Том 330, № 9 (2009)

Within the frame of forming of a new face of medical service of the Armed Forces, were determined the principle approaches to optimization of the process of development of the system of medical supply. It was proposed to use the following principles: principle of hierarchic structuring, principle of purposeful orientation, principle of vertical task sharing, principle of horizontal task sharing, principle of complex simulation, principle of permanent perfection. The main direction of optimization of structure and composition of system of medical supply of the Armed Forces are: forming of modern institutes of medical supply - centers of support by technique and facilities on the base of central, regional storehouses, and attachment of several functions of organs of military government to them; creation of medical supply office on the base military hospitals, being basing treatment-prophylaxis institutes, in adjusted territorial zones of responsibility for the purpose of realization of complex of tasks of supplying the units and institutes, attached to them on medical support, by medical equipment. Building of medical support system is realized on three levels: Center - Military region (NAVY region) - territorial zone of responsibility.

The article presents the analyze of cause of the accident of freight train by the 16th of July 2007 on Lvov railway, when 15 cisterns with yellow phosphorus have went off the rails. At the moment of the accident there was broken gasproofing of 6 cisterns, from which liquid phosphorus has started to supervene. In firefighting have taken part 450 firemen, 3 firetrains, 80 units of other techniques. The fire was put out for 5 hours. 58 military servicemen and 6 journalists have got hurt. Besides fire hazard, it was formed a nidus of infection for 80-90 km2. 2484 persons were exposed to phosphorus fume. 184 from them were sent to hospital, 800 were evacuated, 1500 children were sent to sanatoriums. In the article were observed clinical forms of phosphorus affect, organizational aspects of delivery of health care in conditions of mass destruction in fire hazard of phosphorus.

There was effectuated a research of killability of traumatic weapon in laboratory as well as during analyzing of clinical observations. There were considered the results of treatment of 8 persons, suffered from traumatic weapon. It was occurred a clinical recovery by 7 wounded persons from 8. There was 1 case of lethal outcome for first hours, caused by trauma of temporal bone and cerebrum (suicide). Thus, influence of traumatic weapon on ENT-organs can be a reason of serious penetrating wounds, facial bones fracture, hematomas and contusion, formation of foreign bodies and middle ear barotraumas.

The article presents the data on the dependence between death rate caused by cirrhosises and consumption level of alcohol in Europe and Russia, based mainly on data of foreign publications, particularly - the results of ECAS research with a mathematical description of the taped rigid dependence between these indexes. The article also presents short characteristic of alcohol situation and executability of equations of regress, received from ECAS, for levels of alcoholic consumption and death rate from liver cirrhosis in Russia.

It was examined a capability of evaluation of functional condition of air staff by indexes of natrium, kalium, cortisol and glucose in saliva. There were realized 5 series of examinations with participations of 71 airplane pilot of the same level in conditions of realizing flies of different difficultness. Saliva sampling was effectuated before and after the flies not later then 10-15 minutes after landing. On pre-flight medical examination and after performance of task of air relay there was registration of systolic, diasystolic blood pressure and cardiac rate. It was posed the correlation of physiological indexes with percentage of examined ingredients in saliva in different flight loads. The results of examinations speak for capability of using of indexes of percentage of natrium, kalium, cortisol and glucose in saliva for evaluation of functional condition of airplane pilots during effectuating the flies and rating of value of flight load with account of individual peculiarities.

The article presents the history of development and becoming of a military sanatorium «Volga». In the article was shown the structure of sanatorium and units of rehabilitation treatment, was shortly observed an individual program of rehabilitation of military servicemen. There were marked veterans of sanatorium, who have been working more than 30 years, and family dynasties, which works now days.