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Vol 338, No 12 (2017)


Medical examination of military personnel as a system of preventive and medical-diagnostic measures in the Armed Forces: experience

Eloev M.S., Klipak V.M., Zherebko O.A., Yasakova M.V.


The article describes the historical aspects of the development of the system of medical examination in the Armed Forces, its main problem issues at the present stage. The main documents regulating the organization and content of clinical examination, the characteristics of their content are given. It is shown that in the prophylactic examination of military personnel under the contract there are many more doctors involved, and the volume of diagnostic studies allows to fully achieve the goals set for the medical examination. Methodical approaches to the evaluation of the quality and effectiveness of clinical examination are outlined. The use of modern survey methods, quantitative approach, quality control made it possible to achieve the efficiency of military personnel under contract in IHD at 91,6% at 9 LDCs, 91,2% in hypertensive disease, 96,4% in diseases of the endocrine system. The questions of economic analysis and information support of medical examination are reflected.
Voenno-medicinskij žurnal. 2017;338(12):4-13
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General approaches to the formulation of the diagnosis of malignant neoplasm in the conduct of military medical examination

Kryukov E.V., Chaplyuk A.L., Koryakin S.V., Krylov N.L., Kabalin A.P., Ushakov I.I.


Formation of an expert diagnosis of malignant neoplasm during military medical examination of military personnel is an important element of the activity of medical specialists of military medical organizations. The rules for the formulation of the diagnosis remain unchanged in the conduct of military medical examination in order to determine the validity for military service, the granting of sick leave or exemption from the performance of military service duties. Examples of the most common clinical diagnoses of malignant neoplasms are given. The information contained in the clinical and expert diagnosis is always crucial for subsequent patient requests for medical care, characterizes the prognosis of the disease, the nature and duration of medical rehabilitation, the frequency and volume of examinations during dispensary observation, allows you to determine the category of fitness for military service.
Voenno-medicinskij žurnal. 2017;338(12):13-17
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Professionally important qualities and professional competencies of students of residency studying the discipline «Emergency Medicine»

Sushilnikov S.I., Gaidamovich N.N., Lemeshkin R.N., Timofeev O.V., Ryabtsev M.V., Borisov D.N.


The results of the questionnaire survey of students of the residency of the S.M.Kirov military medical academy are described in order to determine their professionally important qualities that affect the practical activities, professional competencies and the educational process in the discipline «Emergency medicine». Through feedback from students, their educational needs in the field of disaster medicine have been established, and the following groups of factors have been identified: those who determine the professionally important quality of the listeners are «communicative», «professional» and «personal»; influencing the training, practical activities and professional competence - «methodology of managerial activities of specialists», «organizational and staff structure of the medical service» and «methodology for the intended purpose with the organizational and staff structure of the medical service»; affecting the educational competence - «regulatory legal framework, regulation of the activities of specialists», «methodology for the intended use», «methodology of managerial activities of specialists». Their ranking is done, the significance is established. The directions of the development of professionally important qualities, professional knowledge and activity of military medical specialists in terms of their intended use in eliminating the medical and sanitary consequences of emergencies have been determined.
Voenno-medicinskij žurnal. 2017;338(12):18-29
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Ways to solve the problem of the «golden hour» in the pharmacotherapy of acute poisoning among servicemen (Literature review)

Ivnitskii Y.Y., Krasnov K.A., Reinyuk V.L., Shefer T.V.


The article is devoted to the substantiation of approaches to the improvement of the first and medical (pre-medical and first medical) assistance to servicemen in acute poisoning. In the provision of first aid, the effectiveness of medicines is determined by their speed and the possibility of using self-help and mutual assistance. Compliance of these requirements with the medicinal forms used in the military unit of the medical service is analyzed. In acute poisoning, the use of drugs in the injection dosage form at the prehospital stage involves a number of risks.The prerequisites for the use of nasal spray under these conditions are shown. The conditions for the suitability of pharmaceutical substances for use in the nasal spray dosage form for the treatment of acute poisoning in the prehospital stage are formulated.
Voenno-medicinskij žurnal. 2017;338(12):29-36
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Peculiarities of elbow joint replacement in case of wounds and injuries: long-term results

Gritsyuk A.A., Lychagin A.V., Kryukov E.V., Brizhan L.K., Davydov D.V.


The aim was to study the results of total elbow arthroplasty in the treatment of gunshot wounds and open injuries. The analysis of treatment and long-term results of 69 patients with gunshot wounds and open injuries of the elbow joint, which performed total endoprosthetics, was carried out. The duration of the preoperative period was 3-16 months after receiving injury or trauma, postoperative follow-up - no less than 12 months after arthroplasty of the joint. The volume of motion in the joint (ROM), functional indices (DASH) and quality of life (SF-36) at 1, 3, 6 and 12 months after the operation were studied. It has been established that both in severe trauma and in gunshot wounds, endoprosthetics of the elbow joint equally reliably reduces the pain syndrome, gives a high level of physical functioning, which improves the quality of life of patients.
Voenno-medicinskij žurnal. 2017;338(12):37-44
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Ryb'ya kozha kak effektivnyy transplantat v usloviyakh polya boya

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Voenno-medicinskij žurnal. 2017;338(12):45-46
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Lenta novostey

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Voenno-medicinskij žurnal. 2017;338(12):46-46
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Experience in using lumbar sympathectomy in a central military hospital

Esipov A.V., Kokhan E.P., Pinchuk O.V., Obraztsov A.V.


The article presents data from the experience of using lumbar sympathectomy surgery in the treatment of pathology of the main arteries in the department of vascular surgery of the central military hospital for more than 45 years. The efficacy of the operation with different degrees of ischemia was analyzed. Based on an evaluation of the results of 1,764 independent and combined lumbar sympathectomies with vascular reconstructions, it was established that this operation, with minimal trauma and a low level of complications, improves the quality of life and patients for many years. Long-term results show that the compensation of limb blood circulation, achieved due to lumbar sympathectomy, allows the majority of patients to maintain a limb for a long time: in case of II А-B grade ischemia, 91% of patients, 2 years - 90%, 5 years - 62%, 10 years - in 57% of patients; with ischemia of III-IV degree - respectively in 80, 72, 45 and 40%.
Voenno-medicinskij žurnal. 2017;338(12):47-49
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Optimization of methods of medical examination of students of the Moscow Cadet Corps «Pansion of pupils of the Ministry of Defense of the Russian Federation»

Moshetova L.K., Zakharova I.N., Meshkov A.V., Doroshina E.A., Machneva E.B., Reznichenko E.V., Nikiforova T.Y., Koldina O.N.


Clinical examination is one of the methods of early detection of chronic diseases in children and adolescents. The article presents data on the results of medical examination of students of the Boarding School of the Ministry of Defense of Russia for 2011-2016. Optimization of the methods of medical examination based on new scientific data made it possible to identify, correct and prevent various deviations in the health status of pupils in a timely manner, which led to a decrease in 2014-2016. compared with 2011-2013. prevalence of chronic pathology of the nervous system (by 6%), gastrointestinal tract (8,4%), ENT organs (17,3%), cardiovascular system (4%), and the proportion of pupils with 1st group of health increased by 5,7%.
Voenno-medicinskij žurnal. 2017;338(12):49-50
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Development of B12-deficiency anemia in a patient with type 2 diabetes mellitus in the treatment of metformin

Sapelnikova E.R., Pop V.P., Potekhina E.Y.


The article describes the case of development of B12-deficiency anemia in a 68-year-old patient with type 2 diabetes mellitus after 4 years of metformin therapy. A brief review of literature data on metformin-induced B12-deficiency anemia and its correction methods is presented. Patients who take metformin for a long time are recommended to study the concentration of vitamin B12 and, at its reduction, to carry out preventive maintenance therapy with vitamin B12 to avoid the development of anemia and/or polyneuropathy. Particular attention in patients with type 2 diabetes should be given early diagnosis of polyneuropathy, which may be associated with the use of metformin, so that, at the first signs of it, an adequate treatment should be prescribed.
Voenno-medicinskij žurnal. 2017;338(12):51-52
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Clinical results and morphological state of the buccal graft after replacement urethroplasty

Shestaev A.Y., Protoshchak V.V., Babkin P.A., Kukushkin A.V., Kushnirenko N.P., Sinel’nikov L.M., Kharitonov N.N., Karpushchenko E.G., Ashanina E.N.


Results of treatment of 68 patients who underwent urethroplasty with the use of the mucous membrane of the cheek were presented. The overall effectiveness of performed urethroplasty operations was 89,7%. Histological examination of buccal autografts in patients with recurrent constrictions did not reveal structural changes. The multilayer squamous, non-coring epithelium, which was under prolonged exposure to an aggressive medium, remained unchanged.
Voenno-medicinskij žurnal. 2017;338(12):52-54
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Application of hyperbaric oxygenation therapy in the complex treatment of periodontal tissue diseases

Simberdeev R.S., Vaitsekhovskaya E.P., Osipova E.V., Ligum A.Y.


The experience of using hyperbaric oxygenation in the treatment of 38 patients with periodontal disease in the age of 48-60 years in outpatient settings is presented. The closest result after the course of hyperbaric oxygenation is regarded as positive in almost 100% of patients. In addition to normalizing the periodontological status, patients who received hyperbaric oxygenation improved their general condition, sleep and appetite, and increased their efficiency. The stage of remission in these patients ranged from 1 to 3 years.
Voenno-medicinskij žurnal. 2017;338(12):54-55
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Experience in reconstructing the last composition of the Military Sanitary Scientific Committee of the Main Military Medical Directorate (1916)

Petrov R.E.


The author presents the author’s experience of reconstructing the iconography of the personnel of the Military Sanitary Scientific Committee of the Main Military Sanitary Directorate of the Russian Army in 1916. This committee existed in 1867-1917. and solved the most important issues of military medicine in Russia: the life and sanitary and hygienic situation in the troops, the development and supply of medical supplies to medical institutions and troops, the examination of cases for the improvement of doctors, scientific papers, the publication of the Military Medical Journal,
Voenno-medicinskij žurnal. 2017;338(12):55-58
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Comparative evaluation of protective effectiveness of materials of medical special clothes

Stavskii E.A., Vasendin D.V., Marchenko Y.V., Stavskii K.E.


An experimental comparative evaluation using test-aerosols of the protective effectiveness of materials for medical special clothes was carried out. Tests under static and dynamic conditions have shown that increasing the density of nonwovens, laminating them and increasing ply lead to a sharp decrease in bacterial permeability. The results of the research make it possible to select objectively a material with the necessary characteristics and to issue medical special clothes based on it with the highest possible protective effectiveness.
Voenno-medicinskij žurnal. 2017;338(12):58-59
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To the history of the 736th Main center for state sanitary and epidemiological surveillance of the Ministry of Defense

Butakov S.S., Berskii O.V., Zholus B.I., Zetkin A.Y., Remmer V.N., Yanshin L.A.


The article is devoted to the history of creation and activity of the 736th Main center of the state sanitary and epidemiological surveillance of the Ministry of Defense of the Russian Federation. This multidisciplinary medical-preventive institution of the highest level is at the head of the system of sanitary-epidemiological formations of the Armed Forces and fulfills the tasks of organizing and conducting surveillance and sanitary-anti-epidemic (preventive) measures in the army and navy. The main stages of the development of the Center, achievements and directions of activity at the present stage are presented.
Voenno-medicinskij žurnal. 2017;338(12):60-66
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To the 100th anniversary of the birth of P.Z.Arzhantsev

Grebnev G.A., Nikitenko V.V., Tereshchuk S.V., Kovalevskii A.M.


In December 2017 marks the 100th anniversary of the birth of a prominent maxillofacial surgeon, one of the organizers of military dentistry in the Soviet Army, the former deputy chief dentist of the USSR Ministry of Defense, the head of the dental department of the Main Hospital named after. N.N.Burdenko, laureate of the USSR State Prize, Honored Doctor of the RSFSR, Doctor of Medical Sciences, Colonel of Medical Service Pavel Zaharovich Arzhantsev.
Voenno-medicinskij žurnal. 2017;338(12):66-68
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Kornyushko I.G., Popov O.A.
Voenno-medicinskij žurnal. 2017;338(12):69-69
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Lenta novostey

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Voenno-medicinskij žurnal. 2017;338(12):69-69_2
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Monografiya dlya voennykh stomatologov i chelyustno-litsevykh khirurgov

Iordanishvili A.K., Kuvshinova A.K.
Voenno-medicinskij žurnal. 2017;338(12):70-72
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Putevoditel' po biblioteke Kronshtadtskogo voenno-morskogo gospitalya

Poddubnyy M.V.
Voenno-medicinskij žurnal. 2017;338(12):73-75
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Lenta novostey

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Voenno-medicinskij žurnal. 2017;338(12):75-77
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Nam soobshchayut

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Voenno-medicinskij žurnal. 2017;338(12):78-78
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First all-russian scientific conference «Toxicology and Radiobiology of the XXI Century»

Basharin V.A., Reinyuk V.L., Tolkach P.G.


The report on the conference «Toxicology and radiobiology of the XXI century» held at the S.M.Kirov Military Medical Academy is presented. The main directions of the conference work are considered: toxicology, radiobiology, medical and biological problems of radiation and chemical safety, training of personnel in toxicology and radiobiology.
Voenno-medicinskij žurnal. 2017;338(12):79-80
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Perechen' statey, napechatannykh v 2017 g. v «Voenno-meditsinskom zhurnale»

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Voenno-medicinskij žurnal. 2017;338(12):81-96
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