N pp. 5 Dezhurny L. I., Boyarintsev V. V., Turin M. V

Hill R.P. Radiation effects on the respiratory system. British J. of Radiology Supplement. 2005. Vol. 27. Pp. 75–81.

Klase T., Olsen N.V., Poulsen T.D. [et al.]. Hypoxemia increases serum interleukin-6 in humans. Eur. J. Appl. Physiol. Occup. Physiol. 1997. Vol. 76. Pp. 480–482.

Peinado V.I., Barbera J.A., Abate P. [et al.]. Inflammatory reaction in pulmonary muscular arteries of patients with mild chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 2008. Vol. 159. Pp. 1605–1611.

Eid A.A., Ionescu A.A., Nixon L.S. [et al.]. Inflammatory response and body composition in chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 2001. Vol.164. Pp. 1414–1418.

MacNee W. Pulmonary and systemic oxidant/antioxidant imbalance in chronic obstructive pulmonary disease. Proc. Am. Thorac. Soc. 2005. Vol. 2. Pp. 50–60.

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Ridker P.M., Rifai N., Stampfer M.J. [et al.]. Plasma concentration of interleukin-6 and the risk of future myocardial infarction among apparently healthy men. Circulation. 2000. Vol. 101. Pp. 1767–1772.

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Hayashi T., Kusunoki Y., Hakoda M. [et al.]. Radiation dose-dependent increases in inflammatory response markers in Abomb survivors. Int. J. Radiat. Biol. 2003. Vol. 79. Pp. 129–136.

Shimizu Y., Kodama K., Nishi N. [et al.]. Radiation exposure and circulatory disease risk: Hiroshima and Nagasaki atomic bomb survivor data 1950–2003. BMJ. 2010. Vol. 340b. Pp. 5349–5352.

Stevens T., Janssen P.L., Tucker A. Acute and long-term TNF-α administration increases pulmonary vascular reactivity in isolated rat lungs. J. Appl. Physiol. 1992. Vol. 73. Pp. 708–712.

Wright J.L., Levy R.D., Churg A. Pulmonary hypertension in chronic obstructive pulmonary disease: current theories of pathogenesis and their implications for treatment. Thorax. 2005. Vol. 60. Pp. 605–609.

Received 26.11.2012

Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medical-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2013. N 1. Pp. 24–27.

Soroka A.K. Ratsional'nye podkhody k diagnostike ranenii i travm zhivota v ogranichennykh usloviyakh okazaniya meditsinskoi pomoshchi [Rational approaches to the diagnosis of injuries and abdominal trauma in the limited health care settings]
Naval Clinical Hospital (Russia, 690005, Vladivostok, Ivanovskaya Str., 2)
Soroka Anatoly Konstantinovich – PhD Med. Sci, Head of Emergency Surgery Department, Naval Clinical Hospital (Russia, 690005, Vladivostok, Ivanovskaya Str., 2); e-mail: [e-mail]
Abstract. Based on a study of 166 medical records, the analysis of the diagnostic efficiency of the clinical, laboratory, instrumental and operational methods of diagnosis of internal injuries in abdominal trauma was performed in patients admitted to the Naval Hospital (Vladivostok) in 2000–2010. A rational (rationalis – reasonable) approach to damage diagnostics using "direct" laparoscopy is proposed when general anesthesia and other instrumental methods of examination are not available.

Keywords: injuries, abdominal trauma, laparoscopy, celiocentesis.
References

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2. Gnatyuk B.M., Surovikin D.M. Punktsionnaya diagnostika zakrytoi travmy zhivota [Puncture diagnosis closed abdominal trauma]. Aktual'nye voprosy sovershenstvovaniya diagnostiki i lecheniya [Topical issues of improving diagnosis and treatment]. Leningrad. 1987. Vol. 2. Pp. 43–45. (In Russ.)

3. Gumanenko E.K. Aktual'nye problemy khirurgii povrezhdenii [Actual problems of damage surgery]. Khirurgiya povrezhdenii mirnogo i voennogo vremeni: materialy simpoziuma [Damage surgery in peacetime and wartime: proceedings of the symposium]. Moskva. 2001. Pp. 19–21. (In Russ.)

4. Molitvoslovov A.B. [et al.]. Diagnostika povrezhdenii zhivota pri sochetannoi travme [Diagnosis of abdominal injuries with associated trauma]. Khirurgiya. Zhurnal im. N.I. Pirogova. [Surgery. Zhurnal imeni N.I. Pirogova]. 2002. N 9. Pp. 22–26. (In Russ.)

5. Alimov A.N. [et al.]. Optimizatsiya khirurgicheskoi taktiki i perspektivy endokhirurgii v lechenii sochetannoi i izolirovannoi travmy zhivota [Optimization of surgical tactics and endosurgery prospects in treatment of combined and isolated abdominal trauma]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2005. N 1. Pp. 171–172. (In Russ.)

6. Sitnikov V.N. [et al.]. Primenenie videolaparoskopii v diagnostike i lechenii koloto-rezanykh ran perednei bryushnoi stenki [Videolaparoscopy application in the diagnosis and treatment of stab wounds of the anterior abdominal wall]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2005. N 1. Pp. 138–139. (In Russ.)

7. Gumanenko E.K. [et al.]. Problemy dogospital'noi pomoshchi pri tyazheloi sochetannoi travme [Problems of prehospital care in severe concomitant injury]. Vestnik khirurgii imeni I.I. Grekova [Surgery Herald named after I.I. Grekov]. 2003. Vol. 162, N 4. Pp. 43–48. (In Russ.)

8. Rozanov V.E., Snegur A.V., Slavinskaya O.M. Diagnosticheskaya i lechebnaya videolaparoskopiya pri zakrytoi travme organov bryushnoi polosti [Diagnostic and therapeutic videolaparoscopy in the closed trauma of the abdominal cavity]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2005. N 1. Pp. 115. (In Russ.)

9. Skorodumov A.V., Shirokov D.M. Ul'trazvukovaya diagnostika zakrytoi sochetannoi abdominal'noi travmy, soprovozhdayushcheisya shokom [Ultrasound diagnosis of abdominal trauma combined closed accompanied shock]. Sochetannaya i mnozhestvennaya mekhanicheskaya travma (klinika, diagnostika i lechenie): sbornik nauchnykh trudov [Combined and multiple mechanical trauma (symptoms, diagnosis and treatment): collection of scientific papers]. Sankt-Peterburg. 1997. Pp. 94–100. (In Russ.)

10. Tsybulyak G.N., Sheyanov S.D. Raneniya i travmy zhivota: sovremennaya diagnostika i novye podkhody v lechenii [Injury and abdominal trauma: modern diagnosis and new treatment approaches]. Vestnik khirurgii imeni I.I. Grekova [Surgery Herald named after I.I. Grekov]. 2001. Vol. 160, N 5. Pp. 81–88. (In Russ.)

11. Boyarintsev V.V., Suvorov V.V., Markevich V.Yu. [et al.]. Endovideokhirurgiya v voenno-polevoi khirurgii [Endovideosurgery in field military surgery]. Voenno-meditsinskii zhurnal [Military medical journal]. 2006. N 9. Pp. 45–52. (In Russ.)

12. Sementsov V.K. [et al.]. Endoskopicheskaya khirurgiya v diagnostike i lechenii sochetannoi travmy grudi i zhivota [Endoscopic surgery in the diagnosis and treatment of concomitant injuries to the chest and abdomen]. Tikhookeanskii meditsinskii zhurnal [Pacific Medical Journa]. 2006. N 1. Pp. 95–96. (In Russ.)

13. Livingston D.H., Tortella B.J., Blackwood J. The role of laparoscopy in abdominal trauma. J. Trauma. 2002. Vol. 33, N 3. Pp. 471–475.

14. Marks J.M., Youngelman D.F., Berk T. Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma. Surg. Endosc. 1997. Vol. 11, N 3. Pp. 272–276.

15. Leppaniemi A. [et al.]. The role of laparoscopy in blund abdominal trauma. Ann. of Med. 1996. N 6. Pp. 483–489.

Received 10.12.2012

Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medical-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2013. N 1. Pp. 27–31.

Ravodin R.A., Rezvantsev M.V. Intellektual'nye sistemy podderzhki prinyatiya reshenii kak instrument profilaktiki vrachebnykh oshibok [Intellectual decision-making support systems as an instrument for medical errors prevention]
The Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
Ravodin Roman Anatol'evich – PhD Med. Sci., Lecturer, Department of Skin and Venereal Diseases. Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6); e-mail: [e-mail];

Rezvantsev Mikhail Vladimirovich – PhD Med. Sci., Deputy Head of Education-methodic Department of the Kirov Military Medical Academy (Russia, 194044, St. Petersburg, Аcademica Lebedeva Str., 6); e-mail: [e-mail]

Abstract. The article concerns the state of medical errors problem in Russia and abroad. As one of the ways to escape them, the authors offer using intellectual decision-making support systems. Definition of such systems is given and their medical use is justified. The various options of clinical application of such systems are presented and their efficiency is analyzed.

Keywords: medical decision-making support systems, intellectual information systems, medical errors.
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Received 15.01.2013

Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medical-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2013. N 1. P. 32–38.

Sleptsova S.S., Rakhmanova A.G., Zholobov V.E. Formirovanie organizatsionnoi modeli okazaniya pomoshchi bol'nym s khronicheskimi virusnymi gepatitami v Respublike Sakha (Yakutiya) [Formation of the organizational model of care for patients with chronic viral hepatitis in the Republic of Sakha (Yakutia)]
The North-Eastern Federal University named after M.K. Ammosov

(Russia, 677000, Republic of Sakha (Yakutia), Yakutsk, Belinsky Str., 58);

Pavlov First Saint Petersburg State Medical University

(Russia, 197022, St. Petersburg, L'va Tolstogo Str., 6/8)

Sleptsova Snezhana Stepanovna – PhD Med. Sci., Head of the the course of infectious diseases, the North-Eastern Federal University named after M.K. Ammosov (Russia, 677000, Republic of Sakha (Yakutia), Yakutsk, Belinsky Str., 58); e-mail: [e-mail];

Rakhmanova Aza Gasanovna – Dr. Med. Sci., Prof. of Infectious Diseases and Epidemiology Chair with HIV medicine Class of Pavlov First Saint Petersburg State Medical University (Russia, 197022, St. Petersburg, L'va Tolstogo Str. 6/8); e-mail: [e-mail];

Zholobov Vladimir Evgen'evich – Dr. Med. Sci. of Pavlov First Saint Petersburg State Medical University (Russia, 197022, St. Petersburg, L'va Tolstogo Str. 6/8), e-mail: [e-mail]
Abstract. In the Republic of Sakha (Yakutia), chronic viral hepatitis is frequently registered, along with its remote adverse outcomes. Large-scale vaccination against hepatitis B will help considerably reduce the number of patients with liver cirrhosis and liver cancer associated with HBV infection. Established risk factors for the development of primary liver cancer in the Republic are as follows: the indigenous nationality; male gender; replicative activity of B, C and D viruses; increased aldehyddehydrogenase/ alcoholdehydrogenase ratio in the blood. Organizational model of rendering aid to patients with chronic viral hepatitis in the Republic of Sakha (Yakutia) has been developed.

Keywords: viral hepatitis, primary liver cancer, risk factors, Republic of Sakha (Yakutia).
References

1. Abdurakhmanov D.T. Khronicheskii gepatit B i D [Chronic hepatitis B and D]. Moskva. 2010. 288 p. (In Russ.)

2. Alekseeva M.N. Virusnye gepatity v Respublike Sakha (Yakutiya) [Viral hepatitis in the Republic of Sakha (Yakutia)]. Sankt-Peterburg, 2002. 37 p. (In Russ.)

3. Aprosina Z.G. Khronicheskii aktivnyi gepatit kak sistemnoe zabolevanie [Chronic active hepatitis as a systemic disease]. Moskva. 1981. 190 p. (In Russ.)

4. Blyuger A.F., Novitskii I.N. Prakticheskaya gepatologiya [Practical Hepatology]. Riga. 1984. 405 p. (In Russ.)

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8. Pokrovskii V.I., Onishchenko G.G., Cherkasskii B.L. Aktual'nye napravleniya sovershenstvovaniya profilaktiki infektsionnykh boleznei [Topical areas of improved prevention of infectious diseases]. Epidemiologiya i infektsionnye bolezni [Epidemiology and infectious diseases]. 2000. N 1. Pp. 4–7. (In Russ.)

9. Rakhmanova A.G. Yakovlev A.A., Vinogradova E.N. Khronicheskie virusnye gepatity i tsirroz pecheni [Chronic viral hepatitis and cirrhosis: a guide for physicians.]. Sankt-Peterburg. 2006. 413 p. (In Russ.)

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11. Sleptsova S.S. Kliniko-epidemiologicheskie osobennosti virusnogo gepatita B v Respublike Sakha (Yakutiya) [Clinical and epidemiological features of hepatitis B virus in the Republic of Sakha (Yakutia)]. Sankt-Peterburg. 2003. 24 p. (In Russ.)

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Received 23.01.2013

Mediko-biologicheskie i sotsial'no-psikhologicheskie problemy bezopasnosti v chrezvychaynykh situatsiyakh [Medical-Biological and Socio-Psychological Problems of Safety in Emergency Situations]. 2013. N 1. Pp. 38–41.

Prokhorova O.V., Dorofeichik-Drygina N.A. Nekotorye aspekty sostoyaniya tkanei parodonta u pozharnykh MChS Rossii s zabolevaniyami zheludochno-kishechnogo trakta [Some aspects of the state of the periodontal tissues in the Russian EMERCOM firefighters with diseases of the gastrointestinal tract]
The Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia

(Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 4/2)

Prokhorova Ol'ga Viktorovna – PhD Med. Sci., dentist, the Nikiforov Russian Center of Emergency and Radiation Medicine, EMERCOM of Russia (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 4/2); e-mail: [e-mail];

Dorofeichik-Drygina Nadezhda Alekseyevna – dentist of Medical Center; e-mail: drygina.nadezhda@ yandex.ru;