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Vol 333, No 4 (2012)


Dental orthopedic service for retirees from MD RF in medical institutions of state and municipal system of healthcare in conditions

Malykh A.B., Grebnev G.A., Butsenko S.A., Pastukhov A.G.


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.
Voenno-medicinskij žurnal. 2012;333(4):4-13
pages 4-13 views

Delphi Technique: theory and suggestions on usage in health care and military medicine

Maksimov I.B., Stolyar V.P., Kozhevnikova L.B.


The authors pursued research of adaptability of Delphi technique for solution of organizing problems of health care and military medicine in modern conditions. The essence of the research lies in the fact that with the help of serial consecutive actions — questioning and interviews of the most authoritarian specialists — intellectual elite of health care and military medicine (former leaders of GVMU MO RF (State Military-Medical Department of Moscow Region of Russian Federation) and their deputy directors, also famous specialists in the field of organization of health care and military medicine), and with the help of «brainstorms-» to achieve the maximal agreement under the elaboration of strategy, ways and perspectives of the development of medical service of MO RF and also search of concrete solutions of actual military-medical problems.
Voenno-medicinskij žurnal. 2012;333(4):14-17
pages 14-17 views

Experience of surgical hospitalshort-stay in multidisciplinary outpatient clinics

Eloev M.S., Zhuravlyov S.V., Bulatov M.R.


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.
Voenno-medicinskij žurnal. 2012;333(4):18-23
pages 18-23 views

Early resorptive effects of highly toxic alkylating substances

Ivnitsky Y.Y., Reynyuk V.L., Shefer T.V.


In the next few hours after exposure of mustards in harmful doses the injured suffer a complex of neurological deflcits-headache, asthenia and emetic syndrome, and in case of lethal dosage-adynamia, tremor and convulsions. In case of percutaneous exposure of sulfur mustard, these disorders limit the terms of the conservation capacity of injured and determine the nature of the medical care they need at the pre-hospital stage. Perspective areas of drug prevention and treatment of early manifestations of acute resorptive action of mustards are the use of antiemetics, analgesics, and the removal of endogenous toxemia caused by inflammatory mediators, and biologically active substances in the gastro-intestinal origin.
Voenno-medicinskij žurnal. 2012;333(4):24-28
pages 24-28 views

Comorbide somatic pathology in servicemen with neurotic disorders

Kurasov E.S., Marchenko A.A., Krasnov A.A., Golovach I.G., Kozlova S.N.


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.
Voenno-medicinskij žurnal. 2012;333(4):29-33
pages 29-33 views

Comparative evaluation of therapeutic efficacy of early amnion covering the cornea, temporary blepharorrhaphy and its combination in severe alkali burns of the eye in the experiment

Boiko E.V., Churashov S.V., Chernysh V.F., Rudko A.S.


In four groups of rabbits on model of a heavy alkaline burn of a cornea and a limbus of various extent character and outcomes of healing of an eye surface as a result of early (it is direct after a burn) applications is investigated: only conservative treatment — group I, conservative treatment + time blepharorrhaphy — group II, conservative treatment + covering of a cornea and a limbus of amnionic membrane — group III, and also combinations of conservative treatment, temporary of blepharorrhaphy and coverings of a cornea and a limbus amnionic membrane — group IV. In all groups conservative treatment included: an instillation of maxitrol within 14 days with transition to a mortgaging
Voenno-medicinskij žurnal. 2012;333(4):34-40
pages 34-40 views

Interrelation between parameters of thickness of cornea in its optical part and thickness of nerve fibre layer of amphib-lestrodes in case of primary open angle glaucoma

Kuroyedov A.V., Ogorodnikova V.Y., Gorodnichy V.V., Aleksandrov A.S., Diordiychuk S.V., Solnov N.M., Kushim Z.P., Kuznetsov K.V.


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.
Voenno-medicinskij žurnal. 2012;333(4):41-44
pages 41-44 views

About the influence of factors of military service in conditions of North on the progress of urinary tract infections in women

Plekhanov V.N.


Results of hospital check-up and treatment of female soldiers, female members of servicemen’s family and retirees of Ministry of Defence of Russian Federation were analyzed for the purpose of improvement of prophylaxis, treatment of urinary tract infections and estimation of factors of military service in the progress of UTI in female soldiers in conditions of North. It was determined that in the structure of UTI in female soldiers aged before 40 prevail acute cystitis and acute pyelonephritis combined with phologistic gynaecological abnormality, aged after 40 — chronic pyelonephritis combined with concomitant urolithiasis and chronic cystitis. Factors of military service influence on the progress of acute UTI and early approach of chronic UTI in female soldiers.
Voenno-medicinskij žurnal. 2012;333(4):45-49
pages 45-49 views

Systemic lupus erythematosus: correlation between cutaneous manifestations of disease activity

Potekhin N.P., Filatova E.A., Fursov A.N., Gladko V.V., Orlov F.A.


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.
Voenno-medicinskij žurnal. 2012;333(4):50-54
pages 50-54 views

Comparative analysis of incidence and prevalence of cardiovascular diseases among military personnel and seafarers serving on the bank

Borodulina E.V., Oransky S.P., Afanasyev S.S., Kremis V.I., Eliseyeva L.N.


The study presents retrospective analysis of navy soldiers’ cardiovascular diseases, which most often cause the growth in labor force, loss rates and navy soldiers’ dismissal and mortality rates, and, therefore, are one of the most pressing problems of the military medical services. Comparative assessment conducted between emergence and pervasiveness of these diseases in navy with those of land-based soldiers. Analysis of correlation between morbidity rates and length of service in navy is also included.
Voenno-medicinskij žurnal. 2012;333(4):55-59
pages 55-59 views

Brief reports

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Voenno-medicinskij žurnal. 2012;333(4):60-76
pages 60-76 views

From the foreign medical publications

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Voenno-medicinskij žurnal. 2012;333(4):77-79
pages 77-79 views

Theme of military medicine in publications of Community of St. Eugene (130 years of the founding)

Poddubny M.V.


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.
Voenno-medicinskij žurnal. 2012;333(4):80-83
pages 80-83 views

Organization and establishment of naval hospitals in XVIII century

Kostyuk A.V.


In XVIII century naval hospitals were medical-prophylactic institutions with fixed number of employees. Number of employees and rate of salary were established in accordance with regular schedules. These schedules could be changed within the limits of restruction of Navy. There was strict division of labour in home hospitals. Each employee was responsible for the task put for him/her. Strict division of official duties
Voenno-medicinskij žurnal. 2012;333(4):84-90
pages 84-90 views

Center of state sanitary and epidemiological surveillance of Central military district celebrates 70 years

Bednyakov V.V., Kunayev A.V.


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
Voenno-medicinskij žurnal. 2012;333(4):91-92
pages 91-92 views

Official communications

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Voenno-medicinskij žurnal. 2012;333(4):93-93
pages 93-93 views

Relevant aspects of the drug supply in military health care

Miroshnichenko Y.V., Kononov V.N., Golubenko R.A., Kostenko N.L.
Voenno-medicinskij žurnal. 2012;333(4):94-96
pages 94-96 views

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