Vol 337, No 4 (2016)

One of the major problems in the acquisition of units of the Armed Forces is timely detection of individuals with deviant behaviour, which are prone to delinquent and addictive behaviour. The article presents the results of an analysis of existing methodologies aiming to identify servicemen abusing and occasionally using narcotic drugs and psychotropic substances. The characteristics of the proposed new automated complex psychological diagnosis socially determined behavioural disorders and methods is given. The high efficiency of this characteristics in the allocation among «at risk» servicemen is given.

The level of obstetric morbidity in servicewomen remains high. Infertility occurs more often among the families of servicemen, than among the other families. The leading causative factor among the families suffering from infertility is tuboperitoneal or tubal (up to 85%). Assisted reproductive technologies are often the only possible mean to solve the problem of infertility in case of these forms of infertility. The families of servicemen suffering from infertility were suggested the echelon principle of health care in military-medical institutions of the Ministry of Defence of the Russian Federation. Defined selection rules and directions, requiring the separation of the assisted reproductive technologies Clinic of Obstetrics and Gynaecology of the Kirov Military Medical Academy to carry out in vitro fertilization procedures.

For the first time we carried out a clinical assessment of the safety, tolerability and clinical efficacy course of repeated administration of experimental modified autologous vaccine interlеykin (IL-10) dendritic cells in two patients with secondary-progressive multiple sclerosis patient and one with relapsing-remitting multiple sclerosis. In the course of treatment, we carried out clinical and immunological monitoring. It was found out that intradermal dose of 3 ґ 106 cells applied to spinal area 6-12 times did not cause any serious side effects. After the treatment with dendritic cells the following results were observed: 1) a significant positive clinical effect in patients with secondary-progressive multiple sclerosis exacerbations; 2) moderate positive clinical effect in patients with relapsing-remitting multiple sclerosis, in a state of remission; 3) a complete absence of any clinical results in patients with secondary-progressive multiple sclerosis without exacerbations. The immune response was characterized by a significant absolute and relative increase of serum T-regulatory cells. Discovered distinct anti-inflammatory properties of dendritic cell therapy allow us to consider it as a promising area of personalized treatment based on an individual vaccination against multiple sclerosis.

One of the priorities of the military health care is to improve the system of rationing medical equipment for the hospital unit of the medical service of the Armed Forces in wartime. This is determined the fact that the effectiveness of measures to provide military field hospitals with medical supplies depends on the quality of medical care for the wounded and sick, as well as the level of their return to duty. The article presents the characteristics of modern standards medical supplies procurement of military field hospitals included in the new regulatory legal act of the Russian Federation Ministry of Defence - «Standards of supplies medical supplies medical and pharmaceutical organizations (units) of the Russian Federation on the wartime armed forces», approved and put into effect in 2015 by order of the Minister of Defence of the Russian Federation.

The results of treatment of wounds of various aetiologies with a method of vacuum therapy with urethane-foam as a drainage material are given. Medical blanket «Lokus» is notable for the method of application, as opposed to conventional polyurethane materials: «Lokus» applied to the wound in a semiliquid state reduplicating its relief and contour. Polymerization occurs within a few minutes after applying; the result of polymerization is a urethane-foam sponge, which is similar to the sponge specially applied for the vacuum treatment of wounds. A further method of treatment did not differ from that in the conventional treatment of wounds using negative pressure. The method was used as a stage for the preparation of a plastic closure of wounds. In all cases, the treatment of wounds marked positive, is to accelerate the change of wound healing phases.

The article presents the results of the risk assessment of death from pulmonary embolism in patients younger age based on a retrospective analysis of 92 medical histories. Identified and ranked the factors causing adverse pathology for. A predictive mathematical apparatus. Forecast accuracy was 93,5%.

Unfavourable factors of professional work of servicemen of special units cause different health problems that require medical and psychological rehabilitation. The paper presents data on indication over time of psychological test results combined with indicators of stress levels, measured by the method of pulsed discharge visualization. This allows objectively evaluating changes in the original state of health of military personnel and their reaction to the ongoing activities of psychophysiological correction.

In this case the pilot must promptly detect and determine the level of danger, evaluate the possibility of elimination or make a decision about leaving the aircraft. However, due to the stress pilots suffer from reduction of efficiency and neccessary activities. In case, when pilot can’t eject it should be performed automatically. Application of new rescue system should significantly improve the ejection efficiency and safety and to ensure the preservation of the health of pilots.

On May 2016 the 114th Central aircraft hospital of fighters of air defense troop celebrates the 70th anniversary. Since the establishment of the hospital soldiers took an active part in medical support of the Soviet and later the Russian Air Force. During its existence, the hospital repeatedly reorganized, is now a modern military medical institution, has qualified and specialized medical care to the wounded and sick.

Koshelev N.F. made a significant contribution to the development of general and military hygiene. Under his leadership at the S.M.Kirov Military Medical Academy were actively conducted researchers in the field of general hygiene, hygiene, military labour, water, food and sanitation support for the troops formed a new way of hygienic structure understanding, its goals, methods, object and subject of study. Koshelev N.F. developed provisions of methodological basics, structure and algorithm of hygienic diagnostics. He also defined basic principles of the universal theory of hygienic regulation and developed its structure, made a number of other original theoretical positions. Koshelev N.F. created a scientific school, continues the best traditions of domestic hygiene.

The aim of the article is to discuss the deployment experience off-design airfield evacuation care center and the formulation of conclusions and practical recommendations on the organization of its work. The article is based on experience carried out by the medical service of the Central Military District during 24-28 August 2015 of special tactical exercise to ensure the comprehensive group of troops. The challenge for the deployment of off-design airfield care center was delivered suddenly, due to a sharp change in weather conditions at a number of airports and the ensuing changes in the direction of the medical evacuation of casualties from the area of an emergency.