Eljanov Mikhail Mikhailovich (medial-m@mtu-net.com) number of personal computers (PCs) in health care constantly growing. Computer literate doctors also grows (on average), althoughmoreslowly than Hoth
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Melag General Provisions concepts of disinfection and sterilization have been known for long. This method neutralize or destroy microorganisms. What should I pay special attention when medical practitioner
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Lev V. Osipov Gennadiy Zhulev variety of models of devices for inhalation therapy obviously
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Installation of underwater spinal traction with automatic massage invention relates to medical science and technology and is designed for treatment and rehabilitation of patients with vertebral pathology. A method of treating Verte ardialgy (description of the invention to RF patent № RU 2125433, publ. 27/01/1999 city), which consists in the fact that carry traction lower-cervical and upper-thoracic spine and rotation him with further manipulation towards the preservation of normal volume movements, and then to the side of the blockade, then bend the lower-cervical and upper-thoracic departments in the supine position with a simultaneous rotation of the head at 90 degrees to restore the normal range of motion, followed by straightening the spine and rhythmic traction in the horizontal plane. By disadvantage of the method include pain during traction and rotation around the axis of the spine . Known device for spinal traction (a description of the patent of the Russian Federation № RU 2086221, publ. 10/08/1997), the containing the horizontal case, one section of which is formed casing that holds the loading module and the other section serves to accommodate the patient's hip are associated first flexible element with the specified module, a mixer to fill the bathtub with water, located on the casing, directional pad to accommodate the patient, located at the bottom of the bath, the head restraint to the patient, set on end of the field, most remote from the casing, axillary support for the patient, mounted in the zone sites shifted downward from the head restraint at the inner surface of the side walls baths are wrist supports patient and the loading module is designed as a motor rotation with an eccentric pulley, which secured the second flexible element, kinematically connecting it through intermediate pulley with the pulley of the compensating rod mounted possibility of longitudinal movement in the guide sleeve and the carrier distribution pulley, covered by said first flexible element associated with the hip belt to transfer the patient vibration loads during the rotation of eccentric pulley in the process of stretching the spine, and a group of intermediate pulleys with gear set of the load. disadvantage of these devices is the limited ability to perform chiropractic manipulation of the spine due to a horizontal position patient in the bath. The closest to the claimed method and apparatus are way, describing the operation of the device for underwater spinal traction (RF patent № RU 2138236, publ. 27/09/1999), and description of the design of the device. prototype method is that the patient shifted to a horizontal medical gurneys on lodgement, which is in a horizontal position, after which the patient's record breast bust, impose on it a pelvic belt with tension straps who connected via cable to a dynamometer. Then cradle the patient from horizontal to vertical translated, produced dose-loading of the spine patient tensile force. On completion of the course dose treatment of spine traction force is removed loading the spine and move the cradle to the patient in a horizontal original position. Patient shift to horizontal medical gurney and transported to the rest room. The disadvantage of this method is the monotony of the process that improves patient tension and reducing muscle relaxation, which reduces therapeutic effect of treatment. Device The prototype for the implementation of the method includes a desktop with elements fastening and fixing the patient and the drive is moving a table, a table made in the form L-shaped cradle, hinged on the counter, located on the curb pool with one hand, and associated with the steering wheel of the lifting mechanism on the other hand , and the lifting mechanism mounted on the side perpendicular to the curb cradle. disadvantage of this device is the limited functionality - lack of sites for underwater massage in conjunction with traction spine, and the lack of sites that allow for stretching cervical-thoracic spine. object of this invention is to improve the treatment of patients with vertebral pathology. This problem is solved as follows. In the known method consists in dosage of vertical underwater traction of the spine patient, located fixed breast bust in an upright position on cradle, extra time with the traction of the lumbar-thoracic spine produce traction cervical-thoracic spine, as perform paravertebral underwater massage, in which the movement massaging jets coincides with the direction of lymph flow to the massaged muscles part of the spinal column, and after the lifting cradle to a horizontal position on patient wear a certain time the shroud zone. proposed method is implemented device to treat patients with vertebral pathology containing desktop with fasteners and fixing the patient, hinged on the counter, located on the curb the pool and drive moving table, characterized in that in order to improve the effectiveness of treatment desktop equipped with a longitudinal guide, which is located on the possibility of longitudinal movement of cradle containing. posted by of the patient's head protasding above the plane of placing the patient console support, on which the belt tensioning dasm lifting breast bodice and suspension mounting headholder, and chest bodice has no other mechanical connection with the lodgment, and between the wall and the bath vertically located in the submerged lodgment posted mnogosoplovaya comb for underwater massage, which has two degrees of freedom and automatically moves the jet massaged the spine. analysis of existing methods of treating patients with vertebral pathology showed, that this method is unknown and is new. presence in the way of additional procedures - extension of a cervical-thoracic spine , scuba paravertebralngo pulsating massage, shroud belt use - testifies that the claimed method meets the criterion of "inventive step". held simultaneously with a pulsating underwater spinal traction paravertebral hydro reduces the negative effect of monotony process of stretching the spine, decreases tension and increases the degree of muscle relaxation spine as a result of increases therapeutic effect. held simultaneously with the traction of the lumbar-thoracic spine traction cervical-thoracic improves the efficiency of procedures, reduce the overall duration of treatment. Application shroud belt for some time after spinal traction you can fix the achieved effect release nerve roots, which also increases the efficiency of procedures. Experimental realization of the method and provide a positive therapeutic effect from the introduction of new procedures confirms possible applicability of the claimed solutions. presence in the constasction of new elements of the longitudinal rails desktop, which is located in with the possibility of longitudinal movement of cradle, cantilever support cradle with tension reel headholder his suspension, no rigid mechanical connection of breast bodice and a cradle, the presence of mnogosoplovoy comb for underwater massage, which are absent in prototype svidelstvuyut on inventive step of the claimed device. presence of precisely these new elements allows the device to implement additional function and efficiency of the treatment, so the claimed device complies with industrial applicability. device sold in the installation, constasction of which is described below. device comprises a cradle located in the longitudinal guides working table, hinged to curb reliance pool, Lift Cylinders desktop console rack cradle on which the fixed stretch dasms breast bodice and straps with headholder suspension, hip belt with loading system. Between the wall basin and the vertically positioned in submerged lodgment posted mnogosoplovaya comb system for underwater massage, which has two degrees of freedom and can automatically move the jet massaged the spine. Proposed method using this device is implemented as follows. patient with a horizontal shift on medical gurneys lodgement, contained in a horizontal position. After that, the patient wears chest bodice, waist belt, headholder. With the help of tensioners dasms regulated under the provision of breast bodice increase patient by a suspension regulated position headholder, hip belt connects loading system. After these procedures, lodgement with the patient is immersed in a pool of water temperature (Z6. .. 37) degrees Celsius by moving desktop upright, cradle and then moves vertically downward in guide table to position the patient's chin above the surface of the pool. After immersion patient to the desired level in the pool to the hip belt through the load system smoothly applied the recommended load. After load application included automatic underwater massage and mnogosoplovuyu combed through by an underwater massage muscles spinal column by moving the jet in the horizontal and vertical direction, coinciding with the direction of lymph flow to the massaged parts of the patient's body. spinal traction in the cervical-thoracic region carried out by application recommended loads through suspension headholder. After completing processes underwater massage and stretching cradle is translated into a horizontal position. Freeing the patient from infant bodice, waist and hip headholder, it shifted in a horizontal position on transport tascks to help dry off, put the shroud zone and within 30 minutes rest without tossing and turning. After a rest before the patient dresses and evening sleep does not remove the bandage belt. Method and apparatus are implemented in a sanatorium, where she was mounted installation and tested method. Volume of clinical observation - 325 patients of working age, among them with the pathology of lumbosacral localization - 261 patients, cervico-thoracic - 64. Patients with reflex tonic syndromes accounted for 62.4%, with radicular 37,6%. For treatment preceded by a mandatory X-ray study of the spine, and in some cases (24 cases) - a computer, or magnetic resonance imaging. The effectiveness of the claimed invention is supported by selective follow-up study - 77.4% patients within a year after treatment had no temporary disability, and the rest exacerbation of pathological process occurred less frequently and were less pronounced. In case of interest and any questions, please contact: Industrial Commercial Private Unitary Enterprise "Medic" Republic of Belaass, Orsha, st. Peace, 35. Representatives of the Russian Federation: George V. Soldatov, Dmitri Volkov Y., phone in St. Petersburg: (812) 915-71-26 Mailing address: 197342, Russia, C Petersburg, PO Box 162, Soldatov GV www.ptchup-medic.narod.com E-mail: email
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Paul Righteous Source: Internet magazine "Herald of endoscopy"
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