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Vol 333, No 6 (2012)


Improvement of pharmaceutical benefits for military retirees in outpatient care

Miroshnichenko Y.V., Krasavin K.D., Malykh A.B., Gainov V.S., Popov A.P., Pastukhov A.G.


For the purpose of improvement of pharmaceutical benefits for military retirees was designed the drug usage standard. This standard consists of 216 drug titles and is utilized in outpatient care in case of consistency. Monthly outpatient care costs for one military retiree are more than 900 rubles. New procedural and institutional mechanisms, ways of interdepartmental interactions, rational forms of its organization are necessary for the improvement of the effectiveness. These measures correspond to main principals of reorganization of the system of health care.
Voenno-medicinskij žurnal. 2012;333(6):4-11
pages 4-11 views

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

Toporkov M.T., Mikheyev A.V., Tsiteladze A.A.


One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10—17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children’s health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.
Voenno-medicinskij žurnal. 2012;333(6):12-16
pages 12-16 views

Condition of musculoskeletal system of boys of preinduction age as an indicator of fitness for military service

Mirskaya N.B., Lyakhovich A.V., Kolomenskaya A.N., Sinyakina A.D., Fedin E.E.


The high prevalence of functional impairment and early forms of diseases of the musculoskeletal system of pre-conscription age boys is considered by the authors as a risk factor of their fitness for military service. The introduction of a number of secondary schools in Moscow designed by the authors of the conceptual model of prevention and correction of pathology of the musculoskeletal system allowed the students for the first 3 years significantly reduce its prevalence in most of the studied parameters.
Voenno-medicinskij žurnal. 2012;333(6):17-21
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Mechanisms of affection of labyrinthine capsule of the inner ear in case of wound to the head by non-lethal kinetic weapons

Gaidash A.A., Tyurin M.V., Ivchenko E.V., Tolmachyov I.A., Rodionov G.G., Sinitsa L.N., Denisov A.V., Maksimovsky E.A., Anisin A.V.


Structural, physical, chemical and micromechanical properties capsules labyrinths of an internal ear are studied at influence of the shock wave caused by wound of a head by not lethal kinetic weapon. It is established, that under the influence of a shock wave in bone plates capsules labyrinths processes remodeling, and accompanied osteolysis amplify. Hydroxyapatites capsules labyrinths tests polymorphic phase transitions and depending on an initial condition is exposed amorphizationor increases the crystallinity. As a result of change of micromechanical properties in capsules labyrinths there are cracks, ruptures matrix and bone cavities.
Voenno-medicinskij žurnal. 2012;333(6):22-27
pages 22-27 views

Coblation of nucleus pulposus in treatment of military men’s lumbar disc protrusions

Manukovsky V.A., Badalov V.I., Tyulikov K.V., Korostelyov K.E.


Mini-invasive surgery is used more often for the treatment of spinal disc herniations today. Coblation is one of such contemporary methods. The aim of our investigation was to evaluate results of percutaneous disc nucleoplasty using coblation. 35 patients with disc protrusions diagnosed by MRI underwent operations using this method. We used Visual Analogue Pain Scale, took into account time of painless sitting, standing and walking position, and also patients’ satisfaction to assess the immediate results of treatment and short-time outcomes. It was noted the better immediate results in group of operated patients in comparison with the non-operated group. It was obvious either on the table or the day after operation. There were 84 and 93% of good results in 3 months and in 1 year after operation, respectively. Coblation is definitely modern and effective way to treat disc protrusions with different types, sizes, and may be used in lumbar spine wherever.
Voenno-medicinskij žurnal. 2012;333(6):28-33
pages 28-33 views

Successful treatment of aneurysm of iliac artery in old patient with widespread atherosclerosis of aorta

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


Disclosure of aneurysm of abdominal aorta indicates severity and prevalence of atherosclerotic process which means high probability of combined occlusive affections in other arterial circulations. Authors treated the patient with aneurysm of iliac artery with widespread atherosclerosis of aorta taking into account the abovementioned facts. Right stage surgical tactics assured success.
Voenno-medicinskij žurnal. 2012;333(6):34-37
pages 34-37 views

Pecularities of correction of alcohol affections of liver in patients with acute ethanol poisoning in the setting of consequence of toxic effect of ethanol

Shilov V.V., Batotsyrenov B.V., Vasilyev S.A., Shikalova I.A., Kuznetsov O.A.


The aim of this work was to test the usage of infusion of hepatoprotector “remaxol” in intensive therapy of acute ethanol poisoning accompanied with severe alcohol affections of the lever. In the result of the examination and treatment of 130 patients it was established that severe alcohol poisonings registered on alcohol abused patients with toxic hepatopathy, are always accompanied with serious metabolic violations. In the process of a comparative valuation of the using of heptral (ademethionin) and remaxol in the intensive therapy of alcohol poisonings it has been revealed that the using of remaxol led to improvement of the clinic of that poisonings, what had been registered as a decrease of frequency and duration of an alcohol delirium from 33,9% to 10,8%, a decrease of frequency of secondary lung complication from 18,5 to 3,1%, a decrease of a duration of treatment in intensive care unit from 7,3±0,6 to 5,6±0,3 and a hospital treatment duration from 11,8±0,5 to 9,0±0,3 days. Biochemical investigation has shown that using as heptral, as remaxol led to improvement of lever damages due to alcohol. However remaxol compared with heptral was better in the treatment of metabolic violations.
Voenno-medicinskij žurnal. 2012;333(6):38-41
pages 38-41 views

The algorithm of the comprehensive assessment of the brain during cardiac surgery with cardiopulmonary bypass

Tsygan N.V.


The article presents the algorithm of the comprehensive assessment of the brain during cardiac surgery with cardiopulmonary bypass, based on contemporary concept of intraoperative brain damage pathogenesis. The algorithm includes clinical, laboratory and instrumental diagnostic procedures in the perioperative period. The article shows the prospects of the use of the algorithm for optimizing neuroprotection and outcomes in cardiac surgery and acute stroke.
Voenno-medicinskij žurnal. 2012;333(6):42-46
pages 42-46 views

Cardiopulmonary syndrome in hantavirus infection (An overview)

Mukhetdinova G.A., Fazlyeva R.M., Fazlyev M.M.


The article provides an overview of domestic and foreign literature on modern aspects of hantavirus infection. Hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome have a high epidemiological significance for Russia’s Armed Forces and the armies of many foreign countries. Current knowledge of the various manifestations of the disease contribute to the improvement of diagnosis and timely delivery of medical and preventive measures.
Voenno-medicinskij žurnal. 2012;333(6):47-51
pages 47-51 views

Impulse noise at shooting from small arms and close combat weapon as the factor of military work

Akhmetzyanov I.M., Zinkin V.N., Logatkin S.M., Petreyev I.V., Kuznetsov S.M., Dragan S.P.


The high-intensity impulse noise which is basic source in Armed forces are the firearms, has an adverse effect on professional soldiers, leading to decrease of professional working capacity and health deterioration. Due to influence of this factor the considerable part of military men has a hearing impairment and other diseases, including an arterial hypertension. The basic directions of protection of men from impulse noise are: perfection of hygienic rationing, optimization of the using of antinoise earphones, development of new generation of means of individual defense from noise.
Voenno-medicinskij žurnal. 2012;333(6):52-57
pages 52-57 views

Psychophysiological peculiarities of occupational suitability forecasting among signalmen

Shvets A.V., Levit I.R.


Among military signalmen on the initial stage of radiotelegraphist’s professional activity the group of the persons (34,3%) which are essentially characterized by worse psychophysiological parameters of central nervous system functioning by visual and acoustical analyzers has been selected. The most informative indicator (functional mobility of nervous processes on the acoustical analyzer) for differentiation of these subgroups has been offered. There is established, that the subgroup of the servicemen with the worse parameters of functional organization of organism on the informative and energy levels can be related to «risk»» group. The decisive rules have been developed which allow classifying investigated servicemen on «risk»» group and group that is suitable for radiotelegraphist’s activity.
Voenno-medicinskij žurnal. 2012;333(6):58-65
pages 58-65 views

Brief reports

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Voenno-medicinskij žurnal. 2012;333(6):66-76
pages 66-76 views

From the foreign medical publications

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Voenno-medicinskij žurnal. 2012;333(6):76-76
pages 76-76 views

From the history of militarymedical education in XVIII century

Shvets V.A., Tsvetkov S.A., Ovchinnikov D.V., Deev R.V.


The article deals with the development of national medical education. The above materials are based mainly on archival material, published documents and publications of military history topics. The authors have shown that even with the publication of the decree on the construction (01.24.1715), and the tab (Spring 1715), Overland, and hospitals Admiralty in St. Petersburg, Peter the Great planned to their clinical status. However, construction was delayed until 1732, when it became a possibility of teaching, and almost immediately was royally endorsed a report on the state Medical Collegium, which determined the number of teaching staff and students. In the 1730’s attempts to prepare highly qualified teachers of special schools for the hospital, and in 1742 already appears first full-time professor. Completed the period of formation can be considered in 1754, when P.Z.Kondoidi signed a decree on a new preparation for doctors with a 7-year period of training.
Voenno-medicinskij žurnal. 2012;333(6):77-81
pages 77-81 views

District military clinical hospital in Khabarovsk - 145th anniversary

Zubkov O.V.


History of 301 st District military clinical hospital is inseparably connected with the Khabarovsk Territory and Far Eastern Military District. Not only way in 145 years, but also the history of victories and achievements of military medicine streched from the lazarette of Khabarovsk sentry team to today hospital. Nowadays hospital consists of 6 branches and 25 independent structural units located in 21 cities on the territory of 6 subjects of Russian Federation. Total amount of patient capacity is more than 3 thousand beds. More than 6, 5 thousand employees work and do military service. Hospital in Khabarovsk is not only multi-field specialized prevention and treatment facility but also clinical, methodical, educational and scientific basis of the medical service of the district and Far Eastern State Medical University.
Voenno-medicinskij žurnal. 2012;333(6):82-86
pages 82-86 views

Perm military hospital - 80th anniversary

Nosarev V.G., Konovalov P.P., Khisamov A.R.


Perm military hospital celebrated the 80 th anniversary — nowadays branch № 2 of the 354 th District military clinical hospital of Ministry of Defence of Russian Federation. Nowadays Perm military hospital — modern prevention and treatment facility of the Central military district equipped with modern medical devices: ultrasonic units, digital photofluorography, cardiograph, modern devices of functional diagnostics. There are surgical, trauma, medical, neurology, infection disease, dermatovenerologic, polyclinic, hospital, laboratorial, radiology, physiotherapy units, intensive care unit and departments of functional diagnostics, ultrasound investigation and dentistry.
Voenno-medicinskij žurnal. 2012;333(6):87-89
pages 87-89 views

Official communications

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Voenno-medicinskij žurnal. 2012;333(6):90-90
pages 90-90 views


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Voenno-medicinskij žurnal. 2012;333(6):91-96
pages 91-96 views

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