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Vol 332, No 8 (2011)


About the administration of treatment and diagnostic process in the Main Military Clinical Hospital n. a. N.N.Burdenko

Maksimov I.B., Stolyar V.P., Nefedov A.V.


Since December 1, 2009 was reorganized the structure and significantly extended the composition of hospitals and outpatient clinics (subsidiaries) subordinated to the Main Military Clinical Hospital n.a N.N. Burdenko, hospital bed capacity increased to 3770 beds available against 1320. In fact GVKG in new structure has become a major hospital health-care union. The need for sustainability of the union demanded revision of the available and create a modern management system. The aim of performed study was to examine lessons learned, building a new system and strengthening the chain of command. Achieving this goal required the development and introduction of modern, more precise and well-functioning system of interaction between units, and the collection of primary medical and health-economic information for assessing the performance of departments, centers, divisions and associations in general, making more informed decisions the organization of therapeutic and prophylactic and therapeutic and diagnostic work.
Voenno-medicinskij žurnal. 2011;332(8):4-11
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About the creation of a unified system of first aid in the Russian Federation

Voynovsky E.A., Lysenko K.I., Dezhurny L.I.


The current status of first aid in the Russian Federation is covered. The necessity and the basic principles of first aid in the country are formulated, the need for the creation of which is due to the involvement of first aid to victims wide range of people, including and without health education. The necessity of developing and adopting the number of regulations to administrate various aspects of first aid, changes in existing regulations, as well as the establishment and functioning of the interagency coordinating council on first aid. The principles of operation of the system of training of participants in first aid, equipping them with the means to administer first aid are suggested.
Voenno-medicinskij žurnal. 2011;332(8):11-17
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The experience of 183 medical special forces of the Volga-Urals Military District in the elimination of the health effects of the emergency in the Republic of Indonesia

Kornyushko I.G., Yakovlev S.V., Vladimirov A.V.


The article is based on personal experience of the authors with assistance in the aftermath of the tsunami in the Republic of Indonesia, which killed about 120 thousand (December 26, 2004 at 255 km to the west coast of Sumatra). In the disaster area were sent to 183 medical detachments for special purposes of the Volga-Urals Military District, reinforced brigade of specialized medical care of military medical institutions under the central government and the Moscow Military District. As the authors noted, in the aftermath of a disaster like the tsunami, at first put forward preventive measures among displaced persons. The experience gained by the Medical Service of the Armed Forces of the Russian Federation in the aftermath of natural disaster in the Republic of Indonesia, is used to plan future humanitarian operations abroad with the assistance of military medical specialists from Russia.
Voenno-medicinskij žurnal. 2011;332(8):18-22
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The system of rendering ent-aid in the troops in the new look of medical service the russian Armed Forces

Govorun M.I., Kokorina O.V.


In the system of staged treatments the medical company is the first medical division where the qualified medical aid is delivered. The last one consists of elimination of conditions menacing for life, preventive maintenance of their complications at traumas and wounds ENT-organs, preparation of the wounded man sick to evacuation, treatment of sharp pathology of ENT-organs. There is an expert-otolaryngologist in medical company of a brigade. He renders the out-patient-polyclinic and urgent help at ENT-diseases and traumas. The organization and carrying out of prophylactic medical examination for preservation of health of military men are very important. It allows to reveal in due time ENT-disease is important and to arrange necessary medical aid.
Voenno-medicinskij žurnal. 2011;332(8):23-27
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Clinical-diagnostic aspects of post-traumatic combat stress disorders

Shamrey V.K., Lytkin V.M., Kolov S.A., Driga B.V.


Article is devoted to the clinical description of fighting posttraumatic stress disorder, and also questions of their early diagnostics in the conditions of military unit. The characteristics of the basic clinical variants ofposttraumatic stress disorder and postfighting personal changes at combatants are resulted. Concept substantive provisions ««combatant accentuation» is stated the person. It is underlined necessity of the earliest rendering of the mediko-psychological (psychotherapeutic) help to the military men who have transferred fighting stress.
Voenno-medicinskij žurnal. 2011;332(8):28-35
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Treatment of patients with purulent diseases of the hand, the typical mistakes and complications

Matveyev S.A., Kraynyukov P.E.


In a review of the literature addresses the causes, characteristics of the purulent process of the hand, the questions of treatment of purulent diseases of the hand, methods of anesthesia and rehabilitation of the patients with this pathology. The typical mistakes in the delivery of health care of this category of patients.
Voenno-medicinskij žurnal. 2011;332(8):36-42
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About the problem of intraneural introduction of anesthetic at regional blocks

Belyakin S.A., Sinitsyn M.S., Tsaryov M.I., Azbarov A.A., Apevalov S.I.


Research objective - to raise safety of conduction anesthesia of a humeral plexus by depression of cases of intraneural introduction of anesthetic on the basis of application of ultrasonic scanning during performance of blockade. Materials and methods. 137 blockade of a humeral plexus by axillary access are executed. Depending on a method of identification of nerves patients have been distributed on two groups: 1) identification of nerves by means of ultrasonic scanning (n=68); 2) a combination нейростимуляции and ultrasonic scanning for identification of nerves (n=69). Results. At a finding of a section of a needle in immediate proximity from a nerve (according to ultrasonic scanning) peripheral motor reaction was absent in 63,8% of cases. Intraneural introduction of a solution of local anesthetic was observed more often (p<0,05) at identification нейростимулятором (69,6%), than at ultrasonic identification of nerves (17,6%). The conclusion. Diffusion of local anesthetic observed by means of ultrasonic scanning confirms an exact site of an end of a needle that allows to avoid its intraneural introduction.
Voenno-medicinskij žurnal. 2011;332(8):43-47
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Clinical-laboratory diagnostics of the somatic pathology at the military men occupied on works with toxic chemicals

Goverdovsky U.B., Yazenok A.V., Fomichyov A.V., Sinyachkin D.A., Los S.P.


The article presents the results of a comprehensive staff survey of the objects of storage and destruction of toxic chemicals. It was established that the structure of morbidity predominated respiratory diseases, cardiovascular system, nervous system and gastrointestinal tract. There are features of development and a current of some somatic diseases.
Voenno-medicinskij žurnal. 2011;332(8):48-53
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Experience with video-computer method of assessing the mental state with the help of «Vidicor» in a psychological survey of entrants in Suvorov Military School

Tsymbal A.N., Platonova I.A., Tsymbal A.A.


The authors analyzed the use of two different survey methods (PPO and «Vidicor») of entrants of the St. Petersburg Suvorov Military School. It is shown that the methods of the final results do not contradict each other. The discrepancy between the results is 4,4%, but the method of «Vidicor» has several advantages: lower labor costs and psycho trauma of surveyed, most dynamic and effective, the possibility of creating an electronic database. This allows us to recommend it for use.
Voenno-medicinskij žurnal. 2011;332(8):54-55
pages 54-55 views

Psychophysiological aspects of naval aviation pilots of the Navy in the operation of highly carrier-based aircraft

Melnik S.G., Chulaevsky A.O.


The authors have shown that the most difficult elements of the flight deck of the ship are springboard takeoff and aerofinishing landing. An important task is to study the aerodynamic characteristics of the behavior of the aircraft during takeoff different characteristics, forming crews ready to act in particular situations. Adverse factors are the operating conditions of habitability of aircraft (noise, vibration, fumes in the air at work, and aircraft engines, etc.) that have a significant impact on the life of air crew and engineering staff. It is concluded that the development and use of effective means of protecting the organism from the effect of these factors is a priority for specialists in aviation medicine.
Voenno-medicinskij žurnal. 2011;332(8):56-60
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Implementation of modem medical, technical and tactical requirements in the construction of first-aid kits and medical bags

Miroshnichenko Y.V., Milyaev A.V., Kurinnoy E.D.


For the new medical kits and bags original covers were developed, which are adapted to the modern combat gear set of individual soldiers, provide convenience and ease of use in providing a self-interacting, and medical care, can begin to provide assistance «to go».
Voenno-medicinskij žurnal. 2011;332(8):61-65
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K voprosu o neobosnovannom prizyve grazhdan na voennuyu sluzhbu

Voenno-medicinskij žurnal. 2011;332(8):66-67
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Soderzhanie i posledovatel'nost' vnedreniya informatsionnykh tekhnologiy v sistemu upravleniya obespecheniem meditsinskim imushchestvom gospitalya

Voenno-medicinskij žurnal. 2011;332(8):72-72
pages 72-72 views

Regulyatornyy peptid v terapii piogennykh porazheniy kozhi i ikh oslozhneniy

Voenno-medicinskij žurnal. 2011;332(8):73-73
pages 73-73 views
pages 73-74 views

Dinamicheskaya elastografiya v klinicheskoy otsenke antifibroznoy terapii pri toksicheskom porazhenii pecheni i gepatobiliarnoy sistemy

Voenno-medicinskij žurnal. 2011;332(8):74-75
pages 74-75 views

Intraokulyarnaya korrektsiya presbiopii i rogovichnogo astigmatizma v techenie odnoy protsedury

Voenno-medicinskij žurnal. 2011;332(8):75-77
pages 75-77 views

Izuchenie polimorfizma genov pri razlichnykh klinicheskikh formakh akne

Voenno-medicinskij žurnal. 2011;332(8):78-78
pages 78-78 views

From the foreign medical publications

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Voenno-medicinskij žurnal. 2011;332(8):79-81
pages 79-81 views

Scientific, pedagogical, and surgical work of Professor V.F.Voyno-Yasenetsky during the Great Patriotic War

Kosachev I.D., Gladkikh P.F., Yakovlev A.E.


The article is devoted to activities in the period 1941-1945. Krasnoyarsk and Tambov, a professor of surgery Valentine Feliksovich Voyno-Yasenetsky (Archbishop Luka) - doctor of medical sciences, laureate of the State (Stalin) Prize of the USSR, who made a significant contribution to the success of modern surgical science. A brilliant scholar and successor of the ideas of the outstanding scientist and surgeon Nikolai Pirogov, as in the Great Patriotic War surgeon and consultant evacuation hospitals, along with leading surgeons in the Soviet Union had a significant impact on the results of treatment of wounded soldiers and officers, thereby affecting the development of military field surgery. In our country it is rightfully considered the founder of contaminated surgery.
Voenno-medicinskij žurnal. 2011;332(8):82-89
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Pavlu Frantsevichu Zabrodskomu - 60 let!

Voenno-medicinskij žurnal. 2011;332(8):92-92
pages 92-92 views

Toxicology and Radiobiology: current problems and prospects

Grebenyuk A.N., Reynyuk V.L., Golubeva A.A.
Voenno-medicinskij žurnal. 2011;332(8):93-96
pages 93-96 views

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