[Health resort care of people with disabilities in the Russian Federation]. / Sanatorno-kurortnoe lechenie invalidov v Rossiiskoi Federatsii.

OBJECTIVE: To analyze the health resort care (HRC) system for people with disabilities and provide the rationale of the HRC system improvements. MATERIAL AND METHODS: A content analysis of the regulatory framework and analysis of data from the Forms of Federal Statistical Monitoring of Rosstat, the Russian Ministry of Health, and the Russian Ministry of Labor were performed. RESULTS: The 19 main legal and regulatory documents are presented, and the 16 main areas of legal regulation on the HRC organization are highlighted. For 2014-2018, a twofold decrease in the number of people with disabilities whose individual rehabilitation and habilitation program included recommendations for HRC was observed. In 2019 and 2020, an increase in this indicator was recorded. An overall decrease in the number of persons (including children) with disabilities who received HRC was demonstrated. CONCLUSION: Ways to improve the HRC system for people with disabilities was identified.

[Rehabilitation problems in Top Rated Databases]. / Problemy reabilitatsii v vysokoreitingovykh bazakh dannykh.

Development of medical rehabilitation technologies are the investments into «human capital¼. The effectiveness criterion of the scientific institutions work dealing with the problems of rehabilitation is the scientific publication activity of their employees in this subject in high-ranking international databases (DB).Purpose of the study. Analysis of the state of the scientific publication flow in the field of rehabilitation. MATERIAL AND METHODS: Data from the Web of Science and Scopus databases for November 2019, depth from 1991 to 2018 were used. RESULTS: It was revealed that the high level of the publication rating of Russia, which was noted in 1991-1992, has not yet been achieved in the Scopus database for medical rehabilitation. Measures have been identified to enhance it by increasing the growth rate of the Russian publication flow. It also noted the necessity to reduce Russia's dependence on the monopoly of foreign publishing corporations by creating domestic Russian resources and borrowing the experience of foreign colleagues. CONCLUSION: The necessary measures should be taken at the level of authors, scientific organizations, the scientific community and the State in order to increase the Russian scientific publication flow in the direction of «Rehabilitation¼ in foreign top-rated databases. Authors of interdisciplinary articles need to correctly present metadata indicating the relation of the work to the problem of rehabilitation. The necessity is substantiated not only to increase the share of Russian scientific journals in international databases, but also to create domestic high-rating databases, as well as to harmonize the existing regulatory legal acts in regards of terms and definitions in the field of rehabilitation, to bring the headings of the Universal Decimal Classification aligned with the headings of high-ranking international databases. Given the high social significance of the «Rehabilitation¼ area, it is necessary to include it in the priority list and funded areas at a level corresponding to global trends.

[Therapeutic effects of climototherapy: scientomatrical analysis of evidence-based studies]. / Lechebnye effekty klimatoterapii: naukometricheskii analiz dokazatel'nykh issledovanii.

OBJECTIVE: Scientometrical analysis of studies the use of climatotherapy methods and formulation of guidelines based on the evidence obtained during the analysis. MATERIAL AND METHODS: The article presents the data of scientometrical analysis of 40 publications on the use of climatotherapy in spa practice. RESULTS: Clinical effects and proposed mechanisms of action of the proven efficacy climatotherapy methods - aerotherapy, heliotherapy and thalassotherapy for the patients with various chronic diseases are presented. The clinical directions for the using of climatotherapy methods in climatic resorts are highlighted. CONCLUSIONS: Regular generalization and analysis of existing evidence-based studies is required, as well as the implementation of new high-quality randomized controlled clinical trials to study the effects of climate therapy on a wide range of patients with common socially significant diseases.

[Staging rehabilitation of patients with spinal cord injuries in the Saki central military clinical resort after N.I.Pirogov].

Medical rehabilitation of patients with spinal cord injuries is an actual problem of modern medicine, which is associated with increased number of victims injured in road and domestic accidents, high rate of disability, and necessity for a long-term rehabilitation. An analysis of treatment of 386 patients with spinal cord injury in a specialized spinal center, Saki military resort is given in the article.

[Computed tomography diagnosis of extranodal manifestations in malignant non-Hodgkin's lymphoma]. / Komp'iuternaia tomograficheskaia diagnostika ékstranodal'nykh proiavlenii zlokachestvennykh nekhodzhkinskikh limfom.

The data of computed tomography (CT) were used to study the semiotics of extranodal manifestations in 78 patients with varying malignancy non-Hodgkin's lymphomas. The most common lesions were found in the viscera: liver, spleen, peritoneum, omentum, pancreas, adrenals, mesentery. The CT pattern of these lesions is diverse, each site has its own specific features. Combining the clinical manifestations and CT signs of lesions to individual organs, recording the extent of lymphadenopathy will aid in establishing the diagnosis of non-Hodgkin's lymphoma. A lesion detected in some organs located both above and below the diaphragm is a typical feature of high-grade malignancy.

[Secondary pneumonia in subjects with acute leukemia]. / Vtorichnaia pnevmoniia u lits, bol'nykh ostrym leikozom.

UNLABELLED: Of 105 patients with acute leukoses secondary pneumonias were found in 47.6%. A dependence was found of the frequency of pneumonia on the severity of initial hyperleukocytosis and duration of post-cytostatic agranulocytosis. The efficiency of routine criteria of diagnosis was 66% and increased significantly in microbiological and cytological investigation of the bronchoalveolar lavage fluid. TREATMENT: combined antibacterial therapy, antifungal, desintoxicating agents; in severe cases--endobronchial administration of monogroup leucocytic mass.

[The clinico-morphological characteristics of malignant non-Hodgkin's lymphomas]. / Kliniko-morfologicheskaia kharakteristika nekhodzhkinskikh zlokachestvennykh limfom.

It was established that most patients with non-Hodgkin malignant lymphomas against the background of secondary immunodeficiency show an activation of the saprophytic bacterial and mycotic flora that results in the development of different infectious complications essentially, thus, influencing the course and prognosis of the disease. A dependence was established between the malignancy grade of non-Hodgkins lymphomas and frequency of development of non-infectious complications.