Vol 341, No 4 (2020)

Based on the analysis of domestic sources, scientific articles, the article reveals the geopolitical and economic importance of the development of the Arctic region. Factors affecting the organization of medical support for troops (forces) deployed in the Arctic are considered. The specifics of the medical support of troops (forces) determine the directions for improving its organization through the rational distribution of forces and means of the medical service and the effective use of its capabilities. The necessity of improving the system of disease prevention and providing medical assistance to personnel is shown. Topical areas are the development of new means of medical care and evacuation for use in the Arctic, the event of a telemedicine consultation system, and the improvement of the organization of the provision of qualified medical care.

The article describes the nature and types of symmetry as the properties of living organisms, the possibilities, and options for assessing the balance of the human body in solving reconstructive tasks of the forensic medical examination. The regularities of bilateral (mirror) symmetry of the papillary patterns of the palms were studied. A high degree of balance of dermatoglyphic signs is shown. It has been established that the types of models, rudiments of papillary ridges, and ridge counting between triradius have the most significant correspondence to each other on the right and left palms. Using the recommended set of informative dermatoglyphic signs, the forensic expert can reconstruct with high reliability the bodies of the victims of explosive injuries and solve the question of whether parts (fragments) of the body belong to one or more victims.

The results of the study of indicators of the quality of life of patients after surgical rehabilitation in the outcome of an extremely severe open eye injury are presented. Examined 45 patients, aged 18 to 56 years. All examined revealed post-traumatic subatrophy of the eyeball of varying severity. The scope of the surgical intervention included the posterior evisceration of the eyeball with the implantation of an ophthalmic implant from porous polytetrafluoroethylene. Quality of life indicators were evaluated before surgery and at the final stage of cosmetic rehabilitation after selecting an individual thin-walled ocular prosthesis 1 month after surgical treatment. We used the general MOS SF-36 questionnaire and the special questionnaire «Quality of life of a patient with monocular vision». The results of the study indicate that the modern method of surgical rehabilitation of patients using an implant made of porous polytetrafluoroethylene significantly increases the level of socio-psychological rehabilitation in the complex treatment of patients who have suffered extremely severe open eyeball injury.

The article shows that the special medical and geographical conditions of the Arctic have a pronounced, mainly adverse effect on the methods of warfare, on the conduct of medical and evacuation measures, as well as on the provision of medical equipment and units of the Russian Armed Forces. The features of providing medicines and medical products in the Arctic zone are established. Measures to preserve the quality of drugs and medical devices in the Arctic are considered, the procedure for their use is determined, and the requirements for their transportation are established. Promising examples of the tent fund for the deployment of medical units in the Arctic are identified. The results of the analysis of the influence of the conditions of the Arctic zone of the Russian Federation on the need for units and military units of the Armed Forces in medical equipment are presented.

The purpose of the work was to determine the degree of influence of HLS on the dental health of patients aged 35-44 years. According to the results of a sociological survey, two groups were formed: leading (No. 1, n=30) and non-leading (No. 2, n=34) healthy lifestyles. Significant differences were revealed: the prevalence of caries in group No. 2 was 100% (No. 1 - 76.7%), the indexes of the hygienic state of the oral cavity (5.2 versus 1.1) and the effectiveness of oral hygiene (1.8 versus 0.2). In group No. 2, only 5.9% of patients had a healthy state of periodontal disease, pathological periodontal pockets with a depth of 6 and > mm were three times greater in patients (8.8%) compared with group No. 1 (2.9%). Periodontic care was required for 94.1% of patients in group No. 2 (No. 1 - 72.1%). An adequate oral hygiene regimen (2 times a day) was detected in 93.3% of patients in group No. 1 and only 38.2% in group No. 2.

The results of a survey of flight personnel using the methods of heart rate variability and myocardial dispersion mapping with pulse wave analysis according to the Cardiovisor device are shown. This survey was performed on 30 military personnel who had undergone an army flight examination and were recognized fit for flight work. The control group consisted of patients with verified coronary angiography of coronary heart disease (n=10). The data obtained are analyzed; reference values of the conditional norm for the studied groups are developed.

A clinical case of the development of abdominal sepsis in a military man of military age against the background of postoperative hyposplenism is presented. The trigger mechanism was the development of postoperative intestinal paresis and secondary immunodeficiency as a manifestation of hyposрlenism, which ultimately led to bacterial translocation. Difficulties of diagnostics and features of treatment of a developing complication are indicated. The presented clinical case emphasizes the importance of the immune function of the spleen and the problem of studying infectious complications in patients with splenectomy.

The history of the Omsk Military Hospital, the oldest medical institution in Siberia, is presented. During its existence, the hospital has been reorganized several times. It is currently a modern military medical organization for the provision of qualified (including specialized) medical assistance to victims in peacetime and wartime. The article describes the main stages of the development of the hospital.

A brief report is presented on a scientific conference dedicated to the 110th anniversary of aviation medicine in Russia, held by the S.М.Kirov Military Medical Academy based on branch No. 13 of the 442nd Military Clinical Hospital. They discussed the historical aspects of the formation and development of domestic aviation medicine, modern scientific and organizational problems, existing contradictions, as well as upcoming tasks and prospects for its growth. Actual issues and achievements of medical support of state aviation flights at present are considered. New conceptual approaches to solving the problems in maintaining health and professional longevity of flight personnel are proposed.