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Vol 340, No 11 (2019)


Qualimetric evaluation of the effectiveness of the implementation of the results of project activities in the practice of military health

Trishkin D.V., Gurov A.N.


In addition to the economic evaluation of the effectiveness of introducing the results of project activities into the practice of medical support for troops, a qualimetric analysis can be carried out to qualitatively evaluate the results of the implementation, and on this basis, the effectiveness of the work of scientific military medical organizations (research units, creative teams, individual researchers) can be evaluated. Practical application of the proposed methodology for calculating the economic efficiency of implementing the results of project activities will create a system of medical support and organization of the medical service, which would maximize in the future the number of person-years of citizens weighted by the quality of their life in order to maintain and maintain the combat effectiveness of the Armed Forces and ability to socially useful work of dismissed servicemen, reproduction of labor resources and ensuring their personal well-being thawing.
Voenno-medicinskij žurnal. 2019;340(11):4-16
pages 4-16 views

About the professional standard of a specialist in military medical examination

Khrapylina L.P., Koryakin S.V., Kabalin A.P., Datsko A.V.


The article discusses a military medical examination as a type of medical examination that has significant specificity, which is demonstrated from a professional point of view. The methods of its implementation and competencies necessary for the doctor to carry out this type of medical examination are highlighted. A comparative analysis of the qualification characteristics of medical specialists of military medical commissions was carried out to determine their compliance with the goals and objectives of the military medical examination. The results of the analysis made it possible to justify the feasibility of introducing the professional standard of a specialist in military medical expertise.
Voenno-medicinskij žurnal. 2019;340(11):17-25
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The role and place of respiratory support in the treatment regimens for acute pulmonary edema caused by inhalation of toxic substances

Basharin V.A., Chepur S.V., Shchegolev A.V., Kharitonov M.A., Tolkach P.G., Yudin M.A., Tyunin M.A., Arsentev L.V.


The analysis of scientific literature data on the problem of acute poisoning by pulmonotoxic substances is presented. In case of poisoning with these substances, acute pulmonary edema is formed with the development of respiratory failure. Medical care for such poisonings is associated with respiratory support and pharmacological therapy. The optimal parameters of respiratory support for the correction of acute pulmonary edema caused by inhalation of toxic substances are described. Preference should be given to a preventive personalized strategy, including the implementation of various options for assisted and controlled ventilation of the lungs in various modes.
Voenno-medicinskij žurnal. 2019;340(11):26-32
pages 26-32 views

Computed tomography as a mean of the diagnosis of combat combined injury of the neck

Dmitrashchenko A.A., Akhiev M.I., Klyanshin A.A., Berestyuk M.P., Filatov A.I.


A comprehensive radiological survey of 78 victims with a combined injury of the neck and adjacent anatomical areas was performed. Analysis of the results made it possible to objectively assess the possibilities of radiation methods, among which computed tomography has the greatest efficiency. The distribution of radiation signs of combined cervical trauma into syndromes made it possible to single out the leading damage in all cases based on objective data.
Voenno-medicinskij žurnal. 2019;340(11):33-36
pages 33-36 views

On the prevention of alcoholic liver disease

Belyakin S.A., Frolkin M.N.


The data on the prevalence of alcoholic liver disease among the population and the military, its dependence on the level of alcohol consumption. Deficiencies in preventive work to reduce the extent of alcohol abuse are shown. Measures to prevent alcoholic liver disease are divided into primary and secondary. When implementing primary measures, the task of each military doctor is to clarify the dangers of drinking alcohol and to convince healthy military personnel of this. Secondary prevention is aimed at preventing the further development of the disease, its complications. One of the main treatment methods and a decisive factor in secondary prevention is to stop drinking alcohol. The experience of conducting preventive conversations with patients to achieve sustainable withdrawal is given. For the subsidence of the activity of the pathological process in the liver of a patient with fatty hepatosis and steatohepatitis, a ban on alcohol for 1-2 years is sufficient. In a patient with alcoholic cirrhosis, a withdrawal regimen is necessary for at least 3 years. The estimation of hepatoprotectors used in Russia is given.
Voenno-medicinskij žurnal. 2019;340(11):37-41
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Prevalence of lower urinary tract symptoms, androgen deficiency and erectile dysfunction in young military personnel

Protoshchak V.V., Paronnikov M.V., Iglovikov N.Y., Kushnirenko N.P., Orlov D.N., Karpushchenko E.G.


The analysis of the results of a questionnaire study of the prevalence of lower urinary tract symptoms, androgen deficiency and erectile dysfunction among 100 young men of the young age of the Western Military District was carried out. Symptoms of the lower urinary tract were detected in 55% of military personnel, mainly in the form of mild dysuric events. A direct dependence of their frequency on the age structure of the respondents has been established. The decline in the quality of life on the background of the symptoms of the lower urinary tract was determined in 41% of cases. Among the major sexological disorders, erectile dysfunction is found in 9% of military personnel, mostly in the form of the mildest form. Clinical manifestations of androgen deficiency in the form of psychological, somatic and sexological symptom complexes were detected in 16% of military personnel.
Voenno-medicinskij žurnal. 2019;340(11):42-47
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Voenno-medicinskij žurnal. 2019;340(11):47
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Group TB morbidity among military personnel in modern conditions (clinical and epidemiological features)

Dantsev V.V., Beznosik R.V., Spitsyn M.G., Grishin V.K., Muchaidze R.D., Drobot T.N.


The article is devoted to the problem of group incidence of tuberculosis in closed military collectives; cases of mass illness and infection of military personnel described in foreign scientific publications and in the works of the department of phthisiology of the Military Medical Academy named after S.M.Kirova. The clinical and epidemiological features of the outbreak of tuberculosis in one of the military units in 2017 are analyzed. The characteristics of the consequences that result from failure to comply with measures to prevent the recruitment of military patients with tuberculosis and the long-term location of the source of mycobacterium tuberculosis in a military team are analyzed. The importance of alertness in relation to tuberculosis infection was shown by the doctors of the draft commissions in the military commissariats and the medical service of military units upon arrival of a young replenishment. The reasons for the occurrence of group morbidity are indicated, suggestions are made for the introduction of modern methods for detecting mycobacterium tuberculosis infection, preventive treatment regimens for people with latent tuberculosis infection, and the order of dispensary monitoring of military personnel at risk of infection.
Voenno-medicinskij žurnal. 2019;340(11):48-55
pages 48-55 views

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Voenno-medicinskij žurnal. 2019;340(11):55
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Evaluation of occupational health of aviation university cadets

Remizov Y.I., Kalmanov A.S., Bulavin V.V., Zueva L.V., Golovkina O.L.


The work is devoted to the study of the professional health of cadets - first-year pilots of a military school (n=106). The integral level of occupational health in points was calculated based on a set of assessments of clinical status, functional stability and professionally significant psychological and psychophysiological characteristics. It has been established that the greatest «negative contribution» to the overall picture of occupational health is made by indicators of clinical status and functional stability. A significant group of individuals was identified with the compliance of the integral level of occupational health with the «premorbid state» class (46.23%), which is caused by a decrease in the cardiovascular status (17%) and functional stability (38%).
Voenno-medicinskij žurnal. 2019;340(11):56-59
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Voenno-medicinskij žurnal. 2019;340(11):59
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Dieulafoy’s lesion in combination with a pancreatic tumor

Chuprina A.P., Voinovskii A.E., Kotaev A.Y., Panov V.V., Bobin A.N., Gaidukov A.V., Ovsyannikova M.R., Polunin S.V.


A clinical example shows the possibilities of diagnosis and surgical treatment of a Dieulafoy’s lesion in combination with a pancreatic tumor when it is impossible to perform adequate endoscopic hemostasis or embolization. The manifestation of a Dieulafoy’s lesion is possibly caused by changes in vascular architectonics due to a pancreatic tumor. Clinical observation demonstrates a rare combination of neoplasm and vascular malformation, difficulty in diagnosing endoscopic examination, computed tomography and angiography, as well as options for surgical tactics for this pathology.
Voenno-medicinskij žurnal. 2019;340(11):60-62
pages 60-62 views

Changes in the oral cavity with some somatic diseases in the practice of the dentist

Motorova N.Y., Smirnova E.Y., Dzitstsoeva F.E., Ryabtsun I.V.


The literature data and our own experience are presented, which testify to the relationship of changes in the oral cavity with some somatic diseases. Based on the analysis of the comparison groups, it was concluded that a successful and lasting treatment result at the dentist is possible only when interacting with a doctor involved in the treatment of somatic pathology.
Voenno-medicinskij žurnal. 2019;340(11):62-64
pages 62-64 views

Professor Sergey Petrovich Fedorov - a founder of the largest national surgical school (on the 150th anniversary of his birth)

Romashchenko P.N., Maistrenko N.A., Kurygin A.A., Protoshchak V.V., Dovganyuk V.S., Kharitonov N.N.


In 2019, the 150th anniversary of the birth of Sergei Petrovich Fedorov (1869-1936), one of the leading surgeons in the first third of the 20th century, who is the pride of Russian surgery, was celebrated. During the 45-year medical and scientific-pedagogical activity, he created the surgical and urological scientific schools, known not only in Russia but also in Europe, which played a large role in the development of Russian medicine. As a tribute to the great surgeon of Russia, the Inter-Regional Scientific and Practical Conference «Innovative Technologies in Surgery and Urology» was held at the Military Medical Academy.
Voenno-medicinskij žurnal. 2019;340(11):65-70
pages 65-70 views

Materials for the biography of the academician I.V.Buyalsky (1789-1866): the early years

Smirnov A.V., Kuzybaeva M.P.


The article is dedicated to the initial period of life of the prominent Russian surgeon and anatomist, academician I.V.Buyalsky (1789-1866), whose 230th birthday is celebrated in 2019. Previously unknown information is given regarding its origin, as well as life and teachings in Chernigov, Novgorod-Seversky and Moscow, which make it possible to more fully reconstruct his biography. Work with these materials was made possible thanks to the widespread development and implementation of modern research tools in everyday activities, among which the leading role was played by electronic databases available on the Internet, containing digitized records of archival files, rare print publications and manuscript sources.
Voenno-medicinskij žurnal. 2019;340(11):70-76
pages 70-76 views

«Images of the past and silhouettes of some military field surgeons»: on the 75th anniversary of the publication of the book of S.S.Yudin

Kalikinskaya E.I.


The article describes the facts related to the publication in 1944 of a publication based on the lecture to students of the medical institute by professor S.S.Yudin at the opening of the department of the hospital and surgical clinic. A vivid, emotional and erudite presentation on the history of military field surgery was to serve the patriotic and moral goals of educating future military doctors who went to the front. S.S.Yudin supplemented his excursion into the history of Russian medicine with his own memories of his participation in the First World War, personal impressions of meeting N.A.Veliaminov and communication with N.N.Burdenko, a story about the invention of a plaster cast, which he improved and B.A.Petrov and was widely used during the Great Patriotic War of 1941-1945.
Voenno-medicinskij žurnal. 2019;340(11):76-82
pages 76-82 views

Pediatric Service of the branch N 1 of the A.A. Vishnevsky 3rd Central Military Clinical Hospital: 10 years safeguarding public health

Esipov A.V., Meshkov A.V., Doroshina E.A.


The history of creation, the main milestones and directions of development of the pediatric service. The indicators reflecting the dynamics of the volume of medical care by the assigned contingents, the morbidity structure are analyzed. The introduction of preventive programs for the detection, correction and control of iron deficiency states, vitamin D, complex vitamin prevention and prevention of seasonal viral infections with the use of safe immunomodulatory and antiviral agents led to a positive dynamics of health indicators.
Voenno-medicinskij žurnal. 2019;340(11):82-86
pages 82-86 views


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Voenno-medicinskij žurnal. 2019;340(11):87-88
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Voenno-medicinskij žurnal. 2019;340(11):89-90
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The World Conference «Endovascular Solutions for Surgical Bleeding and Trauma» in Saint-Petersburg

Samokhvalov I.M., Reva V.A., Petrov A.N., Pochtarnik A.A.


A report is presented on the world conference held in early June 2019 in St. Petersburg on the use of x-ray surgical methods in injury surgery and emergency surgery. The conference was organized by the Military Medical Academy named after S.M.Kirov, the St. Petersburg Scientific Research Institute of Emergency Medicine named after I.I.Dzhanelidze, the Scientific Research Institute of Emergency Medicine named after N.V.Sklifosovsky and the St. Petersburg State Pediatric Academy. The conference was attended by more than 350 surgeons, traumatologists, anesthetists, obstetrician-gynecologists, vascular and endovascular surgeons, emergency doctors from more than 15 countries. The scientific program considered during the forum was at the junction of many medical specialties, attracting not only civilian, but also military doctors from around the world.
Voenno-medicinskij žurnal. 2019;340(11):91-96
pages 91-96 views

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