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Moscow in modern borders is the largest metropolitan area in the country with a fairly high and unevenly distributed population density. This predetermines the need to address environmental regulation of urbanization in order to create the most comfortable living conditions for the population. Health care and the maintenance of health of all age groups are the leading role in the list of the most important tasks to ensure the social well-being of citizens. In the bowels of the Moscow region there are natural therapeutic resources: low-mineralized (M 3-5 g/l) sulfate sodium-magnesium-calcium drinking mineral water and chloride sodium bromine brine. The article presents the characteristics of the natural therapeutic resources of the Moscow region, the area of their therapeutic use, justified the possibility of wider use based on the available scientific data on the effect on the body of these waters and their analogues. All this provides an opportunity to achieve the main goal of medical resortology - the use of mineral water as a means of therapy, rehabilitation and prevention of most existing human diseases.

The article is devoted to the use of drinking mineral waters in the treatment and rehabilitation of patients with various pathologies. The results of numerous studies carried out in previous years have proven the ability of mineral waters to positively influence the functional state of the digestive system, eliminate various metabolic disorders, and affect the processes of hormonal and immune regulation. However, due to the current lack of educational programs for the training of doctors at medical universities, as well as further training in the basics of balneology, medical workers often encounter difficulties in determining the most suitable schemes for the use of mineral waters for a specific pathology. It is known that today there are quite a lot of bottled waters on the market that do not have a healing effect, but are quite suitable for use as table waters. The latter circumstance, combined with not always correct information about the real healing properties of waters, creates certain difficulties even for doctors. In addition, there is a need for a certain clarification of the methods of prescribing mineral waters, taking into account the magnitude of mineralization, the main cation-anionic composition, the nature of the disease and the phase of its course. Taking into account the fact that drinking mineral waters are actively used in the treatment of many diseases, including in children and the elderly, the task of fully and competently informing doctors of different specialties, and with their help, patients, about the features of specific mineral waters available in different regions of the Russian Federation, their unique capabilities, optimal methods of therapeutic use.

The mineral waters, enriched with organic substances find extensive application in balneotherapy. The fast and efficient methods for the identification and quantitative measurement of organic compounds (in the first place, organic acids) in such waters need to be developed for the estimation of their quality and biological activity., Aim: The objective of the present study was to elaborate a gas chromatographic method for the determination of monobasic carbonic acids in sulfide-containing mineral waters by means of extractive freezing-out in combination with the application of the centrifugal forces for the elucidation of the metrological characteristics of the compounds of interest. The secondary objective was to estimate the prospects for the application of the method of interest for determining the dissolved organic compounds in mineral waters., Material and Methods: The following carbonic acids were used for the purposes of the study: acetic acid (analytical grade), Russia; propionic grade (extra pure), Ferak, Germany; butyric acid (pure), Russia; valeric acid (pure), Russia; caproic acid (pure), Russia; oenanthic acid (pure), Russia; and caprylic acid (pure), Russia). Acetonitrile («O» grade), Russia, was used as the extracting agent. The LV-210 analytical balance (Russia) was used to prepare the model and standard solutions of the organic compounds and to determine their mass. The extracts and standard mixture were investigated by the gas chromatographic technique with the use of the Kristallyuks apparatus («Meta-Khrom», Russia) equipped with the flame ionization detector and the capillary column. Extractive freezing-out in the combination with centrifugation was performed with the laboratory installation for this purpose., Results: Under the model conditions, a single extractive freezing-out procedure with the centrifugation of the sample made it possible to reach the 22-37-fold concentration of C2-C8 monobasic carbonic acids during their transfer from water into acetonitrile. The metrological parameters of the proposed procedure for gas-chromatographic determination of the aforementioned acids in hydrosulfuric mineral waters were estimated. The limit of detection of acetic and propionic acids has been 0,2 mg/l, that for butyric acid 0,1 mg/l, for valeric, caproic, oenanthic and caprylic acids 0,05 mg/l. We failed to identify C2-C8 carbonic acids in hydrosulfuric water from the 6T well of the field Matsesta fields. The investigation of the extracts obtained by the proposed extraction procedure with the use of the newly developed variant of high performance liquid chromatography (HPLC) with diode-matrix detection revealed the presence of various amounts of unknown organic substances. The UV-spectrum of one of those components was obtained which made it possible to conjecture its molecular structure. The procedure for the sample preparation and the following determination of organic acids in water is simple, carried out in a single stage, and does not impose special requirements to the qualification of the researcher. It allows to describe the newly developed technique as a rapid test method. Along with it, realization of extraction in the negative temperature mode reduces the risk of decomposition of the thermally unstable chemical compounds being extracted and reduces volatility of the organic solvents being used. The technology of the method does not demand a special laboratory glassware and expendables.

The method of microcolumn reversed phase high performance liquid chromatography (rp-HPLC) was employed to determine the content of elemental sulphur in mineral waters. The study envisaged the analysis of the samples of sulphide-containing mineral waters Novonukutskaya and Matsesta obtained by the solid phase extraction technique. Based on these data, the authors discuss the origin and the circulation of sulphur in the hydrogen sulphide sources. The elution conditions selected in this study ensured the high-resolution separation of the octasulphur peak from the peaks of allotropic components of the extract whereas the two-wave detection technique allowed to identify the peaks of molecular sulphur.

We undertook the ultrastructural analysis of liver parenchyma taken from male rats with experimental hepatitis induced by the administration of paracetamol at a dose of 1000 mg per 1 kg body weight either following a course of drinking mineral water containing humic acids at a concentration of 20 mg/sq. decimeter) or 14 days after the termination of the drug action (the after-effect phase). It was shown that the consumption of mineral water during 21 days resulted in the modification of the ultrastructural organization of hepatocytes apparent as the increased amount of cisterns in the granulosa endoplasmic system, glycogen rosettes, and mitochondrial polymorphism. These changes give evidence of the restoration of the energy, glycogen and protein synthesizing functions disturbed by paracetamol administration. The after-effect phase was characterized by the further strengthening of reparative processes and the functional activity of hepatic cells.

The article presents the results of the study of the deuterium (D) content in food products as well as the influence of deuterium depleted water (DDW) on the concentration of heavy hydrogen isotopes in the blood and lyophilized tissues of rats. The most significant difference in the content of D was found between potato and pork fat, which indexes the standard delta notation (δ) D in promille, related to the international standard SMOW (Standard Mean Ocean of Water) amounted to -83,2 per thousand and -250,7 per thousand, respectively (p<0,05). Among the investigated samples of water deuterium concentration ranged from -75,5 per thousand (Narzan) to +72,1 per thousand (Kubai), that indicates the ability of some food products to increase the concentration of heavy hydrogen atoms in the body. The data obtained in the experimental modeling of the diet of male Wistar rats in the age of 5-6 mo (weight 235 ± 16 g) using DDW (δD = -743,2 per thousand) instead of drinking water (δD = -37,0 per thousand) with identical mineral composition showed that after 2 weeks significant (p <0,05) formation of isotopic (deuterium-protium, D/H) gradient in the body is possible. Changing the direction of isotopic D/H gradient in laboratory animals in comparison with its physiological indicators (72-127 per thousand, "plasma>>tissue") is due to different rates ofisotopic exchange reactions in plasma and tissues (liver, kidney, heart), which can be explained by entering into the composition of a modified diet of organic substrates with more than DDW concentration D, which are involved in the construction of cellular structures and eventually lead to a redistribution of D and change direction of D/H gradient "plasma<

The solid-state extraction technique and chromatography mass spectrometry were used to study the intrinsic composition of organic components of the mineral water obtained from the Munok deposit located in the Kazachinsko-Lensk district, Irkutsk region. The active components determining the mechanism of action of a mineral water-based preparation were identified and showed to operate similarly to those of Naftusya mineral water. The balneotherapeutic preparation was fabricated making use of the earlier developed technology of water vapor distillation. The analysis of organic components of mineral water and its extraction products showed the presence of aliphatic hydrocarbons with the high content of unsaturated compounds. The preparation thus obtained, unlike the standard balneotherapeutic medicines, does riot contain an inorganic matrix; it was shown to increase body resistance in the phase of remission in the patients treated for the management of urolithiasis.

With the use of nuclear magnetic resonance we investigated the effect of consumption of water with the modified isotope content on the composition of deuterium in the blood, assessed the state of pro-oxidant-antioxidant system in the blood and lyophilized tissues (liver, kidneys) under prolonged oxidative stress. Possible mechanisms of direct and indirect antioxidant effects of the water with modified isotope content and the perspectives of its use for nutritional correction of abnormalities of oxidative metabolism during special physiological conditions and in clinical practice are discussed.

Investigation into the composition of steam condensate from gasothermal baths at the Yangan-Tau health resort showed that it contains a large amount of organic substances. The overwhelming majority of these compounds were shown to be products of thermo-oxidative breakdown of bituminol. They were studied with a view to identifying potential carcinogenic agents. Eight compounds found in the gasothermal baths of the health resort are known to be on the list of carcinogenic agents. However, their concentration does not exceed the maximum permissible levels which confirms that these baths pose no carcinogenic risk for the patients. The sole radioactive agent present at an elevated concentration is radon considered to be a therapeutic factor of the Yangan-Tau gasothermal baths.

Choledocholithiasis (CDL) is known to be associated with gastric problems, such as disturbances of secretory function of the stomach. A frequent occurrence in this pathological condition is chronic gastritis with atrophy of gastric mucosa. It was shown that consumption of Uvinskaya mineral water during the period preceding calculi formation has beneficial therapeutic effect not only on the gallbladder function but also on both the morphological structure of the stomach and the secretory function of its mucous membrane.

Hydrological and hydrochemical features of the sources of radon- and nitrogen-containing thermal waters of the Altai region are considered. Data on the chemical composition of mineral waters from different sources are presented. Methods for the use of radon- and nitrogen-containing thermal waters from their natural sources of the Altai region for the purpose of sanatorium and spa treatment are described.

A new technology for isolation of medicinal balneological preparations from mineral waters has been developed. It is based on the extraction of biologically active compounds (BAC) from mineral waters with ethanol following oxidative hydrolysis and water vapour distillation. This technology has no analogs both in this country and abroad. Unlike ordinary balneological medicines, those obtained by the new method do not contain inorganic matrix, show higher activity, and remain stable for a longer period. The primary composition of BACs isolated by the above technology was studied using solid-phase extraction and chromatomass-spectrometry. Analysis of Extramine, a medicinal preparation from Novonukutskaya hydrogen sulfide mineral water (Siberian Matsesta), allowed to identify active components responsible for its therapeutic effects and elucidate mechanisms of their action. The 15-year-long experience with practical application of BACs obtained with the help of the new technology has demonstrated that they possesses antiallergic, antiviral, and analeptic activities. These compounds increase general resistance of the organism to infection, promote removal of toxic substances, accelerate wound and injury healing, and prevent the development of herpes infection.

The objective of this study was to develop a scientifically sound basis for obtaining composite materials for sanatorium-resort therapy by combining muds of different structure and composition with mineral waters from deposits of the Altai-Sayan tourist and recreational region. Numerous experiments with muds of the desired biochemical composition and mineral waters containing various biologically active substances yielded preparations that can be used for multiple purposes, such as activation metabolism of polymer phenolic compounds, energy metabolism, and self-cleaning processes. Mud and mineral water-based composites may contain other inorganic components, besides clays, accounting for their curative properties and capable of directed action, e.g. organic selenium compounds, glycosides, phenolic and carboxylic functional groups. The proposed technique provides a solid basis for designing materials the composition of which can be optimized as required for the treatment of concrete pathologies.

The chromatomass-spectrometry method was for the first time employed to study organic substances isolated by vapour-phase extraction from the Matseta sulfide-containing mineral water near Sochi. These substances are found to contain sulphur in different valent forms. A new technique has been developed for the detection of monobasic C2-C6 carboxylic acids in natural mineral water based on the combination of sequential vapour extraction and extractive freezing of the analytes. The proposed method is readily reproducible and has a detection limit of 0.03 mg/l for the analysis of carboxylic acids in water.

Mineral waters have been ascertained to exert a pronounced inhibiting effect, that is in proportion in their mineralization and pH values, on the fluorescence of microbial luminescent biosensors. To prevent such adverse reactions masking the effects of chemical pollutants, the authors propose an adjusted procedure for preparing the samples of mineral waters for luminescence biotesting. The first approach is to differentially insert additional quantities of NaCl into the test samples depending on the level of their baseline mineralization to the baseline value 3 g/l, which is provided in the use of the natural sea luminescent bacterium Photobacterium phosporeum as a test object (Microbiosensor B-17 677f). The second approach is to normalize pH to values of not more than 7.5, which are identical in the use of both the Microbiosensor B-17 677f and a recombinant Escherichia coli strain with the cloned lux-operon P. leiognathi (Ecolum-9). This sample preparation maintaining the baseline fluorescence of bacterial biosensors is shown to permit bioluminescence detection of exogenously inserted toxicants in the test samples.

We have developed methods of biotesting mineral waters involving use of natural or recombinant luminescent strains with elimination of the effect of salt concentration and pH. To overcome the adverse effect of high salt concentrations, disguising the action of chemical pollutants, a special method of mineral water sample preparation is proposed. In this method, the marine luminescent bacterium Photobacterium phosphoreum (Microbiosensor B17 677f) is used as a test object. Samples to be analyzed are supplemented with NaCl depending on their natural salt concentration to adjust it to 3 g/l. Another approach, more universal and efficient, involves pH adjustment in the samples to 7.5. This value is suitable for application of both Microbiosensor B17 677f and the recombinant Escherichia coli strain harboring the cloned lux operon of P. leiognathi (Ecolum 9). It has been shown that this treatment, retaining the natural luminescence level of the bacterial biosensors, allows bioluminescent detection of exogenous pollutants added to the samples, including benzene and Cr(VI).

Aim: To study efficacy of drinking mineral water (MW) nizhne-ivkinskaya 2K in combined sanatorium treatment of gastrointestinal acid-dependent diseases (ADD) and the role of endogenic modulators of M-cholinoreactivity in pathogenesis of ADD., Material and Methods: General condition of the patients, gastric pH and peristalsis (computer system Gastrolog-M), gastric and gall bladder motility (Aloka SSD 1100), hepatic function (by bilirubin and AST and ALT activity), lipid spectrum (including LDLP and HDLP) and M-cholinomodulating activity of the blood serum (by biomethod) were examined in 134 subjects: 20 healthy subjects and 114 patients with ADD., Results: In ADD, gastric juice acidity is high, gastric and gall bladder motility is low, total cholesterol and LDLP cholesterol are elevated, M-cholinoblocking activity of the blood serum is reduced 10-fold. Intake of nizhne-ivkinskaya 2K mineral water for 21 days improved the patients' health, normalized gastric pH, motility of the stomach and gall bladder, reduced content of LDLP and restored M-cholinoblocking serum activity., Conclusion: ADD development is thought to result from excessive vagus effect due to elevated blood level of lysophosphatidylcholine (LPC). In certain concentrations it can enhance efficacy of M-cholinergic impacts on gastric cells. Reduction of LDLP content due to intake of the mineral water leads to normalization of M-cholinergic impacts on gastric cells.

The goal of the work was to determine antibacterial nature of the medicinal ointments (N1 - "Achtala"; N2 - "Sairme", N3 - "Tschaltubo", N4 "Amagleba") based on Georgian mineral waters and containing bio-active extracts. The goal of the work was to determine antibacterial nature of the medicinal ointments (N1 - "Achtala"; N2 - "Sairme", N3 - "Tschaltubo", N4 "Amagleba") based on Georgian mineral waters and containing bio-active extracts. The investigation was done in purpose to determine microbial structure of oral cavity of the 80 patients with chronic generalized periodontitis, as a result was confirmed, that microbial structure of these patients was rather heterogeneous and is presented by different aerobe, microaerophil and anaerobe microbial flora. The sensitivity, resistance, of isolated microorganisms, was studied to modern groups of antibiotics. Results of investigations are: high antibacterial activities of ointments, prepared on mineral waters of Georgia. So, it can be recommended for usage in treatment schedule for patients with chronic generalized periodontitis.

We studied in vitro effects of mineral waters Ust-Kachkinskaya and Obukhovskaya on survival of gram-negative and gram-positive bacteria, candida fungi and on their sensitivity to antimicrobial drugs. The above mineral waters deteriorate viability of opportunistic bacterial and fungal flora and raise its sensitivity to antibiotics.

Balneological and experimental examinations were made of physiological properties of carbonate iron mineral waters of the Primorskiy Territory. The waters were found perspective as a source of ecologically healthy water, to prevent diseases, to raise nonspecific resistance of the body.

The authors' experiments have shown that a course intake of sulfate mineral water after total radiation (1 and 5 Gy) can prevent and minimize dystrophic and necrobiotic changes in the liver, stimulate intracellular regeneration, reduce pathological mitoses in the small intestine. The response depended on radiation dose and time of crenotherapy start after radiation. Sulfate mineral water is also a weak radioprotector.

Experimental alimentary obesity was treated with hydrocarbonate magnesium-calcium water from Shmakovskoe deposit and hydrocarbonate-chloride sodium arsenous boric iodine-bromine water from springs in Sinegorsk. The study of lipid and carbohydrate metabolism proved the ability of the waters to prevent complex metabolic disorders typical for obesity.

Iodine-bromine water from pit-hole of naphthalene layer was used in the daily water-bath treatment course of 22 rats within 10 days; after decapitation of these animals content of malonic dialdehyde and lipid hydroperoxides was estimated in homogenates of heart, lung, liver, kidney and spleen tissues. Simultaneous increase in the rate of lipoperoxidation was observed in the tissue homogenates of experimental animals. The treatment course with iodine-bromine water appears to activate the prostacyclin synthesis in vessel endothelium, thus suggesting the promising efficiency of the water in treatment of some blood rheology-related pathological states.

Low-mineral waters of Skhodnitsa [correction of Skhodnitsky] springs N 13 and N 15 rich in iron, silicon and manganese were tried for an antianemic effect. The latter was registered clinically and experimentally.