On the Quality of Providing Rehabilitation Care in Sanatorium and Health Resort and Health-Improving Institutions in Kyrgyzstan

The article is devoted to the analysis of the activity of rendering rehabilitation aid to the population of Kyrgyzstan in the sanatorium and resort conditions. In the course of work, the basic elements of management of the quality system of this service are covered.

Properties of Particulate Matter in the Air of the Wieliczka Salt Mine and Related Health Benefits for Tourists

This study aimed to evaluate the mass concentration of size-resolved (PM1, PM2.5, PM4, PM10, PM100) particulate matter (PM) in the Wieliczka Salt Mine located in southern Poland, compare them with the concentrations of the same PM fractions in the atmospheric air, and estimate the dose of dry salt aerosol inhaled by the mine visitors. Measurements were conducted for 2 hours a day, simultaneously inside (tourist route, passage to the health resort, health resort) and outside the mine (duty-room), for three days in the summer of 2017 using DustTrak DRX devices (optical method). The highest average PM concentrations were recorded on the tourist route (54–81 µg/m3), while the lowest was in the passage to the health resort (49–62 µg/m3). At the same time, the mean outdoor PM concentrations were 14–20 µg/m3. Fine particles constituting the majority of PM mass (68–80%) in the mine originated from internal sources, while the presence of coarse particles was associated with tourist traffic. High PM deposition factors in the respiratory tract of children and adults estimated for particular mine chambers (0.58–0.70), the predominance of respirable particles in PM mass, and the high content of NaCl in PM composition indicate high health benefits for mine visitors.

The Use of Bioacoustic Stimulation of the Respiratory System in Complex Medical Rehabilitation at a Health Resort Facility for Patients who have had COVID-associated Pneumonia

BACKGROUND: In the context of the COVID-19 pandemic, the relevance of rehabilitation measures for patients with COVID-associated pneumonia has increased. AIM: The study aimed to review the effect of bioacoustic stimulation of the respiratory system (BSRS) with high-intensity low-frequency sounds on the dynamics of functional indicators of the respiratory system and the cardiovascular system, as well as indicators of psychoemotional and somatic states, the severity of post-traumatic stress disorders (PTSD) and cognitive capabilities in patients who have had COVID-associated pneumonia in the process of their medical rehabilitation at a health resort immediately after treatment of the disease in a hospital. MATERIALS AND METHODS: The randomized controlled open parallel prospective clinical study involved 28 patients undergoing medical rehabilitation after suffering moderate to severe COVID-19 complicated by community-acquired bilateral polysegmental pneumonia (COVID-associated pneumonia) of moderate to severe severity. Spirometry, pulse oximetry, compression oscillometry, bioelectrography, Mississippi Scale (civil version), and cognitive speed test were used to assess the functional parameters of the respiratory and cardiovascular systems, as well as indicators of psychoemotional and somatic states, the intensity of PTSD and cognitive abilities of patients before and after the course of rehabilitation measures. RESULTS: According to significant differences in changes in the indexes of external respiration, cardiac activity, psychological status, and the intensity of PTSD in patients of the main and control groups before and after a course of rehabilitation measures, it has been reliably established that the use of BSRS as a part of a complex of rehabilitation measures significantly increases the effectiveness of medical rehabilitation at a health resort for patients after COVID-associated pneumonia. CONCLUSION: The possibility and feasibility of using medical technology of BSRS with high-intensity low-frequency sound in complex medical rehabilitation of patients after COVID-associated pneumonia at the health resort stage have been scientifically substantiated.

Competitive Matrix As a Platform for Forming Strategies for the Development of Health Resort Organizations

The article presents the results of a study on the competitiveness of health resort organizations. The article analyzes the trends in the development of this socially significant sphere, which made it possible to determine the vector of the state's social policy, comparing it with the stated goals of its implementation. The factors influencing the competitiveness of health resorts are identified. A general competitiveness matrix is constructed, including various sectors, which can be considered as a platform for strengthening the competitive advantages of health resort organizations.

A self-assessment methodology for improving the activity of a health resort based on the global model EFQM 2020.

Improving the quality of health resort services through effective management is one of the key tools to increase their competitiveness, which increases the demand, ensures year-round occupancy and increases their financial results. An independent assessment of the management system in a health resort and the publication of the results build the trust of guests as well as authorities and investors, which contributes to attracting investment in the resort and its sustainable development. Purpose of the study. This study develops a methodology for managing changes in accordance with standardized international criteria to improve the results and ensure the development of a health resort. Materials and methods. An express self-assessment of the health resort's management system was carried out by means of a questionnaire, which reveals the development level according to the most effective approaches within each criterion of the global model EFQM 2020. These criteria emphasize consumer priorities, sustainable values, the satisfaction of stakeholder needs, and the environment. The approaches characterizing the health resort’s activity, help to estimate the level of its maturity in accordance with the principles of sustainable development. The results were used to plan improvements in the health resort's operations. In comparison with the results of past self-assessments, these results record the current state of the management system and demonstrate the levels of development and tendencies in work practices, showing possibilities for the development of the resort. To assess the activities of the health resort organization for each element of the model, four options for assessing the levels of maturity were selected. Conclusions. Express self-assessment gives a rapid assessment of the activities of health resorts based on the questionnaire and information supplied verbally. The results can be obtained within one day and can represent graphically the evaluation profile of the health resort. The method can be used in any health resort, regardless of its organization, ownership, or medical specialization. Indirectly, the methodology develops patient- and risk-oriented thinking among management, which forms a culture of quality and innovation in the health resort itself and in the professional community of organizations in order to contribute to the growth and prosperity of the spa industry in Russia as a whole. Improving the methodology of express self-assessment includes clarifying and adding statements to the questionnaire in relation to the best management practices of health resorts, new goals, objectives, and business technologies, as well as challenges at the regional and global levels.

Weather dependence of medical rehabilitation efficiency in patients with ischemic heart disease on the resort of the South Coast of Crimea

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.

Nadzór nad lecznictwem uzdrowiskowym ze szczególnym uwzględnieniem czynności kontrolno-nadzorczych nad zakładami lecznictwa uzdrowiskowego

Spa treatment, which constitutes an integral part of health care, is an organized activity consisting in providing health care services in the field of spa treatment or spa rehabilitation carried out in a spa by spa treatment facilities. In order to ensure the proper and efficient operation of this form of treatment in specially adapted facilities that are medical entities, this treatment is subject to professional supervision. Supervision over health resort treatment entails the control and evaluation of health resort treatment carried out in health resort treatment establishments. This issue is regulated primarily in the Act of 28 July 2005 on spa treatment, health resorts and health resort protection areas and in health resort communes, as well as in the Act of 15 April 2011 on medical activity. The study contains an analysis and evaluation of the legal regulations concerning the supervision of spa treatment. It discusses the basic terms related to spa issues and presents some concepts of control and supervision in terms of the doctrine. Spa supervision is characterized by specific regulations and the degree of complexity. This applies to individual issues that allow the reconstruction of the essence of supervision. These are the supervisory authorities, subject of supervision, the supervised entities, criteria and scope of supervision exercised and legal means of supervision. The authorities supervising the health resort treatment include the Minister of Health, the Voivode, the Minister of National Defense and the Minister of the Interior. In this article, in the analysis of the scope of his competences and control and supervisory powers great attention is paid to the Minister of Health as the central body of government administration in the field of matters belonging to the department of health administration managed by him. Due to the specific nature of supervision of this treatment carried out in the voivodeship, the legal position of the chief physician of the health resort, with whose help the voivode exercises this supervision, was analyzed. Since spa treatment is carried out in spa facilities in a health resort, the study contains the problem of separate control procedurescarried out in this area, within which special attention is paid to internal, management and ad hoc control.

Corporate Security in Tourism: The Example of Slovenia

Introduction. Tourism is part of the global security space and is the largest global industry with the highest levels of annual growth. In recent years, the issue of security has begun to significantly impact the development of tourism. This requires answers regarding the satisfaction of tourists from security, cultural, economic and sociological perspectives. Material and Methods. Our research problem is aimed at corporate security in health resorts (one of the conditions for establishing a health resort is e.g. the surrounding environment, natural mineral water), which differs from the security present in hotels or other tourist facilities. In order to achieve the purpose of this study, we developed a new theoretical model of corporate security in health resort tourism where we applied both a qualitative and quantitative paradigm in this research. In the qualitative part of this study, we collected data using the methods of document analysis and interviews and processed it in the software Atlas.ti. In the quantitative part, we collected data using a survey questionnaire and analysed the results using the SPSS software Results. The study will contribute an original theoretical model of corporate security in Slovenian health resort tourism to the treasure trove of knowledge and it will be possible to theoretically verify it and apply it in health resorts. Conclusions. In this way, we opened up the theoretical and practical dimensions of poorly researched field of security in Slovenian health resorts and, in doing so, contribute to the better understanding and improving of models of corporate security in health resort tourism.

BIOGRAPHY AND MEDICAL ACTIVITIES OF JOHN HARVEY KELLOGG IN THE FIELD OF PROMOTING A HEALTHY LIFESTYLE

It was discovered that John Harvey Kellogg, with the help and financial support of the White family, began studying to become a doctor at the age of fourteen and headed the Battle Creek Sanatorium at a young age, which under his leadership soon became a world-famous health resort. The publishing activity of Kellogg, who was able to raise the popularity of the magazine “Good Health”, repeatedly published his ideas and recommendations in the field of healthy living. Kellogg has repeatedly heard warnings from Ellen White about trying to separate the Sanatorium from the Seventh-day Adventist Church, namely to make the institution non-denominational without promoting Adventist religious ideas. An inventor, a surgeon, a promoter of a healthy lifestyle, a lecturer who has given about five thousand public speeches – these are just some of the things he has managed to do in his life.

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

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.