Vol 18, No 1 (2019)

The purpose of the study is to substantiate the use of dynamic electronic neurostimulation as a means of preventing broncho-pulmonary complications with children of the first year of life with congenital heart disease in the early postoperative period.

Material and methods. There have been observed 82 children operated on congenital heart disease at an average age of 7.6 ± 2.0 months old. By simple randomization, the patients were divided into two groups. Children who received the dynamic electronic neurostimulation procedure from the first day against the background of basic drug therapy were in the 1st group (40 people). The 2nd group (42 people) included patients who were treated only with basic medication.

Results. The result analysis of the study showed a statistically significant effect in the use of dynamic electronic neurostimulation compared to the control group. By evaluating the length of the patient’s stay in hospital after the operative treatment, significant differences have also been obtained. Thus, the patients in the control group stayed in the unit for an average of 14.6 ± 0.3 days, while the patients in the group where dynamic electronic neurostimulation was used in combination with basic therapy had a hospitalization period of 13.4 ± 0.4 days (p < 0.05). The use of DENS allowed to reduce the frequency of complications associated with the bronchopulmonary system starting from 3–4 days of the postoperative period. Thus, in the control group, 5 (11%) children showed pneumonia, 13 (30%) showed atelectasis or dystelectasis, 23 (55%) showed tracheobronchitis, while in the main group — 2 (5%), 6 (15%) and 11 (27.5%) children, respectively.

Conclusion. The obtained results of the work show the expediency of including dynamic electronic neurostimulation in the complex of medical and rehabilitation measures in early post-operative period with infants suffering from congenital heart disease.

Materials and methods. 22 patients with fibromyalgia symptom complex were studied. The treatment proposed by the Protocol therapy skin triggers the back botulinum neurotoxin in very low doses.

The results of the study revealed a pronounced clinical efficacy of Botulinum neurotoxin A on the daily functioning of patients and their psycho-emotional status: normalization of sleep, reduced fatigue, a marked reduction in psychovegetative disorders and the absence of pain manifestations, as well as a decrease in the tendency to edema.

Introduction. In clinics, hospitals, public and private hospitals, it is necessary to ensure that documentation meets all the requirements of the industry regulator. Registration, maintenance, systematization, storage of medical documentation is a specific and difficult task, it serves as a means of proving the conduct of medical, diagnostic and other specialized procedures. Medical documents serve as a tool for monitoring the quality of medical services provided, confirming the fact of assistance and revealing its essence.

The goal is to conduct internal quality control of medical documentation and develop a set of measures to improve quality control of medical care.

Methods. The research uses statistical methods of data processing (calculation of shares, average) and analysis of literature data .

Conclusion. As one of the main indicators of the effectiveness of the chief physician, it is necessary to consider quality control of medical documentation, the most complete registration of it by specialists of the clinic and regular training of clinicians.

The article presents the data of clinical and experimental research of Russian and foreign scientists on the use of polychrome polarized incoherent radiation in clinical practice and the rationale for its use in gynecology.

At the present stage of development and practical application of acupuncture, we are faced with an unusual phenomenon. It lies in the fact that the doctor is involved in reflexology, reveals the nature of the lesions of certain organs with the help of modern methods of diagnostics, which are very different from the Oriental. But on the other hand, the treatment of acupuncture is not very far removed from the level and approaches of the ancient doctors, and the doctors at this stage used the combination of acupuncture points which have been tested by thousand-year practice. This leads to the complexity of the treatment of acupuncture. The author’s experience of developing the plan and building an acupuncture prescription based on a modular systematization of acupuncture points. This will allow the doctor to plan treatment for virtually any patient. To avoid mistakes, a template approach is necessary: to evaluate the functional condition of the meridians and acupuncture points, to understand the causes of these violations, form of acupuncture diagnosis on the basis of leading etiopathogenetic mechanism, to develop the baseline treatment. Professionals not proficient in pulse diagnosis, we propose to use prestazioni diagnostics, which allows to evaluate and analyze the effectiveness of reflexotherapy, to adjust the treatment process. In the cycle of U-sin to evaluate the functional state of meridians, to choose the correct technique irritation of acupuncture points.

Medical technology consists in the complex application of natural (drinking mineral water and mineral baths) and preformed (magnetotherapy to the liver and right hypochondrium) physical factors in the rehabilitation treatment of patients in the early stages after removal of the gallbladder. The technology improves the efficiency of treatment by correcting impaired digestion and energy metabolism in patients with a removed gallbladder in the new anatomical and physiological conditions that have developed after the operation. The technology is intended for physicians of restorative medicine, gastroenterologists, balneologists and physiotherapists of health resorts and other medical institutions.