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Vol 335, No 11 (2014)


Ebola virus disease: clinical and diagnostic aspects and organization of treatment-and-prophylactic measures

Fisun A.Y., Zhdanov K.V., Zakharenko S.M., Kovalenko A.N.


The article presents data about world spread of Ebola virus disease, biological characteristics of the pathogen, the laws of the epidemic process in this disease, its pathogenesis, clinical manifestations and diagnosis. Pointed out that the current anti-viral agents, effective for the Ebola virus, have not been developed. Timely performed pathogenetic therapy improves the prognosis of the disease. The basis of this therapy is infusion-detoxiflcation activities and replenishment of losses of electrolytes, as well as anti-inflammatory and anti-emetic drugs. The Armed Forces of the Russian Federation received the guidelines for preventive measure that can reduce Ebola virus disease transmission. Recommendations for emergency anti-epidemic commission consisted of representatives of the command, specialists and medical services and logistics, are given. Fundamentally important condition for the effective anti-epidemic measures is not only the constant readiness of medical personnel in the detection of disease EVD,but also the appropriate level of equipment of medical institutions of medical supplies and equipment.
Voenno-medicinskij žurnal. 2014;335(11):4-10
pages 4-10 views

The role of cooperation between the command and district medical service in prophylaxis of acute respiratory diseases

Kalmykov A.A., Nosarev V.G., Aminev R.M., Konovalov P.P.


The problem of increased incidence of respiratory diseases in troops is significant due to reorganization of military staff and redeployment of military units, which led to the deterioration of the terms of accommodation and living conditions of personnel. Significant contribution to the growth of this disease has brought an increase in the number of young recruits after the transition to a one-year compulsory military service, as well as reducing the number of doctors in the military echelon. In the Central Military District has developed a unified system of sanitary and anti-epidemic and preventive measures, an understanding commanders associations, military units and formations of the order and timing of their implementation, establish a uniform procedure for reporting on the sanitary and epidemiological situation in the garrisons as in operational duty, and on medical service. All this allows us time to carry out or correct preventive measures, to achieve a positive result of work on the health of military personnel. Due to the close interaction between the command and the medical service in the district after 2012 reduced the number of cases with respiratory diseases.
Voenno-medicinskij žurnal. 2014;335(11):11-15
pages 11-15 views

The basic directions and experience of use of telemedical technologies in military-medical service

Borisov D.N., Korneenkov A.A., Korovin R.N., Tsypurdeev D.R.


The authors showed that a promising solution for emergency telemedicine advisory assistance issues in the Armed Forces of the Russian Federation is the implementation of technical opportunity of direct advisory support to any functional unit and specialists from main and central military hospitals. But at the present stage, the current task of the military telemedicine should be regarded as the implementation of several advisory centres focused on the implementation of a separate topic of telemedicine cooperation. In this regard, a complex of activities carried out by establishing a network of tele-consulting centres at the Kirov Military Medical Academy in one of the admission departments, in the department of military surgery and in the hall of the Academic Council of the Academy.
Voenno-medicinskij žurnal. 2014;335(11):16-21
pages 16-21 views

Modern approaches to the formation of antidote stocks at medical institutions in Russia and foreign countries

Simonenko V.B., Sarmanaev S.K., Kovalev E.V., Sarmanaeva R.R., Kukhanov A.V.


This article analyses the approaches to the formation of specific treatment of acute poisoning in the various countries. The authors present a systematic review of scientific publications about the formation of reserves of antidote agents at medical institutions of the Russian Federation, the US, Canada, France, Spain, Greece, Norway, Czech Republic, Taiwan and Poland. A search for a variety of databases, as well as by reviewing reference lists of publications on the subject of «stockpiling antidote means». It is concluded that the antidote provision at health care institutions in different countries is insufficient. State of affairs with the formation of antidote stocks is better at hospitals of Czech Republic, France and Spain. To determine the range and volume of the stock of fixed assets necessary antidote coordination and approval of the list and the number of mandatory for every medical institution antidotes.
Voenno-medicinskij žurnal. 2014;335(11):22-26
pages 22-26 views

The use of new sets and medical kits by the medical service of the Armed Forces

Miroshnichenko Y.V., Bunin S.A., Boyarintsev V.V., Samokhvalov I.M., Kononov V.N., Milyaev A.V.


Taken to supply in the Armed Forces of the Russian Federation and included in the modern regulating documents new sets and medical kits are a crucial element of the complete-standard-issue equipment. For the military unit of medical service provided 12 sets and medical kits united into 2 classification groups. They allow medical service to perform any surgical interventions and medical procedures in the military echelon in accordance with modern approaches to health care and treatment of the wounded in wartime, in armed conflict and the elimination of the health consequences of emergencies in peacetime.
Voenno-medicinskij žurnal. 2014;335(11):27-34
pages 27-34 views

Clinical diagnostic and organizational aspects of providing care to patients with pulmonary sarcoidosis in the Armed Forces

Ovchinnikov Y.V., Kryukov E.V., Zaitsev A.A., Antipushina D.N.


The data on the epidemiology and aetiology of sarcoidosis, the current classifications are presented. The basic provisions of the legal framework of medical management of patients suffering from sarcoidosis are given. The authors provided an analysis of the characteristics of diagnosis and treatment of sarcoidosis in the military, based on which we propose an algorithm of examination of patients with respiratory sarcoidosis in military health care facilities the Russian Defence Ministry, the recommended treatment regimens and order dynamic observation of patients. Invited to provide skilled care to patients with respiratory sarcoidosis selection based on the Main Military Clinical Burdenko Hospital specialized centre (department with bunks for the treatment of patients with sarcoidosis).
Voenno-medicinskij žurnal. 2014;335(11):35-43
pages 35-43 views

Innovative methods of ventricular arrhythmia treatment

Polovinka V.S., Demyanenko A.V., Steklov V.L., Morozov D.A., Emelyanenko M.V.


The authors summarized the experience of the use of the stimulus and the activation mapping under fluoroscopic control to search for sources of ventricular ectopic followed by radio-frequency effects on the vulnerable zone arrhythmias. The authors presented an algorithm for finding a pathological focus on the basis of an evaluation of the surface electrocardiogram, followed by sequential endocardial mapping. The results of radiofrequency ablation of ventricular arrhythmia in different localization of the source are presented. The authors generalized and systematized the experience detection and cure of ventricular ectopy in 65 patients. The regularities of changes in the ventricular complex according to surface electrocardiogram in certain localizations of ectopic focus are revealed. Effectiveness of the operation of radiofrequency ablation with ventricular arrhythmias was about 90%, which is generally consistent with data from other clinics. Complications requiring additional interventions were not. Highlight the work areas of the endocardium, analysed the causes of inefficient operations and poor results. Alternative methods of destruction of the endocardium in complex localization of ectopic focus are suggested.
Voenno-medicinskij žurnal. 2014;335(11):44-52
pages 44-52 views

Opportunities for diagnosis and treatment of nocturnal hypoxia in outpatient clinic

Tikhova A.V., Popov A.P., Buzunov R.V.


Sleep disordered breathing is an important medical and socio-economic issue. A lot of evidence exists for the impact of sleep apnea on the pathogenesis of cardiovascular diseases, occupational injuries, as well as all-cause mortality. Detection of this type of pathology is challenging due to the complexity and high cost of the procedures. The nocturnal polysomnography was considered as a «gold standard» in the management of any sleep disorders for a long time. However, the development of technology simplified diagnostic equipment and make it possible to diagnose sleep disordered breathing in outpatient department. In this article we reviewed 3-phase approach to the diagnosis and treatment of sleep apnea. Also we describe our own cost-effective experience of implementing of screening examination for sleep apnea in outpatient clinic, using the continuous pulse oximetry monitoring.
Voenno-medicinskij žurnal. 2014;335(11):53-57
pages 53-57 views

Methodological approaches to effectiveness assess of the medical fitness of citizens for military service

Khmelik V.I., Brovkin S.G.
Voenno-medicinskij žurnal. 2014;335(11):58-58
pages 58-58 views

Surgical treatment of ballistic brain and skull traumas under condition of mountain-desert terrain

Orlov V.P.


In order to improve the methods of primary surgical treatment of craniocerebral gunshot wounds with active drainage methods analysed the experience of treating 127 wounded with acute brain and skull gunshot injuries in a specialized army hospital from May 1980 to July 1982, that was located in Afghanistan during the conduct of hostilities. It is concluded that the active drainage of cranial wounds enables to carry out the removal of detritus accumulating in the wound, which promotes the favourable course of wound healing. The use of non-epileptogenic antibiotics during wound irrigation in conjunction with intramuscular, intravenous, intracarotid and endolumbal injections can significantly reduce the number of infectious complications of traumatic brain injuries. Active drainage method allows you to complete primary surgical treatment of the weld overlay deaf on stage and prevent secondary infections in these surgical wounds
Voenno-medicinskij žurnal. 2014;335(11):59-63
pages 59-63 views

The use of hyperbaric respiratory as a part of complex rehabilitation for patients with pathology of the lower respiratory tract

Groshilin V.S., Baranov A.V., Mazur M.V., Ivanov A.O., Boliev O.E., Pavlidi K.D., Kochubeinik N.V., Bugayan S.E.


Based on the study of 34 patients determined that the use of hyperbaric respiratory consisting in patient breathing through the additional «dead» space when you stay in the chamber which means moderate hyperoxia and severe hypercapnia, is a highly effective non-drug means to optimize the rehabilitation process of patients with pathology of the lower respiratory tract.
Voenno-medicinskij žurnal. 2014;335(11):63-65
pages 63-65 views

Financial viability of photodynamic therapy for basal cell carcinoma

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


Based on analysis of 42 case histories of patients and outpatients of basal cell skin cancer treated in the hospital and out-patient, found that the cost of treatment by this method 2 times lower than the cost of treatment by laser destruction and 3,2 times lower than the surgical method.
Voenno-medicinskij žurnal. 2014;335(11):65-66
pages 65-66 views

Smolensk blood transfusion station during the Great Patriotic War

Konopleva E.L., Ostapenko V.M.


The article is devoted to the establishment of the Smolensk Regional Blood Transfusion Station, which during World War II was managed by A.E.Kiselev and became the first mobile transfusion combat unit that served as a model for the mobile stations on other fronts. The name A.E.Kiselev linked these important changes in transfusion as a transition from the transfusion of whole blood transfusion of its individual components, cryopreservation of blood.
Voenno-medicinskij žurnal. 2014;335(11):66-67
pages 66-67 views

Prospective methods of combat burn injury treatment

Ivchenko E.V., Golota A.S., Krassii A.B., Sechin A.A.


The current article briefly reviews the projects of development of combat burn injury treatment as they have been presented in the US Armed Forces Institute of Regenerative Medicine 2013 annual report. Eleven projects have been reviewed, in particular: P12 polypeptide for limiting burn injury progression, gamma keratose gel for enhancement skin cell survival, starch-polyurethane iodophor dressing effective against the most common burn infection microorganisms, autologous stem and progenitor cells for single cell cytotransplantation by «skin gun» spray device or 3D skin bioprinting, a bioreactor for skin autotransplant expansion.
Voenno-medicinskij žurnal. 2014;335(11):68-70
pages 68-70 views

Nikolai Illarionovich Kozlov - a scientist, a doctor, an outstanding organizer of Military Medicine (To the 200th anniversary of the birth)

Egorysheva I.V.


To Kozlov N.I. (1814-1889) belong numerous achievements in the organization of military medical unit during the Crimean (1853-1856) and the Russian-Turkish (1877-1878) wars, the introduction of women’s medical education in Russia, establishment of an improvement system for the military doctors, edition for their medical guidelines, the organization of military health care in Russia.
Voenno-medicinskij žurnal. 2014;335(11):71-74
pages 71-74 views

Shestov V.I. - the founder of the Department of Organisation and Tactics of the naval Medical Services

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


Vasilii Ivanovich Shestov during the Great Patriotic War performed various tasks concerning the organization of medical support in the Leningrad naval base, consulted on an issue of production and use of hospital and medical transport ships, worked on the organization of medical support in Schliessburg and etc. Shestov performed a considerable amount of research and methodological works concerning the establishment of the discipline «Organisation of naval medical support». He is considered as one of the founders of the theory of naval medical evacuation support.
Voenno-medicinskij žurnal. 2014;335(11):75-77
pages 75-77 views

New in the biography of a military doctor A.G. Peredelsky

Savinova T.N.


The history of activity of the Orenburg department of the Kazan society of adherents of military and sanitary knowledge is shown in article. The department existed in 1912-1914 and united officers and medical officers of the Orenburg garrison and military educational institutions. Members of Department tried to resolve the vital issues of a sanitary condition of Totsky military camp, regiments of the Orenburg military of the garrison. The department managed to publish two releases of the works. On these materials we can judge its activity. In article new data from A.G. Peredelsky’s biography (1876-1940) in the period of his life in Orenburg are reported.
Voenno-medicinskij žurnal. 2014;335(11):78-81
pages 78-81 views

Official communications

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Voenno-medicinskij žurnal. 2014;335(11):82-88
pages 82-88 views

News feed

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Voenno-medicinskij žurnal. 2014;335(11):21-84
pages 21-84 views

The 3rd European Congress of Military Medicine

Kalachev O.V., Kholikov I.V., Samokhvalov I.M., Zhogolev S.D., Manukovskii V.A.
Voenno-medicinskij žurnal. 2014;335(11):89-93
pages 89-93 views

The experience of medical support organisation for the allrusian sport competition «Heroes’ race»

Kuvshinov K.E., Yakovlev S.V., Sushchenin A.A., Yumanov A.P.
Voenno-medicinskij žurnal. 2014;335(11):94-96
pages 94-96 views

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