Vol 336, No 1 (2015)


Medical support of the Armed Forces of the Russian Federation: the results of the activities and the main tasks for 2015

Fisun A.Y.


Presented the directions of activity of the medical service in the past year, including improving the legal framework, the optimization of medical management software, improving combat and mobilization readiness of units of the army, the optimization of therapeutic and preventive activities, implementation of innovative technologies, increasing mobility of units and subunits, their level of equipping with modern samples of property, training of qualified personnel, intensify research and etc. Analyzed and formulated directions of development of military medicine in 2015, including improvement of combat and mobilization readiness of the management body, military and medical organizations and departments, improving the legal framework of the military health care, holding among the troops interventions for the prevention morbidity of personnel by pneumonia and meningitis, work with commanders at all levels to ensure the preservation and strengthening of health of servicemen, improving of the system of early and active detection of diseases in the military, providing a guaranteed level of care to all contingent Ministry of Defense, improving the quality and accessibility of sanatorium treatment, maintaining constant readiness of medical special forces to carry out tasks for the purpose, improvement of professional training of personnel of the medical service, providing qualitative preparation of government medical service to participate in the training of troops, implementation of unexpected problems, equipping of army medical service with modern medical equipment, finishing of the construction and renovation of military medical organizations facilities, improvement of social protection of personnel and many others.
Voenno-medicinskij žurnal. 2015;336(1):4-21
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Chemicals as fires damaging factor

Basharin V.A., Grebenyuk A.N., Markizova N.F., Preobrazhenskaya T.N., Sarmanaev S.K., Tolkach P.G.


The article provides an overview of published scientific data about toxic chemical compounds formed during thermal degradation of various materials. In case of fire the complex of physical and chemical factors affect the human, along with injuries, thermal burns of the skin and respiratory tract there is a lack of oxygen in the inspired air and the impact of thermal degradation products. The greatest number of deaths in a fire due to the inhalation by the victims smoke and toxic gases. The impact of the combination of toxic substances leads to the development of various forms of toxic process. The main causes of poisoning at the fires due to the effects of toxic substances and substances which can cause structural and functional disorders of the respiratory organ. Intoxication manifestations by some of them appear already in the fire zone, in other cases, in cases of poisoning by the compounds of the slow motion, there is the latent period of of intoxication. Knowledge of the spectrum of toxic products thermal destruction on the human during the fire, it is necessary to develop approaches to improve medical care and creation of tools of medical protection.
Voenno-medicinskij žurnal. 2015;336(1):22-28
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Meningococcal disease: early clinical diagnosis and emergency care

Zhdanov K.V., Ivanov K.S., Zakharenko S.M., Yaremenko M.V., Peredelskii E.V.


Late diagnosis of meningococcal disease leads to high mortality. Early diagnosis of its generalized forms plays a crucial role in the pre-hospital phase and mainly based on the clinical picture of the disease. In most cases, pre-hospital typical mistake is late diagnosis of meningococcal disease. We propose an algorithm of early diagnosis of generalized forms of the disease in order to reduce the number of diagnostic errors. Proper and timely diagnosis will enable the physician pre-hospital fully implement measures to provide emergency and urgent care in generalized meningococcal infection, leading to a more favourable course and a significant improvement in the outcomes of the disease in the course of further hospital treatment.
Voenno-medicinskij žurnal. 2015;336(1):29-35
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Provision of medical care to the wounded with brain injuries at stages of medical evacuation in mountains and desert areas

Orlov V.P.


The author shows that surgery with craniocerebral injuries should be fully performed at the stage of specialized medical care. Wounded have to be evacuated not earlier than 5-7 days after surgery with the mandatory use of a special air transport («Scalpel» or «Spasatel»), accompanied by Anaesthetist. In the absence of the possibility of surgery in 5-7 days at this stage the wounded have to be evacuated by air to the center hospitals. On the stage there are only patients requiring specialized care because of health reasons. Wounded with gunshot wounds of the soft tissues of the head, and those with mild forms of brain damage during the explosive and combat injury (concussion, mild brain contusion ) can be evacuated by air transport accompanied by a doctor or paramedic at any period of time after the injury (trauma).
Voenno-medicinskij žurnal. 2015;336(1):36-40
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Functional methods of assessment of the blood flow in the lower limbs of the patients with obliterating atherosclerosis during complex conservative treatment

Esipov A.V., Kotenko K.V., Yamenskov V.V.


Have been studied the changes of tissue blood flow in the distal parts of the lower limbs at the capillary level under the influence of the different complexes of rehabilitation. Were obtained the objective results of advantages of the combined use of physical therapy and drug therapy. The study showed that for evaluation of tissue blood flow is preferable to to use the laser flowmetry, and for registration of quantitative indicators of regional blood flow changes - Doppler ultrasound.
Voenno-medicinskij žurnal. 2015;336(1):41-44
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Problems of early detection of HIV infection, medical and psychological support of HIV-infected soldiers

Ulyukin I.M., Bolekhan V.N., Yusupov V.V., Bulan’kov Y.I., Orlova E.S.


The article contains the analysis of materials about HIV infection and the status of work on its early detection among soldiers. Currently, the figures have a tendency to stabilization, but there is an increase in the persantage of HIV-infected persons performing military service under the contract, as well as the actualization sexual way of infection. The insufficient effectiveness of the barrier screening during the laboratory examination of recruits may contribute the increase in the incidence of HIV infection. Have been reviewed the questions medical-diagnostic and medical-psychological support of HIV-infected soldiers. Been analyzed the social consequences of delays in seeking medical help of patients in this group, the opportunities and challenges of their dispensary observation. It was noted that early detection of HIV infection and proper medical and psychological support in the dynamics of pathological process helps to reduce the number of new cases and improve their outcomesand to reduce the period of efficiency recovery of military personnel.
Voenno-medicinskij žurnal. 2015;336(1):45-49
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Actual questions of medical maintenance of aviation specialists in the Arctic region

Blaginin A.A., Vislov A.V., Lizogub I.N.


The article considers the influence of geographic and climatic conditions of the Arctic on a functional condition of aviation professionals. Marked possible effects of aggressive environmental factors on the health of the personnel. Studied the dynamics of the recovery functions of the cardio-respiratory system and of the indicators of general clinical blood test in a period of adaptation to the conditions of the middle latitudes after the return of the personnel from the Arctic. Identified the main activities to preserve the health of aviation specialists, depending on the length of stay in the Arctic region and age.
Voenno-medicinskij žurnal. 2015;336(1):50-54
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The effectiveness of the hemostat applicator «Gemofleks Kombat» at stopping the external arteriovenous bleeding

Davydenko V.V., Yashin S.M., Nechaev A.Y., Domorad A.A.


The work presents the results of research of the effectiveness of domestic hemostat applicator «Gemofleks Kombat» at stopping the external arteriovenous bleeding. In the experiment on 10 pigs on the model of injury of the femoral artery and vein have shown the effectiveness and superiority of the medical device «Gemofleks Kombat» to achieve hemostasis in comparison with conventional hemostatic applicators. In clinical trials with 14 patients the medical device «Gemofleks Combat» in all cases effectively attain hemostasis with mixed arteriovenous capillary bleeding during surgical approach in the surgical treatment of inguinal hernia. Microbiological studies revealed that bactericidal effect of this hemostat towards to S. aureus, E. coli, S. pyogenes, C. Albicans и Myc. smegmatis.
Voenno-medicinskij žurnal. 2015;336(1):55-58
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Electrocardiogram dispersion mapping in the evaluation of the myocardium functional capacity

Boyarintsev V.V., Ardashev V.N., Sun I., Zemskov E.V.


According to a study of 45 patients with coronary heart disease, it is concluded that the performance of dispersion mapping of the electrocardiogram can reflect the myocardium contractile function.
Voenno-medicinskij žurnal. 2015;336(1):59-60
pages 59-60 views

Medical Service of the Finnish Defence Forces

Golota A.S., Krassii A.B., Mikheev A.V., Morovikova T.V., Shalakhin R.A.


The article is a brief description of the current state of the Finnish Defence Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Finland, the Finnish Defence Forces, and their medical service is presented. Then some 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, medical service personnel income.
Voenno-medicinskij žurnal. 2015;336(1):61-66
pages 61-66 views

Electrocardiogram dispersion mapping in the evaluation of the myocardium functional capacity

Boyarintsev V.V., Ardashev V.N., Sun I., Zemskov E.V.


According to a study of 45 patients with coronary heart disease, it is concluded that the performance of dispersion mapping of the electrocardiogram can reflect the myocardium contractile function.
Voenno-medicinskij žurnal. 2015;336(1):66
pages 66 views

Spiritual ties of the Military Medical (Medical and surgical) Academy

Gordieko A.V., Shamrei V.K.


Before the revolution in its educational, research and clinical potential of Military Medicine (medical and surgical) Academy was on the head position among European institutions. Not less outstanding position among all secular institutions Russian Academy held by the number and wealth of churches, chapels and baptisteries. In the temples of the academy was concentrated a significant number of miracle-working icons and of the particles holy relics, there served some of faith and piety devotees and some of them were canonized. The article presents a brief historical overview of the major Academy shrines - spiritual ties of the different generations.
Voenno-medicinskij žurnal. 2015;336(1):67-75
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To the 70th anniversary of the 39th separate medical troop (Airmobile) of Air Force

Kalachev O.V., Sukhanov V.V., Lukyanuk P.P., Kozyaev V.A.


On December, 18th, 2014 it is 70 years from the date of creation 39 separate medical troop (aeromobile) of the Air force. The history of troop goes to the Great Patriotic War, when it was organized the 234th separate health battalion. The battalion has passed a fighting way ias a part of 106 Guards shooting division from Hungary up to Austria. In the postwar period military personnels of the troop took the active participation in medical maintenance of soldiers-commandos in many local confrontations with the participation of Soviet, and after the Russian Army. During its lifetime the troop was repeatedly reorganized and now it is modern military treatment-and-prophylactic institution, it has in staff 100 beds and does all types of qualified (with elements special-purpose) medical aid to the wounded and sick, carries out the supply to the division of the medical supplies.
Voenno-medicinskij žurnal. 2015;336(1):75-79
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Prisvoeny voinskie zvaniya

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Voenno-medicinskij žurnal. 2015;336(1):80
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Voenno-medicinskij žurnal. 2015;336(1):80-82
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Lenta novostey

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Voenno-medicinskij žurnal. 2015;336(1):86-91
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Vsearmeyskaya nauchno-prakticheskaya konferentsiya «Aktual'nye problemy meditsinskogo obespecheniya voysk (sil)»

Voenno-medicinskij žurnal. 2015;336(1):92-94
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Aktual'nye problemy obespecheniya meditsinskim imushchestvom voysk (sil)

Voenno-medicinskij žurnal. 2015;336(1):94-96
pages 94-96 views

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