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Possibilities of inocardiography for defining systolic left ventricular function when screening of military personnel. Possibilities of definition of myocardial contractile function with the help of the detection method offremitus of vertical lift component, caused by in-space heart movement in patient siting on a dynamometric platform, were researched in 230 patients. As a control method for defining the heart pump function was used the echocardiographic modified biplane Simpson method. It is defined that an appropriate method allows distributing with high certainty patients to groups with normal, moderate impaired and severe impaired myocardial contractility.
Anniversary of the science regulatory body of the S.M.Kirov Military medical academy. In the nineteenth century the Military-medical scientific committee was responsible for organization of scientific activity in the system of medical service of the Armed Forces; in the soviet period - the Military-scientific committee of the Main military-medical authority (since 1930) and scientific department of the S.M.Kirov Military medical academy (since 1931). In 1931-1936 and in 2010-2014 the Military-scientific committee of the Main military- medical authority was dissolved, and in 1936-1940 and in 2014-2015 conducted a supernumerary activity, during these periods the scientific department of the S.MKirov Military medical academy was responsible for coordination of scientific work in the Armed Forces. An experience of organization of the scientific regulatory bodies brought positive results and allows developing medical science further in the interests of the Army and the Navy.
Physiological and hygienic requirements imposed on water supply for troops in the Arctic zone. The deployment of military garrisons in the Arctic zone requires solutions of health and working capacity maintenance among the military personnel. One of them is to provide a physiologically adequate and safe water supply. Direct use of water for drinking purposes, obtained by the melting of snow, does not meet the physiological needs of the body as a result of the almost complete lack of mineral salts in it. It determines the urgency of the problem of melt water conditioning. The article contains a review of published data on the historical experience of drinking water quality and its correction on ships of various countries, as well as the ships of the Navy of the USSR. Modern data on salinity and how to use for drinking desalinated seawater on Navy ships, melt water and soft water from natural land water sources. The creation in the garrisons of the Arctic stations zone potable water on the basis of scientific data on the methods of its conditioning (mineralization and disinfection).
Epidemiology and prophylaxis of varicella in military units. Topical issues in military units varicella epidemiology and prevention, as one of the most important infections, potentially controlled by means of immunization. As a result of the retrospective epidemiological analysis of the incidence of varicella personnel- in one of the military districts found that the risk category for the disease are conscripts from the young recruits. The main riskfactors for introduction and spread of the infection: violation of statutory requirements to placement and life conditions of young recruits, delays in army of observation in epidemic outbreaks of varicella. The connection of the skid in a military collective agents of varicella with disabilities in the diagnostic work of the medical service and the organization of sanitary and anti-epidemic regime in. infectious wards of military hospitals. The possibilities of improving the selective immunization against varicella soldiers of the young recruits.
The current state is examined and the organizational experience of the sanitary and aviation evacuation is analyzed, as well as the equipment for carrying out the evacuation. The problematic issues of the organization of sanitary, aviation evacuation are identified, and prospective directions of its development and improvement in the Armed Forces in peacetime are outlined.
Hygiene education and training of personned, promotion of healthy lifestyle is obligatory section of the medical service activity of the Armed Forces, and a part of its measures, concerning ensuring sanitary and epidemiological welfare of troops (forces). The aim of training and education, promotion of healthy lifestyle consists in maintaining and improving the health and performance of professional military personnel. Mandatory-governmental conditions for the success of these measures are scientific justfication, purposeful, planned and permanent with full coverage of the military collective and differentiated supply and affordability ofpre-information. This article provides recommendations for the medical service for the organization and methodology of health education. forminz its theme.
Pulmonory embolism takes the third place in cardiovascular mortality structure. Separate clinical symptoms don't have adequate sensibility and specificity for pulmonary embolism verification. For pulmonary embolism diagnosis are usually used clinical probability scales. Clinical markers, pulmonic ventricle dysfunction markers, and myocardial injury markers determine risk stratification. Methods for diagnosis and treatment of pulmonary embolism are based on risk levels. In case of suspected pulmonary embolism the treatment should be prescribed immediately without waiting for diagnosis approval. Pulmonary embolism. accompanied with shock and hypotension is. an absolute thrombolytic therapy indication. According to data, provided by authors, efficacy and safety of prourokinase appeared to be as effective and safe as alteplase according to clinical and instrumental criteria. Alteplase effectiveness is higher than prourokinase in case of short anamnesis (<3 days), while in case of long anamnesis (>3 days) proukinase has the advantage of alteplase., To prevent repeated venous thromboembolism should be prescribed indirect anticoagulant (Vitamin K antaonist) or factor Xa inhibitor oral inticoagulant rivaroxaban.
Software and hardware system for medical equipment recording in a military field hospital. The article provides characteristics on the modern software and hardware system for recording of medical equipment in a military field during military time. This system is included into the assembly of medical equipment <Books and forms of medical. recording and hospital accounting - BK-2>, included in the norms of medical equipment supply for military field hospitals. Authors give an algorithm of development and use of specialized software for recording of-medical equipment in a military field hospital.
Use of the accelerated recovery programme after surgical intervention in the field of battlefield surgery. The article provides information on the possibility of implementation of the accelerated recovery programme after surgical intervention in the field of battlefield surgery. According to analysis of experience of work of specialized thoracic reinforcement group at a garrison hospital, transformed into multidisciplinary military field hospital (3rd level), it is shown that principals of the given program may be implemented, under some conditions, in the course of the first emergency specialized aid delivery to wounded on the battlefield. The use of modern technologies in the course of surgical treatment of wounded in battlefield hospital, may reduce traumatic effect of surgical intervention and allows receiving results similar to results received in peacetime during implementation of FTS program, thus to resolve the main state problem - accelerated recovery of the wounded soldiers and their return to the duty or their full social rehabilitation.
life indicators of patients (n=365) with chronic biliary pancreatitis before the operation, 6 months and up to 10 years after surgical intervention were studied. It was found that the decrease in the quality of life of patients before surgey is mainly due to pain syndrome. After 6 months after the operation, the work capacity and physica activity are gradually restored against the background of a reduction in the pain syndrome. In the late period, the greatest importance is acquired dyspeptic disorders and reduced physical performance. The use of minimally invasive technologies lea to a faster recovery of the quality of ljfe indicators of patients in the postoperative and remote periods, the use of minimally invasive techniques and the dissociation of the common biliary and pancreatic ducts do not have signficant dgeferences and are close to the norm. The worst quality of ljfe was observed in patients who underwent the imposition of choledochusduodenoanastomosis. Qualiy of.
Role of military medicine in delivering of health care to ministry of internal affairs staff. The article describes the creation of the Medical Service Ministry of Internal Affairs of the Russian system. Throughout its history, medical-mechanical maintenance of employees of law enforcement bodies, such as in pre-revolutionary period, and in the early years of the Soviet regime was closely linked with military medicine of the Russian Empire and the Red Army. Many police officers, and later the police received medical care in military hospitals. Start the NKVD- MVD departmental health laid in 1921 with the creation of oadmissionso to provide medical care to police officers. As part of the system of state-sensible care, the medical service of the Russian Interior Ministry system and now introduces non-assessable contribution to its development.
The article provides description of modern status of the system of medical rehabilitation for servicemen of the Armed Forces on the level of health resort treatment. Authors give results of work analysis of military health resort institutions, concerning medical rehabilitation for military servicemen. Studied problem issues, defined main ways of medical rehabilitation organization improvement in health resort treatment institutions.
Actual issues of an improvement of the medical aid delivery system in case of acute radiopathology in the Armed Forces of the Russian Federation. The article provides information on characteristics of the stage system of medical aid delivery in case of acute radiologic traumas. The authors formulated main directions of improvement of the system under modern conditions. It is shown that as a basis of its improvement may be considered the complex of measures, including formation of standardized clinical recommendations (treatment protocols) on medical care delivery to the wounded at different stages of medical evacuation, expanding of possibilities of special medical aid delivery to patients with acute radiopathology, including formation of mobile reserves for deployment of specialized units under conditions of mass admission of patients with severe forms of radiopathology; renewal of the training system for medical specialists working in the field of acute radiopathology; implementation of information technologies; improvement of interdepartmental interaction on the problems of medical consequences after radiologic emergency situations in peacetime.
On the history of the medical support for the White movement on the South of Russia (1918-1920): The Don Army. The military-sanitation inspector and held by him the army medical department of the All-Great Don Host organized medical support of the Don Army; the military-sanitation inspector was responsible not only for military healthcare, but also for civil healthcare. A representative of this department was a member of the medical committee of the Armed Forces on the South of Russia. Medical facilities of the Don Army included garrison hospitals in Rostov-on-Don and Novocherkassk, small hospitals at stations, khutors, and railway stations. On the stages of medical evacuations were organized battlefield medical facilities - battlefield hospitals, ambulance detachments, battlefield mobile hospitals, evacuation points, and evacuation hospitals. Antiepidemic means included mobile epidemic and disinfecting troops, and bacteriological laboratory. After the Don Army passed to the control of the commander in Chief of the Armed Forces on the South of Russia and organization of joint military operations with the Volunteer Army wounded and ill Cossacks had also been sending to medical facilities of this join.
Present condition and perspective of development of self-care decontamination products. This work provides data describing the current state and perspectives of development of self-care decontamination products for neutralization and removal of poisonous and highly toxic biologic and radioactive agents from open human body surfaces and close- fitting cloth. The history of self-care decontamination products creation in Russia and foreign countries is represented. The detailed performance characteristics of the developed individual anti-gas kits IPP-3, IPP-51, IPP-8, IPP-10, IPP-11, which were accepted to the Army and the Navy supply in the 1920-1930s, during the Great Patriotic war, in post-war period and now, are given. The individual anti-gas kits RSDL, M291, M295 and MKI for government-issue equipment of North Atlantic nations' armies are described in detail. It was showed that the general limitation both of the native and foreign anti-gas kit models is the poor efficacy against exposure of vesicants from the group of blister warfare agents. The most perspective research guidelines in creation of new self-care decontamination products. are validated.
The article presents the data dedicated to comparative analysis of the structure of purulent diseases of the hand, the appointment of empirical antimicrobial therapy to military personnel in terms from 2005 to 2015. There was revealed the dependence between late hospitalization (after 5-10 days). and the frequency of deep hand infection, the spread of infection to the surrounding tissues, increase in the number of complications, reoperations, and duration of treatment. A comparative evaluation of results of treatment, depending on the nature of ongoing antibiotic therapy is revealed. A scheme for the appointment of empirical antimicrobial therapy in patients with complicated forms of purulent diseases of the hand is offered.
One of the priorities of aviation medicine is meaicai sajety ojjugnts. - ne arricie presents tne resuits oj an anaiysis oj current trenas ana the main lines of activity of the medical service for ensuring the safety of flights. The problematic issues of medical control over the health of aviation specialists have been identified and ways of their solution have been proposed.
The article describes the history of the formation and development of the Branch N 1 of the FGKU <<The main, center of the military- medical examination>> of the Ministry of Defense since the establishment of the military-medical commission of the Moscow military district before its final transformation into the branch. Simultaneously, the article describes the main tasks entrusted to 'the bodies of military medical examination, as well as the performance of this work.
The article describes the methodological approaches to medical equipment for supplies teams of specialized medical care and medical and nursing teams, formed on the basis of the Military Medical Academy. Kirov. It is shown that the priority in the selection of samples medical equipment suitable for use in the medical unit formations, military units and military medical institutions and medical institutions (subdivisions) of other ministries and departments, belongs to medical bags, sets of medical equipment, sets and packing medical taken to supply the Armed Forces and included in the rations medical supplies formations, military units and organizations. A brief description of sample medical equipment used to equip teams.
Barotherapy in the military medicine. The authors present current data on place and role of hyperbaric oxygenation for military and extreme medicine. Main mechanisms of oxygen saturation and its <<delivery>> to cells and tissues of the organisms is described in the given article. The authors proved advantages of the hyperbaric oxygenation over the normobaric and showed its high efficiency for the trauma and suppurative- septic lesion treatment, and for the combat therapeutic pathology. Main clinical and physiological effects of the hyperbaric oxygenation are showed. Modern indications and contra-indications for the use of the hyperbaric oxygenation as a therapeutic mean are proved.