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Vol 334, No 2 (2013)


Analysis and working data of day hospital of district consultation-and-diagnostic out-patient hospital

Malykh A.B., Ivantsov V.A., Bogachenko S.M., Kutuzova E.A., Antipova E.V., Sklyarov V.N.


The article is devoted to organization and establishment, aims and capacity rates of day hospital of district consultion-and-diagnostic out-patient hospital. 7894 patients were treated in the day hospital during 2007—2011. Percent of patients treated in therapeutic department — 65,3%, surgical department — 16,7%, neurologic — 18%. Length of hospital stay in average is 9,3 days. It is shorter than the length of hospital stay in specialized departments of the hospital. Average cost of stay in day hospital is 380 rubles. The price of stay in day hospital is significantly lower cheaper than in hospital. Except cost cut of treatment and rehabilitation, payments of temporary and permanent disability are diminished due to reduction of treatment terms in case of achievement of therapeutic effect. Also bed capacity of hospital gets free.
Voenno-medicinskij žurnal. 2013;334(2):4-7
pages 4-7 views

Applicability of the problem of peptic ulcer in modern gastroenterology, military-and-medical and medical-and-social assessment

Sergeyeva V.V., Soshina A.A., Parinov O.V., Bobylev V.A.


The round-up
Voenno-medicinskij žurnal. 2013;334(2):8-12
pages 8-12 views

Prognosis of the immediate period of an ischemic stroke

Boyarintsev V.V., Ardashev V.N., Kalyonova I.E., Chetkarev Y.E.


We investigated 342 patients with clinical outcome of a disease and 61 died patients with acute disease. With the help of the method of representative sample of patients with an ischemic stroke the clinical picture and data about tool methods of research are investigated. We received solving rules of forecasting of favorable and adverse outcomes ischemic stroke with use of the discriminative analysis.
Voenno-medicinskij žurnal. 2013;334(2):13-20
pages 13-20 views

Treatment of purulonecrotic forms of diabetic foot in multipurpose hospital unit

Belyakin S.A., Tsaryov M.I., Shandurenko I.N.


Results of treatment and inspection of 278 patients with purulonecrotic complications of diabetic foot, treated in septic surgery department of 3rd Central Military-Clinical Hospital n. a. A.A.Vishnevsky during 1999—2009 are analyzed. For patients with purulonecrotic forms of diabetic foot is necessary to perform complex therapy with participation of endocrinologist and angiosurgeon, in specialized departments with the necessary medical equipment and dressing means and having experience of treatment of patients with diabetic foot, characterized with heavy and long-lasting course of disease leading to amputations. At the same time, application of gelling dressing means, iodoforms with ferment drapes for local treatment allowed to lower a level of amputations from 17,1 to12,8%, and also to reduce stay of patients in a hospital to 8 days.
Voenno-medicinskij žurnal. 2013;334(2):21-23
pages 21-23 views

Minimally invasive method of treatment of severe organic dysphagia

Kochetkov A.V., Belevich V.L., Ovchinnikov D.V., Brednev A.O.


Dysphagia occurs in the clinical picture of stenosing esophageal diseases as a first symptom, but shows an extensive-stage disease. The aim of the study was to examine the experiences of esophageal stents incurable patients and the formulation of indications and contraindications to their use. The study was conducted on 68 patients treated at the Department of General Surgery of the Kirov Medical Academy during 2007—2011 for cancer of the esophagus and gastric cardia, and 2 patients with benign esophageal strictures. The success of self-expanding stents esophageal stenting was 100% (that is technically able to put a stent in all patients'). Thus, the self-expanding esophageal stent wire stents — is the most effective method used to maintain patency of malignant esophageal narrowing in inoperable esophageal cancer patients in stage IV, and is the primary treatment of choice for patients with esophageal fistulas malignant.
Voenno-medicinskij žurnal. 2013;334(2):24-29
pages 24-29 views

Evaluation of risk factors for atrial fibrillation in patients with atrial flutter after radiofrequency ablation of cavotricuspid isthmus

Steklov V.I.


The author researched risk factors for atrial fibrillation in 93 patients with atrial flutter after radiofrequency ablation of cavotricuspid isthmus. Effectiveness of radiofrequency ablation of the inferior isthmus was 93,5%. Before operation in 10% patients from the group of patients without atrial fibrillation, in postoperative period developed atrial fibrillation. Factors for this arrhythmia include elderly age, low contractility of the aortic ventricle of heart, dilation of the left atrium, chronicity and rate of arterial hypertension. In group of patients with atrial fibrillation in pre-and postoperative period this arrhythmia developed in 73,9% of patients. Risk factors for atrial fibrillation include elderly age, time duration of arrhythmic anamnesis and chronicity and rate of arterial hypertension.
Voenno-medicinskij žurnal. 2013;334(2):30-34
pages 30-34 views

Functional assessment of stress and resistance of the body of soldiers on the stages of an emergency service

Smagulov N.K., Mukhametzhanov A.M.


Service in the armed forces takes place on the background of tension of different systems of the body and the level of stress depends on the stage of passage performance. The highest level of stress is voltage observed at the initial stage, which affects the general state of health of the soldier, his successful performance of professional duties and, consequently, reducing the overall resistance of the organism. The results obtained indicate a high «energy» cost of passing military performance.
Voenno-medicinskij žurnal. 2013;334(2):38-44
pages 38-44 views

Evaluation of resistance to decompression aerogenesis in scuba divers

Myasnikov A.A., Shitov A.Y., Chernov V.I., Zhiltsova I.I., Yuryev A.Y., Myasnikov A.A.


The aim of the study was to determine the correlation between the state of the individual functions of the organism and the intensity of decompression venous gas embolism after high air pressure exposure. The analysis of the guidelines defining the procedure of divers’ medical examination was made and 320 divers were surveyed. Indices of the divers’ central nervous and cardiovascular systems were measured before and after their immersion into a hyperbaric chamber. The study found that the conduct divers’ on-resistance to unfavorable scuba dive should be provided by the military-medical commission, so the position of diving doctor should be put to it staff It was revealed that the rate of simple visual-motor reaction, measured before the diving can serve as an indicator of human resistance to decompression gassing. The formula for determining the stability of decompression gassing of men aged 20—30 years in terms of state of organism functions was proposed.
Voenno-medicinskij žurnal. 2013;334(2):45-50
pages 45-50 views

Brief reports

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Voenno-medicinskij žurnal. 2013;334(2):51-65
pages 51-65 views

Medical Research in the US Armed Forces (Report 5)

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 Air Force and Coast Guard. The present article is the last part of the review dedicated to organization and management of medical research in the US Armed Forces. The first through fourth 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 Air Force and Coast Guard. It is shown that in the US Air Force the medical research is conducted in the Air Force Research Laboratory and in the US Coast Guard — in its Research and Development Center. The particular research programs conducted in the above mentioned units are discussed.
Voenno-medicinskij žurnal. 2013;334(2):65-69
pages 65-69 views

Clinical military hospital in 1892

Poddubny M.V.


The article is devoted to the circumstances of visit of Alexander III to Clinical hospital of Military-Medical Academy in 1892.
Voenno-medicinskij žurnal. 2013;334(2):70-75
pages 70-75 views

Organization of clinical care of North Fleet hospitals in XVIII century

Kostyuk A.V.


Clinical care of national navy hospitals was normed from reception of patients till hospital discharge. After admission to the hospital, patient got competent medical care and corresponding attendance. But the situation changed in XVIII century, period of wars. In conditions of war time hospitals were overcrowded with patients and wounded. The number of patients went beyond the bedspace. Deficit of vacant beds was supplied with the help of additional beds; deficit of medical staff was supplied with the help of participation of another medial staff. Huge number of patients with different diseases, including contagious diseases, conduced communication of contagious diseases inside the hospital. Diagnostics and methods of treatment of these diseases were not enough researched. Taking into account results of statistical analysis of data about the number of fatality cases (peace time — 4—10%, war time — 20%), we can make a conclusion that clinical care of national navy hospitals was satisfying.
Voenno-medicinskij žurnal. 2013;334(2):76-83
pages 76-83 views

The flagship of the national naval medical science (on the 80th anniversary of establishment of the 1st Central Research Institute of the Defense Ministry of Russian Federation)

Chumakov V.V., Arkhipov A.V., Borodavko V.K., Vasilkov A.M., Groshilin S.M., Ivanov A.O., Smurov A.V.


The article is devoted to the 80th anniversary of the formation of the naval medical science subunit, which is the part of the 1st Central Research Institute of the Defense Ministry of Russian Federation. In the 30th years of XX century, a group of naval doctors formulated the main directions of preventive naval medicine. For eight decades, several generations of medical scientists have developed and ensured implementation of regulatory requirements for habitability and ergonomics of Navy ships. At the present stage, this work focuses on promising directions of the development of the domestic military shipbuilding and the use of advanced and innovative biomedical technologies.
Voenno-medicinskij žurnal. 2013;334(2):84-88
pages 84-88 views

Official communications

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Voenno-medicinskij žurnal. 2013;334(2):89-89
pages 89-89 views

News feed

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Voenno-medicinskij žurnal. 2013;334(2):90-90
pages 90-90 views

System of preservation of servicemen’ health and training of medical staff of Japan Self-Defence Forces

Vlasov A.Y., Grebenyuk A.N., Minayev D.Y.
Voenno-medicinskij žurnal. 2013;334(2):91-96
pages 91-96 views

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