Vol 337, No 12 (2016)

Showing features of the organization of medical rehabilitation of patients with coronary artery disease after surgical treatment at a sanatorium stage. The technology of application of restorative treatment, physical and psychological recovery, natural and premature medicinal factors are given. Based on the dynamics of the functional status of patients given control of complex clinical and instrumental studies in comparison with analogous-tech at discharge, to translate them into functional class, characterized with greater functionality is installed, the high efficiency of rehabilitation.

A comparative evaluation of low-flow (0,5 l/min) and inhalation anaesthesia with sevoflurane and desfluranom with automated control of the concentration of inhaled anaesthetic on the exhale (Et-control), with the use of advanced monitoring in 76 patients operated on for the pathology of the spine and spinal cord is given. It was found that when using continuous measuring the achievement of the target concentration of the anaesthetic sevoflurane is faster in the group. Total consumption of desflurane was two times higher. Hemodynamic, SPI index were stable at all stages of the operation in both groups.

The article provides an analysis of medical care organisation system to patients with viral hepatitis A during conducting counterterror operations on the North Caucasus (1994-1996 and 1999-2002). The authors provided information on the main problems of medical support in modern local armed conflicts and shortcomings of organization of medical care to patients with viral hepatitis A in the following conditions: multistage, discrepancy between calculation of forces and facilities and character of military conditions, shortcoming of staff structure of medical facilities, inappropriate level of proficiency of physicians of infectious profile and absence of regulations, concerning the use for equipment of infectious hospitals. Possible ways for resolving these problems are showed.

This work provides data describing the current state and perspectives of development of self-care decontamination products for neutralization and removal of poisonous and highly toxic biologic and radioactive agents from open human body surfaces and close-fitting cloth. The history of self-care decontamination products creation in Russia and foreign countries is represented. The detailed performance characteristics of the developed individual anti-gas kits IPP-3, IPP-51, IPP-8, IPP-10, IPP-11, which were accepted to the Army and the Navy supply in the 1920-1930s, during the Great Patriotic war, in post-war period and now, are given. The individual anti-gas kits RSDL, M291, M295 and MK1 for government-issue equipment of North Atlantic nations’ armies are described in detail. It was showed that the general limitation both of the native and foreign anti-gas kit models is the poor efficacy against exposure of vesicants from the group of blister warfare agents. The most perspective research guidelines in creation of new self-care decontamination products are validated.

The authors have developed a mobile medical combat complex «Klever», intended to provide medical and specialized medical care in case of mass arrival of wounded and victims of trauma profile on medical evacuation stages (to military-medical institutions), including isolated directions. The complex consists of sets of medical equipment - polymer bandages, immobilizes, a battlefield rod set, a mobile X-ray machine. Sets are light weighted and, easy to use and transport; provide a rapid onset of the functional units.

In an experiment on rats it has been shown the effectiveness of the treatment of gunshot wound of the thigh soft tissue wounds with the use of dressing means in the radiation method of electrospun of polymers and cellulose diacetate in polyvinylpyrolidone immobilized with ions nanostructured copper and silver. The average time of disappearance of signs of inflammation around the wound in comparison with those in the comparison group were reduced by 6 days (58,4%), cleanse the wound surface decreased from necrotic masses and formation of granulation tissue reduced - 4 days (46,2%), complete healing of wounds - 7 days (22,4%). Macroscopic effects of acceleration of wound healing processes confirmed by histomorphologic survey. The results serve as a basis desirability of development for the treatment of combat trauma surgical dressings, similar to those used in the current study.

The article describes the creation of the Medical Service Ministry of Internal Affairs of the Russian system. Throughout its history, medical-mechanical maintenance of employees of law enforcement bodies, such as in pre-revolutionary period, and in the early years of the Soviet regime was closely linked with military medicine of the Russian Empire and the Red Army. Many police officers, and later the police received medical care in military hospitals. Start the NKVD-MVD departmental health laid in 1921 with the creation of «admissions» to provide medical care to police officers. As part of the system of state-sensible care, the medical service of the Russian Interior Ministry system and now introduces non-assessable contribution to its development.

A review concerning the business program of the round table within the International military-and-technical forum «Army 2016», which was held on September 8 2016, is presented. The round table discussion was dedicated to summary of the use of innovative technologies in the field of health support of troops (forces).