Том 330, № 8 (2009)

The nowdays all possible damages and diseases by the staff during a war, are systematized in a special classification of combat damages and diseases, which is based on effect of main damage factors of weapon. Analyzing existent classification and determination «sanitarium casualty», it should be pointed out that they were formed more then 50 years ago, and they have gone out of date. Theirs significs is projected not adequately in practice of medical supply. Therefore determinations of sanitarium casualty, used in practice and in documentation, are not full and not always clearly explain about which casualty is talking. Moreover, several authors (frequently it is functionary of hospital) faultily or by reason of not-understanding write and talk about sanitarium casualty, meaning wounded and ill persons, admitted to hospital and being treated there.

The article is devoted to solving questions of complex medical rehabilitation of military service men, became invalids owing to military trauma, participants of the armed local conflicts and controterror operations. Was formed a unitary organizational system of rehabilitation treatment and social adaptation of injured persons by optimization of prosthetic-orthopedic aid, as out-of-alternative method of rehabilitation of patients with amputating defects of limbs, caused by mine wounds. Were determined methods of explorations of patients, medical conditions to surgical and conservative preparation of stumps, criterions of preparedness of stumps and terms of beginnings of prosthesis, was introduced an algorithm of rehabilitation measures. All that has permitted to accelerate the process of rehabilitation, to raise quality of prosthetic-orthopedic aid, attain good functional results and, finally, to create conditions of promotion of health, rising of health quality of invalids and appropriation of psychological assurance and of independence.

Ozone therapeutics is one of not medicated methods of treatment of coronary heart disease (CHD). For external application of ozone therapeutics was elaborated an air-ozone bath. Endurance of procedure is 20 minutes, ozone concentration is 8-10 mg/l in ozonized water and temperature of air-ozone mix is 36 °C. Course of treatment consisted of 10 daily procedures. Searches are founded on the base of analyze of results of remedial treatment of 160 patients with CHD. Patient - men, aged from 41 to 65 years (average age is 55,6±5,6). 130 patients of them, underwent an operation of coronary shunting (CS), admitted to unit on 7-18th day after operation (in average - on 14,4±3,6th) and 30 patients without operational treatment. Program of patient observe consisted of general-clinical, laboratorial, functional and psychological methods of searches. It was established that using of air-ozone bath in complex program of rehabilitation of patients with CHD, after operation of CS, promotes to improvement of oxygen transporting, flow characteristics of blood, microcirculation, lowering of hypoxemia and hypoxia of tissue.

Now alcohol is the basic pathogenic factor in development of a lethal cirrhosis of a liver. The most known sayings justifying the use of alcohol, are insolvent. Useful doses of alcohol does not exist. The quantity of used alcohol has the great value. Only at achievement of age 21 year it is possible to use safe doses of alcohol. A safe dose of pure alcohol (ethanol) less than 30,0 in day. In a basis of prophylaxis of a cirrhosis of a liver there is a medical educational activity.

The article suggests the observed phylactic and non-phylactic mechanisms of defense from mycotic infection, primary and secondary immunodeficiency (ID) and causes of appearance. There were analyzed different forms of course of candidiasis, were given theirs specific manifestations by the patients with different ID. There were described allergic reactions in condition of candidiasis. There were found out peculiarities of course of mycosis by persons with ID: a system character of disease with combined damage of derma and hypoderm, of mucosa and visceras; predominance of opportunist mycosis; a mixed mycotic infection of frequent occurrence; deep-rooted, progressive, sever course of disease; existence of non-typical forms.

During the First World War wounds of vessels took 0,3-1,5% of all wounds, and lethality - 10-22%. Experience of vascular treatment, get by military-field surgeons during this war, was great. They have demonstrated advantage of vascular seam of bandage of vessels in conditions of their damages. Russian surgeons-participants of the First World War have formed the base, on which russian vascular surgery was advancing not only during wars, but also during peace-time.

The article is devoted to the 75th anniversary of post hospital in Komsomolsk-on-Amur - chief treatmentprophylaxis institute of Far Eastern Region. Zone of it’s responsibility covers 600 km with numerous taiga cities and posts. Hospital is a methodic center, where physicians, pharmaceutists and medical staff of military units improve their qualification. Now-days hospital has three multistage bulks, a separated brick building of hospital cuisine and etc. Hospital has achieved governmental license for 105 types of medical activity up to 2012.