Vol 334, No 8 (2013)

Results of health status comparative analysis of the emercom of Russia Federalflre service employees and contract servicemen in the russian army are submitted as following. The emercom of russia firemen’s average annual rate of primary morbidity is 459,1, that of labor losses’ days 8430,8, of disability 0,9, and mortality cases 0,7. The russian army contract servicemen’s average annual rate of primary morbidity during the covered period comes to 410,3, that of discharges 7,4, and mortality cases 1,3 . The results of comparative analysis show that the rate of contract servicemen’s primary morbidity is lower than that of emercom of russia firemen below 10,6% (р<0,001), whereas their discharge level is higher above 87% (р<0,001). In the course of comparison of the emercom of Russia Federal fire service employees’ and the russian army contract servicemen’s primary morbidity structure it was revealed that the indexes of the diseases of respiratory system, traumas and poisoning are higher among the first ones. On the contrary, their indexes were lower in the sphere of circulatory system, skin and hypodermic cellulose diseases. The indexes of circulatory system diseases in the disability (discharge level) structure of the emercom of Russia Federal fire service employees were higher than those of other diseases. It is expedient to use the results of this research in forming of priority assignments and conducting of a complex of curative and prophylactic measures organized by the medical service of the emercom of Russia.

Adenovirus infections occur in different military groups as acute respitatory diseases combined with backsets and pneumonia. At definition of etiological structure of acute respiratory diseases in 1606 soldiers of 1—2 year of service, placed in the division of infectious diseases of the military medical academy in 2000—2011, dominance of an adenoviral infection (37,4%) was revealed, especially in non-epidemic periods of influenza (77% in 2007—2008). Adenoviral diseases among the hospitalized patients became complicated pneumonia in 17,8% of cases, and the proportion of adenoviral pneumonia in the overall community-acquired pneumonia with acute respiratory disease was 55,2%.

The PlasmaJet®, a modern device that provides a high energy flow of ionized gas which seals small blood and lymph vessels has been recently introduced into clinical practice. A comparative retrospective analysis of results of 59 liver surgery with the help of new surgical technologies and standard surgical technique was performed. Liver resection with the use of high technology was accompanied by significantly less intraoperative blood loss, as well as a significant decrease of postoperative complications.

The theoretical basis of the ergonomic designing of the military-medical ergatic systems (MMES) consists of the general model of a medical specialist activities, the physiological theory of functional systems and the psychological theory of activitys. It is underlined that at ergonomical designing must be considered all potential interactions between medical specialist and wounded, as well as between them and medical equipment. When designing MMES an important place should be given to the distribution of functions between the healthcare professional and technical means. When designing jobs for medical specialists must necessarily be taken into account emotional stress due to conditions as external (of the combat) of the situation, and the gravity of the wounds of the victims.

The current article is dedicated to the state of health of the US Armed Forces military active component personnel in 2012 according to the report published by the Armed Forces Health Surveillance Center in April 2013 issue of Center’s Medical Surveillance Monthly Report. Sequentially, the key characteristics of ambulatory visits and hospitalization for the leading disease chapters and certain disease groups have been presented. The data have been given for the total personnel as well as for male and female separately. The general hospitalization has also been presented for the US Armed Forces components.

The article is dedicated to the memory of the outstanding russian trauma-orthopedist, scientist and educator, former head of the department of military traumatology and orthopedics military medical academy, doctor of medicine, professor, major-general of medical service S.S.Tkachenko.