Vol 12, No 3 (2013)

Больные, обратившиеся в стационарные или амбулаторно-поликлинические учреждения за медицинской помощью и получившие лечение в острой стадии заболевания, должны быть сразу направлены на медицинскую реабилитацию в стационарных или амбулаторных условиях, что позволит снизить общий уровень заболеваемости и инвалидности в стране, особенно среди трудоспособного населения. В ходе данного исследования определена доля нуждающихся в подобной реабилитации от всех лечившихся амбулаторно и стационарно больных в зависимости от поставленного диагноза. С помощью знаний о коэффициенте потребности в медицинской реабилитации в амбулаторных и стационарных условиях от всех лечившихся амбулаторно и стационарно больных по каждому классу болезней и отдельным заболеваниям можно определить потребность в этом виде медицинской помощи на любой территории

The ability of a man to keep balance of the body in a vertical position ( static balance) is one of the main conditions to have an active interaction with the environment. A dynamic control of balance function in children with compression spinal fractures allows to get an information for controlling their rehabilitation process and to prepare them to keep their vertical position.

Dynamic electric neurostimulation (DENS) is based on the monitoring of the surface impedance of the skin in under electrod space. At the same time with a reduction in the impedance of the skin, pointing to increased sympathetic tone, the most typical reaction is the increase in the index of stress heart rhythm (ISHR). This reaction is considered as manifestation of activation of the organism, aimed at the restriction of painful stress. After the first treatment procedure ISHR increases regardless of its original size. At low source ISHR (68 ± 8,5 c.u.) it rises to a level slightly exceeding the upper limit of the normal range of values (118 ± 24,7 c.u.), remained so until the end of the treatment course. The initial values ISHR the corresponding offset by distressed (316 ± 27,7) also has a statistically insignificant tendency to its increase, and the completion of the course, he reliably is reduced to 144 c.u.. DENS, based on the automatic adjustment of the parameters of stimulation in accordance with the individual changes to the impedance of the skin in under electrod space is an implementation of the personalized activation therapy in the format of physiotherapy

The article presents the results of reserve capacity in patients with neuro dystonia of hypertensive type by bicycle exercise tolerance test, evaluated by biochemical parameters .. It is established that the source of this disease is characterized by the presence of biochemical status of compensated violations of neurohumoral regulation and changes in the functional state of the cell membrane by the type of stress-damaging manifestations, indicating a decrease in functional reserves. Further accumulation of stress-damaging effects with disregulatory disorders is a potential risk of developing pathological processes. It is shown that the conduct of bicycle exercise test in patients with neuro dystonia of hypertensive type reveals the decrease in reserves sympathetic nervous system and the potential hemocoagulation expressed the tension of regulatory mechanisms and metabolic processes that increase the damaging effects of stress on the cell membrane level.

The article is dedicated to the tissue of total hip endoprothesis survival rate, as well as medico-biological, social and organizational factors influencing it and possible routes towards improvement of endoprothesis survival. Differences between healthcare systems of various countries in regards to relative and absolute contraindications for total hip arthroplasty are described, epidemiological data concerning hip endoprothesis survival rates in different countries based on literature data and hip arthroplasty register reports (where available) is provided. Information from Russian and international sources concerning medico-biological, social and organizational factors influencing the probability of revision hip arthroplasty is discussed. A clinical case where successful seven year endoprothesis survival was achieved by means of complex conservative treatment in a THA patient with severe autoimmune pathology and AVN is provided.

A comparative study of the organism adaptation by methods spirometry, electropunctural vegetative resonant test (VRT) and blood leukocyte formula (methodology Harkavy, Ukolоva, Kvakina) in patients with chronic obstructive pulmonary disease (COPD). The results of these studies allow us to recommend the VRT as an objective and accessible method for estimating the organism adaptation and the severity of COPD.

The efficacy of the drug neyropeptidnogo cortexin petsientov treatment with primary open-angle glaucoma. The positive effect of cortexin on the clinical and functional parameters of the visual analyzer in this category of patients. Oproirovan and the proposed method in clinical practice endonasal electrophoresis cortexin for the treatment of patients with primary open-angle glaucoma, can significantly improve and stabilize the clinical and functional parameters of the visual analyzer, as directed by the pathogenetic treatment of this disease.

Evaluation of the functional state of athletes swimmers, confirms the feasibility of biomedical support in the training process and to determine predictors of the effectiveness of the provided methods. Individual approach, as well as the timely correction of individual programs of biomedical support, directly linked to the performance of the functional state of an athlete, the most important period of training in midlands. As a result, training camp was an increase in indicators of AST, ALT, CK in the normal range, as well as increased levels of cortisol, indicating that adequate voltage systems of the body in response to the load presented in conjunction with the use of pharmacological agents correction. Relationship was identified baseline indicators of iron in the blood and the active cell mass with a threshold of anaerobic metabolism, which further helped to solve the diagnostic task of predicting the effectiveness of biomedical support of the training process. As a result, discriminant analysis was performed, which provided the equation and the range of values ​​with varying degrees of effectiveness