Safety of modified stair climbing test in the early period of rehabilitation of patients with acute myocardial infarction

Aim: safety evaluation of modified stair climbing test in the physical rehabilitation program for patients with old acute myocardial infarction. Materials and methods. Score of physical rehabilitation indices, its effectiveness and safety, comparison of physical rehabilitation indices of patients with AMI without reperfusion treatment and patients who had reperfusion interventions (bare-metal stents - in 21 persons, fibrinolysis - 1 patient, fibrinolysis and percutaneous coronary intervention - 1 patient) were estimated for 43 patients (6 women and 37 men) with old AMI using modified loading tests (stair climbing test and test with six-minute's walk). Results. HR (heart rate) fell short of submaximum values during modified stair climbing test in patient population. The condition was monitored using continuous ECG monitoring apparatus «Kardiotekhnika-04» (СС «Incart», Saint-Petersburg) None of patients showed ischemic changes of ST-segment. No significant differences were revealed in exercise tolerance between patients with old acute myocardial infarction with Q-wave who experienced stenting and patients with acute myocardial infarction without Q-wave. Results of six-minute's step test after the hospital rehabilitation stage completion show exercise tolerance increasing. Conclusion. Modified stair climbing test conducting for intensification of physical rehabilitation using subjective control was safe in examined patient population. According to six-minute's step test results, the exercise tolerance increased during rehabilitation process

Geopolitical games in Eurasian regionalism: ideational interactions and regional international organisations

This paper analyses the ideational interaction underlying attempts at regional integration and cooperation in Eurasia. While the ideas and values of the European Union have been relatively well-studied within the theory of Europeanisation, the key concepts, ideas, values and principles driving Eurasian regionalism have remained out of the main focus of Western scholarship. This paper aims to shed more light on this ideational basis of Eurasian regionalism by unveiling the discourse developed in Russian scholarship and available only in Russian. Understanding interactions between institutions will always remain partial as long as the ideational interaction is not addressed. Such concepts as ‘integrative mentality’, as a segment of the wider category ‘foreign policy mentality’, and the theory of neo-Eurasianism have been incorporated into Russian political discourse and therefore affect public opinion through specific interpretation of economic, political and cultural processes in the EU’s near neighbourhood and the EU as an actor. The analysis presented in this paper indicates the development of new ideational competition, in addition to the well-documented geopolitical one. The paper also aspires to contribute to emerging research on public support to governmental strategic choices and self-legitimation of international organisations in Eurasia