Vol 36, No 1 (2017)

Articles
PAMYaTI DOKTORA LIZY
Kuznetsova O.Y., Moiseeva I.E.
Abstract
Bulletin of the Russian Military Medical Academy. 2017;36(1):3
views
APPLICATION FEATURES OF CAFFEINE-CONTAINING COMPLEX BY OPERATORS IN DAILY DUTY
Ganapolsky V.P., Grinchuk S.S., Bolekhan V.N., Izvozchikova O.V., Luchnikova O.V., Rzhepetskaya M.K., Shchukina N.A.
Abstract
The performance of volunteers-operators of duty shifts, subjected to increased mental and psycho-emotional loads during prolonged operator’s performance using a caffeine-containing complex (chewing gum) has been studied. It has been revealed that in performing their duty shifts under fatigue conditions (a state of monotony), the use of a caffeine-containing complex can lead to a slight improvement in the subjective status against the background of a decrease in the vegetative parameters values of the cardiovascular system (tone of peripheral vessels) (2 tables, bibliography: 8 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):4-8
views
PRECLINICAL ATHEROSCLEROSIS AND MODERN METHODS OF ITS DIAGNOSIS
Rudchenko I.V., Tyrenko V.V., Kol'tsov A.V., Sinopal'nikov D.O., Kachnov V.A., Gridneva A.V., Koroleva K.Y.
Abstract
The article deals with modern methods of diagnosis of pre-clinical atherosclerosis, a new method of assessing arterial stiffness - definition of heart ankle vascular index. Practical value of this parameter for the study of the elastic properties of the vascular wall (bibliography: 35 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):9-16
views
PREVENTION OF YATROGENIC DAMAGES OF THE LARYNGEAL NERVES IN TRADITIONAL AND MINIMALLY INVASIVE THYROID SURGERY
Romashchenko P.N., Maistrenko N.A., Krivolapov D.S.
Abstract
Objective. To assess the effectiveness of using the intraoperative neuromonitoring for conventional and minimally invasive surgical interventions on the thyroid gland for the prevention of the laryngeal nerve damage. Material and methods. For achieving this goal it was performed the retrospective analysis of surgical treatment of 310 patients with thyroid gland diseases, and 54 patients were selected, which were divided into 2 groups matched by sex and age, the nature of thyroid pathology and volume of surgical intervention: in the first (main, n = 27) operations were carried out using intraoperative neuromonitoring, in the second (control, n = 27) - visual monitoring of the laryngeal nerves was performed. The survey was performed according to the Russian and international clinical guidelines. Laryngoscopy was performed for all patients before operation and for patients with impaired phonation function - after it. «NIM-Neuro® 3.0» device with special armored endotracheal tubes preloaded with circular (detecting), as well as stimulating electrodes for searching and continuous monitoring of laryngeal nerves was used for intraoperative neuromonitoring during the operation. Results of the study. Traditional interventions were conducted on the 6 patients, minimally invasive nonendoscopic surgical - on 25, video-assisted - on 23. The exterior branch of the superior laryngeal nerve has found in 25 (92.6%) patients of the main group and 8 of the (29.6%) control group. Recurrent laryngeal nerve was identified in 27 (100%) patients of the 1st group and in 26 (96.3%) patients of the 2nd group by visual inspection. In the main group there are no cases of intraoperative fixation of the loss or signal attenuation during the laryngeal nerves monitoring, which is proved by the absence of single- and double-sided paresis of the larynx in the postoperative period. Only in 2 patients there was functional dysphonia on hypotonic type. In the control group the laryngeal dysfunction in the form of functional dysphonia (n = 1), paresis (n = 1) and paralysis (n = 1) has occurred in 3 patients. Conclusion. It has been found out that intraoperative neuromonitoring is an effective additional method of neural structures detecting, and it does not substitute the anatomic visualization of laryngeal nerves. intraoperative neuromonitoring in patients with high risk of complications (repeated operations on the thyroid gland, thyroid cancer with extrathyroidal proliferation and regional metastases) can reduce the incidence of paresis and paralysis of the larynx. All minimally invasive interventions on the thyroid gland should be accompanied by the intraoperative neuromonitoring of laryngeal nerves (8 figs, 1 table, bibliography: 15 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):17-24
views
PECULIARITIES OF MORPHOLOGOCAL AND FUNCTIONAL INDICES YOUNG MEN'S CARDIOVASCULAR SYSTEM WITH CONNECTIVE TISSUE DYSPLASIA SYMPTOMS
Efimov S.V., Cherkashin D.V., Andrianov V.P., Alanichev A.E., Kutelev G.G., Liderman A.A.
Abstract
Nowadays there is no uniform classification and methods of diagnosis of the dysplasia presence in the examined human connective tissue, however it is known that all diseases are depending especially on the severity of the connective tissue disorders. By itself, the connective tissue dysplasia, affecting all systems and organs in the process of embryogenesis, is manifested mainly in the bodies of one of the systems. So far, the cardiovascular system has been studied the most fully. It is considered as an obligatory element of adaptation to the environment, testing the most expressed load at any activity and pathology. The aim of the study was to determine peculiarities of morpho-functional parameters of a healthy person activity with a minimum of the severity of the symptoms of cardiovascular system connective tissue dysplasia, and also to determine quantitative criteria for the evaluation of DST (6 tables, bibliography: 17 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):25-31
views
REFORM OF PRIMARY HEALTH CARE IN RUSSIA
Karaylanov M.G., Rusev I.T., Borisov D.N., Bakanev O.Y., Prokin I.G.
Abstract
Explore the historical domestic experience of primary health care to the population of major cities, the establishment of this type of medical care as the main and the largest national healthcare system partition stages of the reform of primary health care to date, with a gradual transition to a system of health insurance in order to further increase the availability of and quality of care. Due to the recent modernization of the health system outpatient offices were equipped with modern innovative medical devices for the delivery of primary health care at a high level. In addition, historically proved the effectiveness of medical care at the district territorial principle, which defines and improves access to health care, with subsequent referral to narrow specialists (bibliography: 20 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):32-36
views
INTERACTION BETWEEN OREXIN AND OPIOIDS SYSTEMS OF THE STRUCTURES OF PARAAMYGDALAR COMPLEX IN THE REINFORCING EFFECTS OF SPONTANEOUS AND ACTIVATED SELF-STIMULATION OF THE LATERAL HYPOTHALAMUS
Shabanov P.D., Lebedev A.A., Morozov V.I., Azarenko S.V.
Abstract
Male Wistar rats were implanted bipolar electrodes into the lateral hypothalamus to study self-stimulation reaction in the Skinner box and microcannulas into the right lateral ventricle and structutes of the paraamygdalar complex (bed nucleus of stria terminalis, central nucleus of amygdala or nucleus accumbens) to study central effects of orexin (5 µg in 5 µl i. v. for an injection) on the reinforcing properties of pharmacological drugs. Intraperitoneal administration of trimeperidine (3 mg/kg), a synthetic opioid, was shown to increase self-stimulation of the lateral hypothalamus in the Skinner box (number of pedal pressings for 10 min) by 51.8%, and sulpiride (5 mg/kg, a small dose), an antagonist of D2 dopamine receptors, did not change but in the large dose (20 mg/kg) decreased self-stimulation by 49.3% (a number of pedal pressings, or self-stimulation frequency within 10 min). At the same time, SB-408124, an antagonist of OX1R receptors and its combination with orexin did not change self-stimulation indexes after intrastructural administration into the bed nucleus of stria terminalis, central nucleus of amygdala or nucleus accumbens. On the background of blockade of OX1R receptors by SB-408124 (1 µg for all structures) trimeperidine reduced their activating action on self-stimulation reaction. Sulpiride (5 mg/kg i. p., a dose not affecting self-stimulation reaction) blocked activating action of trimeperidine after blockade OX1R receptors by SB-408124 (1 µg). The data obtained can suggest that OX1R receptors participate in the reinforcing effects of synthetic opioid trimeperidine and the blockade of them by SB-408124 potentiate antagonist effects of sulpiride on self-stimulation (4 tables, bibliography: 23 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):37-45
views
THE POSSIBILITY OF USING THE POLYMER FOR THE TREATMENT OF FULL NANOBIOCOMPOSITES SKIN DEFECTS
Zinov'ev E.V., Asadulaev M.S., Kostyakov D.V., Osmanov K.F., Stoyanovskiy R.G., Smirnova N.V., Shabunin A.S., Luk'yanov S.A.
Abstract
The results of the experimental evaluation of the effectiveness of wound dressings based on chitosan nanofibres and copolyamide with treatment of full mechanical skin wounds. To develop their own original technique of mechanical reproduction all layers of the skin wounds in the experiment. It was found that application of wound dressings based on aliphatic copolyamide and chitosan can significantly optimize reparative regeneration processes in the area all layers of the skin defect, thus reducing the time stated scab rejection and wound healing, respectively, 7.5 and 11.2 days (p < 0,05). It is shown that the use of coatings based on hyaluronic acid hydrogel is also accompanied by a significant acceleration in the zone histogenesis all layers of the blemishes, shortening the healing period of the final 21% (p < 0,05) (4 figs, 1 table, bibliography: 14 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):46-50
views
ABOUT THE CONDITIONS OF THE MEDICAL SERVICE OF THE TANK ARMY IN A REGIONAL WAR
Kulnev S.V., Shelepov A.M., Tsogoev V.E., Latypov I.F.
Abstract
On the formation conditions of the medical service of army tank during a regional war, a significant impact would provide a number of tactical factors related to the characteristics of each type of operation. Each type of operation - offensive, defensive, and create specific conditions for the organization of medical care (bibliography: 4 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):51-54
views
IVAN STEPANOVICH KOLESNIKOV: PIONEER IN THORACIC SURGERY (MARKING THE 115TH ANNIVERSARY OF THE BIRTH)
Dzidzava I.I., Dmitrochenko I.V., Apollonov A.A., Kotiv B.N., Iontsev V.I., Barinov O.V., Dzhafarov A.A.
Abstract
Ivan Stepanovich Kolesnikov (1901-1985) - Soviet surgeon, Doctor of Medical Sciences, Professor, Academician of the Academy of Medical Sciences of the USSR, Major General of the Medical Service, Honored Scientist of the RSFSR (1964); Hero of Socialist Labor (1976). Laureate of the Lenin Prize and the USSR State Prize. November 4, 1968 at the Department of Hospital Surgery Professor IS Kolesnikov, together with Academician of the Academy of Medical Sciences of the USSR Colonel-General of Medical Service A. A. Vishnevsky performed the first in our country heart transplantation (1 figs, bibliography: 15 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):55-58
views
TO THE QUESTION OF THE HISTORY OF DEVELOPMENT SYSTEMS ARE COMPLETE-SERVICE MEDICAL SERVICE OF THE ARMED FORCES OF THE RUSSIAN FEDERATION
Miroshnichenko Y.V., Kononov V.N., Perfil'ev A.B., Rodionov E.O., Likhogra I.A.
Abstract
The basis for the formation of authorized equipment equipment of the Russian Armed forces, representit in a specific pattern chosen and systematized assortment of medical products packaged in certain containers were laid in the Petrine era. It is established that many wars and armed conflicts, as well as the development of medicine has become a powerful impetus to the improvement of the equipment of military-medical units and military hospitals. It is shown that the scientists and specialists of the Military medical Academy, Scientific research Institute of sanitation of the red army, the Main military medical Directorate has made a significant contribution to the development of sets of medical property, justified their composition and content, which contributed to the improvement of medical support of troops (forces) (1 figure, 2 tables, bibliography: 8 refs).
Bulletin of the Russian Military Medical Academy. 2017;36(1):59-64
views

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies