Vol 337, No 11 (2016)

Dynamic indicators of health status of officers in 2005-2015 were investigated and evaluated according to developed algorithm. Reliable increase of common morbidity indicators and labour losses and reduced discharge rate and mortality are defined. It is shown that the following diseases: traumas, circulatory diseases, respiratory disease, diseases of the digestive system, pathology of musculoskeletal system and neoplasm are 75,5% of the common health status indicator.

The article provides information on the possibility of implementation of the accelerated recovery programme after surgical intervention in the field of battlefield surgery. According to analysis of experience of work of specialized thoracic reinforcement group at a garrison hospital, transformed into multidisciplinary military field hospital (3rd level), it is shown that principals of the given program may be implemented, under some conditions, in the course of the first emergency specialized aid delivery to wounded on the battlefield. The use of modern technologies in the course of surgical treatment of wounded in battlefield hospital, may reduce traumatic effect of surgical intervention and allows receiving results similar to results received in peacetime during implementation of FTS program, thus to resolve the main state problem - accelerated recovery of the wounded soldiers and their return to the duty or their full social rehabilitation.

The article provides information on results of research of connection between spectral index of heart rate variability, got during 5-minutes record of echocardiography in acute period of traumatic disease, and severity of trauma, severity of health condition and level of impairment of consciousness in patients with combined chest trauma. Defined correlating connections between separate indexes of spectral analysis of heart rate variability and scales, reflecting health status severity and severity of trauma when admission the patients. Defined accurate differences between indexes of a power of very low frequency, low frequency and high-frequency waves, indexes of a vagosympathetic balance in groups of patients with poor clinical outcome and lethal outcome. Proved the possibility of the use of definite, during 12 hours after getting injury, relative powers of low-frequency and high-frequency waves, expressed in normalized units, index of a vagosympathetic balance as physiological markers of poor clinical outcome in patients with severe combined chest trauma.

Despite the fact that the pilot performance in commercial and state aviation has some differences the same methodology and training philosophy are used in the organization of flight simulator training. The article presents the results of adaptation of psychophysiological methods to support flight simulator training for pilots of civil aviation, developed for military pilots. It is shown that the existing system for assessing pilots training in flight simulator, which is one of the most important stages of flight training for aviation, is not a sufficient level of objectification. It has been suggested to use psychophysiological inflight monitoring for integrated assessment of skills development along with instructor’s assessment. Psychophysiological monitoring included such indices as residual attention and stress index for assessing pilot physiological activity, which enables the instructor to choose the strategies for further training.

The efficiency of the use of collapan for plastic repair of bone defects in the surgical treatment of chronic osteomyelitis in 38 patients aged 19-55 years. It is shown that the operation is not traumatic and does not require sophisticated equipment to carry it out. Timing of treatment was 35-45 days. As there was no relapse during the year.

The article describes the experience in the study of the functional state of the most challenging military occupations - pilots of carrier-based aircraft. Presents the methods and results of research. Established database allows evaluating the level of functional status over time, address the issues of prevention of violations, access to special tasks.

The military-sanitation inspector and held by him the army medical department of the All-Great Don Host organized medical support of the Don Army; the military-sanitation inspector was responsible not only for military healthcare, but also for civil healthcare. A representative of this department was a member of the medical committee of the Armed Forces on the South of Russia. Medical facilities of the Don Army included garrison hospitals in Rostov-on-Don and Novocherkassk, small hospitals at stations, khutors, and railway stations. On the stages of medical evacuations were organized battlefield medical facilities - battlefield hospitals, ambulance detachments, battlefield mobile hospitals, evacuation points, and evacuation hospitals. Antiepidemic means included mobile epidemic and disinfecting troops, and bacteriological laboratory. After the Don Army passed to the control of the commander in Chief of the Armed Forces on the South of Russia and organization of joint military operations with the Volunteer Army wounded and ill Cossacks had also been sending to medical facilities of this join.

The article provides a brief summary on the history of former 2nd Central polyclinics of the Ministry of Defence of the USSR (now Branch N 6 of the Burdenko main military clinical hospital), and for the first time published early-unknown facts about brigade surgeon A.A.Litkens - personal surgeon of K.E.Voroshilov.

At the academic meeting of the medical staff of the Western military district was performed a demonstration «Organization of military hospital activity under condition of strict ant epidemiologic regime». During this demonstration were performed the following activities: procedure for doctor on duty in case of detection of patient with suspicion of special danger infection, planning documents concerning hospital activity under conditions of strict ant epidemiologic regime and etc. Were demonstrated deployed off-duty units of strict regime zones and restrictions, organization of internal military police duty with the fixed military element.