Vol 337, No 9 (2016)

The article presents current views on the classification of chronic viral hepatitis. The characteristic of methodical diagnostic approaches is presented. The attention to the etiological pathology verification is paid. The results of study on clinical characteristics of patients with chronic viral hepatitis are used as the basis for the developed criteria for evaluating fitness for military service.

The paper presents our own experience of surgical treatment of gunshot wounds, and pancreatic damage. Pathophysiological mechanisms of development of fire pancreatitis are presented. Tasks for surgery and their solutions are defined. The reasons for reoperation are analysed. It was found that the surgical approach depends on the nature and localization of pancreatic damage. The features of the surgical intervention are shown.

This article presents the data of observational retrospective clinical investigation aiming at generalization of the experience of usage of infrared terahertz radiation combined with acupuncture for treatment of the patients in the initial period of ischemic stroke. The experimental group contained 30 patients which had various clinical problems at the initial period of hospitalization. The attempts to dissolve these problems within the acceptable period of time employing domestic and international standard treatment approaches failed. The control group consisted of 31 patients with uncomplicated course of stroke. The patients of the experimental group in addition to the standard treatment received infrared terahertz treatment (device «IК-Dipol») combined with acupuncture. Despite the fact that the condition of the patients in the experimental group at admission was much serious than in the control group, at the time of discharge the level of functioning of the first group was definitely higher than the second. In 6 months that superiority increased and has been retained during two years of following up. Despite the fact that the employed in the current investigation method has been used for dissolving different clinical problems, it has been resulted in increase of the general level of functioning proved by the dynamics of such an integral criterion as index Barthel. This means that employment of infrared terahertz radiation in the stroke patients possesses the systemic effect. To recommend the discussed method for treatment of all patients in the initial period of stroke as well as its repeated employment during rehabilitation the separate prospective randomized clinical trials should be undertaken.

In 2015-2016 was evaluated the effectiveness of an integrated liquid pyo bacteriophage in the outbreak of acute tonsillitis among conscripts as a mean of emergency prevention, reduction of disease incidence and communication prevention. The authors have studied an epidemiological efficacy and safety of the drug , and determined an accuracy of the cause-and-effect link on the epidemic process. Based on the results of the study, it has been concluded that the use of the complex liquid pyo bacteriophage in acute tonsillitis focuses for emergency prevention of diseases is effective, has been proved a significant reduction of military morbidity. The use of bacteriophages, including pyo bakteriopahge, is a promising direction of prevention of infectious diseases of bacterial aetiology in military units.

Evaluated the clinical and immunological effectiveness of spa treatment 49 patients with bronchial asthma and obesity by cranial electrotherapy stimulation and baths with biolong. The changes revealed immune and cytokine status indicate a decrease in systemic inflammation and activation of the immune system response to an increase in the reserve capacity of the organism compared to patients treated with standard spa treatment.

Vestibuloplasty of the postoperative wound in the vestibule of the mouth with silicone complex in 20 patients with edentulous jaw allowed forming a deep arches of the mouth, which was at the time of removal of percutaneous sutures 9,5±3,7 mm. The technique is easy to perform, has predictable results and can be used for preorthopedic surgical preparation.

The article is dedicated to the pre-revolutionary career of the outstanding Russian pharmacologist N.P.Kravkov (1865-1924), precised by newly discovered documents from the Russian State Military History Archive. It adds new data to biographical researches dedicated to the scientist by D.G.Uzbekova (2014) and P.D.Shabanov (2015).

The history of development of the policlinic of the branch N 6 of the Federal Government Budgetary Institution «the 3rd Vishnevskiy Central Military Hospital» of the Ministry of Defence, which dates back to 1976, when the 9th clinic of the Moscow garrison was formed. Over the years, repeatedly changed the organizational and staff structure and the name of the clinic (9th consultative-diagnostic polyclinic, polyclinic of the 52nd Consultative Diagnostic Centre MF), continuously improved patient care technology. Currently, the clinic deployed 26 medical-diagnostic branches and offices, with more than 200 employees. Among them, 1 Honoured doctor, 5 candidates of medical sciences, 50% of doctors and 65% of nurses have the highest qualification category. To health care is more than 22 thousand people.

(Интервью с председателем Северо-Западного отделения медицинских наук Российской академии наук, бывшим главным токсикологом МО РФ Г.А. Софроновым)

The Medical Service of the Central Military District has organized medical support during lead-time and conduct of the strategic command post exercise «Center-2015». At the area of medical responsibility of the branch N 3 of the 426th military hospital of the Ministry of Defence is organized the interaction with the Ministry of Orenburg region and the regional centre of disaster medicine in order to ensure that medical activities carried out at the training area «Donguz». Was organized a medical service forces setting, designed to ensure medical teaching. Well-planned activities and training of personnel allowed organizing high-level medical care, preventing host of diseases and injuries among military personnel being involved into training.