International Union for Circumpolar Health
Ministry of Public Health and Social Development of RF
Russian Academy of Medical Sciences
Siberian Branch of Russian Academy of Medical Sciences
Siberian Branch of Russian Academy of Sciences
Medical Polar Fund “Science”
The Northern Forum


13 International Congress on Circumpolar Health
Gateway to the International Polar Year

NOVOSIBIRSK, RUSSIA June 12 -16, 2006 Proceedings ICCH13
The Absract Book

Abstracts


Environmental health

PROPHYLAXIS AND TREATMENT OF CHRONIC OBSTRUCTIVE RESPIRATORY DISEASES IN THE FAR NORTH

Lobanov A.A., Shustikov I.A.

State Scientific Research Institute on medical problems of the FAR North (Nadym)

In the severe environment of the Far North chronic obstructive respiratory diseases (CORD) progress rapidly. This fact demands not only the basic therapy but also the complex approach to the ethno-social peculiarities of the region.

Aim is to develop a complex of methods which serve as addition to basis therapy and act upon main parts of CORD pathogenesis. 206 persons, aged 54±12 years with CORD of mild and moderate degree were examined.

Dispersion of electrolysis Ag solution allows to create higher peak ion concentration on the bronchial mucosa and thus provides statistically significant (compared to placebo, p<0,05) increase of FEV1 and decrease of residual volume.

Dry aerosol “Neney”, which contains Ag ions impregnated into the NaCl lattice, reduces exacerbations in 6-month period more than twice and total period of exacerbations on 78% when compared to placebo. Dry aerosol “Serotetto”, which contains fine-dyspersated elements of metallic Ag, allows to deliver Ag right into inflammatory region, perform only 3 inhalation a week and reduce exacerbations in 3-month period up to 50% and total period of exacerbations on 62% when compared to placebo.

Dispersion of combined salt solution “Tynzyan”, which includes Ag, through ultrasound humidifier, leads to twice reduction of acute viral respiratory diseases morbidity in persons suffering CODP (in 3-month period).

For bronchial drainage correction portable oscillators were developed. “LAA-1” device, using the energy of expired air, generates complex mechanical vibration, which owing to unique (experimentally defined) form, extend through respiratory ways and have pronounced drainage effect which leads to increase in sputum discharge and increase in FEV1 and FVC.

Usage of “Musket” oscillator, which generates solitary, high-amplitude waves, leads to increase in sputum discharge in two thirds of CORD-patients.

Conclusion: The given methods are quite simple, effective and economical, can be used in out-patient departments in regions of the Far North.

Note. Abstracts are published in author's edition



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