[Neurophysiological methods for predicting outcome in cases of spine and spinal cord injury]. / Neirofiziologicheskie metody prognozirovaniya iskhoda pozvonochno-spinnomozgovoi travmy.

The purpose of the review was to determine the capabilities of neurophysiological examination for predicting the outcome of spinal injury. We have analyzed the methods of neurophysiological examination of spinal cord function and the role of these data in prediction of functional recovery in patients with complicated vertebral-spinal injury. Application of functional diagnostic methods for spinal shock was also considered.

[A newly-discovered deposit of sea-silt sulfide therapeutic muds in Primoskii Krai].

A new rich deposit of sea-silt sulfide muds (Melkovodnenskoye) have recently been found on Island Russky, Primosky krai (territory). A comprehensive survey of bottom sediments in the Melkovodnaya (Voevoda) Bay was undertaken to map out the underwater landscape, calculate mud reserves, investigate physico-chemical, radiological, bacteriological, and microbial composition of the mud. Results of experimental and clinical studies give reason to recommend sea-silt sulfide muds of the Melkovodnenskoye deposit for therapeutic and preventive use not only by the sick but also by healthy subjects. In either group, they may exert beneficial effect by stimulating preventive and compensatory reactions of the organism, activating the immune system, preventing undesirable metabolic changes, and suppressing inflammatory processes.

[The composition of nonesterified fatty acids in patients with metabolic syndrome].

The blood composition of non-etherized fatty acids (NEFA) was studied in 22 patients with metabolic syndrome (MS) and 11 healthy individuals. The qualitative NEFA composition presented by 31 components of individual fatty acids was analyzed, by taking into account of glucose-insulin homeostatic changes in MS patients: those without insulin resistance (IR) (Group 1) and those with diagnosed IR (Group 2). MS patients with normal insulinemia were ascertained to have lower levels of lauric, myristic, palmitic, C24:0, C16:0i acids. With a decrease in the relative quantity of saturated NEFA, the levels of polyunsaturated fatty acids (FA) increased. The proportions of linoleic (C18:2 omega 6) and linolenic (C18:3 omega 3) acids doubled (p < 0.01), arachidonic acid (C20:4 omega 6) was observed to tend to rise. The cumulative FA index sigma omega 6 increased twofold. In Group 1, the integrated index of changes in the FA series (unsaturation index) was 41% higher than that in the control group (p < 0.05). In Group 2, the vector of changes in the relative quantity of NEFA was similar, but impairments were less marked than that in Group 1. The findings suggest that the development of insulin resistance is preceded by impaired blood cell transfer and absorption of NEFA.

[Metabolic disorders in patients with chronic obstructive pulmonary disease].

AIM: To characterize cell dysregulation in chronic obstructive pulmonary disease (COPD) at local and systemic levels. MATERIAL AND METHODS: A total of 48 patients with COPD were examined (mean disease duration 11.2 +/- 7.2 years, mean age 58 +/- 4.2 years). Content of glutathione, and activity of glutathione peroxidase, glutathione reductase in whole blood (Novgorodtseva T.P., 2003), catalase in erythrocytes (Karpichenko A.I., 1999) were determined. Products of lipid peroxidation in exhaled breath condensate were defined to reveal diene conjugates of hydroperoxides, ketodienes, coupled trienes (Khyshiktuyev B.S., 1996). RESULTS: An evident oxidation stress at the local level was revealed in patients with COPD in deficiency of enzymatic antiperoxide link of anti-oxidant defense that is characterized by increased quantity of lipid peroxidation intermediants both in heptane and isopropanol phases.

[Pelotherapy in combined aftertreatment of patients with chronic bronchitis]. / Peloidoterapiia v kompleksnom vosstanovitel'nom lechenii bol'nykh khronicheskim bronkhitom.

A therapeutic complex based on pelotherapy given as mud applications or electrophoresis of squeezed mud on the area of lung root projection (a total of 10-12 procedures, each other day) was tested in 99 patients with chronic bronchitis (CB). 68 CB controls received the above complex but no peloids. The results were assessed by clinical changes, clinical biochemical indices, immunograms, changes in external respiration function. The pelotherapy was found to have a corrective effect on CB pathogenesis and a stimulating action on sanogenic mechanisms of the body.

[Use of autotransfusion of UV-irradiated blood in chronic bronchitis]. / Primenenie autotransfuzii obluchennoi ul'trafioletom krovi pri khronicheskom bronkhite.

Effectiveness of rehabilitation with therapeutic complex based on autotransfusion of UV-radiated blood (ATUVRB) was studied in 81 patients with chronic bronchitis (CB). The course consisted of 5 procedures with interval 2-3 days. The first procedure was exploratory with irradiated blood 0.5-0.8 ml/kg body weight. Control group comprised 48 CB patients getting conventional complex of rehabilitation measures. As shown by clinical criteria, clinico-biochemical indices, immunograms, external respiration function, ATUVRB-based rehabilitation corrects main pathogenetic mechanisms of CB.

[Ultraviolet irradiation of blood and peloid therapy (standard- and short-course) of patients with chronic bronchitis]. / Ul'trafioletovoe obluchenie krovi i peloidoterapiia (traditsionnye i ukorochennye kursy) bol'nykh khronicheskim bronkhitom.

Clinical symptoms, clinico-biochemical picture, immunograms and external respiration function were studied in 43 patients with chronic bronchitis undergoing UV blood radiation and peloid therapy. This treatment had a corrective effect on chronic bronchitis pathogenesis. Short courses of photon-peloid therapy showed the same effectiveness as routine ones at lower risk of side effects and higher cost efficiency.

[Principles of rehabilitation of respiratory tract diseases]. / Printsipy vosstanovitel'nogo lecheniia bolezne organov dykhaniia.

The authors propose a conception of rehabilitation after respiratory diseases based on combined action of some nonpharmacological therapeutic factors operating etiologically, symptomatically, pathogenetically and sanogenetically. These rehabilitation methods can be used in persons with respiratory diseases risk factors and for prophylaxis.

[Sodium humate in the treatment of osteoarthrosis patients]. / Gumat natriia v lechenii bol'nykh osteoartrozom.

The authors' study of sodium humate balneotherapy in rehabilitation of osteoarthrosis patients has shown that such balneotherapy produces analgetic, antiinflammatory and lipid modulating effects, improves metabolic processes. Low concentration of the preparation and lack of effects of other mud factors make sodium humate procedures rather tolerable. Osteoarthrosis patients can apply the procedure in home setting.