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Vol 334, No 8 (2013)


Synergetic basis of the system of specialized medical care, specialized treatment and medical rehabilitation of minimally injured and minimally ill

Savchenko I.F., Kharisov A.M., Yakovlev S.V.


The article is devoted to analysis of the current system of specialized medical care, specialized treatment and medical rehabilitation of military casualties of minor nature. The author suggested a synergistic approach to combination of the given system with the aim of determination of development conception. Two main schemes of organization of specialized medical care are considered: medical care during the military conflict and local war; medical care during the regional and large-scale war. Taking into account the function of military field hospital for the treatment of walking wounded it was suggested to add a word combination «center of rehabilitation». The functions of the hospital are considered.
Voenno-medicinskij žurnal. 2013;334(8):4-9
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Health status comparative analysis of the emercom of Russia Federal fire service employees and contract servicemen in the russian army

Kotenko P.K., Kireyev S.G., Golovinova V.Y.


Results of health status comparative analysis of the emercom of Russia Federalflre service employees and contract servicemen in the russian army are submitted as following. The emercom of russia firemen’s average annual rate of primary morbidity is 459,1, that of labor losses’ days 8430,8, of disability 0,9, and mortality cases 0,7. The russian army contract servicemen’s average annual rate of primary morbidity during the covered period comes to 410,3, that of discharges 7,4, and mortality cases 1,3 . The results of comparative analysis show that the rate of contract servicemen’s primary morbidity is lower than that of emercom of russia firemen below 10,6% (р<0,001), whereas their discharge level is higher above 87% (р<0,001). In the course of comparison of the emercom of Russia Federal fire service employees’ and the russian army contract servicemen’s primary morbidity structure it was revealed that the indexes of the diseases of respiratory system, traumas and poisoning are higher among the first ones. On the contrary, their indexes were lower in the sphere of circulatory system, skin and hypodermic cellulose diseases. The indexes of circulatory system diseases in the disability (discharge level) structure of the emercom of Russia Federal fire service employees were higher than those of other diseases. It is expedient to use the results of this research in forming of priority assignments and conducting of a complex of curative and prophylactic measures organized by the medical service of the emercom of Russia.
Voenno-medicinskij žurnal. 2013;334(8):10-14
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About professional education of future military physicians

Tregubov V.N.


One of the effective methods of professional education of future military physicians is art. Art as a form of artistic-image reflection of reality fully discloses the specifics of the activities of the military-medical specialists in times of peace and war. Variety of different kinds of art and availability of their use in the educational process promotes the final self-determination of students in their choice of profession, higher quality of its development and ensures the formation of their personal qualities as defenders of the homeland.
Voenno-medicinskij žurnal. 2013;334(8):15-18
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Clinical and epidemiological value of adenovirus infection in the military personnel

Lvov N.I., Zhdanov K.V., Lobzin Y.V., Maltsev O.V., Grishin I.S., Peredelskiy E.V.


Adenovirus infections occur in different military groups as acute respitatory diseases combined with backsets and pneumonia. At definition of etiological structure of acute respiratory diseases in 1606 soldiers of 1—2 year of service, placed in the division of infectious diseases of the military medical academy in 2000—2011, dominance of an adenoviral infection (37,4%) was revealed, especially in non-epidemic periods of influenza (77% in 2007—2008). Adenoviral diseases among the hospitalized patients became complicated pneumonia in 17,8% of cases, and the proportion of adenoviral pneumonia in the overall community-acquired pneumonia with acute respiratory disease was 55,2%.
Voenno-medicinskij žurnal. 2013;334(8):19-24
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Pathogenesis and early diagnosis of deep vein thrombosis in case of polytrauma

Samokhvalov I.M., Nemchenko N.S., Petrov A.N., Denisov A.V., Golovko K.P., Zhirnova N.A., Gaiduk S.V.


Pathogenesis and early diagnosis characteristics of acute deep vein thrombosis (advt) have been studied in 323 polytrauma patients (iss: 29,4±2,0 score). Acute vein thrombosis, confirmed by us examination, was determined in 22,3% of patients (in the case of severe craniocerebral trauma — scct — 12,6%, extremity trauma — 60,5%, spinal trauma 75%, severe sepsis — 25%). Despite the complex diagnosis and prophylaxis (thrombus removal, thrombosed veins ligation, external iliac vein and inferior vena cava clipping, permanent and removable cava-filters positioning) pulmonary artery thromboembolism (pate) developed in 3,1%. ADVT in patients with polytrauma developed as a pathogenic basis of systemic inflammatory response syndrome (sirs), which was observed to be associated with endothelium damage and thrombophilia. Hence, thrombophilia values (high levels of crp, f.viiia, D-dimer, low levels of antithrombin iii — at-iii), which are characteristic of sirs, lose their informativeness in the early diagnosis of advt and pate risks identification. In this regard, early advt diagnosis in polytrauma should be based on doppler study results, and the adequacy of anticoagulant and antiplatelet therapy should be determined by the levels of crp, f.viiia, D-dimer, activated partial thromboplastin time — aptt, anti- xa heparin activity, international normalized ratio — inr, platelet aggregation, thrombodynamic potential, at-iii.
Voenno-medicinskij žurnal. 2013;334(8):25-29
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Application of high technology in liver surgery

Astashov V.L., Solontsova E.N., Mukhtarulina S.V.


The PlasmaJet®, a modern device that provides a high energy flow of ionized gas which seals small blood and lymph vessels has been recently introduced into clinical practice. A comparative retrospective analysis of results of 59 liver surgery with the help of new surgical technologies and standard surgical technique was performed. Liver resection with the use of high technology was accompanied by significantly less intraoperative blood loss, as well as a significant decrease of postoperative complications.
Voenno-medicinskij žurnal. 2013;334(8):30-34
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Main concepts of preventive health care for the air staff of sea-based aviation

Melnik S.G., Chulayevskiy A.O.


The authors researched the air-stuff and complex of adverse factors uncharacteristic for the air-staff of land-based aircraft. It was determined that adverse factors affect the air-staff foremost in 4—5 months of a blue-water sailing, except cardiovascular system diseases. In a month of a blue-water sailing was registered a hypotonic state. Systolic blood pressure varied from 100—105 mm Hg and lower, dystolic blood pressure varied from 60—65 mm Hg and lower. The lowest ranges of blood pressure were registered in three months after the beginning of the sailing. In the following, the hypotonic state, registered during the monthly medical examinations, remained till the end of the sailing. Normal averages of blood pressure were restored in two weeks after the end of sailing. Low red cell count (for more than 1100 points) was registered in 61,5% of patients, (for more than 550 points) in 38,4% of patients. Low white cell count (for more than 4800 points) was registered in 33,3% of patients, (for more than 3300 points) in 41% of patients, (for more than 1330 points) in 25% of patients. Input data was: red cell count — 4250 points, white cell count — 7300 points in 1 ml of blood. After the sailing haematological indices were restored. The authors suggested guidelines for primary and secondary disease prevention.
Voenno-medicinskij žurnal. 2013;334(8):35-43
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Theoretical foundations of ergonomic designing of the military-medical ergatic systems

Naychenko M.V.


The theoretical basis of the ergonomic designing of the military-medical ergatic systems (MMES) consists of the general model of a medical specialist activities, the physiological theory of functional systems and the psychological theory of activitys. It is underlined that at ergonomical designing must be considered all potential interactions between medical specialist and wounded, as well as between them and medical equipment. When designing MMES an important place should be given to the distribution of functions between the healthcare professional and technical means. When designing jobs for medical specialists must necessarily be taken into account emotional stress due to conditions as external (of the combat) of the situation, and the gravity of the wounds of the victims.
Voenno-medicinskij žurnal. 2013;334(8):44-49
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Brief reports

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Voenno-medicinskij žurnal. 2013;334(8):50-63
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The State of Health of the US Armed Forces Military Personnel in 2012

Golota A.S., Krassii A.B., Nagibovich O.A., Sivashchenko P.P.


The current article is dedicated to the state of health of the US Armed Forces military active component personnel in 2012 according to the report published by the Armed Forces Health Surveillance Center in April 2013 issue of Center’s Medical Surveillance Monthly Report. Sequentially, the key characteristics of ambulatory visits and hospitalization for the leading disease chapters and certain disease groups have been presented. The data have been given for the total personnel as well as for male and female separately. The general hospitalization has also been presented for the US Armed Forces components.
Voenno-medicinskij žurnal. 2013;334(8):64-69
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To the 175th anniversary of Irkutsk military hospital

Shevchenko N.V., Blyaunshtein B.M., Konovalov P.P.


The article is dedicated to the 175th anniversary of the Irkutsk military hospital and highlights the key historical moments of the establishment and activity of the oldest hospital in Eastern Siberia and work of doctors, nurses, paramedical hospital. The article presents historical information about famous personalities which have worked and served in the hospital and have contributed to the development of military medicine.
Voenno-medicinskij žurnal. 2013;334(8):70-71
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Professor Sergey Stepanovich Tkachenko (To the 90-th anniversary of the birth)

Shapovalov V.M.


The article is dedicated to the memory of the outstanding russian trauma-orthopedist, scientist and educator, former head of the department of military traumatology and orthopedics military medical academy, doctor of medicine, professor, major-general of medical service S.S.Tkachenko.
Voenno-medicinskij žurnal. 2013;334(8):72-73
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At the cutting edge of russian pharmacy: from the department material medica to the department of military-medical supply and pharmacy

Miroshnichenko Y.V., Bunin S.A., Kononov V.N., Umarov S.Z., Kostenko N.L.


The authors presented a historical sketch abouth the department of military-medical supply and pharmacy of the military-medical academy since 1798. During the whole history of the department the academic staff has successfully combined educational and research work with solution of a practical questions of improvement of medical supply of the russian army and navy. During the different historical periods and on the basis of current requirements of military medicine and pharmacy it is necessary to develop theory and practice of medical supply and normative legal acts of the system of medical supply, to develop new examples of medical property, to develop manufacturing processes of medicinal products, quality management, to perform researches in the area of radiochemistry of medical products, forensic chemistry, toxicology, research of medical plants, medicinal water and etc.
Voenno-medicinskij žurnal. 2013;334(8):74-78
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Official communications

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Voenno-medicinskij žurnal. 2013;334(8):79-84
pages 79-84 views

News feed

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Voenno-medicinskij žurnal. 2013;334(8):85-91
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VI International exhibition «Integrated safety and security 2013» on the VVTs

Shitov A.Y., Andrusenko A.N.
Voenno-medicinskij žurnal. 2013;334(8):92-93
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X International congress on glaucoma

Aleksandrov A.S., Gorodchiy V.V., Kuroyedov A.V., Diordiychuk S.V., Ogorodnikova V.Y.
Voenno-medicinskij žurnal. 2013;334(8):94-96
pages 94-96 views

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