Vol 338, No 1 (2017)


Medical support of the Armed Forces of the Russian Federation: results of activity and aims for 2017

Vlasov A.Y.


Authors presented an analysis of activity of the medical service of the Armed forces in 2016 concerning development of readiness of governing facilities of the medical services, military-medical organizations and medical subunits to perform the following tasks: applicability, medical staff training, and improving of regulatory framework for military health care. Dynamics of the indexes characterizing the prophylaxis system in servicemen, health care provision for military contingent, quality and availability of spa treatment, medical and medical-and-psychological rehabilitation is provided. Results of scientific-and-research activity, in particular, implementation of telemedical technologies are assessed. The effectiveness of measures of the state sanitary-and-epidemiological surveillance, materiel support for military service is shown. Ways of activity for 2017 are formulated.
Voenno-medicinskij žurnal. 2017;338(1):4-21
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Voenno-medicinskij žurnal. 2017;338(1):21-21
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Experience in organizing anti-epidemic protection of personnel in case of liquidation of consequences of anthrax outbreaks in the Yamalo-Nenets autonomous district

Kalmykov A.A., Azarov I.I., Aminev R.M., Khakimov V.T., Polyakov V.S., Davydov P.P.


The article presents an experience of the military units and specialists of sanitary-and-epidemiological institutions in case of liquidation of consequences of anthrax outbreaks. The article describes events related to its emergence, anti-epidemic measures and treatment performed by civil health care institutions. The data on the forces and resources allocated by the Ministry of Defence to eliminate the consequences of the outbreak of the nature and structure of sanitary and anti-epidemic (preventive) measures in the area of their deployment. The features of anti-epidemic protection of the personnel of the detachment emergencies are analysed. The work of highly qualified medical professionals of the central unit of the medical service delivering organisational-and-methodological and practical help to participants of liquidation of consequences of anthrax outbreaks
Voenno-medicinskij žurnal. 2017;338(1):22-27
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Voenno-medicinskij žurnal. 2017;338(1):27-27
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Diagnosis and treatment of chronic heart failure in a specialized hospital

Esipov A.V., Lishchuk A.N., Koltunov A.N., Esion G.A., Karpenko I.G.


Modern approaches to the diagnosis of chronic heart failure and the use for this purpose methods. As a result of treatment of 119 patients with heart failure in the cardiologic center of the multidiscipline hospital analysed and effectiveness of surgical interventions in different nosology - ischemic heart disease, valvular disease, dilated CMP and comorbidity, is evaluated. It is shown that the most frequent postsurgical complication were acute heart failure-ness, she, along with a syndrome of small emission, has served as the most common cause of death. Overall hospital mortality was operated at 5%.
Voenno-medicinskij žurnal. 2017;338(1):28-33
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Complex assessment of effectiveness of paravulnar intramuscular administration of antihypoxic drugs in case of muscle gunshot wounds

Trukhan A.P., Zhidkov S.A., Letkovskaya T.A.


Authors provided results of researches aimed to determine an effectiveness of paravulnar intramuscular administration of antihypoxic drugs when treating muscle gunshot wounds. An analysis of cytograms of traumatic discharge and intensity of morphological changes in muscle of different areas of the gunshot wound is made. It is determined that paravulnar injection of medicine with antihypoxic action when gunshot wound fastens wound process (early regeneration) and decrease intensity of degenerative and necrotic changes in muscle. The use of methylethylpiridinole is more effective in comparison with not only animals in control group, but also with animals treated with mexidol. The abovementioned effectiveness is connected with the possibility of methylethylpiridinole to reverse microvascular blockage.
Voenno-medicinskij žurnal. 2017;338(1):34-38
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Topical issues concerning tuberculosis prevention in the military-medical institutions

Karpushchenko V.G., Kuzin A.A., Dantsev V.V., Svistunov S.A.


Tuberculosis refers to the socially significant diseases. Up to 50% of cases of TB-infection is detected in military medical institutions where soldiers arrive for the various (non-tuberculous) diseases. Long asymptomatic and lack of specific clinical manifestations at the disease onset make it difficult to diagnose tuberculosis. The application of modern immunological methods of diagnosis and radiation becomes relevant and scientifically sound in a complex of measures on prevention of tuberculosis patients and personnel of military medical institutions.
Voenno-medicinskij žurnal. 2017;338(1):39-44
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Application of Integrative medicine at the centre of medical rehabilitation for aircrew

Gorbachev O.Y., Ovinnikov A.A., Shchegolkov A.M., Sapegin A.N., Vysotskii A.E., Gornov S.V., Stupin F.P.


The article describes the state of and prospects for the development of integrated and eastern medicine in Russia. The experience of the application of the main methods of traditional medicine in the Medical Rehabilitation Centre of Hospital is analysed. On this basis, it shows the effectiveness of medical-and-professional rehabilitation of flight crews in preparation for the hospital aviation physical examination. Proposals for the further development of medical rehabilitation system aircrew aircraft of the Armed Forces are given.
Voenno-medicinskij žurnal. 2017;338(1):45-49
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The use of some modern X-ray systems and devices under the field conditions

Zheleznyak I.S., Trufanov G.E., Troyan V.N., Akiev R.M., Anokhin D.Y., Bagnenko S.S., Naumov A.V.


The evaluation of the use of certain types of domestic X-ray equipment under the field conditions is performed. The objects of study were mobile X-ray complex «Polus» and portable X-ray machines. The study identified a number of structural shortcomings of the mobile X-ray equipment and the ways of its modernization.
Voenno-medicinskij žurnal. 2017;338(1):50-56
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Khirurgicheskaya krikotireoidotomiya v usloviyakh polya boya: britanskiy opyt

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Voenno-medicinskij žurnal. 2017;338(1):57-57
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Use of modern means of deployment and equipment of department of medical support for a medical troop (of special purpose)

Miroshnichenko Y.V., Kononov V.N., Rodionov E.O., Mustaev O.Z., Kostenko N.L., Bokach N.V.


The article provides information on analysis of results of the use of pneumo-framed constructions and organic equipment, delivered within the frame of the state defence order to the medical troop (of special purpose). As a basis is considered an experience of deployment and organization of work of medical support department when conducting special tactical training exercises, concerning activities of the troop when conducting flood relief.
Voenno-medicinskij žurnal. 2017;338(1):58-60
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Surgical treatment of infective endocarditis of the aortic valve before development of severe hemodynamic disorders: case report

Krainyukov P.E., Sergoventsev A.A., Afonaskov O.V., Borisov I.A., Dalinin V.V., Krylov V.V., Dieva T.V.


A clinical case of diagnosis and successful surgical treatment of primary infective aortic valve endocarditis before development of severe hemodynamic disorders and severe valve dysfunction in a young patient is described. Sanitation of cardiac chambers and aortic valve prosthesis with mechanical cardiopulmonary bypass and cardioplegia with a good clinical outcome are performed.
Voenno-medicinskij žurnal. 2017;338(1):60-63
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Experience of correction of asthenic states in military personnel under out-of-hospital conditions

Kryukov E.V., Chernetsov V.A., Kazakov S.P., Semiserin V.A., Khritinin D.F., Katenko S.V., Malakhovskii V.V., Karakozov A.G., Molodova A.I., Levchenko O.B., Kozyrev P.V., Krasnov A.V.


The results of a comparative analysis of the combined treatment of asthenic conditions for officers in outpatient care, which includes a combination of psychological correction with reflexology, manual therapy, ozone, girudo- and apiotherapy. The high efficiency of the treatment of somatic disorders caused by non-alcoholic fatty liver disease in the stage of steatosis, alimentary-constitutional obesity and metabolic syndrome is shown.
Voenno-medicinskij žurnal. 2017;338(1):63-64
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On the problem of calcific acquired aortic stenosis

Gulyaev N.I., Tishko V.V., Galenko A.S.


The tendencies and characteristics of the spread of calcific acquired aortic stenosis by the example of privileged contingent Russian Ministry of Defense, clinical features, and advice on early detection.
Voenno-medicinskij žurnal. 2017;338(1):64-65
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On advantages of spinal anesthesia during penile surgery

Myagkov Y.A., Samoilov A.A., Kazantsev S.N., Myagkova A.Y.


Spinal anesthesia is the best method for penile surgery. This technique prevents an intraoperative stress, early postoperative pain, easy to perform, regardless of the constitutional and anatomical features of the patient and helps to prevent postoperative complications.
Voenno-medicinskij žurnal. 2017;338(1):66-67
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Clinical-and-pathological and molecular factors of portal cholangiocarcinoma prognosis

Zharikov Y.O., Kovalenko Y.A., Chzhao A.V.


An analysis of clinical-and-pathological and molecular risk factors in 36 patients with portal cholangiocarcinoma (Klatskin tumor). It is shown that the degree of differentiation of tumor cells (p=0,0137) and distribution of tumor tissue in the liver ducts SI (hepatic SI resection) (p=0011), are significantly affecting the prognosis of the disease. Between the expression of the molecular marker N-cadherin and overall survival set moderate correlation (p=0,032), between other markers - weak (p>0,05), but by the last possible final verification of the type of tumor cells.
Voenno-medicinskij žurnal. 2017;338(1):67-69
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1469th Naval Clinical Hospital Ministry of the Ministry of Defense celebrates the 80th anniversary

Shevchenko A.G., Zakrevskii Y.N., Arkhangel’skii D.A., Panina T.V., Peretechikov A.V., Balakhnov D.O., Serdyuk V.I.


The article presents the history of formation of 1469th Naval Clinical Hospital of the Ministry of Defence since 1936. In the difficult conditions of development of the North evolved tradition: dedication, enthusiasm you love, sensitivity, professionalism inherent in the staff of the hospital all those years. Expansion of the challenges facing the Northern Fleet required a further improvement of the hospital cohesive team. Currently, the hospital is a multi-therapeutic and prophylactic institution, successfully performs the task of preserving and strengthening the health personnel of the Northern Fleet.
Voenno-medicinskij žurnal. 2017;338(1):70-75
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Why the great Pirogov didn’t become an archiater

Kozovenko M.N.


Many prominent domestic physicians associated medical practice with the court medicine. N.I.Pirogov was not an exception to this rule. Only in emergency situations he was invited to the first persons of the imperial court as a consultant. Examples of high achievements in the field of Pirogov medical skill are presented. Among this examples- the exact diagnosis of the disease of the heir to the Russian throne, Grand Duke Nicholas Alexandrovich (1843-1865) and effective treatment of the Grand Duke Nikolai Nikolaevich (Senior), Chief of the Balkan Army (1876-1878). It draws attention to the low assessment of the closest entourage of the Emperor Alexander II made by Pirogov. It was noted that with the acquisition of Orthodoxy great doctor took it as «faith works». The conclusion: religion Pirogov let restriction of his medical service to persons belonging to the Imperial House of Romanov.
Voenno-medicinskij žurnal. 2017;338(1):76-83
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Voenno-medicinskij žurnal. 2017;338(1):83-83
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Nagrazhdeniya; Yubilei

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Voenno-medicinskij žurnal. 2017;338(1):84-86
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Otsenka funktsional'nogo sostoyaniya organizma voennykh spetsialistov

Bubeev Y.A., Matkevich E.I.
Voenno-medicinskij žurnal. 2017;338(1):87-88
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Voenno-medicinskij žurnal. 2017;338(1):89-91
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On improvement of standard medical examination of military personnel of the Armed Forces

Popov A.P., Pastukhov A.G.


A report conducted on the Main Military Medical Department of the Ministry of Defense of the Russian Federation round table on the theme: «Improvement of standard medical examination activities of the Armed Forces personnel». Discussed a draft legal act on the organization of the Russian Defense Ministry in the clinical examination of the Armed Forces (project management). A number of constructive suggestions to improve the document developed by the organization and clinical examination of the military were made.
Voenno-medicinskij žurnal. 2017;338(1):92-96
pages 92-96 views

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