Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.142
Ishutin O. S., Khalimov B. H., Zhololov A. S., Akhmedov O. S.
The article presents the main historical milestones associated with the creation, formation and functioning of the 73rd Internship of the medical staff of the Red Banner Turkestan Military District of the Armed Forces of the USSR in the period from 1938 to 1992 and its successor - the internship of the medical staff of the medical service of the Armed Forces of the Republic of Uzbekistan in the period from 1992 to 2012.
{"title":"HISTORY AND CONTRIBUTION OF THE 73rd INTERNSHIP OF MEDICAL PERSONNEL TO THE DEVELOPMENT OF MILITARY MEDICINE TURKESTAN MILITARY DISTRICT","authors":"Ishutin O. S., Khalimov B. H., Zhololov A. S., Akhmedov O. S.","doi":"10.51922/2074-5044.2023.142","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.142","url":null,"abstract":"The article presents the main historical milestones associated with the creation, formation and functioning of the 73rd Internship of the medical staff of the Red Banner Turkestan Military District of the Armed Forces of the USSR in the period from 1938 to 1992 and its successor - the internship of the medical staff of the medical service of the Armed Forces of the Republic of Uzbekistan in the period from 1992 to 2012.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.2
Sauchanchyk S. A., Strynkevych A. L., Bogdan V. G.
The article presents an analysis of the experience of using the TKB-1 hemostatic tourniquet. The data on mechanical damages that were identified during the active use of turnstiles for training personnel in first aid are presented. Data on employee satisfaction with the performance characteristics of the TKB-1 tourniquet were also obtained.
{"title":"PRACTICAL EXPERIENCE OF OPERATION OF THE TKB-1 HEMOSTATIC TOURNIQUET","authors":"Sauchanchyk S. A., Strynkevych A. L., Bogdan V. G.","doi":"10.51922/2074-5044.2023.2.2","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.2","url":null,"abstract":"The article presents an analysis of the experience of using the TKB-1 hemostatic tourniquet. The data on mechanical damages that were identified during the active use of turnstiles for training personnel in first aid are presented. Data on employee satisfaction with the performance characteristics of the TKB-1 tourniquet were also obtained.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.66
Kuliakin E. V., Zatoloka P. A.
Based on the subjective assessment of the patient, the effectiveness of the treatment of postnasal syndrome caused by vasomotor rhinitis, developed by the method of laser photocoagulation of the distal branches of the vidian nerve, was determined. The use of this method made it possible to reduce the intensity of patients' anxiety about difficulty breathing through the nose (main group – 1,8±0,13 points, control – 2,4±0,15) and mucus flow down the back of the throat (main group – 0,7±0,36 points, control – 4,2±0,16, p < 0,05). The developed method made it possible to statistically significantly improve the quality of life of patients already one month after the surgical intervention (main group 8,3±1,8 points, comparison group 14,3±2,8 points, p < 0,05).
{"title":"SUBJECTIVE ASSESSMENT OF THE EFFICIENCY OF LASER PHOTOCOAGULATION OF THE DISTAL BRANCHES OF THE VIDIAN NEVER IN THE TREATMENT OF POST-NASAL SYNDROME DUE TO VASOMOTOR RINITIS","authors":"Kuliakin E. V., Zatoloka P. A.","doi":"10.51922/2074-5044.2023.2.66","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.66","url":null,"abstract":"Based on the subjective assessment of the patient, the effectiveness of the treatment of postnasal syndrome caused by vasomotor rhinitis, developed by the method of laser photocoagulation of the distal branches of the vidian nerve, was determined. The use of this method made it possible to reduce the intensity of patients' anxiety about difficulty breathing through the nose (main group – 1,8±0,13 points, control – 2,4±0,15) and mucus flow down the back of the throat (main group – 0,7±0,36 points, control – 4,2±0,16, p < 0,05). The developed method made it possible to statistically significantly improve the quality of life of patients already one month after the surgical intervention (main group 8,3±1,8 points, comparison group 14,3±2,8 points, p < 0,05).","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.112
P. A. V.
Brugada syndrome is a congenital channelopathy with an autosomal dominant type of inheritance and low penetrance, characterized by the presence of a typical clinical and electrocardiographic symptom complex, including a special form of blockade of the right bundle branch block with ST segment elevation in one or more right chest leads on the electrocardiogram, the absence of organic pathology of the heart and various life-threatening ventricular arrhythmias, which can lead to the development of sudden cardiac death. The article defines the concept of "Brugada's syndrome", the geography and frequency of occurrence of the disease. It is indicated that more than 450 pathogenic variants in 24 genes are involved in the development of Brugada syndrome. The article presents two main hypotheses of pathogenesis, describes the electrocardiographic picture, three types of ECG changes, clinical manifestations and classification of the Brugada syndrome. Listed diseases with which it is necessary to carry out differential diagnosis of Brugada syndrome. Various aspects of the treatment of Brugada syndrome are presented: non-drug methods, pharmacotherapy, installation of an implantable automatic cardioverter-defibrillator, epicardial catheter ablation of abnormal areas of the anterior part of the outflow tract of the right ventricle.
{"title":"BROGADA SYNDROME IN CLINICAL PRACTICE","authors":"P. A. V.","doi":"10.51922/2074-5044.2023.1.112","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.112","url":null,"abstract":"Brugada syndrome is a congenital channelopathy with an autosomal dominant type of inheritance and low penetrance, characterized by the presence of a typical clinical and electrocardiographic symptom complex, including a special form of blockade of the right bundle branch block with ST segment elevation in one or more right chest leads on the electrocardiogram, the absence of organic pathology of the heart and various life-threatening ventricular arrhythmias, which can lead to the development of sudden cardiac death. The article defines the concept of \"Brugada's syndrome\", the geography and frequency of occurrence of the disease. It is indicated that more than 450 pathogenic variants in 24 genes are involved in the development of Brugada syndrome. The article presents two main hypotheses of pathogenesis, describes the electrocardiographic picture, three types of ECG changes, clinical manifestations and classification of the Brugada syndrome. Listed diseases with which it is necessary to carry out differential diagnosis of Brugada syndrome. Various aspects of the treatment of Brugada syndrome are presented: non-drug methods, pharmacotherapy, installation of an implantable automatic cardioverter-defibrillator, epicardial catheter ablation of abnormal areas of the anterior part of the outflow tract of the right ventricle.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856471","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.47
Yagur V. E., Chizh K. A., Dostanko N. Y.
The presented paper is devoted to the epidemiological characteristics of systemic lupus erythematosus as one of the most common systemic connective tissue diseases. Data on age, sex, racial and geographical differences of this pathology in different countries are given. Much attention is paid to a detailed review of data on primary morbidity (incidence) and general morbidity (prevalence). The results of authors’ own study of prevalence and incidence of systemic lupus erythematosus in the urban population of the Republic of Belarus are analyzed. An example of using the results obtained to calculate the need in specialized inpatient medical care for patients with systemic lupus erythematosus within its rational planning is proposed.
{"title":"THE INCIDENCE AND PREVALENCE OF SYSTEMIC LUPUS ERYTHEMATOSUS AMONG THE ADULT URBAN POPULATION IN BELARUSIAN POPULATION","authors":"Yagur V. E., Chizh K. A., Dostanko N. Y.","doi":"10.51922/2074-5044.2023.1.47","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.47","url":null,"abstract":"The presented paper is devoted to the epidemiological characteristics of systemic lupus erythematosus as one of the most common systemic connective tissue diseases. Data on age, sex, racial and geographical differences of this pathology in different countries are given. Much attention is paid to a detailed review of data on primary morbidity (incidence) and general morbidity (prevalence). The results of authors’ own study of prevalence and incidence of systemic lupus erythematosus in the urban population of the Republic of Belarus are analyzed. An example of using the results obtained to calculate the need in specialized inpatient medical care for patients with systemic lupus erythematosus within its rational planning is proposed.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.72
Chur N. N., Skoda M. V., Neverov P. S., Kondratenko G. G., Kernozhitsky Y. I., Mikhailova N. M.
Today, in surgery of the arteries of the lower extremities in diabetes mellitus and atherosclerosis, the autovein is the gold standard. It does not require any selection, conservation, or other preparation methods necessary for its application. However, its use in some cases is limited due to their parametric characteristics (length, diameter), loss of time for their preparation, and their absence. For these categories of patients, the method of choice is the use of vascular allografts. The article presents the experience of 25 cases of post-mortem donor vascular grafts in 24 patients with lower limb revascularization with critical ischemia. All patients were divided into 2 groups: 13 patients were included in the first group with neuroischemic form of diabetic foot syndrome, and 11 patients were included in the second group with obliterating atherosclerosis of vessels (arteries) of the lower extremities. Positive results were noted in 20 patients (83.3%). In the immediate and long-term periods after revascularization with a donor graft (1 - artery, 3 - vein), high amputations were performed in 4 (16.7%) cases, all patients with diabetes mellitus.
{"title":"EXPERIENCE OF USE OF DONOR VASCULAR GRAFTS IN SURGERY OF THE MAIN ARTERIES OF THE LOWER LIMB","authors":"Chur N. N., Skoda M. V., Neverov P. S., Kondratenko G. G., Kernozhitsky Y. I., Mikhailova N. M.","doi":"10.51922/2074-5044.2023.1.72","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.72","url":null,"abstract":"Today, in surgery of the arteries of the lower extremities in diabetes mellitus and atherosclerosis, the autovein is the gold standard. It does not require any selection, conservation, or other preparation methods necessary for its application. However, its use in some cases is limited due to their parametric characteristics (length, diameter), loss of time for their preparation, and their absence. For these categories of patients, the method of choice is the use of vascular allografts. The article presents the experience of 25 cases of post-mortem donor vascular grafts in 24 patients with lower limb revascularization with critical ischemia. All patients were divided into 2 groups: 13 patients were included in the first group with neuroischemic form of diabetic foot syndrome, and 11 patients were included in the second group with obliterating atherosclerosis of vessels (arteries) of the lower extremities. Positive results were noted in 20 patients (83.3%). In the immediate and long-term periods after revascularization with a donor graft (1 - artery, 3 - vein), high amputations were performed in 4 (16.7%) cases, all patients with diabetes mellitus.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.130
Svitо E. R.
This article will focus on the well-known symptom of heartburn and a disease closely related to it – GERD. In a concise and accessible presentation, the causes and mechanism of the development of the disease and symptom in particular, as well as their complications, will be described. Detailed recommendations for adjusting lifestyle are given. It will be useful both for specialists with medical education and for a wide range of readers.
{"title":"GASTROESOPHAGEAL REFLUX DISEASE","authors":"Svitо E. R.","doi":"10.51922/2074-5044.2023.2.130","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.130","url":null,"abstract":"This article will focus on the well-known symptom of heartburn and a disease closely related to it – GERD. In a concise and accessible presentation, the causes and mechanism of the development of the disease and symptom in particular, as well as their complications, will be described. Detailed recommendations for adjusting lifestyle are given. It will be useful both for specialists with medical education and for a wide range of readers.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.45
Alqatawneh Mohammad Ali, Bespalchuk P. I., Lapusto A. A.
Osteoarthritis of the knee is a degenerative disease, usually the result of wear and tear and progressive loss of articular cartilage. Osteoarthritis is a progressive disease that can eventually lead to disability. Total knee replacement is considered an effective surgical treatment for severe degenerative osteoarthritis of the knee, to relieve pain, increase mobility, and improve quality of life in cases with excellent surgical outcomes. However, total knee replacement is associated with moderate to severe postoperative pain. Pain control remains a problem due to its subjective nature and the diversity of patients, which requires the search for new regimens and treatment methods. In recent years, the use of peripheral nerve blocks has become increasingly popular. Blockade of the adductor canal can significantly reduce opioid consumption and side effects associated with their use, which contributes to the early mobilization of operated patients. The object of the study was 138 total knee arthroplasty performed at the 6th City Clinical Hospital of Minsk in the period from 2017 to 2020.
{"title":"ADDUCTOR CANAL BLOCK IN TOTAL KNEE REPLACEMENT","authors":"Alqatawneh Mohammad Ali, Bespalchuk P. I., Lapusto A. A.","doi":"10.51922/2074-5044.2023.2.45","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.45","url":null,"abstract":"Osteoarthritis of the knee is a degenerative disease, usually the result of wear and tear and progressive loss of articular cartilage. Osteoarthritis is a progressive disease that can eventually lead to disability. Total knee replacement is considered an effective surgical treatment for severe degenerative osteoarthritis of the knee, to relieve pain, increase mobility, and improve quality of life in cases with excellent surgical outcomes. However, total knee replacement is associated with moderate to severe postoperative pain. Pain control remains a problem due to its subjective nature and the diversity of patients, which requires the search for new regimens and treatment methods. In recent years, the use of peripheral nerve blocks has become increasingly popular. Blockade of the adductor canal can significantly reduce opioid consumption and side effects associated with their use, which contributes to the early mobilization of operated patients. The object of the study was 138 total knee arthroplasty performed at the 6th City Clinical Hospital of Minsk in the period from 2017 to 2020.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70858978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.33
Karpovich Y. L., Pronko T. P., Meleshko A. B.
The article presents current data on the syndrome of joint hypermobility. The analysis of the main morphometric parameters of the cardiovascular system detected by ultrasound examination of the heart in medical students with joint hypermobility syndrome in the age group of 20–28 years was carried out. A high prevalence of left ventricular false tendons, mitral valve prolapse, with a changes in the geometry of the heart, with an increase in the longitudinal dimensions of the left atrium and left ventricle without changes in the volumes of the left heart, with an increase in the longitudinal dimensions and volume of the right atrium in comparison with those in practically healthy individuals were revealed. Recommendations are given on the necessity for screening of this nosology in young patients with signs of connective tissue disorders.
{"title":"ULTRASOUND CHARACTERISTICS OF THE HEART CHANGES IN PATIENTS WITH JOINT HYPERMOBILITY SYNDROME","authors":"Karpovich Y. L., Pronko T. P., Meleshko A. B.","doi":"10.51922/2074-5044.2023.2.33","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.33","url":null,"abstract":"The article presents current data on the syndrome of joint hypermobility. The analysis of the main morphometric parameters of the cardiovascular system detected by ultrasound examination of the heart in medical students with joint hypermobility syndrome in the age group of 20–28 years was carried out. A high prevalence of left ventricular false tendons, mitral valve prolapse, with a changes in the geometry of the heart, with an increase in the longitudinal dimensions of the left atrium and left ventricle without changes in the volumes of the left heart, with an increase in the longitudinal dimensions and volume of the right atrium in comparison with those in practically healthy individuals were revealed. Recommendations are given on the necessity for screening of this nosology in young patients with signs of connective tissue disorders.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70859403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.1.120
Chur N. N., Kondratenko G. G., Yakubouski S. U., Vasilevich A. P.
Modern information on the problem of thyroid nodules is represented. The main diagnostic methods are discussed. The characteristic of the thyroid nodule, multinodular process and goiter is given. It is noted that inadequate pre- and intraoperative diagnostics, incorrect interpretation of research results often lead to inadequate scope of surgical intervention and unsatisfactory long-term results of treatment. One of the main conclusions is the search for new, more informative and safer methods for diagnosing the nature of thyroid nodules, which is crucial in choosing a treatment method that is adequate to the extent of the operation.
{"title":"MODERN ASPECTS OF DIAGNOSTICS OF THYROID NODULES","authors":"Chur N. N., Kondratenko G. G., Yakubouski S. U., Vasilevich A. P.","doi":"10.51922/2074-5044.2023.1.120","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.120","url":null,"abstract":"Modern information on the problem of thyroid nodules is represented. The main diagnostic methods are discussed. The characteristic of the thyroid nodule, multinodular process and goiter is given. It is noted that inadequate pre- and intraoperative diagnostics, incorrect interpretation of research results often lead to inadequate scope of surgical intervention and unsatisfactory long-term results of treatment. One of the main conclusions is the search for new, more informative and safer methods for diagnosing the nature of thyroid nodules, which is crucial in choosing a treatment method that is adequate to the extent of the operation.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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