Vol 5, No 1-2 (2002)

Alternative medicine includes most up-to-date recourses to provide medicals care to people, using information technology and other treatment methods such as acupuncture, adopted many centuries ago, and homeopathy, applied as early as above 2 centuries ago. Bio-information processes of a human organism serve the unique basis for such medical practice.

The results are presented on dynamic chemiluminescent examination of expired air condensate (EAC) in children suffering from bronchial asthma (BA) of different severity degree, using medical hemiluminometer HLM 1Ц-01 with the add-on device to detect chemiluminescent suppressors. The average index of chemiluminescent suppressors for EAC in children with BA in the bronchial attack period was 3.4-5.7 times higher and in post attack period - 1.6-2.9 times higher than in the time of remission. The results received have proved the application of chemiluminescent examination for EAC as a perspective method for dynamic BA management in children.

Voronezh State Medical Academy The issue of cross-infections in dentistry has been viewed. The material studied was based on 2160 investigations in bacterial environment of dental surgeries. Along with conclusions practical recommendations are given.

Legislative acts and regulations dealing with the issues of maternity and childhood have become the subject to analysis. It was concluded that the Government made every effort to develop legislative basis for reproductive health protection in population, for preservation of the gene pool of the nation.

Clinical course of cardiac insufficiency is determined by activation of neurohumoral systems. Neurohumoral activation leads to vegetative imbalance. Vegetative disorders play major role in cardio-vascular system diseases. The aim of the research is to study the indices of heart rate variability in patients with chronic cardiac insufficiency. 95 patients with chronic cardiac insufficiency were examined simultaneously with a control group of 20 healthy people without any cardio-vascular pathology. Patients with rheumatic heart diseases (associated aortic and combined mitral-aortic defects) were included into the research. Circulatory deficiency - I-II, functional class I - Ш. Vegetative status was assessed with the use of computer hardware complex “VARICARD”, evaluating 5 one-minute intervals (while conducting active tilt-test); initially - after the performance of traditional medicament treatment and later - in one month after the surgical correction of a defect. Baroreceptor sensitivity was increased after surgery. High indices of initial activity of parasympathetic nervous system prove that it was stimulated by drugs, used in the long-term treatment of chronic cardiac insufficiency (inhibitors of angiotensin transforming ferment, β-blockers, cardiac glycosides) and that cardiac insufficiency sickness rate is comparatively low.

СR has been examined in 114 pregnant women with gestation period 37 to 40 weeks; among them there were 30 women having physiological pregnancy course, 84 - having late pregnancy gestoses of different severity degree. The examination was done with the use of computer-software complex «Control», consisting of the rhythmograph connected to PC and the software, assisting to make statistical, auto-correlation and spectral analysis of the rhythmograph images. ВРС was analyzed in the state of rest and during the test performance for active orthostatic sign. In the state of rest, as gestosis grew worse, the evident increase of systolic BP, diastolic BP, SI, LF and VLF was marked as well as the decrease of SDNN and RMSSD, which proved the rise of sympathetic influence. During the test performance for active orthostatic sign, in physiological pregnancy there was a tendency to decrease sympathetic influence, which was expressed in the decrease of SI, JC, VLF and L/H and the increase of RMSSD and SDNN. In pregnancy gestosis high level of sympathicotonia still remained. СR has been studied in 114 pregnant women, 30 of them had physiological gestation course, and 84 had gestosis of different severity. Severity of nephropathy was determined following recommendations of the RF Ministry of Health, of 1999 (Savelieva G.M.) ВПС was examined with the use of computer-software complex «Control», consisting of the rhythmograph connected to СR and the software. Statistical, auto-correlation and spectral analysis of the rhythmograph images was made in the state of rest and during the test performance for active orthostatic sign. The most significant parameters were selected: systolic BP, diastolic BP, VLF, LF, TP and AM0, regression linear models were received for space parameters Y in the state of rest and in upright position during pregnancy and after delivery. The test for adequacy of models proved them to be equivalent.

The results of patient treatment, undergoing rehabilitation, health improvement and follow-up care in health resorts of the Region, have certain direct and close relations to provision of population with registered nurses (r=+0,84), provision of population with hospital beds (r=+1,00), to specific amount of expenditures spent on temporary disability benefits (in % to insurance payments charged) (r=+0,97), to the total amount of assignments, received from various sources on the work of health resorts of the Region (r=-0,90). The results of patient treatment in health resort facilities, qualified as “improving” in medical reports, have close and direct relations with costs on privileged provision with drugs (r=+0,80), close feedback with the total amount of funds, provided by ТFOMS to cover health care expenses of the population per year. The results of patient treatment in local health resort facilities are not associated with the resource provision for health resort establishments of the Kemerovo Region.

The issues of correction of rheological disorder by means of extracorporal fotohemotherapy have been considered. The actions of major devices for quantum blood treatment used in the clinic were compared: membrane-acting and rheological. It was argued that the methods of ultraviolet, laser and red luminescent irradiation of blood were highly efficient in patients with hemorheological disorder syndrome. The preference has been given to the new device for extracorporal fotohemotherapy

The data received have proved that nowadays in the system of preventive and early diagnostic measures for hepatic diseases and sicknesses of bile-excreting tracts ultrasonic scanning seem irreplaceable as far as the detection of various asymptomatic pathological changes is concerned. Sonographic diagnostic findings play most often a definite role in the choice of methods for further patient treatment, its timeliness and adequacy serves the basis for favorable outcome of various clinical collisions.

It was observed that the results of Lusher test of color choices have had weak correlation with the psycho-physiological characteristics of emotional stress: heart rate, the Spielberg level of situational anxiety and results of SAM inquirer (state of health-activity-mood). As a result of this, some doubts are cast upon the appropriateness of use of so-called “vegetative coefficient” and “standard deviation” of color choices for measurements of psycho-physiological state of those under test both at normal conditions and at stress.

The work of the home wards, arranged by the pediatric outpatient hospital has been analyzed. It was noted that efficiency of the medical staff work increased, financial potential was saved with the preservation of quntative and qualitative indices of population health.