Vol 335, No 9 (2014)


The experience of medical information system implementation into multi-field outpatient facility

Eloev M.S., Klipak V.M., Zherebko O.A., Belyshev D.V., Borisov D.N.


The main prospective line of development of information technologies implemented into medical facilities is working out and approbation of complex solutions for work automatiozation. It is necessary to mention the experience of implementation of industrial integrated medical information system into the 9 th diagnostic and treatment centre of the Ministry of Defence of the Russian Federation. In 2008 implementation of the information systems was funded by extra budgetary accounts of the facility. The basis of medical information system for the diagnostic and treatment centre was «Interin PROMIS». The article presents the main tasks, stages and difficulties that emerged in the process of implementation. One of the main tasks was to create the database of attached contingents. Conducted work allowed to increase access to healthcare, to develop transparent technologies for providing the healthcare to patients in different subunits. Implemented system is a very prospective for other military-medical facilities and has a unique functional capacity, system customizability, provides access to all activities of the medical facility.
Voenno-medicinskij žurnal. 2014;335(9):4-13
pages 4-13 views

Wounded movement during peace enforcement operation in Georgia (August 2008)

Kotenko P.K., Pak R.V., Golovinova V.Y.


The article highlights the analysis of wounded movement during peace enforcement operation in Georgia (August 2008). 72% of incoming patients were walking wounded; 97,5% male patients, 2,5% - female patients; per cent of combat surgery pathology - 90,2% including combat surgical trauma 83,2%, general surgical diseases - 7%, combat therapeutic pathology - 9,8%; leading gunshot traumas in walking wounded are lower extremities injuries - 33,6%, upper extremities injuries - 27,9% (in total 61,5%), head injuries - 25,4%. Within combat therapeutic pathology walking wounded suffered from the following classes of diseases/sicknesses - I class - 35,7%, XII class - 14,3%, V class - 10,7%. 236 military hospitals (In Vladikavkaz) had admitted 71,2% of walking wounded (of incoming traffic), 1458 military hospitals (in Mozdok) had admitted 91,7% of walking wounded from front traffic, flank traffic was 100%. 49,7% of patients finished the treatment in military hospitals of zone level, 47,9% of patients - in hospitals of district level, 2,4% of patients - in central hospitals. The average duration of the treatment of walking wounded in hospitals of zone level consisted 16,9+0,7 days, no lethal outcomes were registered.
Voenno-medicinskij žurnal. 2014;335(9):14-19
pages 14-19 views

Substantiation and search of health indicators for military servicemen and civil population

Zakurdaev V.V., Rezvantsev M.V.


Health authorities and executives of medical organisations focused on improvement of quality index and access to health care in the process of realisation of the state policy of the Russian Federation in the healthcare field. But the figures currently used and recorded on the official statistical books don’t allow to make an objective evaluation of the health status of the population and therefore to evaluate an effectiveness of medical arrangements. Thereby it is necessary to find new indicators for objective individual and public health evaluation. Performed comparative-analytical study of currently used methods and figures for public health evaluation showed that the integral health indicators obtained by the evaluation of heart rate variability are the most efficient.
Voenno-medicinskij žurnal. 2014;335(9):19-25
pages 19-25 views

The use of the new loads of expendable medical supplies by the medical service of the Armed Forces of the Russian Federation

Miroshnichenko Y.V., Bunin S.A., Grebenyuk A.N., Kononov V.N., Sidorov D.A.


The new loads of expendable medical supplies adopted by the Armed Forces of the Russian Federation and included into regulating documents are the most important elements of the authorized equipment system. Nine loads of expendable medical supplies, combined into two classification groups, are provided for the medical service. The use of these loads improves the effectiveness of medical supply for all stages of medical evacuation, medical continuity during medical and evacuation procedures and allows to deliver medical aid to patients on the basis of modern and innovative medical technologies.
Voenno-medicinskij žurnal. 2014;335(9):26-35
pages 26-35 views

Photodymanic therapy for laryngeal cancer

Volgin V.N., Stranadko E.F., Kagoyants R.V.


The article covers the analysis of photodynamic therapy for primary laryngeal cancer and relapse in 20 patients. Photodymanic therapy was performed with the use of different photosensitizers ( photosens, radachlorin, photogem). Antineoplastic effect of the therapy was observed in 18 patients (in 90% of cases).
Voenno-medicinskij žurnal. 2014;335(9):35-35
pages 35-35 views

Modern possibilities of endovascular surgery in the diagnosis and treatment of pancreatic inflammatory diseases

Ivanusa S.Y., Lazutkin M.V., Alentyev S.A.


Demonstration of possibilities of an effective application of endovascular techniques in the diagnosis and treatment of pancreatic inflammatory diseases. Group N1 - 41 patients with severe acute pancreatitis, whose complex treatment was complemented with catheterization of the celiac trunk and subsequent regional intra-arterial drug perfusion of the pancreas and spiral celiac angiography. Group N2 - 18 patients with acute and chronic pancreatitis in whom endovascular surgery was performed with the aim of diagnosis and arresting of arrosive haemorrhage. Regional intra-arterial perfusion of the pancreas is effective as a method of prevention of septic complications, progression of pancreatic necrosis in patients with aseptic forms of severe pancreatitis, in case of infected necrotizing pancreatitis significant advantage of this method over the standard multimodality treatment was observed. Effectiveness of endovascular surgery in the diagnosis and haemostasis of arrosive arterial haemorrhage is showed. The results of this study suggest that the effective use of endovascular surgery as possible in patients with severe acute pancreatitis and late postnecrotic complications.
Voenno-medicinskij žurnal. 2014;335(9):36-42
pages 36-42 views

Epidemiological peculiarities of acute respiratory diseases and its prophylaxis in Internal Troops of the Ministry of Internal Affairs

Gladinets I.V., Ivashchenko A.N., Rybin V.V., Rikhter V.V., Yaroslavtsev V.V., Voloshin A.Y., Zavolozhin V.A., Lyangusova T.A.


Acute respiratory diseases is the current problem of the medical service and command of Internal Troops of the Ministry of Internal Affairs. In recent years on the background of increase of contract servicemen the total rate of these infections decreased. However, rate of acute respiratory diseases in conscripts remains high and has a tendency to increase. Due to restricted possibilities of immunization in case of acute respiratory diseases it is necessary to improve the non-specific prophylaxis. The guaranty of sanitary-and-epidemiological safety may be active participation of military-and-professional society in realization of lifesaving measures and safety of military service.
Voenno-medicinskij žurnal. 2014;335(9):43-49
pages 43-49 views

Medical approaches to development and tests of anti-mine defence for combat vehicle crews

Vorona A.A., Moiseev Y.B., Ryzhenkov S.P.


To prevention death and serious injuries personnel must be equipped with war materiel collective and individual antimine defence. The experience gained in the establishment of protective equipment shows that modern technology can prevent serious injuries and moderately severe blast injuries in the members of the crew an ensure injury prevention not less than 95%. The solution to this problem is achieved by exception of conditions for spinal compression fractures, ankle and foot fractures, severe and moderately severe brain contusions and eardrum ruptures. Anti-mine defence effectiveness test should be carried in situ and in semi natural environment using as an analogue of the human body a biomorphic model and recording parameters and traumatic factors in the following mathematical simulation of the reaction of the human body on the effect of these factors.
Voenno-medicinskij žurnal. 2014;335(9):50-54
pages 50-54 views

Dynamics of functional status of submarine personnel during the pre-deployment period

Khankevich Y.R., Bloshchinskii I.A., Valskii A.V., Nabokov N.L.


Authors came to conclusions that during the pre-deployment period submarine personnel are stressed out. During this period submarine personnel usually resupply, conduct maintenance and other monitoring-and-checkout measures, which leads to functional stress. Authors came to conclusion that it is necessary to use simple and easy, but at the same time informative methods for early diagnosis of worsen functional health status. One of these methods is evaluation of indicators of cardiovascular system. This method is a base for functional health status prophylaxis.
Voenno-medicinskij žurnal. 2014;335(9):55-60
pages 55-60 views

Chronic kidney disease as an object of medical examination

Chaplyuk A.L., Potekhin N.P., Sarkisov K.A., Orlov F.A., Starovoitova I.M., Karakozov A.G.


The article highlight different classification methods taking into account the clinical picture of chronic kidney disease that allows to subsume servicemen to different categories of fitness to military service, to group of persistent disability and to develop individual rehabilitation programs. Authors came to conclusion that chronic kidney disease management that was admitted not only in our country, but also worldwide allows to standardize different approaches regardless the department affiliation of medical expert committee.
Voenno-medicinskij žurnal. 2014;335(9):61-62
pages 61-62 views

Main principles of heart failure diagnosis of some diseases of internal organs in practice of military medical examination

Kalmanov A.S., Brovkin S.G., Bulavin V.V., Pashkovskii R.D., Denisova M.P., Zhitnikov A.G.


Authors showed that treadmill stress test has limited diagnostic value in case of cardiovascular collapse. But this test gives more objective evaluation of cardiovascular dysfunction, symptom score and effectiveness of treatment of patients with cardiovascular collapse.
Voenno-medicinskij žurnal. 2014;335(9):63-65
pages 63-65 views

Translingual stimulation as a treatment of vestibular dysfunction in patients during early postoperative period after stapedoplasty

Vavilova A.A., Kireev P.V., Syroezhkin F.A., Shvetsova M.V., Golovanov A.E., Dvoryanchikov V.V., Kuznetsov M.S.


Translingual electrical stimulation with «Brain Port» device as a part of rehabilitation was performed in 6 patients with otosclerosis after stapedoplasty with different degrees of postoperative vestibular reaction (3 with low, 1 with middle and 2 with severe degree). All patients were examined (otoneurological and vestibular examination) before and after rehabilitation course. Translingual stimulation course started on the 3rd day after stapedoplasty and included 10 procedures. Equilibrium function was measured with opened and closed eyes by computerized stabilography (posturography). Most demonstrative results according to data of computerized posturography were received for patients with severe degree of postoperative vestibular dysfunction.
Voenno-medicinskij žurnal. 2014;335(9):65-67
pages 65-67 views

Medical Service of the Norwegian Armed Forces

Golota A.S., Krassii A.B., Morovikova T.V., Soldatov E.A.


The article is a brief description of the current state of the Norwegian Armed Forces medical service and is based on the study of the open access foreign sources. At the beginning, the general information about Norway, the Norwegian Armed Forces, and their medical service is presented: Then some particular features are described with more detail, namely, the organization of the inpatient and outpatient treatment, medical supply, scientific research, combat medicine, medical staff education and training, medical service personnel income.
Voenno-medicinskij žurnal. 2014;335(9):68-73
pages 68-73 views

Russian Red Cross Society and its role in providing medical aid to wounded and sick people during the First World War

Budko A.A., Chigareva N.G.


Russian Red Cross Society during the First World War played a significant role in health care, preservation of human life and return of millions of experienced soldiers to duty. The Red Cross Society formed and sent to the front their medical institutions (military hospitals, hospitals, hospital trains, etc.), trained medical nurses, charity nurses and orderlies of the Red Cross. Famous professor-surgeons worked as the consultants of the Red Cross Society, under their leadership were organized mobile surgical units. Society has created mobile nutrition and dressing units, X-ray units, psychiatric reception and collection points. The Red Cross Society assisted the military Department in the fight against infectious diseases.
Voenno-medicinskij žurnal. 2014;335(9):74-81
pages 74-81 views

The First World War and high medical school of Petrograd

Rostovtsev E.A., Sidorchuk I.V.


Rostovtsev E.A., Sidorchuk I.V. - The First World War and high medical school of Petrograd. The article is devoted to the history of higher medical education of the Petrograd just before and during the First World War. The topical issue is the lack of information concerning this period of the history of Russian medicine and medical education, and the history of development of domestic medicine during the First World War, the centenary of which is celebrated this year. On the basis of a wide range of published and archival sources the authors show the basic vectors of development of medical education and exploring the role of St. Petersburg as one of the leading academic medical centres in the country.
Voenno-medicinskij žurnal. 2014;335(9):81-84
pages 81-84 views

«The head of the medical service must be the person...» (To the 70 th anniversary of N.G. Ryzhman)

Valskii V.V., Butikov V.P., Rybakov S.M., Chernikov O.G.


The article is devoted to contribution of major general (rear Admiral - navy) of medical service Nikolay Grigoryevich Ryzhman (1944-2005), the chief of the medical service of the Northern fleet (1991-1999), to development of naval medicine, who would have turn 70 years this September. The constant analysis and experience generalization of the medical services of the fleet connections and associations and aspiration to provide fighting capacity for the fleet crew - were a keynote of Ryzhman’s activity concerned development and deployment of the new forms and methods of medical support and searching of ways to increase crew efficiency. The implemented methods and forms of organization of the medical support and scientific development of the medical support are used even now in the practical activities of the medical service of the Northern fleet.
Voenno-medicinskij žurnal. 2014;335(9):85-89
pages 85-89 views

Official communications

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Voenno-medicinskij žurnal. 2014;335(9):90-91
pages 90-91 views

News feed

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Voenno-medicinskij žurnal. 2014;335(9):92-95
pages 92-95 views

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