Pub Date : 2023-01-01DOI: 10.51922/2074-5044.2023.2.132
Gimro O., Talybov A., Hrachanikau A.
The article presents the history of the creation and development of the military department of the Vitebsk State Medical Institute (University), the training of medical personnel from the moment of its formation to the present, as well as brief information about the activities of the department staff.
{"title":"MILITARY DEPARTMENT OF THE EDUCATIONAL INSTITUTION «VITEBSK STATE ORDER OF FRIENDSHIP OF PEOPLES MEDICAL UNIVERSITY», AS A COMPONENT OF THE SYSTEM OF TRAINING RESERVE OFFICERS OF THE MEDICAL SERVICE","authors":"Gimro O., Talybov A., Hrachanikau A.","doi":"10.51922/2074-5044.2023.2.132","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.132","url":null,"abstract":"The article presents the history of the creation and development of the military department of the Vitebsk State Medical Institute (University), the training of medical personnel from the moment of its formation to the present, as well as brief information about the activities of the department staff.","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":"70857984","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: 10.51922/2074-5044.2023.2.70
Bova A. A., Gromova Y. M.
Progression of the atherosclerotic process with the development of clinical manifestations is associated with an increased level of atherogenic fractions of lipids, primarily low-density lipoprotein cholesterol. The most studied group of lipid lowering drugs, which have proven their effectiveness in reducing cardiovascular morbidity and mortality, and the first choice drugs in the treatment of dyslipidemia are statins. The updated international guidelines for the treatment of dyslipidemia revised approaches to cardiovascular risk stratification and lipid lowering therapy tactics in different patient cohorts.
{"title":"CURRENT STATIN POSITIONS IN THE PREVENTION OF CARDIOVASCULAR EVENTS","authors":"Bova A. A., Gromova Y. M.","doi":"10.51922/2074-5044.2023.2.70","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.70","url":null,"abstract":"Progression of the atherosclerotic process with the development of clinical manifestations is associated with an increased level of atherogenic fractions of lipids, primarily low-density lipoprotein cholesterol. The most studied group of lipid lowering drugs, which have proven their effectiveness in reducing cardiovascular morbidity and mortality, and the first choice drugs in the treatment of dyslipidemia are statins. The updated international guidelines for the treatment of dyslipidemia revised approaches to cardiovascular risk stratification and lipid lowering therapy tactics in different patient cohorts.","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":"70859003","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: 10.51922/2074-5044.2023.1.2
Bordakov P. V., Ostapenko E. N., Bordakov V. N., Gukailo S. E., Ignatovich D. V.
Closed heart injuries are one of the urgent problems of emergency surgery. The results of treatment of this category of victims depend on the quality of diagnosis and the provision of emergency care at the prehospital stage of the organization of specialized surgical care in the conditions of inpatient and intensive care. The most informative diagnostic method is ECG.
{"title":"CLOSED HEART INJURIES. DIAGNOSIS AND TREATMENT AT THE PREHOSPITAL STAGE","authors":"Bordakov P. V., Ostapenko E. N., Bordakov V. N., Gukailo S. E., Ignatovich D. V.","doi":"10.51922/2074-5044.2023.1.2","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.2","url":null,"abstract":"Closed heart injuries are one of the urgent problems of emergency surgery. The results of treatment of this category of victims depend on the quality of diagnosis and the provision of emergency care at the prehospital stage of the organization of specialized surgical care in the conditions of inpatient and intensive care. The most informative diagnostic method is ECG.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70856572","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: 10.51922/2074-5044.2023.1.30
Kuzmin Yu. V.
Trophic disorders in chronic venous insufficiency of the lower extremities is currently an important problem. In countries with developed economies, in chronic venous insufficiency, 15–18% of the population has decompensated forms with severe trophic skin disorders. We studied 10326 case histories and statistical charts of patients with varicose veins of the lower extremities, of which 2275 patients had chronic venous insufficiency C4-C6 (from 2010 to 2019). The paper shows the structure of the incidence of chronic venous insufficiency C4-C6, the influence of the age of men and women on the development of trophic disorders in varicose saphenous veins of the lower extremities. Causes of chronic venous insufficiency C4-C6 are shown.
{"title":"TROPHIC DISORDERS IN VARICOSE DISEASE – EPIDEMIOLOGICAL CHARACTERISTICS","authors":"Kuzmin Yu. V.","doi":"10.51922/2074-5044.2023.1.30","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.30","url":null,"abstract":"Trophic disorders in chronic venous insufficiency of the lower extremities is currently an important problem. In countries with developed economies, in chronic venous insufficiency, 15–18% of the population has decompensated forms with severe trophic skin disorders. We studied 10326 case histories and statistical charts of patients with varicose veins of the lower extremities, of which 2275 patients had chronic venous insufficiency C4-C6 (from 2010 to 2019). The paper shows the structure of the incidence of chronic venous insufficiency C4-C6, the influence of the age of men and women on the development of trophic disorders in varicose saphenous veins of the lower extremities. Causes of chronic venous insufficiency C4-C6 are shown.","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":"70856855","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: 10.51922/2074-5044.2023.2.108
Solomonova G. A., Tretiak S. I., Domarenok E. P.
The article gives a description of the section of diseases of the operated stomach – post-gastroresection syndromes. It has been noted that over the past decades the number of resection interventions due to complicated gastroduodenal ulcer has decreased. This was facilitated by the improvement of drug therapy, the emergence of new antiulcer drugs, including proton pump inhibitors, and the improvement of endoscopic methods for diagnosing and treating this pathology. Therefore, the number of post-gastroresection syndromes remains significant. The paper describes the ethology, pathogenesis, clinical manifestations of postgastrectomy syndromes. Diagnostic methods using the X-ray method, esophagogastroduodenoscopy, ultrasound examination of the abdominal organs, and computed tomography are considered in detail. Methods of conservative therapy are described, indications for surgical treatment are determined. The characteristic of classical and new methods of performing operational aids is given, and an assessment of their effectiveness is given.
{"title":"POSTGASTRORESECTIONAL SYNDROMES","authors":"Solomonova G. A., Tretiak S. I., Domarenok E. P.","doi":"10.51922/2074-5044.2023.2.108","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.108","url":null,"abstract":"The article gives a description of the section of diseases of the operated stomach – post-gastroresection syndromes. It has been noted that over the past decades the number of resection interventions due to complicated gastroduodenal ulcer has decreased. This was facilitated by the improvement of drug therapy, the emergence of new antiulcer drugs, including proton pump inhibitors, and the improvement of endoscopic methods for diagnosing and treating this pathology. Therefore, the number of post-gastroresection syndromes remains significant. The paper describes the ethology, pathogenesis, clinical manifestations of postgastrectomy syndromes. Diagnostic methods using the X-ray method, esophagogastroduodenoscopy, ultrasound examination of the abdominal organs, and computed tomography are considered in detail. Methods of conservative therapy are described, indications for surgical treatment are determined. The characteristic of classical and new methods of performing operational aids is given, and an assessment of their effectiveness is given.","PeriodicalId":86137,"journal":{"name":"Military surgeon","volume":"253 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70857688","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: 10.51922/2074-5044.2023.2.148
Trukhan A. P.
On December 1–3, 2022, the XII All-Russian Congress of Traumatologists and Orthopedists was held in Moscow (Russian Federation), one of the topics of which was the principles of treatment of the wounded with injuries of musculoskeletal system.
{"title":"MODERN PRINCIPLES AND TECHNOLOGIES OF THE TREATMENT OF THE WOUNDED WITH INJURIES OF MUSCULOSKELETAL SYSTEM","authors":"Trukhan A. P.","doi":"10.51922/2074-5044.2023.2.148","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.148","url":null,"abstract":"On December 1–3, 2022, the XII All-Russian Congress of Traumatologists and Orthopedists was held in Moscow (Russian Federation), one of the topics of which was the principles of treatment of the wounded with injuries of musculoskeletal system.","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":"70858151","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: 10.51922/2074-5044.2023.2.40
Lobanova M. V., Kacherovskaya E. R.
{"title":"SUBCLINICAL HYPOTHYROISIS","authors":"Lobanova M. V., Kacherovskaya E. R.","doi":"10.51922/2074-5044.2023.2.40","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.40","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":"70859256","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: 10.51922/2074-5044.2023.2.79
Boika A. V.
In Parkinson's disease (PD), several types of progression are conditionally distinguished. Determination of reliable criteria for identifying patients with a rapid type of PD progression in the early stages of the disease will allow us to begin the development of therapy aimed at inhibiting its development. The aim of the study was to determine the clinical and laboratory predictors of the rapid type of PD progression in the Belarusian cohort of patients. Patients with PD underwent a general somatic and neurological examination. Non-motor symptoms were assessed by completing the appropriate scales. Laboratory studies included the determination of antibodies to α-synuclein, the study of the levels of cortisol, IL-1β and IL-10, the calculation of the albumin coefficient (Qalb). Longitudinal study with three groups: 1) rapidly progressive type of PD, 2) slowly progressive, and 3) indeterminate. Candidate predictors were obtained by comparing clinical and laboratory parameters of patients with fast or slow types of PD progression. During dynamic monitoring of patients with an indeterminate type of progression, the sensitivity and specificity of predictors were determined. 113 people with PD: group 1 – 32 patients, group 2 – 26, group 3 – 55. Threshold values of indicators were obtained by comparing the clinical and laboratory characteristics of groups 1 and 2 by the Mann-Whitney method and then by ROC analysis to determine the probability of a fast type progression : Qalb less than 83.95, antibodies to α-synuclein in serum more than 4.11 ng/ml, MoCA less than 26 points. Depending on these indicators, patients of group 3 were divided into 2 subgroups: 3a) "possibly rapidly progressive" course (n = 21) and 3b) "possibly slowly progressive" course of PD (n = 34). In 16 (76%) patients from group 3a, the rapid type of progression was confirmed. In 28 (82%) patients from group 3b, a slow type of progression was confirmed. The obtained results testify to the high sensitivity and specificity of the indicators. Further research is needed to develop therapies that change the course of PD.
{"title":"CLINICAL AND LABORATORY PREDICTORS OF RAPID PROGRESSION OF PARKINSON’S DISEASE","authors":"Boika A. V.","doi":"10.51922/2074-5044.2023.2.79","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.2.79","url":null,"abstract":"In Parkinson's disease (PD), several types of progression are conditionally distinguished. Determination of reliable criteria for identifying patients with a rapid type of PD progression in the early stages of the disease will allow us to begin the development of therapy aimed at inhibiting its development. The aim of the study was to determine the clinical and laboratory predictors of the rapid type of PD progression in the Belarusian cohort of patients. Patients with PD underwent a general somatic and neurological examination. Non-motor symptoms were assessed by completing the appropriate scales. Laboratory studies included the determination of antibodies to α-synuclein, the study of the levels of cortisol, IL-1β and IL-10, the calculation of the albumin coefficient (Qalb). Longitudinal study with three groups: 1) rapidly progressive type of PD, 2) slowly progressive, and 3) indeterminate. Candidate predictors were obtained by comparing clinical and laboratory parameters of patients with fast or slow types of PD progression. During dynamic monitoring of patients with an indeterminate type of progression, the sensitivity and specificity of predictors were determined. 113 people with PD: group 1 – 32 patients, group 2 – 26, group 3 – 55. Threshold values of indicators were obtained by comparing the clinical and laboratory characteristics of groups 1 and 2 by the Mann-Whitney method and then by ROC analysis to determine the probability of a fast type progression : Qalb less than 83.95, antibodies to α-synuclein in serum more than 4.11 ng/ml, MoCA less than 26 points. Depending on these indicators, patients of group 3 were divided into 2 subgroups: 3a) \"possibly rapidly progressive\" course (n = 21) and 3b) \"possibly slowly progressive\" course of PD (n = 34). In 16 (76%) patients from group 3a, the rapid type of progression was confirmed. In 28 (82%) patients from group 3b, a slow type of progression was confirmed. The obtained results testify to the high sensitivity and specificity of the indicators. Further research is needed to develop therapies that change the course of PD.","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":"70859812","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: 10.51922/2074-5044.2023.1.87
Danilchyk A. V., Kuzmin Yu. V., Zhidkov A. S.
Fournier's gangrene is a rare disease with a severe course and high mortality, the prognosis of which depends on timely diagnosis and timing of surgical intervention. Nonspecific clinical manifestations and the rapid development of the inflammatory process create certain difficulties for surgeons in making the correct diagnosis and treating such patients. This review presents the issues of diagnosis and treatment of Fournier's gangrene at the present stage of development of medicine.
{"title":"PROBLEMS OF DIAGNOSTICS AND TREATMENT OF FOURNIER'S GANGRENE","authors":"Danilchyk A. V., Kuzmin Yu. V., Zhidkov A. S.","doi":"10.51922/2074-5044.2023.1.87","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.87","url":null,"abstract":"Fournier's gangrene is a rare disease with a severe course and high mortality, the prognosis of which depends on timely diagnosis and timing of surgical intervention. Nonspecific clinical manifestations and the rapid development of the inflammatory process create certain difficulties for surgeons in making the correct diagnosis and treating such patients. This review presents the issues of diagnosis and treatment of Fournier's gangrene at the present stage of development of medicine.","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":"70857011","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: 10.51922/2074-5044.2023.1.41
Semushyna E. A., Tolkach S. N., Siniakova O. K., Shcherbinskaya E. S.
Specialists of the republican unitary enterprise "Scientific and Practical Centre of Hygiene" have developed a questionnaire that allows medical workers of healthcare organizations of outpatient and inpatient profile to assess the body’s state during the operation of medical masks in a favorable and unfavorable epidemic situation. 270 medical workers were interviewed, of which physicians – 24%, middle medical staff – 60%, junior medical staff – 16%. The survey showed that the operation time of medical devices for respiratory tract protection in an unfavorable epidemic situation exceeds than in a favorable epidemic situation both in outpatient and polyclinic healthcare organizations and in inpatient healthcare organizations. Increasing operation time of medical devices for respiratory tract protection during one work shift is accompanied by increasing number of symptoms of the fatigue process and their severity. In this case, the nature of these symptoms is different for medical workers of various health care organizations.
{"title":"SUBJECTIVE ASSESSMENT OF MEDICAL MASK OPERATING CONDITIONS BY MEDICAL PROFESSIONALS DURING THE COVID-19 PANDEMIC","authors":"Semushyna E. A., Tolkach S. N., Siniakova O. K., Shcherbinskaya E. S.","doi":"10.51922/2074-5044.2023.1.41","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.1.41","url":null,"abstract":"Specialists of the republican unitary enterprise \"Scientific and Practical Centre of Hygiene\" have developed a questionnaire that allows medical workers of healthcare organizations of outpatient and inpatient profile to assess the body’s state during the operation of medical masks in a favorable and unfavorable epidemic situation. 270 medical workers were interviewed, of which physicians – 24%, middle medical staff – 60%, junior medical staff – 16%. The survey showed that the operation time of medical devices for respiratory tract protection in an unfavorable epidemic situation exceeds than in a favorable epidemic situation both in outpatient and polyclinic healthcare organizations and in inpatient healthcare organizations. Increasing operation time of medical devices for respiratory tract protection during one work shift is accompanied by increasing number of symptoms of the fatigue process and their severity. In this case, the nature of these symptoms is different for medical workers of various health care organizations.","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":"70857413","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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