scholarly journals Climate-weather patterns at climatic resort and medical rehabilitation of patients with lung diseases

Author(s):  
A. S. Ivaschenko ◽  
V. V. Iezhov ◽  
L. Sh. Dudchenko ◽  
S. N. Beliaeva ◽  
G. G. Maslikova ◽  
...  

Aim. To assess the influence of the climatic and weather patterns at the South Coast of Crimea (SCC) on the effectiveness of health resort medical rehabilitation of patients with lung diseases (LD).Materials and methods. A study carried in a group of 197 patients with LD. The influence of climatic and weather patterns at the SCC were assessed using the methods developed by the Academician Research Institute of Physical Methods of Treatment, Medical Climatology and Rehabilitation named after I.M. Sechenov – modified clinical index on weather pathogenicity and medical rehabilitation assessment according to the criteria of the “International Classification of Functioning, Disability and Health” (ICF).Results. Regression equations for the dynamics of the ICF domains b280, b430, b4303 and for the mean value of all domains on the values of air temperature, wind speed, cloudiness, and air temperature variability have been developed, which allow to reliably form a rehabilitation prognosis for patients with LD for all terms of health resort treatment in the SCC.Conclusion. The use of modernized clinical indices of weather pathogenicity allows one to adequately assess and predict the effect of weather dynamics and form a rehabilitation prognosis for patients with LD. 

2020 ◽  
Vol 26 (3) ◽  
pp. 42-45
Author(s):  
А. S. Ivashchenko ◽  
V. I. Mizin ◽  
V. V. Ezhov ◽  
А. Уи. Tsarev ◽  
Т. S. Yanovsky ◽  
...  

The purpose of the work is to identify the dependence of the effectiveness of medical rehabilitation (MR) of patients with cerebral atherosclerosis (CA) on the seasons at the Southern coast of Crimea (SCC). Materials and methods. A prospective, single-center clinical trial in 216 patients with CA. Assessment of the effectiveness of MR was carried out in accordance with the "International Classification of Functioning, Disability and Health" (ICF). Results. As a result of MR, the level of violations of all controlled functions (on average for all ICF domains) was reduced by 28-35% in different seasons of the year, which indicates the high efficiency of the year-round integrated health resort MR at the SCC. Findings. The effectiveness of MR in patients with CA is quite high in all seasons of the year, which testifies to the validity of indications for referring patients to the SCC health resorts throughout the year.


2021 ◽  
pp. 22-27
Author(s):  
A. S. Ivaschenko ◽  
V. V. Ezhov ◽  
L. V. Yezhova ◽  
T. S. Yanovskiy ◽  
V. I. Mizin ◽  
...  

The aim of this work is to assess the influence of the climatic and weather characteristics of the South Coast of Crimea (SCC) on the effectiveness of health resort medical rehabilitation (MR) of patients with ischemic heart disease (IHD).Materials and methods. A study was carried out in a group of 276 patients with IHD. The influence of climatic and weather characteristics of the SCC were assessed using the methods developed by the «ARI n.a. I.M. Sechenov» - modified clinical index on weather pathogenicity (CIPP-M) and MR assessment according to the criteria of the» International classification of functioning, disabilities and health» (ICF).Results. Regression equations for the dynamics of the ICF b2401, b280, b4301 and b440 domains on the values of air temperature (AT-M), atmospheric pressure variability (APV), air temperature variability (ATV-M) wind speed (WS-M) and total CIPP-M have been developed, which allow to reliably form a rehabilitation prognosis for patients with IHD for all terms of health resort treatment in the SCC.Conclusions. The use of modernized clinical indices of weather pathogenicity allows one to adequately assess and predict the effect of weather dynamics and form a rehabilitation prognosis for patients with IHD.


Author(s):  
Leyla Shamilevna Dudchenko ◽  
V. I. Mizin ◽  
S. N. Belyaeva ◽  
G. G. Maslikova ◽  
E. N. Kozhemyachenko ◽  
...  

The purpose of study was to elaborate methodology of assessment of effectiveness of a medical rehabilitation in patients with the bronchial asthma with use of the International Classification of Functioning, Disability and Health (ICF). Under observation there were 420 patients with bronchial asthma who received sanatorium treatment on the Southern coast of the Crimea. All patients received the clinical, laboratory and functional trial. For assessment of a condition of patients according to provisions of ICF, a set of domains was developed for patients with bronchial asthma. The health resort medical rehabilitation in the climatic resort leads to reliable increase of asthma control. Changes of continuants of the offered domains before carrying out sanatorium medical rehabilitation had reliable positive dynamics. A proposed methodology can be used for assessment of functional condition of patients with bronchial asthma under health resort medical rehabilitation.


2020 ◽  
Vol 20 (3) ◽  
pp. 139-145
Author(s):  
B Dyshko ◽  
V Mizin ◽  
V Ezhov ◽  
L Dudchenko

Aim. The paper aims to evaluate the effectiveness of respiratory training as part of a comprehensive spa and medical rehabilitation. Materials and methods. Studies were performed in 90 patients with bronchial asthma and 60 patients with chronic cerebral ischemia. During physical training, New Breath breathing simulators were used. The effectiveness of medical rehabilitation was evaluated according to the severity of impaired body functions related to the corresponding domains of the International Classification of Functioning, Disability and Health. Results. Under rehabilitation, the condition of patients in both groups improved significantly, systemic rehabilitation effects in the form of improved indicators of the blood system and its oxygen transport functions, as well as increased reserves for handling stress and other psychological demands were notified. Conclusion. The study suggests the inclusion of physical exercises with the New Breath simulator in the comprehensive rehabilitation of patients with chronic cerebral ischemia and obstructive diseases of the respiratory system.


The World Health Organization recommends that the International classification Of Functioning (ICF) be used to assess the structure, function, activity and participation of the body. As a rule, the assessment of the state of the body is carried out using scales, but a large number of them does not always allow specialists to understand each other. The creation of a unified system, which will collect various tools for assessing the patient's condition, will provide serious assistance in the work of members of a multidisciplinary team in the process of medical rehabilitation. This will help in the formulation of rehabilitation diagnosis and in more accurate determination of rehabilitation potential. The dimension of a number of generally accepted scales to describe disorders of the musculoskeletal system does not coincide with the categories of ICF. The paper attempts to eliminate this contradiction. When describing a number of disorders that affect the function of the musculoskeletal system and are traditionally used in orthopedics, the category other or not described can be used. In the presented system of evaluation are given equal-weighted scale with the dimension adopted in the ICF. This system can be used as a basis for the preparation of medical rehabilitation programs and evaluation of their effectiveness.


2019 ◽  
Vol 1 (2) ◽  
pp. 107-125
Author(s):  
M B Tsykunov

The World Health Organization recommends that the International classification Of Functioning (ICF) be used to assess the structure, function, activity and participation of the body. As a rule, the assessment of the state of the body is carried out using scales, but a large number of them does not always allow specialists to understand each other. The creation of a unified system, which will collect various tools for assessing the patient's condition, will provide serious assistance in the work of members of a multidisciplinary team in the process of medical rehabilitation. This will help in the formulation of rehabilitation diagnosis and in more accurate determination of rehabilitation potential. The dimension of a number of generally accepted scales to describe disorders of the musculoskeletal system does not coincide with the categories of ICF. The paper attempts to eliminate this contradiction. When describing a number of disorders that affect the function of the musculoskeletal system and are traditionally used in orthopedics, the category other or not described can be used. In the presented system of evaluation are given equal-weighted scale with the dimension adopted in the ICF. This system can be used as a basis for the preparation of medical rehabilitation programs and evaluation of their effectiveness.


Author(s):  
V. V. Afanasyeva ◽  
A. A. Potapchuk ◽  
N. V. Chernysh

The objective was to determine the most significant categories of ICF that allow us to provide objective information about the biopsychosocial state of patients who have suffered a new coronavirus infection COVID-19 and to choose the most effective methods of rehabilitation based on the rehabilitation diagnosis of each group of patients.Methods and materials. On the basis of the clinic of the Pavlov University, a course of medical rehabilitation was conducted for 2 weeks for patients who had suffered a new coronavirus infection in severe and moderate degree of course. 2 groups were formed: EG1-25 people participating in the rehabilitation program with the use of physical exercises and EG2 — 39 people with the use of physical exercises and physiotherapy. A categorical rehabilitation profile of patients by ICF domains was compiled.Results. As a result of the application of the medical rehabilitation program, a statistically significant improvement in the indicators in EG 2 was revealed. The respiratory function (the Barbell test) improved by 14.6%, the functional state of the cardiovascular system according to the DBP indicator by 3.9%. The analysis of the results of the ICF category «activity and participation» revealed a statistically significant improvement in the motor test parameters (6MSHT) in both groups: by 11.9 % in EG2 and by 20.6 % in EG1.Conclusions. The results of the study indicate the positive impact of the proposed program of medical rehabilitation and confirm the relevance of the problem, unsolved problems and prospects for scientific research on this topic.


2019 ◽  
Vol 26 (2) ◽  
pp. 37-42
Author(s):  
M. B Tsykunov

In accordance with the recommendations of the World Health Organization, the categories listed in the International Classification of Functioning (ICF) should be used to assess the structure, function, activity and participation. In recent years, the assessment of the state of the body is no longer possible without the use of scales, but a large number of them do not always allow specialists to understand each other. The creation of a unified system, which will collect various tools for assessing the patient’s condition, will provide serious assistance in the work of members of a multidisciplinary team in the process of medical rehabilitation. In addition, it will help in the formulation of rehabilitation diagnosis and in more accurate determination of rehabilitation potential. The dimension of a number of generally accepted scales to describe disorders of the musculoskeletal system does not coincide with the categories of ICF. This paper attempts to eliminate this contradiction. To describe a number of disorders that affect the function of the musculoskeletal system and are traditionally used in orthopedics, the category other or not described can be used. In the presented system of evaluation are given equal-weighted scale with the dimension adopted in the ICF. This system can be used as a basis for the preparation of medical rehabilitation programs and evaluation of their effectiveness.


Author(s):  
Sergey M. Milyutin ◽  
L. A Karasayeva ◽  
A. A Spikina ◽  
D. T Valiakhmetova

The article analyzes the progress and results of activity of medical-rehabilitation Department, created by reorganization of Department of medical-labor rehabilitation, in the situation of upgrading of the system of rehabilitation strategies. On the basis of categories of the International classification of functioning (ICF) updated the factors of the increase and established an analysis of the dynamics of adaptive activity of the mentally ill patients in the process of implementation of rehabilitation measures, with an emphasis on modified forms of interpersonal interaction. There were illustrated: a method of rehabilitative community led by the Council ofpatients, and involvement in the rehabilitation system of interpersonal interaction not only ofpsychiatrists, psychotherapists, psychologists, but nurses and other medical staff. Results of medical rehabilitation are shown to be optimized due to the emergence of new conditions and prerequisites for the increase in adaptive activity of patients in the rehabilitation center as part of their adaptation to everyday available, «micro-social» environment.


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