Vol 333, No 6 (2012)

For the purpose of improvement of pharmaceutical benefits for military retirees was designed the drug usage standard. This standard consists of 216 drug titles and is utilized in outpatient care in case of consistency. Monthly outpatient care costs for one military retiree are more than 900 rubles. New procedural and institutional mechanisms, ways of interdepartmental interactions, rational forms of its organization are necessary for the improvement of the effectiveness. These measures correspond to main principals of reorganization of the system of health care.

The high prevalence of functional impairment and early forms of diseases of the musculoskeletal system of pre-conscription age boys is considered by the authors as a risk factor of their fitness for military service. The introduction of a number of secondary schools in Moscow designed by the authors of the conceptual model of prevention and correction of pathology of the musculoskeletal system allowed the students for the first 3 years significantly reduce its prevalence in most of the studied parameters.

Mini-invasive surgery is used more often for the treatment of spinal disc herniations today. Coblation is one of such contemporary methods. The aim of our investigation was to evaluate results of percutaneous disc nucleoplasty using coblation. 35 patients with disc protrusions diagnosed by MRI underwent operations using this method. We used Visual Analogue Pain Scale, took into account time of painless sitting, standing and walking position, and also patients’ satisfaction to assess the immediate results of treatment and short-time outcomes. It was noted the better immediate results in group of operated patients in comparison with the non-operated group. It was obvious either on the table or the day after operation. There were 84 and 93% of good results in 3 months and in 1 year after operation, respectively. Coblation is definitely modern and effective way to treat disc protrusions with different types, sizes, and may be used in lumbar spine wherever.

The aim of this work was to test the usage of infusion of hepatoprotector “remaxol” in intensive therapy of acute ethanol poisoning accompanied with severe alcohol affections of the lever. In the result of the examination and treatment of 130 patients it was established that severe alcohol poisonings registered on alcohol abused patients with toxic hepatopathy, are always accompanied with serious metabolic violations. In the process of a comparative valuation of the using of heptral (ademethionin) and remaxol in the intensive therapy of alcohol poisonings it has been revealed that the using of remaxol led to improvement of the clinic of that poisonings, what had been registered as a decrease of frequency and duration of an alcohol delirium from 33,9% to 10,8%, a decrease of frequency of secondary lung complication from 18,5 to 3,1%, a decrease of a duration of treatment in intensive care unit from 7,3±0,6 to 5,6±0,3 and a hospital treatment duration from 11,8±0,5 to 9,0±0,3 days. Biochemical investigation has shown that using as heptral, as remaxol led to improvement of lever damages due to alcohol. However remaxol compared with heptral was better in the treatment of metabolic violations.

The article provides an overview of domestic and foreign literature on modern aspects of hantavirus infection. Hemorrhagic fever with renal syndrome and hantavirus cardiopulmonary syndrome have a high epidemiological significance for Russia’s Armed Forces and the armies of many foreign countries. Current knowledge of the various manifestations of the disease contribute to the improvement of diagnosis and timely delivery of medical and preventive measures.

Among military signalmen on the initial stage of radiotelegraphist’s professional activity the group of the persons (34,3%) which are essentially characterized by worse psychophysiological parameters of central nervous system functioning by visual and acoustical analyzers has been selected. The most informative indicator (functional mobility of nervous processes on the acoustical analyzer) for differentiation of these subgroups has been offered. There is established, that the subgroup of the servicemen with the worse parameters of functional organization of organism on the informative and energy levels can be related to «risk»» group. The decisive rules have been developed which allow classifying investigated servicemen on «risk»» group and group that is suitable for radiotelegraphist’s activity.

History of 301 st District military clinical hospital is inseparably connected with the Khabarovsk Territory and Far Eastern Military District. Not only way in 145 years, but also the history of victories and achievements of military medicine streched from the lazarette of Khabarovsk sentry team to today hospital. Nowadays hospital consists of 6 branches and 25 independent structural units located in 21 cities on the territory of 6 subjects of Russian Federation. Total amount of patient capacity is more than 3 thousand beds. More than 6, 5 thousand employees work and do military service. Hospital in Khabarovsk is not only multi-field specialized prevention and treatment facility but also clinical, methodical, educational and scientific basis of the medical service of the district and Far Eastern State Medical University.