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Vol 334, No 7 (2013)


Improvement of the system of medico-evacuational interventions in the troops with the help of mobile specialized elements

Fisun A.Y., Vlasov A.Y., Sushilnikov S.I., Bulatov M.R.


Taking into account the historical experience the authors considered the main principles of improvement of the system of preventive and curative interventions in the troops with the help of mobile functional elements. The authors suggested to develop medical reinforcement groups which satisfy requirements of high mobility and self-contained operations. 3 types of functional elements must be developed: 17 specialized doctor-nurse teams of the central military — treatment facilities, 10 doctor-nurse teams of district military (navy) clinical hospitals, 11 doctor-nurse teams of branches of district military hospitals. Assignment of air transport with the following reconversion in evacuation transport with the medical air station and medical helicopter station is concerned.
Voenno-medicinskij žurnal. 2013;334(7):4-8
pages 4-8 views

Prospects of material and technical development of the department of anaesthesia and intensive care

Shchyogolev A.V.


The author of the article came to conclusion that in view of electronics breakthrough, nanotechnology and genetic engineering development it is necessary to reconsider the system of emergency care, anesthesia and intensive care service on the battlefield, reduction of the influence of pathologic factors and secure evacuation to special treatment department. One of the main criteria is constant improvement of material and technical equipment for heavy rescue. Necessity of dislocation,problems with communications infrastructure, poor medical gas supply are the main problems which cause the necessity of development of special equipment which must be equal characteristics and security level of analogues, used in peace time. The last equipment can not be used by troops for various reasons. Probably, due to the absence mass sanitary loss, reduction of medical service in consequence of material and technical equipment must be proven. It is necessary to emphasize, that the department of anaesthesia and intensive care of the Ministry of Defence of the Russian Federation copes with the tasks of war and peacetime throughout the history.
Voenno-medicinskij žurnal. 2013;334(7):9-16
pages 9-16 views

Experimental evaluation of actoprotective activity of nitrogen-containing heterocyclic compounds derivatives in extreme conditions

Tsublova E.G., Ivanova T.G., Ivanova T.N., Yasnetsov V.V.


In experiments on nonlinear male mice the ability of new derivatives of nitrogen-containing heterocyclic compounds to increase the physical working capacity in conditions of hyperthermia, hypothermia and acute normobaric hypoxia and hypercapnia has been investigated. It is established, that pyridine derivative IBHF-11 has more expressed positive action in the said conditions. It provided increase of the working capacity of animals at all kinds of extreme influence, and the value of positive action was comparable, and in conditions of acute normobaric hypoxia and hypercapnia exceeded those at the reference products bemitil and bromantan.
Voenno-medicinskij žurnal. 2013;334(7):17-20
pages 17-20 views

Improvement of the system of medical equipmet rationing for military units during the wartime

Miroshnichenko Y.V., Goryachev A.B., Popov A.A., Morgunov V.A., Ryzhikov M.V., Merkulov A.V.


The authors analyze new legal regulatory document — Medical equipment and reserves supply rate for military units and organisations of the Armed Forces of the Russian Federation, developed in the process of modernization of the system of medical equipmet rationing for military units. New legal regulatory document was developed with the aim to replace the similar document d.d 1996—1997. The authors came to conclusion that costs of new medical equipment and reserves supply rates are similar to previous rates. At the same time costs new medical equipment supply rates for medical service increased more than 25%. It is related to change of the role of medical service in the system of medical supply of the Armed Forces of the Russian Federation. Modernization of the system of medical equipment supply rates for military unit of the Armed Forces of the Russian Federation, performed for the purpose of medical supplement for military unit in accordance with new state of the Armed Forces of the Russian Federation, allowed to actualize the regulatory framework of medical supply by means of development and adoption of new Supply and reserves rates bz the Ministry of defence. Use if these rates will increase effectiveness and quality of medical supply during the wartime,provide a commonality of reserves of medical equipment and maintenance of established level of combat readiness of medical service of the Armed Forces of the Russian Federation.
Voenno-medicinskij žurnal. 2013;334(7):21-25
pages 21-25 views

Evolution of treatment options for hypertension

Fursov A.N., Potekhin N.P., Orlov F.A., Zakharova E.G.


In the early 20 th century hypertension became a medical problem because of th prevalence. The process of clinical research of the etiopathogenesis of hypertension is associated with a scientific and technical progress and state of medical science at every historical stage. The first stage (end of the 19 th century — beginning of the 20 h century) was characterised by a research of hypertension and monitoring of its natural history. The second stage (early — mid 20 th century) was charachterised by attempts to influence on the natural history of hypertension. The basis of the attempts was neurohumoral concept. The third stage (end of 50s — beginning of 70s) — was charachterised by the application of angiotensin -converting enzyme inhibitor, calcium channel blocker and thiazide diuretic along with beta-adrenergic blockers. The fourth stage (end of 20 th century — beginning of 21 st) was characterised by discovery of the renin-angiotensin-aldosterone system, development of complex treatment options for hypertension, based on stratification of risk factors of cardiovascular complication. Clinical picture of hypertension haven’t changed significally during the last 100 years. Cerebral and cardiac manifestations of hypertension remain dominat in 21 st century as well as in 20 h century. In the beginning of 21 st century such systems as eyes and kidneys are not affected by the hypertension. Hypertension remains the main cause of progression of cardiac muscle and vessel wall structural changes.
Voenno-medicinskij žurnal. 2013;334(7):26-31
pages 26-31 views

The influence of the postoperative nutritional support on immune status in patients undergoing abdominal operations

Panova N.G., Shestopalov A.E., Stets V.V., Zyryanov V.A.


At the present day inclusion of the immune enhancing enteral nutrition in the program of the postoperative nutritional support is considered to be the most prospective method of the treatment of intestinal failure, hypermetabolism, hypercatabolism and systemic inflammatory response syndrome in patients undergoing abdominal operations. 60 patients,undergoing gastro-pancreaticoduodenal resections and gastrectomy, were examined. During the postoperative period the first group (experimental group) received standard enteral nutrition. The second group (control group) received immune enhancing enteral nutrition. It was revealed that immune enhancing enteral nutrition modulates the immune response and provides its stability in patients undergoing abdominal operations.
Voenno-medicinskij žurnal. 2013;334(7):32-37
pages 32-37 views

Particular features of erythropoiesis in high altitude and possibilities of applying of hypoxic hypoxia methodology for the patients with hemopoietic suppression

Makeshova A.B., Eraliyeva M.O., Levina A.A., Mamukova Y.I., Raimzhanov A.R.


Conditions of hypoxic hypoxia at 3200 m height exert significant positive changes in hemopoiesis, normalizing erythropoiesis and coagulation system. Hypoxic climate therapy can be regarded as an additional efficient method to the pathogenetic treatment for patient with unpainful aplastic anemia and idiopathic thrombocytopenic purpura. It should be emphasized that patients must be out of immunosuppressive therapy when getting high altitude stationary.
Voenno-medicinskij žurnal. 2013;334(7):38-45
pages 38-45 views

Prospects of the use of radioprotectors for improvement of anti-radiation medicine in the Armed Forces

Grebenyuk A.N., Legeza V.I.


The author presented review of foreign and domestic literature concerning the problem of researching of new types of radioprotectors. The most effective radioprotectors are non-androgen steroids, organic compounds of protein, organic and chemical antioxidants. The methods of local delivery of radioprotectors to bioplast are under development.
Voenno-medicinskij žurnal. 2013;334(7):46-50
pages 46-50 views

Dynamics of echocar-diographic index in aquanauts in the period of long-term effects of deep diving (to 500 m)

Chumakov A.V., Zakharova A.I., Motasov G.P., Svistov A.S., Alanichev A.E., Makiyev R.G.


The authors presented the echocardiography and doppler sonography of aquanauts during the period of long-term effects of deep diving (to 500 m). According tot he analysis oft he given data the following was revealed: imperceptible atrium distensibility, left ventricular concentric remodeling without myocardial hypertrophy, saving of general and regional myocardial contractile function, left ventricular diastolic dysfunction grade 1, intact right ventricle, orthoarteriotony in pulmonary artery, change of size and distensibility of the aortic root. The authors came to conclusion that there are 2 different process in the structural ventricular remodeling during the period of long-term effects of deep diving — envolving myocardial consolidation and heart chamber dilation. These two processes is connected with temporary factor atypical for natural age dynamic. The aortic root has a atherosclerotic change and distensibility. There is no further dynamic distensibility. The abovementioned changes in heart and aorta can progress in aquanauts, which have too many dives. Patients in the study group haven’t dived over the years, but nevertheless have the abovementioned changes.
Voenno-medicinskij žurnal. 2013;334(7):51-55
pages 51-55 views

Typhus fever morbidity among the military personnel and civilians in the regions around Volga river during World War I

Raikova S.V., Zavialov A.I.


The article is concerned to the materials about epidemiologic situation of typhus fever in the regions around Volga river (Saratovsky, Samarsky and others) during World War I (1914—1918) among the military personnel of the Russian army and among the civilians. The main reasons for spread of infection, ways of the transmission, and also measures for decreasing of level of morbidity on the different stages of evacuation of patients with typhus fever in the safer hospitals are shown. The most important methods of fighting against epidemic of typhus fever were: isolation of patients in separate special hospitals, desincection and disinfection measures in the foci of infection and organization appropriate sanitary conditions for military man in the army and among civilians. Acquired valuable experience of territorial and military doctors during the period of epidemic of typhus fever allowed receiving complex effective antiepidemic measures of fighting and prevention from this disease.
Voenno-medicinskij žurnal. 2013;334(7):56-61
pages 56-61 views

Mineral springs on the north-east of Caucasus and its role in the treatment of soldiers of the Russian army in XIX — beginning XX c

Akhmadov T.Z., Poddubny M.V.


The article is concerned to the history of formation of sanitary-treatment stations on the North Caucasus, in Chechnya (Goryachevodsky and Mikhailovsky mineral springs) till 1917 year. The basis of the article are archive documents, scientific papers of contemporaries and official documents. Goryachevodsky and Mikhailovsky mineral springs were more than 70 years the one the best recreative base of the Caucasian standing army including the caucasian cossack troop. The sanitary-treatment stations were of great importance during the active military actions with Hill people within the territory of Chechnya and Dagestan, during the Crimean War (1853—1856), The Russo-Turkish War of 1877—1878 and the First World War (1914—1918), when the amount of the wounded and ill soldiers increased.
Voenno-medicinskij žurnal. 2013;334(7):62-66
pages 62-66 views

Official communications

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Voenno-medicinskij žurnal. 2013;334(7):67-85
pages 67-85 views

News feed

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Voenno-medicinskij žurnal. 2013;334(7):86-90
pages 86-90 views

Improvement of field training of military students and cadets of the Military Medical Academy n. a. S.M.Kirov

Shelepov A.M., Kulnev S.V., Sushilnikov S.I.
Voenno-medicinskij žurnal. 2013;334(7):91-93
pages 91-93 views
pages 94-96 views

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