Background. Ergometric physical working capacity (PWC) testing has a long tradition in occupational medicine. PWC can be tested, using performance indicators like VO2max or the mechanical power. However, the calculated by bicycle ergometry PWC in reality reflects the reaction of the autonomic nervous system to muscle load, which, in turn, is strong, but still not absolutely complete, correlates with VO2max as a real indicator of cardiorespiratory fitness. The purpose of this study is to clarify the relationship between PWC, calculated based on the result of two-stage bicycle ergometry, and the parameters of neuro-endocrine regulation as well as sexual differences in such relationships. Materials and Methods. The object of observation were 30 women 29-76 (49,4±11,0) years and 30 men 24-69 (47,4±12,0) years without a clinical diagnosis, but with the deviations from the norm in a number of parameters of the neuro-endocrine-immune complex as a manifestation of maladaptation. For estimation of PWC a two-stage bicycle ergometry used. Parameters of EEG, HRV and adaptation hormones levels registered twice with an interval of 4 or 7 days. Results. In men, PWC correlates negatively with plasma levels of cortisol (r=-0,52) and triiodothyronine (r=-0,47), but positively with levels of calcitonin (r=0,25) and testosterone (r=0,22). The coefficient of multiple correlation R=0,705. In women, the correlation of the twice lower PWC with cortisol and calcitonin is weaker (r=-0,31 and 0,18, respectively), and is absent with testosterone and triiodothyronine, instead it was found in relation to aldosterone (r=-0,24); R=0,394. The PWC regression model for men includes 6 HRV and 11 EEG parameters (R=0,846), while for women only the mode HRV (r=-0,56) and two EEG parameters (R=0,608). Conclusion. PWC levels in men are generally downregulated by cortisol, triiodothyronine, sympathetic tone, and θ-rhythm generating neurons, but upregulated by testosterone, calcitonin, vagal tone, and related α-rhythm generating neurons. In women, PWC levels are borderline downregulated by cortisol and aldosterone, but significantly upregulated by circulating catecholamines and β-rhythm generating neurons.

Background. Balneotherapy has its rightful place in the arsenal of means of treatment of chronic. The universally recognized gold standard of balneofactors is Naftussya bioactive water. The issue of the loss of its healing properties by Naftussya water after extraction from the subsoil, the possibility of its preservation and transportation remain debatable and relevant. The purpose of this study is to compare the impact of fresh and canned water on the microbiota of feces and urine in patients with chronic pyelonephritis. Materials and Methods. The object of clinical-physiological observation were residents of the city of Truskavets’ (21 men aged 24-67 years and 8 women 33-76 years) with chronic pyelonephritis in remission. The subject of the study were the leukocyturia and bacteriuria levels and components of microbiota of feces. Results. Weekly use of fresh Naftussya water causes an increase in the reduced content of probiotics in the microbiota and a decrease in the increased content of conditionally pathogenic microflora, which is accompanied by a reduction of bacteriuria and leveling of leukocyturia. The beneficial effect on the listed parameters of canned Naftussya water is less pronounced, but the differences are statistically insignificant. Conclusion. The obtained results provide grounds for continuing research into the effects of canned Naftusya water on the body of urological patients.

Background.. Muscular performance is considered one of the attributes of health and non-specific resistance. Phytoadaptogens occupy an important place in the arsenal of means of increasing non-specific resistance and stress resistance. Many years of research of the Truskavetsian Scientific School of Balneology have demonstrated the adaptogenic properties of the main therapeutic factor of the resort, Naftussya bioactive water, as well as ozokerite and mineral baths. However, in contrast to the beneficial effect of the latter on stress resistance and the neuro-endocrine-immune complex, the effect on the physical performance is ambiguous. The purpose of this study is to test the ability of phytocomposition to prevent the adverse actotropic effect of Naftussya bioactive water at rats. Material and methods. The experimentt have been carried out at 42 female rats. Rats of the control group for 7 days loaded through a tube with tap daily water (2 mL once), while the animals of the other groups received according to a similar scheme daily water with the addition of 0,1 mL of Balm; bioactive Naftussya water per se or with the addition of 0,1 mL of Balm. The day after completion the course of water loads in the animal determined the urinary excretion of 17-ketosteroids, assessed the mineralocorticoid activity (MCA) by the urine K/Na ratio as well as the state of neutrophil phagocytosis by the number of absorbed latex particles. Results. It was found that the weekly use of Naftyssya bioactive water reduces the duration of swimming of rats to exhaustion by 30% compared to the daily water control. Addition of phytoadaptogen to Naftyssya softens its negative actotropic effect by up to -9%, and adding Balsam to daily water prolongs the maximum duration of swimming compared to the control by 11%. A positive correlation of the swimming test with 17-KS excretion and water diuresis was revealed, but a negative correlation with MCA, spontaneous diuresis and neutrophils phagocytosis. Conclusion. Phytoadaptogen reverses the adverse effects of Naftussya bioactive water on dynamic muscle performance in healthy rats by mitigating the decrease in the excretion of 17-ketosteroids and increased mineralocorticoid activity.

Background. The dramatic events of the Russian-Ukrainian war around the Chornobyl’ nuclear power plant (NPP) once again opened up the healed wound inflicted by radionuclides on the human body not only in Ukraine, but also in Belarus and the border regions of Russia. The drama of the situation was further intensified by the events surrounding the Zaporizhzhia NPP. This prompted us to turn to the archive of the Truskavetsian Scientific School of Balneology and process the results of research that, due to certain technical and ethical circumstances, remained unanalyzed. Material and methods. The cohort of observation in 1997 were 19 men and 3 women who were exposed to pathogenic factors of the accident at the Chоrnobylian nuclear power plant during the liquidation of its consequences in 1986. The subject of the study was EEG and HRV parameters. The survey was conducted twice - on admission and after two weeks of rehabilitation at the Truskavets’ Spa. Results. Screening of the registered parameters revealed a pronounced sympathotonic shift of the autonomic balance, as well as a statistically significant deviation from the norm of 18 EEG parameters (increase in 8 and decrease in 10). Under the influence of two-week balneotherapy, 5 increased and 5 decreased EEG parameters normalized, but the remaining abnormal EEG and HRV parameters were resistant to the influence of balneofactors. Conclusion. Neurophysiological disorders, detected even 11 years after the effects of the factors of the Chornobyl’ disaster, differ both in severity and sensitivity to the sanogenic effect of the adaptogenic factors of the Truskavets’ Spa.

Background. Earlier in an experiment on rats, we showed that newly created sulfate-chloride sodium-magnesium drinking mineral waters of Truskavets’ spa has a significant modulating effect on the parameters of metabolism and the autonomic nervous and endocrine systems. In this study, conducted in line with the concepts of neuroendocrine-immune complex and functional-metabolic continuum, data on the immunomodulatory effects of these waters on the same rats. Materials and Methods. Experiment was performed on 50 healthy female Wistar rats 230-290 g divided into 4 groups. Animals of the first group remained intact, using tap water from drinking ad libitum. Rats of the second (control) group for 6 days administered a single tap water through the tube at a dose of 1,5 mL/100 g of body mass. The rats of the main groups received the water "Myroslava" and "Khrystyna". The object of the study were the immune parameters of the thymus, spleen and blood. Results. The method of discriminant analysis revealed 12 parameters, according to which the animals loaded with mineral waters differed significantly from both control and intact animals. Classification accuracy is 86%. However, the difference between the immunotropic effects of mineral waters of different mineralization concerns only 9 parameters. Conclusion. The newly created sulfate-chloride sodium-magnesium drinking mineral waters of Truskavets’ spa have both similar and specific immunomodulating effects on healthy old female rats with weekly use. This provides a basis for preclinical studies.