Academic and research periodical “MIA Medical Bulletin” N 6 – 2017 (ХСI) was published
Подписан в печать 17.11.2017
Health care management
ORGANIZATION OF SCIENTIFIC AND METHODICAL WORK IN THE MILITARY HOSPITAL
Scientific and methodical work is integral to activity of a military medical institution. Development of new methods of diagnosis, treatment and rehabilitation of patients, especially patients with combat damages received during combat missions improves the results of treatment and medical care quality.
Key words: scientific and methodical work, health outcome, medical care quality.
MEDICAL CARE QUALITY ASSESSMENT: STUDY AND TEST MATERIALS FOR CONTINUOUS MEDICAL EDUCATION
(The end. Beginning in N 5-2017)
Kudrina V., Goncharova O., Andreyeva T., Lipatova Ye., Khalyastov I.
The article contains the materials for the forming professional competences and improvement of knowledge on medical care quality assessment in physicians working in medical organizations with state, municipal and private forms of ownership regardless of departmental affiliation and legal organizational forms of activities. The study and test materials are necessary for physicians to improve the labour function “maintenance of medical documentation”.
Key words: medical care, medical care quality assessment, physician professional competences, requirements for professional activity of medical professionals.
ROLE OF MEDICAL COMMISSION IN OPTIMIZATION OF MEDICAL AND PSYCHOLOGICAL SUPPORT OF POLICE STAFF
Shogenov A., Murtazov A., Elgarov A.
Medical commission is one of the special bodies in the system of departmental medicine of the MIA of Russia, which functions on continuing basis. The main object of medical commission is improving the organization of medical care for the police staff. Increased attention of medical commissions to police officers makes for the beginning and strengthening of feedback between patients and doctors.
Key words: medical commission, individual medical and psychological support, psychophysiological testing, psychosomatic status.
COLORECTAL STENTING IN ACUTE COLONIC OBSTRUCTION OF TUMOR ORIGIN
Safonov A., Zabelin M., Zubritskiy V., Khvostunov S., Nikolayev K.
Usually acute colonic obstruction with abdominal sepsis and enteroparesis is characterized by increasing intra-abdominal pressure and progress of intra-abdominal hypertension syndrome.
Key words: bowel obstruction, colorectal stenting, intra-abdominal hypertension.
SPECIFICS OF ORGANIZATION OF MEDICAL CARE FOR CASUALTIES WITH MAXILLOFACIAL WOUNDS IN PRESENT LOCAL MILITARY CONFLICTS
Pospelov N., Lukyanenko A., Bazhenov O., Sadovskiy I.
The authors use the classification of gunshot maxillofacial wounds of Honored Doctor of the Russian Federation, Doctor of Medicine, Professor A.V. Lukyanenko. This classification makes it possible to formulate the diagnosis most completely and promptly make a decision about the medical sorting and following evacuation of casualties for the complete specialized surgical care in the conditions of stage treatment.
Key words: explosive mines, maxillofacial wounds, head battle traumas.
Traumatology and orthopedics
THE MODERN APPROACH TO UNSTABLE PELVIC INJURIES
Ghidirim G., Kusturov V., Paladii I., Kusturova A.
Massive hemorrhage occurs in pelvic fractures in 25–30% of cases; it can reach more than 2–2.5 liters. Posttraumatic hemorrhage in damage of abdominal and pelvic organs can cause death of up to 67% of patients immediately after an accident or during the evacuation to a hospital. The main sources of massive pelvic hemorrhage are damages of large vessels, intraosseous vessels and pelvic venous plexuses. The successful treatment of this group of patients depends on rapid and accurate diagnosis of all damages and immediate treatment of pelvic fracture. It is also necessary to perform rapid pelvic hemostasis and stabilization. Analysis of treatment of more than 530 patients with pelvic fractures and multitraumas showed that only one patient died in the group of patients with fixed pelvic fractures during the first days after injury in contrast to the second group of patients (mortality was high without fixation of pelvic fractures).
Key words: pelvic fracture, massive pelvic hemorrhage.
TRAUMATISM EPIDEMIOLOGY AND RISK FACTORS AMONG THE POLICE STAFF OF THE IRKUTSK REGION (in 2013–2016)
Bobin A., Sergeyev V., Kuznetsov M., Menshchikova S.
There are stable rates of the frequency of injuries among the police staff of the Irkutsk region with a growth trend for account of minor injuries and injuries recognized as non-insured events. Off-the-job injuries prevail in the structure of injury rates. Lower limb injuries are prevalent among all on-the-job injuries depending on anatomical localization. The share of on-the-job craniocerebral injuries is 2.5 times more than of-the-job craniocerebral injuries. Injuries due to personal negligence are prevalent among on-the-job injuries. Commuting injuries and injuries due to fatigue duties are very common too. Additional researches are needed to study epidemiology of general and on-the-job traumatism among the police staff.
Key words: injury rate of police staff, circumstances of injuries, traumatism risk factors.
EXTRACORPOREAL PHARMACOTHERAPY FOR TREATMENT OF PATIENTS WITH VARIOUS NOSOLOGIES
Smelaya T., Sivtsevich N., Zholobov I.
The article deals with the methods of targeted transport of medicinal preparations to target organs. The authors describe clinical cases of using some methods for treatment of various diseases.
Key words: targeted transport of medicinal preparations.
COMPREHENSIVE HEALTH AND HORMONAL ASSESSMENT OF PERSONS WITH HAZARDOUS OCCUPATIONS IN CASE OF CORONARY ATHEROSCLEROSIS
Atherosclerotic vascular disease of coronary arteries is one of the main factors of ischemic heart disease progression. The most important aspect is diagnosis, treatment and rehabilitation of coronary heart disease in persons with hazardous occupations. They are military and police personnel, their activities are closely related to the impact of extreme factors as non-correctable elements of the professional environment.
Key words: ischemic heart disease, coronary atherosclerosis, police officers.
PROBLEMS OF DIAGNOSTICS AND TREATMENT OF OMALGIA IN AMBULANCE SITUATION
Shchekina R., Leiderman N., Lyakhova T., Zaionchkovskaya I.
Omalgia is one of the most frequent complaints of patients when they visit doctors of various specialties. The article deals with the main approaches to differential diagnosis of shoulder pain syndromes (shoulder joint pathology, periarticular soft tissues involvement, extraarticular process with omalgia) using the methods of radiodiagnosis. The authors describe the main principles of conservative treatment of patients with omalgia depending on the character, localization of the process, degree of its acuity. The new physiotherapy method of combined electro-ultrasound therapy is presented.
Key words: omalgia, periarticular soft tissues, rotatory cuff, physiotherapy.
EFFICIENCY OF BALNEOTHERAPY IN MULTIPLE TREATMENT OF DRY EYE SYNDROME
Gladinets I., Budul Yu., Munin I., Korovina Yu., Dudayeva K.
The article deals with the problem of dry eye syndrome and various approaches to treatment of this pathology. The authors analyzed data on monotherapy and multimodality therapy of dry eye syndrome and detected effectiveness of the method of Narzan eyelid irrigation with sulfate-bicarbonate mineral water from Kislovodsk in multimodality therapy using ophthalmic drops “Systane Balance” (Alcon). Indications and contraindication to balneotherapy were detected too.
Key words: dry eye syndrome, balneotherapy, Narzan eyelid irrigation, Schirmer’s test, Norn’s test.
PSYCHOLOGICAL RESEARCH IN INTEREST OF MILITARY MEDICAL EXAMINATION
Kulikov V., Anisimova T.
At present mental diseases are the leading nosological forms among persons exempted from obligatory military service and conscripts released from active duty. In this regard, improvement of military medical examination on the base of the development of psychological researches is an actual problem. The article deals with the detecting the frequency and causes of adaptive and neurotic reactions in conscripts, the most important criteria for assessing the state of mental disadaptation. The authors present the variants of adaptation reactions’ dynamics, differentiated individual plans for the prevention and correction of mental disadaptation taking into account personal characteristics of military personnel.
Key words: adaptation of military personnel, impulsive, rigid and hyperthymic traits.
HACCP SYSTEM AS A GUARANTEE OF QUALITY AND SAFETY OF PUBLIC CATERING IN THE ORGANS OF THE MIA OF RUSSIA
Smolyaninov S., Gnednev A., Skuryatina Ye., Morozova N.
Practical application of the HACCP (Hazard Analysis and Critical Control Points) policy as a management system guarantees the safety of food products; at the same time it is important for detecting and eliminating possible risks, their regular control, and immediate correction as required at each stage of the process (from primary products coming to food intake).
Key words: food safety, epidemic process, HACCP system.
Psychosomatic status of police officers largely determines their state of health, quality performance of special, including dangerous professional duties usually accompanied with significant systemic psycho-emotional and workload stress. A reliable prevalence of chronic noninfectious diseases in the structure of morbidity of hospitalized patients – police officers was detected. At the same time the social and hygienic portraits of colleagues and some modified risk factors that form ...
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