Russian Military Medical Academy Reports最新文献

{"title":"Diagnosis of infectious complications in patients with acute pancreatitis","authors":"Dmitry S. Sishchikov, Sergey A. Alent’ev","doi":"10.17816/rmmar104603","DOIUrl":"https://doi.org/10.17816/rmmar104603","url":null,"abstract":"BACKGROUND: Up to 30% of patients with acute pancreatitis suffer from the severe form of the disease, of which 30% of cases are lethal, significantly rising to 80% at the development of infectious complications. \u0000AIM: To improve treatment results of patients with acute pancreatitis due to early diagnostics of infectious complications. \u0000MATERIALS AND METHODS: Expression of CD64 antigen on neutrophil membrane (DC64 index of neutrophils) was studied using a flow cytometer Cytomics FC500 (Beckman Coulter, USA) using 3-color combination of direct monoclonal antibodies Beckman Coulter: СD14FITC/CD64PE/CD45PC5. Material was whole blood. \u0000RESULTS: A direct correlation of moderate strength with the development of sepsis was found for both the procalcitonin value and C-reactive protein concentration at this period of illness. However, no relations of endogenous intoxication markers with the development of infectious complications were found (correlation coefficients less than 0.4). Thus, it should be noted that the difference in the indices of the studied parameters of the CD64 antigen expression in the groups began to increase exactly during the 23rd week of the disease. \u0000CONCLUSION: Based on the literature data, we formulated a working hypothesis, which states that the degree of CD64 receptor expression on peripheral blood neutrophils is an early marker of infectious complications of acute pancreatitis. The value of average fluorescence intensity index of molecules CD64 equal to 10 conventional units was accepted as a threshold value with regard to the development of IE, and the value of 15 conventional unitsas a threshold value with regard to sepsis. The study was conducted in a prospective group of 28 patients. In accordance with the provision of the working hypothesis, the patients were divided into 3 groups depending on the level of average fluorescence intensity index of molecules CD64. Expression of the CD64 receptor on peripheral blood granulocytes as an early laboratory marker of infectious complications of the disease was studied for the first time. We determined sensitivity and specificity, optimal terms of the given research, detected regularities of CD64 expression changes in the course of acute pancreatitis, correlations with other clinical and laboratory indexes, including prospective markers of infection (procalcitonin, C-reactive protein), with the integral scales of severity estimation of patients with acute destructive pancreatitis. Determination of the level of the receptor CD64 expression on the peripheral blood neutrophils showed that this marker reflects the dynamics of the disease course and gives the possibility of the early diagnostics of the infectious complications of acute pancreatitis. The use of this method provides additional information about the development of the surgical infection. It is important that the changes of CD64 antigen expression in dynamics outrun other markers of systemic inflammatory response and sepsis. C","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"39 1-2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121003778","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":"Characteristics of the metabolic profile and the state of the vascular wall in men with metabolically neutral obesity","authors":"D. A. Sokolov, Dmitrii Y. Serdyukov","doi":"10.17816/rmmar104647","DOIUrl":"https://doi.org/10.17816/rmmar104647","url":null,"abstract":"BACKGROUND: The prevalence of overweight in the Russian population is increasing every year. A diet with an excessive amount of easily digestible carbohydrates, low physical activity contribute to the rapid development of obesity at a young age. In Russia, 26% of the male population and 30% of women are overweight. When examining obese patients, the adipokine activity of adipose tissue is not taken into account in daily medical activities. The current concept of metabolically healthy obesity causes certain discussions in the scientific community due to diagnostic difficulties in stratifying overweight patients into metabolically healthy and unhealthy. \u0000AIM: was to characterize the lipid and carbohydrate profile, as well as to evaluate changes in the vascular wall in men with metabolically neutral obesity after a 34-year curation period. \u0000MATERIALS AND METHODS: The hospital therapy clinic analyzed the case histories of 93 patients aged 30 to 45 years. The study group of patients was examined twice: initially and 34-years after the initial examination. An anthropometric profile was examined in the designated sample of patients, a study of biochemical blood analysis was performed, and an assessment of the cardiovascular system was carried out. \u0000RESULTS: of the study showed that the metabolically neutral type is characterized by a low frequency of metabolic profile disorders, as well as parameters of the cardiovascular system. \u0000CONCLUSIONS: The probability of developing new cases of prediabetes, type 2 diabetes mellitus and initial atherosclerosis is maximal in patients with previously diagnosed insulin resistance and metabolically healthy obesity, minimal with normal body weight and in patients with metabolically neutral obesity.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124651589","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":"Substantiation for the selection criteria for a medical asset management information system in military medical organizations","authors":"M. V. Davydova, Mariуa P. Shcherba, V. Kononov, A. V. Merkulov, N. L. Kostenko, R. A. Golubenko","doi":"10.17816/rmmar96372","DOIUrl":"https://doi.org/10.17816/rmmar96372","url":null,"abstract":"The modern information systems market offers a large number of software products for the management of medical assets. Therefore, the substantiation for the criteria for selecting information systems is relevant area of decision-making policy for the management of the medical-military organisation. The purpose of the study was to substantiate the criteria. The materials of the study include the works of Russian scientists in the sphere of organizing civil and military healthcare, managing medical property resources, the methodology of sociological research, and other scientific, methodological, and reference literature on the topic of the study, as well as questionnaires completed by experts. Structural-functional, system and problem analysis, statistical methods of analysis, methods of sociological research, methods of comparison and description, and logical analysis were used during the research. The sociological study was carried out on the basis of the S.M. Kirov Military Medical Academy of the pharmaceutical profile departments and consisted of two stages: the formation of an initial list of criteria based on the results of content analysis and problem analysis; expert assessment according to the Delphi method in several stages (rounds). As a result of the study, the criteria for selecting an information system for managing medical assets in military medical organizations are substantiated. At the same time, a simple in implementation and subsequent statistical processing method with reliable results that can be used for making a decision on the selection of an information system, taking into account the specifics of each military medical organization, has been substantiated and applied.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123920042","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":"Short-term prospects for solving the problems of medical-psychological support to military personnel","authors":"V. Yusupov, V. Korzunin, A. D. Demkin, B. Ovchinnikov","doi":"10.17816/rmmar83657","DOIUrl":"https://doi.org/10.17816/rmmar83657","url":null,"abstract":"The main directions and problem aspects of improving medical-psychological support to military personnel are considered. This term denotes an integral part and logical continuation of military professional psychological selection, which, due to a number of reasons, is less developed than professional psychodiagnostics in the interests of selection and rational distribution of military personnel. The main idea of the article is to prove the necessity of a unified theoretical basis of the whole complex of medical-psychological support to military personnel. The appropriateness of modern psychological theories of personality, closely associated with neurophysiology (in particular, G. Grays theory) is emphasized. The possibility of practical use of some achievements of the foreign project Research Domain Criteria (RDoC) in interests of diagnostics, examination and monitoring of professional mental health of military personnel is noted. With the purpose of dynamic estimation of functional states of the military personnel it is suggested to create a psychodiagnostic tool on the basis of the concept of interaction of stress-activating and stress-limiting systems. The questions of artificial intelligence application for psychophysiological diagnostics, necessity of further development of psychological riskology and preventology for the purpose of medical-psychological support of the military personnel improvement are discussed. The elaboration of a modern scientific basis for the development of the system of medical-psychological support will make it possible to use a multilevel approach to the evaluation of mental health of military personnel, taking into account the socio-cultural, psychosocial and biological levels of mental disorders and behavioral deviations. The transition to continuous and comprehensive prevention as a preventive branch of military, clinical psychology and psychiatry will be greatly accelerated.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131449729","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":"Possibilities of methods for assessing the severity of occupational stress and determining its role in the formation of individual cardiovascular risk in military personnel of the Navy","authors":"Alexey D. Sobolev, D. V. Cherkashin, Pavel A. Vypritsky, Gennady G. Kutelev, I. E. Sukhoroslova, A. N. Nikashin, K. N. Tkachenko, A. V. Pastukhov, Konstantin V. Matуushenko, Viktoria V. Khomina","doi":"10.17816/rmmar84013","DOIUrl":"https://doi.org/10.17816/rmmar84013","url":null,"abstract":"The relevance of cardiovascular diseases among the military personnel of the Russian Navy is reflected, as well as the role of occupational stressful load in the formation of cardiovascular risk. \u0000The results of a single-stage study were demonstrated, which included 86 men aged 2340 years, in the course of the study they were divided into two groups corresponding to different professional loads. The profile of behavioral factors associated with cardiovascular risk (anthropometric indicators, adherence to smoking, amount of alcohol consumed, food preference), as well as morphological and functional indicators of the system, was studied in servicemen exposed to and not exposed to factors caused by staying in deep-sea technical means, blood circulation. The effectiveness of stress testing was assessed, which included the Reeder self-assessment scale for psychosocial stress, the hospital scale for anxiety and depression, a work stress questionnaire, and a differential assessment of the state of reduced performance. \u0000It was revealed that the profile of cardiovascular risk in servicemen of both groups is low, however, there is a significant difference in a number of indicators (the amount of adipose tissue detected by bioimpedansometry, total cholesterol level, an increase in heart rate during psycho-mental test, values of vascular age and the scale of relative cardiovascular risk The most informative technique, which made it possible to identify significant differences between the study groups, is the questionnaire of work stress Ch. Spielberg 1989, adapted by A.B. Leonova and S.B. Velichkovskaya, 2000. It has been determined that the severity of occupational stress factors on the formation of cardiovascular risk in servicemen exposed to factors caused by their stay in deep-sea technical equipment is lower than among servicemen in the control group, which is expressed in lower values of additional methods for assessing stressful impact, as well as in the absence of significant associations between the indicators characterizing the occupational stress-generating load and the indicators of the circulatory system. \u0000The importance of the formation of stress resistance is reflected, achieved by high requirements of professional selection, regular training of professional skills, as well as the creation of a favorable professional environment.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134378890","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":"Assessment of personal protective equipment for medical personnel during a new coronavirus pandemic","authors":"V. E. Batov, S. Kuznetsov","doi":"10.17816/rmmar84027","DOIUrl":"https://doi.org/10.17816/rmmar84027","url":null,"abstract":"BACKGROUND: The use of personal protective equipment in contact with patients with new coronavirus infection is the basic measure to ensure the safety of medical personnel. It is known that the use of protective equipment made of materials with low hygroscopicity, air and vapor permeability, under high ambient temperatures and physical activity, can cause overheating of the body. Objectively, during the pandemic, medical personnel reported a deterioration in the functional state up to and even fainting, caused by prolonged use of protective suits. Protective equipment made it difficult to perform routine tasks and led to a reduction in the quality of work performed. \u0000PURPOSE OF THE STUDY: Assessment of the effect of personal protective equipment on the functional status of medical personnel. \u0000MATERIALS AND METHODS: A survey of 156 medical workers of military medical organizations was carried out using the original questionnaire. The ease of use of protective equipment was assessed, and at the same time the negative aspects of its use were identified. A study of the thermal condition of 6 volunteers during the use of reusable and disposable personal protective equipment sets was carried out under laboratory conditions. \u0000RESULTS AND DISCUSSION: The majority of respondents reported a negative impact on the functional state of the body when using personal protective equipment. According to questionnaire data, skin damage occurred in 88% of cases; fogging of safety glasses in 81%; visual impairment in 70%; inadequate suit size in 61%; subjective feeling of heat at work in 61%; headaches in 45% of cases. An assessment of the thermal condition of the reusable and disposable suits at a temperature of 25C and light physical work indicated that the body heat levels of the volunteers were within acceptable normative values. \u0000CONCLUSIONS: The use of personal protective equipment has a negative effect on the functional state of the medical workers body, which requires a rational approach to the selection of protective the provision of an optimal regime of work and rest Considering the possibility of using personal protective equipment under different conditions, including increased ambient temperatures (over +30С) and/or intense physical exertion, there is a need for further study of their effects in order to develop preventive measures.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128231674","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":"International experience in organizing medical care for the population of Italy and Serbia by military medical specialists during the COVID-19 pandemic","authors":"Sergey Svistunov, K. S. Shipitsyn, Viktor V. Kolesnikov","doi":"10.17816/rmmar84023","DOIUrl":"https://doi.org/10.17816/rmmar84023","url":null,"abstract":"Based on the decision of the President of the Russian Federation, interservice teams of the Armed Forces of the Russian Federation were formed to combat a new coronavirus infection (COVID-19) in Italy and Serbia. Eight medical and nursing teams were formed from the medical personnel in each detachment, led by epidemiologists, each consisting of an anaesthesiologist (resuscitator), an infectious disease specialist (therapist), and an anesthesiologist nurse. Their main task was to provide medical care for patients with new coronavirus infection in the medical and preventive organizations of these countries. In order to accomplish their tasks and to provide high-quality medical care (protection of personnel from contamination by biological agents), each group was equipped with personal protective equipment. The work of the medical teams on the territory of Italy and Serbia consisted in sanitary and epidemiological reconnaissance, epidemiological examination of the outbreaks of the new coronavirus infection, organization of anti-epidemic measures and treatment of patients with COVID-19 in the medical and preventive organizations of these countries. Calculations of mobile aerosol disinfection complexes and auto-filling stations of the radiation, chemical and biological protection troops were involved in carrying out anti-epidemic measures on a daily basis. As a result of the measures taken, experience was gained in using the forces and resources of the Ministry of Defense of the Russian Federation to localize the outbreaks of the new coronavirus infection in the territory of foreign countries. The joint work of the group of the Armed Forces of the Russian Federation and local authorities has reduced the incidence of a new coronavirus infection among the local population of Italy and Serbia.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129008310","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":"Teacher, tutor, general (70th anniversary of Oleg L’vovich Evlanov)","authors":"E. Kryukov, E. V. Ivchenko, B. Kotiv","doi":"10.17816/rmmar104786","DOIUrl":"https://doi.org/10.17816/rmmar104786","url":null,"abstract":"March 14, 2022, retired Major General of Medical Service O.L. Evlanov turned 70 years old. After graduating from the IV Faculty of the Military Medical Academy in 1975, he served as a chief of medical service on a submarine of the double time Red Banner Baltic Fleet. Since 1979, when he became an adjunct in the Organization and Tactics Department of Medical Service of the fleet, Oleg Lvovich has connected all his further life with the Military Medical Academy. After finishing his postgraduate studies and defending his dissertation (1983), he became a teacher, and 10 years later, in 1993, he became the Head of the Department. Thereafter, he successively held the positions of the Head of Educational Department (1999), Deputy Head of the Academy for Academic Work (2002) and Deputy Head of the Academy for Academic and Scientific Work (2010). Since 2013, he worked in the Academic Department, and since 2021 in the Educational and methodological Department. Under his leadership introduction of educational standards, the first accreditation activities, establishment of certification system for medical and pharmaceutical specialists, creation of supplementary education system were carried out for the first time. On the initiative of O.L. Evlanov the Pedagogy Department was created in the Academy, where the training of adjuncts, novice teachers and advanced training of experienced lecturers are carried out. O.L. Evlanov successfully established the engagement between the departments and all the Academy subdivisions involved in the provision of educational activities such as clinics, faculties, training department, medical school and library. He built constructive relations with the heads of medical institutions of St. Petersburg, which allows carrying out the practical part of education at more than 150 city educational bases in a qualitative way. For his service to the homeland O.L. Evlanov achieved the Order For Military Merit and the Order of Honor, received the honorary title Honored Worker of Higher Education of Russian Federation, he received a commendation from the President of Russia, and in 2018 the Academic Council of the Academy elected him as an Honorary Doctor (1 figure).","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"33 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129047407","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":"Features of hemodynamics of pelvic organs in women with tubal-peritoneal infertility","authors":"O. N. Kharkevich, A. I. Mirov, Irina G. Golofast, Irina B. Kaplun","doi":"10.17816/rmmar101782","DOIUrl":"https://doi.org/10.17816/rmmar101782","url":null,"abstract":"BACKGROUND: Insufficient effectiveness of modern methods of treatment of tubal-peritoneal infertility, including the use of in vitro fertilization, may be due to a persistent violation of the hemodynamics of the pelvic organs in patients. \u0000AIM: To identify the features of the hemodynamics of the pelvic organs in women with tubal-peritoneal infertility using the method of computer tetrapolar reopletismography. \u0000MATERIALS AND METHODS: The study included 53 women aged 25 to 35 years, according to the criteria for inclusion, non-inclusion in the study and exclusion from the study. The main group included 33 patients with secondary tubal-peritoneal infertility, confirmed by laparoscopy and chromohydrotubation. The control group consisted of 20 apparently healthy women with a history of spontaneous pregnancy, vaginal delivery and no abortions. The tetrapolar reopletismography study was performed on days 1921 of the ovulatory menstrual cycle. Statistical processing of the obtained results was carried out using the computer software package Statistica v. 11 (StatSoft, Inc., USA) using methods of parametric and nonparametric statistics. \u0000RESULTS: The study revealed a significant decrease in volumetric indicators of pelvic blood flow, systolic blood flow to the pelvic organs and blood circulation intensity, as well as significant changes in vascular tone and regional vascular resistance in the pelvic basin, in the main group patients compared with the control. \u0000CONCLUSIONS: Identified significant violations of the hemodynamics of the pelvic organs in tubal-peritoneal infertility can be regarded as an unfavorable factor that must be taken into account when choosing a treatment strategy. Therefore, the normalization of the hemodynamics of the organs of the female reproductive system using medical and efferent methods should be an important component in the complex treatment of tubal-peritoneal infertility, including before in vitro fertilization.","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114487012","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":"Therapy as a vocation. To the 55th anniversary of professor V.V. Tyrenko","authors":"E. Kryukov, E. V. Ivchenko, D. V. Ovchinnikov","doi":"10.17816/rmmar104776","DOIUrl":"https://doi.org/10.17816/rmmar104776","url":null,"abstract":"March 11, 2022 was the 55th birthday of the Head of the S.P. Botkin Faculty Therapy Department, chief cardiologist of the Ministry of Defense of Russian Federation, chief therapist-pulmonologist of the Health Committee of the Government of St. Petersburg, Honored Doctor of Russian Federation, Colonel of the Medical Service Professor V.V. Tyrenko. After graduation from the II faculty of the Military Medical Academy in 1989 he was sent to serve in the military unit of the Turkestan Military District. Since 1995, after graduating from residency, he worked successively as a senior resident, a lecturer, and a senior lecturer. After defending his doctoral dissertation in 2004, which was dedicated to Cardiac Syndrome X, in 2005 he was appointed Deputy Head of the Faculty Therapy Department for clinical work, and in 2009 he became a Head of this department. Professor Tyrenko is a well-known scientist in the field of medical problems of therapy and, in particular, rheumatology and hematology, he created his own scientific school. Scientific developments of Professor Tyrenko found practical reflection in military-medical organizations. Under his supervision, departmental standards for the use of various diagnostic and treatment techniques and methods in providing specialized medical care to rheumatologic, hematologic, and therapeutic patients were developed, which are also successfully used in medical institutions in Saint Petersburg and the North-West region. For his great merits in protecting the health of military personnel and civilians, organizing the therapeutic and diagnostic process and providing medical care, implementing modern methods of complex treatment of therapeutic patients, based, among other things, on his own scientific achievements, he was awarded with the Order of Honor 2008. He also received the honorary title Honored Physician of Russian Federation in 2013 and a commendation of the President of the Russian Federation in 2019 (1 figure).","PeriodicalId":167099,"journal":{"name":"Russian Military Medical Academy Reports","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130163969","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}