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Vol 334, No 5 (2013)


Capabilities of roentgen-endovascular surgery in conditions of the central multi-field clinical hospital union

Belyakin S.A., Ivanov V.A., Shklovskiy B.L., Ivanov A.V.


Spanning 45 years team of the Vishnevsky Central Military Clinical Hospital N 3 has achieved high results and made the Vishnevsky Central Military Clinical Hospital N 3 one of the best medical centers of Russia providing state-of-the art care for patients with cardiovascular diseases. Nowadays the Center of interventional radiology and treatment provides all methods of roentgen-endovascular interventions on coronary, peripheral, cerebral vasculature, veins and bile ducts. The center has modern diagnostic and treatment equipment: digital angiography system with 3-dimensional angiography, 3D-navigation and CT angiography. Annually, about 1500 diagnostic coronarography and about 500 percutaneous coronary interventions are performed in the hospital. More than a half of peripheral arterial intervention is endovascular. The examples of such operations as singlestep iliac artery stenting, inferior vena cava thrombectomy, embolization of a dural arteriovenous fistula of the posterior cranial fossa, percutaneous transhepatic paracentetic cholangiostomy are given.
Voenno-medicinskij žurnal. 2013;334(5):4-12
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New approaches to assessment of military personnel health status

Sivashchenko P.P., Ivanov V.V., Grigoryev S.G., Baranovskiy A.M.


For the first time were suggested some indices such as the index of ratio of one unit’s (higher/highest formation) hospitalization, lost worktime, discharge and mortality to the primary morbidity for one military unit and the same index of ratio to the same criteria for the group of military unit. The mentioned peculiarities are intended for impartial and comprehensive estimation of Armed Forces of the Russian Federation military personnel health status and medical units (establishments) activity. These indices include as criteria of diseases prevalence, morbidity, hospitalization, discharge and mortality characteristics. Employment of the new tools provides the possibility of the military health care system analysis by means of such health status components as military labor character, peculiarities of medical support, as well as medical service forces and resources availability in the Army, Navy and Air Force.
Voenno-medicinskij žurnal. 2013;334(5):13-18
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Application of administrative enforcement while carrying-out of federal sanitary and epidemiological surveillance in the Armed Forces of the Russian Federation

Zobov A.E., Berskiy O.V., Nebredovskiy V.N., Zharkov D.A.


The article deals with the legal framework of an application of administrative enforcement. The authors analyzed the information about a quantity and structure of administrative violation in the sanitary and epidemiological welfare, revealed during 2009—2011 while carrying-out of federal sanitary and epidemiological surveillance by the Centerfor Sanitary and Epidemiological Supervision of the Ministry of Defense (TsGSEN MF RF) in military units and organizations of the Armed Forces of the Russian Federation, and applied administrative sanctions. The acquired data was compared with the same data acquired by The Federal Service for Supervision of Consumer Rights Protection and Human Well-Being (Rospotrebnadzor). The results of research give a reason to consider TsGSEN MF activity according to index of application of administrative enforcement as ineffective. It shows the significant underestimate of administrative sanctions for the failure to comply with requirements of the health legislation. The authors formulated practical recommendations for activation of legal mechanics application by the specialists of TsGSEN MF RF while carrying-out of federal sanitary and epidemiological surveillance in the Armed Forces of the Russian Federation.
Voenno-medicinskij žurnal. 2013;334(5):19-23
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Diagnosis and treatment of complications after femoral artery paracentesis

Belyakin S.A., Pinchuk O.V., Ivanov A.V., Polyakov I.I.


The authors show that the prophylaxis of local complications after femoral artery cannulation consists of proper technique of puncture, careful site selection for puncture, usage of closure devices and external compression. The authors also underline that it is necessary to pay special attention to patients receiving anticoagulant or antiaggregant therapy. Despite the rarity, occurrence of inguinal canal hematoma after the X-ray contrast angiography and X-ray endovascular surgery is a serious complication that can prolong recovery. For a complete recovery after femoral artery paracentesis it is necessary to provide a bed regime, to apply a compression band and to monitor a medical state during the first day.
Voenno-medicinskij žurnal. 2013;334(5):24-26
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Development of coloprocto-logy in the Vishnevsky Central Military Clinical Hospital N 3

Dolgikh R.N., Leonov S.V., Lazarev G.V., Gilevskiy S.G., Potekhin A.V., Manyukhin A.N.


The authors show the development of colonoproctology in the Vishnevsky Central Military Clinical Hospital N 3. The authors
Voenno-medicinskij žurnal. 2013;334(5):27-31
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Myocardial revasculization in patients with ischemic heart disease and the end-stage of chronic kidney disease

Belyakin S.A., Lishchuk A.N., Koltunov A.N., Navaznov V.V., Tulenko A.G., Ryzhman N.N., Prokhorchik A.A.


Chronic kidney disease (CKD) is independent factor of progression of ischemic heart disease (IHD). In that case, it is important to know the peculiarities of diagnosis and treatment of IHD in patients with CKD. The importance of this problem is increasing due to increase of patients with CKD. Cardio-vascular morbidity in patients with CKD is higher than in patients with other diseases. Myocardial revasculization may lead to significant improvement of survivability in patients with CKD. Among the
Voenno-medicinskij žurnal. 2013;334(5):32-36
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Combinative methods of treatment of patients with complicated urolithiasis

Kochetov A.G., Sitnikov N.V., Gvasaliya B.R., Sidorov O.V., Ponomoryov V.K., Borshevetskiy A.A., Pavlov D.V.


The authors showed that urolithiasis is the second disease after inflammatory nonspecific kidney and urinary tract diseases and has a tendency to increase. 3—5% of patients suffer this disease, and 30—40% of all patients of urology in-patients department suffer nephrolithiasis. Introduction into clinical practice of modern minimally invasive treatment methods changed the paradigm of treatment of urolithiasis, especially coral type nephrolithiasis — cause of 15—50% of all renal calculi. The authors presented results of combinative treatment of 183 patients with different complicated forms of urolithiasis. The technique of percutaneous nephrolithotripsy (in supine position) was modified. It helped to reduce complications, time of surgery and radiation exposure. The effectiveness of simultaneous contact ureterolithotripsy and percutaneous nephrolithotripsy in patients with renal or ureters calculi, and simultaneous litholysis and distance lithotripsy in patients with metabolic disorders is shown. Combinative methods of treatment of complicated forms of urolithiasis are based on modern minimally invasive technologies and are very effective.
Voenno-medicinskij žurnal. 2013;334(5):36-41
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Brief reports

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Voenno-medicinskij žurnal. 2013;334(5):42-52
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Information analytical support of the US Armed Forces Medical Service at the theater of operations (Review of foreign online publications)

Agapitov A.A., Golota A.S., Krassii A.B., Kuvakin V.I.


The current article is dedicated to the modern state of information analytical support of the US Armed Forces Medical Service at the theater of operations. It is shown that at the present time for that purpose it is employed the Joint Theater Medical Information Program (TMIP) which integrates all medically significant information in a single system. The described program covers the whole evacuation chain, specifically, wounded registration on the battle field, treatment conduction at the stages of evacuation, including the aeromobile evacuation, treatment and rehabilitation at specialized establishments in the United States, subsequent veteran care after retirement. It also provides paperless documents circulation and telemedicine needs, takes into consideration the certain Armed Forces components peculiarities, satisfies the information analytical requirements of the commanding body of the medical service. The main TMIP subprograms are introduced, namely: AHLTA, TMDS, MSAT, TMIP-M, MMM, TC2, NCAT, and the basic providing and supporting unit DHIMS is described. Finally, it is mentioned that currently the TMIP project starts to be used not only on the battlefield but at the garrisons as well and it is supposed that it will gradually expand to the entire national health care system.
Voenno-medicinskij žurnal. 2013;334(5):53-58
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The Vishnevsky Central Military Clinical Hospital N 3 celebrates the 45th anniversary

Belyakin S.A., Frolkin M.N.


The article is dedicated to the history of the Vishnevsky Central Military Clinical Hospital N 3. N.M.Nevskiy, the head of the 2nd Central military clinical hospital n.a. P.V.Mandryka, suggested to groud a military diagnostic and treatment complex in the countryside. It was caused by the exceeding demand for hospitalization for military personnel. The new hospital was built in 4 years and launched on 20 June 1968. The Central military clinical hospital of n.a. P.V.Mandryka was transformed to the staff N 27/705 with 925 beds. This staff consisted of main treatment department with 655 beds (Krasnogorsk), branch of the 1st hospital with 120 beds (Moscow), branch of 2nd hospital with 100 beds and sanitary department with 50 beds (Bolshevo, the Moscow Region). In 1970 branch of the 1st 2nd hospitals were excluded from the staff The name of hospital was changed for «Central clinical military hospital». In 1976 hospital was named after the prominent military surgeon A.A.Vishnevsky. Nowadays hospital is a multi-field medical and preventive treatment facility, one of the highest technological medical centers of the Armed Forces of the Russian Federation. This hospital provides a qualified medical treatment for servicemen, their families and other categories of employee of the Armed Forces. Hospital consists of 18 specialized centers, 110 diagnostic and treatment departments, 1 outpatient hospital and 6 branches.
Voenno-medicinskij žurnal. 2013;334(5):59-62
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Contribution of the Vishnevsky Central Military Clinical Hospital N 3 to the history of combat casualty care and delivery of care to the injured soldiers

Belyakin S.A., Dolgikh R.N., Fokin Y.N.


The article is dedicated to the 45-year history of combat casualty care in the Vishnevsky Central Military Clinical Hospital N 3. In the echelon system of medical care the Vishnevsky Central Military Clinical Hospital N 3 ranks the echelon (level) N 3. Specialists of the hospital, along with a medical and preventive activity, practice methodological, educational and innovative activity, participate in different scientific forums. Temporary duty assignment to the combat, human-made disaster and natural disaster areas is a real functional test. 64 physicians have an extreme situation experience. The Vishnevsky Central Military Clinical Hospital N 3 is a clinical base of department of surgery, advanced physician training department, combat casualty care department of the Institute for advanced physician training of Mandryka scientific and educational clinical center. For the purpose of reducing the terms and improving the quality of medical care it was suggested to make the integration connections with leading hospitals of the Ministry of Defense of the Russian Federation.
Voenno-medicinskij žurnal. 2013;334(5):63-66
pages 63-66 views

Life and destiny of a veteran as a reflection of history of a hospital

Zlain A.I.


The article is dedicated to the biography of the one of the most prominent vascular surgeon, military physician, professor Evgeniy Pavlovich Kokhan (born in 1931). Since 1968 he has worked in the Vishnevsky Central Military Clinical Hospital N 3. With his participation 450 vascular surgeons graduated. Under the guidance of prof Kokhan 29 master’s and 7 doctoral dissertations were defended. He published more than 400 scientific works including 7 monographs.
Voenno-medicinskij žurnal. 2013;334(5):67-68
pages 67-68 views

The painting of A.Laktionov «After the surgery» and destiny of its characters

Fokin Y.N., Zuyev V.K.


The article is devoted to the plot of the painting of Alexander Laktionov (1910—1972) «After the surgery», stored in the Kursk art gallery n.a. A.A.Deineka. The central theme is outstanding surgeon, member of the USSR Academy of Medical Sciences S. S. Yudin has a casual conversation about the team work in N.V.Sklifosovsky First Aid Research Institute with his colleagues D.A.Arapov, A.A.Bocharov and B.S.Rozanov. Each of the painted surgeons made a great contribution to the military medicine. Biographical summaries and medical contribution of these surgeons are described.
Voenno-medicinskij žurnal. 2013;334(5):69-71
pages 69-71 views

New methods of treatment applied in the hospital of Sochi during the Great Patriotic War

Artyukhov S.A.


During the Great Patriotic War 1941—1945 Sochi was turned into the largest hospital base in the south of the USSR. All told, 335 thousand wonded and seriously ill soldiers were treated in the hospitals of Sochi. During the war physicians applied many new, including, early unknown medical methods of treatment. Poor provision with medical equipment, instruments, bandages and medicines was made up for using of local resources. Adoption of new treatment methods based on the use of local medicines allowed the Sochi’s physicians to save many lives during the war.
Voenno-medicinskij žurnal. 2013;334(5):72-73
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Aviation medicine laboratory of the North Fleet air base celebrates the 70th anniversary

Gavrilov V.V., Mazaikin D.N., Buldakov I.M., Pisarev A.A.


The article is dedicated to the history of formation and development of the oldest aviation medicine department and its role in a flight safety of the North Fleet naval aviation. The aviation medicine laboratory was created in the years of the Great Patriotic war for medical backup of flights, medical review board, delivering of combat casualty care, prophylaxis
Voenno-medicinskij žurnal. 2013;334(5):74-77
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Official communications

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Voenno-medicinskij žurnal. 2013;334(5):78-80
pages 78-80 views

News feed

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Voenno-medicinskij žurnal. 2013;334(5):80-83
pages 80-83 views

Criticism and bibliography

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Voenno-medicinskij žurnal. 2013;334(5):84-87
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Voenno-medicinskij žurnal. 2013;334(5):88-96
pages 88-96 views

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