Voenno-medit͡sinskiĭ zhurnal
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The authors analysed state and prospects of medical-and-psychological support of military servicemen, which is supposed to consider as a complex of measures aimed at monitoring of professional psychological health, professional-and-psychological expertise, psychophysiological and pharmacological, correction, and medical-and-psychological rehabilitation. Organisation and maintaince of the above mentioned measures should be carried out by specialists of medical--and-psychological support groups and medical-and-psychological correction.
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Peculiarities of surgical treatment of wounded with combined thermomechanical injuries of the lower extremities under conditions of counter-terrorist operation. The authors analysed results of treatment of 67 wounded with injuries of the extremities, combined with burns. Two therapeutic approaches to surgical treatment were used. ⋯ If arterial blood pressure was above 90 mm Hg, ETC approach was used in 19 (28,4%) wounded. If systolic blood pressure was less than 90 mm Hg programmable surgical approach Damage Control Surgery (DCS) was used in 24 (35,8%) patients. The use of differential surgical approach has led to increase in the number of complications from 45,8 to 55,8% (p=0,044) and decrease in mortality c 12,5 to 9,3% (p=0,039) compared with the group of wounded, where was used only traditional approach of single-stage treatment.
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Organization of health resort support for the Armed Forces of the Russian Federation during peacetime. The authors analysed legal documents and presented data on modern organization of health resort support in the Russian armed forces during peacetime, procedure of referral of military personnel and members of their families and other categories of citizens to health resort treatment and organized recreation. The authors showed the advantages of health resort treatment as a primary stage psychological rehabilitation of servicemen, including "preventive" rehabilitation, as evidenced by positive dynamics of indicators of health, and significant economic effect. Besides the authors determined prospective ways of improving health resort support in the Armed Forces.
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Review
[Sympathetic block as a part of the treatment of coronary heart disease (Literature review)].
The given literature review is devoted to the urgent problem of improving the effectiveness of conservative treatment of patients with coronary heart disease through the use of sympathetic blockade. The authors highlight the. current understanding of the morbid physiology of cardiac angina, in particular, pain syndrome, of the state of analgesia in cardiology. ⋯ Also described are the possible side effects and complications of epidural blockade. In conclusion, the authors emphasize the prospect of a wide practical application of regional blockade of local anaesthetics and narcotic analgesics in cardiac patients.
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Historical Article
[The system of selection and training of military-medical staff for the 40th army (1979-1989)].
In December 1979 in order to fulfil their internationalist duty troops and units of the 40th Army of the Armed Forces of the USSR was brought into Afghanistan. For complete and qualitative manning of the army with the military doctors it was needed in a short time to create a system capable to carry out candidates selection, their education and specialized training for work in extreme conditions of combat operations. ⋯ The article presents information about its features, advantages and problems that had to be solved during the entire period of the Soviet-Afghan war. The complex staff arrangements had allowed solving medical support problems of the 40th Army on the high level.