Vol 3, No 2 (2017)
- Year: 2017
- Articles: 12
- URL: https://seamed.bmoc-spb.ru/jour/issue/view/11
- DOI: https://doi.org/10.22328/2413-5747-2017-3-2
EDITORIAL
OCCUPATIONAL PHYSIOLOGY, PSYCHOPHYSIOLOGY AND ERGONOMICS RELATED TO MARITIME TRANSPORT, MARINE AND RIVER INDUSTRIAL OBJECTS, AND CONTINENTAL PLATFORMS
HISTORY OF ONSET, FOUNDING AND DEVELOPMENT OF MARINE MEDICINE. MILESTONES OF MARINE MEDICINE AND CONTRIBUTION OF LEADING SCIENTISTS AND PRACTITIONERS IN THE DEVELOPMENT OF MARINE MEDICINE IN RUSSIA AND ABROAD. STRENGTHENING OF RUSSIAN MARINE TRADITIONS. IMPROVEMENT OF MEDICAL TRAINING SYSTEM, SYSTEM OF MARINE EDUCATION OF YOUTHS. PRESERVATION OF MEDICAL MANPOWER RESOURCES, QUALIFIED PROFESSIONALS’ SOURCING FOR FLEET PERSONNEL AND MARITIME ACTIVITIES MANAGEMENT SPHERE
CURRENT CONCEPTS OF THE PATHOGENESIS, PREVENTION AND TREATMENT OF THE MOTION DISEASE (SEASICKNESS)
Abstract
Motion disease (naupathia, seasickness) is quite prevalent among otherwise healthy people and is manifested as travel sickness associated with nausea. It is a complex physiological response to certain motor stimuli caused by ship rocking, aircraft swinging or zero gravity. The motor stimuli may be both real (ship rocking) and virtual (watching a 3D movie). During the last decade, numerous studies addressed different stimuli that can cause naupathia, and numerous hypotheses have been put forward to explain it (sensory conflict, postural instability etc.) from the point of view of neural plasticity. However, no consensus concerning the origin of the specific clinical pattern of naupathia (nausea, vomiting, drowsiness, dysphoria etc.) has emerged by now. Several drugs and behavioral recommendations have been suggested for prevention and treatment of naupathia. Further studies of this condition using such techniques as videonystagmography and computer-assisted posturegraphy, as well as genetic analysis, are warranted.
TO THE QUESTION ABOUT SICKNESS RATE OF SHIP’S CREW OF MARINE FLEET AT FAR-EASTERN REGION
Abstract
The paper addressed the disease incidence of crew of marine fleet at Far-Eastern Region both by official accounts, and by materials of the profound elaboration, including address of ship’s crew for medical attendance in trips. The long-term investigations on influence of the professional work, age, length of service and sex of sailors, ship’s environment and naturals factors, as well duration trips and ships of various fixing on the health of seamen. By observation were 11 000–15 000 seamen, 80% which were men to 40 age. In structure of the disease incidence predominated illnesses to which rise important play a part cold factor, physical and nervous strain. Analysis of temporary incapacitation ascertained prevalence at commanding staff hypertonicity, cardiac diseases and ulcer of the stomach, in which rise essential role belongs nervous and emotional factors. Comparison disease incidence by chief profanations take into consideration principal differences in groups showed, that its higher at persons, which ensuring speed and clear of danger navigation. In consequence ascertained chief influence professional and industrial factors on the state of seamen’s health.
ORIGINAL ARTICLE
PRESENT-TIME RESOURCES FOR DIAGNOSTICS OF ABDOMINAL WOUNDS AND TRAUMAS UNDER EMERGENCY CONDITIONS IN THE PACIFIC REGION OF RUSSIA
Abstract
The diagnostic effectiveness of clinical, laboratory, instrumental, and surgical methods of diagnostics of internal organs injuries upon abdominal wounds and traumas is considered. Most injured patients (68,1%) were found on admission to exhibit «dim” clinical manifestations of hemorrhage or peritonitis. Only 31,9% of patients exhibit clear symptoms of injuries of their abdominal organs. However, the clinical pictures did not always corresponded to the symptoms. Overdiagnoses based on clinical data were attributed to 51,2% of cases. The sensitivity, specificity, and accuracy of ultrasonic diagnostics of intraperitoneal hemorrhages were estimated to be 51,2%, 88,1%, and 80% respectively. The proposed approach to diagnostics of injuries implies direct laparoscopy when general anesthesia and the instrumental methods of investigation are impracticable. The benefits of this approach include its high diagnostic effectiveness, relative simplicity, minimal demands for instruments and equipment, and the possibility to carry out outdoor examinations, if necessary. As an alternative to laparoscopy, laparocentesis may be employed, if time is pressing and facilities are scarce.
FEATURES OF CONSERVATIVE TREATMENT OF CHRONIC OBLITERATING ATHEROSCLEROSIS OF LOWER LIMB ARTERIES IN THE PRIMORSKY TERRITORY
Abstract
We analyzed the age criteria, time of admission, comorbidities and structure of chronic obliterating atherosclerosis therapy of lower limb arteries. It was found that the degree of severity of chronic ischemia of the lower limb arteries atherosclerotic lesions does not correlate with the age factor, however, is closely associated with the time of admission of patients to the hospital. Early treatment for medical patients with III and IV degree of chronic lower limb ischemia is associated with the presence of this category of persons expressed pain in the legs and feet and trophic complications, pathogenetic link which is circulatory, and then cellular hypoxia, leading to cell death and tissue up to the development of focal necrosis. In the structure of concomitant chronic lower limb ischemia pathologies dominate diseases of the cardiovascular system (coronary heart disease and hypertension) in 100% of patients, nervous system diseases (encephalopathy) in 76,9% of patients, indicating that systematic, generalized atherosclerosis obliterans, which is characterized by involvement in the pathological process is not only lower limb arteries, and distant arterial pools of organs and systems. It has been shown that the combined application of traditional preparations of basic therapy, intravenous infusions of ozonated saline reopoliglyukina trentalom with sulodexide and shown to be highly effective in chronic critical limb ischemia therapy. Patients with chronic obliterating atherosclerosis of the arteries of the lower extremities is necessary to conduct a life-long therapy with regular cardiovascular hospitalizations not less than 2 times a year for routine preventive treatment.
MODERN ASPECTS OF THE PSYCHOPHYSIOLOGICAL ADAPTATION OF FRESHMEN TO HIGHER EDUCATION STUDIES EXEMPLIFIED WITH SITUATION AT PACIFIC STATE MEDICAL UNIVERSITY
Abstract
The objective of the present paper is to evaluate the psychophysiological adaptation of freshmen to studying at Pacific State Medical University. The habituation of freshmen to education is the first and most important task of higher school. The complexity and specific features of medical training present special challenges to psychophysiological adaptation, which warrant developing a dedicated training program. Its outcomes were assessed using parameters that reflect the general state, activity and mood as well as stress resistance and socialization of freshmen and subjected to statistical treatment. The training program was developed to teach techniques and methods of self-regulation to freshmen thus making them able to control their emotional and physical conditions in professionally and vitally important situations.
MODERN METHODS OF PROTECTION OF HEALTHCARE PERSONNEL INVOLVED IN HANDLING OF PATHOGENIC BIOLOGICAL AGENTS ATTRIBUTED TO PATHOGENICITY GROUPS I-IV: PROTECTION FROM EXTREMELY DANGEROUS INFECTIONS
Abstract
The present review addresses currently available information about securing the biological safety of healthcare personnel exposed to pathogenic microorganisms attributed to pathogenicity groups I–IV. The relevant measures constitute the most important aspect of organizing the activities of medico-prophylactic institutions. Adequate staging of preventive measures provides for uninterrupted operation of not only specific wards of a medical institution but the entire institution as well. Careful adherence to simple rules is a prerequisite of appropriate workability of a medical unit. The topicality of this agenda is currently on the rise because of the danger of biological terrorism.
HISTORY OF MARINE MEDICINE. CONSOLIDATING RUSSIAN MARINE TRADITIONS
THE 18th NAVAL HOSPITAL OF THE 750th REAR DEPARTMENT OF RED-BANNER PACIFIC FLEET
Abstract
The present publication sheds light on the operation of Naval Hospital affiliated with a remote Vladimiro-Olginskiy Garrison. The work of medical units of this remote hospital is described. The history of the establishment and development of the medical services of this stand-alone garrison is reviewed with emphasis on provisioning it with all sorts of allowances. The topics addressed include the life and work of officers, workers and clerks, public events, research activities, and healthcare provision to military and common people in Olginskiy District of Primorskiy Region.
PARTICIPATION OF SANITARY SERVICES PACIFIC FLEET MEDICAL IN SUPPORT OF COMBAT OPERATIONS AT LAKE KHASAN
Abstract
Since the time of the military border conflict in a small Lake Khasan in the south of Primorsky region of Russia has passed 79 years. It is already history, but she is always ready to present lessons and to enrich us the necessary experience. This aggression is rightly regarded in history as a serious test for the Pacific fleet and Far Eastern Army on the eve of the Great Patriotic War. The experience of the Sanitary Service of the Pacific Fleet in the organization of medical support acquired at Hassan, had significant implications for the next formidable military events. He allowed revising the basic principles of medical care, surgical care approaching to the field of the bout, the organization staged treatment and specialized medical provision. A small naval hospital in Vladivostok took the brunt of the struggle for the recovery of the wounded. Khasan events were remarkable and heroic page in the history of the Sanitary Division of the Pacific Fleet.
56 YEARS OF THE CLINIC OTORHINOLARYNGOLOGY PACIFIC STATE MEDICAL UNIVERSITY
Abstract
The article discusses the history of the formation of the clinic and the Department of Otolaryngology Pacific Medical University, since 1963 and the present day. The information about the first head of the department Vitaly Matveyevich Schevtsove, thanks to the enthusiasm and energy that the clinic started a scientific, methodical, erudite and educational and medical work. The contribution of the leaders in the development of the hospital, its main stages, scientific achievements, defended dissertations and published training manuals. Reflected work student circle, the possibility of using multimedia technologies, endoscopic and microsurgical opportunities in the educational process. It is shown that significant attention in the clinic of ENT diseases Pacific Medical University devoted to the provision of specialized medical care, a high level which makes it possible to consider this institution undisputed leader providing ENT care in the Primorsky Territory and the Far East.
CHRONICLE OF THE MOST IMPORTANT SCIENTIFIC AND PRACTICAL EVENTS OF MARINE MEDICINE IN RUSSIA AND ABROAD. INTERNATIONAL ACTIVITY IN THE FIELD OF MARINE MEDICINE
AN EXPERIENCE OF SECURING THE SANITARY AND EPIDEMIOLOGICAL SAFETY OF THE ARMED FORCES OF THE RUSSIAN FEDERATION BY STATE OFFICERS IN CHARGE OF LAW OF PROCEDURE
Abstract
Measures taken at State Sanitary and Epidemiological Surveillance Centers of the Ministry of Health of the Russian Federation to control the sanitary and epidemiological safety of the armed forces and general population help to reveal administrative offences by officials and juridical entities prone with hazards for the life and health of military men. Most of the offences are associated with services related to the conditions of military barracks and their vicinities and to food processing. The corresponding penalties according to the Code of Administrative Offences (COA) include fines and warnings. However, more than 90% of such cases are complained at arbitral or appellate courts. The present publication presents an experience suggesting how to deal with such cases so as to prevent unjustified avoidance and delays of due penalties.