Author Ulyana B Lushchyk MD Ph D DSc

Author– Ulyana B. Lushchyk, MD, Ph. D, DSc Contacts Center of Innovative Medical Technologies “Victoria Veritas” Ukraine, 04070, Kyiv, Pochayninska Str 28 t. +380444676389 f. +380444676397 E-mail: u. lushchyk@gmail. com feofaniascience@gmail. com www. lushchyk. org. ua www. istyna. kiev. ua

Ulyana Bogdanivna Lushchyk Doctor of Medicine A winner of the Ukrainian rating of professional achievements “Leader of Ukraine” (2004) An academician of the European Academy of Natural Sciences (2008) A member of the European Neurological Society A member of the European Society for Microcirculation In practice Ulyana Lushchyk has gained proficiency as: - a neurologist of higher category (2008); - a functional diagnostician (EEG, capillaroscopy, Echo. EG, USDG of arteries and veins of the head and the neck, arteries and veins of the upper and lower extremities, US-scanning of vessels in the human organism); - a radiologist (USD of the thyroid gland, of organs of the abdominal cavity, of the musculoskeletal system, organs of the small pelvis, CT, MRT of the brain and spine); - a physician – a coordinator of the first category in health protection (2007); - a legal expert in medical law.

In the years 1990– 1994 she developed a quite new method of location and clinical interpretation of data obtained from US-dopplerography and US-scanning of the arterial and venous beds in the head and the neck. A little later she developed an ideology for arteriovenous balance and its disorder under any vascular diseases and algorithms for its correction. Ulyana Lushchyk is an initiator of a direction of the vascular angioneurology. Essential researches in this field are based on the principle, which she proposed, for arterial-venous balance in the vascular system of the human and mathematical models for hemodynamics of the living systems. Basic results of the researches have been described in 16 monographs, 128 articles, 2 rational propositions and registered by 9 State patents. Scientific studies of U. Lushchyk represent essential scientific-andpractical aspects of current psychoneurology, efficient diagnostic algorithms for detection of any vascular pathology on preclinical and clinical stages, integrated treatment of cardiovascular and psychoneurological diseases on the basis of individual approach to a patient applying up-to-date methods of demonstrative medicine.

According to a definition by Ministry of Health, rehabilitation of disabled patients is a process, whose aim is to make a person to achieve his optimal physical, emotional, intellectual, psychological and social functional levels.

Our Center has been working in Ukrainian medical market since 1996. And in fact, it is a Center of innovative medical technologies, which were approved on our clinical base owing to the up-to-date equipment and technologies, in particular in the field of vascular diagnostics. Its viability is proved by positive clinical results of the integrated neurorehabilitation of our patients and disproof of some conservative opinions regarding incurability of some illnesses.

Constant work of rehabilitating team with a patient and the patient’s tireless struggle against the disease is an indispensable condition of success in a struggle with the disease. The disease quits the organism only when it feels uncomfortable in the human mind and body.

Our society has a stereotype that the state must be a financial sponsor for support ill and disabled without any attempt to make them come back for social active life. On the other hand, a patient, who receives any state aid, gradually gets used to this and has less motivation to active way of life. But only with stimulation to work and orientation to social importance of every person, our society can hope for changing priorities in invalids: the necessity of rational employment must dominate over necessity to receive a disability pension.

A problem of disabled children is very urgent. The status automatically excludes one parent from the cadre resource because of the constant necessity to look after the child. Then the parents directs their activity to get a pension for the child. Next step – how to survive. A matter of treatment and intensive rehabilitation recedes into the background. At best such patients have necessary treatment and rehabilitation one time a quarter.

Thus, a state program for training rehabilitating teams is urgently necessary for professional work with such children unlike some mothers’ attempts to perform rehabilitation tasks. Besides, it is necessary to combine efforts of social services with other professionally orientated services in order to treat a patient efficiently and after some time to demonstrate achieved results.

Our experience demonstrates that in order to achieve stable results the patient must have everyday complete complex of rehabilitating tasks both in moving and speech, logical, psychological and other spheres; formation of the balanced individual but not to do only some selective stimulations of one function on a background of mosaic formation of various functions in the organism.

One, who makes a proper diagnose, can treat well Serious conditions of patients require thorough examination of cardiovascular system, the brain and spinal cord, internal organs, locomotor apparatus for specification of an adequate treatment tactics, which are presented in numerous methods, created in the Center and based on the constant monitoring the organism's condition and restoration of functions that were lost or not developed.

SCIENTIFIC APPROACHES AND ALGORITHMS OF REHABILITATION Main profile of medical aid ü detailed complex clinical-instrumental examination of patients from psychoneurological and vascular profile; ü ü individual selection of adequate medicines; holding necessary psychocorrection and rehabilitation.

Principles of legal maintenance of the patient After complex examination the Center’s specialists discuss results of instrumental diagnostics and all conclusions on the consultation, and make a treatment plan, then they discuss it with the patient, prepare all required documents for legal maintenance and the treatment process starts. Periodically they monitor changes in vital activity of the organism for systematic control (or in case of factors that alert)

MULTIDISCIPLINARY APPROACH TO TREATMENT: HARMONY OF MIND AND BODY Psychoneurology Today physicians quite often face with psychosomatic diseases, which imply intention to run away from reality. The patient shrinks into the disease’s shell, because he can’t solve his problem. Realization of the necessity in detecting psychological purposes and blocks for further existence of the individual is the most important property of psychoneurology. This enables to subdue loss of interest to one’s life or domination of fears over intention to act after long-term and disruptive stresses. That’s why the problem of combining knowledge and experience both of a psychologist, psychiatrist, neurologist, and sanologist takes the first place in psychoneurology

Alternative medicine Landscape-therapy means getting positive emotions by diving into world of nature. It is one of the easiest methods for restoration of forces. But we should not only be in a harmony with the nature but also avoid conflicts between the consciousness and the body. There a lot of illnesses that starts with this conflict as a protest of inner nature against some actions of the individual. Thus the process must take into account not only body but also the soul.

Psychotherapy A lot of various physical and chemical factors influence human organs of sense. Their application in treatment is another step into nature. Sense of smell, hear, vision can be used for relaxation or organism’s activation. It is well-known aromotherapy – inhalation of aromatic oil not simply stimulates positive emotions, but have a medical influence. And musical works can change the frequency of heartbeats and harmonize a rhythm of brain functioning. Music therapy enables not only to overcome stress and neuroses but also somatic diseases.

Owing to art-therapy human change his attitude to problems reproducing everything that bothers with art means. Creative thinking, fantasy is developing during painting or other art activity. Patients can show their inner sense, get into contact and gradually broadens their world view changing their attitude to own emotional experience and blocks.

Illnesses of locomotor system Our skeleton is a core support that holds all organs and tissues. Naturally that overweight, sudden physical overloads, serious overcooling etc. can cause illnesses of locomotor apparatus such as osteochondrosis, arthritis, arthrosis etc. Today there is an intensive investigation of musculoskeletal system. Ultrasound investigation of locomotor system enables to observe a full picture of the condition of joints, articular cavity and the spine, to make accurate diagnosis and to determine a cause of the disease. Owing to this one can select a treatment that corrects metabolism and blood supply for bone tissues with further rehabilitation course with massage and kinesitherapy.

Kinesitherapy (gr. kinema – motion) that means a treatment with motions This newest non-medicinal method of therapy is a natural way of influencing pathological processes. Unlike medical physical culture it is based not only on knowledge of anatomy and biomechanics but also on pathophysiology of the cardiovascular, nervous and other systems in the organism. Motional stimuli is necessary for supporting physiological functioning of the nervous cells. Kinesitherapy actively uses an unique potential of nervous tissues such as neuronal plasticity, which enables to create “emergency” collateral tracts in case of defects in it. Thus, we achieve rehabilitation of the central nervous system in patients that suffered from very serious conditions. The patient can restore his abilities to move in every-day, social and professional activity, which he used to have before the illness

We live for hope and give hope to everyone who dreams of recovery Tanya B. , born in 1998 Diagnosis: Down's disease. Arrest of psycho-speech and stato-kinetic development. Beginning of treatment: August 2004 Had 10 scheduled courses of intensive developing treatment (duration 15 days each) till October 2007

Dynamics: Dynamics a) neurological: Before treatment – absence of speech comprehension and reproduction, unable to be organized, orientation reflexes without instinct of self-preservation, active negativism to surrounding; After treatment – comprehends the lessons’ structure, stable attention, performs motional instructions of average difficulty, during communication with coevals takes the initiative; b) hemodynamical: Before treatment–intracranial hypertension in the treatment anterior cranial fossa, venous hypertonia (more on the left side), expressed pathological shunting into the cavernous sinus; After treatment – signs of slight intracranial hypertension in the anterior cranial fossa, moderate venous hypertonia, pathological shunting decreases up to a thread-like;

Dynamics: Dynamics c) psychological: Before treatment – general development of the psychological sphere corresponds to two-years-old age; After treatment – the girl can study skills of self-service. Development of the speech- increasing of active and passive vocabulary, makes simple sentences, keeps a dialog, can apply to adults herself. Acquires skills of reading, counting. Cognitive processes become more voluntary, thinking is developing. She can paint a sun, cloud, rain, flower herself. d) logopedic: Before treatment – second prespeech level of development; After treatment – second speech level (speech with simple sentences)

Viktor S. , born in 1983 Diagnosis: moderate oligophrenia. Mental retardation on the background of bilateral piramidal deficiency. Beginning of treatment: December 2005 Had 3 scheduled courses of intensive developing treatment (duration 21 days each) till November 2006

Dynamics: Dynamics а) neurological: Before treatment – reduced contact due to lock-in and simplification of questions’ comprehension. Makes mistakes while performing difficult tasks. Reduced level of emotions. No disorders in motor sphere. Coordinator and sensitive spheres without disorders; After treatment –age social skills were formed, leveled psychoemotional state, initiative appeared for finding himself as a man and he asserts his position using wide logical conclusions, quick changing of attention from one to another activity, increasing of physical and mental activity; b) hemodynamic: Before treatment – spasm of both carotid arteries, intracranial hypertension in the anterior cranial fossa, pathological arteriovenous shunting on the right into the cavernous sinus, functional insufficiency of the aortic valve, decreasing of the pumping function of the heart; After treatment – normalization of the pumping function of the heart left sections, better venous outflow and blood flow in middle cerebral artery, but decreasing of blood flow in anterior cerebral artery, and arteriovenous shunting on the right into the cavernous sinus remains;

Dynamics: Dynamics c) psychological: Before treatment – absence of skills to self-communicate, fears of people. Disturbed selectiveness of visual perception, concentration and distribution of attention. Connected thinking, answers slowly. Emotional sphere- decreased emotiveness, simplified emotions. Decreased reflexes. Tendency to autisation, unable to keep warm relations. Low self-estimation and high level of criticism to himself. After treatment – the boy mastered a job of masseur, is working by the specialty. Significantly increased indexes of functioning of cognitive processes. Interested in fiction. Retells what he read interestingly and accessibly. More confident in communication, can perform creative work. Adequate self-estimation. d) logopedic: Before treatment – speech unclear, poor in verbs, impulsive, he refuses to read and write; After treatment – accurate articulation, stable strong voice, short but accessible sentences, take part in theatre group – acts as a king.