Vol 337, No 8 (2016)

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.

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.

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.

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.

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.

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.

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.

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.

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.