Vol 36, No 4 (2017)

Articles
GENETIC MARKERS AS AN INDICATOR OF HUMAN RESILIENCE TO VARIOUS ECOLOGICAL AND PROFESSIONAL FACTORS
Yatmanov A.N.
Abstract
The application of multidimensional screening of the navy servicemen’s mental health is considered in the article. The content of the concept of “mental health” is not limited to medical and psychological criteria, it always reflects the social and group norms that regulate the spiritual life of a person. For this purpose, multidimensional mental health screening has been developed. The essence of multidimensional a serviceman’s screening consists of combining the level estimates of mental or “subjective”, psychophysiological or “military professional” and socio-psychological adaptation of a serviceman. A moderate level of personal “subjective” adaptation in the collective of servicemen, a good level of indicators for assessing the activity of servicemen by the commander, and the presence of social tension in the military collective in the conditions of the third month of the campaign is observed. 27% of those surveyed servicemen were recommended psychological and educational activities, 9% - were required dynamic monitoring of the doctor’s part, 2% - were needed in a psychiatrist’s consultation. It requires mandatory medical and psychological support for military personnel during a long campaign (3 tables, bibliography: 7 refs).
Russian Military Medical Academy Reports. 2017;36(4):3-5
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GENETIC MARKERS AS AN INDICATOR OF HUMAN RESILIENCE TO VARIOUS ECOLOGICAL AND PROFESSIONAL FACTORS
Rzhepetskaya M.K.
Abstract
Various ecological and professional factors (hypoxia, a hot or cold climate, noise, vibration, radiation, intense physical activity, etc.) are peculiarities of the military activities. The introduction of molecular and genetic methods in medical practice and occupational selection can greatly improve the efficiency of selection and rational appointment of people into separate specialties, optimize working capacity, maintain human health, reduce the costs for rehabilitation and (or) specialists’ treatment
Russian Military Medical Academy Reports. 2017;36(4):6-13
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PECULIARITIES OF THE SURGICAL TREATMENT OF PATIENTS WITH DEEP FACE BURNS
Butrin Y.L., Petrachkov S.A.
Abstract
The article is devoted to the study of different types of surgical approach in the treatment of patients with deep face burns. The data of the facial burns frequency in time of peace and in time of war in Russia, the United States are given, the most common reasons of burns are indicated. The data on the different specialists’ approaches in the surgical patients’ treatment with deep burns face have been presented. Pros and cons of each approach have been described. Specific features of facial burns treatment are indicated. The necessity of searching the optimal surgical tactics in the treatment of deep face burns has been justified
Russian Military Medical Academy Reports. 2017;36(4):14-20
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ASPECTS OF THE FORMATION AND IMPROVEMENT OF STATE SANITARY AND EPIDEMIOLOGICAL SUPERVISION IN THE ARMED FORCES OF THE RUSSIAN FEDERATION
Aminev R.M., Kuzin A.A., Zobov A.E., Golubkov A.V.
Abstract
The article gives a brief overview of the historical stages of formation of the modern system of state sanitaryepidemiological supervision in the Armed Forces of the Russian Federation from the primary elements of sanitary supervision in the regular Russian army in the XVIII century to the formation of the modern sanitary-and-epidemiologic institutions. Parallels with the development of the state sanitary and epidemiological service of Russia. Some aspects of improvement of state sanitary and epidemiological supervision in the Armed Forces of the Russian Federation from positions of introduction of the risk-oriented model of control and oversight activities. Outlined the problems of application of administrative coercive measures to officials of military units and institutions for sanitary offences committed and the ways of their solution
Russian Military Medical Academy Reports. 2017;36(4):21-28
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EPIDEMIOLOGICAL FEATURES OF INFECTIOUS DISEASES IN EMERGENCY SITUATIONS OF NATURAL CHARACTER
Lantsov E.V., Kobylkin D.V.
Abstract
The epidemiologists of the whole world today special attention is paid to a relatively new direction of research is the epidemiology of emergency situations, studying features of manifestation of epidemic process in areas of catastrophes of natural and technogenic character. The article, based on a brief literature review of the epidemiology of emergency situations, the basic epidemiological features of infectious diseases of the population in emergency situations of natural character, allowing you to more effectively plan and carry out sanitary and anti-epidemic (preventive) measures
Russian Military Medical Academy Reports. 2017;36(4):29-32
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MEDICAL SUPPORT FOR SPORTS AND MASS ACTIVITIES AND LESSONS FOR PHYSICAL TRAINING
Storozhenko I.I., Nikolaeva K.V., Fedorin S.V.
Abstract
According to the report of the Minister of Education and Science of the Russian Federation to the President of Russia in October 2017, only in 2016 211 students perished in physical culture and sports. Of course, even one case should make us think about the shortcomings in the methods of physical education and sports, and in the absence of timely provision of medical care
Russian Military Medical Academy Reports. 2017;36(4):33-35
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A CLINICAL CASE OF COMBINATION OF KONN’S DISEASE AND MULTIPLE NEOPLASIA
Arapkhanova M.M., Starodubtsev Y.V., Aksenov V.V., Serdyukov S.V., Salikova S.P., Grinevich V.B.
Abstract
The description of the clinical case of combination of Konn’s disease and multiple neoplastic processes, differentialdiagnostic search of syndrome that conbines existing neoplasia in a single nosological form is presented in the article
Russian Military Medical Academy Reports. 2017;36(4):36-40
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THE MAIN FACTORS OF PREMATURE AGING OF THE HUMAN BODY AND THEIR PATHOGENETIC SIGNIFICANCE FROM THE STANDPOINT OF NEUROIMMUNE ENDOCRINE INTERACTIONS
Medvedev D.S., Bondarev S.A., Shchurov A.G., Churganov O.A., Borisov D.N.
Abstract
The results of a study aimed at the analysis of the main risk factors of premature aging of the human body and assessment of their pathogenic significance are presented in the article. According to the literature, the main risk factors for premature aging are: metabolic disorders, obesity, lack of exercise, bad habits (alcohol, smoking), weighed down by premature aging heredity, poor nutrition, prolonged and frequent episodes of nervous and mental overexertion. The assessment of the pathogenetic significance of these factors from the standpoint of neuroimmune endocrine interactions has been conducted. It has been shown that the considered risk factors have systemic adverse effects on the human body, activating different pathogenetic cellular and molecular mechanisms. The results of the study expand the understanding of the systemic adverse effects of risk factors on physiological processes and can be used in prevention of premature aging
Russian Military Medical Academy Reports. 2017;36(4):41-46
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PROTECTIVE EFFECT OF AMINO ACIDS IN THE ORGANOTYPIC CULTURE OF THE ECTODERMAL GENESIS TISSUES AT THE CYCLOPHOSPHANE PRESENCE
Chalisova N.I., Korovin A.E.
Abstract
The effect of the 20 coded amino acids was investigated on the development of the processes of the proliferation in the organotypic tissue culture of rat skin and brain cortex. Some amino acids at 0.05 ng/ml concentration stimulated the cellular proliferation in the growth zone of explants. The other inhibited it. The combination of the stimulating and inhibiting amino acids - Leucine with Proline or Tyrosine-, lead to the proliferation stimulation by 24-32%. The mustard-like agent cyclophosphane at 1 mg/ml concentration inhibited the cellular proliferation. However, the delay of this inhibiting effect of cyclophosphane was observed by the using of combination of amino acids with cyclophosphane. Thus, the amino acids can be protectors of the cellular proliferation by the toxic effect of the cyclophosphane on the tissues of the ectodermal genesis. This effect can be used for the treatment of the mustard injury of skin, brain cortex and for the delay of the adverse effect of cytostatic in oncology
Russian Military Medical Academy Reports. 2017;36(4):47-52
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AUTOAGGRESSIVE BEHAVIOR IN YOUNG PERSONS
Ulyukin I.M., Emel’yanov V.N., Bolekhan V.N., Orlova E.S.
Abstract
Modern trends in psychopathology are the increase in the number of patients who need psychiatric or psychological assistance, inadequate staffing of the mental health system, low psychological culture of the population, lack of a system of early detection of predisposition to psychopathology. The review is devoted to one of the unsolved problems - this is a problem of autoaggressive behavior, which manifests itself in self-blame, self-abuse, self-injury, suicide, self-destructive behavior (drunkenness, alcoholism, drug addiction, risky sexual behavior, choice of extreme sports, dangerous occupations, provoking behavior), and it is one of the most relevant in the field of mental health. The risk factors for self-harm, both in the clinical and in the conventionally normal population, are usually considered within two large groups: a) external (environmental or psychosocial factors and traumatic events), b) internal (personal) factors and their interaction. Although most of the self-harm observed in normative mental development in adolescence, adolescence and young age is preclinical and is nonincidental, suicidal intentions can’t be completely ruled out, which requires mandatory testing and clarification of the possible suicide risk in self-destructive behavior within the planned therapy and the selection of relevant targets psychological correction. Since the main contingent requiring registration and assistance is someone who has committed a suicidal attempt, the prevention of a repeated autoaggressive action is the main task of the work of specialists providing psychological and medical and social assistance in the post-suicide period
Russian Military Medical Academy Reports. 2017;36(4):53-59
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LIBRARY OF THE KRONSTADT NAVAL HOSPITAL
Lobanova M.I., Nikitin E.A., Roskostov M.V.
Abstract
In the middle of the XIX century in the Kronstadt naval hospital established medical library. Area of premises 248 m2. It consists of a subscription, a reading room and medical, artistic and historical literature. The library’s collection of books is 23 288, including 10189 of the medical literature, fiction and historical literature 13 099
Russian Military Medical Academy Reports. 2017;36(4):60-64
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