Vol 335, No 4 (2014)


Modern condition and prospects of development of cardiac surgery in the Armed Forces

Khubulova G.G., Ryzhman N.N., Ovchinnikov Y.V., Tyrenko V.V., Peleshok A.S.


Authors consider the problem of delivery cardiac surgical care to contingent of the Defence Ministry. Perspective directions of development of cardiac surgery in the Armed Forces of the Russian Federation are the development of minimally invasive cardio surgery, endovascular development of modern methods of diagnosis and treatment, further development of electrophysiological methods for diagnosis and treatment of disorders of rhythm and conduction, the introduction of various kinds of auxiliary mechanical circulatory support systems in acute and chronic heart failure, development of transplantation in cardiac surgery, improvement of algorithm selection and referral of patients requiring cardiac care by providing primary health care to troop central military medical institutions, creating a single register of cardiac patients as part of the Armed Forces in order to determine the order and place of treatment, etc.
Voenno-medicinskij žurnal. 2014;335(4):4-8
pages 4-8 views

The concept «a case in outpatient treat-ment» in military policlinic activity

Vinogradov S.N., Vorobev E.G., Shklovskii B.L.


Substantiates the necessity of transition of military policlinics to the accounting system and evaluation of their activity on the finished cases of outpatient treatment. Only automating data-statistical processes can solve this problem. On the basis of analysis of the literature data, requirements of the guidance documents and observational results concludes that preliminarily should be done revisal (formalisation) of existing concepts of medical statistics from the position of information environment which in use - electronic databases. In this aspect specified the main features of outpatient treatment case as a unit of medical-statistical record, and formulated its definition.
Voenno-medicinskij žurnal. 2014;335(4):9-13
pages 9-13 views

Membranes structure and physical and mechanical erythrocytes properties in the early period of traumatic brain injury caused by less-lethal firearms

Gaidash A.A., Ivchenko E.V., Levichev V.V., Denisov A.V.


The dynamics of erythrocytes properties in the acute phase of traumatic brain injury caused by less-lethal firearms has been studied by the methods of atomic force and morphometry. The experiments have been performed on sheep by a Makarych pistol single shot at the parietooccipital area. It has been established that under the influence of the shock waves the erythrocyte disks and transmembrane liquid oscillatory fluctuations (flicker) are increased. The fluctuations are rapidly attenuated and the shock waves energy is accepted by cytoplasmic membranes lipoproteids. As a result the interface «lipid-protein» phase transitions are hastened. The membranes undergo heterogeneous structural, physical and mechanical transformations the character of which is determined by the phase transitions direction. In the spots of phospolipid liquid clusters accumulation the fluidity is increased and marks caused by membranes lamination and spreading appear. In the spots of phospholipids solid phase the surfaces become hydrophobic and marks caused by membranes local embrittlement and fragility appear. The transmembrane fluid hydrodynamic flows heterogeneity is increased due to deformation processes irregular spreading. The flows acceleration causes the hydrodynamic ruptures-like defects. The flows deceleration results in depressions evolving through the mechanism of «creeping» erosions.
Voenno-medicinskij žurnal. 2014;335(4):14-21
pages 14-21 views

About the treatment of battlefield injuries of the musculoskeletal system with the help of new «Rod field package»

Maksimov I.B., Brizhan L.K., Astashov V.L., Davydov D.V., Kerimov A.A., Arbuzov Y.V., Varfolomeev D.I.


Injuries of the musculoskeletal system are at 60% of all battlefield injures and take first place in modern military conflicts. The main antishock measures are: pain management, emergency bleeding control, bone fragment positioning and fracture fixation. Specialist of the centre of traumatology and orthopaedics of the Burdenko General Military Clinical Hospital in cooperation with specialists of department of battlefield surgery of Mandryka Clinical Research and Training Medical Centre analysed the most effective domestic and foreign external fixators and developed «Rod field package» (RFP). The above mentioned researched had two stages. On the first (analytical) stage specialists formulated requirements for «
Voenno-medicinskij žurnal. 2014;335(4):22-30
pages 22-30 views

Focused assessment sonography for trauma in surgery for abdominal trauma: methods and the capabilities in clinical use

Samokhvalov I.M., Zhabin A.V., Grebnev A.R., Badalov V.I., Trufanov G.E., Suvorov V.V.


In severe abdominal trauma ultrasound provides fast and accurate diagnostics of damages and detect the source of internal bleeding. In the absence of trained professionals (in injury care centre of2-3rd levels, In emergency situations) it is possible to use by the method of research in the reduced volume. The article presents a comparative analysis of the use of traditional methods and reduced ultrasound diagnostics of abdominal injuries on 56 victims. Concluded that reduced ultrasound is affordable, mobile, fast and accurate method of diagnosis, allowing to use it repeatedly.
Voenno-medicinskij žurnal. 2014;335(4):30-36
pages 30-36 views

Complex outpatient care to patients with osteoarthrosis and degenerative-dystrophic diseases of juxtaarticular soft tissues

Saks L.A.


The aim of the article is an evaluation of effectiveness of the complex outpatient care to patients with osteoarthrosis and degenerative-dystrophic diseases of juxtaarticular soft tissues. Recent researches showed that the key factors of the pathogenesis of diseases were degenerative-dystrophic and inflammatory changes in the synovio-entheseal complex of paraarticular muscles’ tendon. 411 patients with osteoarthrosis of 531 synovial joints and degenerative-dystrophic diseases of periarticular soft tissues underwent sequential corticosteroid therapy combined with hyaluronic acid injections. In 84% of cases positive results were observed.
Voenno-medicinskij žurnal. 2014;335(4):36-45
pages 36-45 views

The use of percutaneous endoscopic gastrostomy for provision of the long-term enteral nutrition

Belevich V.L., Brednev A.O., Ovchinnikov D.V.


Percutaneous endoscopic gastrostomy for provision of the long-term enteral nutrition is well established in clinical practice because unlike from traditional gastrostomy and jejunostomy allowed to avoid many complications. The technique is used for enteral tube feeding in the absence of real positive predictive recovery of consciousness and swallowing function. During presented study from 387 patients with a gastrostomy imposed by percutaneous endoscopic technique, observed only 1,8% of suppurative complications and in 1% of cases - uncontrolled removal of the tube by the patient. Our experience allows us to recommend this technique for wide implementation in practice of medical institutions in case when it is necessity in enteral feeding more than 3 weeks of patients with impaired swallowing.
Voenno-medicinskij žurnal. 2014;335(4):46-49
pages 46-49 views

Significance of the individual climatic factors in hemorrhagic fever with renal syndrome morbidity formation of population in the district of military units dislocation

Kalmykov A.A., Korneev A.G., Aminev R.M., Kosova A.A., Polyakov V.S.


Been outlined the experience of mathematics modelling of natural phenomena for determination of the impact of individual factors and their combination on the epidemic process development. Found that 97,9% of the variation of haemorrhagic fever with renal syndrome index of population in the study area determine six climatic factors: the Wolf number, rainfall in November, the highest level of the river during floods, the temperature of air in October, the maximum and minimum levels of snow cover in February. As the most significant factors, contributing to the spread of the disease under study, been determine the parameters of air temperature and the height of snow. In the troops proposed to use approved methodology of mathematics modelling to predict changes of epidemiological situation for the disease and for timely organization of preventive measures to avoid introduction of infection in military units.
Voenno-medicinskij žurnal. 2014;335(4):50-53
pages 50-53 views

Hypobaric chamber as a test of the aircrew of Russain State aviation

Shishov A.A., Olenev N.I., Shishkin A.N., Filatov V.N.


Authors research clinical medical importance of hypobaric ascends to an attitude of 5000 meters for 20 minutes for detection of latent forms of diseases and assessment of professional health and ascends to an attitude of 5000 and 6000 meters for 5 minutes when performing psychophysiological training for high altitude flying. According to test of 1326 pilots of "Russian Air Forces, including pilots with different diseases, hypobaric ascends showed high diagnostic effectiveness for the professional health assessment. By using of both methods it was revealed that frequency of detection of decreased tolerance to hypoxia is the same (in average in 2,7 and 3,1% of total number of patients). By ascends in 38 patients (2,9%) was revealed decreased tolerance to hypoxia of medium level. It indicated about low functional state and space capacity of pilots. It was proved that hypobaric ascends of 5000 and 6000 meters for 5 minutes could be considered as an effective method of checkup of aircrew for the aviation physical examination.
Voenno-medicinskij žurnal. 2014;335(4):54-58
pages 54-58 views

Morning medical conference as an element of quality control of medical care in the hospital

Panyushin K.A., Potekhin N.P., Sarkisov K.A., Starovoitova I.M., Orlov F.A.


Properly organised morning conference of hospital doctors is an important component of the quality system of medical care, enabling in real-time mode to assess its pluses and minuses, promptly take the necessary measures to improve the functioning of the health care institution as a whole.
Voenno-medicinskij žurnal. 2014;335(4):59-60
pages 59-60 views

Hyperbaric oxygen therapy as a part of complex surgical outpatient care

Popov A.P., Pokusaev A.A., Sazhaeva O.N., Astakhova T.P.


Authors presented results of complex treatment of 185 patients with surgical pathology through the use of hyperbaric oxygen therapy. This type of therapy allowed achieving positive effects in 90,1% of cases.
Voenno-medicinskij žurnal. 2014;335(4):60-61
pages 60-61 views

Comparison of the population morbidity in the territories with the different level of chemical pollution

Reinyuk V.L., Savchenko A.V.


Presented results of the comparative study of the population morbidity in two districts of Saratov region. Population morbidity of Volsky district for most classes of diseases in 2008-2012 was higher than in Khvalynsk district. This difference authors link to the fact that population of Volsky district living in more adverse environmental conditions regarding comical factor.
Voenno-medicinskij žurnal. 2014;335(4):62-63
pages 62-63 views

Central time of motor conduction of patients with disseminated sclerosis with the lesion corticospinal tract

Bukin S.A., Bisaga G.N., Frunza D.N., Popov A.E.


The examination of 36 patients with a reliable diagnosis of disseminated sclerosis showed a high diagnostic efficiency of the method of transcranial magnetic stimulation with the definition of the central motor conduction time for verification of axonal degeneration and demyelination, both in the presence as in the absence of clinical manifestations of movement disorders.
Voenno-medicinskij žurnal. 2014;335(4):63-64
pages 63-64 views

Development of combat medical robots in the US Armed Forces

Golota A.S., Ivchenko E.V., Krassii A.B., Kuvakin V.I., Soldatov E.A.


The current article is dedicated to the problem of scientific research organization in the field of combat medical robots development in the US Armed Forces. The role of the Telemedicine and Advanced Technology Research Center is singled out. The project A Robotic System for Wounded Patient Extraction and Evacuation from Hostile Environments is described in more detail. It is noted the high cost of such technical systems development and operation.
Voenno-medicinskij žurnal. 2014;335(4):65-68
pages 65-68 views

«1st Therapeutic Red Cross Hospital» during the Civil war

Simonenko V.B., Abashin V.G.


The article presents the documentary information about the founding, the establishment and early years of the «1st Therapeutic Red Cross Hospital» - in the future - Mandryka Central Military Clinical Hospital of the Ministry of Defence of the Russian Federation. Presented the work of the Hospital during the difficult period of the Civil War, typhus epidemic, famine and devastation. Specified its staffing structure, command, medical and administrative staff, travel and accommodation till the moment of the deployment in the Silver Lane in Moscow.
Voenno-medicinskij žurnal. 2014;335(4):69-76
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Official communications

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Voenno-medicinskij žurnal. 2014;335(4):77-78
pages 77-78 views

News feed

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Voenno-medicinskij žurnal. 2014;335(4):79-82
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pages 83-87 views

Konferentsiya, posvyashchennaya 20-letiyu Vserossiyskogo tsentra meditsiny katastrof «Zashchita»

Voenno-medicinskij žurnal. 2014;335(4):87-90
pages 87-90 views

Pyataya mezhdunarodnaya nauchno-prakticheskaya konferentsiya «Dukhovnoe i vrachebnoe nasledie svyatitelya Luki (V.F.Voyno-Yasenetskogo)»

Voenno-medicinskij žurnal. 2014;335(4):90-94
pages 90-94 views

Konferentsiya k stoletiyu infil'tratsionnoy teorii ateroskleroza

Voenno-medicinskij žurnal. 2014;335(4):95-95
pages 95-95 views

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