Vol 341, No 5 (2020)

The first published chapter from the book of memoirs of a veteran of the Great Patriotic War of 1941-1945, retired medical colonel Nikolai Atroshkin (born in 1923), is presented. In the army, a graduate of the Leningrad Military Medical School, military medical assistant N.T.Atroshkin was in May 1942, then participated in the battle on the Kursk Bulge, freed the Poltava region from the Nazis, forced the Dnieper to be seriously wounded. He began to write his memoirs in the period of the 1980s. The central theme for the author remains front-line medicine with all its nuances. Memoirs do not leave a bitter residue on the reader, for in the person of the author is a person with a kind heart and a heightened sense of justice.

The activity of pharmaceutical workers on providing the army with medical equipment during the years of the Great Patriotic War of 1941-1945 is presented. The characteristic of the production activities of sanitary warehouses and military pharmacies is given, attention is paid to the work of pharmacists and pharmacists in besieged Leningrad. The significant contribution of the S.M.Kirov Military Medical Academy to the training of qualified pharmaceutical personnel for the needs of the fronts and armies was revealed.

The article discusses the evidence that indicates the high professional and moral characteristics of graduates of the Military Medical Academy named after S.M.Kirov, who participated in the Great Patriotic War and the continuity of these qualities among civilian doctors of subsequent generations. The facts stated are documented by archives, publications, photographs, and personal memories of the author.

The paper sets out the modern principles of medical rehabilitation of patients with total hip replacement. Based on which and with the involvement of the author’s experience in surgical treatment and rehabilitation of 128 patients in a specialized balneological health resort, an algorithm for the staged rehabilitation of such patients is proposed. Long - term results were traced in terms of 12-72 months. Pain after surgery was absent in 105 patients or was weak in 14 (93% of all patients), lameness was completely absent in 86 (67.2%), was weakly expressed in 28 (21.9%). In general, positive results were obtained in 98.4% of patients: excellent - in 76 (59.4%), good - in 29 (22.6%), satisfactory - in 21 (16.4%) patients, unsatisfactory - only in 2 (1.6%).

A comparative analysis of Х-ray studies of the ligamentous apparatus of the knee joints and magnetic resonance imaging data with arthroscopy results for 400 military personnel (18-60 years old) with a history of a knee injury and suspected anterior cruciate ligament rupture is performed. It was shown that there is a relative discrepancy between the data of functional X-ray studies on the instability of the ligamentous apparatus of the knee joints with the results of arthroscopy. Results of the functional Х-ray studies of the ligamentous apparatus of the knee joints for instability were confirmed only in 79% of cases, and magnetic resonance imaging results of arthroscopy in 95%, which indicates a higher specificity of the method.

The human papillomavirus is one of the main risk factors for women to develop several oncological diseases and anogenital warts. Vaccination provides a reduction in the incidence of these diseases and mortality from them. The study aimed to assess the medical and economic effectiveness of the use of the tetravalent vaccine against human papillomavirus in female military personnel. Epidemiological data on the incidence of anogenital warts in St. Petersburg, as well as published Russian data on the frequency of other diseases associated with the papillomavirus, were used as model data on the medical and economic effectiveness of the vaccine. Based on the results of the analysis of the obtained data, it was concluded that vaccination of female soldiers with the indicated vaccine would provide a pronounced social and economic effect: per 10,000 vaccinated, increase the average duration of the survival period by 280 person - years and reduce budget costs for treatment of virus - associated diseases 2.55 million rubles.

Three groups (control - KG, 2 experimental - OG1 and OG2) of cadets (20 people each) from a military school who arrived in the Kaliningrad enclave from other regions of Russia were examined. Blood sampling was carried out three times: in the first 2-3 days after passing the entrance exams and the beginning of the learning process, after 15 and 45 days. The reaction of the body in the initial period of acclimatization and adaptation to the learning conditions was evaluated by the levels of protein and protein fractions. Disadaptation changes in the body are established, proved by changes in the levels and percentage of albumin, a1-, a2-, b - and g - globulins of blood serum. The effectiveness of prophylaxis of dysaptation shifts in the optimization of the diet by products manufactured using cryogenic technology was evaluated. OG1 took a protein - vegetable product, OG2 from plant materials (2 times a day, 3 tablets. 0.3 g each with food for 15 days). KG did not accept products. The inclusion of concentrated foods in the diet is accompanied by a significant decrease in inflammatory reactions, stimulation of humoral immunity. During the adaptation period, preference should be given to products containing animal protein.

A clinical case of treatment of compression - ischemic neuropathy of the peroneal nerve in a patient due to the presence of damage to the body and posterior horn of the external meniscus of the left knee joint, with severe distal paresis of the leg, impaired vibration sensitivity, and walking function, is considered.

A report is presented on the speeches held within the framework of the meeting of the Siberian Association of Neurosurgeons Sibneiro (Novosibirsk) on the topics of military neurosurgery. Invited lecturers - neurosurgeons, including those from the S.M.Kirov Military Medical Academy, told the attending neurosurgeons of the Siberian Federal District about the diagnosis and tactics of treating the wounded with firearms and non - lethal kinetic weapons.