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Lyutov V.V. - Perspectives of improvement of treatment-diagnostic work in regional hospital. The 442nd regional military clinical hospital is ahigh-specialized multiprofile treatment institute of Leningrad military region. Quantity of patients for the last 5 years was high-repeatability level (17,5-18,5 thous. people). In the medical surgical units are effectuated more then 5 thousands of surgical operations during a year. Specific weight of difficult operations is 40%. Results of treatment of the patients are good. General mortality in hospital descended from 1,16% in the 2000th year to 0,68% in the 2008 th year. Hospitality mortality from myocardial infarction in the 2008th year was 5,5% and stays one of the lowers among all military-medical institutes of the Ministry of Defense of RF. Ways of improvement of treatment-diagnostic work in hospitals provide the following development of material-technical base, exchanging old medical equipment on modern devices and apparatus, involvement of hightechnological types of medical aid. Volzhanin V.M., Bulan’kov Yu.I., Bolekhan V.N., Vasilyev V.V., Orlova E.S. - Condition of diagnostic and prophylaxis of HIV-infection in military prophylaxis institutes and purposes of training of medical staff to this problem. The analyze of results of laboratorial diagnostics of HIV-infection in multiprofile treatment institute of the Ministry of Defense of RF, questioning of medical staff on the questions of diagnostics and treatment of HIV-infection discovered several disadvantages in the system of training of the physicians in this sphere. Insufficient level of knowledge of practical aspects of HIV-infection causes baseless quantity of screening laboratorial tests (up to 70%). It leads to grand material inputs of the Ministry of Defense of RF. The authors propose an elaborated guidance manual for teachers, attending physicians and students of academies on studying questions of HIV-infection, based on the principle of «transparent study», on broad engaging of different departments to the process of teaching, on consideration of profiles of cycles of studying, of levels of adoption, types of lessons, volume of study time. Fokin Yu.N., Zuyev V.K., Pinchuk O.V. - Using of garrot in conditions of combat injuries of limbs. The garrot is one of the most well-known means by stemming of an exterior flow of blood of injured limbs. The article presents analyze of frequency, of indicated values and faults during the using of garrot in modern conditions of the combat in the Northern Caucasus (1994-2002). On the base of 104 wounds of great vessels, the authors make a conclusion about the necessity of using of the garrot only in the cases of absolute indications, when the other method of hemostasia, more simple and secure, is impossible.
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