Vol 342, No 2 (2021)

The role of drug supply in preserving and strengthening the health of pupils of pre - university educational organizations of the Ministry of Defense is shown. The results of the analysis of the current state of their drug supply are presented, and the main directions of its improvement are determined. The characteristics of approaches to the choice of drugs for subsequent inclusion in the developed standards for the supply of medical equipment to military pre - university educational organizations are given. The activities of medical (pharmaceutical) specialists should be aimed at each student, who should receive all the necessary drugs in a dosage corresponding to individual requirements for an adequate period at the lowest possible cost.

The study aimed to assess the possibility and effectiveness of using digital technologies while installing an implant in a dental clinic. The treatment process algorithm utilizing the technology of integrated implantology on the DENTSPLY SIRONA company’s equipment has been compiled. Based on a clinical example, the stages of diagnosis and treatment have been developed using integrated implantology technology. The technology provides an optimal and comfortable process for treating patients. It allows for high - quality diagnostics, with maximum accuracy to draw up a treatment plan, objectively monitor the treatment process, and achieve high functional and aesthetic results. By saving the dentist’s time, the cost of treatment is reduced.

The probable number of military personnel of the Armed Forces with a heterozygous form of familial hypercholesterolemia is more than 2 thousand people. This pathology requires an interdisciplinary approach and the introduction of a universal algorithm of treatment and prophylactic measures for patients with familial hypercholesterolemia, taking into account the peculiarities of the activities of military medical organizations, as well as adapting the requirements of national recommendations for the diagnosis and treatment of familial hypercholesterolemia in military health practice. The basis of its successful treatment is the correction of atherosclerosis risk factors and lifestyle modification, categorical smoking cessation (both active and passive), elimination of excess body weight under the supervision of a specialist, blood pressure control, dosed and accessible physical activity (30-minute walk, cycling at least five times a week) under the control of heart rate and blood pressure and in the absence of contraindications. Survey of military personnel must be carried out, taking into account the severity of atherosclerotic lesions of the arteries and the functional state of the organs supplied to them by blood, compensation for impaired lipid metabolism with available lipid - lowering drugs. Expert opinion on the category of fitness for military service is made during the development of clinical manifestations of atherosclerosis.

The experience of the surgical treatment of 57 patients with contractures of the knee joint after arthroplasty is presented. One of the results of the work was the optimization of the surgical technique of arthroscopic intervention. The access points were not standard ports for introducing instruments, but modernized ones, designed considering the changed anatomy after knee replacement. The use of arthroscopic arthrolysis made it possible to increase the range of motion in the study group’s patients from 48.1±20° to 94.2±9.5° during the year.

The results of individual and group psychotherapy in the complex health - resort treatment of 55 patients using balneological, mud, and physiotherapeutic procedures are presented. The effectiveness of treatment was assessed by changes in the scales of the SF-36 questionnaire and the index of the total assessment of regulatory systems. In the study group, there was a pronounced positive dynamic of indicators with their values ??at the beginning of treatment and the indicators of the comparison group. It is concluded that complex health - resort treatment’s effectiveness significantly increases when combined with individual and group psychotherapy. The positive results of psychotherapy are most manifested in the improvement of role functioning due to patients’ physical and emotional state.

The main milestones in the biography of the famous historian of medicine, Doctor of Medical Sciences, Professor M.K.Kuzmin (1920-2010), his contribution to studying the problems of the history of military medicine are noted. Shown is his activity on preserving certificates of the work of medical personnel during the Great Patriotic War. The role of museum work in Russian museology is considered on the example of the creation of a permanent exhibition, «Medicine and Mercy in War».

A brief report is presented on the Ilyinsky Readings, which took place in December 2020 at the S.M.Kirov Military Medical Academy in the format of an interuniversity interregional scientific conference. It was attended by professors and teachers of the Academy, specialists in the pharmaceutical profile of medical services of military districts and fleets, representatives of medical and pharmaceutical universities in Russia, specialists of the domestic pharmaceutical industry. The results of the conference will make it possible, in the future, to develop optimal management decisions aimed at improving and progressive development of the medical supply system for troops (forces).