of morbidity in the population of the Territory and the development of comprehensive programs for the prevention of morbidity and minimization of the harmful combined effects of environmental factors.

Citation: Gololobova T.V., Yudin S.M. Environment and health. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 4: 3-11.

LACTOBACILLES AS A COMPONENT OF THE INTESTINAL MICROBIOTA AND THEIR SIGNIFICANCE IN THE PHYSIOLOGICAL STATE OF HUMANS

Zagainova A.V., Fedets Z.E., Pankova M.N., Novozhilov K.A., Gritsyuk O.V., Kurbatova I.V.

KEYWORDS:

LACTOBACILLI, INTESTINAL MICROBIOTA, ANTAGONISM, LYSOZYMES, BACTERIOSTATINS, LACTIC ACID BACTERIA

ABSTRACT:

The article reviews the influence of lactobacilli on the human immune system and support of normal homeostasis of human microbiota through antagonism to pathogenic and potentially pathogenic microorganisms due to the formation of both lactic acid and other antimicrobial and antibiotic-like substances: lysozyme, hydrogen peroxide, bacteriocins (lactacins), short-chain fatty acids. Lactobacilli have a variety of biological properties, actively participate in metabolic and regulatory processes of the macroorganism and are of interest as an object of study for the development of probiotic drugs, products of functional foods, methods of correction of human micro-ecological disorders.

Citation: Zagainova A.V., Fedets Z.E., Pankova M.N., Novozhilov K.A., Gritsyuk O.V., Kurbatova I.V. Lactobacilles as a component of the intestinal microbiota and their significance in the physiological state of humans. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 4: 12-25.

TOPICAL ISSUES OF MONITORING OF WASTEWATER QUALITY

Savostikova O.N., Vodyanova M.A.

KEYWORDS:

WASTEWATER, TOXICITY, DRUGS, ASSESSMENT METHODS, MONITORING

ABSTRACT:

The paper presents topical issues of wastewater quality monitoring, taking into account methodological guidelines and current regulatory documents that impose requirements on the composition of wastewater. At the same time, it shows: the experience of researchers in detecting dosage forms of various drugs in environmental objects, as well as the need to address key issues in the development of analytical methods and ways to reduce the risks of drug exposure to public health through environmental objects.

Citation: Savostikova O.N., Vodyanova M.A. Topical issues of monitoring of wastewater quality. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 3: 26-38.

SCIENTIFIC SUBSTANTIATION OF THE HYGIENE STANDARD OF BIS[TETRAKIS(HYDROXYMETHYL)PHOSPHONIUM] SULFATE (THPS) IN WATER

Mamonov R.A., Pechnikova I.A.

KEYWORDS:

BIS[TETRAKIS(HYDROXYMETHYL)PHOSPHONIUM]SULFATE, THPS, HYGIENE STANDARD IN WATER

ABSTRACT:

Currently, various chemical reagents and mixtures are widely used in industry, which can pollute environmental objects. Some of these substances do not have hygienic standards, what can lead to uncontrolled release/discharge and significantly degrade the human environment. One example is bis[tetrakis(hydroxymethyl)phosphonium] sulfate (THPS), which is widely used in the process of oil production. The toxicity of this substance has been well studied abroad, but its hygienic standard is not established in Russia. We carried out studies to substantiate the hygienic standard of this substance in the water of water bodies for drinking and domestic use. According to the organoleptic indicator of harmfulness, a value of 3 mg/l is recommended as a threshold concentration of THPS (the limiting index is smell). As a result of study of THPS effect on the processes of self-purification of water bodies, a value of 0.4 mg/l was established as a threshold concentration according to the general sanitary indicator of harmfulness. During a 30-day toxicological experiment, THPS effected on the peripheral circulatory system and the functional state of liver of laboratory animals. The maximum inactive dose is recommended at the level of 0.1 mg/kg, the maximum inactive concentration — 2 mg/l. The data obtained made it possible to substantiate the approximate permissible level of THPS at the level of 0.4 mg/l, the limiting hazard indicator is sanitary-toxicological, hazard class is 3.

Citation: Mamonov R.A., Pechnikova I.A. Scientific substantiation of the hygiene standard of bis[tetrakis(hydroxymethyl)phosphonium] sulfate (thps) in water. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 4: 39-51.

ASSESSMENT OF THE RISK TO HUMAN HEALTH OF PHARMPOLLUTANTS IN EDIBLE CROPS IRRIGATED WITH RECLAIMED WASTEWATER

Evseeva I.S., Ushakova O.V. Tregubova L.Ju.

KEYWORDS:

RISK ASSESSMENT, PHARMACEUTICAL POLLUTION, ENVIRONMENT, WASTEWATER, WASTEWATER RECLAMATION

ABSTRACT:

Pharmaceutical contamination of environmental sites is a pressing problem globally. The control of drug residues is far from exhaustive. At the same time, water reuse, including to address irrigation and drinking water shortages, is gaining momentum due to climate change, population growth and a number of other reasons. Therefore, the aim of this study was to analyse existing approaches to assess the health risks of using reclaimed wastewater for irrigation of agricultural products. It was found that when such products are used as food, the human body can be harmed. The difficulties encountered by specialists have been identified and two main approaches to assessment used abroad have been highlighted. In the Russian Federation, legislation does not provide for such a risk assessment. Given that pharmaceutical contamination can be hazardous to humans, this line of research is considered relevant.

Citation: Evseeva I.S., Ushakova O.V. Tregubova L.Ju. Assessment of the risk to human health of pharmpollutants in edible crops irrigated with reclaimed wastewater. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 4: 52-57.

REGULATION OF SILICON CONTENT IN DRINKING AND MINERAL WATER: PROBLEMS AND SOLUTIONS

Rakhmanin Yu.A., Mikhailova R.I., Ryzhova I.N., Kochetkova M.G.

KEYWORDS:

NATURAL SILICON, REAGENTS, DRINKING AND MINERAL WATER, HYGIENE STANDARDS

ABSTRACT:

The article deals with the problem of the current state of hygienic rationing of silicon in mineral and drinking water (reagents for water treatment, dissolved compounds of natural silicon) in domestic and foreign practice to ensure safe water use for the population. It is proposed to correct the regulatory framework for silica-containing drinking water in the Russian Federation, taking into account all the accumulated materials.

Citation: Rakhmanin Yu.A., Mikhailova R.I., Ryzhova I.N., Kochetkova M.G. Regulation of silicon content in drinking and mineral water: problems and solutions. Russian Journal of Environmental and Rehabilitation Medicine. 2022. 4: 58-65.

COMPARATIVE ANALYSIS OF INCIDENTITY OF CHILDREN IN INDIVIDUAL MONOCITIES OF RUSSIA (BY THE EXAMPLE OF URBAN SETTLEMENTS OF THE UDMURT REPUBLIC)

Sabirova Z.F., Ivanova S.V., Skovronskaya S.A., Khripach L.V.

KEYWORDS:

ANALYSIS, MORBIDITY, CHILDREN, MONOCITIES

ABSTRACT:

The health of the child population is the most sensitive characteristic of the environment. The aim of our study was to assess the primary morbidity of the child population of industrial monocities towns (on the example of medium-sized settlements in the Udmurt Republic). An analysis was made of the incidence of children (0–14 years old) in Glazov (experimental), Votkinsk, Sarapul (cities of comparison) and indicators of the Udmurt Republic (in general) in dynamics for 2016–2020. The cities under consideration are located in the same climatic zone, are identical in terms of population, socio-economic factors, quality and level of medical care. It has been established that the level of primary morbidity among children in the city of Glazov is almost 2 times higher than the level of morbidity among children in cities of comparison and 1.5 times higher than the republican level. The first ranking place among children's diseases in the studied territories is occupied by respiratory diseases, the incidence rates of which significantly exceed the incidence rates of other nosological forms. Peculiarities and trends in the incidence of children living in medium-sized (50–100 thousand people) single-industry towns were revealed.

Citation: Sabirova Z.F., Ivanova S.V., Skovronskaya S.A., Khripach L.V. Comparative analysis of incidentity of children in individual monocities of Russia (by the example of urban settlements of the Udmurt Republic). Russian Journal of Environmental and Rehabilitation Medicine. 2022. 4: 66-81.

ISSUE 1 2013

INFLUENCE OF REFLEXOTHERAPY ON PSYCHOLOGICAL AND COGNITIVE DISORDERS IN PATIENTS WITH STAGE II-III DYSCIRCULATORY ENCEPHALOPATHY

Junda G., Mikhailova A.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 1: 2-14

THE IMPACT OF THE TIMING SYSTEM ON EMERGENCY CARE REQUIREMENTS AND COMPETITIVE HEALTH STATEMENTS IN THE MOSCOW REGION

Bobrovnitsky I.P., Yakovlev M.Yu., Badalov N.G., Uyanaeva A.I., Tatarinova L.V.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 1: 15-27

EFFECT OF MANUAL THERAPY ON CHANGES IN CEREBRAL HEMODYNAMICS ACCORDING TO THE SEVERITY OF MICROCIRCULATORY DISTURBANCES IN THE EYEBALL CONJUNCTIVA

Kononova V.S., Frolov V.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 1: 28-41

MECHANISMS OF STRESS-LIMITING, ORGANO- AND VASOPROTECTIVE EFFECTS OF REFLEXOTHERAPY (ANALYTICAL REVIEW)

Radzievsky S.A., Bobrovnitsky I.P., Solodovnikova T.S., Agasarov L.G., Bokova I.A., Orekhova E.M., Konchugova T.V., Lukyanova T.V.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 1: 42-54

ISSUE 2 2013

CLINICAL SUPERVISION IN THE MODERN MEDICAL AND PSYCHO-PEDAGOGICAL REHABILITATION

Samsonova G.O., Osmolovskaya N.E.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 2-11

CONCEPT NOVEL APPROACHES TO MICROELEMENT AND MICROECOLOGICAL STATUS CORRECTION IN OSTEOARTHROSIS PATIENTS BY SANATORIUM TREATMENT

Badretdinova L.M., Badretdinov R.R., Shakula А.V., Shenderov B.А.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 12-20

COMBINATION OF FUNCTIONAL STIMULATION AND ROBOTIC MECHANOTHERAPY IN PATIENTS WITH ACUTE STROKE

Daminov V.D., Uvarova O.A., Kuznetsov A.N.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 21-28

DIALECTICS OF SANO- AND PATOGENETIC ADAPTATION REACTIONS - THE ESSENTIAL METHODOLOGICAL COMPONENT IN REHABILITATION MEDICINE

Malakhov V.V., Vasilenko A.M.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 29-38

THE LOW-FREQUENCY COMPLICATED AND MODULATED BIORESONANCE ELECTROTHERAPY IN MENOPAUSAL SYNDROME COMPLEX SANATORIUM TREATMENT

Maligina E.P., Sokolov A.V.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 39-45

ALGORITHM FOR EVALUATING SANATORIUM TREATMENT RESULTS IN PATIENTS WITH SUBCLINICAL HYPOTHYROIDISM

Sokolov A.V., Dzhavahov Ju.G., Svincova S.Je.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 46-53

SYSTEM EFFICIENCY EVALUATION METHODOLOGY OF THE SANATORIUM TREATMENT AND RESULTS OF ITS APPLICATION FOR GAS INDUSTRY WORKERS

Sokolov A.V., Stoma A.V., Sokolov S.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2013. 2: 54-59

ISSUE 1 2012

PERSONALIZED REHABILITATION MEDICINE: FUNDAMENTAL AND APPLIED APPROACH TO MEDICAL REHABILITATION AND NON-DRUG PREVENTION

Bobrovnitsky I.P., Vasilenko A.M., Nagornev S.N., Tatarinova L.V., Yakovlev M.Yu.

Russian Journal of Environmental and Rehabilitation Medicine. 2012. 1: 9-20.

APPLICATION OF THE PULSE LOW-FREQUENCY ELECTROSTATIC FIELD AT BRONCHIAL ASTHMA OF CHILDREN

Han M.A., Ivanova D.A., Ljan N.A., Lukina O.F.

Russian Journal of Environmental and Rehabilitation Medicine. 2012. 1: 21-31

INTEGRATED REHABILITATION OF PATIENTS WITH PSYCHO-VEGETATIVE VIOLATIONS AND DYSCIRCULATORY ENCEPHALOPATHY STAGE I-II

Pospelova A.A., Mihajlova A.A.

Russian Journal of Environmental and Rehabilitation Medicine. 2012. 1: 32-43

PERSONALISATION OF PULSE ELECTROTHERAPY TREATMENT OF PATIENTS WITH DORSOPATHIES

Rjavkin S.Ju., Vasilenko A.M.

Russian Journal of Environmental and Rehabilitation Medicine. 2012. 1: 44-55

COORDINATION GYMNASTICS IN COMPLEX REHABILITATION OF PATIENTS AFTER DECOMPRESSION OPERATIONS ON THE LUMBOSACRAL SPINAL LEVEL

Sichinava N.V., Gorbunov F.E., Gurkina M.V., Styazhkina E.M., Yakovlev M.Yu.

Russian Journal of Environmental and Rehabilitation Medicine. 2012. 1: 56-63

METHODOLOGICAL FEATURES OF STUDYING OF MECHANISMS OF REALIZATION OF BIOLOGICAL POTENTIAL OF NATURAL FACTORS IN SYSTEM OF HORMONAL REGULATION OF THE EXCHANGE OF CARBOHYDRATES AND LIPIDS

Frolkov V.K.

Russian Journal of Environmental and Rehabilitation Medicine. 2012. 1: 64-74