Vol 337, No 5 (2016)


Battle-field surgery in the beginning of 21st century

Kotiv B.N., Samokhvalov I.M., Badalov V.I., Goncharov A.V., Severin V.V., Reva V.A., Petrov Y.N.


The authors underwent an analysis of doctrine changes of battle-field surgery. The terminology is specified, the ways of improvement of effectiveness and quality of medical care for the wounded, taking into account the new doctrine, are formulated. In accordance with Federal law № 323-FZ of 2011.11.21 the term «reduced specialized care» is suggested for description of medical care at medical forward treatment unit instead of «qualified aid».
Voenno-medicinskij žurnal. 2016;337(5):4-10
pages 4-10 views

Modern approaches to the study of sanitary and irretrievable losses of surgical profile in military conflicts

Samokhvalov I.M., Shelepov A.M., Severin V.V., Goncharov A.V., Golovko K.P., Suprun T.Y., Petrov Y.N.


The article presents a comparative characteristics of domestic and foreign approaches to the static analysis of losses of surgical profile in military conflicts. The ways of improvements of statistical materials on military losses for improvement of surgical aid delivery are mapped out. The authors proved the need to establish the register of combat trauma.
Voenno-medicinskij žurnal. 2016;337(5):10-16
pages 10-16 views

Organizational and therapeutic aspects of the elimination of the medical consequences of chemical accidents

Khalimov Y.S., Pershin V.N., Rusev I.T., Tsepkova G.A., Babak A.V.


During the liquidation of consequences of chemical accidents the main task is minimization of the population losses and the provision of effective medical care to the victims. Training experience related to chemical accidents, shows the need for constant readiness of health facilities in the area of the chemical industry accommodation, planning of the medical forces and resources reserve. The most important elements of medical care in chemical accidents are affected sorting, intensive therapy and reanimation in cases of severe injuries, the organization of the observation of persons with initial minor manifestations of intoxication. Emergency assistance should be provided in full volume as soon as possible. It is essential to provide enough oxygen and required drugs (hormonal drugs, diuretics, antibiotics, anticonvulsants, analgesics, and others). Multistage evacuation should be excluded and should be done the planned training within the medical service stuff with toxicological profile.
Voenno-medicinskij žurnal. 2016;337(5):17-21
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Recovery after deep defects of the fingers covering tissues in daily surgical hospital.

Vorobev V.V., Pitenin Y.I., Ovchinnikov D.V.


The article describes the experience of reconstructive and restorative operative treatment of patients with defects of the skin of the fingers at the daily surgical hospital. It is shown that surgeons applying standard instruments and having additional training in hand surgery, using a technique non - free skin plastic flap on a temporary pedicle and using inpatient technology, get cosmetic and functional results compared to those of treatment in hospitals. Cited in the article data on the direct and separate treatment outcomes, quality of life of patients, the estimated non-specific and organ-specific method, clearly show that non-free skin plastic flap on a temporary pedicle - a reliable and effective method of restoration of the skin fingers defects which can be accompanied wit the use of resource-saving technologies in health care.
Voenno-medicinskij žurnal. 2016;337(5):22-28
pages 22-28 views

Zika virus infection: clinical and diagnostic aspects and organization of preventive measures

Fisun A.Y., Zhdanov K.V., Zakharenko S.M., Kovalenko A.N., Kozlov S.S., Semenov A.V.


The article presents modern data about Zika virus outbreak, the biological characteristics of the pathogen, vectors, the nature of the epidemic process, pathogenesis and diagnosis of infection. This infection has a high potential for epidemic spread because vectors are widely represented in the fauna of many climatic and geographic zones. It presents information on the main clinical manifestations of the disease. Particular attention is paid to the problem of congenital malformations of the nervous system (microcephaly and others) detected in infants born to women infected with Zika virus. The basis of therapy in this disease constitute a pathogenic agent. The package of measures for the prevention of disease caused by Zika virus, including early identification and treatment of patients, as well as measures for the destruction of the virus vectors.
Voenno-medicinskij žurnal. 2016;337(5):29-34
pages 29-34 views

Experience in health prevention work at the accident at the Chernobyl nuclear power plant.

Zholus B.I.


One of the main conditions for successful completion of liquidation tasks in the consequences of the accident at the Chernobyl nuclear power plant is of the swipe-effective sanitary and anti-epidemic (preventive) measures. The main directions of medical services in this area include the prevention of acute radiation injuries of personnel and distant effects of ionizing radiation, prevention of epidemics of acute intestinal, respiratory and other infections in the armed forces, pro-prevention of injuries, poisonings, accidents. Medical preventive measures were performed by the Medical Service, which took part in liquidation of consequences of military units, the specialists of the Operational Group of Civil Defense, the sanitary-epidemiological units and institutions formed the Belarusian, Kiev and Odessa Military District. Sanitary-epidemiological (preventive) activities carried out during the accident at the Chernobyl nuclear power plant, provided the sanitary-epidemiological well-being of the troops, which allowed to perform their tasks.
Voenno-medicinskij žurnal. 2016;337(5):35-43
pages 35-43 views

Medical provision in the Arctic. 2015

Soldatov E.A., Golota A.S., Kornilova A.A., Krassii A.B., Levando K.K., Chuvashov M.L., Shalakhin R.A.


The current article is a brief review of the 2015 foreign scientific publications dedicated to medical provision in the Arctic. The review begins from the problem of water supply. Then the publications from the field of food supply, epidemiology and infectious diseases, suicide, and telemedicine are reviewed in a shorter manner. In conclusion it is pointed out that diversity and uniqueness of the Arctic medicine problems require complex approach for the problems solution which can be accomplished by establishing a specialized scientific practical center.
Voenno-medicinskij žurnal. 2016;337(5):44-51
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Organization of medical evacuation support of the Red Army during the Great Patriotic war: lessons and conclusions

Sinopalnikov I.V.


The article analyses the experience of medical support of the Red Army troops during the Great Patriotic War. The data characterizing particular forms and methods of work of the medical service of different fronts in the dynamics of the operations in different periods of the war is given. Taken in the Red Army’s principles of medical support and the organizational and staff structure of the health service as a whole showed its viability in various conditions of defensive and offensive operations. At the same time, the activities of the medical service needed to make adjustments on the basis of the provisions of the unified military field medical doctrine. A system of medical and evacuation support was created, successfully operated and was improved during the war. The lessons and experiences of medical support in the Great Patriotic War, its comparison with modern problems of the military medicine make it possible to identify the direction of improvement of activities of the medical service in the performance of modern problems by the Armed Forces.
Voenno-medicinskij žurnal. 2016;337(5):53-67
pages 53-67 views

Military physicians - holders of commanders’orders

Knopov M.S., Taranukha V.K.


The article presents the characteristics of prominent figures of the Russian medicine awarded by commander orders. Traced their combat path. Attention is paid to the merits of the organization and conduct of activities of medical support in operations.
Voenno-medicinskij žurnal. 2016;337(5):67-72
pages 67-72 views

Contribution of the 320th central warehouse to sanitary medical support of the Red Army during the Great Patriotic war

Levchenko V.N., Miroshnichenko Y.V., Kononov V.N., Zveryachenko A.S., Besedin R.G., Roenko A.S.


During the Great Patriotic war (1941-1945) medical supply experts of the 320th Central warehouse sanitary solved complex problems for the regular and complete provision with medical property guide action by the army, the formation of complete basic equipment, service of medical transport and medical equipment. The experience gained in providing acting army allowed in the post-war period progressively develop functioning of the system of medical supplies of troops (forces), successfully and smoothly carried out in the framework of its organizational planning and other activities.
Voenno-medicinskij žurnal. 2016;337(5):72-79
pages 72-79 views

Fied surgeons - country plenipotentiary representatives

Samokhvalov I.M., Tynyankin N.A.


The article dedicated to the 85th anniversary of the establishment of the Kirov Military Medical Academy, the first independent department and clinic of field surgery. It describes the work of the department employees who were sent as medical advisers to the so-called «hot spots» in a variety of countries at different times (Klyuss I.A., Dolinin V.A., Volikov A.A., Antipenko V.S., Kornilov V.A., Felitsyn L.N., Zakurdaev V.E., Chernov E.V., Alekseev A.V. and the others).
Voenno-medicinskij žurnal. 2016;337(5):79-85
pages 79-85 views

Ofitsial'nyy otdel

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Voenno-medicinskij žurnal. 2016;337(5):86-89
pages 86-89 views

Lenta novostey

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Voenno-medicinskij žurnal. 2016;337(5):90-91
pages 90-91 views

Innovative methods of treatment of cardiac patients in a multidisciplinary hospital.

Shklovskii B.L., Patsenko M.B., Prokhorchik A.A., Frolkin M.N., Baksheev V.I.


The article is a report on the conference «Innovative methods of treatment of cardiac patients in a multi-hospital», which took place at the 3rd Central Military Clinical Hospital n.a. A.A.Vishnevskiy and dedicated to the 40th anniversary of the cardiology hospital center. The reports covered achievements, the latest developments introduced into the practice of medical and diagnostic work of the hospital and its affiliates with patients of cardiovascular profile. The advantages of a multidisciplinary hospital in the provision of specialized high-tech medical care difficult, multimorbid patients are showed. To report the possibility of co-temporal methods of effective treatment of a variety of cardiovascular morbidity in military personnel.
Voenno-medicinskij žurnal. 2016;337(5):92-96
pages 92-96 views

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