Видання іноземною мовою. Кафедра фізичної реабілітації, спортивної медицини та фізичного виховання

Peloidogenesis in modern conditions of climate change and anthropogenic impact: long-term studies of the Kuyalnik estuary

2025-12-22T12:44:13Z

Peloidogenesis in modern conditions of climate change and anthropogenic impact: long-term studies of the Kuyalnik estuary Babov, K.; Tsurkan, O.; Plakida, A.; Arabadzhy, M.; Rusakova, M.; Pogrebniy, A. Estuaries and endorheic lakes are particularly vulnerable ecosystems whose existence depends on the balance of freshwater and seawater inflows, as well as climatic and anthropogenic factors. In the face of climate change and increasing economic pressure, their shallowing and degradation have become a key problem. The hydromineral base of the Kuyalnik estuary in the Black Sea consists of silt-sulfide peloids, representing a complex and dynamic system of interaction between the organomineral complex and sources of microbiota. In this regard, it became necessary to continually monitor the quality of the natural medicinal resources in the Kuyalnik estuary. The study of peloids after the release of Black Sea water made it possible to analyze the dynamics of changes in the physical, chemical, and microbiological indicators of peloids, their influence on the processes of peloidogenesis, evaluate the results of the measures taken, and create recommendations for further actions to preserve the unique properties of natural healing resources.

Functional independence measure in providing rehabilitation assistance to servicemen with combined injuries

2025-11-17T10:59:57Z

Functional independence measure in providing rehabilitation assistance to servicemen with combined injuries Plakida, A.; Balashova, I.; Gushcha, S.; Godziiev, M. Introduction and Purpose: In the structure of military injuries, the specific weight of multiple and combined wounds and injuries has increased significantly. Treatment of modern combat trauma cannot be separated from rehabilitation measures. Functional assessment tools are proposed to decide on the application of the rehabilitation route and the referral of a person who needs rehabilitation to the next stage of rehabilitation assistance. The Functional Independence Measure (FIM) is one of the methods of testing social and household skills, which is widely used in rehabilitation medicine and offers a unified system for determining a patient's independence. The study aimed to assess the possibility of using the functional independence scale (FIM) as an additional tool for evaluating the effectiveness of rehabilitating servicemen with combined injuries in the long term.

The use of mineral waters in rehabilitating patients with coronavirus disease – a review

2025-06-02T08:42:31Z

The use of mineral waters in rehabilitating patients with coronavirus disease – a review Babov, K.; Kysylevska, A.; Plakida, A.; Sierpińska, Lidia Elżbieta; Zabolotna, I.; Gushcha, S. The review aimed to consider evidence of the effectiveness of using mineral waters in the rehabilitation of patients who have had a coronavirus disease. Review Methods. The study was registered on PROSPERO (CRD42023438740). Relevant studies were systematically reviewed, based on randomized controlled trials with meta-analysis that included at least one group receiving mineral waters (MW). General scientific papers and regulatory documents on health care in Ukraine, including rehabilitation and resort resources, and rehabilitation protocols after the coronavirus disease, were also used for the analysis. Search for articles and other scientific works published in English and Ukrainian from 1994 to 5 February 2023, was conducted in the following databases: Pubmed, Web of Science, and Scopus. Dual data abstraction, quality assessment, and strength of evidence was also performeds. The results were evaluated of using various mineral waters in the rehabilitation of patients with complications of COVID-19 disease. Brief description of the state of knowledge. Most of the studies (28%) are devoted to the use of mineral waters for complications of the respiratory system. 12% of papers were devoted to the pathology of the musculoskeletal system, 10% to chronic fatigue (asthenia), anxiety-depressive, and other neuropsychiatric disorders, 9% to еру cardiovascular system, and 8% to dermatological problems. Summary. Differentiated use of balneotherapy, considering the composition of MW, temperature, and the frequency of their application, allows for increasing the effectiveness of rehabilitation of post-Covid-19 complications of various organs and systems of the body.

Application of platelet autocryolsate in the treatment of mine-blast wounds – case report

2025-06-02T07:02:35Z

Application of platelet autocryolsate in the treatment of mine-blast wounds – case report Tsepkolenko, V.; Barkovskyi, A.; Plakida, A.; Sierpińska, L.; Brodowicz-Król, M. Mine blast injuries are characterized by multiple blood vessel damage, as well as damage to nerve fibres, muscles and skin. Infection is an additional aggravating factor. One treatment method is cell therapy. A promising direction of this technique is platelet autocryolysate (PAC), an abiotechnological product based on the oligopeptides and growth factors obtained from the patient’s blood platelets. A patient was treated who had suffered a long-term non-healing mine blast wound of the soft tissues of the left leg. Two secondary surgical debridements were performed, followed by vacuum therapy. The inflammatory process intensified and was complicated by phlebothrombosis of the deep veins of the leg. After two applications of PAC, the wound size decreased, the discharge disappeared, and the wound surface was covered with a dry, loose crust, under which active epithelialization occurred. Using PAС has a positive therapeutic effect in treating long-term, non-healing blast wounds of the tissues.

Elective disciplines in the Otolaryngology cycle – a method for improving the applicant’s knowledge

2025-04-18T17:38:51Z

Elective disciplines in the Otolaryngology cycle – a method for improving the applicant’s knowledge Аndreev, O. V.; Tagunova, I. K.; Gushcha, S. G.; Plakida, O. L.; Ivchenko, N. A. Family practice physicians often encounter recurrent upper respiratory tract pathology. The physician's training involves mastering a course in otolaryngology. Still, this course lacks the necessary detailing concerning age-related features of various structures of the upper respiratory tract, congenital pathology in children, and interdisciplinary issues. The topics of selective disciplines are devoted to detailing highly specialized issues. Elective disciplines in the Otorhinolaryngology cycle are chosen not only by students - future otolaryngologists but also by potential doctors of family medicine, therapy, and pediatrics since the prevalence of ENT pathology among therapeutic and pediatric patients is very high. Therefore, introducing elective disciplines for applicants' interest and practicing doctors of related specialties, forming their professional level, is fully justified

Comparative assessment of Barthel index and functional independence measure in providing rehabilitation care for military personnel with combined injuries

2025-03-04T08:34:34Z

Comparative assessment of Barthel index and functional independence measure in providing rehabilitation care for military personnel with combined injuries Babov, K.; Plakida, A.; Balashova, I.; Zabolotna, I.; Gushcha, S.; Bobylov, D. In the structure of military traumatism, the number of multiple and combined wounds and injuries has increased significantly due to the expansion in the destructive properties of modern weapons. Establishing the correct rehabilitation diagnosis and subsequent stage-by-stage assessment of the results of rehabilitation therapy should be based on adequate functional assessment tools. The Barthel Index is the most widely used measure for assessing the ability to perform activities of daily living. However, recently, many authors have proposed using the Functional Independence Measure (FIM) for this purpose. Purpose. The study aims to investigate the possibility of using the Barthel Index and Functional Independence Measure to assess the effectiveness of rehabilitation of military personnel with combined injuries over a long period.

Monoaminergic neurotransmission activity modulation could activate the compensatory-adaptation capacities in conditions of experimental brain trauma

2025-09-08T08:52:05Z

Monoaminergic neurotransmission activity modulation could activate the compensatory-adaptation capacities in conditions of experimental brain trauma Vastyanov, R. S.; Stoyanov, O. M.; Dobrovolskyi, V. V.; Plakida, O. L.; Talalayev, K. O.; Babienko, V. V.; Stepanov, G. F.; Вастьянов, Р. С.; Стоянов, О. М.; Добровольський, В. В.; Плакіда, О. Л.; Талалаєв, К. О.; Бабієнко, В. В.; Степанов, Г. Ф. The purpose of the study was to evaluate the changes in motor and muscle activity in the dynamics of the post-traumatic period in conditions of serotonin-, dopamine- and noradrenergic neurotransmitter systems activity modulation. Experimental trials were performed on a model of brain trauma of medium severity. Prior to this, measures were taken to activate and suppress the activity of serotonin-, dopamine- and noradrenergic neurotransmitter systems in animals. The peculiarities of motor and muscle activity were determined 1, 7, 14, 21, 28 and 35 days after the brain trauma reproduction with rats’ activity of monoaminergic neurotransmitter systems modulation of rats, the features of motor and muscle activity were determined. The data obtained confirm the motor and muscle disorders development in rats with brain trauma medium severity starting from the 1st day till the 35th day of the post-traumatic period. The post-traumatic period is characterized by evident neurological deficits and motor and muscle disorders which are manifested by muscle weakness, the inability to keep and maintain a natural position, as well as the inability to perform synchronous coordinated movements. Revealed motor and muscle dysfunctions are persistent and have their maximal expression during the first 14 days of the post-traumatic period. Serotoninergic and dopaminergic neurotransmitter systems activation in rats with brain trauma causes the motor and muscle functions of the body restoration and normalization. The authors stressed that serotoninergic and dopaminergic neurotransmission pathogenetic importance in conditions of traumatic brain damage should be taken into account when compiling and determining the clinical efficacy of complex pathogenetic therapy schemes for patients with brain trauma. Метою дослідження було визначення зміни моторної та м’язової активності в динаміці посттравматичного періоду за умов модуляції активності серотонін-, дофамін- та норадренергічної нейромедіаторних систем. Експериментальні дослідження проводили на моделі черепно-мозкової травми середнього ступеня важкості. У тварин до цього були здійснені заходи по активації та пригніченню активності серотонін-, дофамін- та норадренергічної нейромедіаторних систем. Через 1, 7, 14, 21, 28 та 35 діб з моменту відтворення черепно-мозкової травми з модуляцією активності моноамінергічних нейромедіаторних систем щурів визначали особливості моторної та м’язової активності. Отримані дані підтверджують розвиток моторних та м’язових порушень, починаючи з 1-ї і до 35-ї доби посттравматичного періоду. Післятравматичний період характеризується вираженим неврологічним дефіцитом, моторними та м’язовими порушеннями, які проявляються м’язовою слабкістю, нездатністю приймати та утримувати природне положення, а також неспроможністю здійснювати синхронні координовані рухи. Відзначені моторні та м’язові дисфункції є стійкими та мають максимальне вираження протягом перших 14 діб посттравматичного періоду. У щурів після черепно-мозкової травми активація серотонінергічної та дофамінергічної нейромедіаторних систем спричиняють відновлення та нормалізацію функціонування моторної та м’язової функцій організму. Автори вважають, що висвітлене патогенетичне значення серотонінергічної та дофамінергічної нейротрансмісії за умов травматичного ураження мозку слід враховувати при складанні та визначенні клінічної ефективності лікувальних схем комплексної патогенетичної терапії хворих з черепно-мозковою травмою.

Application of haloinhalations at the sanatorium-resort stage of rehabilitation of patients after COVID-19

2024-07-25T08:07:49Z

Application of haloinhalations at the sanatorium-resort stage of rehabilitation of patients after COVID-19 Babov, K.; Polshchakova, T.; Plakida, A.; Gushcha, S.; Volyanska, V. After suffering from COVID-19, a large number of patients need respiratory rehabilitation. One of the methods of rehabilitation is inhalation with salt aerosols. Objective. Our work aimed to study the effectiveness of inhalations of a dry aerosol of salt precipitated from the mineral water of the “Teplitsa multidisciplinary sanatorium”, Transcarpathian region of Ukraine. Material and methods. 30 male patients were examined after suffering from COVID-19. We formed two groups of patients, control and main, 15 people each. Patients in the control group received inhalation with a dry aerosol of table salt of the “Aero-M-sol”. In contrast, patients in the main group received a course of inhalations with a dry aerosol of salt precipitated from the mineral water. Results and discussion. Under the influence of the rehabilitation complex in both groups, there is a performance improvement but significant changes are observed only in patients of the main group. The indicator Forced Vital Сapacity1 increased to the greatest extent, which after rehabilitation is significantly higher than in the control group (p<0.05). As a result, the Tiffeneau index significantly increases in the main group compared to the control group, reaching normal values. The main effect is associated with a decrease in obstructive complications of the respiratory tract as a result of a decrease in inflammation. The use of iodine-bromine brines (as in our case) for inhalation in the treatment of respiratory diseases has been proven to be effective, with systemic effects in the form of decreased IgE and increased IgA in the blood serum having been noticed. Conclusions. The use of haloinhalations with MW salts in the rehabilitation of patients after suffering from COVID-19 disease significantly improves the clinical condition of convalescents.

Application of mineral waters in the complex treatment of patients with gastroesophageal reflux disease

2024-06-11T09:45:28Z

Application of mineral waters in the complex treatment of patients with gastroesophageal reflux disease Dragomiretska, N. V.; Babov, K. D.; Gushcha, S. G.; Zabolotna, I. B.; Plakida, A. L.; Izha, A. N.; Babova, I. K.; Nasibullin, B. A.; Trubka, I. A. Gastroesophageal reflux disease (GERD) is one of the most common gastric pathologies. Recently, there has been a growing interest in the healing effects of mineral waters (MW). Ninety patients with GERD were under observation. The study used the following methods: anamnestic, clinical, studies of biochemical blood parameters, ultrasonographic studies of the digestive system, fibroesophagogastroduodenoscopy with intragastric pH-metric. After preliminary research, all patients were randomly divided into three groups of 30 people. The control group (group 1) who were prescribed a basic treatment complex-dietary and proton pump inhibitor group drugs. Patients of group 2 in addition to the standard course of treatment received boric highly mineralized bicarbonate sodium water. Patients of group 3 in addition to the basic therapy were prescribed an internal course treatment of highly mineralized sulfate-bicarbonate sodium-magnesium water. The use of the basic complex of treatment for a month in control group did not lead to a significant leveling of signs of dyspeptic and asthenic syndromes. The use of boron highly mineralized sodium bicarbonate water led to a significant leveling of signs of abdominal pain and dyspeptic syndromes, improvement of acid-forming function of the stomach, but no reliable dynamics were observed in eliminating signs of cytolytic, mesenchymal inflammatory and cholestatic syndromes. Application of highly mineralized sulfate-hydrocarbonate sodium magnesium water improves the elimination of dyspepsia and pain syndromes, normalization of the functional state of the liver. The obtained data confirm the prospects of using highly mineralized mineral waters in the complex treatment of GerD patients.

Functional food in complex rehabilitation of coronary hearts disease patients: gender differences

2024-06-11T09:06:19Z

Functional food in complex rehabilitation of coronary hearts disease patients: gender differences Plakida, A.; Yuschkovska, O. Cardiovascular diseases are the most prevalent and occupy first place in the structure of morbidity and mortality in developed countries. One of the promising directions of current research is the use of functional foods in complex rehabilitation. We observed 60 patients with cardiac heart disease at the stage of sanatorium rehabilitation.