[The comprehensive approach to the rehabilitative treatment of junior athletes]. / Kompleksnyi podkhod k vosstanovitel'nomu lecheniyu sportsmenov-yuniorov.

AIM: The objective of the present study was the development of the comprehensive program for the medico-psychological follow-up of the male and female junior athletes (rhythmic gymnastics) with the purpose of stabilizing their hormonal and emotional status, as well as improving sport performances based on the use of modern hardware-software technologies. MATERIAL AND METHODS: The comprehensive examination of 72 female athletes at the mean age of 11.5±0.6 years attending R. Kuznetsov specialized school of rhythmic gymnastics of the Olympic reserve in the city of Seversk has been undertaken on the basis of Tomsk Research Institute of Balneology and Physiotherapy, the branch of Siberian Federal Research and Clinical Centre. RESULTS: The program of comprehensive medical psychological rehabilitation for the junior athletes of either sex engaged in sportive activities requiring precise technical actions has been elaborated. The method of the combined therapeutic treatment included physical exercises therapy, manual massage, dry carbonic bathtubs, psychological activities with the application of biological feedback trainings and cognitive trainings; it was intended for the correction of the hormonal status and the improvement of the psycho-emotional conditions of the athletes. The combined treatment based on the use of the modern hardware-software technologies was shown to promote the restoration and development of the psychophysical and psychological qualities of the male and female junior athletes indispensable for the maintenance of their high readiness for the efficient sports activities at the subsequent stages of the training cycle. In addition, such treatment enhances the adaptation resources of the athletes.

[The rehabilitative treatment of the frequently ill children presenting with chronic infectious foci in the nasopharynx].

AIM: The objective of the present study was to elucidate the influence of the combined physiotherapeutic remedial treatment on the effectiveness of rehabilitation of the frequently ill children (FIC) and children presenting with chronic infectious foci inthe nasopharynx taking into consideration their microelemental and immunological status. MATERIALS AND METHODS: A total of 80 frequently ill children and children presenting with chronic infectious foci inthe nasopharynx were available for the observation with special reference to dynamics of clinical conditions, immunological processes, and microelement composition. CONCLUSION: The combined treatment including the intake of "Asonovklyuch" mineral water enhanced the resistance of the children to the causative factors of respiratory infections and increased selenium content in their body. It is concluded that the treatment of the children presenting with chronic infectious foci inthe nasopharynx with the use of the specialized dietary product "Clinutren Junior" produces an anti-inflammatory and immunoregulatory effect and thereby promotes the correction of disorders of microelement nutrition.

[The combined rehabilitative treatment of the children with obesity and metabolic syndrome].

The present study included a total of 66 children at the age from 11 to 16 years with obesity and metabolic syndrome. The latter condition in the childhood and adolescence is characterized by the pronounced disturbances of basal metabolism, vasoactive systems, psychoemotional status, and regulatory hormonal functions that determine the choice of rehabilitative modalities. The combined treatment of such disturbances is considered to be an efficacious method for the rehabilitation of these patients. It is recommended that cortexin be prescribed to the children presenting with obesity and metabolic syndrome because this medication promotes correction of the hormonal and metabolic status and improves the brain cognitive function.

[Peculiar features of the clinical and metabolic status and its variations under the influence of rehabilitative treatment in the children with obesity and diffuse non-toxic goiter].

A total of 120 children at the age of 10-15 years presenting with class I-II obesity were available for observation. Fifty two of them suffered diffuse non-toxic goiter. The combination of obesity and diffuse non-toxic goiter was associated with excessive body weight, insulin resistance, disturbances of lipid metabolism, and impaired tolerance of physical exercises. Differential therapeutic complexes have been proposed for the treatment of the children with diffuse nontoxic goiter. Their application was shown to induce positive dynamics of clinical conditions and laboratory characteristics of the patients.

[Application of natural and preformed physical factors during medical rehabilitation in participants of military conflicts]. / Primenenie prirodnykh i preformirovannykh fizicheskikh faktorov u uchastnikov vooruzhennykh konfliktov v protsesse meditsinskoi reabilitatsii.

The authors have performed individually adjusted complexes of balneophysiotherapeutic procedures in soldiers and officers who had taken part in local military conflicts. Functional and biochemical investigations show that in those military who had no wounds but had a weak posttraumatic stress reaction the above complexes are rather effective.

[Determination of sialic acids in the nasal mucosa lavage]. / Opredelenie sialovykh kislot v smyvakh so slizistoi obolochki polosti nosa.

A modified method of determining the sialic acids by using Ehrlich's reagent and according to G. Sydow (1985) was worked out; the method is characterized by a higher sensitivity as compared to the unified methods of Hess and Svennerholm, which enables to process the nasal mucous lavage that has an essentially lower concentration of sialic acids than the blood serum. A clinical approbation of the modified method (in patients with bronchial asthma, and with obstructive and non-obstructive bronchitis) showed that it preserved the specificity typical of the original method and is sufficiently sensitive. Examinations of 12 healthy volunteers showed that the concentration of sialic acids in their lavage amounted to 0.110 +/- 0.012 mumol/L.

[The possibility of using the inhalations of some types of Kamchatka mineral waters in bronchopulmonary pathology]. / Vozmozhnost' ispol'zovaniia ingaliatsii nekotorykh tipov mineral'nykh vod Kamchatki pri bronkholegochnoi patologii.

Kamchatka spring mineral water (wells 6.9 and 32 of Ketkinskoye, Malkinskoye and Verkhne-Paratunskoye deposits, respectively) was used in inhalations in 54 patients with chronic bronchitis. Clinical and experimental findings evidenced irritating effect of the water from well 9 which activated inflammation and reduced bronchial patency. Water from well 6 can be used in nonobstructive processes, whereas that from well 32 is effective in inflammation-induced bronchial obstructions and is fit to stimulate respiratory reserves.