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Том 331, № 3 (2010)

Статьи

Совершенствование структуры закупок лекарственных средств в медицинской службе Вооруженные Сил

БЕЛЕВИТИН А.Б., МИРОШНИЧЕНКО Ю.В., ГОРЯЧЕВ А.Б., КРАСАВИН К.Д.

Аннотация

The authors effectuated an analyze of station of structure of purchase of medicinal agents in military medicine. Were marked disadvantages: predominance of import agents in centralized and decentralized purchases, small volume of native agents, disbalance of structure of centralized purchases and formed morbidity, low quality of determination of need in medicinal agents and of labour-rent account-claim documents, facts of agent purchases, not included in Form of medicinal agent of medical service of the Armed Forces of RF. Were posed aims on optimization of purchases, replacement import agents by native ones of the same quality, on remaking of the Form of medicinal agents.
Военно-медицинский журнал. 2010;331(3):4-10
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Проблема ресурсного обеспечения медицинской помощи раненым и пострадавшим нейрохирургического профиля

ГАЙДАР Б.В., ПАРФЁНОВ В.Е., СВИСТОВ Д.В., ДИКАРЕВ Ю.В., ТЕГЗА В.Ю., ЗЕМЛЯННИКОВ Д.А.

Аннотация

Longstanding complex examination ofproblems of delivery of medical care to patients of neurosurgical profile, effectuating in Military-medicine academy by Kirov S.M., permitted to observe evacuation and treatment of patients of neurosurgical profile, their social rehabilitation and returning to their work, estimated the advantages of 2-stages evacuation of patients and delivery in hospitals of Center in comparison with multistage one. Were examined questions of rehabilitation, help to families of lost or invalid military servicemen. The authors, observed economical and social questions, made a conclusion: patients of neurosurgical profile have to receive medical care in specialized and equipped institutes of central level of rear of state occurring once and in full volume.
Военно-медицинский журнал. 2010;331(3):11-15
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Автоматизированное рабочее место врача-дерматовенеролога в многопрофильном госпитале

БЕЛЯКИН С.А., ТАРАСЕНКО Г.Н., МИХЕЕВ А.В., ОСИПОВ П.М.

Аннотация

The article presents an investigation of general requirements to deploy of automized workplace of medical specialists, including derma-venereologic profile, functions of automized workplace, it’s software. Was shown which functional duties of staff of unit permits optimize the automized workplace.
Военно-медицинский журнал. 2010;331(3):16-19
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Оценка состояния здоровья и адаптационных возможностей военнослужащих

ГЛАДЬКО В.В., МАСЮКОВА С.А., КАХИШВИЛИ Н.Н., ГАЙВОРОНСКИЙ Д.А.

Аннотация

Was examined the health level of 600 called up military servicemen. Were detected different indexes of health and condition of health in general, adaptation potential and adaptation reactions, was shown their dependence of health level. Was given estimation of anxiety level of military servicemen and was shown relation between anxiety level and type of reaction of vegetative nervous system. Was detected that 53,4% of military servicemen can’t be ranked as healthy. It’s a risk factor of their disadaptation to the military service.
Военно-медицинский журнал. 2010;331(3):20-24
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Особенности течения внебольничной пневмонии у военнослужащих в условиях локальных войн и вооруженных конфликтов

КУЧМИН А.Н., ХАРИТОНОВ М.А., ШЕВЕЛЁВ А.А., РЕЗВАН В.В., БУТИКОВ В.П., СЕРГЕЕВ С.М.

Аннотация

The aim of work was examination of peculiarities of outhospital pneumonia (OHP) among military servicemen, participants of local armed conflicts in areas of Prodnestrovie , Tadjikistan, North Ossetia, Abkhazia. There were retrospectively analyzed 139 archive patient histories of military servicemen, got pneumonia during 1990-1993. In structure of OHP of military servicemen predominating was pneumonia with not hard course of disease. Was educes a clear season dependence of appearance of pneumonia in described conditions with it’s peculiarities. Each fifth patient form call-up contingent had deficit of weight. It influenced on course of disease. In 40% of cases of OHP there were coexistent diseases. Peculiarities in clinical forms of disease were not found. Using of antibacterial measures in treatment of OHP was empirical, during therapy of acute pneumonia were used 3 antibiotics simultaneously. For a more long term of treatment had a need soldiers, participants of combat actions on the Northern Caucasus.
Военно-медицинский журнал. 2010;331(3):25-35
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Топографо-анатомическое обоснование затылочно-дистальнопозвоночной реконструкции V 3 сегмента позвоночной артерии

ГЛАДЫШЕВ С.Ю., АНТОНОВ Г.И., ЛАЗАРЕВ В.А., ДОБРОВОЛЬСКИЙ Г.Ф., МИТРОШИН Г.Е., ОБРАЗЦОВ А.В.

Аннотация

Using 10 block-mounts «brain-base of skull- cervical spine» there were detected morphometric peculiarities of vertebral artery on the level ~С І~С ІІ of spines of vertebra anf of premastoidal part of cervical artery. Were effectuated 20 distalvertebral reconstructions. Were precised stages and technique of realization.
Военно-медицинский журнал. 2010;331(3):36-41
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Сравнительная оценка различных типов фоторефракционных операций при близорукости

ОВЕЧКИН И.Г., ПОЖАРИЦКИИ М.Д.

Аннотация

Was effectuated a comparative estimation of effectiveness of different types of photorefraction operations in conditions of nearsightedness and myopic astigmatism among 286 patients. Was marked a high level (92-98%) of reconstruction of vision according to criteria of stability, safety, predictability and effectiveness. Phemto-second laser influence provides smallinvasive, sensitive and safety forming of flap of keratoderma. It permits envisage this technology as a new direction in ophthalmosurgery, providing the achievement of a high clinical effect in reconstruction of professional vision.
Военно-медицинский журнал. 2010;331(3):42-46
pages 42-46 views

Закономерности психофизиологической адаптации к военно-профессиональной деятельности военнослужащих Северного флота

СЕМЕНЦОВ В.К., ХАНКЕВИЧ Ю.Р., МОСЯГИН И.Г., МАРУНЯК С.В., ЧЕСНОКОВА В.Н.

Аннотация

There were examined regularities of psycho-physiological adaptation of different categories of military-navy specialists, were detected periods of maximum decrease of compensation abilities among sailor-men and staff reserve of Naval Fleet from students. Were educed psycho-physiological strategies of adaptation of military-navy specialists in dependence of reference level of adaptation capabilities. Was detected the influence on the process of psycho-physiological adaptation to service activity of young specialists of a complex of psychological and social factors. Was educed the influence of ulterior motive on success of psycho-physiological adaptation to new conditions of environment. Was elaborated a complex of measures on optimization of accompaniment of adaptation of military-navy specialists and was given financial evaluation of it’s implementation.
Военно-медицинский журнал. 2010;331(3):47-52
pages 47-52 views

Психолого-педагогическое обеспечение здоровья военнослужащих

ЗАЙЦЕВ А.Г., СМУРОВ А.В., ЗАЙЦЕВ Г.К.

Аннотация

Was shown that cadets and students of elder classes of military and civil institutes have personal deformations, causing negative tendencies in their health. Was elaborated psycho-pedagogic conception of supply of valeological preparedness of military servicemen. Were successfully tested program-methodological complexes in valeology, based on this conception. Was posed a question about practicability of creation of psycho-pedagogic direction in supply of health of contingents, aimed to service in the Armed Forces.
Военно-медицинский журнал. 2010;331(3):53-55
pages 53-55 views

Возрастной фактор в комплексной оценке здоровья летного состава

УШАКОВ И.Б., БАТИЩЕВА Г.А., ЧЕРНОВ Ю.Н., ХОМЕНКО М.Н., СОЛДАТОВ С.К.

Аннотация

Was elaborated program of a complex of estimation of health condition of air staff with determination of capability of early diagnostic of functional tension of physiological systems. According to this system there were observed 73 airmen using a complex of tests (estimation of level of pectoral control, of personal and reactive anxiety, vegetal regulation etc.). Was detected, that length of service and sympato-adrenaline activeness with vicarious decrease of adrenoreactiveness are in direct proportion. Were marked the most informative indexes of estimation of functional tension of psycho-physiological functions, vegetative regulation and cardiovascular system. Was shown that the elaborated system of individual estimation of health of air staff permits diagnose prenosological conditions and determine indexes for rehabilitation treatment.
Военно-медицинский журнал. 2010;331(3):56-60
pages 56-60 views

КРАТКИЕ СООБЩЕНИЯ

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Военно-медицинский журнал. 2010;331(3):61-74
pages 61-74 views

ПО СТРАНИЦАМ ЗАРУБЕЖНОЙ МЕДИЦИНСКОЙ ПЕЧАТИ

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Военно-медицинский журнал. 2010;331(3):75-79
pages 75-79 views

Видный деятель военной медицины (А.И.Замятин - первый председатель Научно-технического комитета Военно-санитарного управления РККА)

БЕЛЕВИТИН А.Б., НИКИТИН А.Э., ПОДДУБНЫЙ М.В.

Аннотация

For the first time was presented life history of Alexander Zamyatin (1873-1931) - a famous military physician, one of leaders of sanitarium service of the Red Army for the period of 1920-s.
Военно-медицинский журнал. 2010;331(3):80-84
pages 80-84 views

Медицинская служба Красной Армии в Висло-Одерской стратегической наступательной операции

ГЛАДКИХ П.Ф.

Аннотация

Was characterized work of medical service of the Red Army in Vislo-Oder strategic offensive. To the beginning of the operation in divisions of the first echelon were deployed medical aid stations in dugouts and blindages in 1,5-3 km from the front line. Sanitarium casualties of troops of the 1 st Byelorussian Front were 60 310 persons, 5,8% of it’s quantity, including wounded - 5,3%, ill persons - 0,5%; of the 1 st Ukrainian Front - 89 564 persons, 8,3%, including wounded - 7,5%, ill persons - 0,8%. It’s important to mark, that casualties on first fronts are more then 2 times, and on the second fronts are one and half times less than was supposed. On both fronts casualties of main group of troops achieved 60% of all casualties during the 1 st stage of operation.
Военно-медицинский журнал. 2010;331(3):85-87
pages 85-87 views

В Чебаркульском военном санатории

КОВИН А.А.

Аннотация

The military sanatorium «Chebarkulsky» lies in resort zone of Southern Ural in 75 km to the west from Chelyabinsk. Now-days the hospital is adjusted to treatment cardiovascular system and neurotic system, respiratory organ nottuberculosis character, diseases of locomotor apparatus, possible to accept up to 200 patients. Sanatorium «Chebarkulsky» take a worthy place among other sanatoriums of Southern Ural, such as «Kisegach», «Elovoe», «Sosnovaya Gorka», «Lesnaya Skazka».
Военно-медицинский журнал. 2010;331(3):88-90
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ОФИЦИАЛЬНЫЙ ОТДЕЛ

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Военно-медицинский журнал. 2010;331(3):91-92
pages 91-92 views

Круглый стол по проблемам физической реабилитации военнослужащих

СТАРИКОВ С.М.
Военно-медицинский журнал. 2010;331(3):93-96
pages 93-96 views

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