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Vol 336, No 8 (2015)


Personal e-cards for military personnel and military-medical information system.

Kalachev O.V., Stolyar V.P., Kuandykov M.G., Papkov A.Y.


The article presents main directions of activities of the medical service, dealing with implementation of personal electronic cards for military personnel, organizing the process of automation of medical service management, military and medical organizations and health care departments. The given article reveals the on-going activity, concerning creation of the military-medical information system, which will unite all medical units, organizations, and governments into one information space.
Voenno-medicinskij žurnal. 2015;336(8):4-10
pages 4-10 views

Consequences learned from the use of chemical weapons during the First World War for the modern military medicine

Belskikh A.N., Basharin V.A., Chepur S.V., Khalimov Y.S., Markizova N.F.


The article describes the way medical service dealed with problems resulted from the use of chemical weapons during the First World War (1914-1918). It was revealed that many of the abovementioned problems remain unsolved up to the present moment. It is stated the existence of the threat of use of chemical weapons in modern military conflicts, which expands the area of responsibility for medical chemical protection. The authors proved necessity and algorithm of the training system, considered as a part of medical protection in case of adverse factors of chemical nature.
Voenno-medicinskij žurnal. 2015;336(8):11-16
pages 11-16 views

Plastic reconstruction of soft tissue defects of extremities resulted from gunshot with the help of triangular flap

Khominets V.V., Zhigalo A.V., Mikhailov S.V., Shakun D.A., Shchukin A.V., Foos I.V., Pochtenko V.V.


The authors suggested an original technique of plastic surgery of round and oval-shaped gunshot wounds of soft tissues with the use of triangular flap. The core of technique is to move triangular skin flap in the form of the letter «Ya» and «I». By moving this flap, as well as stretching and displacement of surrounding tissue it is possible to close the occured defect. The authors describe 32 surgical interventions on the upper and lower limbs in 21 wounded, defect size ranged from 2ґ2 cm to 12ґ18 cm. Closure of defects was performed during the period from 5 to 22 days after injury. As a result of the treatment the primary wound healing was observed in 87,5% of cases. In 12,5% of the wounded was observed marginal necrosis that healed after the second intervention and didn’t require repeated plastic reconstruction. Patients didn’t get rough tightening scars affecting joint movement after the plastic reconstruction. All patients achieved good cosmetic and functional results. The proposed method has several advantages over dermatomal plastic reconstruction, and before transplanting islet skin-facial flap in free and non-free versions. It is technically easier and does not require special software and tools.
Voenno-medicinskij žurnal. 2015;336(8):17-22
pages 17-22 views

New approaches to the diagnosis, treatment and rehabilitation of military personnel, military pensioners and their family members with arterial hypertension

Potekhin N.P., Sarkisov K.A., Starovoitova I.M., Orlov F.A., Fursov A.N., Karakozov A.G., Klopotskii S.A., Alatortseva I.A.


The article considers new approaches to diagnosis, treatment and rehabilitation of patients with arterial hypertension (AH) applied to the Ministry of Defence contingent. For the medical service of the Armed Forces the problem is relevant because of the significant labor losses, high level of dismission, morbidity and mortality of this disease. In the assessment of the patients limitation of life should be considered a variant AH, the stage, availability and severity of the organ damage, severity and reversibility of complications, the incidence and severity of hypertensive crises, the effectiveness of treatment, comorbidity, education, occupation, the presence of contra-types and conditions of military service or labor. Military medical expertise of soldiers with AH uses the classification of degrees of arterial hypertension of 2010 and a three-stage classification hypertonic disease created by the World Health Organization, 1996.
Voenno-medicinskij žurnal. 2015;336(8):23-31
pages 23-31 views

The complex of neurological symptoms of substance abuse

Litvintsev B.S., Odinak M.M., Litvinenko I.V., Goncharenko A.Y., Petrov A.D., Kovalenko A.P.


Standard neurological examination was performed in 85 patients of military service age (the average age was 32,6±5,3 years - from 19 to 44 years) with a confirmed diagnosis ofsubstance abuse, caused by the use of narcotic drugs and psychotropic substances: cocaine and amphetamine in 12 patients, opioids - in 73 patients. Some symptoms of nervous system damage had statistically characteristic peculiarities for different forms of substance abuse. Mydriasis, signs a bilateral pyramidal insufficiency, hyperkinetic disorder are often characteristic for cocaine and amphetamine abuse. Opioid abuse is characterised by more severe symptoms of nervous system damage, disseminated neurologic symptomatic and polyneurotic disorders. Symptoms of neurasthenia and vegetative-vascular dystonia, which are usually accompanied by the symptoms of organic lesions of the central and peripheral nervous system, were observed in all patients with substance abuse. In order to detect the symptoms of nervous system damage in patients, which are supposed to be conscribe, it is neccessary to take medical history.
Voenno-medicinskij žurnal. 2015;336(8):31-39
pages 31-39 views

New technologies in diagnostics and health-resort treatment of movement disorder in children with cerebral palsy

Ponomarenko Y.N., Vlasenko S.V., Nenko A.M.


The study analyses results of treatment of 196 patients with cerebral palsy, which underwent a course of health-resort treatment is performed. Past medical history of patients for the last 10 years was also analysed. It was found that the use of botulin toxin «A» (BT-A) «Dysport®» as a part of complex rehabilitation of the patients significantly improved the effectiveness of the treatment. It was determined that the reasons of the lack of spasticity reduce are caused by degeneration of the muscles. The developed technique of ultrasound exam muscles allowed objectively evaluates the degree of muscle degeneration.
Voenno-medicinskij žurnal. 2015;336(8):40-45
pages 40-45 views

Prospects of computer-assisted assessment of functional health status of military personnel.

Blaginin A.A., Ganapolskii V.P., Goncharenko A.Y., Emelyanov Y.A., Zhiltsova I.I., Sinelnikov S.N., Yusupov V.V.


The article is devoted to the development of an integrated system for remote assessment of the functional state of the military serivcemen. A review of domestic and foreign literature concerning this problem is presented and proposed a new look and approach to monitoring the combat capability of the military servicemen. The authors carried out analysis of the possibility of using accumulated experience and the use of high-tech means to solve an assigned task at the level «troop - battalion - brigade» and gave a concrete way to solve this task at the current stage to improve the quality of health care and the efficiency of professional activity of servicemen.
Voenno-medicinskij žurnal. 2015;336(8):46-50
pages 46-50 views

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Voenno-medicinskij žurnal. 2015;336(8):50
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International legal aspects of responsibility of states and international organizations for the spread of epidemics, pandemics and mass diseases.

Kholikov I.V., Sazonova K.L.


The present article deals with international legal issues that arise in case when various mass diseases go beyond any national jurisdiction. The emphasis is made on the problem of international responsibility, which different actors have to bear in such cases. The authors also examine the implementation of responsibility mechanism, including the indentication of the relevant international court, authorized to establish such liability and identify the specific forms of its realization.
Voenno-medicinskij žurnal. 2015;336(8):51-57
pages 51-57 views

Medical Service of the Latvian National 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 the Latvian National Armed Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Latvia, its Armed Forces, and their medical service is presented. Then the medical service particular features are described with more detail, namely, the organization of inpatient and outpatient treatment, medical supply, scientific research, combat medicine, medical staff education and training, medical service personnel income.
Voenno-medicinskij žurnal. 2015;336(8):58-62
pages 58-62 views

Organisational basis of provision with modern first-aid kits, emergency bags and emergency care for military transport.

Miroshnichenko Y.V., Goryachev A.B., Krasavin K.D., Klochkova I.V.


The article is devoted to the analysis of organizational basis of provision with modern first-aid kits, emergency bags and delivery of emergency care intended to equip the military transports, which are described in the «Instructions on the content and the use of first-aid kits, emergency bags and delivery of emergency care for military transportation in the Armed Forces of the Russian Federation», which was approved on 9th of February, 2015 by the Chief of the Main Army Medical Department of the Ministry of Defence of the Russian Federation.
Voenno-medicinskij žurnal. 2015;336(8):63-65
pages 63-65 views

Age estimation of two-stage splenic injury

Pinchuk P.V., Levandrovskaya I.A.


The authors considered in the article the actual task of forensic medical examination service - age estimation of two-stage splenic injury. The authors presented data on two-stage splenic rupture and methods for age estimation of the injury of the given organ, which are currently used in forensic medical examination practice.
Voenno-medicinskij žurnal. 2015;336(8):65-67
pages 65-67 views

The use of the cryothermic training for optimization of coping of students and cadets during initial period of training

Mosyagin I.G., Lobozova O.V., Ivanov A.O., Anistratenko L.G., Bezkishkii E.N.


A mode of cyclic cryothermic effects on the body to increase its functionality is designed. The effectiveness of such effects when used in a group of students and freshmen that have difficulties of adaptation and acclimatization is showed. The result of the method is to increase the maximum amount of physical work performed, optimizing autonomic provision of physical activity, acceleration of regenerative processes in the body. The data obtained allow recommending widespread use of the method in the system of measures of physiological adaptation process optimization of various categories of persons with strained business conditions.
Voenno-medicinskij žurnal. 2015;336(8):68-70
pages 68-70 views

Who was the head of the General Military Medical Department in 1917-1918.

Fisun A.Y., Poddubnyi M.V.


The article describes the history of the central governing body of the Russian military medicine - the General Military Medical Department (GMMD) - during the most difficult period of its history - 1917-1918. There is still no clear evidence about the head of GMMD of those times in historical literature. The authors tried to reconstruct the history of GMMD during the revolution, gave the list of chiefs in chronological order on the basis of primary documents of the central military archives. The authors provide some biographical information about professors V.A.Yurevich and N.N.Burdenko, and also about A.Ya.Evdokimov, A.A.Tsvetaev and others, who headed GMMD, etc. for the first time.
Voenno-medicinskij žurnal. 2015;336(8):71-79
pages 71-79 views

The General Military Medical Department during the Great Patriotic War.

Kryuchkov O.A., Kulnev S.V., Taranov S.P.


The article is devoted to the contribution of the General Military Medical Department of the Red Army (GMMD) to organisation of health care support during the Great Patriotic War of 1941-1945. In the summary you may follow the main ways of activity of the central governing body of medical (health) services of the Red Army. The main focus of the article is made on conditions under which GMMD had to organize medical support of the Red Army at the beginning of the war, the most difficult period of the Great Patriotic War. The authors payed attention to the forms and methods of the work of the head of GMMD and its subordinate departments under the conditions of rapidly changing environment of combat and rear situation, as well as interaction with GMMD People’s Commissariat of Health. The authors tried to highlight not well known but not less important moments in the activities of the Red Army GMMD.
Voenno-medicinskij žurnal. 2015;336(8):79-84
pages 79-84 views

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Voenno-medicinskij žurnal. 2015;336(8):88
pages 88 views


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Voenno-medicinskij žurnal. 2015;336(8):89-90
pages 89-90 views

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Voenno-medicinskij žurnal. 2015;336(8):91-92
pages 91-92 views

Nauchno-prakticheskaya konferentsiya, posvyashchennaya 65-letiyu Tsentral'noy vrachebno-letnoy komissii

Chaplyuk A.L., Vovkodav V.S., Churilov Y.K.
Voenno-medicinskij žurnal. 2015;336(8):93-94
pages 93-94 views
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