The results of the long-term observations confirmed the enhanced effectiveness of the spa and health resort-based treatment of metabolic syndrome including the therapeutic courses with the intake of cooled narzan mineral water in the combination with phytococktails. This therapeutic modality increased the duration of the favorable changes of various parameters that characterize metabolic syndrome. Specifically, they persisted during 5-6 months after the application of the standard methods, were still apparent within 6-7 months after the two-week course of the treatment with cold narzan and phytococktails, and during 8-9 months when the duration of the treatment course was extended up to 3 weeks.
Introduction. The treatment of polytrauma in children requires identifying the signs that characterize the severity of the acute period and quantifying the priorities of the parameters. Collectively, these reflect the direction of drift of the leading pathophysiological manifestations at each stage of the patient withdrawal program from a state of severe shock.
Purpose. This study uses discriminant analysis to clarify the tactics of children with polytrauma in the first days of overcoming its consequences. It is based on the pathogenetically sound idea that each of the observed parameters role, together in the form of a vector, reflects injury severity and the childs prognosis.
Materials and methods. This analysis included 45 children (34 boys and 11 girls) with polytrauma aged from 2.5 to 17 years and hospitalized in Kemerovos intensive care unit. Two groups were analyzed: the survivors and those who were deceased. Both were dominated by severe traumatic brain injury (PMT). The injury severity score (ISS) scale was used for clinical assessment of injury severity.
Results. Combined with objectively obtained data on the structure of polytrauma in the direction of drift, a successful outcome is defined as a whole. It borders on the day to day priorities, potassium, PH, white blood count, and hematocrit. Also, the vector orientation pattern was observed to increase organ failure. This progressive decline occurred despite timely surgical intervention to stop internal bleeding, very active efforts to compensate for hypovolemia, acidosis, and the use of adequate means of detoxification. The deterioration in the child's condition manifests itself by increased potassium losses against the background of almost no reaction from leukocytes.
Conclusions. The application of discriminant analysis enables the better revelation of the peculiarities of a polytraumas multidimensional dynamics in children in the first few days of resuscitation. It also permits the numerical expression of the priorities of individual parameters that describe their state, and by the severity and individual patient response in real-time to optimize treatment.
The purpose of the study is to study the possibility and expediency of using methods of endoecological rehabilitation (EER), drinking mineral waters (MW) and dynamic electro-neuro-stimulation (DENS) against the background of standard anti-ulcerous drug therapy for the military suffering from erosive ulcer-bearing area and duodenum.
Material and methods. 154 male military men have been examined. They were under treatment in military hospitals of North Caucasian Federal District (NCFD) concerning recrudescence of gastric ulcer (GU) and duodenum. By simple randomization method 4 treatment groups were formed where the effectiveness of anti-ulcer pharmacotherapy was carried out in comparative aspect. We defined the control group (CG), the 1st group of comparison based on its combination with EER methods (CG1), the 2nd group of comparison (CG2) based on DENS, and the main group (MG) based on a complex of EER and DENS.
Results. In the MG there were significant improvements in clinical laboratory and endoscopic indicators as well as quality of life in 92.9% cases; on application of anti-ulcerous pharmacotherapy and EER methods (GC1) in 81.5%; on application of anti-ulcerous pharmacotherapy and DENS (GC2) in 84.2%; in mono-pharmacotherapy (CG) in 66.8% of cases in total.
Conclusion. The developed method of complex medical rehabilitation of the military with erosive ulcer-bearing area and duodenum using EER and DENS methods against the background of anti-ulcerous pharmacotherapy has higher clinical effectiveness.
These guidelines provide a scientifi c justifi cation for the use of dry carbon dioxide baths in the General complex of Spa treatment of children and adolescents with diseases of the cardiovascular system.
The guidelines are intended for doctors of medical rehabilitation, pediatricians, therapists, cardiologists, physiotherapists of specialized medical and preventive institutions, rehabilitation departments and centers, sanatoriums, and dispensaries.
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