Vol 336, No 6 (2015)

The current task of the implementation of medical information systems in the military and medical organizations is an automation of the military-medical expertise as one of the most important activities. In this regard, noteworthy experience of the 9th Medical Diagnostic Centre (9th MDC), where on the basis of medical information system «Interin PROMIS» for the first time was implemented the automation of the work of military medical commission. The given paper presents an algorithm for constructing of the information system for the military-medical examination; detailed description of its elements is given. According to military servicemen the implementation of the Military Medical Commission (MMC) subsystem of the medical information system implemented into the 9th MDC has reduced the time required for the MMC and paperwork, greatly facilitate the work of physicians and medical specialists on military servicemen examination. This software can be widely applied in ambulatory and hospital practice, especially in case of mass military-medical examinations.

In pulmonary practice the effectiveness of the therapy depends on a method of drug delivery. In case of different forms of medications, which can be used for the treatment of patients with obstructive pulmonary diseases physicians usually choose inhalants. In this publication authors examines the main aspects of the use of nebulizers in the treatment of obstructive pulmonary diseases: types of nebulizers, their capabilities and limitations, indications for inhalation therapy and drug policy.

The authors presented results of the study concerning human papillomavirus infecting of military students of higher military educational institutions of the Ministry of Defence of the Russian Federation. In the Center for Obstetrics and Gynaecology of the Kirov Military-Medical Academy was performed a dynamic examination of 478 female cadets aged 17-25. The high level of high-risk HPV viruses was revealed during the examination what proves the necessity of prophylaxis enhancing with the aim to prevent gynecological diseases and reproductive health promotion. The main ways of cervical cancer prophylaxis are health education, in-depth medical examination of women with the aim to reveal and treat gynecological diseases (this medical examination should be carried out twice a year), primary prevention of cervical cancer by vaccination.

The kit is designed in accordance with the list of the first medical aid procedures and syndromic standards of emergency medical care providing. The kit contains modern local hemostatic agents, vent tubes, cricothyrotomy, needles to eliminate pneumothorax, portable oxygen machine, sets for intravenous and intraosseous infusion therapy, collapsible plastic tires, anti-shock pelvic girdle, and other medical products and pharmaceuticals. As containers used backpack and trolley bag on wheels camouflage colours. For the convenience and safety of the personnel of the vest is designed discharge to be converted in the body armour.

The authors identified problematic issues of legal regulation of clinical drug trials for medical use, and proposed possible solutions. It has been established that the conduction of clinical trials of medicinal products is based on the norms of various branches of law embodied in the Constitution of the Russian Federation, the norms of international law, the Civil Code of the Russian Federation and federal laws and subordinate legislations regulating health and pharmaceutical activity. According to the authors, the norms of bioethics can be attributed to the sources of legal doctrine. It is proposed to oblige executives of clinical trials to make a report about effectiveness and safety of drugs and pass the results to the customer, in his/her turn the customer is obliged to accept the results of these trials and pay for them.

The structure, course, and results of surgical treatment of pancreatic inflammatory diseases in military servicemen serving at the Defence Ministry of the Russian Federation was analysed on the basis of examination and treatment of 657 patients with pancreatic inflammatory diseases.

We describe pathogenetic mechanisms of post cholecystectomy syndrome in patients with cholelithiasis after performed cholecystectomy, and methods for its diagnostics. In the part of the article, which describes the treatment of post cholecystectomy syndrome was considered recent data on the use of medications with a high level of evidence and recommendations. Authors gave the data on their own researches regarding improvement of the motor-evacuation function of the biliary tract and lithogenicity of bile after cholecystectomy.

In March 2015 marked the 80th anniversary of the creation of the 637th Center of State Sanitary and Epidemiological Surveillance. The date of establishment of the Centre is rooted in the pre-war period, when sanitary-epidemiological laboratories of the Black Sea Fleet were organized as a scientific and methodological institution. During the Great Patriotic War, as well as during the early postwar period, the staff of the Centre carried out valuable work on provision of sanitary and epidemiological welfare of the Black Sea Fleet. Later, soldiers of the Center participated in the aftermath of the Chernobyl accident, fulfilling their international duty in the Democratic Republic of Afghanistan, on the island of Dahlak, as well as in the Chechen Republic during the anti-terrorist operation. During its existence, the Centre repeatedly reorganized and is now an institution that successfully solves the problem of ensuring sanitary and epidemiological welfare of the troops in the area of responsibility.