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Vol 334, No 1 (2013)


Problems of organization of surgical care to the wounded in a modern armed conflict: surgical care to the walking wounded in armed conflicts (Report 2)

Samokhvalov I.M., Kotenko P.K., Severin V.V.


There are two triage groups of the walking wounded in a medical company of a brigade/special-purpose medical team: those returning to fighting role and those who have to be evacuated to level 3 echelon of care. The main purposes of surgical care of the walking wounded in the 3rd echelon of care are the following: diagnosis of injury pattern ruling out severe damages and separation of the independent category of the walking wounded. There is medical evacuation of the walking wounded from the 3rd echelon to the 4th echelon deployed in a combat zone. The walking wounded who needs less than 30 days of staying in hospital are evacuated to the garrison military hospitals and medical treatment facilities subordinated to a district military hospital. The wounded with the prolonged period of hospitalization (more than 30 days) are evacuated toward the district military hospital. Treatment of the walking wounded should be accomplished in the military district where the armed conflict goes on.
Voenno-medicinskij žurnal. 2013;334(1):4-8
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Experience, problems and prospects of development of multifield outpatient department in area system of medical supply of Moscow region

Eloev M.S., Klipak V.M.


The article concerns the problems of development of ambulatory medical aid in Moscow and the regions of Moscow. The general conclusion is revealed from the broad modern experience of multi-field medical center. Moreover, the article demonstrates the performance of improvement in accordance with reorganization of public and military health service.
Voenno-medicinskij žurnal. 2013;334(1):9-18
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Structure of cytosolic membrane and chemical composition of red blood cell during the early period of wound damage according to scanning probe microscopy

Belousova O.D., Gaidash A.A., Tolmachyov I.A., Ivchenko E.V., Golubok A.O., Levichev V.V., Mukhin I.S., Zhukov M.V., Belousov I.S., Tkachuk I.V.


With the help of scanning electronic and atomic force microscopy structure of red blood cell membranes of the system blood-groove and microcirculatory channels is studied. It is established, that in early stages of skin wounds in a peripheral blood circulation appear compressed red blood cells, losing water. As a result the basic mechanism of destruction of red blood cell membranes are interlayered shifts and stratification. In red blood cells of microvasculature, on the contrary, red blood cells in state of vacuolar degeneration are indentified. It creates preconditions for hydration and bullous deformations of membranes. Porous structures of membranes of both types erythrocytes are exposed to expansion.
Voenno-medicinskij žurnal. 2013;334(1):19-24
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Modern condition and prospects of improvement of the specialized medical aid of acute marrow failure of radiant etiology

Khalimov Y.S., Grebenyuk A.N., Legeza V.I., Karamullin M.A., Salukhov V.V.


It is shown, that tactics of treatment of acute marrow failure of radiant etiology is based, first of all, on measures of supporting, replaceable and stimulating therapy. The modern means, used for prophylactic and treatment of infectious complications, are resulted. Opportunities and restrictions of transfusion of donor thrombocytes and granulocytes, erythrocytes and chilled plasma are described. Therapeutic efficiency of transplantation of a bone marrow,cells of embryonic liver and stem cells of peripheral or umbilical cord blood is analyzed. It is shown, that the greatest prospects in perfection of the specialized medical aid at acute radiation syndrome are connected to complex application of interleukin-1в·, interleukin-3, granulocyte or granulocyte/macrophage colony stimulated factor, thrombopoietin and others cytokines.
Voenno-medicinskij žurnal. 2013;334(1):25-32
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Endoscopic diagnosis of local chemical burn of mucous coat of stomach, induced with the aim of simulation of gastric ulcer

Byzov N.V., Plekhanov V.N.


With the purpose of improvement of diagnosis of induced gastric ulcer were examined 11 patients who took agressive agents for simulation of gastric ulcer and 33 patients who took pseudo-aggressive agents. Observables, conduced diagnosis of local chemical burn of mucous coat of stomach during initial 6 days after taking aggressive agents. Stages of ulcerous process, resulting from local chemical burn of mucous coat of stomach, coressponds to real gactric ulcer. Gelatin capsule using as a container for delivery of agressive agents, melts in stomach in 5—6 minutes after taking. Independent from body position, mucous coat of greater curvature of the stomach is damaged. It is impossible to simulate duodenal bulb ulcer using the gelatine capsule or ball made of breadcrumb. The last method of delivery of agressive agent can damage the small intestine because of uncontrollability of the place of breaking the ball.
Voenno-medicinskij žurnal. 2013;334(1):33-38
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Delivery of health care to contagious patients during the pre-hospital stage

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


It leads to reduction of health care to patients, requires the additional hospital departments or evacuation of contagious patients to other hospitals. That is why the pre-hospital care is of prime importance. According to modern concept the number of interim stages is minimal — 1 stage — on site of definition of contagious patients (isolator of medical station of military unit) and 2 stage — infectious military hospital. Main measures of health care to contagious patients during the pre-hospital stage are early active detection of patients or suspected of having infection, early clinical diagnosis, medical sorting, delivery of emergency care, treatment in isolators in case of delay of evacuation and evacuation in infectious military hospital.
Voenno-medicinskij žurnal. 2013;334(1):39-43
pages 39-43 views

«Diver’s lung»: features of respiratory system remodeling at navy aquanauts in long-term period after deep saturation dives

Tchumakov A.V., Sukhoroslova I.E., Sharova N.V., Svistov A.S., Neustroyev A.P., Makiyev R.G., Alanichev A.E.


It is established that after the termination of deep saturation dives reorganization of respiratory system at navy aquanauts proceeds. This remodeling is specific, atypical for natural age dynamics.
Voenno-medicinskij žurnal. 2013;334(1):44-48
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Brief reports

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Voenno-medicinskij žurnal. 2013;334(1):49-65
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Shalakhin R.A., Sheppli E.V. — Medical Research in the US Armed Forces (Report 4)

Agapitov A.A., Aleinikov S.I., Bolekhan V.N., Ivchenko E.V., Krassiy A.B., Nagibovich O.A., Petrov S.V., Rezvantsev M.V., Soldatov E.A., Shalakhin R.A., Sheppli E.V.


The US Navy. The present article is the fourth part of the review dedicated to organization and management of medical research in the US Armed Forces. The first, second and the third parts were published in the previous issues of the journal. Specifically this article is dedicated to organization and management of medical research in the US Navy. It is shown that in the US Navy the fundamental and a part of applied investigations are conducted in the Office of Naval Research while more practical research is carried out at the Naval Medical Research Center. The latter includes the Naval Health Research Center, the Naval Submarine Medical Research Laboratory and seven Naval Medical Research Units which are successively presented. The particular research programs conducted in the above mentioned organizations are discussed.
Voenno-medicinskij žurnal. 2013;334(1):66-73
pages 66-73 views

Ussuriysk military hospital celebrates 130th anniversary

Kim A.P.


On the authority of the order issued by Military Department d.d. 13 September 1882 № 278 since 1 January 1883 in village Nikolskoe of Primorsk territory was established the local hospital with bed capacity — 115 beds. In the following years this capacity was being increased. In 1914 hospital was renamed into Nikols-Ussuriysk military hospital. This hospital took part in treatment-and-evacuation supply of wounded and ill soldiers during wars and armed conflicts. In 1982 Nikols-Ussuriysk military hospital awarded the Red Star. Employees of this hospital prepared and defended 25 doctoral and candidate’s dissertations. In 2010 hospital was joined 301 st District military clinical hospital and became it’s branch.
Voenno-medicinskij žurnal. 2013;334(1):74-78
pages 74-78 views

Surgeon, poet, journalist (The 80th anniversary of the birth of V.V.Belozerov)

Galin L.L.


There are biographical details about V.V. Belozyorov (16.02.1932—8.07.1999) — surgeon, talanted seascape poet, former editor-in-chef «Military-medical magazine» (1978—1992), about his official and labour activity, poetic creativity and also about various employees of the magazine.
Voenno-medicinskij žurnal. 2013;334(1):79-82
pages 79-82 views

Anniversary of the medical department of the Federal Directorate for Safe Storage and Destruction of Chemical Weapons

Kuzmenko I.E.


The article is devoted to the process of formation and development of CW destruction management system and medical support of professional activities of personnel. Founders of Medical department of the Federal Directorate for Safe Storage and Destruction of Chemical Weapons are presented. Main principles and ways of working of medical department in specific conditions are covered.
Voenno-medicinskij žurnal. 2013;334(1):83-87
pages 83-87 views

News feed

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Voenno-medicinskij žurnal. 2013;334(1):88-93
pages 88-93 views


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Voenno-medicinskij žurnal. 2013;334(1):94-96
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