Vol 335, No 7 (2014)


Organization of anesthesia management and advanced life support at military medical evacuation levels

Shchegolev A.V., Petrakov V.A., Savchenko I.F.


Anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels in armed conflict (local war) is timeconsuming and resource-requiring task. One of the mathematical modeling methods was used to evaluate capabilities of anesthesia and intensive care units at tactical level. Obtained result allows us to tell that there is a need to make several system changes of the existing system of anesthesia management and advanced life support for the severely wounded personnel at military medical evacuation levels. In addition to increasing number of staff of anesthesiology-critical care during the given period of time another solution should be the creation of an early evacuation to a specialized medical care level by special means while conducting intensive monitoring and treatment.
Voenno-medicinskij žurnal. 2014;335(7):4-10
pages 4-10 views

Modern methods of examination of ballistic trauma after passing through the barrier

Titov R.V., Tyurin M.V., Kabanov M.Y., Nepomnyashchii S.A., Smolin N.V., Nagut N.N., Soroka A.K., Nikolaev I.K.


On the basis of experimental data were studied peculiarities of ballistic of wounds after passing barriers. Authors analyzed forensic medical examination reports concerned about murdered and wounded with gunshots in Saint Petersburg. As research objects were used: simulators of biological materials (block of glycerin soap) and experimental animals. The following bullets were used: automat cartridge 7H22, 7H24 - gauge 5,45x39 mm, pistol cartridge 7H29 - gauge 9,0x21 mm; gun reach - 50 and 100 meters; barriers - steel plates, glass, brickwork. The following assessment of exposure was used: in simulators - according to volumes of temporary cavity; in experimental animals - according to results of morphofunctional researches. Data about damaging action of pistol cartridge 7H22, 7H24 with gauge 5,45 mm and automat cartridges 7H29 and 9,0 mm is received.
Voenno-medicinskij žurnal. 2014;335(7):11-16
pages 11-16 views

Modem technologies in the express diagnosis of alcohol and drug intoxication

Shamrei V.K., Goncharenko A.Y., Pastushenkov A.V.


Presented domestic and foreign data of the methodological, organizational and legal aspects of express diagnosis of alcohol and drug intoxication. Shown that methods, which are in use for that in different countries, are basically identical. Differ significantly only the holding organizing, coverage breadth of population research, and used legal and material basis. To identify persons which are prone to addictive behavior it is important direction in modern screening surveys. For early detection of solders abusing alcohol or using drugs and psychotropic substances, the most informative scheduled and unexpected surveys using primarily immunochromatographic test systems and portable hardware systems.
Voenno-medicinskij žurnal. 2014;335(7):17-23
pages 17-23 views

Diagnosis and treatment of peripheral arterial aneurysms in lower limbs

Belyakin S.A., Pinchuk O.V., Obraztsov A.V., Yamenskov V.V.


Authors analyzed a five years experience of the diagnosis and treatment of peripheral arterial aneurysms in the Center of vascular surgery of the multidisciplinary military hospital. Authors give the assessment of different diagnostic instrumental methods and demonstrate results of surgical treatment. The possibility and effectiveness of endovascular-traumatic method of surgical correction of this pathology of lower limb arteries are given.
Voenno-medicinskij žurnal. 2014;335(7):24-27
pages 24-27 views

Applying of the multifaceted approach to the treatment of patients with a phlegmon of hand

Krainyukov P.E., Tatarin S.N., Oganov A.I.


Presented the experience of treatment of 189 patients with a phlegmon of hand. Conducted multifactorial analysis of the importance and influence on the outcome of disease and prognosis of each of the indicators used to determine the severity of the pathological process. Proved that individual determination of the severity and prognosis of the disease allows correcting choice of treatment methods, to evaluate the probability of complications development and to determine timing and amount of outpatient rehabilitation. Complex of clinical and laboratory methods and ray studies allowed to differentiate medical tactics depending on the location, extent and severity of the pathological process. Differentiated approach allowed to optimize the schemes and determine indications for immunomodulators, systemic enzyme therapy, and indirect lymphotropic therapy. In 70,9% of cases good resonse to the treatment in patients’ with a phlegmon of hand was obtained, in 22,7% satisfactory response to the treatment and only in 6,3% of cases response to the treatment was unsatisfactory (including deep and combined phlegmons). Obtained results allow to recommend developed treatment and diagnostic algorithm for using in clinical practice.
Voenno-medicinskij žurnal. 2014;335(7):28-35
pages 28-35 views

Peculiarities of medical backup of low flight course and nap-of-the-earth

Blaginin A.A., Lizogub I.N., Sinel'nikov S.N., Zhiltsova I.I.


Authors presented peculiarities of low flight course and nap-of-the-earth: quick change of orientation cues, ground proximity, possible bird collision, loss of radio signal, exposure of oscillating acceleration, caused by increased atmosphere turbulence. It is showed that low flight course and nap-of-the-earth require special health status of pilots, who must be ready to evaluate obstacle distance, obstacle position relative to aircraft plane, gain in altitude, flight elevation and closing speed, new obstacles and make a decision to fly-by or turn. These circumstances cause emotional tension that affects working capacity and professional reliance. Air medical officer should take additional measures for medical backup of these flight courses.
Voenno-medicinskij žurnal. 2014;335(7):36-38
pages 36-38 views

Evaluation of condition and factors affecting activity effectiveness and visual performance of pilots who use night vision goggles during the helicopter flights

Aleksandrov A.S., Golosov S.Y., Davydov V.V., Lapa V.V., Minakov A.A., A.A.Sukhanov V.V., Chistov S.D.


According to analysis of questionnaire authors revealed factors, which affect activity effectiveness, and visual performance of pilots who use night vision goggles during the helicopter flights. These are: difficulty of flight tasks, flying conditions, illusion of attitude. Authors gave possible ways to reduce an impact of these factors.
Voenno-medicinskij žurnal. 2014;335(7):39-43
pages 39-43 views

Organizational aspects of medical service for veterans of the Great Patriotic War

Popov A.P., Pokusaev A.A.


Presented analysis, conducted in 2014, of in-depth medical examination of 961 veterans of the Great Patriotic War of 1941-1945 (2,8% of the total number of reserve and retired officers attached to the clinic), 235 veterans (24,5%) are disabled, 8 veterans (0,8%) are Heroes of the Soviet Union. The problems and ways of improving their medical care are considered.
Voenno-medicinskij žurnal. 2014;335(7):44-45
pages 44-45 views

New laser technology for correction of involutional skin changes

Vasil’eva E.S., Konovka E.P., Orekhova E.M., Konchugova T.V., Belyakina E.S.


112 patients aged 40 to 56 years were examines and it was found that the use of combined laser therapy (modes smooth-mode and fractional) provides a more efficient correction of the age-related skin changes compared to laser monotherapy as confirmed by positive dynamics of morphological and structural parameters of the skin face correlated with visual skin changes.
Voenno-medicinskij žurnal. 2014;335(7):45-47
pages 45-47 views

Healthcare-associated infections. The current state of the problem

Bolekhan V.N., Golota A.S., Krassii A.B., Razumova D.V., Suborova T.N.


The current article elucidates some novel trends in the field of healthcare-associated infections emerged in the foreign scientific medical publications over the last year and a half (January 2013 - June 2014). The following topics are covered: definition of the term, the body of publications bibliometrics, classification, statistics, patient-to-professional infection transmission, control and prevention, specialized national organizations, new guidelines and a new monograph on the theme. The conducted analysis demonstrates the significance of the topic and the high rate of research in the field.
Voenno-medicinskij žurnal. 2014;335(7):48-54
pages 48-54 views

Materials for the history of medical support of the White movement in Eastern Russia (1918-1920)

Yan'shin L.A.


The article provides a brief description of the composition of the Eastern Front and the conditions of warfare affecting the organization of the first medical software. The data on the management of health-care de-scrap, the forces and means of health services, especially medical staff manning the troops, medical and sanitary institutions and their activities. Concluded that the command of the troops and the medical service of the White movement in the Russian East used in those conditions available forms of medical evacuation and anti-epidemic measures. Medical support was based on the experience acquired during the Russian-German war, and adaptable to the new conditions of warfare.
Voenno-medicinskij žurnal. 2014;335(7):55-63
pages 55-63 views

Organization of medical supply for Russian troops during the Patriotic War of 1812

Miroshnichenko Y.V., Kononov V.N., Perfil'ev A.B.


Pharmacists and pharmacy assistants made a significant contribution to the successful solution of problems for protection of life and health of soldiers of the Russian Army during the War of 1812. During this period Russia’s military pharmacy received a new boost. The first legislatively authorized procedure for medical supplies was established, improved the regulatory framework and the system of training of pharmaceutical personnel, organizational principles of accumulation and the maintenance of a medical emergency reserve property, etc.
Voenno-medicinskij žurnal. 2014;335(7):64-69
pages 64-69 views
pages 71-89 views

News feed Chronicle

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Voenno-medicinskij žurnal. 2014;335(7):90-91
pages 90-91 views

Workshop on community-acquired pneumonia in military personnel

Ovchinnikov Y.V., Zaitsev A.A.
Voenno-medicinskij žurnal. 2014;335(7):92-94
pages 92-94 views
pages 95-96 views

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