Vol 335, No 11 (2014)

The article presents data about world spread of Ebola virus disease, biological characteristics of the pathogen, the laws of the epidemic process in this disease, its pathogenesis, clinical manifestations and diagnosis. Pointed out that the current anti-viral agents, effective for the Ebola virus, have not been developed. Timely performed pathogenetic therapy improves the prognosis of the disease. The basis of this therapy is infusion-detoxiflcation activities and replenishment of losses of electrolytes, as well as anti-inflammatory and anti-emetic drugs. The Armed Forces of the Russian Federation received the guidelines for preventive measure that can reduce Ebola virus disease transmission. Recommendations for emergency anti-epidemic commission consisted of representatives of the command, specialists and medical services and logistics, are given. Fundamentally important condition for the effective anti-epidemic measures is not only the constant readiness of medical personnel in the detection of disease EVD,but also the appropriate level of equipment of medical institutions of medical supplies and equipment.

The authors showed that a promising solution for emergency telemedicine advisory assistance issues in the Armed Forces of the Russian Federation is the implementation of technical opportunity of direct advisory support to any functional unit and specialists from main and central military hospitals. But at the present stage, the current task of the military telemedicine should be regarded as the implementation of several advisory centres focused on the implementation of a separate topic of telemedicine cooperation. In this regard, a complex of activities carried out by establishing a network of tele-consulting centres at the Kirov Military Medical Academy in one of the admission departments, in the department of military surgery and in the hall of the Academic Council of the Academy.

Taken to supply in the Armed Forces of the Russian Federation and included in the modern regulating documents new sets and medical kits are a crucial element of the complete-standard-issue equipment. For the military unit of medical service provided 12 sets and medical kits united into 2 classification groups. They allow medical service to perform any surgical interventions and medical procedures in the military echelon in accordance with modern approaches to health care and treatment of the wounded in wartime, in armed conflict and the elimination of the health consequences of emergencies in peacetime.

The authors summarized the experience of the use of the stimulus and the activation mapping under fluoroscopic control to search for sources of ventricular ectopic followed by radio-frequency effects on the vulnerable zone arrhythmias. The authors presented an algorithm for finding a pathological focus on the basis of an evaluation of the surface electrocardiogram, followed by sequential endocardial mapping. The results of radiofrequency ablation of ventricular arrhythmia in different localization of the source are presented. The authors generalized and systematized the experience detection and cure of ventricular ectopy in 65 patients. The regularities of changes in the ventricular complex according to surface electrocardiogram in certain localizations of ectopic focus are revealed. Effectiveness of the operation of radiofrequency ablation with ventricular arrhythmias was about 90%, which is generally consistent with data from other clinics. Complications requiring additional interventions were not. Highlight the work areas of the endocardium, analysed the causes of inefficient operations and poor results. Alternative methods of destruction of the endocardium in complex localization of ectopic focus are suggested.

Based on the study of 34 patients determined that the use of hyperbaric respiratory consisting in patient breathing through the additional «dead» space when you stay in the chamber which means moderate hyperoxia and severe hypercapnia, is a highly effective non-drug means to optimize the rehabilitation process of patients with pathology of the lower respiratory tract.

The article is devoted to the establishment of the Smolensk Regional Blood Transfusion Station, which during World War II was managed by A.E.Kiselev and became the first mobile transfusion combat unit that served as a model for the mobile stations on other fronts. The name A.E.Kiselev linked these important changes in transfusion as a transition from the transfusion of whole blood transfusion of its individual components, cryopreservation of blood.

To Kozlov N.I. (1814-1889) belong numerous achievements in the organization of military medical unit during the Crimean (1853-1856) and the Russian-Turkish (1877-1878) wars, the introduction of women’s medical education in Russia, establishment of an improvement system for the military doctors, edition for their medical guidelines, the organization of military health care in Russia.

The history of activity of the Orenburg department of the Kazan society of adherents of military and sanitary knowledge is shown in article. The department existed in 1912-1914 and united officers and medical officers of the Orenburg garrison and military educational institutions. Members of Department tried to resolve the vital issues of a sanitary condition of Totsky military camp, regiments of the Orenburg military of the garrison. The department managed to publish two releases of the works. On these materials we can judge its activity. In article new data from A.G. Peredelsky’s biography (1876-1940) in the period of his life in Orenburg are reported.