Vol 333, No 11 (2012)

The current article deals with the main methods of development of the rehabilitation system for wounded during the late hospital stage. The problems of specialized rehabilitation for injured, patients of cardiology and neurology and the application of the newest rehabilitation techniques used to optimize medical aid in order to promote professional qualities recovery experience are also considered.

Due to reforming of a system of military-medical education, percent of female soldiers in medical service has increased. Psychophysiological peculiarities of this military personnel class have an impact on a military service quality. It has been established that professional success of military physician is governed by mentality, social and psychological adaptation and military-professional motivation. For this reason, medical service recruiting should be realized on the basis of scientifically grounded series of measures of professionally psychological selection. It is shown that it is necessary to elaborate measures for selection and evaluation of professionally important qualities for female military physicians recruiting. Authors suggested the system of ranking of professional activity success, which can be a methodological basis for acceptance of scientifically grounded solutions about the administration of current medical personnel.

On the basis of 42 analyzed sources of literature was performed a study about the problem of comprehensive training of patients with ischemic heart disease combined with type 2 diabetes mellitus which undergo interventional coronary intervention. It was noted that disease management programs for patients with associated pathology and comprehensive training of patients with ischemic heart disease combined with type 2 diabetes mellitus, which undergo interventional coronary intervention, are not developed. Therefore, in recent decades there emerged a need for comprehensive training of patients with associated pathology development of relevant structured programs of training, estimation of near and late results of training.

Diagnostics of hypertensive disease is performed according two-stage scheme recommended by Society of cardiology of Russian Federation (2010) and adapted by us for examination in Central Military Clinical Hospital n. a. N.N.Burdenko. First stage, as possible, should be carried out in out-patient departments, second stage, as it necessary, in specialized medical treatment facilities. Indications for admission of patient with hypertensive disease are abstrusity of diagnosis and necessity of carrying out of special, often invasive study, for updating of information about the form of arterial hypertension, difficulties in adjustment of antihypertensive therapy. Major criterion for adjustment of antihypertensive therapy is degree of cardiovascular risk. In the beginning of treatment monotherapy is preferable for patients with low and average risk of progression of cardiovascular disease, use of combination of two or three medications in small doses is reasonable for patients with high and very high risk of complications. Three medications were prescribed for 21% of patients, four or five for 14% of patients.

There are a lot of original materials and documents of medical support of the Russian army, introducing with the volume of medical care to the wounded and sick in the past among the exhibits located in St. Petersburg Museum In recent years the museum created projects, gained popularity in Russia and abroad, which caused a lot of good reviews from professionals and audiences. Among them are «Anatomical Theatre», «Mercy Without Borders», «Together we are strong», «Between Life and Death», «(Medicine Heights» and many others. The museum is well known in Russia and far beyond its borders as a custodian of historical traditions of Russian medicine, multidisciplinary research and educational institution, which is a unique cultural federal and international importance, according to the riches of museum collections unrivaled among medical museums of Russia and the world.

The history of the oldest medical institution of the Far East — Vladivostok Naval Hospital Clinical Pacific Fleet is presented. The history of Hospital, celebrating 140th anniversary in October 2012, is closely associated with the formation of Pacific Fleet, birth and development of medicine in the Far East. Currently, specialized medical care is administrated in 29 medical departments of the hospital with an annual inspection and treatment of 12—13 thousand people.