Densitometry and osteoporosis

What is osteoporosis?

This is a disease of the skeleton, which is expressed in a decrease in the density of bone tissue and, as a result, a decrease in its strength. Women are most susceptible to osteoporosis. Bone thinning in women begins at the age of 25 and accelerates significantly after menopause. Men are much less susceptible to osteoporosis. With osteoporosis, microarchitectonics is disrupted, the bone becomes thin and brittle. Osteoporosis is secretive and has no specific symptoms. Often a person learns about it after the fracture is received. The skeleton is deformed - the vertebrae are flattened, the spine is curved. Flattened vertebrae squeeze the roots of the spinal cord especially often in the lumbar region, which leads to back pain and limited mobility. Osteoporosis dramatically increases the likelihood of fractures. In those situations when a healthy person gets off with a minor bruise, a person suffering from osteoporosis risks being bedridden for a long time.

What is Densitometry?

Bone densitometry is used to determine the health of bones and exclude the risk of bone fractures. Early detection of osteoporosis allows you to take timely measures to prevent pathological fractures.

An ordinary X-ray allows you to determine osteoporosis "by eye" when 20-30% of the bone mass has already been lost. In the last two decades, highly effective devices for bone-densitometric studies have been developed, allowing to quantify bone losses and diagnose them at the early stages of osteoporosis with an accuracy of 2-5% in different parts of the skeleton.

X-ray methods of bone densitometry are based on measuring the density of the X-ray radiation flux passing through the bone tissue. A narrow and very low-power beam of X-rays is directed to the measured area of the bone and the intensity of the beam passed through the bone is recorded by the detector. The more the bone delays the flow of rays, the greater its density.

The radiation dose received by the patient during densitometry is very low-less than one tenth of the dose with standard chest radiography.

Who is shown densitometry?

  • Women, in the first few years after menopause (especially after ovarian removal);
  • All people who have two or more risk factors for osteoporosis;
  • All people who have had one or more fractures over the age of 40 years not related to serious accidents (car accident, fall from a great height, sports injuries);
  • People who have been taking glucocorticoid hormones (prednisone, hydrocortisone), thyroid hormones for a long time;
  • People who are suspected of osteoporosis during an X-ray examination of bones;
  • People receiving drug therapy for osteoporosis to monitor the effectiveness of treatment

How to prepare for densitometry?

Eat as usual, but stop taking calcium supplements at least a day before the examination. If you have recently undergone a barium examination or a computed tomography (CT) scan using a contrast agent or a radioisotope scan, tell your doctor about it. You may have to wait 10-14 days before doing a DEXA study. If there is the slightest chance that you are pregnant, tell your doctor about it.

How do they do densitometry?

Densitometry takes 10 -15 minutes. You will need to lie down on a table upholstered with a soft material, under which the radiation source is located. There is a sensor above the table.In the sanatorium" Krasno", the loss of bone density in the lumbar spine and in the upper part of the femur is being investigated. Most osteoporosis-related fractures occur in these areas.

What will I experience during densitometry?

You will not experience anything. A person does not have receptors that can respond to X-ray radiation. Moreover, it is as weak as in a densitometer. When you are on the table, you may be asked to maintain the set position for a short time while the device console moves above you, taking measurements. During the examination, you should try to maintain complete immobility so that the image is clear. The examination is painless, and the radiation dose is very low.

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Licorice tubs

Now scientists have been actively searching for new methods of healing based on natural components. Of particular interest are preparations of medicinal plants.

Relatively recently began to apply the foamy bath in which the foaming tool is used licorice root extract. Licorice is well known to physicians and pediatricians of the old school. Preparations of licorice root has long been prescribed for diseases of the respiratory tract in an effective and safe means. Despite the emergence of pharmacies new medicines, the decoction of licorice root is still recommended by many domestic manuals.

For making foam baths use a thick extract of licorice. It is obtained by aqueous extraction and subsequent thickening. Extract on kind of brown color, sweet taste. When shaking with water forms a dense stable foam. During the procedure, the foam causes a pleasant warmth, thus eliminating hydrostatic pressure inherent in conventional aqueous baths, are contraindicated for many patients suffering from cardiovascular diseases. Bubble bath sedative effect on the nervous system increased sweating, metabolic processes. Foam-licorice bath possess an immunomodulating action, in other words, the procedure normalizes the immune system. The skin after receiving a foam-Solodkova bath becomes soft and silky smooth .It is noticeable after the first time!

For the preparation of bubble baths used a thick extract of licorice. 40 - 50 ml of the drug dissolved in 45 l of water. The extract solution is poured into the tub, and places hollow grille for foaming. With the help of a compressor through reshotka air is supplied, beat the foam. The resulting foam fills the entire tub. The patient during the treatment lies on the grid, his skin comes into contact exclusively with foam.

Indications:

  • chronic fatigue Syndrome, neuroses of various origins.
  • Atopic and infectious-allergic bronchial asthma in the phase of damped recrudescence, remission, of chronic bronchitis.
  • hay fever in the period of exacerbation.
  • Chronic gastritis with preserved secretory function in all clinical stages of the disease.
  • a stomach Ulcer and 12 duodenal ulcer in the phase of damped recrudescence, remission.
  • atopic dermatitis occurring on their own without the constraints of the stage and complicated by pyoderma.
  • Chronic recurrent urticaria.

Contraindications:

  • cardiovascular Diseases in the decompensation stage.
  • Chronic diseases in the acute stage.
  • Pyoderma, erysipelas of the skin.
  • Pregnancy, acute uterine bleeding.
  • Cancer.

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A blood test for glycated hemoglobin

Our sanatorium constantly expands and improves the range of services. Now clinical diagnostic laboratory sanatorium can offer You to determine your level of glycated hemoglobin.

for a Long time, traditionally for the diagnosis of diabetes and assess the effectiveness of the treatment, the blood glucose was used as the only indicator. In the last decade, along with the study of blood sugar levels, widely used blood test for glycated hemoglobin, which allows you to track average glucose content in the blood plasma within the previous three months.

If your doctor has a suspicion of diabetes, this analysis needs to be done. It allows to identify diabetes in its early stages and begin treatment or to calm a person, if diabetes had not.

This important blood test is the most informative and convenient in comparison with a standard determination of the level of blood sugar. It is used to assess the quality of diabetes treatment for the preceding three months, which allows time to correct treatment and diet. This informative analysis is particularly relevant for doctors in our sanatorium, as it allows to trace the sugar level during the time that the camper was at home. And analysis to make recommendations for treatment and to adjust the visiting procedures of the sanatorium.

who says this test is optimal and necessary for follow up of patients with diabetes, who need to conduct a study of the level of glycated hemoglobin at regular intervals for 3 months.

in addition, this analysis has several advantages over the analysis of blood glucose and before the test on glucose tolerance. One of these advantages, it can be done at any time regardless of the meal, it is more efficiently and accurately allows to identify diabetes in its early stages allows doctors to understand how adequate hypoglycemic therapy was getting sick for the last 3 months and control your blood sugar levels.

Endocrinologist sanatorium pan'kova, S. S.

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Complex RedCord

Unique kinezioterapevticheskiye technology "of RedCord" is intended for the treatment of diseases of musculoskeletal system using techniques of neuromuscular activation.

Treatment consists of specially - selected exercises and techniques with the use of specialized hanging systems and gives a quick and lasting result in various diseases of the musculoskeletal system, the characteristic manifestations of which are:

  • lower back Pain (lumbalgia, sciatica).
  • neck Pain.
  • pain in the shoulders.
  • Different types of headaches.
  • "tennis elbow"/"computer" hand.
  • pain in the knee and ankle joints.
  • back Injury, neck, spine (from a sudden sharp movement).
  • pain in the region of the pelvic girdle.
  • Other diseases.

Studies have shown that immobility (lack of exercise) or pain can deactivate one or more muscles, forcing other muscles to compensate and become tense or paramtablename. This often leads to impaired mobility and pain.

the Newly developed technique of treatment by neuro - muscular activation of the muscles is aimed at stimulation of fully or partially deactivated muscles. Such treatment often causes immediate improvement in acute and chronic muscle pain in just one treatment.

exercises using unique methods and equipment is an effective way to train functional strength and prevention of injuries (traumas),used in medicine, fitness and world-class athletes around the world.

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About the dangers of Smoking

Tobacco was brought to Europe after Columbus discovery of America and then it spread around the world through trade. Today, according to the world Health Organization, one third of the world adult population smoke tobacco.

Tobacco smoke contains such a substance as nicotine it is a stimulant, which increases dopamine levels in the brain and causes euphoria in smokers. Nicotine temporarily relieves the feeling of anxiety that occurs when Smoking cessation for a short period of time. However, he does not reduce irritability in Smoking.

the Main part of nicotine neutralizes body, but even the remaining  parts is enough to induce somatic and psychological effects, and to dependence. In the works Benowitz and Henningfield it was found that the degree of physical dependence caused by a nicotine than caffeine and marijuana.

Numerous medical studies indicate a clear link Smoking with cancer, emphysema, diseases of the cardiovascular system and many other health problems. Tobacco is the second leading cause of death in the world. Life expectancy of smokers is less than 13 years than  non-smokers.

the Main negative impact in the body falls on the respiratory system. Tobacco smoke damages the respiratory epithelium, causing morning cough of the smoker,and leads to the development of bronchitis, chronic obstructive pulmonary disease, emphysema and cancer. In smokers the risk of developing active TB is increased by 2-4 times.

90% of deaths from lung cancer in men and 80 % in women caused by Smoking. Tobacco smoke is a strong carcinogen. It inhibits antitumor immunity. It is composed of substances are able to damage the DNA of cells that leads to malignancy. The main substances trigger the disease of lung cancer in smokers are considered as polonium, radon, nitrosamines and benzpyrene contained in the tar of tobacco.

it Should be noted that tobacco Smoking is dangerous not only for smokers themselves, but also for those around them. Increases the likelihood of lung cancer and breast cancer in passive smokers, increased risk of heart disease, asthma, miscarriages (in pregnant women) and other health problems.

All of the above - a reason to quit. Positive changes in quitting Smoking not long to wait:

  • after two hours, nicotine starts to leave the body;
  • twelve hours carbon monoxide from Smoking out of the body completely, the lungs begin to function better;
  • two days later, the smell and taste sensitivity will become more acute;
  • in seven to nine weeks of subtle olfactory channels will finally be cleared of resin and soot;
  • after three months the functioning of the circulatory system is improved;
  • three to nine months shortness of breath, cough and breathing problems become less pronounced, lung function increases by 10 %;
  • in five years the risk of myocardial infarction is two times less than in smokers.

as a conclusion, we note that modern research has shown that Smoking is a socially contagious phenomenon. It turned out that Smoking is easier to quit Smoking if quit Smoking one of his closest friends or relatives. Thus, the fight against Smoking is not only a problem to be solved by the smoker, but society as a whole.

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Lean manufacturing in the REGIONAL "Sanatorium "Krasivo"

Lean manufacturing is the elimination of any actions which consume resources but not create any value for the end user.

today, he has  lots of possibilities  for choice sanatorskaya services, it is becoming more and more demanding of the level of service quality. Given this, in our sanatorium, introduced new standards of appearance and behavior of health workers. Standards constitute the standards (rules) of conduct that provide ever-increasing culture of service, efficiency and high quality work (conscientiousness, discipline, responsibility, efficiency, humanity communication). The sanatorium staff should know the basics of professional ethics, to ensure high organization of labour and discipline. Professional ethics covers the following aspects of the behavior, as a conscientious attitude to their official duties, the aesthetic maintenance of the premises, safety of equipment and inventory, active organization and provision of high quality services, adherence to ethical standards and rules of conduct. High service culture assumes knowledge of employees skills of behavior in society, communication, culture, language, knowledge of the intricacies of professional etiquette.

the Foundation of lean manufacturing in the sanatorium  begins with the organization of your workplace on the system of "5 S". Often at the workplace of the doctor can meet a mountain of medical records, different forms and directions, which creates overcrowding and disorder. Poor workplace organization leads to wasted time. Found that  during a three-hour reception, doctor on average four times have to look for a lost medical document, medical card. In addition to the loss of working time, this circumstance is a cause of additional emotional stress to the doctor's and nurses, creates a negative atmosphere at the reception, affects the state of the diagnostic and treatment process. Desk doctor and nurses should be in the most lit part of the classroom, around the table, you must have a space allowing the free movement of doctors and medical sisters from table to any subject. The location of each object should be designed to minimize the cost of movement and to ensure compliance with aesthetic requirements in the design of the study. With workbench, you must remove all the excess.

this is a long-abandoned scrapbook outdated stickers. Should be addressed to the places of unnecessary documents. Be sure to wipe the dust off of tabletops. On the Desk in the office should not be that interferes with or clogs the space. All stationery should be tested for proper operation and then placed in a special drawer.  So thought the organization and maintenance of the workplace, its equipment and equipment subject to the requirements of economy and aesthetics, the rational layout of the Cabinet should be aimed at creating conditions for effective and qualitative work of a doctor and nurses, the leading reception.

One of the components of success of modern doctor and nurses – it is their appearance, it must meet the standards and rules established in the sanatorium. Uniforms health care worker emphasizes its formality, its affiliation to this company, which helps travelers easily find the representative of the sanatorium. All our workers carefully monitor the appearance, with the neatness and cleanliness of clothes and shoes. Every employee of our sanatorium wears a badge indicating the name of the medical organization, surname, name, patronymic, position of the employee. Clothing  all medical personnel has a classic style, office style business,  it is always clean, tidy, neutral and soothing colors.

Our health care workers comply with universal principles of ethics and deontology, do not discuss publicly their colleagues and give them negative ratings and characteristics. Well as in the performance of their duties, medical personnel know that the sole purpose of their implementation is the provision of medical care or services necessary rest, therefore, in the presence of tourists does not comment on his workload or time restriction, do not ignore the presence and questions of the patient, do not Express emotions about your well-being and the influence of the presence of the patient. Also at our resort it is unacceptable to use resting as an assistant in the process of providing medical care (for example, calling a vacationer from a queue to other guests, finding information in folders, test results, etc.), and leave the resting one in the office during your appointment, without sufficient reason.

To be successful in our sanatorium constantly created and maintained the team's positive attitude, we have decided to share with others professional success and achievements for their and their colleagues. In the sanatorium is not acceptable familiarity in communication between colleagues. During working hours in the presence of resting medical professionals communicate exclusively on the provision of medical care.

Another tool of lean manufacturing at our resort is  the "task Board" and 15 minute meeting. The "task Board" is a visualization tool that allows you to see the workload of specialists to identify bottlenecks in the work of departments and take timely corrective decisions. This tool allows the physician to monitor the implementation of the tasks individually by each employee. 

the"task Board" is divided into several areas:  in terms of the work done. The task each employee independently moves the necessary sticker in the column "done". Daily meeting of the "task Board" allow the chief physician every day to meet with their staff to discuss the current state of Affairs. When we look at images, our brain can simultaneously process multiple items, and it allows you to reach speeds several times faster than conventional reading of the text. Therefore, visualization is one of the most powerful and proven techniques in lean manufacturing.