Vol 14, No 6 (2015)

The treatment of the patients presenting with bronchial asthma (BA) has the purpose of achieving the total control over the disease and improving the quality of the patients’ life. The objective of the present study was to elucidate the influence of hypoxically hypercapnic stimulation (HHS)and amplipulse therapy (APT) or their combination on the quality of life (QL)of the patients suffering from bronchial asthma. The study included 127 patients with BA examined before and 6 months after the spa and health resort-based treatment. The quality of life was estimated with the use of the MOS 36-Item Short-Form Health Survey questionnaire. HHS and APT procedures were carried out in combination with the comparable pharmacotherapeutic an balneotherapeutic treatment provided In the healthcare facilities located at the South Coast of Crimea (Yalta). It was shown that the application of hypoxically hypercapnic stimulation and amplipulse therapy, separately or in the combination, makes it possible to improve the quality of life of the patients suffering from bronchial asthma as demonstrated by their increased physical strength, viability, social activities, and psychic health as a whole. Moreover, such patients show more positive subjective attitude toward their own general health status. The most beneficial improvement of all characteristics of the quality of life was documented in the case of the combined application of hypoxically hypercapnic stimulation and amplipulse therapy. Specifically, the physical activity of the patients increased from 58.83 ± 18.44 to 76.12 ± 14.48 scores (p<0,05), the occurrence of the physical and psychic problems decreased as apparent from the increase of the relevant indices from 22.63 ± 24.66 to 56.24 ± 20.48 scores (p<0,001) and from 40.71 ± 31.00 to 59.63 ± 27.61 scores respectively (p<0,05), viability increased from 30.59 ± 12.22 to 53.48 ± 12.50 scores (p<0,001), social health and the general health statuts improved from 22.02 ± 10.86 to 57.7 ± 9.84 scores (p<0,001) and from 20.03 ± 9.67 to 53.56 ± 8.94 scores respectively (p<0,001). It is concluded that both separate and combined application of f hypoxically hypercapnic stimulation and amplipulse therapy as a component of the spa and health resort-based treatment improves the quality of life of the patients suffering from bronchial asthma. The effectiveness of the treatment is especially high when the two therapeutic modalities are used in the combination.

The present-day prevalence of psoriasis is characterized by the enhanced frequency of its torpid forms resistant to the treatment by the traditional methods and the ever growing occurrence of severe disease responsible for the significant deterioration of the patients’ quality of life and even incapacitation. The standard treatment of the patients presenting with severe forms of psoriasis resistant to the traditional therapeutic modalities includes the application of biological therapy. The use of the biological preparations produces, in the majority of cases, the beneficial effect. However, the development of the torpid process dictates the necessity of including cytostatic or immunosuppressive preparations in the therapeutic regimen. At the same time, this approach is undesirable in certain cases of the local pathological process because of an elevated risk of adverse side effects and the development of uncontrollable systemic immunosuppression. We report in this article the observations of three patients treated with ustekinumab, the biological preparation for systemic therapy. Isolated psoriatic patches torpid to the treatment persisted in these patients after the injection of ustekinumab on the 28th week. A session of photodynamic therapy (PDT) with the use of methyl aminolevulinic acid additionally prescribed to each patient resulted in positive dynamics of the cutaneous pathological process as apparent from the estimation of the values of the prevalence and severity indices of psoriasis, the size of the affected skin area, and characteristics of the patients’ quality of life. It is concluded that PTD may be recommended for the introduction in the system of treatment of psoriatic patients.

The importance of the development of the effective methods for the treatment of the patients presenting with chronic cholecystitis in combination with the opisthorchiasis arises from the fact that the functional disturbances in the biliferous system are responsible for destabilization of bile and the possible development of cholelithiasis. The timely beginning of the combined treatment including EHF-therapy promotes the improvement of indicators of the biochemical structure of bile with the normalization of its colloidal stability along with the simultaneous correction of the motor and evacuation function of the gallbladder and the enhancement of the adaptive resources of the organism. It ensures the high therapeutic effectiveness of the treatment without detriment to its tolerance.

This article describes the model of the emotional well-being of the interior ministry members in the system of mental health protection. The results of the analysis of the approaches to the maintenance of the emotional wellbeing and related phenomena (psychological well-being, psychic and personality health status) are presented. Special emphasis is laid on the characteristics of the emotional well-being in practically healthy subjects.

This review of the literature was designed to present the recent data on etiology and pathogenesis of psoriasis with special reference to the methods for the treatment of this pathology. Phototherapy is known to be of primary importance for the management of the patients presenting with this condition. Modern standards of the treatment of psoriasis envisage both the traditional ultraviolet therapeutic techniques and the innovative technologies with the use of laser and high-intensity radiation sources. Information concerning the effectiveness of the treatment of psoriasis in the children is presented.