ABSTRACT
The authors summarized literature sources, concerning modern ideas about the role of nutritional therapy in the system of health-resort treatment. The authors also made a research on the basis of literature, concerning health-resort nutrition divided into two systems-- buffet system and special-order system. On the basis of sanatorium establishments of the Ministry of Defense authors summarized an experience of clinical nutrition in different age groups and categories of patients. On the basis of current regulatory acts were defined forms and methods of meal catering in the Russian Federation. The results of the study are a scientific supposition for substantiation of management decision-making process, which allows to increase an efficiency of health-resort treatment via nutrition therapy.
Subject(s)
Diet Therapy , Health Resorts/standards , Military Medicine/methods , Nutrition Policy , Diet Therapy/methods , Diet Therapy/standards , Government Regulation , Health Resorts/legislation & jurisprudence , Humans , Military Medicine/legislation & jurisprudence , Military Medicine/standards , Military Personnel , Patient Satisfaction , RussiaABSTRACT
The 53 patients with chronic renocardiac syndrome, with hypertension in chronic kidney disease, were investigated. In the presence of chronic renal failure there is a decrease of cholesterol in the membrane, which is the basis for the violation liquid characteristics of cell membranes. Changes in the exchange of phospholipids and an increase in the exchange rate reflect increasing phosphatidylcholine lipid peroxidation, increasing in chronic renal failure. The degradation of cell membranes reflects a compensatory accumulation in these fractions of phosphatidylcholine, a major component of the outer layer of biomembranes. Regardless of the degree of renal dysfunction and clinical manifestations of the disease in the membranes of platelets accumulate lizoform phospholipids, indicating a strengthening of the processes of lipid peroxidation and accumulation of biologically active substances, which have membrane-destructive activity.
Subject(s)
Cardio-Renal Syndrome/blood , Erythrocyte Membrane/chemistry , Hypertension/blood , Adolescent , Adult , Biological Transport , Cardio-Renal Syndrome/pathology , Case-Control Studies , Cholesterol/analysis , Cholesterol/metabolism , Chronic Disease , Erythrocyte Membrane/pathology , Fatty Acids, Nonesterified/analysis , Fatty Acids, Nonesterified/metabolism , Female , Humans , Hypertension/pathology , Lipid Peroxidation , Male , Membrane Fluidity , Middle Aged , Phospholipids/analysis , Phospholipids/metabolism , Triglycerides/analysis , Triglycerides/metabolismABSTRACT
A comparative evaluation was done of frequency and severity of upper gastrointestinal mucosal lesions in patients taking nonsteroid antiinflammatory drugs (NSAID) and glucocorticosteroids (GCS). A total of 65 rheumatic patients examined endoscopically entered the study. The patients were divided into three groups. Group I comprised 12 patients placed on GCS only, group II was 35 patients on NSAID, group III was 18 patients who received NSAID plus GCS. Gastropathies were diagnosed in 25%, 45.7%, 44.4% of patients in groups I, II, and III respectively. Group II patients had a higher incidence of serious afflictions. As far as the gastrointestinal mucosa is concerned, GCS have been shown to be superior to NSAID. A combined use of NSAID + GCS, unlike NSAID alone, has not been found to increase the risk of development of gastropathy.
