Vol 15, No 1 (2016)

The objective of the present study was to evaluate the influence of peloid therapy on the dynamics of clinical and hormonal characteristics of the women presenting with bacterial vaginosis (BV) and accompanying chronic inflammation of the small pelvis organs depending on the initial prolactin (PRL) level. A total of 186 women with this pathology underwent the examination under conditions of a spa and health resort facility for the elucidation of their clinical symptoms and parameters of hormonal regulation. The patients were divided into two groups. Group 1 was comprised of 128 women suffering from BV and having the normal PRL level. Group 2 consisted of 58 women with bacterial vaginosis in combination with hyperprolactinemia (HP). We undertook the dynamic assessment of the clinical and laboratory findings before and after peloid therapy given to the patients of both groups. It was shown that the application of the silt-sulfide therapeutic muds for the treatment of bacterial vaginosis in the women with the normal prolactin level facilitates the formation of positive clinical dynamics, modulates secretion of pituitary hormones, and stimulates the functional activity of both the adrenal glands and the ovaries. Peloid therapy of the women presenting with BV and HP caused the further aggravation of hormonal disbalance as a result of enhancement of the initial PRL level and discoordination of the hypophyseal-ovarian component of the hormonal regulation system; taken together, these effects thereby impaired the effectiveness of the treatment. The results of the study indicate that the level of prolactin can be used as a marker of the effectiveness of the spa and health resort-component of the combined treatment of gynecological diseases. It is concluded that the prescription of such treatment including peloid therapy to the women suffering from these pathologies must take into consideration the initial parameters of hormonal regulation and the presence of hyperprolactinemia.

This article is focused n the analysis of the influence of transcranial magnetic stimulation on the hormonal regulation of carbohydrate and lipid metabolism in the patients presenting with metabolic syndrome. It is shown that the transcranial application of a magnetic field stimulates sensitivity of the tissues to insulin and thereby facilitates the reduction of arterial pressure and optimization of lipid and glucose metabolism.

The development of the novel approaches to the enhancement of the effectiveness of the rehabilitative measures for the patients presenting with chronic cholecystitis in the combination with opistorchosis and dysfunction of the urinary bladder remains a serious challenge. The timely comprehensive non-medicamentous rehabilitation with the application of the chronobiologcal methods may be instrumental in the normalization of the functional state of the biliary system and the improvement of the characteristics of colloidal stability of bile with the simultaneous promotion of the adaptive capacities of the organism. Such rehabilitation is likely to increase the therapeutic effectiveness of the rehabilitative measures and reduce the risk of the progress of the disease and the development of complications.

The present study included 40 children presenting with acute hematogenic osteomyelitis and exacerbation of chronic osteomyelitis. It was shown that a course of laser therapy resulted in the positive dynamics of the inflammatory process, the improvement of blood circulation in the inflamed regions, stimulation of immunity, acceleration of the wound healing, and the reduction of the hospital stay by 3 or 4 days. Other beneficial effects of the treatment included the decreased duration of the severe and febrile conditions, alleviation of inflammation, normalization of the hematological status, and the increase of sensitivity of microflora to antibiotics.

This review was designed to characterize the current state-of-the-art of knee joint replacement prosthetics with respect to the cases of the amputation at the level between hip and knee. Various types of knee joint modules are compared. The clinical and biomechanical methods are described that are employed to evaluate the effectiveness of the movements of the disabled patients following the amputation at the level between hip and knee.