Vol 339, No 1 (2018)


Medical support of the Armed Forces of the Russian Federation: results and goals for 2018

Trishkin D.V.


The results of the medical service of the Armed Forces in 2017 are analyzed in the following areas: improving the readiness of the military command and military medical organizations to perform tasks for their intended use; prevention of urgent illnesses for the troops, preservation and strengthening of the health of servicemen; ensuring access to high-tech medical care; provision of medical personnel in need of medical and medical-psychological rehabilitation; improving the quality of drug assistance to the contingents; informational support of the management bodies of the medical service and military medical organizations, optimization of their organizational structure and others. The priority tasks of military medicine for 2018 include the preparation for medical support of the army international games and the international contest «Military Medical Relay», the holding of events in the troops on the prevention of actual diseases with an emphasis on joint work with the commanders to create favorable conditions for the life of servicemen, the introduction of high-tech logical methods of rendering medical assistance to the activities of military and medical organizations of central and regional subordination, the creation of a departmental system for coordination of organ and tissue donation, improving the accessibility and quality of medical and medical-psychological rehabilitation, developing telemedicine, increasing the effectiveness of medical supplies, organizations in accordance with the scope and nature of the tasks performed, the development of the scientific potential of the service, improved normative legal regulation in the sphere of military health.
Voenno-medicinskij žurnal. 2018;339(1):4-16
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System of prediction and prophylaxis of venous thromboembolic complications in a trauma center of the first level

Petrov A.N., Samokhvalov I.M., Badalov V.I., Gavrilin S.V., Goncharov A.V., Suvorov V.V., Suprun T.Y., Zhirnova N.A.


The experience of the organization of the system of prognostication and prophylaxis of venous thromboembolic complications realized in the first level trauma center of the Ministry of Defense of the Russian Federation - the clinic of military field surgery of the S.M.Kirov Military Medical Academy is presented. To solve the problem, the scale «Military field surgery - prevention of thrombosis» («MFS-PT») was developed, which allows to assess the risk of thromboembolic complications in the dynamics of traumatic illness and to determine the measures of differentiated prevention and treatment tactics. The use of the prognosis scale in combination with ultrasound of lower limb vessels, individual selection of anticoagulants and compression therapy during the entire duration of the patient’s stay allowed to reduce the proportion of pulmonary thromboembolism as causes of death by 2.5 times due to early detection of venous thrombosis and the use of preventive measures.
Voenno-medicinskij žurnal. 2018;339(1):17-23
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On the bioterror issue in modern conditions

Shabelnikov M.P., Mikhailov V.G., Komratov A.V., Makeikin E.V., Kanaev K.A.


The data on the current conditions and peculiarities of the use of pathogenic biological agents for terrorist purposes are summarized in the scientific literature. The main problems and challenges in the implementation of the provisions of the Convention «Оn the Prohibition of the Development, Production and Stockpiling of Bacteriological (Biological) and Toxin Weapons and on their Destruction» were discussed. Particular attention is paid to the analysis of microorganisms that pose the greatest danger to public health in the event of a possible act of bioterrorism. It is shown that the rapid development of the biological sciences and the rapid growth of their modern industries, as well as the progress achieved in the field of molecular biology and biotechnology, can promote the use of scientific achievements for military purposes. Of particular concern is the potential threat of the transfer by individual countries of biological agents, as well as equipment for their production and technology to terrorists.
Voenno-medicinskij žurnal. 2018;339(1):24-29
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Special means of medical antichemical and antiradiation protection: current state and development prospects

Gladkikh V.D., Belykh V.G., Timoshevskii A.A., Chizh I.M.


The state of the system of drug prevention and therapy of radiation and chemical lesions in the Russian Federation is outlined. Based on the analysis of domestic and foreign literature determined promising directions for the development of special medical anti-radiation and anti-chemical protection equipment have been identified in order to minimize damage to health and preserve the lives of the Armed Forces personnel in emergency situations of civil and military time: antidotes for special purposes (cyanide antidotes, irritants, products burning, opioids); means of arresting critical conditions that threaten life, regardless of the etiologic factor and pathogenesis of acute poisoning (toxic pulmonary edema, toxic convulsive syndrome); antidotes of a wide spectrum of action, mediating activity due to modification of natural metabolism and detoxification systems of xenobiotic (based on modulators of the microsomal oxidation system, stimulators of conjugation processes, etc.); means of restoration and preservation of capacity for the formation of transient reactions of toxic genesis (anticholinergic syndrome, etc.); funds that accelerate the course of the rehabilitation period and reduce the likelihood of developing long-term effects of exposure to toxicants.
Voenno-medicinskij žurnal. 2018;339(1):29-36
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Voenno-medicinskij žurnal. 2018;339(1):36-36
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Modern approaches to the diagnosis and surgical treatment of thyroid disorders

Maistrenko N.A., Romashchenko P.N., Krivolapov D.S.


The article analyzes the results of examination and treatment of 322 patients with surgical thyroid disorders that were operated with the use of traditional and various minimally invasive approaches. This allowed us to evaluate the informativeness of the multiparameter ultrasound study, the dynamic two-indexed thyroid scintigraphy and the cytological examination of the puncture material in the diagnosis of thyroid cancer, and also to determine the criteria for selecting patients with thyroid surgical diseases for the reasonable implementation of optimal minimally invasive surgical interventions. Argumented choice of the latter allows to reduce the frequency of specific complications, minimize the operational trauma, reduce the length of stay of patients in the hospital, improve cosmetic results and improve the quality of life of patients.
Voenno-medicinskij žurnal. 2018;339(1):37-46
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Role and place of manual therapy at the stage of rendering qualified medical care in the Airborne Forces

Litvinenko I.V., Iskra D.A., Koshkarev M.A., Bogorodskii O.V., Dyskin D.E., Prokudin M.Y.


На основе анализа данных ежегодных отчетов главного невролога Воздушно-десантных войск и невролога терапевтического отделения медицинского отряда одного из соединений Воздушно-десантных войск (ведущего невролога соединения) определены роль и место мануальной терапии на этапе оказания квалифицированной медицинской помощи в Воздушно-десантных войсках. Мануальная терапия - это высокоэффективный немедикаментозный метод лечения боли при вертеброгенной патологии, заболеваниях суставов, внутренних органов и нервной системы. Наибольшая терапевтическая эффективность отмечается при сочетании мануальной терапии и других методов консервативного лечения. Применение мануальной терапии с этапа оказания квалифицированной медицинской помощи в Воздушно-десантных войсках может значительно улучшить прогноз лечения болевых синдромов при вертеброгенной патологии и заболеваниях опорно-двигательного аппарата.
Voenno-medicinskij žurnal. 2018;339(1):46-51
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Medical rehabilitation of patients after myocardial infarction and cardiovascular interventions

Yudin V.E., Shchegolkov A.M., Patsenko M.B., Prokhorchik A.A., Sychev V.V.


Modern approaches to the rehabilitation of patients after myocardial infarction and cardioмvascular interventions are presented. 160 patients with IHD (including 130 who underwent coronary artery bypass surgery) received data demonstrating the high effectiveness of ozone therapy in the form of air-ozone baths in the rehabilitation of patients after cardiosurgical interventions, manifested in the correction of hypoxemia, improvement of microcirculation, blood supply of organs and tissues, increased myocardial contractility and cardiac output, reduced peripheral resistance, and improved psycho-emotional status. The method is most effective in patients with IHD of III FC after coronary artery bypass: after rehabilitation more than 72% of patients switched to an easier FC.
Voenno-medicinskij žurnal. 2018;339(1):52-59
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Complex sanatorium-resort and orthopedic-surgical treatment of contractures and deformations in children with cerebral palsy

Ponomarenko Y.N., Nenko A.M., Deryabin A.V., Khashchuk A.V.


The concept of complex restorative treatment of patients with infantile cerebral palsy is described in the conditions of a specialized clinical sanatorium. On the basis of many years of experience, new approaches have been proposed to diagnose and determine indications for neuro-orthopedic and orthopedic and surgical treatment of children with spastic forms of cerebral palsy. The developed concept allows us to clarify the diagnosis, apply an individual set of therapeutic measures (conservative and surgical) aimed at improving the anatomical and functional state of patients, more effectively realize opportunities in expanding their motor activity, self-service and social adaptation.
Voenno-medicinskij žurnal. 2018;339(1):59-65
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Voenno-medicinskij žurnal. 2018;339(1):65-65
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Prevalence of antibody to measles, rubella, andepidemic parotitis in military personnel

Nozdracheva A.V., Rybin V.V., Gritsik A.A., Zavolozhin V.A., Kuzin S.N., Semenenko T.A.


Five hundred nineteen samples of blood serum of military personnel undergoing military service on call and under contract for the presence of antibodies to measles, rubella and mumps virus were studied using the method of enzyme immunoassay. It was found that 34.7% (seronegative) of measles virus and 29.7% of military personnel are susceptible (seronegative) to measles virus, which does not correspond to the criterion of epidemic well being for these infections (7 and 15%, respectively). A similar indicator for rubella infection was 4.6% with a criterion of epidemic well being of 7%. It is shown that the share of military personnel susceptible to measles virus is higher than that of contract military personnel - 41.1% and 26%, respectively. This is due to the age characteristics of those surveyed (the average age of conscripts was 20.9±2.5 years, contract servicemen 32.3±7.3 years).
Voenno-medicinskij žurnal. 2018;339(1):66-70
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Voenno-medicinskij žurnal. 2018;339(1):70-70
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Application of thermal manikins for physiological and hygienic assessment of military equipment of military personnel

Ganapolskii V.P., Yakovlev A.V., Artemev N.A.


The use of thermo-mannequins makes it possible to exclude the involvement of volunteer testers for the physiological and hygienic evaluation of the military equipment sets that are being created, and thereby significantly reduce financial costs. The time necessary for preparing for the experiment is minimized: the stage of carrying out a medical and biological ethical examination is disappearing, as well as the stage related to the regulatory and legal aspects of the search for and selection of volunteer testers. The progress of the study does not depend on the «human factor» and the continuity of such a study can be guaranteed. The basic medical and technical requirements for the creation and application of promising thermal manikins have been developed.
Voenno-medicinskij žurnal. 2018;339(1):71-76
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Analysis of the results of the implementation of the screening and correction program for iron deficiency anemia among pupils of the Boarding School of the Ministry of Defense of the Russian Federation

Zakharova I.N., Machneva E.B., Doroshina E.A.


As part of the annual medical examination of pupils of the Boarding School of the Ministry of Defense of the Russian Federation, iron deficiency anemia among pupils was screened and corrected using an innovative approach to diagnosing and monitoring the effectiveness of therapy. A new laboratory method for controlling the effectiveness of treatment of iron deficiency anemia using not only traditional indicators but also new reticulocyte indices was tested. The result of the program to correct and prevent iron deficiency among students was a reduction in the incidence of iron deficiency anemia in pupils from 4.7% in 1914 to 1.1% in 2015.
Voenno-medicinskij žurnal. 2018;339(1):78-79
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Opportunities for optimizing therapy for onychomycosis in elderly people

Ustinov M.V.


In the conditions of outpatient polyclinic reception of state dermatovenerologic institutions, some clinical and epidemiological features of the picture of onychomycosis in the older age group were studied. An algorithm is proposed that would reliably achieve the cure of the disease or determines the need for palliative external therapy, in order to reliably localize the source of infection. The obtained results testify not only that the extent of the extent and depth of lesion of the nail plates directly depends on the age of the patients. It is concluded that the target audience of prevention and early diagnosis of onychomycosis is a person of young and middle age.
Voenno-medicinskij žurnal. 2018;339(1):79-81
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Experience in organizing specialized assistance to burnt English pilots during the Second World War

Sokolov V.A.


The article summarizes the experience of treatment and rehabilitation of English pilots who received burns during the Second World War. Their early return to service was one of the important factors in maintaining the military power of the Royal Air Force of Great Britain. The data on the losses of the flight crew of British aviation from burns during the Second World War are given. The key moments of organization of work of the specialized medical department based on a multi-profile hospital are outlined. Attention is drawn to the features of burn injury, its effect on the physical and psychoemotional state of the victim. A small number of specialists, an insufficiently high level of research on the theory and practice of treating burns in the late 1930s and early 1940s were negative factors in daily clinical work. However, the constant creative search for non-standard solutions to the problems that arose in everyday clinical practice allowed medical personnel to effectively cope with the tasks assigned to the department. The importance of the human factor in achieving a positive result of treatment is underlined. The significance of the accumulated experience for the subsequent development of military medicine in the postwar period and its relevance for the specialists of the XXI century are determined.
Voenno-medicinskij žurnal. 2018;339(1):82-88
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Branch N 2 of the 413th military hospital of the Ministry of Defense celebrates the 60th anniversary

Papko S.V., Musaev R.B., Gadzhiev A.A.


Branch N 2 in Kamyshin (Volgograd Region) of the 413rd Military Hospital of the Ministry of Defense of Russia was founded at the end of 1957. For decades, the hospital has been distinguished by the high professionalism of its employees and the solidarity of the team, the desire for development and fidelity to traditions.
Voenno-medicinskij žurnal. 2018;339(1):89-90
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Voenno-medicinskij žurnal. 2018;339(1):90-90
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Kuvshinov K.E., Kalachev O.V., Sergoventsev A.A., Vorona A.A., Zhdan'ko I.M., Maksimov I.B., Ryabinkin V.V., Galin L.L.
Voenno-medicinskij žurnal. 2018;339(1):91-92
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Voenno-medicinskij žurnal. 2018;339(1):93-93
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On the medical geography of medicinal sources used in sanatorium-and-spa organizations of the Ministry of Defense of Russia

Starikov S.M.


The experience of collecting and summarizing data on curative mineral springs in the Russian Geographical Society is shown. The issues of the use of medicinal mineral sources in sanatorium-and-spa facilities of the Ministry of Defense of the Russian Federation are considered. A brief historical analysis is carried out and the current state of the system for organizing the use of drinking and balneological sources of natural mineral waters under the jurisdiction of military sanatoria or used in conjunction with territorial civil health institutions is shown. To describe and represent the physical and chemical properties of mineral water, it was first proposed to use a graphic representation of the ratio of chemical elements in the form of colored circular nomograms that represent sectors of different area and color, the percentage of cations and anions that make up natural mineral water, indicating its mineralization, acidity and (or) radiation activity. The basic information on medicinal sources used in the sanatorium and resort organizations of the Ministry of Defense of Russia is presented in cartographic form on the territory of the Russian Federation.
Voenno-medicinskij žurnal. 2018;339(1):94-96
pages 94-96 views

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