Voenno-medit͡sinskiĭ zhurnal
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Historical Article
[Russian physicians during first months of the Great War (to 100th anniversary of the beginning of the First World War)].
At the beginning of the First World War professor and surgeon S. R. Mitotvortsev was appointed as a Chief Expert - Surgeon of the Western Front, there in Lyublyana he faced with difficulties such as organization of health care delivery and treatment of wounded soldiers. ⋯ This team was named as "Collecting dressing station of professor S. R. Mirotvortsev".
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The current article briefly reviews the experience of combat burns care obtained in the course of 2001-2013 military campaign in Afghanistan and Iraq as it has been covered in the foreign scientific medical publications. The following topics are covered: statistics, the prehospital medical care, aeromedical evacuation, the Burn Center of the US Army Institute of Surgical Research. The new method.of the .initial intravenous infusion rate estimation, so called the "Rule of 10 formula, is marked: At the end, the list of freely available publications summarized the modern combat burns care experience is presented.
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Historical Article
[Medical rehabilitation in the Armed Forces: history, current state and prospects].
Authors analyzed history, current state and prospects of medical rehabilitation in the Armed Forces of the Russian Federation. Current system of medical rehabilitation in the Armed Forces provides all categories of military personnel and members of their families complete rehabilitative and remedial measures. An integration of rehabilitative experience of the medical service of the Armed Forces of the Russian Federation into the State system of medical rehabilitation, active participation of the medical service of the Armed Forces of the Russian Federation in activity of National association of specialists of medical rehabilitation and regenerative medicine will allow to increase the effectiveness of the rehabilitation system of the Armed Forces.
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On the basis of experimental data were studied peculiarities of ballistic of wounds after passing barriers. Authors analyzed forensic medical examination reports concerned about murdered and wounded with gunshots in Saint Petersburg. ⋯ The following assessment of exposure was used: in simulators - according to volumes of temporary cavity; in experimental animals - according to results of morphofunctional researches. Data about damaging action of pistol cartridge 7H22, 7H24 with gauge 5,45 mm and automat cartridges 7H29 and 9,0 mm is received.
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Percutaneous endoscopic gastrostomy for provision of the long-term enteral nutrition is well established in clinical practice because unlike from traditional gastrostomy and jejunostomy allowed to avoid many complications. The technique is used for enteral tube feeding in the absence of real positive predictive recovery of consciousness and swallowing function. During presented study from 387 patients with a gastrostomy imposed by percutaneous endoscopic technique, observed only 1,8% of suppurative complications and in 1% of cases - uncontrolled removal of the tube by the patient. Our experience allows us to recommend this technique for wide implementation in practice of medical institutions in case when it is necessity in enteral feeding more than 3 weeks of patients with impaired