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Vol 336, No 6 (2015)


Medical and technical means for united circle of evacuation measures in military-medical organisations of the Ministry of Defence.

Fisun A.Y., Kalachev O.V., Shchegolev A.V., Vertii B.D.


Experts of the medical service of the Armed Forces carried out an analysis of capabilities of modern Russian enterprises and their innovative projects regarding creation of unified means of evacuation of wounded and providing to them necessary types of emergency care with the use of existing and future special and regular means of transport for medical evacuation. As a result of the work of industrial enterprises of the OAO Kazan «Vertoletniy Zavod», «Zarechie», «Vysota» was created a device for the medical evacuation of severe wounded patients. The device is designed for medical evacuation of severe wounded patients from the military medical unit to the site providing comprehensive medical care with maintenance of vital functions and monitoring of his condition. Testing was conducted on the products of regular vehicles medical company of one of the brigades of the Western Military District. The device was presented at the special tactical exercises the Armed Forces Medical Service «Frontier-2014», «Innovation Day» of the Defence Ministry in 2014.
Voenno-medicinskij žurnal. 2015;336(6):4-7
pages 4-7 views

Approaches to development and implementation of the medical information system for military-medical commission of the multidisciplinary military-medical organisation

Kuvshinov K.E., Klipak V.M., Chaplyuk A.L., Moskovko V.M., Belyshev D.V., Zherebko O.A.


The current task of the implementation of medical information systems in the military and medical organizations is an automation of the military-medical expertise as one of the most important activities. In this regard, noteworthy experience of the 9th Medical Diagnostic Centre (9th MDC), where on the basis of medical information system «Interin PROMIS» for the first time was implemented the automation of the work of military medical commission. The given paper presents an algorithm for constructing of the information system for the military-medical examination; detailed description of its elements is given. According to military servicemen the implementation of the Military Medical Commission (MMC) subsystem of the medical information system implemented into the 9th MDC has reduced the time required for the MMC and paperwork, greatly facilitate the work of physicians and medical specialists on military servicemen examination. This software can be widely applied in ambulatory and hospital practice, especially in case of mass military-medical examinations.
Voenno-medicinskij žurnal. 2015;336(6):8-14
pages 8-14 views

Organisational peculiarities and principles of medical-psychological rehabilitation of military personnel of special units of the Ministry of Defence

Trishkin D.V., Titov I.G., Nechiporuk S.A.


The authors presented information about current state of organization of medical and psychological rehabilitation at sanatorium stage of military servicemen of special units of the Russian Defense Ministry, information about rehabilitation treatment techniques, and physical and psychological rehabilitation, natural and premature medicinal factors.
Voenno-medicinskij žurnal. 2015;336(6):15-19
pages 15-19 views

Modern methods of inhalation therapy of respiratory diseases

Zaitsev A.A., Kharitonov M.A.


In pulmonary practice the effectiveness of the therapy depends on a method of drug delivery. In case of different forms of medications, which can be used for the treatment of patients with obstructive pulmonary diseases physicians usually choose inhalants. In this publication authors examines the main aspects of the use of nebulizers in the treatment of obstructive pulmonary diseases: types of nebulizers, their capabilities and limitations, indications for inhalation therapy and drug policy.
Voenno-medicinskij žurnal. 2015;336(6):20-24
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Treatment of patients with bronchial asthma associated with obesity in a health resort «Okeanskiy»

Tsareva U.V., Demeev Y.A., Skachkov O.A., Sheverdina E.A.


In this paper we assess the efficiency of sanatorium treatment of patients with bronchial asthma of two different weigh groups: with normal body weight and obesity. According to the results of clinical examination it was found that in patients with bronchial asthma and obesity of I-II degree efficiency of sanatorium treatment is lower in comparison with patients with bronchial asthma and normal body weight. The use of a standard set of procedures is not enough to correct the symptoms of asthma in obese patients. Comparative analysis of clinical symptoms in patients with bronchial asthma with normal body weight and obesity were differences of up to 50%. The conclusion about the need to develop a set of techniques to optimize the effectiveness of rehabilitation is given.
Voenno-medicinskij žurnal. 2015;336(6):25-29
pages 25-29 views

The role of the vaccine prophylaxis of cervical cancer among female military personnel

Shmidt A.A., Alieva M.T., Ivanova L.V., Molchanov O.V.


The authors presented results of the study concerning human papillomavirus infecting of military students of higher military educational institutions of the Ministry of Defence of the Russian Federation. In the Center for Obstetrics and Gynaecology of the Kirov Military-Medical Academy was performed a dynamic examination of 478 female cadets aged 17-25. The high level of high-risk HPV viruses was revealed during the examination what proves the necessity of prophylaxis enhancing with the aim to prevent gynecological diseases and reproductive health promotion. The main ways of cervical cancer prophylaxis are health education, in-depth medical examination of women with the aim to reveal and treat gynecological diseases (this medical examination should be carried out twice a year), primary prevention of cervical cancer by vaccination.
Voenno-medicinskij žurnal. 2015;336(6):30-33
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Combined mechanical-cold and mechanical-burn injuries in patients injured in maritime disasters

Zakrevskii Y.N., Shevchenko A.G., Peretechikov A.V., Serdyuk V.I., Arkhangelskii D.A.


On the basis of analysis of 372 medical histories and total amount of victims (2691 people) of marine accidents it was revealed that 303 (83,1%) survivors suffered from combined mechanical-cold injuries, combined two-factor mechanical-burn injuries were diagnosed in 115 of wounded (15,7%), combined three-factor mechanical-cold-burn injuries were diagnosed in 162 of wounded (22,5%). It was established that in case of capsizing and shipwrecking chest and abdomen injuries prevail in wounded (22,4%). Pelvic fractures, injuries of the lower extremities and spine traumas prevail in wounded evacuated from the crash area after explosion and fire on the ships (43,3%). The above-mentioned injuries prevail due to mine-blast nature of injuries. Typical injuries in wounded survived in maritime disasters are in non-severe combined mechanical-cold, mechanical-burn, and mechanical-cold-burn injuries, minor and moderate hypothermia, mild burn injuries and mild carbon monoxide poisoning.
Voenno-medicinskij žurnal. 2015;336(6):34-40
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The set of wearable medical equipment for medical and nursing teams

Efimenko N.A., Valevskii V.V., Lyutov V.V., Makhnovskii A.I., Sorokin S.I., Blinda I.V.


The kit is designed in accordance with the list of the first medical aid procedures and syndromic standards of emergency medical care providing. The kit contains modern local hemostatic agents, vent tubes, cricothyrotomy, needles to eliminate pneumothorax, portable oxygen machine, sets for intravenous and intraosseous infusion therapy, collapsible plastic tires, anti-shock pelvic girdle, and other medical products and pharmaceuticals. As containers used backpack and trolley bag on wheels camouflage colours. For the convenience and safety of the personnel of the vest is designed discharge to be converted in the body armour.
Voenno-medicinskij žurnal. 2015;336(6):41-46
pages 41-46 views

The main ways in performing analysis of the activities of medical supply organizations of the Armed Forces

Stavila A.G., Krasavin K.D., Levchenko V.N., Lemeshko A.L.


Without a complex comprehensive analysis of the activities of medical supply organizations is impossible to effectively manage the processes of provision of medical equipment and property, and provide a quality control of finished products and magistral formulas, technical and metrological provision of medical services and to render better decisions. In this regard, the article provides a list of pharmaceutical services (works) provided by medical supply organizations of the Armed Forces of the Russian Federation and proposes indicators in assessing their effectiveness. Examples of analysis and assessment of the main indicators of provided services (works) in absolute values are given. At the same time, the authors give the ways of solutions aimed at increasing the motivation of various specialists to improve the quality of performance indicators in the medical equipment and property support centres of the Ministry of Defense of the Russian Federation.
Voenno-medicinskij žurnal. 2015;336(6):46-52
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Legal regulation of clinical drug trials for the use in military-medical organisations

Ivchenko E.V., Ivanov V.S., Shustov S.B.


The authors identified problematic issues of legal regulation of clinical drug trials for medical use, and proposed possible solutions. It has been established that the conduction of clinical trials of medicinal products is based on the norms of various branches of law embodied in the Constitution of the Russian Federation, the norms of international law, the Civil Code of the Russian Federation and federal laws and subordinate legislations regulating health and pharmaceutical activity. According to the authors, the norms of bioethics can be attributed to the sources of legal doctrine. It is proposed to oblige executives of clinical trials to make a report about effectiveness and safety of drugs and pass the results to the customer, in his/her turn the customer is obliged to accept the results of these trials and pay for them.
Voenno-medicinskij žurnal. 2015;336(6):53-60
pages 53-60 views

Medical Service of the Estonian Defense Forces

Anisimov A.S., Golota A.S., Krassii A.B., Soldatov E.A., Shalakhin R.A.


The article is a brief description of the current state of the Estonian Defense Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Estonia, its Defense 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, medical service personnel income.
Voenno-medicinskij žurnal. 2015;336(6):61-65
pages 61-65 views

Evropeyskaya platforma dlya telemeditsiny

Andreev D.A., Mikheev A.V.
Voenno-medicinskij žurnal. 2015;336(6):65
pages 65 views
pages 66-67 views

Lenta novostey

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Voenno-medicinskij žurnal. 2015;336(6):67
pages 67 views

Problems of drug supply for patients with diabetes mellitus in the military health care and civilian health care

Scherba M.P., Miroshnichenko Y.V., Davidov S.B., Borisov D.N., Ivanov V.V.


Features of pharmacotherapy diabetes compose a significant financial burden on the budgets of civilian and military health care, which requires the rational and optimal allocation of resources. To date, the legislation is not regulated by the fact that the refusal to produce drugs under the program of the federal or regional drug supply does not prevent certain categories of benefit recipients to receive drugs from the budget of the Russian Defense Ministry, which is detrimental to the public system preferential drug coverage.
Voenno-medicinskij žurnal. 2015;336(6):68-69
pages 68-69 views

Peculiarities of the structure, course and results of surgical treatment of pancreatic inflammatory diseases in military personnel.

Ivanusa S.Y., Lazutkin M.V., Shershen D.P., Abdurakhmanov R.F.


The structure, course, and results of surgical treatment of pancreatic inflammatory diseases in military servicemen serving at the Defence Ministry of the Russian Federation was analysed on the basis of examination and treatment of 657 patients with pancreatic inflammatory diseases.
Voenno-medicinskij žurnal. 2015;336(6):70-72
pages 70-72 views

An analysis of the case of successful treatment of fungal pneumonia in 1469th Naval Clinical Hospital.

Kostovskii P.P., Balakhnov D.O., Panina T.V., Lemeshko P.N., Shagarova S.M.


The authors represent a retrospective analysis of cases of successful treatment of fungal pneumonia in a 47 years-old man. The dynamics of clinical and radiological picture of disease on the background of the therapy is described. Thanks to timely diagnosis and appropriate therapy was achieved successful cure of severe and often fatal disease such as aspergillus pneumonia.
Voenno-medicinskij žurnal. 2015;336(6):72-73
pages 72-73 views

Treatment of post cholecystectomy syndrome in the military servicemen.

Papushin O.N., Ruban A.P., Bagmet A.D., Kobzar O.N.


We describe pathogenetic mechanisms of post cholecystectomy syndrome in patients with cholelithiasis after performed cholecystectomy, and methods for its diagnostics. In the part of the article, which describes the treatment of post cholecystectomy syndrome was considered recent data on the use of medications with a high level of evidence and recommendations. Authors gave the data on their own researches regarding improvement of the motor-evacuation function of the biliary tract and lithogenicity of bile after cholecystectomy.
Voenno-medicinskij žurnal. 2015;336(6):74-75
pages 74-75 views

The contribution of the Archive of the Military Medical Museum in summarizing the experience of the Great Patriotic War

Budko A.A., Gribovskaya G.A.


During 70 years of existence of the Military Medical Museum one of its main goals was to create an archive of military medical documents, the formation of his ideology and collecting funds, saving and promotion of unique materials related to the history of Russia, feat of arms Defenders of the Fatherland in the wars of the XX century. Creating a military medical museum archive was conceived in the beginning of the Great Patriotic War by leading figures of the military medicine - E.I.Smirnov, S.M.Bagdasaryan, V.N.Shevkunenko, A.N.Maksimenkov, who offered to collect all materials about the work of physicians at the front and in the rear, to consider the archive as a base for scientific works on the history of the military health care. Today the archive was removed from the Army Medical Museum and now it is a branch of the Central Archive of the Ministry of Defence of the Russian Federation (military medical records). His staff keeps the traditions established by predecessors and use in their activities a wealth of experience and background research.
Voenno-medicinskij žurnal. 2015;336(6):76-81
pages 76-81 views

To the 80th anniversary of the 637th center of the state sanitary and epidemiological surveillance

Pischugin D.Y., Mathis A.A., Tsintsadze O.G., Tarumov R.A.


In March 2015 marked the 80th anniversary of the creation of the 637th Center of State Sanitary and Epidemiological Surveillance. The date of establishment of the Centre is rooted in the pre-war period, when sanitary-epidemiological laboratories of the Black Sea Fleet were organized as a scientific and methodological institution. During the Great Patriotic War, as well as during the early postwar period, the staff of the Centre carried out valuable work on provision of sanitary and epidemiological welfare of the Black Sea Fleet. Later, soldiers of the Center participated in the aftermath of the Chernobyl accident, fulfilling their international duty in the Democratic Republic of Afghanistan, on the island of Dahlak, as well as in the Chechen Republic during the anti-terrorist operation. During its existence, the Centre repeatedly reorganized and is now an institution that successfully solves the problem of ensuring sanitary and epidemiological welfare of the troops in the area of responsibility.
Voenno-medicinskij žurnal. 2015;336(6):82-86
pages 82-86 views

Voinskie zvaniya. Yubilei

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Voenno-medicinskij žurnal. 2015;336(6):87-88
pages 87-88 views

Lenta novostey

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Voenno-medicinskij žurnal. 2015;336(6):89-91
pages 89-91 views

Zasedanie Mezhdunarodnogo obshchestva voennykh khirurgov imeni Ambruaza Pare i ezhegodnyy nauchnyy simpozium voenno-meditsinskoy sluzhby SShA

Samokhvalov I.M., Badalov V.I., Petrov A.N., Reva V.A.
Voenno-medicinskij žurnal. 2015;336(6):92-96
pages 92-96 views

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