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Vol 332, No 3 (2011)


The concept of development of the orthopedic and traumatological aid in the Armed Forces of Russian Federation

Belevitin A.B., Shapovalov V.M., Khominets V.V., Lyakhovets G.A.


The main directions of further improving the quality of trauma care in the Armed Forces of the Russian Federation are: 1) improving the organization of orthopedic and trauma care in military medical establishments of the Ministry of Deferne of the Russian Federation taking into account their level of medical-diagnostic capabilities, the licensing of military-medical institutions and certification; 2) regular supply of differentiated trauma unit medical supplies and equipment; 3) ensuring a high level of training and upgrading of specialists in the first place, senior management.
Voenno-medicinskij žurnal. 2011;332(3):4-9
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Principles and methods of resource assessment of mental health military contingent in terms of demographic crisis

Vorona A.A., Syrkin L.D.


The article is devoted to developing the principles and methods of resource assessment of mental health military contingent in terms of demographic decline and reform of the Armed Forces of the Russian Federation. From the standpoint of the concept of the mutual influence of the value-semantic components and the level of psychological adaptation resources demonstrates the possibility of evaluating resource capabilities of the psyche of military contingent.
Voenno-medicinskij žurnal. 2011;332(3):10-14
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Structural mechanisms and mathematical modeling of the bone’s damage under the hypervelocity impact

Ishchenko A.N., Belov N.N., Gaydash A.A., Yugov N.T., Bashyrov R.S., Afanasyeva S.A., Sinitsa L.N.


Method of computer modeling of behavior of cylindrical and lamellar bones under the hypervelocity impact is suggested. This method allows in the frame of mechanics of continuous medium to calculate the stress strain behavior and damage in bone tissues under the shock wave impact. The processes of shock correlation of steel fragments of different shape with diaphysis of cylindrical bones and flat bone of calvaria under the impact 500 m/s are studied. The given method can be used for the evaluation of damage area of bone tissue of shock wave osteoporosis under the gunshot wound.
Voenno-medicinskij žurnal. 2011;332(3):15-23
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Improvement of outpatient dental care in the military district

Prokhvatilov G.I., Chernysh V.F., Grebnev G.A., Kanunnikov V.A.


The paper presents proposals for improving outpatient dental care in the military area. To improve all types of outpatient dental care it is encouraged to use mobile multi-purpose field dental system based on chassis KamAZ, versatile portable dental kit. The construction kit has a modular design that supports rapid deployment of the dental office. For its operation is designed dental kit, which includes modern dental materials, instruments and medicines. Equipping the army medical service data development will help to improve outpatient dental care in the Army.
Voenno-medicinskij žurnal. 2011;332(3):24-28
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Regulation of blood circulation in the surgical correction of portal hypertension

Shanin Y.N., Kotiv B.N., Tsygan V.N., Iontsev V.I.


56 patients with portal hypertension were examined who underwent decompressive shunt surgery. Cardiorhytmography and integral rheography body were performed in different stages. In the late postoperative period, there were positive changes in the autonomic regulation of functions: reduced tension index and sympathetic influence on heart rhythm, increases the value of other indicators of heart rate variability. Due to an increase in heart rate and peripheral vascular resistance normalizes blood pressure while reducing the values of cardiac output. There is a further normalization of the reactivity of blood circulation: arterial pressure and vascular resistance during the functional test remained at a constant level of magnitude of shock and cardiac index significantly increased and then decreased to the level of the original values, which corresponds to the reaction apparently healthy. Disorders of regulation, state and reactivity of blood flow in portal hypertension, manifested: 1. Reduction of heart rate variability with a significant increase in sympathetic activity of autonomic nervous system. 2. Reduction of cardiac output and vascular resistance, heart rate, changes in physiological determination of hemodynamic parameters: Blood pressure is determined only by the vessel resistance. 3. Reduction of blood pressure in response to breath holding test.
Voenno-medicinskij žurnal. 2011;332(3):29-34
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Mental disorders in young serviceman with cardiological emergencies

Nikitin A.E., Shamrey V.K., Kurasov E.S.


Investigated 82 young servicemen with cardiological emergencies (acute cardiac syndrome, hypertension events, rhythm pace disturbance). Divided three periods of mental disorders: acute, subacute and long-term effects. Found that in 95,1% of patients after emergencies developed state of mental maladaptation of varying degree. In further 47,1% of cases of mental disorders place in the form of psychogenic and somatogenically caused disorders of prenosological level. Among clinically executed forms predominated depressive disorder spectrum (nozogennye reaction and state). In the remote period prevailed somatoform dysfunction and manifestations ofpersonality pathology. Shows the clinical and psychopathological features of these disorders and their effects on military service.
Voenno-medicinskij žurnal. 2011;332(3):35-41
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Current views on surgical treatment of patients with prostatic adenoma

Sergienko N.F., Vasilchenko M.I., Kudryashov O.I., Begaev A.I., Shchekochikhin A.V., Shershnev S.P., Reynyuk O.L., Lototsky M.M.


The article focused on the urgent problem of surgical treatment of patients with BPH. Drug therapy is ineffective in some cases and is mainly used for the initial stages of the disease. Therefore, in urological practice using methods of surgical treatment. The authors are on personal material (more than 2000 patients) comparing the results of surgical treatment of patients with prostatic adenoma after adenomectomy made in ekstraurethral, endourethral, transurethral and retropubic ways.
Voenno-medicinskij žurnal. 2011;332(3):42-47
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Non-invasive assessment of coronary blood flow in the Ministry of Defence pensioners with coronary heart disease and age androgen deficiency

Frolov D.S., Yanovich M.S., Khalimov Y.S., Shustov S.B.


It was examined 51 pensioners of Ministry of Defence with coronary heart disease (average age 55 [52, 59] years). In 20patients it was verified age-related androgen deficiency, in 31 patients the level of testosterone was within normal limits. The evaluation of coronary circulation was made on single-photon emission tomography with determination of myocardial perfusion in a rest and after pharmacological loading, bicycle exercise test, holter-monitoring of ECG. It was found in 39% cases in patients with coronary heart disease the androgen deficiency in pensioners of Ministry of Defence, that is exceeded the level of common population. Ishaemic changes were found on exercise test in patients with androgen deficiency more often in comparison with patients with normal testosterone level. During myocardial perfusion scintigraphy with adenosine triphosphate there were no differences among group in area of induced coronary heart insufficiency. It was found the negative correlation between the level of testosterone and the duration of ischaemic ST-depression, and positive correlation between testosterone level and tolerance to physical activity.
Voenno-medicinskij žurnal. 2011;332(3):47-51
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Epidemiological characteristics of acute tonsillitis in conscripts Interior Ministry troops of Russia

Rybin V.V., Sabanin Y.V., Kuzin S.N., Kas’kov O.V., Rikhter V.V., Zavolozhin V.A.


Studied the incidence of angina conscripts in the Russian Interior Ministry troops in the period from 2000 to 2009, given its epidemiological characteristics, calculated rates of changes for the troops in general and regional commands. The incidence of angina tended to moderate growth with an average rate of 4,5% per year. The greatest increase in the frequency of sore throats was registered in 2009 during the reform period of Interior troops, when their share in the overall incidence of conscripts reached 5,9%. The structure of the monthly incidence of maximum values were recorded twice a year - in January and July (the first few months of winter and summer periods of study).
Voenno-medicinskij žurnal. 2011;332(3):52-55
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Functional status of female organism in the process of routine military-professional activity

Belevitin A.B., Shelepov A.M., Bochenkov A.A., Romanov P.A., Peshkov V.V.


The functional status of 143 female soldiers the Army of the Armed Forces of the Russian Federation are studied in order to predict the success of the military profession (CPA) through the use of a set of psychological and socio-psychological methods. he calculations predicted the success of the CPA were performed using a multiple regression equation, compiled on the basis of correlation and regression analysis. It was established that female soldiers are classified as those with low adaptive capacity, it is difficult to adapt to new conditions. Their function remains within the lower rates, but maintain the required professional military efficiency. The recommendations on the organization of professional selection and psychophysiological support the CPA on the socio-psychological, psychological and physiological levels are given.
Voenno-medicinskij žurnal. 2011;332(3):56-68
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Pokazateli vyyavlyaemosti zabolevaniy u prikreplennykh kontingentov v period uglublennogo meditsinskogo obsledovaniya v vedomstvennykh ambulatorno-poliklinicheskikh uchrezhdeniyakh

Voenno-medicinskij žurnal. 2011;332(3):69-69
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Otsenka rezul'tatov rekonstruktsii golenostopnogo sustava megaprotezom pri porazhenii opukhol'yu distal'nogo otdela bol'shebertsovoy kosti

Voenno-medicinskij žurnal. 2011;332(3):70-71
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Dinamika endogennoy intoksikatsii u postradavshikh s posttravmaticheskim peritonitom

Voenno-medicinskij žurnal. 2011;332(3):72-72
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Vozmozhnosti prognozirovaniya razvitiya fibrillyatsii predserdiy posle uspeshnoy khirurgicheskoy korrektsii mitral'nogo poroka serdtsa

Voenno-medicinskij žurnal. 2011;332(3):73-74
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Diagnostika i lechenie spondilogennykh vistseropatiy

Voenno-medicinskij žurnal. 2011;332(3):75-77
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Rezul'taty ispol'zovaniya metodiki primeneniya individual'nykh sredstv gigieny dlya polosti rta u bol'nykh posle aortokoronarnogo shuntirovaniya

Voenno-medicinskij žurnal. 2011;332(3):77-78
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Opredelenie i rol' NT-proBNP pri khronicheskoy obstruktivnoy bolezni legkikh i pri ee sochetanii s ishemicheskoy bolezn'yu serdtsa

Voenno-medicinskij žurnal. 2011;332(3):78-81
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Algoritm ranney diagnostiki porazheniya pochek u bol'nykh khronicheskoy obstruktivnoy bolezn'yu legkikh

Voenno-medicinskij žurnal. 2011;332(3):81-82
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Luchevye metody issledovaniya v raspoznavanii izmeneniy v grudnoy kletke pri zabolevaniyakh sistemy krovi

Voenno-medicinskij žurnal. 2011;332(3):83-83
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From the history of military medicine

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Voenno-medicinskij žurnal. 2011;332(3):84-86
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Providing medical care in hospitals of Leningrad during the Soviet-Finnish war of 1939-1940

Budko A.A., Zhuravlyov D.A.


Leningrad Health Care was assigned a central role in medical care of wounded and sick during the Soviet-Finnish war during 1939-1940 . The outbreak of war in Leningrad and its suburbs, as well as a number of settlements adjacent to the front-line rear areas, was deployed hospital bed net hospital base of the front. Medical institutions of Leningrad, serve the needs of the army and navy, were not uniform in its structure. They had different departmental subordination, as well as the nature and scope of tasks. During the period from December 1, 1939 to September 1, 1940 in Leningrad, has received 167 915 persons. In the City there was a range of institutions, where the wounded and sick have finished a course of treatment, as well as rehabilitated.
Voenno-medicinskij žurnal. 2011;332(3):87-90
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Voenno-medicinskij žurnal. 2011;332(3):91-91
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