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Vol 335, No 12 (2014)


Problematic issues and prospects of development of information and telecommunication technologies in the medical service of the Armed Forces

Kalachev O.V., Pershin I.V., Borisov D.N., Korneenkov A.A.


Medical information systems composed of many specialized modules help in synchronous solving of diagnostic, therapeutic, administrative, financial, statistical, and other tasks. According to the authors, the creation of a single information space of the medical service, integrating it into a single information space of the Defense Ministry of the Russian Fedaration, development and widespread use of telemedicine technology will significantly accelerate the integration in the daily activities of military hospitals of the latest achievements in medical science and practices consistent with the objectives of improving the military health care and improvement of the quality and accessibility of health care.
Voenno-medicinskij žurnal. 2014;335(12):4-10
pages 4-10 views

The basis of modern medical control management system

Nemytin Y.V.


For the development of national health care it is required to implement modern and effective methods and forms of governance. It is necessary to clearly identify transition to process management followed by an introduction of quality management care. It is necessary to create a complete version of the three-level health care system based on the integration into the system «Clinic - Hospital - Rehabilitation», which will ensure resource conservation in general throughout the industry. The most important task is purposeful comprehensive management training for health care - statesmen who have the potential ability to manage. The leader must possess all forms of management and apply them on a scientific basis. Standards and other tools of health management should constantly improve. Standards should be a teaching tool and help to improve the quality and effectiveness of treatment processes, the transition to the single-channel financing - the most advanced form of payment for the medical assistance. This type of financing requires managers to new management approaches, knowledge of business economics. One of the breakthrough objectives is the creation of a new type of health care organizations, which as lead locomotives for a rest.
Voenno-medicinskij žurnal. 2014;335(12):11-18
pages 11-18 views

Political and institutional frameworks for cooperation between countries of the Asia-Pacific region in the field of military medicine

Kholikov I.V., Dmitrakovich D.V.


A framework for cooperation in the field of military medicine in the Asia-Pacific region is considered. Expert Working Group on Military Medicine in cooperation with the Association of Southeast Asian dialogue partners (including Russia) was formed to discuss the most important issues in the field of military medicine, to share practical experience of military physicians, standardization and unification of medical equipment, medicines, levels and standards of medical services and other issues in order to enhance cooperation of military medical services of the participating countries. From 2014 to 2016, the Russian Federation and the Kingdom of Thailand are co-chairs of the expert group.
Voenno-medicinskij žurnal. 2014;335(12):19-22
pages 19-22 views

Bilateral massive pulmonary embolism: clinical observation and literature review

Koltunov A.N., Lishchuk A.N., Shklovskii B.L., Kornienko A.N., Brovko L.E., Salomov A.A., Esion G.A., Koltunova T.Y., Baksheev V.I.


Bilateral massive pulmonary embolism: clinical observation and literature review. The description of successful surgical treatment of a patient with bilateral massive pulmonary embolism (with the defeat of the equity and segmental branches), thrombosis of the right atrium and patent foramen ovale is given. The authors emphasize that determining predictors of successful surgical treatment of bilateral pulmonary embolism in a patient with high risk of death are the following: a) operational emergency diagnosis of disease; b) time from the beginning of clinical manifestations till embolectomy (within 1 hour); с) the maximum total removal of blood clots from the pulmonary artery and its branches. Dynamic 12 months observation showed a significant decrease of pulmonary perfusion deficiency, improvement of functional parameters of right heart chambers, absence of thromboembolism relapses.
Voenno-medicinskij žurnal. 2014;335(12):22-28
pages 22-28 views

Our experience of the clinical use of Desflurane

Bliznov A.A., Zavarzin A.Y., Untu F.I., Stets V.V.


Despite the widespread use of inhalational anaesthetics in modern medical practice it is still unable to create an «ideal» anesthetic, which meets the following requirements - maximum performance, security, and manageability. Desflurane is an inhalational anaesthetic, which first appeared on Russian market in 2013, according to the specifications meet the above-mentioned requirements. The results of the use of Desflurane during anaesthesia in 157 patients of the Cancer Department and Department of Oral and Maxillofacial Surgery at the Burdenko Main Military Clinical Hospital are given. The main advantages are the rapid achievement of Desflurane required depth of anaesthesia, minimal effects on the cardiovascular system, good handling, fast and safe awakening of the patient after surgery, which can make it «anaesthetic of choice» for long surgical procedures and outpatient surgery.
Voenno-medicinskij žurnal. 2014;335(12):29-31
pages 29-31 views

Diagnosis, treatment of achalasia cardiae and its results

Belevich V.L., Khokhlov A.V., Eliseev A.V., Ovchinnikov D.V.


Achalasia is a progressive oesophageal motility disorder of unstudied aetiology involving the smooth muscle layer of the oesophagus. Insufficient knowledge of the pathogenesis of achalasia and the lack of clear treatment approaches has led to an increase of advanced disease forms. Common clinical manifestations of the disease are: incomplete LES relaxation, non-specific initial manifestations and as a
Voenno-medicinskij žurnal. 2014;335(12):32-36
pages 32-36 views

Status and development prospects of radiological health in the Navy

Azarov I.I., Mosyagin I.G., Petreev I.V., Butakov S.S., Tsvetkov S.V., Shikalenko F.N.


More than 7,5 thousands of people work as military and civilian personnel and have an access to a lot of sources of ionizing radiation on ships and vessels, at coastal units and institutions of the Navy. This fact determines the importance of radiation safety and medical preventive measures on naval fleets. The article analyses the state of radiation-hygienic measures, outlines the conceptual basis for the development of radiation hygiene in the Navy. Substantiated reconstruction tasks effectiveness of health control and state sanitary and epidemiological supervision of radiation safety, provides information about the optimal set of instruments for radiation monitoring equipment radiobiological laboratories and centres of state sanitary and epidemiological supervision at various levels.
Voenno-medicinskij žurnal. 2014;335(12):37-43
pages 37-43 views

Assessment of professional health and functional reserves of flight school cadets in the practice of medical-flight expertise and their improvement methods

Malashuk L.S., Filatov V.N., Maryashin U.E., Ryzhov D.I.


Has been made a survey of students using statoergometric samples, samples with decompression of the lower half of the body, «rise» in the chamber on a moderate degree of tolerance to hypoxia, spins in a centrifuge. Been made the conclusion about the need to include into the practice the training of the students of special functional training based on physical exercise, consisting of functional exercises, as well as specially designed complex psychophysiological preparation.
Voenno-medicinskij žurnal. 2014;335(12):44-45
pages 44-45 views

Gender epidemiological features of urolithiasis in the military

Shestaev A.U., Sivashchenko P.P., Kormakov V.A., Kushnirenko N.P., Protochak V.V., Paronnikov M.V., Kharitonov N.N., Sinelnikov L.M., Rassvetaev A.V., Iglovikov N.Y., Borisov D.N.


The authors have shown that over the last decade there was a significant increase in the incidence of urolithiasis troops with some predominance of this index in female military personnel. It is suggested that the gender shift in the structure of morbidity among military personnel may be due to an increase of the number of people who are overweight, which is more common in military women compared with men.
Voenno-medicinskij žurnal. 2014;335(12):45-47
pages 45-47 views

Radiofrequency catheter ablation of ventricular arrhythmias from the anterolateral area of the fibrous ring of the tricuspid valve

Steklov V.I.


Studied electrocardiographic and electrophysiological properties of ventricular arrhythmia with focal localization of the automaticity abnormal focus in the anterolateral area of the fibrous ring of the tricuspid valve. The methods of ventricular arrhythmic focus mapping are shown. Shown a case of successful removal of focal ventricular arrhythmia from the anterolateral area of the fibrous ring of the tricuspid valve by radiofrequency catheter ablation.
Voenno-medicinskij žurnal. 2014;335(12):47-50
pages 47-50 views

Endovascular surgery of post-traumatic arteriovenous fistula

Dolgikh R.N., Pinchuk O.V., Obraztsov A.V., Rzyanin A.V., Ivanov A.V., Kryzhov S.N.


Presented materials about the experience of using intravascular stents (stent-grafts) in the treatment of post-traumatic arteriovenous fistula of the main vessels of the retroperitoneal space and lower limbs at the centre of vascular surgery of multidisciplinary military hospital. The effectiveness of low-impact method of endovascular surgical treatment of injuries of large vessels is shown.
Voenno-medicinskij žurnal. 2014;335(12):50-53
pages 50-53 views

Lipocorrective effect of acomplex physiotherapy treatment of patients with obliterating atherosclerosis of the lower extremities

Esipov A.V., Kotenko K.V., Yamenskov V.V.


The results of biochemical blood tests in groups of patients with various integrated rehabilitation programs are analysed. Significant blood indicators that are particularly susceptible to changes were registered in 5 groups of patients. A positive correlation between lipid profile and complex effects of rehabilitation treatment is shown. The most significant antiatherogenic effect in the comparison groups was achieved by application of dry carbon dioxide baths in combination with endovenous laser therapy and combined magneto therapy.
Voenno-medicinskij žurnal. 2014;335(12):54-55
pages 54-55 views

Illustration of military medicine on the pages of mass printed media during the First World War

Poddubnyi M.V.


The article analyses some of illustrations dedicated to the military medical topics on the pages of some Russian magazines and newspapers (magazine «Ogonek» newspaper «Petrograd’s paper» and its annexes), its place among the images of the war, formed in the mass consciousness by periodical subjects. It is concluded that with the beginning of the First World War medical illustrations were finally approved as a recognizable symbol of the war. Mass printed media played a significant role in its entrenchment.
Voenno-medicinskij žurnal. 2014;335(12):56-58
pages 56-58 views

D.P. Zuikhin and his contribution to the establishment and development of the system of medical maintenance of nuclear submarines personnel

Petrov O.I., Sukhorukov V.S.


A highly qualified physician, an outstanding leader, a scientist Dmitry Zuikhin (1924-1988) was directly involved into establishment of a system of medical support for submariners in the sea and on shore, he proved the necessity of forces and means for the medical service fleet. He was a pioneer in this challenging and new field of naval medicine. His energy, perseverance and determination helped to establish in the early 1960 a system of medical support for nuclear submarines personnel, which was subsequently implemented in all associations and connections of nuclear submarines of the Northern and Pacific fleets.
Voenno-medicinskij žurnal. 2014;335(12):59-61
pages 59-61 views

«Podmoskovie» - health resort institution of the Federal Drug Control Service of the Russian Federation celebrates the 20th anniversary

Bondar I.V., Minaev D.Y., Nasretdinov I.N., Petukhov A.E.


The article is dedicated to the 20th anniversary of the Federal government health resort institution of the Federal Drug Control Service of the Russian Federation (FOI « Health resort “Podmoskovie”» of the Federal Drug Control Service of the Russian Federation). In this health resort were developed treatment programs for patients with abnormalities of the cardiovascular, respiratory and digestive systems; methods of ultrasonic, laser and magnetic therapy, atmospheric hypoxic, herbal medicine, speleotherapy are employed. Widely used natural healing factors of Ruza district of the Moscow region such as climate therapy, treatment with mineral water group of X type of Smolensk from own wells and balneo-mudtherapy. Over the past 20 years 70 000 patients received an appropriate treatment in this health resort.
Voenno-medicinskij žurnal. 2014;335(12):62-65
pages 62-65 views

Official communications

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Voenno-medicinskij žurnal. 2014;335(12):66-70
pages 66-70 views

News feed

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Voenno-medicinskij žurnal. 2014;335(12):71-74
pages 71-74 views

International military and scientific conference and regional assembly of Asia-Pacific working group

Kholikov I.V., Ryzhman N.N., Samokhvalov I.M., Koskin V.S.
Voenno-medicinskij žurnal. 2014;335(12):75-78
pages 75-78 views

Meeting of the heads of medical facilities of pre-university educational establishments of the Ministry of Defence

Kuvshinov K.E., Ryzhman N.N., Dzhanaeva F.V., Dovbezhko N.V., Rusev I.T., Fateeva A.R.
Voenno-medicinskij žurnal. 2014;335(12):79-81
pages 79-81 views

List of the articles, printed in «Military-Medical magazine» in 2014

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Voenno-medicinskij žurnal. 2014;335(12):82-92
pages 82-92 views

Alphabetic list of autor

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Voenno-medicinskij žurnal. 2014;335(12):93-96
pages 93-96 views

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