Voennaâ medicina最新文献

{"title":"EXPERIENCE IN THE TREATMENT OF ACUTE PANCREATITIS OF BILIARY ETIOLOGY","authors":"А. V. Mazanik, N. Yu. Blakhov, O. A. Chumanevich, D. I. Patsai, S. L. Karvash, A. P. Trukhan","doi":"10.51922/2074-5044.2023.3.78","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.3.78","url":null,"abstract":"The general characteristics of the methods and results of the treatment of acute pancreatitis of biliary etiology for the period from January 1, 2012 to December 31, 2021 are presented. Patients with acute biliary pancreatitis are cared for based on the key principles of acute pancreatitis treatment of any other etiology – the long-term multicomponent intensive therapy aimed to relieve the syndrome of the systemic inflammatory response, to prevent multiple organ failure and infection of pancreatic necrosis foci, to refuse direct surgical interventions at the early stage of the disease, the reasonable use of minimally invasive draining interventions and the use of a regimen of repeated programmed operations to actively control all areas of necrotic destruction and infection to prevent the development of intra-abdominal complications. Currently the key component of complex treatment of acute pancreatitis of biliary etiology is unanimously considered as the relief (conservative or surgical) of pancreatobiliary ductal hypertension. Early laparoscopic cholecystectomy with choledochal drainage according to Halsted is a pathogenetically substantiated method of choosing the final treatment for acute biliary pancreatitis and should be performed regardless of the severity of the disease during the current hospitalization in all patients, as soon as their condition allows them to transfer the intervention. Early laparoscopic cholecystectomy with choledochal drainage according to Halsted is a pathogenetically grounded method of choice of the definitive treatment of acute biliary pancreatitis etiology and should be carried out regardless of the disease severity in the period of the current hospitalization for all patients as soon as their state allows to survive the intervention. Lethal outcomes at moderately severe and severe acute biliary pancreatitis are almost evenly distributed according to the terms (till/later than 2 weeks) after the disease beginning; their main cause is progressing multiple organ failure both in the aseptic course of the disease and at pancreatic necrosis infection.","PeriodicalId":487161,"journal":{"name":"Voennaâ medicina","volume":"231 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135400166","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":"NERVE AGENTS OF NERVE ACTION","authors":"Bova A. A., Gromowa Y. M., Kriushev P. W., Lysyi U. S., Aleksandrovih V. L., Demidov A. I.","doi":"10.51922/2074-5044.2023.3.32","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.3.32","url":null,"abstract":"Observations of military conflicts and local wars of recent decades show us that the concept of \"chemical weapons\" has not yet been deleted from the military lexicon of various countries, despite the convention on its prohibition. In recent decades, there have been cases of the use of mustard gas, sarin, tabun and VX in Halabaja (Iraq), sarin in Tokyo (Japan) in 1995 and in Syria in 2013, 2017, incidents with substances of the Novichok group in 2018 and 2020, there are cases of the use of grenades with toxic substances by the Armed Forces of Ukraine substances (chlorine, ammonia). The use of organophosphorus compounds as the most effective group of toxic substances for sabotage purposes or as part of an armed conflict is not excluded.","PeriodicalId":487161,"journal":{"name":"Voennaâ medicina","volume":"267 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135400167","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":"SOME ISSUES OF LEGAL REGULATION IN THE APPLICATION OF ASSISTED REPRODUCTIVE TECHNOLOGIES FOR THE TREATMENT OF INFERTILITY","authors":"T. N. Koltovich","doi":"10.51922/2074-5044.2023.3.73","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.3.73","url":null,"abstract":"The article presents the results of the analysis of family-legal and civil-legal aspects arising from relations in the application of assisted reproductive technologies (hereinafter referred to as ART). The analysis of the legal regulation of germ cell donation, legal problems of anonymity of donors was carried out. The provisions of a number of international acts served as the normative base for the study. These provisions include the final documents adopted at the UN International Conference on Population and Development and the IV UN World Conference on the Status of Women [1, 2]. An analysis of the legislation regulating the use of ART in the Republic of Belarus was carried out. The subject of the research is also the legislative regulation of the use of ART in foreign countries, the works of scientists in the field of medicine and jurisprudence. The studies were carried out on the basis of traditional methods of scientific research of state-legal institutions, the use of methods for interpreting civil law norms contributed to the study of aspects of the topic, the empirical base of the study was the acts of the judiciary on the issues under study, the decisions of the European Court of Human Rights.Important data for the study were obtained through a survey of doctors providing services using ART in Minsk (conducted by the author). To reveal the social attitudes of the use of in vitro fertilization (hereinafter referred to as IVF) among people suffering from infertility, a survey was conducted at the personal request of people suffering from infertility (conducted by the author). The proposals and conclusions formulated in the article can be used in law-making activities aimed at improving the legislation on ART in the Republic of Belarus, as well as in the process of teaching civil and family law of the Republic of Belarus in educational institutions.","PeriodicalId":487161,"journal":{"name":"Voennaâ medicina","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135402133","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":"CLASSIFICATION OF UROLOGICAL WAR INJURIES","authors":"Dub I. D., Doronin M. V., Shpilenya E. S., Bordakov V. N., Stoma S. V., Strigo , A. V., Savitski V. M.","doi":"10.51922/2074-5044.2023.3.28","DOIUrl":"https://doi.org/10.51922/2074-5044.2023.3.28","url":null,"abstract":"This article analyzes the most common classification of urological trauma. Their features and conditions of use during the medical and evacuation provision of the wounded in wartime are shown.","PeriodicalId":487161,"journal":{"name":"Voennaâ medicina","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135400153","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}