Vol 337, No 8 (2016)


Organisation of medical and psychological rehabilitation of military personnel: modern state and development prospects

Trishkin D.V., Ponomarenko G.N., Merzlikin A.V., Kovlen D.V., Ishchuk V.N.


Presented the current state of the system of medical and psychological rehabilitation in the Armed Forces. The results of analysis of military health centres performing medical and psychological rehabilitation of servicemen are presented. Studied its problematic issues, the basic directions of development.
Voenno-medicinskij žurnal. 2016;337(8):4-10
pages 4-10 views

Organisation of surgical aid delivery under condition of the day surgery

Vorobev V.V., Davydov D.V.


The article describes the principles and objectives of a day surgery hospital. The peculiarities of surgical intervention are presented. The basic work indexes of the day-care hospital outpatient surgery of the S.M.Kirov Military Medical Academy for 5 years, confirming their clinical and cost-effectiveness are given.
Voenno-medicinskij žurnal. 2016;337(8):11-15
pages 11-15 views

Structure and physico-mechanical properties of the olfactory bulb while traumatic brain injury inflicted by firearms of limited destruction

Gaydash A.A., Ivchenko E.V., Yudin A.V., Shperling I.A., Mavrenkov E.M.


In experiments on animals (sheep) have been studied structure and physico-mechanical properties of the olfactory bulb during the early period of craniocerebral trauma caused by firearm of limited destruction, using a method of histostereometry. A key factor for pathogenesis of the olfactory dysfunction in the acute phase of injury are diverse physico-mechanical changes: it was determined a neuronal surface strain decrease and increase of interstitial fluid surface strain, which leads to neuron compression and enhance the membrane lipoprotein decay. Lipids concentrate in intercellular substance, and hydrodynamic flows accelerate. In a short term this creates risks associated with the destruction of neurons and progressive interstitial edema. Over the medium term there are risks associated with aberrant neurogenesis. In the long term increases the risk of affective behaviour.
Voenno-medicinskij žurnal. 2016;337(8):16-22
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New methods for limb lenght determination and offset for hip replacement

Brizhan L.K., Buryachenko B.P., Varfolomeev D.I.


The results of evaluation of the accuracy of two methods of authorship - the of limb length and offset when hip replacement, tested on 30 patients. Accuracy of evaluation of limb length was 1,06±0,83 mm, offset - 1,36±0,72 mm. The proposed methods allow determining quickly and with sufficient accuracy to limb length and offset during operation. Their advantages are non-invasive, easy to use and no radiation exposure to a patient during surgery. Application of these methods helps to improve the results of treatment and improve the quality of life of patients with hip joint pathology.
Voenno-medicinskij žurnal. 2016;337(8):23-27
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First experience of seamless prosthetic aortic valve Perceval S

Kraynyukov P.E., Dalinin V.V., Borisov I.A., Afonaskov O.V.


The first experience of the application of seamless biological prosthesis in patients with aortic valve. All 16 patients of the study group were 65 years. The pathology of the aortic valve - primarily atherosclerotic stenosis with varying degrees of calcification. In addition, 80% of patients had concomitant multivessel coronary disease. Aortic valve replacement was performed in all patients with cardiopulmonary bypass. It has been determined that the use of seamless biological prosthesis allows to minimize time of temptation-governmental circulation, especially in combination prosthesis with coronary artery bypass grafting, as well as to minimize and often avoid the complications inherent to the standard aortic valve replacement in near-term postoperative period, to achieve the maximum in effect, divided by the period.
Voenno-medicinskij žurnal. 2016;337(8):28-34
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Diagnosis, treatment, and evacuation of the military personnel with severe out-of-hospital pneumonia under condition of the Far North

Arkhangelskii D.A., Panina T.V., Zakrevskii Y.N., Ovchinnikov Y.V., Barachevskii Y.E.


The article presents some peculiarities of the system of medical-evacuation activities in the Northern Fleet. Based on a retrospective analysis of medical records of 42 patients with moderate and severe out-of-hospital pneumonia; studied clinical parameters of changes before and after evacuation to a specialized hospital. It is shown that with adequate oxygen support and medication transportation to the main medical institution has no negative impact on the status of such patients. Indications for evacuation of military personnel with severe out-of-hospital pneumonia from a garrison hospital into a specialized hospital are identified.
Voenno-medicinskij žurnal. 2016;337(8):34-39
pages 34-39 views

Biocontrol method with feedback on rheoencephalogram during sanitarium rehabilitation of patients with cerebrovascular pathology

Avershin V.A., Bitsadze A.N., Kuznetsov V.M.


An analysis of the effectiveness of biofcontrol method with feedback on rheoencephalogram in the rehabilitation of 50 patients with vascular circulatory encephalopathy in a sanitarium is presented. Inclusion in the complex treatment and rehabilitation of this method contributes to a more pronounced activation of cerebral blood flow, a significant reduction in cerebral ischemia and effective correction of clinical manifestations in patients with vascular circulatory encephalopathy.
Voenno-medicinskij žurnal. 2016;337(8):40-44
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Clinical and epidemiological pecularities and prophylaxis of parvoviral infection

Nikishov O.N., Kuzin A.A., Antipova A.Y., Lavrenteva I.N.


Clinical manifestations of parvovirus infection have different nosological forms, which requires a differential diagnosis with other viral infections, as well as non-communicable diseases. This pathology relevant to socially significant contingents - organized groups, women of childbearing age, blood donors and patients with blood diseases. The epidemiological significance of parvovirus infection is determined by the prevalence of the pathogen with the development of epidemic outbreaks (mainly in organized groups), the possibility of its transmission by blood transfusions. To determine the prevalence of this infection are critical laboratory research methods to identify the presence of its markers. An important indicator of the immunоresistance to parvovirus infection is a state of specific immune anti-virus.
Voenno-medicinskij žurnal. 2016;337(8):45-50
pages 45-50 views

Possibilities of computer stabilography as a part of evaluation of functional state of aerospace operator’s organism

Blaginin A.A., Kotov O.V., Zhiltsova I.I., Annenkov O.A., Syroezhkin F.A.


In order to improve the means and methods of tolerance increase to the vestibular load explored computer stabilography in assessing the functional state of the aerospace operator profile. 84 people attended the survey. Action statokinetic stress on the body of the subjects modelled by performing tests of vestibular otolith reaction 10. To evaluate the functional state of the organism used stabilography computer and heart rate variability analysis before and after vestibular tests. It was found that the performance of computer stabilography allow reliably determine the dynamics of the functional state and statokinetic functions of the body and can be used to assess the effectiveness of vestibular training operators aerospace profile.
Voenno-medicinskij žurnal. 2016;337(8):51-57
pages 51-57 views

Problem of deviant behaviour among military personnel (on materials of forensic psychiatric examination)

Loginov Y.E., Pinchuk P.V., Perstnev S.V.


For early detection of deviant behaviour among servicemen and its prevention of entailing the commission of various kinds of illegal acts and criminal acts, necessary to improve the professional and psychological selection and active, along with medical professionals mental health, inclusion in the diagnostic activity of clinical psychologists. The article deals with the problematic issues of establishing the causal factors in the development, implementation and consequences of deviant behaviour among the RF Armed Forces. One of the possible variants of the expert solution of this problem on the analogy of forensic psychiatric expert practice is given.
Voenno-medicinskij žurnal. 2016;337(8):58-61
pages 58-61 views

Medical Service of the People's Republic of China Armed Forces

Aleinikov S.I., Golota A.S., Krassii A.B., Soldatov E.A., Shalakhin R.A.


The article is a brief description of the current state of People's Republic of China Armed Forces medical service and is based on the study of open access foreign sources. At the beginning, the general information about People's Republic of China, its Armed Forces, and their medical service is presented. Then the medical service particular features are described with more detail, namely, the organization of the inpatient and outpatient treatment, medical supply, scientific research, combat medicine, medical staff education and training.
Voenno-medicinskij žurnal. 2016;337(8):62-66
pages 62-66 views

Lenta novostey

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Voenno-medicinskij žurnal. 2016;337(8):67-67
pages 67-67 views

About airevacuation of the wounded and sick during the Great Patriotic War.

Sushilnikov S.I.


Explored the topic on organizing evacuation of the wounded and sick by air at different periods of the Great Patriotic War. The data on the organization and scope of sanitary evacuation and air transport aircraft in separate front-line operations, the types of aircraft air ambulance and their use.
Voenno-medicinskij žurnal. 2016;337(8):68-70
pages 68-70 views

Selection of optimal treatment tactics for bilateral dendritic nephrolithiasis

Chernyshev I.V., Koridze A.D., Kernitskii A.I., Shvangiradze I.A.


A comparison of the results of surgical treatment of 115 patients with bilateral dendritic nephrolithiasis is performed. According to postoperative results and hospitalization duration the best results were achieved in case of percutaneous nephrolithocenosis. The maximum number of cases complete removal of dendritic fragment was achieved by the open surgery, but hospitalisation lasts more than by percutaneous and combined surgery, high risk of developing complications remains.
Voenno-medicinskij žurnal. 2016;337(8):70-72
pages 70-72 views

Experience in the use of telmisartan in combination with amlodipine in the treatment of patients with arterial hypertension

Chernavskii S.V., Fursov A.N., Korchuk D.R.


39 patients were examined: 28 men and 11 women with blood pressure level 166,9±11,2 / 97,4±3,1 mm Hg. Art. In all patients defined abdominal obesity of 2nd and 3rd degree, as well as lipid and carbohydrate metabolism. A half year combined drug therapy with telmisartan and amlodipine in combination with non-drug treatments resulted in the achievement of target levels of blood pressure in 72,3% of cases, contributed to a decrease in the severity of abdominal obesity by 5,2% and significantly improved carbohydrate and lipid metabolism.
Voenno-medicinskij žurnal. 2016;337(8):72-74
pages 72-74 views

321st Military clinical hospital of the Ministry of Defence of the Russian Federation celebrates the 165th anniversary

Leonidov A.B., Lim V.S., Kunitskii N.T., Khazhikhanova E.V.


The article presents the history up to 2016 of the 321st Military clinical hospital of the Russian Defence Ministry since the organization of the brigade hospital for 26 places in Chita in accordance with requirements of the special section «Regulations on the Zabaikalsk Cossack troops» from March 17, 1851. The article presents information on the contribution of the hospital staff into the provision of assistance to the wounded and sick, coming from the fronts of war and in peace time, the development of medical science, the collective achievements.
Voenno-medicinskij žurnal. 2016;337(8):75-79
pages 75-79 views

Branch № 5 of the N.N.Burdenko Main military clinical hospital celebrates the 65 anniversary

Kryukov E.V., Goryachev I.A.


The history of the development of the branch № 5 of the N.N.Burdenko Main military clinical hospital, which dates back to June 7, 1951, is presented. Over the last years, repeatedly changed the organizational and staff structure and the name of the hospital, but maintained the essence of the work - to improve constantly technologies of the hospital medical care provision, to be the leader in the system of emergency hospital and surgical health care. The branch deployed 55 specialized therapeutic, diagnostic departments and offices, equipped with modern medical equipment for the provision of all basic types of qualified and specialized medical care. Amongst 476 employees there are 2 professors, 4 holders of Habilitation degree in Medicine, 15 Candidate of Medical Science, 8 Honoured doctors of the Russian Federation and 1 Honoured Worker of the Health care of the Russian Federation.
Voenno-medicinskij žurnal. 2016;337(8):80-83
pages 80-83 views

To the anniversary of the 988th State sanitary-epidemiological expertise centre of the Ministry of Defence of the Russian Federation

Valevskii V.V., Sobolev A.A., Dorofeev D.A., Kazantsev A.Y.


The 988th State sanitary-epidemiological expertise centre of the Ministry of Defence of the Russian Federation is a major preventive treatment institution of the medical service of the Armed Forces. This centre was founded as a military-and-technical station of the Moscow Military District, during its nearly a century-old history of the institution has passed a difficult way of formation and development. As a result of the reform of the Armed Forces state sanitary-epidemiological expertise centres of degrees and arms of service, and garrison centres of state sanitary and epidemiological supervision of the Moscow Military District were affiliated to the 988th State sanitary-epidemiological expertise centre of the Ministry of Defence of the Russian Federation. In peacetime and wartime staff of the Centre made a significant contribution to ensuring sanitary and epidemiological welfare of the troops of the Moscow and now the Western Military District, as well outside the Russian Federation. Experts the 988th State sanitary-epidemiological expertise centre participate in involved in almost all the major activities carried out by the troops of the Western Military District.
Voenno-medicinskij žurnal. 2016;337(8):84-86
pages 84-86 views

Outstanding organizer of the Navy medical support (Тo the 80th anniversary from the birth of V.M.Stroganov)

Sharaevskii G.Y., Petrov O.I., Davidov M.M.


A biographical article is devoted to Valentin Stroganov (1936-2015) - major general of the Medical Service, and former chief of the medical service of the Baltic (1984-1986) and the North (1986-1991) fleets.
Voenno-medicinskij žurnal. 2016;337(8):87-88
pages 87-88 views

Ofitsial'nyy otdel

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Voenno-medicinskij žurnal. 2016;337(8):89-90
pages 89-90 views

Results of diagnostic and treatment work of the clinical base of the S.M.Kirov Military-medical academy for 2015 under condition of reconstruction

Ryzhman N.N., Skrabovskii V.I.


A report on the meeting of medical staff of the S.M.Kirov Military Medical Academy with the heads of several central military medical institutions of the Ministry of Defence of the Russian Federation is a base material of the article. The aims of the meeting were the summing up the results of a diagnostic and treatment work at clinics and clinical units of the MMA for 2015, problems and prospects of diagnostic and treatment development discussion, setting goal for improving treatment and diagnostic work in 2016.
Voenno-medicinskij žurnal. 2016;337(8):91-92
pages 91-92 views

Research and practice conference «Actual issues of military medicine: from trauma surgery to community-acquired pneumonia».

Valevskii V.V., Tutaev O.I., Makhnovskii A.I., Chikin O.V., Kiselev I.Y., Kasimov R.R.


The given material is a report on interdepartmental research and practice conference «Actual issues of military medicine: from trauma surgery to community-acquired bacterial pneumonia», which took place in Nizhny Novgorod in March 2016. The aim of the conference is to develop a scheme of interaction between different medical organizations subordination in emergency situations.
Voenno-medicinskij žurnal. 2016;337(8):93-96
pages 93-96 views

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