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Vol 335, No 5 (2014)


The historical experience of medical service in cooperation with state healthcare facilities during the Great Patriotic War 1941-1945

Budko A.A., Gribovskaya G.A., Zhuravlev D.A.


Cooperation issues between military-medical service and civil healthcare in the field of delivery of medical aid to patients in the rear of country are considered in the articel. The rear is a final stage of the care by echelon and the main medical reserve force for front and army areas. Wide hospital network in the rear consisted mainly of evacuation hospitals of the People’s Commissariat of the USSR healthcare. Cooperation between military-medical service and civil healthcare facilities was required. Sometimes necessary cooperation failed and made mutual helming of evacuation hospitals difficult. But despite the problems the main problem - return of maximum wounded soldiers to active duty was solved during the Great Patriotic War.
Voenno-medicinskij žurnal. 2014;335(5):4-10
pages 4-10 views

Microstructure of the hippocampus in brain injury caused by non-lethal weapons

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


Methods of histomorphometry and AFM investigation were used in research of hippocampus in acute phase of gunshot brain injury. Experimental sheep were used in research. Researches fired a shot in parietooccipital area with the gun «Makarych». It was found that shooting causes interstitial edema which disintegrates neuronal cytoarchitectonics of hippocampus in 30 minutes. Main factor for interstitial edema is peculiarities of microstructures of separate hippocampal layers. In surface tissue structures that have porous and viscous structure occurs infiltrative dissection of conduction structures. The energy of edema realizes as spalling and fragmentation in dense lamina of the fascia dentata. Independent from localization pressure cavitation occurs in interstitial tissue of hippocampus. Common pathogenic factors are acidotic picnosis and neuronal desynaptization.
Voenno-medicinskij žurnal. 2014;335(5):11-17
pages 11-17 views

Medical and social aspects of dermatoses morbidity in military personnel serving in a region of the Far North

Derevyanko R.V., Shevchenko O.S., Ustinov M.V.


Analysed the possibility of dermatosis as an adaptive health disorder in military personnel serving in a region of the Far North. 127 men took part in this research; the average age is 19,5±0,7years. 89 patients with atopic dermatitis and 38 patients with psoriasis were examined and proceeded with the treatment. 50 healthy servicemen were in the experimental group. Each patient filled out a questionnaire for evaluation of anamnesis, contributory causes, social and psychological status. It is revealed that seamen break out in atopic dermatitis and psoriasis in first 2 months of service; flare-up was observed in autumn. Climate and geographic peculiarities of the region affect the course of skin disorders. The draft and first months of service are the main stressful factors affecting dysadaptation disorders. It is necessary to study preclinical sociopsychological factors in conscripts and compulsory-duty servicemen and to provide modern psychological prophylaxis.
Voenno-medicinskij žurnal. 2014;335(5):18-21
pages 18-21 views

Refractory hypertension: diagnosis and treatment optimization

Fursov A.N., Chernetsov V.A., Chernov S.A., Potekhin N.P., Sokolyanskii N.V., Zakharova E.G., Lyapkova N.B.


Resistant hypertension occurs in up to 15% of patients with arterial hypertension in Russia. Medical treatment of resistant hypertension must include minimum 3 medications with maximum or maximum tolerated doses besides one of the medications must be diuretic. According to department of arterial hypertension of the Burdenko Main Military Clinical Hospital to achieve the target levels of arterial blood pressure it was necessary to prescribe 4-5 components antihypertension therapy in patients. Authors suggested an algorithm of diagnosis and treatment of patients with resistant hypertension with the help of surgical method. This method is based on decreasing of sympathic nervous system activity by selective break of neuronal connections with the help of interventional intravascular radio-wave ablation. Endovascular renal sympathetic denervation allows to effectively control arterial blood pressure, to optimize antihypertensive therapy, but this method does not cure from arterial hypertension.
Voenno-medicinskij žurnal. 2014;335(5):22-25
pages 22-25 views

Pharmacological tolerance to medical therapy of organophosphate poisoning and ways of tolerance management

Yudin M.A., Bykov V.N., Chepur S.V., Sarana A.M., Tsygan V.N., Anokhin A.G.


Authors consider causes of low efficiency of antidote therapy and ways of pharmacological tolerance management during medical treatment of organophosphate poisoning. One of the promising ways is a preventive antidote on the base of enzyme agents and allosteric modulators of a cholinesterase activity. Authors showed a expediency of a study of new acetylcholinesterase reactivators, its compositions and ways of drug delivery. Authors specified ways of searching for anticonvulsants from classes of quick-closing benzodiazines and NMDA-antagonists. Authors defined ways of improvement of methods of special antidotes delivery with targeted transport system. Authors made an assumption about the necessity of symptomatic treatment.
Voenno-medicinskij žurnal. 2014;335(5):26-31
pages 26-31 views

The experience in organizing the medical support of allied convoys during the Great Patriotic War on the northern maritime theater

Chernikov O.G., Chernyi V.S., Mishin Y.A., Soshkin P.A., Fisun A.V.


The medical support of allied convoys during the Great Patriotic War had a number of features. The Intensity of power of the fighting, the meteorological conditions, the composition of convoy’s forces, the kind of enemy’s weapon - had a significant impact on the structure of losses in personnel. The main type of medical care on the ships of 2-3rd rank was predoctor care. On the large and small antisubmarine ships and torpedo boats - it was first aid. The factor which has been affecting the amount of assistance - was a one-time inflow of a significant number of victims. Medical-evacuation provision of the convoys was carried out by the ships medical service without the use of amplification and sanitary ships. The most part of the wounded were taken to the coastal fleet hospitals later than 12 hours after the wound. The war experience has shown that in the distant convoys qualified surgical assistance may be provided in case of organizing it in this convoy and in case of using high-speed vehicles.
Voenno-medicinskij žurnal. 2014;335(5):32-36
pages 32-36 views

The experience of successful treatment of severe viral-bacterial pneumonia in a military hospital

Krainyukov P.E., Popov A.V., Sergoventsev A.A., Efremova A.A., Khmelik V.I., Kim E.A.


In the development of severe pneumonia are important premorbid patient’s condition, peculiarities of disease causative agent, conditions of the development of the disease, timeliness and correctness of the diagnosis and adequate treatment. In conscripts up to 85% of pneumonia ceases develop within 6 months after arriving to the training centre, during the period of adaptation to new conditions on the background of psychological and physical stress and activation of mechanism of transmission of infection. High frequency (22,5%) of severe courses of pneumonia, which often causes the development of severe complications, is of particular importance.
Voenno-medicinskij žurnal. 2014;335(5):38-40
pages 38-40 views

The use of the local vibrotherapy in a complex treatment of military servicemen with ureteral calculus after extracorporeal shockwave lithotripsy

Shestaev A.Y., Kushnirenko N.P., Kharitonov N.N., Rassvetaev A.V., Kormakov V.A.


Authors presented the positive experience of the usage of local vibrotherapy in complex treatment of patients with ureteral calculus. After performed extracorporeal shockwave lithotripsy this method provides quicker discharge of fragments of calculus.
Voenno-medicinskij žurnal. 2014;335(5):40-40
pages 40-40 views

The current state and development prospectives of military nephrology. - This article is dedicated to the current state and prospectives of military nephrology

Nagibovich O.A., Golota A.S., Krassii A.B.


Using as examples the nephrology services of the armed forces of Serbia, France, Great Britain and USA it is shown that this branch of military healthcare plays an important role abroad. The brief review of military nephrology formation and development history demonstrates the growing significance of military nephrology in the general system of medical care at the battlefield.
Voenno-medicinskij žurnal. 2014;335(5):41-44
pages 41-44 views

The Central Military Hospital of the People’s Commissariat for Defence during the Great Patriotic War

Simonenko V.B., Abashin V.G., Polovinka V.S.


The article is devoted to activity of the Central Military Hospital of the People’s Commissariat for Defence during the Great Patriotic War. The research is based on declassified orders of PCD and orders of the chef of hospital. Authors presented the role of the hospital in organization of medical aid for officers of PCD, members of their families, Red Army soldiers, junior and senior Red Army commanders; the role of the hospital in organization of medical facilities for combat army; medical supply for evacuation of family members of PCD’s officers ( en route and in evacuation places); delivery of child health care to children of officers of PCD in the hospital and education in kindergartens of PCD.
Voenno-medicinskij žurnal. 2014;335(5):46-51
pages 46-51 views

1st Naval Hospital during the Great Patriotic War

Chernikov O.G., Chernyi V.S., Mishin Y.A., Soshkin P.A.


In the article about The First Naval Hospital, that became famous during the Great Patriotic War, the authors present the facts of the heroic work of the hospital and its staff under the hardest conditions of the Siege of Leningrad, in an atmosphere of constant shelling, its productive clinical and scientific work during the war years (1941-1945). As a material for the preparation of this article were used documents of the Military-Medical Museum, factual information about the history of the hospital published in various sources.
Voenno-medicinskij žurnal. 2014;335(5):52-59
pages 52-59 views

Barabanov A.Ya. - the head of battlefronts medical service during the Great Patriotic War

Gribovskaya G.A.


The article is dedicated to unrenowned moments of life of the outstanding organizer of the system of military healthcare general-lieutenant of medical service Arsenii Yakovlevich Barabanov (1901-1952). His outstanding organizing skills and deep knowledge in the field of military medicine revealed during the Second World War, when he was the head of medical service of 31st Army of the Western Front and 34th Army of North-Western Front and since 1942 he has helmed medical service of Donskoy, Central, 1st Belorussian Fronts. His experience in organization of collecting of PW, system medical treatment for PW acquired during the battle of Stalingrad and afterwards was used and improved during further offensive operations, especially during the final stage of the Second World War and also in organization of medical aid for prisoners of war from the Soviet Union and allied states freed from Nazi extermination camps.
Voenno-medicinskij žurnal. 2014;335(5):60-65
pages 60-65 views

Military history of evacuation hospital № 3457 and the head of this hospital - Porfirii Ivanovich Zabolotnyi

Poddubnyi M.V.


The article is devoted to publication of an archive document «History of evacuation hospital № 3457». This archive document was found in one of the deserted country house in Sumy Oblast, Ukraine. 32 pages of text is bright and eloquent testimony of the period of the Great Patriotic War. Hospital was founded in 1941 in Sumy Oblast and then was deployed in Siberia, in the region of the Far North, again in Ukraine and in Hungary. Army medical officer Porfirii Zabolotnyi was the chef of evacuation hospital during this period.
Voenno-medicinskij žurnal. 2014;335(5):66-71
pages 66-71 views

Belarusian paramedics during the Nazi occupation

Khilmonchik N.E.


The article is devoted to Belarusian paramedics serving in occupational territories during the World War II. The article is focused on paramedical professional duties as a part of patriotic activities. This article also touches on their participation in anti-epidemic work.
Voenno-medicinskij žurnal. 2014;335(5):72-74
pages 72-74 views


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Voenno-medicinskij žurnal. 2014;335(5):75-80
pages 75-80 views


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Voenno-medicinskij žurnal. 2014;335(5):81-83
pages 81-83 views

To the 25 th anniversary 84 of Soviet withdrawal from Afganistan

Varfolomeev V.A.
Voenno-medicinskij žurnal. 2014;335(5):84-88
pages 84-88 views

Problem issues of navy medicine

Myasnikov A.A., Petreev I.V., Kuleshov V.I., Andrusenko A.N., Shitov A.Y.
Voenno-medicinskij žurnal. 2014;335(5):89-91
pages 89-91 views

The World Surgery Congress in Helsinki

Samokhvalov I.M., Petrov A.N., Reva V.A.
Voenno-medicinskij žurnal. 2014;335(5):92-96
pages 92-96 views

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