Том 331, № 8 (2010)

Development of the medicamental aid in military medicine can be realized only through the introduction of the formulary system. This system forms the informative-methodological basis of the achievement of socially necessary level of drug usage. On the basis of medical standards and analysis of sick rate the formulary of pharmaceuticals which can help to reduce the nomenclature of applying drugs, improve efficiency of medicamental aid is worked out. Medical service of Armed Forces of the Russian Federation has an experience in the development of formularies, but it is early to speak about the introduction of the formulary system into routine of military medicine. Development of the medicamental aid in military medicine on the basis of the formulary system will conduce to satisfying of medical and social requirements of servicemen, military retiree and members of their families.

Retrospective comparative analysis of therapy of the rheumatoid arthritis was undertaken. The following variants of antiphlogistic prescription: inactive tactics (long-lasting administration of one medicine), tactics of protracted treatment (separate courses of disease-modifying antirheumatic drugs with long breaks between them), tactics of first aid (at the beginning «passive treatment», after the appearance of complications begun active therapy with cytostatics); tactics of pyramid (the order of the prescription of medicines corresponds to classical strategy of baseline therapy with short breaks during the treatment), tactics of active therapy (the early beginning of baseline therapy with consistent change of medicine); effectiveness and safety of long-lasting administration of antiphlogistic in complex therapy of the rheumatoid arthritis.

21 patients with lumbosacral osteochondritis and diskal hernia were treated. Diagnosis was verified with the help of radiological method. The spinal motion segment after the hernia excision was fixed with the help of fixator with the shape memory for the prevention of post-operation instability. Thioctic acid showed the high effectiveness in complex treatment of radiculopathy.

The article is concerned with the verification of the medical examination for HIV-infection in the youth of conscription age. Negative epidemiologic situation with HIV-infection and drug habituation increases the number of draftees unfitted for service for reasons of health. The data of analysis of structure and dynamics of detection of HIV positive people of conscription age during 1999-2008 was quoted: the main contingent was people from the territorial subject of Russian Federation with the highest index of HIV-infection prevalence. Introduction of obligatory medical examination for HIV-infection in the youth of conscription age can successfully prevent its spread among the military personnel. In this case expenses for the laboratory examination for HIV-infection of the whole draft contingent of Russian Federation will be lower than for alimentation, treatment and the following discharge of HIV positive servicemen.

The article is concerned with the topical issue of aeromedicine - diagnosis and correction of the vegetative dysfunction of the aircrew. Causative factors leading to the dysfunction are discussed. Clinical and instrumental methods of the valuation of vegetative status and vegetative supporting of activity are studied. The data of researches is represented; the possibility of the correction of elicited variant of the vegetative dysfunctions with the help of drug and drug-free modalities is evaluated.

The history of the Centre of the state sanitary and epidemiological surveillance of Black Sea Fleet begun in the 1 April 1935 when the sanitary-epidemiological laboratory was founded. The article is concerned with the different stages of vivid development of this institute during 75 years. During this period organization, establishment and the name were changed many times. Since 2002 it got the current name and represents the scientific-methods institution which can solve the issues of sanitary-hygienic and antiepidemic supply of military personnel of the navy. Special attention is given to the high-readiness force.