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Experience of the military sanatorium <<Arkhangelsk>> on medical rehabilitation of patients after surgery in the treatment of coronary heart disease. Showing features of the organization of medical rehabilitation of patients with coronary artery disease after surgical treatment at a sanatorium stage. The technology of application of restorative treatment, physical and psychological recovery, natural and premature medicinal factors are given. Based on the dynamics of the functional status of patients given control of complex clinical and instrumental studies in comparison with analogous-tech at discharge, to translate them into functional class, characterized with greater functionality is installed, the high efficiency of rehabilitation.
Efim Anatolyevich Dyskin - the hero of the Defence of Moscow (To the 75th anniversary of the Battle of Moscow 1941-1942). Efim Dyskin - one of the first artilleryman, who awarded the title of Hero of the Soviet Union for a feat accomplished in the Battle of Moscow. After the war he finished the Military Medical Academy and later became a prominent domestic scientist - anatomist and morphologist, head of the general anatomy department, teacher of high school, Major General of the Medical Service. He created a scientific morphological school that developed guidelines for the features of the morphology of the different species of a gunshot wound and the impact of extreme factors of the military working on the body brow-century. Under the leadership of E.A.Dyskin conducted research on. the status of collateral circulation, functional anatomy of the digestive system, craniology, histoty of military medicine and the Military Medical Academy.
The data of the literature and our own research of clinical and epidemiological features of hantavirus infection the North-West region of Russia, showing the loss of endemicity of hemorrhagic fever with renal syndrome. It is noted mostly airborne infection in young and middle-aged men, year-round nature of the disease with seasonal peaks. The clinical picture is moderately prevalent the disease with no or minimal systemic manifestation of hemorrhagic syndrome, often marked by thrombocytopenia, moderate dysfunction and kidney damage in half the time without reducing urine output. The introduction of acute kidney damage concept allows significantly improve the diagnostic efficiency and stratification of renal dvsfunction severity in Datients with hantavirus infection.
The article presents a brief description of the sanatorium organizations CCM <<Crimean>> the Defence. Analysed the climatic characteristics of the region, as well as climatotherapeutic, I and other factors used in sanatorium treatment of diseases of the respiratory and circulatory. structure receiving spa treatment, patients' opinions about its effectiveness.
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.
Comparative evaluation of effectivennes and safety of the local hemostatic agents in the experiment. On the model side damage the femoral artery of pigs we performed a comperative test of modern local hemostatic agents (LHA): bandages on the basis of chitosan <<Tseloks Goz >> (TG), eGemofleks Combat> (GC), <GemoBandazh)> (GB) bandages on kaolin-based <<Combat- Goz>> (CG), and the usual bandage 10 cm x 3 m (control group). 25 animals were divided equally into 5 groups. After 45 seconds of bleeding from 6-mm side wound of femoral artery was used LHA with a three-minute external compression and wound edges approximation. In the case of the continuation-bleeding wounds performed re-tamponade with the second package of the LHA. Hemostasis after applying the first packet never recorded in the CG group, occurred in I out of 5 animals in the groups TG and GC, 2 of 5 animals in the group GB and the control group (p>0,05). Application of two packages LHA in the TG group, GB and the control group was effective in 3 of 5 animals and in groups CG and GC - in 2 of 5 animals (p>0,05). Mortality did not differ significantly between the groups. Thus, the conventional bandage wound with ordinary tamponade in this model is not less effective than current LHA.
Hygienic aspects of development and testing of individual military armour. The article is devoted to scientific substantiation of proposals aimed at improving certain physical and hygienic properties of the personal body armour (PBA) and their test methods. The authors performed an analysis of the development of domestic and foreign PBA production. Analysed and described construction, ergonomic and medical-and-technical characteristics of PBA. The role of the study of hygienic, mechanical and ergonomic indicators in assessing the dynamics of the vector and the further development of PBA is presented. Substantiated proposals for their improvement.
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.
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.
Medical support of the Petsamo-Kirkenes Offensive. W consider the organizational aspects of the healthcare support of Petsamo-Kirkenes Offensive in the Arctic. The conditions and factors that influenced the preparation and conduct of operations are analysed. It is shown that success and effectiveness of medical support of the operation are based on good planning, build-up of forces and means of medical service and manoeuvre, timely evacuation of the wounded and sick, experience of interaction and mutual reinforcement of the Army Medical Services, and the fleet can be used in the development of plans for medical support of diverse groups of troops (forces) in the Far North of Russia.
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.
Prolonged interferon papillomavirus infection treatment. In patients with recurrent genital HPV caused by human papillomavirus types 6 and 11, the use of genferon suppository according to prolonged scheme (500 000 IU 2 times a day for 10 days and further 500 000 IU 2 times a week for 3 months) in comparison with a short scheme (500 000 IU, 2 times a day for 10 days) is more effective in preventing recurrence of infection due to the normalization, an immune and cytokine status, as well as the elimination of the infectious agent from the affected tissues. Prolongation of the drug use did not cause undesirable side effects. The effectiveness of prolonged treatment regimes is determined by the pharmacological properties genferon components that provide systemic and local effects.
The diirectins and ways of ostcgiogtsuikigucak health resources of pilot in order to ensure his professional safety are discussed. The author analyz the approaches to improve the health of the pilot based on foreign studies. The authors evaluate the possibility of improvement of sustainability pilot to overload and hypoxia on the basis of task-oriented training. Attention is paid to the expansion of the scope and content of foreign co-pilot features research activities. in order to enhance its. operational readiness and performance. Directions of improving the flight safety and fighting capacity of the, pilot by taking into account his psychophysiological characteristics and psychosomatic condition.
Psychophysiological methods to support pilots training in the flight simulator. Despite the fact that the pilot performance in commercial and state aviation has some differences the same methodology and training philosophy are used in the organization of flight simulator training. The article presents the results of adaptation of psychophysiological methods to support flight simulator training for pilots of civil aviation, developed for military pilots. It is shown that the existing system for assessing pilots training in flight simulator, which is one of the most important stages of flight training for aviation, is not a sufficient level of objectification. It has been suggested to use psychophysiological inflight monitoring for integrated assessment of skills development along with instructor's assessment. Psychophysiological monitoring included such indices as residual attention and stress index for assessing pilot physiological activity, which enables the instructor to choose the strategies for further training.
In the article observed the issues of individual protection of aviation technical personnel from the noise generated by military aircrafts. It is shown that modern innovative materials and technologies allow carrying out scientifically based selection of perspective acoustic protection means for aviation personnel. Conducted analysis has shown that specially designed aviation PPE are comparable by acoustic effectiveness with foreign analogs. The necessity of taking into account of personal psycho-physiological features in the process of designing, building and testing of PPE has been proved. Stress-protective function of acoustic protective equipment has been proved in experiments with aviation specialists. Discussing prospective investigation directions in the field of noise protection. One of them is the establishment of persons register (flight and technician personnel) working in acoustically adverse conditions as the basis for occupational risks management.
Organization of medical equipment supply-for the Russian Army during the First World War. The article shows that when preparing the army for the war and planning of emergency supplies for military time the Russian military department was guided by the experience gained during the Russo-Japanese War, which turned old by that time, and as a result during the First World War the medical service noticed a significant lack of medications,surgical instruments and other medical equipment. There were few bases of medical equipment in the troop district. The undertaken emergency measures allowed improving supply of medical institutions and troops with medical equipment.
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.
Organisation of medical care to military personnel with viral hepatitis A during the local armed conflicts. The article provides an analysis of medical care organisation system to patients with viral hepatitis A during conducting counterterror operations on the North Caucasus (1994-1996 and 1999-2002). The authors provided information on the main problems of medical support in modern local armed conflicts and shortcomings of organization of medical care to patients with viral hepatitis A in the following conditions: multistage, discrepancy between calculation of forces and facilities and character of military conditions, shortcoming of staff structure of medicalfacilities, inappropriate level ofproficiency ofphysicians of infectious profile and absence of regulations, concerning the use for equipment of infectious hospitals. 'Possible -ways for resolving these problems are showed.
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.
Main indicators of health status of the officers serving at the Armed Forces of the Russian Federation in 2005-2015. Dynamic indicators of health status of officers in 2005-2015 were investigated and evaluated according to developed algorithm. Reliable increase of common morbidity indicators and labour losses and reduced discharge rate and mortality are defined. It is shown that the following diseases: traumas, circulatory diseases, respiratory disease, diseases of the digestive system, pathology of musculoskeletal system and neoplasm are 75,5% of the common health status indicator.