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Vol 336, No 2 (2015)


The internal quality control of medical care in military medical organizations

Kuvshinov K.E., Ryzhman N.N., Reutskii I.A., Butsenko S.A.


Quality control of medical care and safety of medical practice in the military medical organizations of the Ministry of Defence of Russia is one of the priorities. Guidelines set by The plan for improvement of effectiveness of health protection in servicemen and certain categories of citizens, which is approved by the relevant order of the Minister of Defence of the Russian Federation, can be regarded as a criteria for quality assessment of medical care. The internal quality control and safety of medical practice is a multilevel system of making and implementing management decisions aimed at ensuring the rights of patients to receive quality medical care, as well as provides a continuous internal audit of medical diagnostic work-military medical organization. The overriding objective is the use of technical means during all forms of internal control.
Voenno-medicinskij žurnal. 2015;336(2):4-10
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Lines of research in the field of cellular technologies and its application in military medicine

Chepur S.V., Yudin A.B., Shperling I.A., Yurkevich Y.V., Vengerovich N.G., Shchipanov S.G., Shulepov A.V.


The paper presents an overview of cellular therapy products and medical tissue engineering of the leading countries of the world (including the US) and identifies lines of research in the field of cellular technology application in the interests of national military medicine. The authors gave information concerning practical implementation of the achievements of biomedical research in the field of regenerative cellular products and technologies in Russia as different products, which may be used at the stages of medical evacuation. The authors presented results of research, which was, performed on the model of mine blast injury in accordance with principle possibility of the usage of cellular technologies products (multipotent mesenchymal stromal cells) in medical practice.
Voenno-medicinskij žurnal. 2015;336(2):10-15
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Problems of military medical examination of military servicemen suffering from chronic obstructive pulmonary disease

Chaplyuk A.L., Brovkin S.G., Kal'manovA.S A.S., Bulavin V.V.


Problems of military medical examination of military servicemen suffering from chronic obstructive pulmonary disease. The authors showed that at the present time military much more servicemen, suffering from obstructive pulmonary disease, may receive medical examination in outpatient conditions. Series of researches allow us to perform a medical examination on an outpatient basis. The calculation of the cost-effectiveness of health services to such patients during a military medical examination in the hospital and clinics was made. Savings during the examination in the clinic for 1 patient was 2829 rubbles.
Voenno-medicinskij žurnal. 2015;336(2):15-21
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Combined burn and non-burn trauma in the array of modern civilian and combat burns.

Ivchenko E.V., Borisov D.N., Golota A.S., Krassii A.B., Rusev I.T.


The current article positions the combined burn and non-burn injuries in the general array of civilian and combat burns. For that purpose the official state statistics and scientific medical publications, domestic as well as foreign, have been analyzed. It has been shown that in peace time the combined burn/trauma injuries are infrequent. But the same type of injury becomes routine especially among the civilian population in the conditions of the modern so called «hybrid war». And the medical service should be prepared for it.
Voenno-medicinskij žurnal. 2015;336(2):22-25
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Pneumonia in wounded

Ovchinnikov Y.V., Kharitonov M.A., Sadykov R.R., Shelukhin V.A., Gaiduk S.V., Bogomolov A.B., Ivanov V.V., Dobrovolskaya L.M.


Pneumonia is one of the common complications of wounds of any localization. Therapists are involved into the treatment of lung lesions in wounded in the ICU, in the surgical and if the patient arrives «on follow-up care,» - in the medical ward. The article analyzes the main statistical indicators reflecting the prevalence and clinical and pathogenetic characteristics of lung pathology in wounded during the Great Patriotic War, during the fighting Soviet troops in the Republic of Afghanistan, the 1st and 2nd Chechen campaign. Pneumonia as a manifestation of traumatic disease can occur in two ways. Primary pneumonia is in close connection with the pathogenetic traumatic injury. Secondary lung lesions complicate the injury at a later date and are due to the introduction of a nosocomial infection process flora. We describe the clinical picture of pneumonia in the affected, the basic pathogenesis, principles of therapy. Successful treatment of lung pathology in wounded depends on the performance of a complex of activities involving a wide range of doctors of various specialties.
Voenno-medicinskij žurnal. 2015;336(2):26-33
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Hypertension morbidity in contract military personnel serving in the Eastern Military District according to dynamic monitoring

Afonaskov O.V., Davidovich I.M., Zubkov O.V., Talapov S.V.


The authors researched the changes in the prevalence of hypertension and major risk factors (overweight, obesity, smoking and high cholesterol) in men of young age - officers of the Eastern Military District during the five-year dynamic observation (2009-2014). 1043 servicemen were selected for the survey. 96,5% of selected servicemen or 1011 people agreed to take part in the survey, the average age was from 25 to 45 years. It was found that among young men the prevalence of hypertension decreased to 24,4%; this result is lower than in the group of civilian population of the same age. It was also found that commitment to healthy lifestyle has increased and the prevalence of the most common risk factors (overweight and obesity, hypercholesterolemia, smoking, alcohol consumption) has decreased but in comparison with the civil population prevalence of modifiable risk factors remains high. The study showed that during the reform of the Armed Forces of the Russian Federation and the inherent strength of military labour remains high, which can not but affect the health officers, 95,5% identified hypertensive patients in our study, young men 35 years with 1st stage of the disease.
Voenno-medicinskij žurnal. 2015;336(2):33-37
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The treatment of patients with circulatory system pathology in health resorts «Tarkhovsky» and «Priozersky»

Yaremko V.I., Nikitin E.A., Ermakov R.A.


The authors showed the history of foundation and development of health resorts «Tarkhovsky» and «Priozersky», as well as an analysis of the treatment of patients with circulatory system diseases in these health resorts. It was found that the structure of patients fitted the profile of health resorts and in recent years has remained stable. Patients with circulatory system diseases accounted for 47,8%. The existing system of medical rehabilitation and restorative treatment of patients with diseases of the circulatory system in the health resorts «Tarkhovsky» and «Priozersky» ensures the implementation in full rehabilitation and recovery programs for all categories of contingent attached.
Voenno-medicinskij žurnal. 2015;336(2):37-41
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The experience of realization of health resort rehabilitation programs for children under conditions of «Тhe Central Military health resort for children»

Buchko L.A., Tkacheva E.N., Erkenova N.V.


Health resort treatment is one of the stages of rehabilitation for children. The Central Military health resort for children is a dynamic diversified health resort for the treatment of children and adults, using its arsenal all available at the resort natural factors. In the conditions of sanatorium for the treatment of children apply advanced medical technologies, the development of modern medical equipment.
Voenno-medicinskij žurnal. 2015;336(2):42-46
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Ebola. Chto novogo?

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Voenno-medicinskij žurnal. 2015;336(2):46
pages 46 views

The treatment of the tunnel nerve cord damage of the upper extremity under condition of ambulatory surgical institutions with enhanced surgical capabilities

Popov A.P., Rogov Y.V., Astakhova T.P.


On an example of surgical treatment of 27 patients with lesions of the upper extremities tunnel shown that an integrated approach in the diagnosis allows to identify tunnel syndrome, to develop optimal treatment and reduce the time of recovery of health of patients.
Voenno-medicinskij žurnal. 2015;336(2):47-48
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Diagnosis and non-surgical treatment of dysphagia

Belevich V.L., Ovchinnikov D.V.


The authors showed that dysphagia is a polygenic clinical manifestation, which requires an individual medical approach in every case. With the full survey and optimal treatment strategy it is possible to achieve good clinical results with minimum of complications.
Voenno-medicinskij žurnal. 2015;336(2):49-52
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Opportunities of flowmetry in assessment of physiotherapy treatment programmes in patients with obliterating disease of low extremities arteries

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


Evaluated changes in tissue blood flow of distal lower extremities, the use of different rehabilitation systems. Objective results obtained dynamics of change of tissue blood flow in patients with obliterating diseases of the great arteries. The study showed that the evaluation of tissue blood flow is preferable to the use of laser flowmetry. It allows you to reliably measure changes in blood flow in the background of the therapy.
Voenno-medicinskij žurnal. 2015;336(2):53
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Surgical treatment of vasculogenic form of erectile dysfunction. The results of 23 surgical operations of venous induced erectile dysfunction are shown

Myagkov Y.A., Yudin V.E., Myagkova A.Y.


The effectiveness of surgical treatment was about 60%. A high percentage of unsatisfactory results caused by the absence of clear evidence for the selection of patients for this surgery, as well as modern means of diagnosis. It is concluded that this surgery should be performed only to patients with distal venous shunt veins of the penis and in the age of 30-35 years.
Voenno-medicinskij žurnal. 2015;336(2):54
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Pharmacogenetic aspects of antithrombotic therapy

Belkov S.A., Khrupkin V.I., Sychev D.A., Danko A.A., Sagirova A.A., Kazakov R.E., Danko A.O.


In a study of 52 patients with coronary heart disease, taking warfarin, it was determined that a genetically caused increased haemorrhage risk occurred in 38,5% of cases. The authors provide recommendations concerning the dosage of warfarin: starter, saturating and maintenance doses.
Voenno-medicinskij žurnal. 2015;336(2):55
pages 55 views

The role of calorie restriction diet as a part of complex non-drug treatment of hypertension

Petko A.P., Khudziev B.G., Mikhailov N.E., Evdokimov A.S., Isaeva O.L.


This report outlines the survey data of 137 patients with essential hypertension. The possibilities of the calorie restriction diet, its role and place in the framework of the non-drug treatment of patients with arterial hypertension are shown.
Voenno-medicinskij žurnal. 2015;336(2):55-57
pages 55-57 views

Clinical and laboratory assessment of enamel solubility and type of mineralization

Krainyukova L.A., Maksyukov S.Y., Morozov P.V., Shakhbazov O.I., Maksyukova E.S., Demidova A.A.


The results of enamel and acid resistance solubility comparison five types of enamel solubility and mineralization were identified. In the dispensary group increased enamel solubility (II and IV types) was registered in 18,3% of patients, with reduced mineralization of dental hard tissues in 11% of patients. High acid resistance of the enamel (types I and III) was registered in 26,8% of patients, including increased enamel mineralization in 9,7%. Normal enamel solubility and mineralization were registered in 58,6% of patients. Dental caries was mostly of IV type of enamel solubility and mineralization (64,2%) and in the remaining cases (35,8%) of type II. Simultaneous test of enamel resistance and determination of minerals in the saliva and acid biopsy enamel allows to select patients with low acid-resistance and reduced mineral content of tooth enamel, which are committed to the development of dental caries and its recurrent course.
Voenno-medicinskij žurnal. 2015;336(2):57-60
pages 57-60 views

The first Russian military Pharmacopoeia (To the 250th anniversary of the publication of the first Russian military Pharmacopoeia)

Egorysheva I.V., Sherstneva E.V.


The first printed Russian Pharmacopoeia was designed for army and navy. The goal of the first Pharmacopoeia was to introduce uniformity in the manufacture of drugs and methods for determination of its quality improvement of medical support and warships.
Voenno-medicinskij žurnal. 2015;336(2):60-61
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Voenno-medicinskij žurnal. 2015;336(2):61
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Medical support of the 65th Army during the East Prussian offensive operation performed by the 2nd Belorussian Front

Shelepov A.M., Leonik S.I., Lemeshkin R.N.


An activity of the medical service of the 65th Army during the East Prussian offensive operation performed by the 2nd Belorussian Front is a typical example of the medical support of troops during the final stages of World War II. Forms and methods of medical support management, which were developed during the war, haven’t lost their importance in modern conditions. These methods include the establishment of specialized surgical and therapeutic field hospital, establishment of medical institutions in the Army, which worked on the evacuation directions and reserve of mobile hospitals and transport, timely extension of the first echelons of the hospital base front to change institutions hospital deployed the army base. A research of experience in organizing medical support of the offensive operations performed during the last year of World War II provides the material for the development of the theory of modern medical support operations and ability to provide on this basis, the continuity of the hospitals, the continuity of qualified and specialized medical care, improve the performance of diagnostic and treatment work.
Voenno-medicinskij žurnal. 2015;336(2):62-71
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Viktor Borisovich von Gyubbenet - a military physician, a surgeon and a social activist.

Ishutin O.S.


The current article is dedicated to a talented surgeon, an organizer of military health care, an extraordinary personality and a public figure - Doctor of Medicine, a privy councilor Victor Borisovich von Guebbenet. A talent of von Gyubbenea as a doctor-surgeon and an organizer of the surgical help on theater of war was especially brightly shown during two big military conflicts of the beginning of the XX century - the Russo-Japanese War (1904-1905) and the First World War I (1914-1918). In the first case doctor von Gyubbenet, being a surgeon of the 3rd Siberian corps successfully manage the activity of military-medical divisions and establishments of Port Arthur garrison. In the second military conflict Victor Borisovich as a doctor and an organizer headed sanitary part of armies of the Western front and successfully directed a medical support of armies of the front since 1915 and until the end of war.
Voenno-medicinskij žurnal. 2015;336(2):72-76
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Yu B I L E I

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Voenno-medicinskij žurnal. 2015;336(2):77-79
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Voenno-medicinskij žurnal. 2015;336(2):80-84
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Korpusnoy vrach V.P.Kravkov i ego dnevnik Pervoy mirovoy voyny

Poddubnyy M.V.
Voenno-medicinskij žurnal. 2015;336(2):85-88
pages 85-88 views

Chetvertyy s\"ezd voennykh vrachey mediko-profilakticheskogo profilya Vooruzhennykh Sil

Ogarkov P.I., Kuzin A.A., Svistunov S.A., Medvedev I.Y.
Voenno-medicinskij žurnal. 2015;336(2):89-92
pages 89-92 views

Okazanie pomoshchi Gvineyskoy Respublike v bor'be s epidemiey gemorragicheskoy likhoradki Ebola

Kholikov I.V., Zhdanov K.V.
Voenno-medicinskij žurnal. 2015;336(2):93-95
pages 93-95 views

«Burdenkovskie vstrechi» v 2014 godu

Kurnosenko V.Y.
Voenno-medicinskij žurnal. 2015;336(2):95-96
pages 95-96 views

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