Vol 337, No 2 (2016)

Articles

Practice of the use of remote telemedical consultations in «experimental area of work».

Kalachev O.V., Plakhov A.N., Pershin I.V., Agapitov A.A., Andreev A.I., Yakovlev A.E.

Abstract

The article presents experimental results of telehealth technology of «medical company - military hospital - central military hospital». Requirements for the equipment, which is used for telehealth consultations and software are specified. Throughout the test were practiced emergency consultations of «physician-physician» interface, including the use of mobile video call and portable terminals of videoconference, remote diagnosis with the use of medical equipment and devices. Data transmission features and video definition are received. The authors determined main types of telecommunication equipment, which are supposed to prospective for the Armed Forces. Prospects of implementation of telecommunication technologies are shown.
Voenno-medicinskij žurnal. 2016;337(2):4-8
pages 4-8 views

Importance of social tuberculosis prophylaxis for the Armed Forces in present conditions

Muchaidze R.D., Dantsev V.V., Beznosik R.V., Spitsyn M.G., Shitov Y.N.

Abstract

Lately social prophylaxis of tuberculosis has taken on special significance in the Armed Forces of the Russian Federation. Thank to social measures of the modern military reform, such as reduction of conscription term, territorial principle of recruitment for the army, improvement of habitation, service and recreation conditions, improvement of quality and organization of a diet, improvement of quality of a uniform it succeeded in reducing tuberculosis morbidity in military servicemen from 2007 up to 2014 up to 65 percent. Nevertheless, the main ways of tuberculosis control in the army (military service prohibition for citizens with tuberculosis, early active case detection, prophylaxis in risk group, anti-epidemic measures in the army nidus of tuberculosis etc.) are still urgent. To increase an effectiveness of the work done it is necessary to specify procedure and period of preventive fluorography in military servicemen.
Voenno-medicinskij žurnal. 2016;337(2):9-12
pages 9-12 views

Modern problems and main ways of improvement of disinfecting art in Armed Forces

Ivanov A.A., Musaev A.A., Komissarov N.V., Seleznev A.B., Loshakov O.V.

Abstract

The article states the reasons defining the high relevance and significance of disinfection measures in modern conditions, reports general and specific problems of ensuring disinfection during medical service day-to-day activities. The directions of development of chemical and technical disinfectants and methods for their use on different objects and under various climatic conditions are determined. It was shown that the crucial condition for implementation of theoretical and practical ways of improving disinfection affairs is a comprehensive approach based on concerted efforts of all authorities of Russian Armed Forces Medical Services, research and sanitary-epidemiological institutions, as well as relevant chars of the Military Medical Academy in close cooperation with representatives of domestic industry.
Voenno-medicinskij žurnal. 2016;337(2):13-19
pages 13-19 views

Possibilities of pharmacotherapy of diabetes acute complications when delivering urgent and emergency aid

Miroshnichenko Y.V., Khalimov Y.S., Shcherba M.P., Klochkova I.V., Merkulov A.V., Borisov D.N.

Abstract

The authors give a description of acute complications of diabetes and provide main methods of pharmacotherapy. The authors examined normative legal basis, regulating urgent and emergency aid delivery at the army level of the medical service of the Armed Forces oft he Russian Federation, and determine the list of medications. Comparative description of pharmacotherapy of acute complications of diabetes is given and determined its possibilities.
Voenno-medicinskij žurnal. 2016;337(2):20-27
pages 20-27 views

Objective roentgenologic diagnostics of anterior cruciform ligamentous disruption in servicemen

Khominets V.V., Shapovalov V.M., Kapilevich B.Y., Rikun O.V., Fedorov R.A.

Abstract

The article is dedicated to the method of roentgenological diagnostics, developed at military traumatology and orthopaedics department of the S.M. Kirov Military medical academy, which allows objectively assessing degree of knee joint instability in consequence of anterior cruciform ligamentous disruption.
Voenno-medicinskij žurnal. 2016;337(2):28-30
pages 28-30 views

Acute cholangitis in interstenosis space accompanied by two-component unit of the main bile duct

Yurchenko V.V.

Abstract

Palliative treatment of obstructive jaundice with the help of biliary endoprosthesis due to the possible complication of post-intervention in the form of insolvency stent deformation or dislocation. The study features in the postoperative period of the main bile duct endoprosthesis about their two-component unit, described the syndrome of the closed space of the bile ducts. On the basis of observation of 14 patients with the given anatomical feature of endoscopic, who were underwent stenting, was assessed frequency of the syndrome and possibilities of its prevention. Interstenosis space expansion of the main bile duct can be a reason for local cholangitis. For the prevention of cholangitis, it should be carried out a separate drainage of interstenosis space with the help of endoprosthesis or by proximal supra-stenotic extension of two or more stents.
Voenno-medicinskij žurnal. 2016;337(2):31-35
pages 31-35 views

Experience of using bacteriophages and bitsillin-5 to reduce the incidence of respiratory diseases of bacterial ethiology in military personnel

Akimkin V.G., Kalmykov A.A., Aminev R.M., Polyakov V.S., Artebyakin S.V.

Abstract

The authors defined epidemiological efficacy and safety of the use of bacteriophages (streptococcal, staphylococcal, piobakteriophage multipartial) and bitsillin-5 to reduce tonsillitis morbidity and other respiratory diseases with bacterial etiology in groups of servicemen during their formation against increase of seasonal morbidity. The results of the use of these preventive agents were evaluated by a comparative analysis of this disease in experimental and control groups. In total 510 healthy conscripts were involved into the study. The effectiveness of prophylactic use of bacteriophages and bitsillin-5, which provided a reduction in the incidence of respiratory infections of bacterial ethiology, tonsillitis, and other respiratory diseases is showed. Recommendations on the choice of drugs for the prevention of these infections, methods and organization of their application in organized groups are given.
Voenno-medicinskij žurnal. 2016;337(2):36-40
pages 36-40 views

Conditions of professional activity of the staff of units and formations of special support and its medical and psychological support

Poluboyarinov V.N., Grabskii Y.V., Zemlyannikov D.A., Kushchev G.G.

Abstract

In the field of special support of nuclear- and radiation-dangerous objects «human factor» is highlighted, which means that psychological status of crew is at the first place. The authors analysed conditions of professional activity, determined morbidity rates and psychologically important labour characteristics for military specialists working at nuclear- and radiation-dangerous objects. The staff working at these objects undergoes irradiation, hostility of inhabitation and high psychological pressure. The authors presented data on peculiarities of health status and morbidity rate among military servicemen of the given category: the frequency of digestive apparatus diseases, diseases of nervous and circulatory systems is higher than in auxiliary subunits of the same military units. The authors determined the main principles and structure of measures of medical and psychological support of professional activity of the staff of military units of special support.
Voenno-medicinskij žurnal. 2016;337(2):41-48
pages 41-48 views

Experience of surgical care administration to patients with closed abdominal trauma, serving on the ships of the Navy.

Pleskach V.V., Mosyagin I.G.

Abstract

The analysis of surgical care administration to personnel, serving on ships of the Navy of Russia and performing different tasks in off-shore maritime and ocean zones in 2012-2013 showed that there is a requirement to create seven additional ship groups of specialized medical care: on the Northern Fleet - 2, on the Pacific Fleet - 2, on the Baltic Fleet - 1, on the Black Sea Fleet - 1, on the Caspian Flotilla - 1. There is also a reasonable requirement to include anaesthesiologist and nurse anaesthetist into these groups.
Voenno-medicinskij žurnal. 2016;337(2):49-53
pages 49-53 views

Peculiarities of chemico-toxicological analysis of biological material aimed to detection of narcotic and psychoactive substances misuse by servicemen

Pinchuk P.V., Kirichek A.V., Shabalina A.E., Smirnov A.V., Petukhov A.E.

Abstract

The authors give an approval of military personnel biosphere research, which is necessary for prevention and early detection of substance misuse among military personnel of the Armed Forces. The article provides documents, regulating procedure of the chemico-toxicological analysis of a biological material, and staging of early detection of substance misuse among conscripts and professional soldiers. The authors gave information about main current problems of this activity, revealed its disadvantages and detected prevention measures.
Voenno-medicinskij žurnal. 2016;337(2):54-58
pages 54-58 views

Prospects of training for air and space physicians

Belskikh A.N., Lobachev I.V., Blaginin A.A., Lizogub I.N.

Abstract

The article deals with prospective ways of improvement of training for military and ordinary students of the Academy with a degree of «Air and space medicine». To realize this aim it is necessary to formate a new complex of educational classes, grouped according to allied and complementary themes of the given educational programs.
Voenno-medicinskij žurnal. 2016;337(2):59-60
pages 59-60 views

About modern aspects and trends in military out-patient institutions’ activity

Popov A.P.

Abstract

The author analysed reports about the activity of military out-patient institutions of the Ministry of Defence of the Russian Federation. The author came to conclusion that it is necessary to adopt hospital-replacing technologies into activity of out-patient institutions more active, and development of methodological approaches and practice of periodic health examination of military servicemen.
Voenno-medicinskij žurnal. 2016;337(2):61-62
pages 61-62 views

Improvement of organisation of psychological prophylaxis among servicemen, serving at special works

Zhovnerchuk I.Y., Abritalin E.Y., Bryukhanov A.V., Palekhova O.V., Eremitskii I.V.

Abstract

The authors analysed some peculiarities of psychological health of servicemen, serving under conditions of Air Forces special works. Recommendations, concerning an improvement of psychological prophylaxis among the given category of military servicemen are given. It is showed that an application of psychological self-regulation allows reducing an intensity of reactive anxiety and improving neuropsychic adaptation.
Voenno-medicinskij žurnal. 2016;337(2):63-65
pages 63-65 views

Preparation of the sea-based aviation pilots to aviation physical examination

Gavrilov V.V., Eshkinin I.V., Miloshevskii A.V.

Abstract

The effectiveness of medical support of air activity under condition of a navy trip depends on strict fulfilment of regulated measures of air crew health monitoring. The authors provided materials written by the chef and commanding officer of the unit of the medical service, concerning preparing to aviation physical examination, the list and contents of the necessary documentation, and procedure of aviation physical examination.
Voenno-medicinskij žurnal. 2016;337(2):65-67
pages 65-67 views

Stratification of risks of essential hypertension development, based on the mathematical predication approach

Makeeva T.G.

Abstract

With the help of the mathematical predication approach the author tried to assess the possibility of predication of increase of complex intima-media of carotid arteries in patients with normal range and development of essential hypertension. On the basis of examination of 190 patients with high-normal blood pressure aged 35,2±1,3, it was shown that discriminant analysis result 66,8 points predicates accurately to within 95,6% increase of carotid arteries intima-media complex p to 0,9 mm in the years ahead.
Voenno-medicinskij žurnal. 2016;337(2):67-68
pages 67-68 views

Reasons for decrease of functional possibilities in servicemen of dangerous professions

Maryashin Y.E., Malashchuk L.S.

Abstract

The article provides an assessment of influence of extreme activity factors on functional human organism tolerance and analyse of the reasons of its decrease. The authors provide description of morphological and functional abilities and potential of human organism.
Voenno-medicinskij žurnal. 2016;337(2):68-70
pages 68-70 views

Myocardium repolarization abnormality in patients during sanitarium practice

Eremenko A.E., Tikhomirov A.A., Yaroshenko A.S.

Abstract

The authors provide results of research, concerning dynamics of myocardium repolarization abnormality depending on applied methods of balneo- and physiotherapy. The above mentioned research was performed in a group of 60 patients with different pathology. The results of research show advantages of the use of bishofite electrophoresis and sedative phytotea in a group of women. In a group of men best results were achieved when using therapeutic complex of electrophoresis and hydro-massage with bishofite.
Voenno-medicinskij žurnal. 2016;337(2):70-72
pages 70-72 views

Medical rehabilitation of patients with degenerative-dystrophic damages of spinal cord in military sanitarium

Dovgan I.A., Mel’nichuk V.P., Marusich I.I., Khistova L.S.

Abstract

In 78-91% of cases the complex medical rehabilitation of patients with degenerative-dystrophic damages of spinal cord performed according developed treatment strategies led to significant decrease of pain intensity, increase of tolerance to statnamic load, postural awareness and improvement of pectoral muscles, increase of lumbosacral angle movements. In 99,5% of patients was noticed correction of cognitive and emotional functions.
Voenno-medicinskij žurnal. 2016;337(2):72-73
pages 72-73 views

Syzran military hospital celebrates the 70th anniversary

Domogarova S.V.

Abstract

The article is devoted to the history and present day Syzran Military Hospital. Today it is a modern health care facility of the Central Military District. The hospital consists of 13 medical-diagnostic branches and 6 offices. To health care there are military units Syzran, Tolyatti and Ulyanovsk garrison.
Voenno-medicinskij žurnal. 2016;337(2):74
pages 74 views

Use of chemical war gases at the Russian-German front during the First World War.

Budko A.A., Ivanovskii Y.V.

Abstract

The First World War was notable for the widespread use of machine military hardware and absolutely new type of weapon - chemical weapon. As a result of the first gas attack by chlorine undertaken by the German army against the Russian armies on May, 31st, 1915, heavy poisonings have received 9100 people, 6000 of them died. Chemical attack of Germany against Russia was limited by the use chemical gases of suffocating action: chlorine, bromine, phosgene and diphosgene. It is not known exactly, how many times Germany attacked Russian positions with use of chemical gases. On available data, in the First World War from application by German of the chemical weapon Russia has suffered more, than any other of the at war countries: from five hundred thousand poisoned have died nearby 66 000 people. In turn, having received in the order the chemical weapon of own manufacture, Russian army itself tried to attack in the German armies. It is authentically known only about several cases of application dy Russian of fighting poison gases, and in all cases of loss of germen were insignificant.
Voenno-medicinskij žurnal. 2016;337(2):75-81
pages 75-81 views

Navy medical academy (to the 75th anniversary of establishment)

Chernikov O.G., Zaimagov S.V.

Abstract

The article is devoted to the history of the creation in 1940 of the Naval Medical Academy on the basis of the 3rd Leningrad Medical Institute and the Institute for sanitary-chemical protection of the People’s Commissariat of the USSR. The structure of this institution included faculties management staff of the medical service, medical and sanitation, Higher Naval Medical School, the Marine Research Institute Medical, higher courses for officers of the medical service, clinical naval hospital. During the period of its activity (1940-1956), the staff of the Naval Medical Academy made a great contribution to the naval medicine and practical public health. The merit of the Academy is not only a beautifully staged academic, medical, research process, but also in the creation of the spirit of the high sea camaraderie, accomplishment and pride for the work which its graduates have dedicated their lives.
Voenno-medicinskij žurnal. 2016;337(2):82-86
pages 82-86 views

Pamyatnye daty istorii voennoy meditsiny 2016 g

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Voenno-medicinskij žurnal. 2016;337(2):87
pages 87 views

Ofitsial'nyy otdel

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Voenno-medicinskij žurnal. 2016;337(2):88-90
pages 88-90 views

Lenta novostey

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Voenno-medicinskij žurnal. 2016;337(2):91
pages 91 views

Sbor s reanimatsionnymi brigadami voennykh okrugov i flotov po voprosam aviatsionnoy evakuatsii s primeneniem samoletnykh i vertoletnykh meditsinskikh moduley

Sushil'nikov S.I., Yakovlev S.V., Mel'chakov A.A., Shchegolev A.V., Stets V.V., Nagornov V.V., Kolobaeva E.G.
Voenno-medicinskij žurnal. 2016;337(2):92-93
pages 92-93 views

Nauchno-prakticheskaya konferentsiya «Fundamental'nye nauki v meditsine

Kraynyukov P.E., Sergoventsev A.A., Aleksandrov A.S., Misan A.S.
Voenno-medicinskij žurnal. 2016;337(2):94-95
pages 94-95 views

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