Vol 336, No 3 (2015)

The article covers organizational aspects of development of innovative technologies in the field of regenerative medicine. It is shown that for the effective design and implementation into medical practice of regenerative medicine requires a united complex of military health care, military medical research and education. The main goal is to formate a biological insurance of personnel to treat different consequences of radiological incidents, burn disease, identification of the remains of the victims, the maximum returning to action after disturbed as a result of health services. Proposes the creation of «Interdepartmental Clinical Research and Education Center for Regenerative Medicine», combining research, clinical, industrial and educational potential of the leading institutions of various departments that will enhance the national security of the Russian Federation.

The aim of the study was to determine the cause of the high frequency of meniscal tear coexisting rupture of the anterior cruciate ligament of the knee joint and to establish an optimal timing of surgical stabilization of the knee joint. Medical records of 476 patients who had surgery at the clinic of the Kirov Military Traumatology and Orthopedics of Military Medical Academy were studied. In 82 patients operation on the reconstruction of the anterior cruciate ligament was performed in the early period after injury (up to 6 weeks), 347 patients were operated within a period exceeding 6 weeks. It was revealed that the soldiers who had the operation in the period after 6 weeks from the date of injury, secondary damage of meniscus and articular cartilage occured twice as much as in surgery performed during the acute phase. Thus, the reconstruction of the anterior cruciate ligament should be carried out in a specialized department in the early stages after injury, when not yet any secondary damage to the meniscus and articular cartilage.

Myocardial infarction in patients younger than 45 years is rare, but it is an important clinical, organizational and psychological problem. A case of myocardial infarction in 19-years old patient, who suffered since 6 years from kidney disease, is described. Transmural left-ventricular myocardial infarction has developed on the background of chronic glomerulonephritis, excessive exercise, and traditional risk factors for cardiovascular disease. Coronary venous bypass with the benefit-pleasing outcome is performed. When analysing the literature, the authors emphasize that in comparison with elderly patients, young people have different profiles of risk factors, clinical manifestations and prognosis of myocardial infarction. It is emphasized that kidney chronic disease, regardless the stage, worsen short-term and long-term outcomes of cardiovascular disease. Early stabilization is possible under the condition of risk stratification and early revascularization, which leads to better clinical outcomes. Particular attention should be given to a comprehensive assessment, it prognostic criteria, risk factor modification, secondary prevention of major and associated diseases, clinical-and-dynamic observation, including patients with asymptomatic course of the disease.

Tandem internal carotid artery injury in combination with common carotid artery and the brachiocephalic trunk is quite rare. Development of adequate tactics of surgical correction of each of the concrete patient is always complex and strictly individual. In recent years, surgical correction of pathology of the aortic arch and its branches means the dominance of hybrid approaches. The paper presents the first successful experience of hybrid surgical treatment in a patient with immediate injury of right internal carotid artery and the brachiocephalic trunk. Analyzed evidence advantages and necessary conditions for performing of hybrid surgical interventions for aortic arch branch.

The article presents data on the prevention and treatment of hypertensive heart disease using CEM-technology. Devices of this series generate electromagnetic waves of extremely high simplicity in the millimetre range. In outpatient a positive effect of lowering blood pressure, and reduce the number and dose of drugs was observed in 68% of cases. These devices can be used in a ship due to the very limited possibilities for the use of other natural therapies.

The authors describe clinical observation of penile implant surgery in a patient with previously implanted three-piece inflatable penile implant after radical radical prostatectomy for erectile dysfunction. The service life of inflatable penile implant of IY generation (Alfa-1, firm Mentor USA) until its technical malfunction was 16 years. It is concluded that in case of technical malfunction of the inflatable three-piece penile implants complete replacement is required.

The article is devoted to the history of the Research Test Center Aviation and Space Medicine and military ergonomics, now included in the Central Research Institute of the Air Force Defense Ministry. The center throughout 80 years history is a leading research organization in the country for the integrated study of the human factor in aviation and problems connected with it. The world-famous scientific schools in aviation physiology, hygiene and radiolorgy, emergency medicine, aviation psychology and ergonomics have been grounded on the basis of this center. With a high qualified scientific staff and laboratory-and-bench-scale base including unique seminatural airplanes and helicopters complexes, posters and installation simulating the impact of flight factors (centrifuge, hyperbaric chambers, shaker, vestibulyar-WIDE stands, etc.) the center has successfully solved tasks concerning an improvement of flight crews protection from occupational hazards, ergonomic demands to capabilities of aircraft, professional and psycho-physiological training. Automatic systems of medical decision-making on assessment of the health status in the medical-flight expertise and dynamic medical supervision, planning, treatment and preventive and remedial actions aircrew training are currently being developed.