Vol 335, No 10 (2014)


Methodological basis for modern stage of medical examination of state aviation air crew

Chaplyuk A.L., Vovkodav V.S., Churilov Y.K., Klepikov A.N.


The main methodological framework to improve the system of medical examination of flight crews is the concept of occupational health. One of the important areas is the study of the epidemiology of professionally caused disadaptation functional disorders and subclinical disease in aircrew, their preclinical diagnosis and classification. Pointed to the need to improve organizational and practical principle of comprehensive and regular inspection of the body of the pilot, not only for diagnostic purposes, but also for the smooth conduct medical and rehabilitation measures. Proved the ways to achieve these goals.
Voenno-medicinskij žurnal. 2014;335(10):4-8
pages 4-8 views

The experience of creation and deployment of mobile medical units of EMERCOM of Russia

Kotenko P.K., Kireev S.G., Paramoshko V.V., Bozhok R.N., Martynov A.I.


The experience of the creation and deployment of mobile medical units of EMERCOM of Russia: medical service of specialized fire department on large-scale fire suppression of the Main Directorate of the Russian Emergency Ministry of the Republic of Karelia and the field mobile medical unit of the Southern regional search and rescue team of EMERCOM of Russia. Medical service of specialized fire department on large-scale fire suppression of the Main Directorate of EMERCOM of the Republic of Karelia during the period from 2010 to 2012 provided medical assistance to 636 wounded, including 486 road traffic accident victims and 140 fire victims. Field mobile medical unit of the Southern Regional search and rescue team of EMERCOM of Russia during the humanitarian operation in the Republic of South Ossetia (August - September 2008) registered 635 calls for medical aid: 435 primary and 200 - repeated; performed 10 operations. The characteristic structure of traumatic diseases and injuries is presented. Coverage of fluorography for students, teachers and schools staff in three districts of South Ossetia was 1041 (81,1%) patients, 6 (0,57%) cases of pulmonary tuberculosis were revealed among them.
Voenno-medicinskij žurnal. 2014;335(10):9-13
pages 9-13 views

Clinical findings, diagnostics and prevention of the barometeosensitivity syndrome under the conditions of the Far North

Ukhovskii D.M., Tegza V.Y., Rezvantsev M.V., Vasilchenko V.V., Belikova T.M.


The analysis of a clinical picture barometeosensitivity in a seaside zone of the Far North is carried out in the article. A diagnostic test included the following laboratory assessments: complete blood count, complete urinary analysis, biomedical measurement assessment, immunology blood research and functional renal test; analysis of the level of an electrolyte in the blood and hormone receptor status; and the following instrumental diagnostics: The auscultatory Korotkov’s method of determining blood pressure, electrocardiography, variational pulsometry, chest X-ray, mechanocardiography, echocardiography and abdominal ultrasound; and also consultation of ophthalmologist and neuropathologist. Every patient should keep a diary «weather - health» before and after the treatment. Peculiarities of cardiovascular system, vegetative systems and neuroendocrine system of servicemen, coming to the Far North and mechanisms of development of barometeosensivity were revealed. It has been established that atmospheric pressure variation affects systolic and diastolic blood pressure, heart rate, systolic discharge, Kerdo index, effectiveness of myocardial function, end-diastolic and end-systolic volume, level of cholesterol, triglycerides, kalium, adrenalin, triiodothyronine, blood plasma and plasma renin activity in barometeosensetiv servicemen. The criteria of diagnostics of barometeosensivity in conditions of the Far North are suggested. The influence of baromemteosensivity on the combat capability of serviceman is researched.
Voenno-medicinskij žurnal. 2014;335(10):14-18
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Surgical peculiarities of gunshot injuries to arteries of the extremities caused by modern small arms and light weapons

Samokhvalov I.M., Reva V.A., Denisov A.V., Ozeretskovskii L.B., Pronchenko A.A.


The aim of the given study was development of surgical tactics in case of femoral artery injury, caused by medium-calibre bullet, on the basis acute experiment on large biological objects. Experimental animals were shot into mid third of the femora by a rifle cartridge in 7,62-mm calibre (AK-47 made in 1943). The analysis of microstructure, made in 5 cross-sections performed every 1-centimetre way from the wound canal, showed that there were no any damages of arterial wall. Authors came to conclusion that the surgical debridement of the gunshot wound, made by a rifle cartridge in 7,62-mm calibre of AK-47, should consist of exsection of devitalized section of artery.
Voenno-medicinskij žurnal. 2014;335(10):19-24
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Ballistocardiography as a part of cardiac function research

Surzhikov P.V., Kitsyshin V.P., Makiev R.G.


Provided an overview of materials on the history of the formation method ballistocardiography for diagnosis of cardiovascular disease, an assessment of its current status and prospects for further development. Investigation of the physiological changes in the myocardium by recording ballistocardiogram acquires greater relevance since the existing knowledge in the field of cardiac diagnosis were obtained using instruments that do not meet modern requirements. Although the results of previous studies and define the basic characteristics ballistocardiography nonetheless update and clarification of details in relation to the data obtained by the use of modern methods of measuring contractility of the myocardium, it is useful. The resumption of work on the development of reliable devices for ballistocardiography is an urgent task. Method ballistocardiography under military medicine may be used for the integrated assessment of the functional state of the cardiovascular system during clinical examination of servicemen during mass examinations of recruits, the selection of students in military schools, as well as in monitoring the hemodynamic status in a hospital.
Voenno-medicinskij žurnal. 2014;335(10):24-30
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Modern believes about pain syndrome in Parkinson’s disease

Litvinenko I.V., Bobkov A.V.


The analysis of the literature dedicated to modern ideas and achievements in the study of the pathogenesis, the incidence and characteristics of the clinical manifestations of pain syndromes in Parkinson’s disease. It is shown that the disease is characterized by a variety of painful phenomena, combining features of the central and peripheral pain. Peripheral mechanisms of pain are realized as a consequence of mixed neuropathy (predominantly axonopathy) sensory and motor fibers. When electroneuromyographic study found a reduction of the amplitude sensory capacity, latency increase and decrease the speed of the pulse.
Voenno-medicinskij žurnal. 2014;335(10):30-33
pages 30-33 views

Pathogenic variants of brain injuries and pharmalogic cerebroprotection performed on the model of brain condition during cardiovascular bypass surgery

Tsygan N.V., Trashkov A.P.


Developed and approved a pathogenic grounded experimental model of brain condition during cardiovascular bypass surgery. Undertaken in Wistar rats research allowed to evaluate in detail effectiveness and safety of protracted cerebroprotective treatment. Advantages of this model are researches in laboratory animals with the aim to research condition of nerve tissue, not intensive procedures and consequently high reproducibility and possibility of complex evaluation of changes at every stage of research. Results of neurons, neuroglia and activation of neurotrophic mechanisms prove that simulation of brain condition during cardiovascular bypass surgery is accompanied with acute and delayed brain injuries. Use of Cytoflavin under pharmalogic cerebroprotection had prolonged multimodal and neuroprotactive effect, leading to improvement of neurotrophic protection from the first days.
Voenno-medicinskij žurnal. 2014;335(10):34-45
pages 34-45 views

C-peptide level as an early diagnostic marker of metabolic syndrome and predictor of cardiovascular disease in patients with diabetes mellitus type 2

Belyakin S.A., Serebrennikov V.N., Shklovskii B.L., Patsenko M.B.


The aim of the present study was to investigate the relationship of C-peptide levels with insulin resistance; components of metabolic syndrome and cardiovascular disease in patients with diabetes mellitus type 2. The study included 98 patients with diabetes mellitus type 2, who were divided into two groups by the level of C-peptide. The first group consisted of 54 patients with elevated levels of C-peptide; the second group consisted of 44 patients with normal levels of C-peptide. Our study has shown a positive correlation between C-peptide levels and a body mass index (BMI), triglyceride levels and the triglyceride/high-density lipoprotein ratio. Correlation analysis also allowed identifying a statistically significant association of the HOMA-2-IR-C-peptide with a BMI, triglycerides and the triglyceride/highdensity lipoprotein ratio. In the group of patients with elevated levels of C-peptide found in practically all components of metabolic syndrome, as well as a high incidence of arterial hypertension and ischemic heart disease. The study shows that the detection of the C-peptide level is preferred in comparison with insulin for assessment of insulin resistance, presence of metabolic syndrome and can be used in type 2 diabetic patients for early detection of cardiovascular risk.
Voenno-medicinskij žurnal. 2014;335(10):46-49
pages 46-49 views

Molecular genetic methods of identification of infectious bacterial agents

Kibirev Y.A., Isupov S.G., Chukhlantsev D.A.


The paper presents an overview of modern molecular genetic methods for identification of pathogenic bacteria. One of the main current methods is the polymerase chain reaction and its modifications. Agarose gel electrophoresis is used for PCR analysis. The authors presented the advantages of the realtime fluorescent tag on this stage (quantitative PCR, Quantitative PCR, Q-PCR, Real-Time PCR) and Flash PCR. Real-Time PCR permits quantitative analysis of a test sample and reduces analysis time. Simplified version of the PCR detection of the fluorescent signal is Flash PCR. In addition to PCR, there are other methods based on the amplification of DNA, in particular, the ligase chain reaction. Considered sophisticated methods of identification of pathogenic bacteria - multilocus sequence typing, the analysis of variable nucleotide tandem repeats. One of the most convenient methods for the complete identification of pathogenic bacteria can be sequenced bacterial genome.
Voenno-medicinskij žurnal. 2014;335(10):50-54
pages 50-54 views

Suppositions for development of preventive military air medicine

Ponomarenko V.A., Vorona A.A.


It is shown that on the basis of scientific concepts for regenerative medicine and organizational principles of prevention as a result of the research were revealed fundamental laws of life of the organism in an unusual environment. It is concluded that the need to integrate the methodology of research and testing aircraft and medical equipment on a single scientific basis. This will enable more productive use of research results in the field of ergonomics, ecology, and computer science in order to preserve the life and health of military personnel and maintain their combat capability.
Voenno-medicinskij žurnal. 2014;335(10):55-59
pages 55-59 views

Clinical and economic analysis of antibiotic regimens of non-severe community-acquired pneumonia

Zaitsev A.A., Ovchinnikov Y.V., Makarevich A.M., Kondrateva T.V., Kulagina I.T., Orlov F.A.


The authors have shown that the use of levofloxacin in the treatment of non-severe community-acquired pneumonia in patients with risk factors for therapeutic failure shows a higher efficiency than used in the «real»» clinical treatment regimens. It is concluded that the generic form of levofloxacin is not inferior to its clinical efficacy in the original drug therapy of mild forms of community-acquired pneumonia and is characterized by optimal pharmacoeconomic parameters.
Voenno-medicinskij žurnal. 2014;335(10):60-61
pages 60-61 views

Peculiarities of community-acquired pneumonia in patients with myocardial infraction

Danko A.A., Khrupkin V.L., Belkov S.A., Ovchinnikov Y.V., Matveev A.A., Palchenkova M.V., Danko A.O.


The results of the hospital survey of 57 patients with myocardial infarction is presented: the 1 st group consisted of 27 patients with myocardial infarction combined with community-acquired pneumonia; the 2 nd group was the control group and consisted of 30 patients with myocardial infarction. It was established that the timely diagnosis of community-acquired pneumonia with comorbidity, competent antibiotic therapy allow to achieve complete clinical and radiological cure of community-acquired pneumonia in 94% of cases, with an average duration of therapy of 10-14 days. In elderly patients, the inflammatory process in the lungs can remain unrecognized. Recommended to investigate the arterial blood gases to clarify the need for the timely holding of oxygen or respiratory therapy.
Voenno-medicinskij žurnal. 2014;335(10):62-63
pages 62-63 views

An analysis of economic efficiency in the use of drugs at a group of nonsteroidal anti-inflammatory drugs

Gorin S.F., Goryachev A.B.


The results of comparative pharmacoeconomic analysis of drug therapy of inflammatory diseases of the same drug from the group of non-steroidal anti-inflammatory drugs, showing imaginary save money when used to treat not expensive drugs, but has a more pronounced side effects.
Voenno-medicinskij žurnal. 2014;335(10):63-65
pages 63-65 views

The problem of acne in adolescents from different social communities

Sanakoeva E.G.


On the basis of prophylaxis examination of 646 teen-age patients was researched the problem of acne in army conscripts, students of boarding-schools and students of upper secondary school. It has been found that acne morbidity doesn’t differ in communities and totals 37%. 75% of examined patients have light forms of acne. Timely treatment of light forms of acne staves severe forms of acne off.
Voenno-medicinskij žurnal. 2014;335(10):66-67
pages 66-67 views

The article presents the results of a comparative study of the condition of soldier’s antidiphtheria and antitetanus immunity without pathological changes («healthy») and with different pathology in anamnesis («sick»)

Nikityuk N.F., Glushchenko V.A., Panin I.V., Yurevich M.A.


Shown that «healthy», compare to those who had a treatment for various somatic diseases, protected more from diphtheria and tetanus infections.
Voenno-medicinskij žurnal. 2014;335(10):67-69
pages 67-69 views

Paraneoplastic pruritus in patients with myeloproliferative disorders

Lamotkin I.A., Rukavitsyn A.O., Kristosturova O.V.


Studied the incidence and nature of paraneoplastic pruritus in patients with myeloproliferative disorders. We observed 126 patients of which 25 (19,8%) were diagnosed with paraneoplastic pruritus. In polycythemia vera incidence of pruritus - 42,9%; chronic idiopathic myelofibrosis - 33,3%; hypereosinophilic syndrome - 20%; acute myeloid leukemia - 6,5%; chronic myelogenous leukemia - 4%.
Voenno-medicinskij žurnal. 2014;335(10):69-69
pages 69-69 views

Effectiveness of panto-magnesium baths as a part of medical rehabilitation of patients with metabolic syndrome

Belyakin S.A., Pushkarev E.P., Cherenkova M.A.


The authors have shown that patients with metabolic syndrome treated with a comprehensive program of medical rehabilitation, optimized switching panto-magnesium baths, noticed a more pronounced and statistically significant reduction in waist circumference, improvement in lipid and carbohydrate metabolism, microcirculation, improvement of mental and emotional state. Authors came to conclusion about the feasibility of introducing the use of panto-magnesium baths in the program of medical rehabilitation of patients with metabolic syndrome.
Voenno-medicinskij žurnal. 2014;335(10):70-71
pages 70-71 views

Assessing the possibility of differentiation of virulent and avirulent strains of Yersinia pestis by the polymerase chain reaction

Elshin A.V., Tikhvinskii M.S., Vorobev A.A.


The results of developing a method of express differentiation of virulent and avirulent strains of Yersinia pestis. Experimentally demonstrated the possibility of using the polymerase chain reaction to identify virulent and avirulent strains of Yersinia pestis by the presence or absence of the genes that determine the synthesis of one of the leading factors of pathogenicity of Yersinia pestis - a sign of pigment sorbtion.
Voenno-medicinskij žurnal. 2014;335(10):71-72
pages 71-72 views

The current state and prospectives of military endocrinology

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


The article is dedicated to the current state and prospectives of military endocrinology demonstrated on the examples of the endocrinology services of armed forces of Serbia, Poland, France, and USA. It is shown that this branch of military healthcare receives much attention abroad. The prospectives of military endocrinology are demonstrated in the context of two nosological forms which dominate in this section of military medicine, namely, primary hypothyroidism an diabetes mellitus.
Voenno-medicinskij žurnal. 2014;335(10):73-78
pages 73-78 views

Efim Ivanovich Smirnov - an outstanding founder of military medicine and civil health care (To the 110 th anniversary of birth)

Maksimov I.B., Krylov N.L.


). In October 2014 we celebrate the 110th anniversary of the birth of Chief of the Main Military Medical Administration of the People’s Commissariat of Defense, Minister of Health of the USSR, Hero of Socialist Labor, Member of the Academy of Medical Sciences of the USSR, Colonel-General of the Medical Service Efim Smirnov (1904-1989). The article highlights biographical information about him.
Voenno-medicinskij žurnal. 2014;335(10):79-82
pages 79-82 views

S.S.Yudin during the First World War

Kalikinskaya E.I.


The article is devoted to famous Russian surgeon Sergei Sergeevich Yudin (1891-1954) and his life during 1914-1916. The article is based on a great collection of documents stored in Manuscripts Department of the Russian State Library.
Voenno-medicinskij žurnal. 2014;335(10):83-90
pages 83-90 views

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Voenno-medicinskij žurnal. 2014;335(10):91-91
pages 91-91 views

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Voenno-medicinskij žurnal. 2014;335(10):92-94
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