Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.123
Zhyzneuski V. A., Blakhov N. Y., Trukhan A. P., Mazanik A. V., Kavalionak L. V.
Perforation of the small bovel diverticulum is a fairly rare pathology in the structure of all emergency surgical diseases of the abdominal cavity and it is 0,5–2,3%. The absence of pathognomonic clinical manifestations makes it difficult to diagnose disease.
{"title":"PERFORATION OF THE SMALL BOVEL DIVERTICULUM","authors":"Zhyzneuski V. A., Blakhov N. Y., Trukhan A. P., Mazanik A. V., Kavalionak L. V.","doi":"10.51922/2074-5044.2023.2.123","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.123","url":null,"abstract":"Perforation of the small bovel diverticulum is a fairly rare pathology in the structure of all emergency surgical diseases of the abdominal cavity and it is 0,5–2,3%. The absence of pathognomonic clinical manifestations makes it difficult to diagnose disease.","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":"70857906","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: 10.51922/2074-5044.2023.2.90
Zhuravkov Y. L., Koroleva А. А., Zhuravkovа A. Y.
By the WHO data, cardiovascular diseases are the most common causes of death all over the world, thus more four of five death cases from cardiovascular diseases occur as a result of an infarct and a stroke and has premature character. One of the reasons of development of these diseases is the thrombosis, i.e. formation of potentially lethal thrombs in vessels. Therefore working out and application antithrombotic agents is priority in medicine. This short review is dedicated to these drugs.
{"title":"ANTITHROMBOTIC THERAPY TODAY. The report 1","authors":"Zhuravkov Y. L., Koroleva А. А., Zhuravkovа A. Y.","doi":"10.51922/2074-5044.2023.2.90","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.90","url":null,"abstract":"By the WHO data, cardiovascular diseases are the most common causes of death all over the world, thus more four of five death cases from cardiovascular diseases occur as a result of an infarct and a stroke and has premature character. One of the reasons of development of these diseases is the thrombosis, i.e. formation of potentially lethal thrombs in vessels. Therefore working out and application antithrombotic agents is priority in medicine. This short review is dedicated to these drugs.","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":"70859478","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: 10.51922/2074-5044.2023.1.36
Pohodenko-Chudakova I. O., Slizhykovz K. Yu.
The aim of the study was to determine the informative value of electropuncture testing in patients with salivary stone disease. Objects and methods. The study was performed at the clinical bases of the Department of Surgical Dentistry of the educational institution "Belarusian State Medical University". Using electropuncture testing, 74 patients aged 2558 years (the main group) with diagnosis of salivary stone disease of the submandibular salivary gland were examined. The control group was represented by 30 practically healthy persons. The data obtained during the survey were subjected to statistical processing using the application software package "Statistica 10.0". At the end of the study, the diagnostic effectiveness of electropuncture testing was determined. Results. Functional deviations of auricular points corresponding to the function of the endocrine glands, kidneys – 46%, and the excretory system – 30% were determined in 41% of patients. In 3% of patients, there were no changes in these systems and organs that can affect the metabolic processes of the body. In addition, 3% of the patient had significant functional abnormalities in organ systems that did not affect metabolic processes. Conclusion. Electropuncture testing has a diagnostic efficiency of 98% in the analysis of organs and systems responsible for and involved in metabolic processes in patients suffering from salivary stone disease and allows at least 49% of observations to reliably (for two or more interested organ systems) identify metabolic disorders in individuals of this category which is an indirect confirmation of one of the links in the pathogenesis of the disease under study.
{"title":"RESULTS OF ELECTROPUNCTURE TESTING IN PATIENTS WITH SALIVARY STONE DISEASE","authors":"Pohodenko-Chudakova I. O., Slizhykovz K. Yu.","doi":"10.51922/2074-5044.2023.1.36","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.36","url":null,"abstract":"The aim of the study was to determine the informative value of electropuncture testing in patients with salivary stone disease. Objects and methods. The study was performed at the clinical bases of the Department of Surgical Dentistry of the educational institution \"Belarusian State Medical University\". Using electropuncture testing, 74 patients aged 2558 years (the main group) with diagnosis of salivary stone disease of the submandibular salivary gland were examined. The control group was represented by 30 practically healthy persons. The data obtained during the survey were subjected to statistical processing using the application software package \"Statistica 10.0\". At the end of the study, the diagnostic effectiveness of electropuncture testing was determined. Results. Functional deviations of auricular points corresponding to the function of the endocrine glands, kidneys – 46%, and the excretory system – 30% were determined in 41% of patients. In 3% of patients, there were no changes in these systems and organs that can affect the metabolic processes of the body. In addition, 3% of the patient had significant functional abnormalities in organ systems that did not affect metabolic processes. Conclusion. Electropuncture testing has a diagnostic efficiency of 98% in the analysis of organs and systems responsible for and involved in metabolic processes in patients suffering from salivary stone disease and allows at least 49% of observations to reliably (for two or more interested organ systems) identify metabolic disorders in individuals of this category which is an indirect confirmation of one of the links in the pathogenesis of the disease under study.","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":"70857123","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: 10.51922/2074-5044.2023.1.96
Kurchenkova V. I., Kapralov N. V., Shalamitskaya-Huleviсh I. A.
In the fourth part of our literary review devoted to diseases of the small intestine, information is provided about celiac disease, i.e. about "suffering from intestinal disorder" (translated from Greek). According to the classification, autoimmune and allergic conditions associated with gluten, as well as non-celiac gluten sensitivity are considered. The modern possibilities of diagnosis and differential diagnosis of these disorders are presented. Gluten itself, an important fraction of wheat, rye and barley, is characterized. Accurate diagnosis of celiac disease at the present stage is the possibility of conducting second–order tests to detect antibodies to deaminated gliadin peptides, antibodies to endomysium and its main antigen – the enzyme tissue transglutaminase. Histological changes by stages, the role of HLA-DQ2/DQ8 in the pathogenesis of celiac disease are presented. The basis of treatment is compliance with an elimination diet. Further described are herpetiform dermatitis, gluten ataxia, variants of wheat allergy, which includes more than three hundred proteins, thirty of them are recognized as allergenic. Modern tests for determining specific IgE, available for prescribing and detecting allergens. Non–celiac sensitivity (NCCHG) to gluten is the diagnosis of exclusion. NCCHG triggers. Solerno criteria. Risk groups for celiac disease.
{"title":"DISEASES OF THE SMALL INTESTINE. PART 4. CELIAC DISEASE AND OTHER DISORDERS ASSOCIATED WITH GLUTEN","authors":"Kurchenkova V. I., Kapralov N. V., Shalamitskaya-Huleviсh I. A.","doi":"10.51922/2074-5044.2023.1.96","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.96","url":null,"abstract":"In the fourth part of our literary review devoted to diseases of the small intestine, information is provided about celiac disease, i.e. about \"suffering from intestinal disorder\" (translated from Greek). According to the classification, autoimmune and allergic conditions associated with gluten, as well as non-celiac gluten sensitivity are considered. The modern possibilities of diagnosis and differential diagnosis of these disorders are presented. Gluten itself, an important fraction of wheat, rye and barley, is characterized. Accurate diagnosis of celiac disease at the present stage is the possibility of conducting second–order tests to detect antibodies to deaminated gliadin peptides, antibodies to endomysium and its main antigen – the enzyme tissue transglutaminase. Histological changes by stages, the role of HLA-DQ2/DQ8 in the pathogenesis of celiac disease are presented. The basis of treatment is compliance with an elimination diet. Further described are herpetiform dermatitis, gluten ataxia, variants of wheat allergy, which includes more than three hundred proteins, thirty of them are recognized as allergenic. Modern tests for determining specific IgE, available for prescribing and detecting allergens. Non–celiac sensitivity (NCCHG) to gluten is the diagnosis of exclusion. NCCHG triggers. Solerno criteria. Risk groups for celiac disease.","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":"70857703","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: 10.51922/2074-5044.2023.2.119
Belyanko V. V.
The article presents the tasks of the medical service, carried out in order to plan and organize measures to protect personnel from exposure to hazardous chemicals in the event of emergencies at chemically hazardous industrial facilities, and to eliminate the consequences of such accidents. A brief description of the methods for predicting the consequences of a chemical accident is given, sources for obtaining information about hazardous production facilities are identified.
{"title":"TOPICAL ISSUES OF PLANNING AND ORGANIZATION OF MEDICAL SERVICE EVENTS IN THE EVENT OF EMERGENCY SITUATIONS AT HAZARDOUS PRODUCTION FACILITIES","authors":"Belyanko V. V.","doi":"10.51922/2074-5044.2023.2.119","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.119","url":null,"abstract":"The article presents the tasks of the medical service, carried out in order to plan and organize measures to protect personnel from exposure to hazardous chemicals in the event of emergencies at chemically hazardous industrial facilities, and to eliminate the consequences of such accidents. A brief description of the methods for predicting the consequences of a chemical accident is given, sources for obtaining information about hazardous production facilities are identified.","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":"70857775","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: 10.51922/2074-5044.2023.2.49
Khryshchanovich V. Y., Mozheyko L. F., Skobeleva N. Y.
Objective. To evaluate the prevalence of functional and anatomical changes in the lower extremities of pregnant women and discuss their possible causes and current therapeutic recommendations. Patients and methods. To assess changes in the lower extremities, 100 pregnant women at 38.5±1.3 weeks of gestation age were consecutively enrolled in an individual direct questionnaire. Patients’ ages ranged from 19 to 43 years (mean 31.4±5.3). The number of previous pregnancies and labours were 2.4±1.5 and 1.8±1.2 respectively. The demographic part of the questionnaire included information on age, height, body weight and shoe size before pregnancy and antepartum, medical and obstetric history and physical activity. The clinical section of the original questionnaire contained sections related to the assessment of skin, vascular, neurological and musculoskeletal disorders. Results. During pregnancy, there was an increase in women’s body weight from 66.6±14.8 kg to 78.8±14.6 kg and an increase in casual shoe size by 0.3 cm from 37.9±1.3 to 38.2±1.2 (in 27% of observations). More than half (57%) of study participants described their level of daily physical activity as moderate. The study showed that 85% of pregnant women reported functional or anatomical changes in the lower extremities, which included dermatological changes in 53%, vascular changes in 49%, peripheral nerves changes in 22%, and musculoskeletal changes in 69%. Conclusion. The gestational period is characterised by significant endocrine, immunological and metabolic changes of the pregnant woman, which provokes a range of both physiological and pathological conditions. Establishing the prevalence of lower limb symptoms and syndromes will provide the basis for developing an effective system of medical prevention and treatment of undesirable lower extremities effects.
{"title":"FUNCTIONAL AND ANATOMICAL CHANGES IN THE LOWER EXTREMITIES DURING PREGNANCY","authors":"Khryshchanovich V. Y., Mozheyko L. F., Skobeleva N. Y.","doi":"10.51922/2074-5044.2023.2.49","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.49","url":null,"abstract":"Objective. To evaluate the prevalence of functional and anatomical changes in the lower extremities of pregnant women and discuss their possible causes and current therapeutic recommendations. Patients and methods. To assess changes in the lower extremities, 100 pregnant women at 38.5±1.3 weeks of gestation age were consecutively enrolled in an individual direct questionnaire. Patients’ ages ranged from 19 to 43 years (mean 31.4±5.3). The number of previous pregnancies and labours were 2.4±1.5 and 1.8±1.2 respectively. The demographic part of the questionnaire included information on age, height, body weight and shoe size before pregnancy and antepartum, medical and obstetric history and physical activity. The clinical section of the original questionnaire contained sections related to the assessment of skin, vascular, neurological and musculoskeletal disorders. Results. During pregnancy, there was an increase in women’s body weight from 66.6±14.8 kg to 78.8±14.6 kg and an increase in casual shoe size by 0.3 cm from 37.9±1.3 to 38.2±1.2 (in 27% of observations). More than half (57%) of study participants described their level of daily physical activity as moderate. The study showed that 85% of pregnant women reported functional or anatomical changes in the lower extremities, which included dermatological changes in 53%, vascular changes in 49%, peripheral nerves changes in 22%, and musculoskeletal changes in 69%. Conclusion. The gestational period is characterised by significant endocrine, immunological and metabolic changes of the pregnant woman, which provokes a range of both physiological and pathological conditions. Establishing the prevalence of lower limb symptoms and syndromes will provide the basis for developing an effective system of medical prevention and treatment of undesirable lower extremities effects.","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":"70859055","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: 10.51922/2074-5044.2023.2.6
Korshuk M. V., Shtanyuk O. G.
{"title":"ON ISSUES OF PROFESSIONAL CERTIFICATION OF MEDICAL AND PHARMACEUTICAL WORKERS IN THE ARMED FORCES OF THE REPUBLIC OF BELARUS","authors":"Korshuk M. V., Shtanyuk O. G.","doi":"10.51922/2074-5044.2023.2.6","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.6","url":null,"abstract":"","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":"70859080","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: 10.51922/2074-5044.2023.2.9
Gubkina A. V.
In recent years the role of advanced training of specialists has increased as a factor in improving discipline and quality in the educational process.
近年来，作为提高教育过程中的纪律和质量的一个因素，专家高级培训的作用有所增加。
{"title":"PROFESSIONAL DEVELOPMENT - INCREASING THE DISCIPLINE AND QUALITY OF EDUCATIONAL MANAGEMENT","authors":"Gubkina A. V.","doi":"10.51922/2074-5044.2023.2.9","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.9","url":null,"abstract":"In recent years the role of advanced training of specialists has increased as a factor in improving discipline and quality in the educational process.","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":"70859470","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}
Introduction: To compare the clinical outcomes of bilateral labia minora hypertrophy reduction using ultrasonic shears versus traditional methods.
Materials and methods: In this retrospective study, we evaluate the surgical outcomes of 11 women who underwent bilateral labia minora hypertrophy reduction using ultrasonic shears to 14 women who underwent the same procedure using various traditional methods between January 1, 2015 and February 29, 2020 in a single center. The primary outcomes evaluated are total operative time, estimated blood loss, and postoperative pain. Secondary outcomes include postoperative complications and total admission time. The statistical analyses used were exact Wilconxon Rank and Fisher's exact test.
Results: 25 total bilateral labiaplasty procedures were included in the analysis. 11 procedures were performed using ultrasonic shears and 14 were performed using traditional methods. The mean reduction operative time for the ultrasonic shears technique when compared with traditional methods was 43.25 minutes (22.82 minutes versus 66.07 minutes, P = .0002). A statistically significant but non-clinically significant difference in estimated blood loss was noted. No statistically significant differences existed with postoperative pain score, total admission time, or postoperative complications.
Conclusions: Ultrasonic shears significantly reduce the time needed for the reduction of bilateral labia minora hypertrophy and therefore should be considered by surgeons as a useful tool in increasing the efficiency of this procedure.
{"title":"A Novel Technique Using Ultrasonic Shears Versus Traditional Methods of Reduction of Bilateral Labia Minora Hypertrophy: A Retrospective Case-Control Study.","authors":"Thuan H Le, Ernest G Lockrow, Scott P Endicott","doi":"10.1093/milmed/usac044","DOIUrl":"10.1093/milmed/usac044","url":null,"abstract":"<p><strong>Introduction: </strong>To compare the clinical outcomes of bilateral labia minora hypertrophy reduction using ultrasonic shears versus traditional methods.</p><p><strong>Materials and methods: </strong>In this retrospective study, we evaluate the surgical outcomes of 11 women who underwent bilateral labia minora hypertrophy reduction using ultrasonic shears to 14 women who underwent the same procedure using various traditional methods between January 1, 2015 and February 29, 2020 in a single center. The primary outcomes evaluated are total operative time, estimated blood loss, and postoperative pain. Secondary outcomes include postoperative complications and total admission time. The statistical analyses used were exact Wilconxon Rank and Fisher's exact test.</p><p><strong>Results: </strong>25 total bilateral labiaplasty procedures were included in the analysis. 11 procedures were performed using ultrasonic shears and 14 were performed using traditional methods. The mean reduction operative time for the ultrasonic shears technique when compared with traditional methods was 43.25 minutes (22.82 minutes versus 66.07 minutes, P = .0002). A statistically significant but non-clinically significant difference in estimated blood loss was noted. No statistically significant differences existed with postoperative pain score, total admission time, or postoperative complications.</p><p><strong>Conclusions: </strong>Ultrasonic shears significantly reduce the time needed for the reduction of bilateral labia minora hypertrophy and therefore should be considered by surgeons as a useful tool in increasing the efficiency of this procedure.</p>","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":" ","pages":"e1122-e1126"},"PeriodicalIF":0.0,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45860146","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}
{"title":"Letter From the Executive Director Dr John Cho.","authors":"John M. Cho","doi":"10.1093/milmed/usac158","DOIUrl":"https://doi.org/10.1093/milmed/usac158","url":null,"abstract":"","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48610987","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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