Том 330, № 10 (2009)

Defense and promotion of health of strong and almost strong persons - is one of priorities tasks of health services, including military medicine. Federal law from the 8.11.2008 № 203-FL has made changes in federal law from 1998 № 76FL «About status of military servicemen». These changes allow, in conditions of existing of indications, effectuating psycho-medical rehabilitation less then 30 days free. To execute this federal law the Defense Ministry issued a law № 385 from 8.05.2008 «About psycho-medical rehabilitation of military servicemen of the Defense Ministry of Russian Federation». The law defines Catalogue of categories of military servicemen, who are liable to psycho-medical rehabilitation and Order of it’s effectuating. The article is devoted to comment this Law. There was examined in details the role of sanatorium stage in system of medical rehabilitation, and organization of it’s effectuating in conditions of sanatorium.

The article presents an analyze of influence of combat traumatic stress on personal characteristics of combat-operations participant of the Afghan war. The research has shown that there are differences in personal peculiarities by veterans, having different psychological pathology. The structure of these violations is interdependent with effective crossing of consequences of psycho trauma. Pathological reactions (chronic post-traumatic stress disorder) is aligned with decrease of psychological functions, emotional disorders (uneasiness, emotional instability, tension) and personal peculiarities (noncomformity, difficultness with understanding of life, low indexes of moral and willed qualities of I-conception). For effective negotiation of consequences of post-traumatic stress it’s necessary to solve problems, aligned with understanding of life (finding of purposes and feeling of control under the life) and change attitude to your self in aspect of moral and willed component.

The article after a short literature review presents data of analyze of progression of extra-peritoneal visceral pathology by wounded persons with penetrating wound of stomach. There was described frequency of morbidity of extra-peritoneal organs in dependence on flow of peritonitis. Were marked differences in frequency of progression of peritonitis in conditions of fragment and ballistic wounds. In course of effectuated research was marked dependence between frequency of lethal outcomes and flow of peritonitis and added diseases of respiratory organs, uropoiesis, cardiovascular system. There was effectuated a comparative analysis of frequency of appearance of pathology of marked systems in dependence on localization of ballistic wound. Also there was shortly described a clinical-laboratorial presentation in conditions of appearance of diseases of extra-peritoneal organs.

The article presents the analyzes of medical histories of 16 patients, treated from suppurative diseases of burgeon (13 carbunculosis, 1 nephrepostasis, 2 abscesses of paranephric cellulose) from 1997 to 2009. Effectuated examinations and treatment of patients with suppurative diseases of burgeon speak to insufficient educating work of the medical service of a military unit in the sphere of prophylaxis if suppurative and catarrhal diseases, what leads to delayed call for medical aid. The second place by level of negative influence of appearance of supparative diseases of urinary organs is taken by conditions of service in northern climate and not full adaptation of service men to these conditions. Changing of food ration also leads to decreasing of immunity and organism general-defense status in conditions of extreme conditions of military service. The article presents indications to operative and conservative treatment of carbunculosis of burgeon.

The article presents the analyze of activity of academician of Saint-Petersburg Medical-surgical Academy Buyal’sky I.V. in sphere of collecting of memorials of medical science and practice, creation of a specialized museum of models of surgical instruments near a factory, and his activity as a painter-aquarellist. The author has paid a special attention to analyze of Buyal’sky catalogs of 1854 and 1867. of Surgical museum, consisting of things from so-called «Cabinet of professor Buyal’sky». For the first time was marked role of Buyal’sky I.V. in elaborating of principles of systematization, defining and observing of historical heritage of native medicine and industry.

There was exposed in brief the history of «The 1321 st Center of state sanitation-and-epidemiological control of Privolzhsky-Ural military region». Now-days it’s a profile institute, where high-qualified and low-grade physicians are working. The Center successfully solves the tasks of securing of sanitarium-epidemiological well-being of regional troops, realizes a grand volume of education-methodical, science-practical and info-analyzing work.