Open Access Open Access  Restricted Access Access granted  Restricted Access Subscription Access

Vol 336, No 9 (2015)


Organisation of medical care delivery to citizens, enjoying a right to get medical care at military-medical organisations of the Ministry of Defence of the Russian Federation.

Fisun A.Y., Kuvshinov K.Y., Pastukhov A.G., Zemlyakov S.V.


One of the main priorities of the medical service of the armed forces of the Russian federation is a realization of rights for military retirees and members of their families to free medical care. For this purpose was founded a system of organization of medical care delivery at military-medical subdivisions, units and organizations of the ministry of defence of the Russian federation, based on territorial principle of medical support. In order to improve availability and quality of medical care was determined the order of free medical care delivery to military servicemen and military retirees in medical organizations of state and municipal systems of the health care.
Voenno-medicinskij žurnal. 2015;336(9):4-12
pages 4-12 views

Main types of activity of specialists of medical and preventive profile in military hospitals

Akimkin V.G., Azarov I.I., Volynkov I.O., Bobylev V.A.


Infection prevention in medical organizations is an essential task to ensure quality of medical care and create a safe environment for patients and medical staff. The main task of a specialist of medical and preventive profile in the hospital is to maintain sanitary and epidemiological safety and control fulfillment of a complex of preventive measures. To achieve these goals specialists monitor epidemiological and microbiological fulfilment of the implementation and effectiveness of preventive measures, which allow to except infection entry to the hospital and possible carrying out beyond the hospital, occurrence and spread of disease. An obligatory activity of the specialist of medical and preventive profile in the hospital is a scientific and methodical work. The authors propose adoption of preventive structural subdivisions to the state largest diversified military hospitals.
Voenno-medicinskij žurnal. 2015;336(9):13-16
pages 13-16 views

Modern aspects of surgical treatment of locally advanced pelvic cancer

Solovyov I.A., Vasilchenko M.V., Lychev A.B., Ambartsumyan S.V., Alekseev V.V.


The aim of investigation is to improve surgical treatment of patients with locally advanced pelvic cancer. The basis of investigation is 186 patients with locally advanced pelvic cancer. The average age of patients is 65,2±5,2 years (from 43,7 to 88,4 years). Among them are 112 women and 74 men. In the period from 2007 to 2015 they were carried out combined (101 patients) and expanded (85 patients) surgical intervention in the department of naval surgery of the Military medical academy after S.M.Kirov. Pelvic evisceration was performed in 63 cases. Both patients were performed isolated vascular hyperthermic chemical pelvic perfusion. Indications for plastic surgery of peritoneum pelvic were: total infralitoral pelvic evisceration (9 patients), dorsal infralitoral pelvic evisceration (11 cases) and expanded abdominoperineal rectum extirpation (34 patients). Plastic surgery with autogenouse tissues was performed to 43 patients, with reticulate explants - to 11 patients. The rate of postoperative complications was 40,2%. The rate of postoperative lethality was 8%. Expanded and combined operations of pelvic at patients with locally advanced cancer without absolute contra-indications can be performed irrespective of age. Plastic surgery of peritoneum pelvic after total and dorsal infralitoral pelvic evisceration and expanded abdominoperineal rectum extirpation indicated in all cases. The easiest method is plastic surgery with greater omentum or peritoneum pelvic. Plastic surgery with reticulate explants is performed when autoplastic is impossible.
Voenno-medicinskij žurnal. 2015;336(9):17-23
pages 17-23 views

A new light on professional fitness expertise of patients with highly curable arrhythmia after hi-tech methods of treatment.

Simonenko V.B., Hubulava G.G., Chaplyuk A.L., Steklov V.I., Morozov D.A., Emelyanenko M.V.


The peculiarities of a clinical course, results of pharmacological and interventional treatment in 447 patients with noncoronary cardiac arrhythmias were analyzed. A definition highly curable cardiac arrhythmia is introduced. The high efficiency and safety of the method of radiofrequency ablation in patients with highly curable cardiac arrhythmias that allows soldiers to leave the military service, as well as to enter military service under the contract. Proposed implementation of the control medical examination to conduct endocardial electrophysiological study and the subsequent medical examination to determine the category of fitness for military service not earlier than 6 months after surgery.
Voenno-medicinskij žurnal. 2015;336(9):24-33
pages 24-33 views

The use of a «buffet» style meals in the system of health-resort treatment

Andriyanov A.I., Kirichenko N.N., Yaremko V.I., Nikitin E.A., Ermakov R.A.


The authors summarized literature sources, concerning modern ideas about the role of nutritional therapy in the system of health-resort treatment. The authors also made a research on the basis of literature, concerning health-resort nutrition divided into two systems - buffet system and special-order system. On the basis of sanatorium establishments of the Ministry of Defense authors summarized an experience of clinical nutrition in different age groups and categories of patients. On the basis of current regulatory acts were defined forms and methods of meal catering in the Russian Federation. The results of the study are a scientific supposition for substantiation of management decision-making process, which allows to increase an efficiency of health-resort treatment via nutrition therapy.
Voenno-medicinskij žurnal. 2015;336(9):33-39
pages 33-39 views

Peculiarities of sanitary and epidemiological (preventive) measures aimed at contraction and spread control of Ebola virus disease

Ogarkov P.I., Valevskii V.V., Smirnov A.V., Kotov S.S., Golubkov A.V., Svistunov S.A., Kolesnikov V.V.


Now the Ebola virus continues to extend in the Western Africa. Cases, including with lethal outcomes are also registered in the countries of Europe and America. The probability of drift of this disease on the territory of the Russian Federation, including through the foreign military personnel who is trained in the country isn’t excluded. For prevention of drift and distribution in Russia of the illness caused by the Ebola virus the complex of sanitary and anti-epidemic (preventive) actions is developed and introduced in practice of military health care. The specified actions allow to control an epidemiological situation on this infection and can be recommended for use to military medical experts at all levels.
Voenno-medicinskij žurnal. 2015;336(9):40-44
pages 40-44 views

Problematic medical and psychological issues concerning rehabilitation of crews during the after-sea-dutymen period.

Liseenko A.N., Artemenko E.S., Demeev Y.A., Shchur M.S.


The analysis of the causes of lack of effective functioning of the medical and psychological rehabilitation of crew of the Navy in the Pacific Fleet is performed. Possible ways of solving existing problematic issues are suggested. For determination of fatigue and overwork it was suggested to undertake mandatory initial medical and psychological screening examination of crews immediately before the return to the naval base, using a simple and affordable methods of testing. Medical and psychological rehabilitation of soldiers after the long sea voyages proposed to take immediate military sanatorium of the Ministry of Defense of the Russian Federation (on the territorial principle).
Voenno-medicinskij žurnal. 2015;336(9):45-48
pages 45-48 views

Modern aspects of organization of medical support for the Armed Forces

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


The challenges that medical service of the Armed Forces of the Russian Federation faces cannot be solved without a new qualitative approach to military and medical support. In order to create a complete organizational system of the medical support, consisting of united process of material flow management and management of accompanying elements, the structure of the medical support and its equipment must correspond to performed tasks. The article describes a set of activities that are performed in the system of military-medical support and offers some promising approaches, which are supposed to solve assigned tasks imposed upon the center of pharmacy and medical technology and its interaction with superior body control, maintainable and third party organizations.
Voenno-medicinskij žurnal. 2015;336(9):49-54
pages 49-54 views

Сell engineering in nephrology. The current state and development prospectives from the point of view of military medicine

Bel'skih A.N., Golota A.S., Krassii A.B., Nagibovich O.A.


This article is dedicated to the current state and prospectives of cell engineering in nephrology from the point of view of military medicine. The review is based on publications from January 1, 2014, to June 1, 2015, and consists of two parts. In the first part the main directions of the cell engineering development are mentioned. The only two clinical trials existed in the field are discussed in more detail. The second part deals with prospectives of cell engineering in nephrology. It is shown that currently this field is in the stage of preclinical experimentation. Of the two known clinical trials the first has failed to demonstrate any effectiveness of cell engineering, the second - will be completed only at the end of 2016. Also, the review notes an extraordinary cost of cell engineering experiments in nephrology. The analysis of publications allows to come to a conclusion that the future progress in prevention and treatment of acute kidney injury could go not in the direction of cell engineering but rather non-cell technologies. One of the practical consequence of such a conclusion is a necessity to continue the improvement of already existing methods of machine renal replacement therapy.
Voenno-medicinskij žurnal. 2015;336(9):55-60
pages 55-60 views

Department-and-hospital educational complex as a form of applied navy surgery

Solovyov I.A., Utochkin A.P., Rukhlyada N.V., Kolunov A.V., Shilov S.A.


The authors analyse historical stages of department-and-hospital educational complex functioning in the article, devoting to the organisation of educational process at the department of navy surgery at the Military medical academy after S.M.Kirov on the basis of the first navy clinical hospital. The authors showed that under appropriate conditions of its organisation it is possible to improve effectiveness and profile of training program, developed for the future ship physicians, specializing in navy surgery.
Voenno-medicinskij žurnal. 2015;336(9):61-62
pages 61-62 views

About ways of improvement of effectiveness of specialized aid to patients with radiation injuries

Antonishkis Y.A.


The authors gave modern ideas about methods of successful strategies of radiation injuries treatment. Pathogenetic mechanisms of radiation pathology and influence of accompanying factors are considered. The authors expounded the main principles of complex treatment of acute radiation sickness and provided information about results of medicaments usage and physiotherapeutic methods of treatment of patients with radiation injuries.
Voenno-medicinskij žurnal. 2015;336(9):62-65
pages 62-65 views

Prevalence rate of sleep apnoea and night-time hypoxia in patient with pulmonary diseases according to pulse oximetry

Mostovoi L.V., Buzunov R.V., Zaitsev A.A.


111 patients with pulmonary diseases were totally screened with help of monitoring computed pulse oximetry in order to evaluate prevalence rate of night hypoxia manifestations. High prevalence rate of light (15%) and severe (14%) grade of sleep apnoea and also high percentage of prevalence rate of moderate (16%) and severe (11%) night hypoxia were revealed. In 6% of patients were revealed both severe grade of sleep apnoea and night hypoxia. The most frequent breathing disorders were registered in case chronic obstructive pulmonary disease, chronic bronchitis, bronchial asthma especially when accompanying obesity.
Voenno-medicinskij žurnal. 2015;336(9):65-67
pages 65-67 views

Clinical case of giant lymphadenopathy in patient with chronicle hepatitis C

Ponomarenko D.S., Vasenko V.I.


Authors described a successful case of antiviral treatment of gigantic lymphoadenopathy in patient with chronicle hepatitis C.
Voenno-medicinskij žurnal. 2015;336(9):68-69
pages 68-69 views

Lenta novostey

- -.
Voenno-medicinskij žurnal. 2015;336(9):69
pages 69 views

Three centuries with the Fleet (to the 300th anniversary of the Saint-Petersburg naval hospital)

Buzov E.Y., Kasatkin V.I., Makarenko B.G., Shilov S.A.


The authors analysed the history of the Saint-Petersburg naval hospital, founded in October, 1715 by Peter the Great, defined its role in the key historical events during organisation of medical aid delivery to wounded and patients, discussed current tasks, concerning development of hospital art when forming modern image of the navy of the Russian Federation.
Voenno-medicinskij žurnal. 2015;336(9):70-74
pages 70-74 views

Sanitary state of the ships of the Baltic fleet and development of the navy hygiene in the 18th century

Kostyuk A.V.


Sanitary and hygienic state of the Baltic navy ships in the 18th century was considered as unsatisfactory due to inappropriate habitation conditions answering hygienic requirements. The reason for the low ship habitation of that time was limited technological possibilities of the sail shipbuilding, lack of appropriate labour, and life and rest conditions for navy servicemen. In fact, wooden ships were not suitable for life activity of the navy crew, but contributed to disease increase. Because of the rapid development of the navy hygiene and improvement of shipbuilding technologies, sanitary and hygienic state of local navy ships had became improving. With a glance on recommendations, developed by physicians D.P.Sinopeus and A.G.Bakherakht, were made following improvements: were implemented ventilators on ships, daily fumigation of ships rooms, monitoring of personal hygiene.
Voenno-medicinskij žurnal. 2015;336(9):74-81
pages 74-81 views

Lenta novostey

- -.
Voenno-medicinskij žurnal. 2015;336(9):81
pages 81 views


- -.
Voenno-medicinskij žurnal. 2015;336(9):82-83
pages 82-83 views

Lenta novostey

- -.
Voenno-medicinskij žurnal. 2015;336(9):83
pages 83 views

Lenta novostey

- -.
Voenno-medicinskij žurnal. 2015;336(9):84-88
pages 84-88 views
pages 89-93 views

Robototekhnicheskie tekhnologii okazaniya meditsinskoy pomoshchi

Starikov S.M., Zhigalov A.A.
Voenno-medicinskij žurnal. 2015;336(9):93-96
pages 93-96 views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies