Prevention of Meteopathic Reactions in Children with Bronchial Asthma in a Sanatorium

The problems of medical rehabilitation of children with bronchial asthma are relevant for the national health care due to the high prevalence of the disease in the child population and the possibility of disability. Currently, the role of weather factors in the development of meteopathic reactions in children suffering from bronchial asthma is increasing. Meteopathological reactions can be manifested by increased symptoms of the disease and ventilation disorders, as well as they reduce the effectiveness of rehabilitation measures. In this regard, research devoted to the development of methods for the prevention and correction of manifestations of weather dependence using natural and climatic factors is of particular interest. Aim. The study aimed to assess the bioclimatic potential of the resort of Gelendzhik city and to develop methods for the prevention of meteopathic reactions in children with bronchial asthma. Material and methods. The research was conducted on the basis of the SRC “Vulan” (Gelendzhik). Features of biotropic weather conditions influence and meteopathic reactions development were studied in 119 children with bronchial asthma aged 5 to 15 years. Microclimatic features of the Sanatorium “Vulan” territory were studied using an automated system of medical and meteorological weather forecasting. Methods of climate therapy included dosed sun and air baths, which were prescribed taking into account the severity of the disease and the degree of child’s adaptation to the climatic conditions of the sanatorium. Results and discussion. The study of the bioclimatic potential showed that the territory of the Sanatorium “Vulan” can be attributed to the resort area with a sparing effect of the climate on the child’s body and with favorable microclimatic conditions that allow to widely include all types of climatotherapy in treatment and rehabilitation programs. Against the background of the dosed climate therapy, the majority of children (82.1%) had decreased manifestations of increased weather sensitivity, improved respiratory function and increased indicators of the psychoemotional status of children with bronchial asthma. Conclusion. Improved and scientifically-based technologies for dosing of the climate-related procedures, which are included in the programs of sanatorium-resort treatment of children with bronchial asthma, can significantly reduce the frequency of weather-related reactions.

ADVERSE METEOROLOGICAL SITUATION AS A RISK FACTOR FOR CARDIOVASCULAR DISEASES

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.

Weather sensitivity associated with quality of life in patients with fibromyalgia

Background Fibromyalgia is characterized by chronic widespread pain, and more than half of patients with fibromyalgia report that weather-related variables aggravate their symptoms. However, the differences in actual symptoms have not been measured between those with and without weather sensitivity. The present study aimed to investigate whether weather sensitivity associated with the minimal clinically important difference values of quality of life in patients with fibromyalgia, between those with and without weather sensitivity. Methods Sixty-four consecutive outpatients with fibromyalgia on their first visit to our tertiary center were included. Weather sensitivity was measured using self-perceived symptoms. Pain intensity was measured using the 0–10 Numerical Rating Scale (NRS). Quality of life was measured using the Euro Quality of life-5 Dimensions-3 level (EQ-5D-3L) scale. The variables were subjected to univariable and multivariable analysis using the EQ-5D-3L scale. Results The mean age of the patients was 50 years. Forty-eight patients (75%) were women. The mean EQ-5D-3L score was 0.55. Thirty-seven patients (58%) reported weather sensitivity. In univariable analysis, the welfare recipient, weather sensitivity, and NRS values were associated with EQ-5D-3L scale scores. In multivariable analysis, NRS value and weather sensitivity were independently associated with EQ-5D-3L scale scores. The NRS and EQ-5D-3L scale scores were significantly worse in those with weather sensitivity than those without weather sensitivity. The difference in NRS values was less than 1.5 points between groups. The differences in EQ-5D-3L scale scores were 0.16 points between groups. Conclusions Weather sensitivity was significantly associated with quality of life in patients with fibromyalgia. There was an association with weather sensitivity and the minimal clinically important difference values of quality of life in patients with fibromyalgia. The presence of weather sensitivity could have a key role in the quality of life in patients with fibromyalgia.

Self-Reported Weather Sensitivity is Associated with Clinical Symptoms and Structural Abnormalities in Patients with Knee Osteoarthritis: A Cross-Sectional Study

Background Patients with knee osteoarthritis (KOA) often complain about clinical symptoms affected by weather-related factors. The purpose of the present study was to use cross-sectional analysis to determine whether weather sensitivity was associated with clinical symptoms, as well as structure abnormalities, in KOA patients.Methods Data from 80 participants were obtained from the Feng Hans Shi Effects on OA (FHS) study, an OA cohort study initiated in China in 2015. The weather sensitivity of each participant was determined by a self-reported questionnaire. The following measurements were used to assess clinical and biological outcomes: a visual analog scale (VAS) for pain; Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC); and blood levels of tumor necrosis factor α (TNF-α), interleukin 6 (IL-6), and interleukin 1(IL-1). Structural changes identified via magnetic resonance imaging (MRI) were also evaluated. Independent sample t-tests, chi-square tests, Fisher’s exact tests, Cochran-Armitage tests for linear trends, and binary linear regression were used to evaluate the clinical characteristics, biomarkers, WOMAC, and Whole-Organ Magnetic Resonance Imaging Score (WORMS) of weather-sensitive KOA patients and non-weather-sensitive KOA patients.Results Most of the KOA participants (57.5%) perceived the weather as affecting their knee-joint clinical symptoms. Through logistic regression analysis, the presence of weather sensitivity was found to increase the risk of KOA participants reporting higher levels of WOMAC pain scores [OR = 3.3 (95% CI: 1.1, 9.9), P > 0.032], functional scores [OR = 5.5 (95% CI: 1.8,16.8), P > 0.003], total scores [OR = 3.3 (95% CI: 1.1, 10.2), P = 0.034], WORMS cartilage scores [OR = 3.1 (95% CI: 1.1, 8.5), P < 0.027], and marrow abnormality scores [OR = 3.0 (95% CI: 1.1, 8.1), P > 0.029].Conclusions Weather-sensitive KOA patients were prone to show more serious clinical symptoms and structural abnormalities in their knee joints. Therefore, the existence of weather sensitivity may accelerate the progress of KOA.

MAIN DIRECTIONS OF PREVENTION OF INCREASED WEATHER SENSITIVITY AND TREATMENT OF WEATHER-DEPENDENT PATIENTS

Currently, and over the past decade, intensive research is being conducted in the field of organizational, preventive and therapeutic work with weather-sensitive and weather-dependent patients suffering from cardiovascular pathology. One of the most discussed issues in practical medicine is the application of climate conditions, with a fixed frequency and time of exposure. Conditions of influence of climatic factors, in some cases, can exceed the limits of the norm and, accordingly, have a pathological effect on the functional state of a person. Thus, we used data from statistically reliable results of 928 questionnaires processed and analyzed, reflecting the medical and social characteristics of patients with cardiovascular pathology. Direct results were evaluated by analyzing changes in the dynamics of indicators. According to a questionnaire survey, 62% of patients who have chronic diseases and seek medical help for diseases of the cardiovascular system believe that weather factors have a significant impact on their health. of the patients who do not have chronic diseases, 38% gave positive answers to the question about the weather sensitivity of their health. As part of the pilot project to create a system of long-term care for elderly and disabled citizens in the Voronezh region, patients are informed about the sources of obtaining specialized medical weather forecasts in the region; interaction between the parties is organized to conduct sanitary and educational work; medical examinations are organized and conducted; training sessions are organized for relatives of citizens who have lost the ability to self-service. Further organizational, preventive and therapeutic work with weather-sensitive and weather-dependent patients in the Voronezh region is characterized by an increase in the quality of medical care for patients with cardiovascular diseases.

PROTOTIPE KENDALI MODEL ATAP BERSIRIP OTOMATIS TERMONITORING UNTUK TEMPAT PENGERINGAN BERBASIS SMS GATEWAY DENGAN MODUL GSM(GPRS) SIM800L

Permasalahan utama dari proses penjemuran hasil panen pertanian dan proses permindahan hasil panen dari penjemuran ke tempat penyimpanan adalah kondisi cuaca. Kemajuan teknologi nirkabel (wireless) sangat mendukung sebagai sarana monitoring pada proses penjemuran hasil panen pertanian, salah satunya adalah teknologi GSM (Global System for Mobile Communications) yang murah dengan jangkauan luas serta media komunikasi dan sarana informasi yang real-time. Penelitian ini bertujuan merancang suatu sistem kendali model atap bersirip otomatis termonitor melalui handphone yang bisa mengendalikan buka atau tutup atap secara manual, dapat juga bekerja secara otomatis terus-menerus dengan membaca parameter-parameter kondisi lingkungan seperti cuaca hujan atau tidak, cuaca cerah tersinari matahari maupun suhu ruang yang disesuaikan >29o. Sistem dirancang menggunakan sensor hujan ( Weather Sensitivity Module ), sensor suhu DHT11, dan sensor cahaya LDR (Light Dependant Resistor) serta motor servo sebagai aktuator dengan menggunakan Arduino sebagai unit pengendali sistem. Sistem dirancang dengan kemampuan untuk menyesuaikan arah sinar matahari (tracking) dengan posisi sirip atap antara 110o,130o,145o dan 175o guna memaksimalkan panas sinar matahari pada proses penjemuran yang dilengkapi dengan modul GSM SIM800L untuk proses monitoring dan kontrol jarak jauh. Keberhasilan penelitian ini sangat bermanfaat di bidang pertanian khususnya penerapan teknologi hasil pertanian.