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The present publication presents the available data concerning the mechanisms of the development of enhanced meteosensitivity in the patients presenting with chronic broncho-obstructive pulmonary pathology with special reference to the characteristics of the most important biotropic weather factors acting on the population of the Moscow region. The possibility is substantiated for the introduction of non-medicamental methods (such as gas-air sodium dioxide bathtubs, whole body bathtubs with the use of mitofen preparations, and interval hypoxic trainings) into the prophylactic programs designed to prevent weather-dependent exacerbations of the chronic obstructive pulmonary disease.

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The underwater shower massage and electrical stimulation were applied to treat 120 patients presenting with coronary heart disease. The estimation of the effectiveness of this treatment with the use of functional diagnostic methods revealed its psychocorrective effect manifested in the form of reduced frequency and duration of painful and painless angina seizures, restricted sympathetic influences on the heart as well as normalized sympathovagal balance, lipid status, antioxidative system, central and peripheral hemodynamics, improved systolic and diastolic function of the myocardium, enhanced tolerability of mental, emotional, and physical workload. The study allowed the predictors of the effectiveness of therapeutic and health-promoting measures to be identified.

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The results of the study on the influence of carbon dioxide baths differing in the total mineralization levels on the clinical course of hypertensive disease associated with coronary heart disease and on various functional systems of the body. The data obtained provide an insight into the role of salt concentrations (10 and 20 g/l) in carbon dioxide bath water (1.2 g/l) applied for the traditional treatment of the patients with hypertensive disease associated with concomitant coronary heart disease and musculoskeletal pathology. Highly mineralized bath water has a greater influence on the functional state of the cardiovascular system by causing a more pronounced decrease in peripheral vascular resistance and hypotensive effect. Baths with a salt concentration of 20 g/l markedly reduced pain and had anti-inflammatory effect in the patients with pathology of support and locomotor organs.

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The legal framework and the regulatory documents on which to base the development and activity of the medical spa in this country are practically absent which accounts for the necessity to analyse the global tendencies in this sphere. The authors review the literature data concerning the current trends in the development of health resort business and rehabilitative medicine and consider a new type of therapeutic and health-improving facilities known as "medical spa". The main aspects of the work of these centres with special reference to their therapeutic/preventive and organizational activities are discussed with due regard for the global experience and international practices in these fields.

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Modern concepts of the mechanism of therapeutic action of carbon dioxide are reviewed with special reference to its effects on the patients with different pathologies undergoing treatment with the use of carbon dioxide baths. Further prospects for practical application of this method are discussed.

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The scope of applications of spa-based water procedures have become considerably extended during the recent years; accordingly, the frequency of complications and accidents has increased. The present review considers the possible mechanisms underlying such complications and various factors promoting their development, such as the patients' age and chronic diseases, the use of pharmaceutical products affecting thermoregulation and cardiovascular function. Special attention is given to the influence of alcohol consumption on the frequency of complications, accidents, and sudden death associated with hyperthermal procedures, the possibility of infectious diseases and measures necessary for their prevention.

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This study investigated changes of systemic and intracardiac hemodynamics under effect of mud application at different temparatures (10, 20-24, and 36 degrees C) in patients with osteoarthrosis and concomitant hypertensive disease and coronary heart disease. It is concluded that combined treatment of this condition should include low-temperature peloidotherapy as a major component since it has the most beneficial effect on general and intracardiac hemodynamics.

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Optimal dose regimen for radon treatment in different diseases should be estimated with dose-effect curve in the range of a stimulating action of moderate doses. The range of therapeutic doses is situated on the ascending part of the resultant curve between minimal and maximal levels of the factor effect.

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Ninety-three patients with stages I-II essential hypertension treated with microwave electromagnetic fields (460 MHz) with collar exposure were studied. Microwave therapy was found to produce an antihypertensive effect in 74%, chiefly by lowering the increased cardiac output, to improve blood pressure responses to exercises, to make catecholamine excretion normal and coronary and cerebral circulation better.

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