卷 338, 编号 2 (2017)

The article presents information about the system of medical care delivery under conditions of peace-support mission of the UN on example of mission on the south of Lebanon. This system is little-known to a wide range of military physicians. The article also presents personal experience of monitoring function of the given system. The authors present characteristics of volume and types of medical care delivered on different stages, and also peculiarities of organisation and maintenance of medical evacuation.

On the model side damage the femoral artery of pigs we performed a comperative test of modern local hemostatic agents (LHA): bandages on the basis of chitosan «Tseloks Goz» (TG), «Gemofleks Combat» (GC), «GemoBandazh» (GB) bandages on kaolin-based «Combat Goz» (CG), and the usual bandage 10 cm ґ 3 m (control group). 25 animals were divided equally into 5 groups. After 45 seconds of bleeding from 6-mm side wound of femoral artery was used LHA with a three-minute external compression and wound edges approximation. In the case of the continuation-bleeding wounds performed re-tamponade with the second package of the LHA. Hemostasis after applying the first packet never recorded in the CG group, occurred in 1 out of 5 animals in the groups TG and GC, 2 of 5 animals in the group GB and the control group (p>0,05). Application of two packages LHA in the TG group, GB and the control group was effective in 3 of 5 animals and in groups CG and GC - in 2 of 5 animals (p>0,05). Mortality did not differ significantly between the groups. Thus, the conventional bandage wound with ordinary tamponade in this model is not less effective than current LHA.

Research was carried out on 87 designed for the surgical treatment of cataract patients (112 eyes) who were grouped according to the initial intraocular pressure (IOP), the degree of pseudoexfoliative syndrome (PES), the presence of concomitant vascular pathology. IOP level was estimated in the first, the third day, and a month after cataract phacoemulsification with intraocular lens implantation. It was found that the incidence of reactive hypertension in the groups ranged from 10,7 to 18,7% and correlated with the severity of the manifestations of the PES, baseline IOP and the presence of systemic cardiovascular disease. At the same time dominated by vascular factors. The results allow to identify patients with RPE included in the group of high risk of developing hypertension, reactive, and thus improve the quality of their care and treatment.

Preventing infections associated with delivering of medical care suggests the organization of preventive and anti-epidemiological measures with the use of modern regulatory framework, which has undergone significant changes and continues to improve in recent years. The new data on clinical, epidemiological, social and economic effectiveness of the activities of this trend in organizations engaged in medical activities. The current and constantly updated system of normative, legal and methodological documents allows organizing an effective protection of patients and medical staff from nosocomial infections. The article provides an overview of existing regulations in the field of prevention of infections associated with health care, the possible ways of its improvement.

The effect of a course of inhaled xenon-oxygen gas mixtures and audiovisual stimulation on the performance of the functional state of divers specialists in the process of intensive training camps is researched. It is shown that the combined use of them has a generally positive effect on the level of the functional state-diving professionals, increasing their individual resistance to adverse factors the complex military-professional environment. The results allow us to consider the combined use of these techniques as a promising means of surgical correction of the functional state of persons whose activities take place in conditions of considerable physical and psycho-emotional stress.

In a retrospective clinical study of 116 patients was studied the sensitivity and specificity of magnetic resonance cholangiopancreatography, as well as to evaluate its effect on the duration of hospitalization of patients with a syndrome of jaundice caused by choledocholithiasis. It was determined that the magnetic resonance cholangiography is a highly informative method of research, enabling timely and accurate diagnosis to select the optimal treatment strategy in patients with choledocholithiasis. The use of magnetic resonance cholangiography as a part of early diagnosis reduces the length of hospital stay for 3-7 days.

Radiation treatment can damage pericardium, cardiac muscle, and coronary vessels. The case of acute coronary events development in 40 years old man seven years after successful Hodgkin’s lymphoma treatment is described in the article. It is showed that an early diagnostics of radiation-induced cardiac disease allow performing pharmacotherapy and cardio surgical treatment timely. Physicians should be aware of all appearances and ways of radiation-induced cardiac disease control.

The article presents a case of penetration of coral calculus of right kidney through the diaphragm into the pleural cavity with formation of hydrothorax, pleurisy, and abscess in a patient 75 years.

The article reflects attempts to reconsider training programs for military paramedics by military army authority of that period. Authors show a discussion concerning abovementioned issue between the head of the Kiev military district the adjutant general A.R.Drenteln and the Military-medical scientific committee.

The article shows that when preparing the army for the war and planning of emergency supplies for military time the Russian military department was guided by the experience gained during the Russo-Japanese War, which turned old by that time, and as a result during the First World War the medical service noticed a significant lack of medications, surgical instruments and other medical equipment. There were few bases of medical equipment in the troop district. The undertaken emergency measures allowed improving supply of medical institutions and troops with medical equipment.