Vol 341, No 8 (2020)

On experimental animals, models of a gunshot open eye injury of types B, C, D, and a closed eye injury of type A were created, which in their ballistic and pathogenetic characteristics are similar to gunshot injury. We used a pneumatic multi compression unit, a set of standard and modernized shells, a ballistic chronograph, Chinchilla rabbits, an analytical balance, a camera, and a high-speed video camera to simulate an open eye injury. Approximate selection of parameters for creating the model was carried out on a bar of plasticine, and the final one on 16 rabbits (32 eyes). In each of the three groups of experiments, a comprehensive analysis of the ballistic properties of the projectile and the type of injury received was carried out. To achieve the required model during the trials, the conditions of the shot and the kind of shell were changed.

The long - term results of surgical treatment (2005-2013) of metastatic brain damage complicated by tumor hemorrhage were studied in 264 patients, including 87 (32.95%) with hemorrhages from metastases. All metastatic tumors and associated hematomas were removed microsurgically, while block removal of neoplasms was performed in 195 (73.9%) patients, in 69 (26.1%) neoplasms were removed by fragmentation. Patients are stratified by the principle of the histological structure of the primary tumor, divided into classes of RPA (recursive partition analysis). The observation interval (from surgery to a clinically significant event) is from 1 to 72 months (median - 22.6 months). Local relapses occurred in 14 (16.1%) patients from the group with hemorrhages in the tumor and 47 (26.6%) in the rest of the cohort of patients with cerebral metastases (c2=3.59, p=0.059; f=1.97 , p>0.05). With block removal of metastases, the local recurrence rate was 11.7%, with fragmentary - 25.9% (c2=2.804, p=0.095; f=1.597 p>0.05). Medians of non - progressive and overall survival after surgery in all patients did not exceed 4.9 and 9.3 months, respectively. In comparison, the minimum values were observed with metastatic melanoma (1.6 and 6 months) and class III RPA (3.6 and 6.5 months). Surgical treatment is effective in patients with symptomatic hemorrhagic metastases, allowing them to achieve similar local relapses and life expectancy after surgery results with a group of patients without intracerebral hemorrhages from metastases.

The individual oral hygiene was studied in 147 cadets of military educational institutions. 32 or 24.5% of the cadets had good or superficial knowledge about the methods, objects, and means of caring for the oral cavity. 23.8% misused oral care items. In 35.4% of cadets, toothbrushes, as the main subject of oral care, were in poor condition and needed to be replaced. The conclusion is drawn about the importance of teaching cadets the rules of caring for teeth and tissues of the oral cavity during rehabilitation in the framework of the medical examination and increasing the role of unit commanders in maintaining items and means of oral hygiene in personnel in satisfactory condition.

A retrospective analysis of the medical activity of the regional vascular center of the Moscow City Clinical Hospital named after M.P.Konchalovsky, working in the framework of the Regional program of specialized medical care for the acute coronary syndrome. Organizational measures carried out in the regional vascular center made it possible to reduce the time interval from the moment a patient with acute coronary syndrome arrives at the hospital admission department until the mechanical recanalization and stenting of the infarction - associated artery begins, increase operative activity and reduce the average hospital bed day of the patient.

Since 1733, the Arkhangelsk port has become a military port, and the issue of providing qualified medical care in the North’s challenging conditions has arisen on the list. From this moment, a long path begins to become a healthcare system in the region and, accordingly, the evolution of hospital buildings. The article discusses the chain of changes.

A brief outline of the history of the 377th military hospital of the Ministry of Defense of the Russian Federation located in Novocherkassk (now Branch No. 2 of the 1602nd Military Clinical Hospital of the Southern Military District) is presented.

A report is presented on the March 2012 Interdepartmental All-Army Scientific and Practical Conference «Actual issues of first aid for the wounded on the battlefield in modern conditions.» Participants had the opportunity to take master classes in developing practical skills in providing first aid using simulation equipment at six training points. A show was held with a demonstration of the actions of the personnel of the military units to provide first aid to the wounded during fire contact. Representatives of industry took part in the exhibition, familiarizing those present with promising samples of medical equipment intended for first aid in emergencies, simulation equipment for first aid training, etc.