Подписан в печать 23.11.2016
Health care management in the Ministry
THE NINETY-FIFTH ANNIVERSARY OF THE MEDICAL SERVICE OF THE MIA OF RUSSIA.
THE DEPARTMENTAL MEDICAL SERVICE: HISTORY, STATE AND PROSPECTS
During its 95-year history, medical service of the internal affairs agencies has undergone many transformations and reorganizations. The service passed this way with dignity, not only retained material resources, people and traditions, but also developed and increased the potential of the departmental health service.
Key words: medical service of the MIA of Russia, anniversary, internal affairs agencies.
A MODERN OUTPATIENT CLINIC OF THE MINISTRY OF INTERNAL AFFAIRS OF RUSSIA AS THE MAIN PART OF A UNIFIED SYSTEM OF PRIMARY MEDICAL ASSISTANCE TO CONTRACTUAL CONTINGENT
Sidorenko V., Sukhorukov A., Kostin N.
The polyclinics of the Ministry of Internal Affairs of Russia are multi-field medical-diagnostic centers with modern medical equipment and appliances, which make it possible to perform all prophylactic, therapeutic and diagnostic measures including high technology. Highly qualified professionals with many years’ experience in various fields of medicine work in the polyclinics. The scientific potentials of these clinics are the specialists with high academic titles and degrees, fundamental knowledge; they pass on their experience to the younger generation of medical workers. The policlinics are the primary part of the unified departmental health care system.
Key words: Polyclinic of the Ministry of Internal Affairs of Russia, outpatient clinic, outpatient care.
ESTIMATE OF EFFICIENCY OF INGUINAL HERNIA ALLOPLASTY USING MESHY TITANIUM ENDOPROSTHESES
Khodakov V., Zabrodin V., Zabrodin Ye.
Meshy titanium endoprostheses were applied for improvement of the results of surgical treatment of inguinal hernias and strengthening of a posterior wall of an inguinal canal. 60 patients with inguinal hernias were operated in the Surgical Department of the Medical Care Unit of the Russian Ministry of Interior in the Sverdlovsk Region and in the General Surgery Clinic of the Ural State Medical University. Lichtenstein titanium mesh hernioplasty with implantation of meshy titanium endoprostheses was performed in all patients. An average bed day was 7.3 ± 0.6. There were satisfactory short- and long-term outcomes.
Key words: inguinal hernia, atensional hernioplasty, meshy endoprostheses, titanium mesh.
CONTINUITY OF CARE FOR THE PATIENT WITH ORTHOPEDIC TRAUMA COMPLICATED BY PERONEAL NERVE NEUROPATHY
Meshcheryagina I., Lyulin S., Yerokhin A., Dzhunusbayev I., Belozerov A.
The article deals with the medical case of the patient L. aged 33 with the consequences of sports injury: closed displaced fracture of right tibial entocondyle and right fibula head, right knee complete rupture of ligaments with instability of the third degree, peroneal nerve traumatic neuropathy on the right.
Key words: closed transosseous osteosynthesis, epidural electrostimulation.
SPECIFICS OF MEDICAL EXAMINATION AND MEDICAL ASSESSMENT OF PERSONS WITH CARDIOVASCULAR DISEASES
Cardiovascular diseases have the highest prevalence among all the diseases of inhabitants of economically developed countries. These diseases are the main cause of invalidization and mortality of population both in these countries and in Russia.
Key words: cardiovascular diseases, invalidization, mortality, staff of internal affairs agencies.
MODERN APPROACHES TO SEDATION DURING PROLONGED PULMONARY VENTILATION
Korotchenko S., Valchuk O.
The article deals with the modern approaches to adequate sedation during invasive and noninvasive prolonged pulmonary ventilation.
Key words: sedation, excitement, invasive and noninvasive pulmonary ventilation.
RATIONAL APPROACH TO THE ESTIMATION OF METABOLIC DISORDERS IN INTERNAL AFFAIRS OFFICERS AND POSSIBLE WAYS OF THEIR CORRECTION
Rimareva Ye., Sidorenko V., ZemlyanoI A., Elekuyeva F., Zharikova M.
The problem of metabolic syndrome and its symptoms has been widely discussed in modern medicine in recent years. Researchers expand and complement the variety of symptoms of pathological changes. The authors describe androgen deficiency in males older than 45 years, which serve in internal affairs agencies and have disorders of carbohydrate and fat metabolism and cardiovascular diseases. The authors analyze the status of this group of patients and suggest possible ways of metabolic disorders correction.
Key words: androgen deficiency, diabetes, dyslipidemia, depressions, metabolic syndrome, internal affairs officers.
INNOVATIVE COMPLEX ELECTRIC ULTRASOUND THERAPY USING THE OPERATORLESS APPLICATOR HANDSFREE SONO FOR TREATMENT OF TENDINOUS-LIGAMENTOUS APPARATUS PATHOLOGY
Leiderman N., Predeina V., Zaionchkovskaya I.
The article deals with the physiatrics of tendinous-ligamentous apparatus pathology using complex electric ultrasound therapy with an operatorless ultrasound applicator and rotating field technology. The authors analyzed the mechanism of the method, method validation, procedural specifics, and efficiency of the method. They detected that this innovative technology is high-performance and functional, makes it possible to solve the problem of treatment quality with less labor costs and time spending. This is very important in conditions of high intensity work of physiotherapy rooms.
Key words: physiotherapy, tendinous-ligamentous apparatus, electric ultrasound therapy, pain syndrome.
DILATED CARDIOMYOPATHY WITH MYOCARDIAL INFARCTION LIKE ECG CHANGES
Mikheyev N., Zharikova M.
The article deals with the study of specifics of a clinical and functional status and lifetime prognosis of patients with dilated cardiomyopathy, presence and absence of ECG Q-waves.
Key words: dilated cardiomyopathy, myocardial infarction like ECG changes.
TRADITIONAL RADIOLOGIC METHODS OF LOWER FACE EXAMINATION FOR DETECTING CAROTID ARTERY CALCIFICATION
Kushnir K., Lezhnev D., Starodubtseva M.
The article shows the retrospective analysis of images of the most commonly used radiological methods of lower face examination for assessment of their diagnostic significance in detecting carotid artery calcification in patients older than 55 (the average age – 64.1).
Key words: carotid artery calcification, digital orthopantomography, cone beam computed tomography, multispiral computed tomography.
SUPERSELECTIVE BILATERAL PROSTATIC ARTERIAL EMBOLIZATION IN TREATMENT OF BENIGN PROSTATIC HYPERPLASIA IN INCURABLE PATIENTS
Melnik K., Ukhov S., Abramov M.
Due to the increase in life expectancy in developed countries, the number of patients of elderly and senile age with severe infravesicular obstruction and urinary bladder fistulas increases.
Key words: benign hyperplasia, prostate, prostatic arterial embolization.
PROPHYLAXIS OF UROLOGICAL DISEASES IN ADOLESCENT SPORTSMEN
Shakula A., Rudovski A., Tolkachev A., Zhovnerchuk Ye.
The article deals with the theoretical analysis of literature and practical experience of specialists of the department of medical and psychological support of Russian national teams of the Training Center on the complex of measures for effective prophylaxis of genitourinary system diseases in some groups of sportsmen in winter sports.
Key words: urological diseases, genitourinary system diseases, sportsmen of Russian national teams, thorough medical, prophylaxis, balneotherapy, recovery of health and rehabilitation.
EXTRA-DUTY ASSIGNMENTS INFLUENCE ON PSYCHOLOGICAL STATES OF INTERNAL AFFAIRS OFFICERS
Kelin Yu., Sabitov I., Tkachova I., Osipova Ye.
The article deals with the comparative analysis of personality profiles and levels of adaptation potential in officers of Special Rapid Deployment Force of the Ulyanovsk Regional Office of the Ministry of Internal Affairs of Russia before and after extra-duty assignments. All of them had closed craniocerebral mine-blast injuries in past history. It is detected that after extra-duty assignments these officers had significantly increased impulsivity and anxiety; their adaptation potential level was not satisfactory. The detected characteristics may be psychotherapy targets and use for development of individual personality-centered rehabilitation programs in medical and psychological follow-up of this contingent.
Key words: psychological state, adaptation potential, extra-duty assignments.
EMOTIONAL BURNOUT SYNDROME IN DOCTORS
Palchenkova M., Kon’kov A., Kon’kova L.
The requirements to the professionalism of a person grow at the present stage of development of the Russian society in conditions of social and economic instability, labour-market competition, and social stresses. However, not everyone can adapt, effectively carry out professional activities and social role, so the probability of adverse mental states increases.
Key words: mental state, stress, emotional burnout syndrome.
PSYCHOPROPHYLACTIC ROLE OF RELIGION IN THE LIFE OF MILITARY PERSONNEL
Abritalin Ye., Syemin S., Zhovnerchuk Ye.
Long time religion in our country was not only separated from the state, but also outlawed in some spheres. In particular, this concerned the Armed Forces, where the rights of believers did not take into account at best or were oppressed at worst. In recent decades, the situation began to change for the better; many servicemen can openly express their religious feelings and perform certain religious rites. The article is a cautious attempt to explain this subject but not intended to reflect an official position of the Medical Service.
Key words: psychoprophylaxis, military personnel, religion.
SPECIFICS OF MEDICAL EXAMINATION OF PERSONS WITH MYOPIA USING ORTHOKERATOLOGICAL CORRECTION
Makogon S., Makogon A., Tyutyunnikov S.
The article deals with the specifics of medical examination of persons with myopia using orthokeratological lenses. If ophthalmologists from military physician boards know the symptoms that accompany using orthokeratological lenses, they will not make possible diagnostic mistakes in decision-making in their practice.
Key words: military medical examination, myopia, orthokeratological lenses.
The article deals with the main factors motivating high quality and efficient work of doctors and nursing staff of radiodiagnostics units. The Sh. Ritchie and P. Martin method of motivation testing and modeling was used for the study; this method distinguishes 12 main factors of motivation. The survey results of 56 employees of radiodiagnostics units were analyzed for detecting motivation factors. The author concludes that a different approach needs to motivation for doctors (stimulation of creativity ...
The heads of the Medical Service constantly improve the organization of military medical expertise since the forming departmental health service in internal affairs agencies of the Russian Federation. This creates a reliable instrument for medical selection of citizens in law-enforcement authorities, that these persons will be able to perform official duties most effectively and without health detriment.
At present, successful operation of the departmental health system is not possible without the regular improvement and adoption of new management technologies. Only the modern management system, which bases on ever-changing conditions of medical support, can maintain its stability and pave the way for further development. The base of this system is the permanent improvement of educational and scientific projects, which involve in this work the maximum number of employees of the Medical Service of the ...
Departmental military medical examination is necessary because of specifics of the current staffing policy of the Ministry of the Interior of Russia, prestige of study in education institutions and military education establishments of Ministry of the Interior of Russia, international, national and other events with mass involvement of Ministry’s personnel for maintaining public order, traumatism and morbidity of internal affairs agencies’ staff and other factors. At the same time, it is possible to ...