Том 333, № 4 (2012)

Financial feasibility study of dental orthopedic service for retirees of Ministry of Defence is analyzed, suggestions about the organization of dental orthopedic service for contingent in medical institution of state and municipal system of healthcare. Information about the number of retirees, index of needs in dental orthopedic service which was 40,29%, information about 2806 prosthodontics oders for retirees in military medical institution, data about the average price of production of dental in different subjects of Russian Federation is the basis of the given research. Algorithm of dental orthopedic service for retirees by stomatologies is suggested.

This article describes the experience of creation and the results of the two-year-old surgical hospital (short stay) capacity of 18 beds on the basis of multioutpatient clinics. Standards of examination and treatment of patients are shortly characterized. The information about 1544 patients treated, the structure made of surgical interventions and their outcomes.

Prevalence and structure of comorbidity a somatic pathology in military men with neurotic disorders was studied. It was established that 40,4% of surveyed noted concomitant somatic pathology, the structure of which was dominated by gastro-intestinal tract (26,8%), and pathology of the cardiovascular system (21,6%). It is shown that concomitant somatic pathology provided aggravating effect on clinic neurotic disorders in serviceman, making it difficult to diagnose mental disorders. The greatest risk concomitant a somatic pathology was marked in patients with depressive and somatoform disorders. Indicates the need for specialized standards of care for persons with comorbid mental and somatic disorders.

61 patient was checked-up (113 eyes) with the help of optical coherence tomography for the purpose of determination of the interrelation between thickness of cornea in its optical part and thickness of nerve fibre layer of amphiblestrodes in case of primary open angle glaucoma. The average age of patients was 63,9±10,4 years. Direct moderate interrelation between parameters of thickness of cornea in its central zone and thickness of nerve fibre layer of amphiblestrodes in its temporal part discus nervi optici (r=0,46 и r=0,26, p<0,05) was determined in patients with suspicion on glaucoma. Direct moderate interrelation between parameters of thickness of cornea in its central zone and thickness of nerve fibre layer of amphiblestrodes in its upper part of discus nervi optici (r=0,35 и r=0,43, p<0,05) is determined in patients with progressive glaucoma. Direct interrelation between parameters of thickness of cornea in its central zone and average thickness of nerve fibre layer of amphiblestrodes (r=0,25, p<0,05) is determined in patients with advanced glaucoma. Determined interrelation of figures proves the possibility of fast progression of glaucomic optic neuropathy in patients with progressive glaucoma.

Results of treatment of 84 patients with systemic lupus in specialized units of the Main Military Clinical Hospital n. a. N.N.Burdenko erythematosus are performed. Subacute variant of the disease was diagnosed in 36% of patients, chronic — 64%. Active inflammation grade 1 was observed in 63% of patients, 2—3 rd class — 37%. Between changes in the skin and the degree of inflammatory activity, variant of the disease set a definite relationship. The data obtained allowed to propose a diagnostic algorithm in systemic lupus erythematosus in order to optimize the therapeutic effects.

Medical subjects in publications of Community of St. Eugene (another name — Saint-Petersburg sponsorial about the sisters of Red Cross committee) are analyzed. Motive of the beginning of publishing and its continuation right up to 1918 was realization of «medical plans» of Community. A number of belles-letters and more than 6400 designation of postcards in edition of 30 millions copies were published in the total. The sum total of this production is reckoned in famous phenomenon of Russian culture of XX c. The article is illustrated by the medical subjects from different publications of Community, among others, by the masterpieces of such famous artists as Vereschagin V.V., Repin I.E., Dobuzhinsky M.V. etc. Cultural phenomenon of publishing of Community of St. Eugene allows to open new pages on the history of Russian military medicine in XIX — beginning XX c.

The history of the centre of state sanitary and epidemiological surveillance of Central military district stationed in Kazan is stated shortly. This institution originated in 104th sanitary and epidemiological detachment, which was formed in May 1942 in complement