Vol 338, No 5 (2017)


Procedure of sending military personnel, retired military personnel of the Ministry of Defense and their families to spa treatment

Trishkin D.V., Titov I.G.


Principles, procedures, and medical selection for sending military personnel and their families to the spa organizations of the Ministry of Defense are shown. We consider organizational aspects of spa treatment in the Armed Forces. General characteristics of spa factors are used in the treatment.
Voenno-medicinskij žurnal. 2017;338(5):4-9
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Problems of military medical examination and dispensary observation of military personnel with chronic viral hepatitis

Zhdanov K.V., Kozlov K.V., Shakhmanov D.M., Zhabrov S.S., Yaremenko M.V., Sukachev V.S., Lyashenko Y.I., Ivanov K.S., Zubik T.M.


The article deals with actual problems of military medical examination and dispensary dynamic monitoring of military personnel with chronic viral hepatitis. The state of implementation of the requirements of the governing documents regulating the corresponding division of the medical service of the Armed Forces of the Russian Federation and work of the non-standard Center of the Ministry of Defense of the Russian Federation for the treatment of chronic viral hepatitis at the S.M.Kirov Military Medical Academy named have been highlighted. Based on the results of the analysis, a number of shortcomings in the organization of dispensary dynamic observation and military medical examination in the system of medical care for servicemen with chronic viral hepatitis have been revealed, and possible ways of their elimination have been proposed.
Voenno-medicinskij žurnal. 2017;338(5):9-13
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International experience of neurosurgical care delivery during the armed conflicts of the last decade

Poroiskii S.V., Solontsova E.N., Khrapov Y.V.


The experience of NATO armies’ concerning delivery of neurosurgical care in the armedconflicts in Iraq and Afghanistan (2001-2011) is analysed. Statistical data on the incidence and the structure of the combat-pwa representations, approaches to the organization of neurosurgical care to the stages of evacuation and its content. We characterize new therapeutic concepts «low volume resuscitation», «damage control», and «hemostatic intensive care», «early decompressive craniectomy». It is shown that adaptation of new concepts of surgical and resuscitative in power in severe concomitant trauma in peacetime to combat operations conditions resulted in significant decrease mortality and improve outcomes of combat injuries.
Voenno-medicinskij žurnal. 2017;338(5):13-19
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Optimization of diagnostics of secondary forms of arterial hypertension

Kryukov E.V., Fursov A.N., Potekhin N.P., Chernov S.A., Zakharova E.G., Lyapkova N.B., Makeeva T.G.


For the medical service of the Armed Forces of the Russian Federation, the urgency of the problem of arterial hypertension (AH) is caused by a significant increase in its frequency among military personnel, which from 1999 to 2013 was 41%. According to the department of arterial hypertension FGKU «GVKG n.a. N.N.Burdenko» hypertensive disease was diagnosed in 69-78% of patients, secondary hypertension - in 22-31%. In the article, special attention in the light of the differential diagnosis of secondary AH is given to the problems of resistant hypertension and so on. Incident. According to the authors of the resistance, AH occurs in 14% of patients with hypertension, and the frequency of incidence of the incident reaches 23% in the group of people in high blood pressure. Taking into account the given literature, and also on the basis of own experience the modified algorithms of differential diagnostics of secondary hypertension are offered. A reasonable amount of differential diagnostic activities at the stages of medical care will allow us to clarify the genesis of AH with minimum costs, recommend the optimal drug therapy aimed at manometric not only lowering of blood pressure, but also contributing to organoprotection and reduction of cardiovascular risk.
Voenno-medicinskij žurnal. 2017;338(5):20-28
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Morphological brain changes of in case of penetrating skull trauma

Orlov V.P.


The article presents an analysis of medical reports of 25 wounded at the age of 19-25 years with penetrating skull wounds, treated in the hospital of the 40th army (Kabul) in the period 1980-1982, but died due to the wound. It was found that the tidal drainage of craniocerebral injuries thank to mechanical traumatic discharge remove contributed to a more rapid purification of brain injuries and their healing without obvious scarring.
Voenno-medicinskij žurnal. 2017;338(5):29-33
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Modern possibilities of computed tomography as a part of diagnosis of heart diseases and coronary arteries

Zheleznyak I.S., Menkov I.A., Rud S.D., Bagnenko S.S., Rameshvili T.E., Malakhovskii V.N., Gorina N.S.


Today CT-coronary angiography is a minimally invasive method, alternative to invasive coronary angiography, for coronary arteries permeability evaluation. This method allows defining a majority of myocardial ischemia causes, including variants and coronary arteries abnormal development, visualizing myocardial structural changes, receiving data on contraction function of the heart, and on possible causes of myocardial ischemia in case of the absence of coronary artery disease (atherosclerosis). CT-coronary angiography is the only minimally invasive method for quantitative evaluation of the coronary arteries lumen, which may replace invasive coronary angiography. But quantitative evaluation of lesion as the only method doesn’t allow defining its hemodynamic relevance. For the appropriate tactics of treatment and planning of heart revascularization CT-coronary angiography should be accompanied by methods, which approve hemodynamic relevance of lesions or myocardial ischemia.
Voenno-medicinskij žurnal. 2017;338(5):34-39
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Use of digital X-ray, FC-01 «Elektron» in multidiscipline hospital to diagnose non-pulmonary pathology

Khrustalev K.E., Tsokolov A.V., Yagovdik N.P., Kozhurov M.N., Rudoi S.A.


The authors suggested use of «Digital low-dosed photofluorograph» in the daily activities of the hospital for X-ray diagnosis of non-pulmonary diseases (sinuses, cervical spine, upper and lower limbs (bone structure, joint and ligaments), nasal bones, abdomen). Showcased additional opportunities for radiology department doctors in the case of digital Low dose fluorography, is a significant time economy to conduct research and material resources, possibilities of regulating picture settings on the monitor screen at the pictures already taken to obtain a better and more objective conclusions, the possibility of increasing the images obtained from the detailed visualization of interested structures, simplifying the archiving process, store and transmit images of remote obtaining consultative care, reducing radiation exposure to patients, in the absence of needs in the accounting of precious metals, simplifying the process of statistical analysis of accumulated data.
Voenno-medicinskij žurnal. 2017;338(5):40-44
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Remodeling of the left ventricle in case of thyroid function abnormality - symptomatic and asymptomatic Graves’ disease (Literature review)

Drozdova I.N., Demidova T.Y., Potekhin N.P., Orlov F.A.


At present, there is a sufficient amount of data on the effect of thyroid hormones on the cardiovascular system. Of particular interest are the structural and functional changes in the myocardium in manifest and subclinical thyrotoxicosis. At the same time, if the effect of manifest thyrotoxicosis on the cardiovascular system is known for a long time, the nature of changes in the geometry of the heart in subclinical thyrotoxicosis has not been adequately studied now.
Voenno-medicinskij žurnal. 2017;338(5):44-48
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Analysis of the most significant tuberculosis risk factors for military personnel in modern conditions

Dantsev V.V., Muchaidze R.D., Beznosik R.V., Karpushchenko V.G., Grishin V.K., Shitov Y.N., Spitsyn M.G.


The results of a study of the structure and number of groups of high risk of tuberculosis in the military are outlined. The incidence of tuberculosis, the timing of the detection of the disease from the beginning of military service, the ways of its detection, the structure of the clinical forms of tuberculosis, the main risk factors, the quality of medical examination of military personnel from the risk group are analyzed. The most significant risk factors were the following: contact with a sick tuberculosis before the start of military service, contact with a sick tuberculosis in the period of military service, the presence of residual post-tuberculosis changes in the respiratory system. The obtained data made it possible to suggest ways of improving the organization in modern conditions of anti-tuberculosis measures in the troops. Full implementation of preventive work with regard to high-risk groups will further reduce the incidence of tuberculosis in the Armed Forces.
Voenno-medicinskij žurnal. 2017;338(5):49-55
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Voenno-medicinskij žurnal. 2017;338(5):55-55
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Novyy metod identifikatsii bol'nykh

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Voenno-medicinskij žurnal. 2017;338(5):56-56
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Interaction of the People’s Commissariat for Health of the USSR and the Main Military-Sanitary Directorate during the Great Patriotic War

Goncharova S.G.


The article highlights the work of civilian health authorities in cooperation with the military medical service on the territories of the USSR liberated from the Nazi invaders during the Great Patriotic War.
Voenno-medicinskij žurnal. 2017;338(5):57-58
pages 57-58 views

Non-professional emergency response team «Mobile medical unit»

Sboev A.O., Nikolaevskii E.E.


Based on outpatient clinics in Moscow, were conducted 18 research tactical and special exercises, where questions of deployment and functioning of the mobile medical unit were handled when receiving massive sanitary losses from the outbreak. The study was a logical continuation of the consecutive theoretical developments of the Moscow Department of Health, the Department of Mobilization Training of the Russian Medical Academy of Continuing Vocational Education of the Ministry of Health of Russia. Because of the exercises, real possibilities were identified to provide primary medical health care, a fundamentally new structure, differing from the previously existing mobile medical formations, was proposed with a version of its application in a round-the-clock mode in a two-shift composition.
Voenno-medicinskij žurnal. 2017;338(5):59-60
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Comparative efficacy analysis of pharmacotherapy of postherpetic neuralgia in ambulance situation

Popov A.P., Kravchenko T.A.


Authors performed a comparative efficacy analysis of pregabalin and amitriptyline as prescribed medications for 56 patients with different forms of postherpetic neuralgia. Patients were divided into two groups. The first (main) group consisted of 14 patients, whom was prescribed pregabalin at a dose of 150 mg/day and 14 patients, which took pregabalin at a dose of 300 mg/day. The second (control) group consisted of 14 patients, which were treated with amitriptyline at a dose of to 25 mg/day and 14 patients - at a dose of to 50 mg/day. Time of pain intensity reduction was determined according to VAS scale. It is determined that pregabalin is an effective mean for postherpetic neuralgia treatment. Its effectivennes grows parallel to dosage increase and treatment duration and almost comply to amitriptyline effectiveness.
Voenno-medicinskij žurnal. 2017;338(5):60-62
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Case of successful heart trans-plantation

Burkhovetskii A.L., Rekovets N.V., Dautov R.I., Kabannikova T.D.


The article describes a case of successful heart transplantation associated with concomitant pathology in the form of nodal euthyroid goiter, diabetes mellitus, osteochondrosis of the cervical spine, and discirculatory encephalopathy.
Voenno-medicinskij žurnal. 2017;338(5):62-63
pages 62-63 views

Possibilities of computed tomography in the diagnosis of injuries of CIII-CVII spinal bones, postoperative control

Priporova Y.N., Kravtsov M.N., Trufanov G.E., Svistov D.V., Boikov I.V.


127 patients with traumatic injuries of the cervical spine before and after surgery were examined. Studies were performed with the help of different computer topographies. Preoperative morphometric parameters, the nature of the fracture of spinal bones, the magnitude and direction of the displacement of bone fragments, the presence of instability of the cervical spine were determined. In the postoperative period study was conducted during the first day after surgery, and then monthly for 3-4 months for the control specified in the design. Performing CT immediately after surgery to assess the quality corporodesis made, and for the next 3-4 months - signs of consolidation of bone changes and timely rehabilitation.
Voenno-medicinskij žurnal. 2017;338(5):63-68
pages 63-68 views

Peculiarities of therapeutic approach to treating children with epilepsy at the health resort stage of rehabilitation

Vlasenko S.V., Ponomarenko Y.N.


An analysis of 364 medical records of children with epilepsy with seizures. The structure of epilepsy in children referred to health resort treatment, causes of epileptic seizures, defined therapeutic approach to treating this pathology. Developed differential treatment of patients with idiopathic and symptomatic epilepsy. Treatment of somatic pathology in patients with idiopathic epilepsy should be carefully performed on condition anticonvulsant therapy and absence of epileptic seizures. Patients with symptomatic epilepsy in the presence of significant epileptic changes, revealed by EEG, should increase the dosage of medication, patients, who don’t take medication should hold a short course of antiepileptic therapy during the stay at the health resort.
Voenno-medicinskij žurnal. 2017;338(5):69-71
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Effectiveness of eradication therapy of gastritis associated with Helicobacter pylori

Berezin A.I., Evdokimov A.E., Elizarova L.S., Glebko P.A., Matvienko N.P., Abramova V.A., Bublik S.I., Lesnikova A.A.


Based on the survey 156 patients with chronic gastritis, gastritis estimated frequency, associated with Helicobacter pylori and the effectiveness of standard triple eradication scheme, which amounted to 85% (in the military at the age of 18-20 years - 94,4%).
Voenno-medicinskij žurnal. 2017;338(5):71-72
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Squamous cell carcinoma of the mucous floor of the mount and tongue associated with the Epstein-Barr virus and human papillomavirus

Papko S.V., Kokoev V.G., Panov V.V., Volgushev O.A., Korol’kov A.V., Nistratov G.P., Kabanov A.V.


It was established that in 36% squamous cell carcinoma was diagnosed the human papillomavirus (HPV) in the tumour tissue. High-grade cancer was more common in the HPV-positive patients (52,77%) than those with HPV-negative (32,81%). Percentage of dead patients with HPV infection was significantly lower (21,95%) compared to non-infected (78,05%). Epstein-Barr virus (EBV) was detected in 60% of cases, often associated with moderately differentiated cancer (66,67%). Patients with regional metastases EBV were detected significantly more often than patients without metastases (44,44±6,4 and 70,58±5,9% respectively), while the difference in survival rates was not revealed.
Voenno-medicinskij žurnal. 2017;338(5):72-74
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A.Ya.Evdokimov - the last Chief Military Sanitary Inspector of the Russian Imperial Army

Poddubny M.V.


The biography of the chief military sanitary inspector of the Russian Army Alexander Yakovlevich Evdokimov, 15(27).08.1854 - 08(21).05.1917, who headed the Chief Military Sanitary Directorate in 1906-1917 is presented for the first time. The reforms of military medicine, which А.Ya.Yevdokimov tried to put into practice, are considered. A number of new facts cited in the article are connected with the history of the Military Medical Academy in the beginning of the 20th century. Some of the archival documents are published for the first time.
Voenno-medicinskij žurnal. 2017;338(5):75-83
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Military feat of junior medical staff in the Great Patriotic War

Kulnev S.V., Kryuchkov O.A.


The article outlines the conditions for the work of the junior medical staff (hospital attendants, medical attendants and sanitary instructors) in the Great Patriotic War of 1941-1945, reflects the main directions of its preparation in the pre-war period and during the war. Statistical data on combat and sanitary losses among nurses, porter-nurses and sanitary instructors are given. Measures taken by the country’s leadership aimed at encouraging the junior medical staff of the active army, in particular the order of the People’s Commissar of Defense of the USSR in 1941, No. 281, were noted.
Voenno-medicinskij žurnal. 2017;338(5):83-88
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Kuvshinov K.E.
Voenno-medicinskij žurnal. 2017;338(5):89-89
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Voenno-medicinskij žurnal. 2017;338(5):89-91
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First World Symposium on Endovascular Surgery for Injuries and Bleeding in Orebro, Sweden

Samokhvalov I.M., Reva V.A.


The report on the first World Symposium on Endovascular Methods of Trauma and Bleeding Treatment, which was held on February 2-4, 2017 in Orebro, Sweden, is presented. The symposium brought together 350 doctors of various specialties: general, military and vascular surgeons, specialists in surgery for injuries and orthopedic traumatologists, interventional radiologists and specialists in emergency medicine, anesthesiologists, resuscitators, nurses and anesthetists. The scientific program considered during the symposium was at the junction of many medical specialties, involving not only civilians, but also military doctors from all over the world.
Voenno-medicinskij žurnal. 2017;338(5):92-96
pages 92-96 views

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