Vol 335, No 3 (2014)


Prophylaxis of substance abuse in the Aimed Forces: organization and performance of screening

Fisun A.Y., Kuvshinov K.E., Shamrey V.K., Alekseev V.V., Goncharenko A.Y., Pastushenkov A.V., Tikhenko V.V.


Problem of substance dependence disorders is the actual for many countries in the world and affects on health of servicemen. Due to this fact specialists underline the necessity of implementation of constant drug testing system of servicemen. The most effective researches individuals suffering from substance abuse are sample and control survey. Promising areas of prevention of addictive disease include the use of modern technologies for early detection of drug narcotic drugs and psychotropic substances, using the psychophysiological and laboratory techniques. The most common rapid laboratory procedure is the use of test strips (tablets) based immunoassay analysis. To facilitate the evaluation of the results is increasingly incorporated hardware and software systems based on photometric detection. The work done on the testing of such complexes allowed us to determine the algorithm of screening soldiers to assess the effectiveness of various hardware and software systems and identify promising technologies to identify individuals with addictive disorders.
Voenno-medicinskij žurnal. 2014;335(3):4-12
pages 4-12 views

Experience of medical backup of military parade on Red Square

Malykh A.B., Yakovlev S.V., Valevskiy V.V.


Authors showed data about medical backup of military personnel taking part in the parade on Red Square dedicating to anniversary of Victory in the Great Patriotic War. Experience of running such events allowed to work out an algorithm for medical service: preparatory stage, training stage, running of parade, stage of move out to permanent base. During the parade on Red Square for medical care asked 18 people (participants of parade and civilians). Authors came to conclusion that as a result of medical backup of military personnel taking part in the parade no infectious and group diseases were registered.
Voenno-medicinskij žurnal. 2014;335(3):13-15
pages 13-15 views

Experience of application of modern means of disinfection of air for preventive medications for respiratory diseases in troops

Kalmykov A.A., Aminev R.M., Alimov A.V., Nosarev V.G., Polyakov V.S.


Among factors of acute respiratory diseases morbidity in military personnel one of most important is frequent interfusion» of military personnel and long-term occupancy in barracks in conditions of overcrowding. These factors conduce accumulation and communication of causative agents. Prophylaxis focused on prevention of aerogenous transmission of infection. It is very important if ventilation in barracks is ineffective. Principally new possibilities of air sanitation in barracks are aerosol generators. Application of these generators unlike standard disinfection method provides massive exposure of fine aerosol to rooms. Authors highlight successful experience of aerosol generators type Raster ULV that helped to reduce acute respiratory diseases morbidity in military personnel.
Voenno-medicinskij žurnal. 2014;335(3):16-20
pages 16-20 views

Modern information technologies for analysis of health status of military personnel

Sivashchenko P.P., Kushnirchuk I.I., Sorokin S.I.


Analysis of health status of military personnel is carried out in the interests of optimizing medical support personnel, maintaining a high level of health of servicemen, reducing morbidity. To perform this analysis it is necessary to compile materials about health status and morbidity in servicemen received from medical records. Selected data from medical records produced by mechanical summation of homogeneous diagnoses and time consuming. Today we have an opportunity to use common software for registration and result indices. So, by using the Excel program of Microsoft Office 2010, it is possible to implement the procedure for obtaining summary data from the electronic versions of documents medical records. By using the proposed algorithms allow authors to link the troop significantly optimize the process of accumulation, storage and use for analysis of the military - medical information, make the whole process of analysis of morbidity faster and more efficiently.
Voenno-medicinskij žurnal. 2014;335(3):20-25
pages 20-25 views

Safety criteria for blood refusion in military field surgery and trauma surgery

Samokhvalov I.M., Karev E.A., Badalov V.I., Nemchenko N.S., Vasilev M.A., Zhirnova N.A., Meshakov D.P., Litvinenko S.G., Golovko K.P., Denisov A.V., Dmitrieva E.V.


Massive intracavitary hemorrhage in case if severe concomitant injury is the most frequent cause of death. Necessity of blood loss replacement requires effective and safe methods. One of them is blood reinfusion - technically less complicated method. The article shows advantages of using the hardware and filtration methods of blood sampling and reinfusion, developed scale rapid diagnosis of the level of hemolysis of autologous blood. Using of the method of filtration blood sampling provides 2X minimal amount of free hemoglobin than using an aspirator and reinfusion of blood with the contents therein to free hemoglobin 2.0 g / L prevents the risk of developing the syndrome and massive blood transfusion reduces the incidence of deaths at 11%. In patients with massive intracavitary hemorrhage it is advisable to use the method of semi-quantitative rapid analysis of free hemoglobin color scale.
Voenno-medicinskij žurnal. 2014;335(3):26-30
pages 26-30 views

Applying of assessment scales for patients with severe community-acquired pneumonia in young patients

Zaitsev A.A., Ovchinnikov Y.V., Chernov S.A., Kondratieva T.V.


One of the most important issues in the management of patients with community-acquired pneumonia is the correct initial assessment of the severity of the patient’s condition. In the context of outbreaks of pneumonia among soldiers performing military service, this position is crucial. Up to date specialized scales were developed and used in clinical practice allowing assessing a risk on the basis of an adverse outcome, objectifying the decision on the choice of the place of treatment of a patient with community-acquired pneumonia. Various prognostic scales have their advantages and several disadvantages; in particular the possibility of their use to date has not been studied in the management of patients with pneumonia of organized groups. This publication is a brief description and analysis of the possibilities of applying the most well known scales in young people.
Voenno-medicinskij žurnal. 2014;335(3):31-38
pages 31-38 views

Alcoholic liver disease: possibilities of diagnosis, treatment and rehabilitation in multidisciplinary hospital

Pavlov A.I., Belyakin S.A.


Tactics of alcoholic liver disease treatment is defined in accordance with lesion level. Differentiated approach to these patients can significantly improve the efficiency of diagnosis, treatment and rehabilitation. At the stage of cirrhosis it is necessary to focus on prevention and treatment of complications. Patients with compensated cirrhosis and subcompensated improved survival achievable Propafenone S-ademetionine (geptral, Geptor). The article presents the results of our study demonstrating a significant decrease in serum bilirubin in patients on background intravenous S-ademetionine. Practicability of stage system creation of medical rehabilitation of patients with alcoholic cirrhosis is approved.
Voenno-medicinskij žurnal. 2014;335(3):39-46
pages 39-46 views

Capabilities of stress echocardiography in diagnosis of cardiovascular pathology and estimation for military service

Shulenin S.N., Kulikov A.N., Kuchmin A.N., Bobrov A.L., Nagorniy M.B., Litvinenko R.I.


Annually about 6,5 thousands of military servicemen retire due to cardiovascular diseases, every second serviceman retires before superannuation. Stress echocardiography in comparison with other imaging studies is cheaper, safer and matches in sensibility and specificity. The prevalence of stress echocardiography and stress systems can make it available in district, central and main hospitals, and clinics of the Kirov Military Medical Academy. It is proposed to expand indications for stress echocardiography for certain contingent soldiers: those senior commanders, aircrew, and divers soldiers at high risk of cardiovascular complications. For training of specialists in the filed of stress echocardiography in the Kirov Military Medical Academy themed cycles for medical ultrasound and functional diagnostics are orginised.
Voenno-medicinskij žurnal. 2014;335(3):46-52
pages 46-52 views

New in the military-medical examination of persons suffering from hypertension

Potekhn N.P., Chaplyuk A.L., Fursov A.N., Sarkisov K.A., Starovoitova I.M., Orlov F.A.


Authors commented on RF Government Regulation of 4 July 2013 №565 and concluded that feature expert approaches in hypertension contained in this Ordinance, is the priority of the functional approach in assessing the changes in the «target organs» rather than staging the disease.
Voenno-medicinskij žurnal. 2014;335(3):53-55
pages 53-55 views

Quality of life and psychological status of patients with metabolic syndrome of different age groups

Artyushkevich O.V.


Based on a survey of 165 patients with metabolic syndrome is determined that changes in the psychological status and quality of life they are heterogeneous with age features that should be considered when assigning treatment and preventive measures.
Voenno-medicinskij žurnal. 2014;335(3):55-56
pages 55-56 views

Health status of adolescents, adolescent of preinduction age and conscripts and organization of measures for health promotion

Bulavin V.V., Kalmanov A.S., Panyushin K.A., Brovkin S.G., Rabotkin O.S., Zhitnikov A.G.


Authors gave characteristics of health status of adolescents, adolescent of preinduction age and conscripts. They suggested the system of measures for health promotion of adolescents and conscripts.
Voenno-medicinskij žurnal. 2014;335(3):56-58
pages 56-58 views

Experience of successful treatment of patient with severe community-acquired pneumonia accompanied by acute respiratory distress syndrome in conditions of military hospital

Kraynyukov P.E., Popov A.V., Kurmanseitov M.M., Sergoventsev A.A., Efremova A.A., Isaeva L.V., Arsentev L.V.


Authors showed that distress syndrome mortality even having treatment and diagnostic equipment is about 45%. Authors gave data about the treatment of patient with with severe community-acquired pneumonia accompanied by acute respiratory distress syndrome.
Voenno-medicinskij žurnal. 2014;335(3):58-59
pages 58-59 views

Meckel’s diverticulum masked by small bowel obstruction

Klimenko Y.F., Domashev A.A.


Authors presented a successful case of treatment of Meckel’s diverticulum masked by small bowel obstruction. It is showed that the algorithm of diagnosis and treatment should be based on clinical picture of acute surgical pathology of abdominal cavity organs.
Voenno-medicinskij žurnal. 2014;335(3):60-61
pages 60-61 views

Discussion about the problem of alcoholism in the Army on the Pirogov congresses

Egorysheva I.V., Poddubny M.V.


The article is concerned with addressing of military physicians at the end of XIX - in the beginning of XX centuries in the section of military medicine at the Pirogov Congresses. Military physicians brought up an issue about the necessity to put an end on tradition to serve out vodka during holidays, play war and combat operations. Physicians warned that drug abuse could be common condition as alcoholism.
Voenno-medicinskij žurnal. 2014;335(3):61-62
pages 61-62 views

The network organization of medical research in the US Armed Forces

Golota A.S., Zubenko A.I., Ivchenko E.V., Krassii A.B., Shalahin R.A.


The current article is dedicated to the network mode of medical scientific research organization in the US Armed Forces exploring the Armed Forces Institute of Regenerative Medicine as an example. The following features of the institute are examined: the structure, definition of scientific research goals and tasks, financing, management, areas of research, the next generation of the institute. In conclusion some characteristic features of network scientific research establishment and required legal conditions are determined.
Voenno-medicinskij žurnal. 2014;335(3):63-69
pages 63-69 views

Disease control on the Russian Fleet in XVIII century

Kostyuk A.V.


Disease control in domestic fleet in XVIII century was a part of government measures concerning protection of the territory of the Russian Empire from the penetration of dangerous infectious diseases. Understanding the role fleet could play in the spread of infection, the government sought to prevent its entry from the sea. Following this task, in the early 20-s of XVIII century on islands of the Gulf Seskar and Wolf organized sanitary quarantine stations where ships from unfavorable in relation to the epidemic areas stayed before they pester the Russian shore. Eventually when the Black Sea Fleet was created, similar items appeared in Ochakov, Sevastopol, Feodosia, Yalta and Kerch. In XVIII century health legislation was supplemented by a number of regulations relating to the activities of the fleet. In particular, during the reign of Peter I epidemic rules were composed, which, as it became known, lasted for about sixty years. In 1786, the band released a set of quarantine rules designed to streamline the work of sanitary and quarantine stations. Important for protection against the penetration of Russian borders infectious diseases had timely warning of epidemics broke out abroad. Cooperating with European countries in the prevention and control of communicable diseases, Russia has successfully developed methods antiepidemic protection.
Voenno-medicinskij žurnal. 2014;335(3):70-78
pages 70-78 views

Phaleristics of Sisters of Charity

Tsymbal A.N.


In 1912 International Committee of the Red Cross and Red Crescent established a medal in honor of Florence Nightingale, still the most honorable award for nurses. In our country, there are no separate awards for nurses, they are awarded in the system of national awards, but medical authorities, major military medical institutions and public organizations have developed their own system of awarding the best nurses. Reader offered some graphic images of existing award marks contained documents revealing the mechanism of premium policy for the most distinguished in nursing health professionals.
Voenno-medicinskij žurnal. 2014;335(3):79-82
pages 79-82 views


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Voenno-medicinskij žurnal. 2014;335(3):83-85
pages 83-85 views


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Voenno-medicinskij žurnal. 2014;335(3):86-90
pages 86-90 views

Perspektivy razvitiya farmatsevticheskoy nauki i praktiki v voennom zdravookhranenii

Voenno-medicinskij žurnal. 2014;335(3):91-93
pages 91-93 views
pages 93-96 views

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