scholarly journals MODULAR REHABILITATION SYSTEM AT THE STATIONARY PHASE OF REHABILITATION OF MILITARY MEN AFTER ACUTE NONREVMATIC MYOCARDITIS

2019 ◽  
Vol 4 (4) ◽  
pp. 18-24
Author(s):  
S. A. Bondar ◽  
Yu. N. Zakrevskiy ◽  
D. O. Balahnov ◽  
V. P. Butikov ◽  
V. M. Pivkin

The paper presents the experience of rehabilitation treatment for servicemen who had suffered from acute nonrheumatic myocarditis. The treatment was conducted in the 1469 Naval Clinical Hospital of the Northern Fleet with using an 8-modular system of medical rehabilitation activities: a laboratory-diagnostic cluster with a patient’s rehabilitation and expert evaluation and a rehabilitation prognosis; drug therapy, diet therapy, psychosomatic diagnosis and correction of the emotional state; therapeutic exercise with restoration of physical performance and adaptive health parameters; information cluster — providing the patient with a complete and accessible understanding of information about a healthy lifestyle; physiotherapeutic non-pharmacological correction of physiological disorders, activation of endogenous protective systems of the body; functional diagnostics complex: a study of restoration of functioning parameters for cardiovascular and respiratory systems, the development of the body’s adaptation to physical exertion. As a result of using the modular system, a decrease in the average bed-day during the rehabilitation phase for patient after mild acute myocarditis was 16,6% (from 17,5±1,3 to 14,6±2,7 days); after moderate myocarditis — 8.1% (from 22,3±2 to 20.5±1,8 days); and after severe — 5,9% (from 27,2±3,5 to 25,6±1,2 days). The rehabilitation program, which has been developed basing on principles of the theory of modules, is a dynamic, easily simulated system with a combination of variable and permanent elements, that allows to reduce the cost of treatment and rehabilitation in mild myocarditis by 10,6±0,9%, in moderate myocarditis — by 7,2±0,8%, and in severe myocarditis — by 3,7±0,4%.

2021 ◽  
pp. 56-62
Author(s):  
I. V. Kas ◽  
I. S. Petukhova ◽  
T. P. Ustymenko

One of the urgent tasks of modern medicine is organizing the rehabilitation for patients who have suffered a stroke at different stages of rehabilitation. Restoration of impaired functions in such patients occurs in the first 3−5 months from the onset of the disease, that is influenced by a number of factors: duration of the stroke, size of the lesion and pool of lesions, active participation in the process of a patient him−/herself. The main principles of rehabilitation include its early onset in an acute period of stroke; regularity and duration; complexity and multidisciplinarity (formation of multidisciplinary teams); adequacy of rehabilitation measures, i.e. creation of individual programs taking into account the severity of neurological deficit and dysfunction; stages. Different methods of recovery are applied to each patient individually or in combination, or sequentially according to the rehabilitation program, which is based on the analysis of the patient's condition by all members of the multidisciplinary team, taking into account the results of functional testing and objective examination. Medical support, postural correction, kinesitherapy, mechanotherapy (including robotic), field therapy, hardware physiotherapy, massage, acupuncture according to the indications, functional neurotraining and cardiotraining, neuropsychological training are used. The results of research confirm that the integrated use of kinesitherapy, physical factors, balneotherapy, the methods of psychological rehabilitation of patients after stroke provides a faster recovery of neurological deficit, activates non−specific brain systems, restores mental and somatic functions of the body. Therefore, in addition to health, the patient needs to renew his ability to work and social status. Key words: acute cerebrovascular accident, medical rehabilitation, stages of rehabilitation.


2018 ◽  
Vol 7 (2.8) ◽  
pp. 298
Author(s):  
Ramesh Kumar.S ◽  
Raja Sankar.M ◽  
Harish V ◽  
Arun Kumar.K ◽  
Gokulakrishnan T ◽  
...  

The current circumstance in industry is an entire looked for after of trucks on the cost and weight points and in addition too on upgraded total vehicle features and general work execution. The case accept a key part in the layout of any truck. Truck suspension outlines the helper spine of a business vehicle. The essential limit of the truck case is to enable the parts and payload to set upon it. Exactly when the truck comes the road, the body is subjected to vibration prompted by road offensiveness and excitation by vibrating parts mounted on it. The responses of the truck body which fuse the weight allocation and movement under various stacking condition are furthermore viewed. The mode shape occurs choose the sensible mounting zones of portions like engine and suspension system. A couple of changes are moreover proposed to decrease the vibration and to upgrade the nature of the truck frame. The skeleton design when all is said in done is a baffling methodology and to reach at an answer which yields a good execution is a horrid endeavor. Since the suspension has an unusual geometry and stacking outlines, there is no inside and out portrayed investigative technique to separate the case. So the numerical course of examination is grasped, in which Finite Element Technique is most by and large used course.


Author(s):  
K. V Lyadov ◽  
T. V Shapovalenko ◽  
P. S Snopkov ◽  
Elizaveta Sergeevna Koneva

The problem of providing a continuous staged rehabilitation treatment of patients with severe associated injuries musculoskeletal system is an urgent and important task. This article describes two clinical cases of successful comprehensive medical rehabilitation of disabled persons with severe combined trauma and multiple injuries skeleton in need of long-term continuous rehabilitation program which was successfully launched at the stage of hospital care and continued remotely, through on - line technologies in a familiar patient home medium. As a result of rehabilitation treatment was observed: increased mobility of patients and level of independence in daily life, increased range of motion in the affected joints, increase muscle strength of the affected limbs, improving psycho - emotional status of patients resocialization and adaptation to the familiar home environment.


Author(s):  
Yuri S. Goldfarb ◽  
Amayak V. Badalyan ◽  
Marina Yu. Marina ◽  
Vladislav A. Shchetkin ◽  
Mikhail M. Potskhveriya

BACKGROUND: Diagnostics and treatment of acute poisoning, as well as the rehabilitation measures carried out in relation to them, including the stationary stage, are aimed at the most complete restoration of the lost capabilities of the body. AIMS: Increasing the efficiency of medical rehabilitation of acute poisoning (AP) in a toxicological hospital through a combination of drug therapy and non-drug treatment with preformed physical factors. MATERIAL AND METHODS: Of 1,207 patients with AP psychopharmacological agents (pPFA), neurotoxicants (pNT), cauterizing agents (pCA) and snake bites (SB), who were in the toxicology department of the N.V. Sklifosovsky, 421 patients with an unfavorable course of AP were subjected to an in-depth examination. Intravenous laser hemotherapy (LGT), hyperbaric oxygenation (HBO), mesodiencephalic modulation (MDM), wave biomechanotherapy (WBMT) and ethylmethylhydroxypyridine succinate (EP) were used in cases of 291 patients of the main groups. RESULTS: The unfavorable course of AP was accompanied by an increase in the duration of treatment by 2.26.8 times due to the addition of pneumonia (pPFA), toxicohypoxic encephalopathy (pNT), severe burns of the gastrointestinal tract (pCA) and local edematous-inflammatory changes (SB). There was a syndrome of high blood viscosity and moderate endotoxicosis. The best clinical and laboratory results were obtained with a combination of LHT (90 minutes) with EP (pPFA), HBO and EP (pCA), HBO, MDM, EP (heavy pNT), HBO, EP (moderate pNT) and WBMT (SB). The adaptive capabilities of the organism, the state of the autonomic nervous system (pNT), neuropsychological indicators and electrical activity of the brain (pNT) improved. CONCLUSION: Programmed rehabilitation made it possible to achieve a noticeable reduction in the incidence of symptoms of the studied poisoning (by 54.693.4%), the time to resolve their manifestations (by 9.175%), as well as inpatient treatment (by 16.159.3%), improving functional performance.


Author(s):  
E. Dubrovinskaya ◽  
N. Karpinskaya ◽  
A. Karpinskiy

In recent years, more and more people are obese, which often leads to the risk of developing arterial hypertension, coronary heart disease and atherosclerosis, as well as diabetes mellitus, and as a result of heart attack and stroke. The negative effects of obesity on the body are extremely diverse. Obesity is currently a global problem and requires the development of various approaches to combat it and promote a healthy lifestyle. Weight loss lowers the risk of developing comorbidities in obesity, so proper physical activity and diet therapy are important components for improving the quality of life and preventing overweight.


Author(s):  
Shiva Kumar K ◽  
Purushothaman M ◽  
Soujanya H ◽  
Jagadeeshwari S

Gastric ulcers or the peptic ulcer is the primary disease that affects the gastrointestinal system. A large extent of the population in the world are suffering from the disease, and the age group of people those who suffer from ulcers are 20-55years. Herbs are known to the human beings that are useful in the treatment of diseases, and there are a lot of scientific investigations that prove the pharmacological activity of herbal drugs. Practitioners have been using the herbal material to treat the ulcers successfully, and the same had been reported scientifically. Numerous publications have been made that proves the antiulcer activity of the plants around the world. The tablets were investigated for the antiulcer activity in two doses 200 and 400mg/kg in albino Wistar rats in the artificial ulcer those are induced by the ethanol. The prepared tablets showed a better activity compared to the standard synthetic drug and the marketed ayurvedic formulation. The tablets showed a dose-dependent activity in ulcer prevention and treatment. Many synthetic drugs are available for the ulcer treatment, and the drugs pose the other problems in the body by showing the side effects and some other reactions. This limits the use of synthetic drugs to treat ulcers effectively. Herbs are known to the human beings that are useful in the treatment of diseases, and there are a lot of scientific investigations that prove the pharmacological activity of herbal drugs.


2020 ◽  
pp. 66-72
Author(s):  
A. Khisamova ◽  
O. Gizinger

In the modern world, where a person is exposed to daily stress, increased physical exertion, the toxic effect of various substances, including drugs. The task of modern science is to find antioxidants for the body. These can be additives obtained both synthetically and the active substances that we get daily from food. Such a striking example is turmeric, obtained from the plant Curcuma longa. Recently, it has been known that curcumin has an antioxidant, anti-inflammatory, anti-cancer effect and, thanks to these effects, plays an important role in the prevention and treatment of various diseases, in particular, from cancer to autoimmune, neurological, cardiovascular and diabetic diseases. In addition, much attention is paid to increasing the biological activity and physiological effects of curcumin on the body through the synthesis of curcumin analogues. This review discusses the chemical and physical characteristics, analogues, metabolites, the mechanisms of its physiological activity and the effect of curcumin on the body.


1991 ◽  
Author(s):  
Linda K. Hervig ◽  
Ross R. Vickers ◽  
Bischoff Jr. ◽  
Craig

2020 ◽  
Vol 75 (10) ◽  
pp. e159-e165
Author(s):  
Lauren A Beaupre ◽  
Doug Lier ◽  
Jay S Magaziner ◽  
C Allyson Jones ◽  
D William C Johnston ◽  
...  

Abstract Background We compared the cost-effectiveness of 10 weeks of outreach rehabilitation (intervention) versus usual care (control) for ambulatory nursing home residents after hip fracture. Methods Enrollment occurred February 2011 through June 2015 in a Canadian metropolitan region. Seventy-seven participants were allocated in a 2:1 ratio to receive a 10-week rehabilitation program (intervention) or usual care (control) (46 intervention; 31 control). Using a payer perspective, we performed main and sensitivity analyses. Health outcome was measured by quality-adjusted life years (QALYs), using the EQ5D, completed at study entry, 3-, 6-, and 12-months. We obtained patient-specific data for outpatient visits, physician claims, and inpatient readmissions; the trial provided rehabilitation utilization/cost data. We estimated incremental cost and incremental effectiveness. Results Groups were similar at study entry; the mean age was 87.9 ± 6.6 years, 54 (71%) were female and 58 (75%) had severe cognitive impairment. EQ5D QALYs scores were nonsignificantly higher for intervention participants. Inpatient readmissions were two times higher among controls, with a cost difference of −$3,350/patient for intervention participants, offsetting the cost/intervention participant of $2,300 for the outreach rehabilitation. The adjusted incremental QALYs/patient difference was 0.024 favoring the intervention, with an incremental cost/patient of −$621 for intervention participants; these values were not statistically significant. A sensitivity analysis reinforced these findings, suggesting that the intervention was likely dominant. Conclusion A 10-week outreach rehabilitation intervention for nursing home residents who sustain a hip fracture may be cost-saving, through reduced postfracture hospital readmissions. These results support further work to evaluate postfracture rehabilitation for nursing home residents.


Author(s):  
Teresa Paolucci ◽  
Francesco Agostini ◽  
Massimiliano Mangone ◽  
Andrea Torquati ◽  
Simona Scienza ◽  
...  

BACKGROUND: Fibromyalgia (FM) is a chronic condition characterized by widespread muscular or musculoskeletal pain of at least 3 months’ duration, occurring above and below the waist, on both sides of the body. OBJECTIVE: The aim of this study was to evaluate the effectiveness of a rehabilitation program based on motor imagery versus a conventional exercise program in FM in terms of pain, functional and psychological outcomes. METHODS: Twenty-nine female subjects were randomly assigned to a group receiving motor imagery-based rehabilitation (MIG) or to a control group (CG) performing conventional rehabilitation. Outcome assessments were performed before (T0) and after 10 sessions of treatment (T1) and at a 12-week follow-up (T2). Pain, function and psychological measurements were conducted by means of different questionnaires. RESULTS: Both treatments improved all outcomes at post-treatment (T1) and follow-up (T2). The MIG showed a significant improvement in anxiety disorder associated with FM with respect to the CG, as well as improvements in coping strategies. CONCLUSIONS: Rehabilitation treatment based on motor imagery showed a stronger effect on anxiety and coping behavior than traditional physiotherapy in patients with FM. Integrated psychological support would be desirable in this setting. Further research is needed to explore the aspects investigated in more depth.


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