Vol 339, No 12 (2018)

The data on the participation of employees of the S.M.Kirov Military Medical Academy in the development of the organizational and methodological foundations of medical support for the destruction of chemical weapons. Scientists and specialists of the Academy substantiated theoretical approaches and drafted guidelines for creating an integrated system of medical support for these works. At the facilities for storage and destruction of chemical weapons, an on-site medical team carried out an in-depth medical examination of their personnel; in the clinics of the academy, stationary examination and treatment of military personnel was carried out, establishing the cause-and-effect relationship of the occurrence of diseases with work with toxic chemicals. An examination algorithm was formed, maps of dynamic monitoring of the state of health of personnel of facilities were developed, and software storage tools for clinical diagnostic indicators were created in a database for the examination of the health status of persons from this contingent. The corresponding regulatory and instructive documentation has been drawn up and approved. Methodological approaches developed by the staff of the Academy can be used to create standards for medical examination and examination of persons engaged in potentially hazardous work.

The review article presents the results of an analysis of the literature on sarcopenia, a condition that almost always accompanies the unfolded and terminal stages of chronic diseases such as chronic heart failure, chronic obstructive pulmonary disease, cirrhosis of the liver, diabetes, chronic kidney disease, etc. Sarcopenia is a common clinical syndrome, including pathological reduction in the mass and function of skeletal muscles. The inevitable consequences of sarcopenia are the deterioration of self-care and quality of life, an increase in the risk of iatrogenic complications, hospitalizations and death.

The necessity of deploying additional (non-staff) isolators (infirmaries) in military units and military educational organizations of the Ministry of Defense of the Russian Federation is justified when the epidemic threshold for airborne and intestinal infections and excessive load on hospitals of the medical service unit is exceeded. An additional (non-standard) isolator (infirmary) should be created in the military units (military educational organizations) of the Armed Forces of the Russian Federation, which have a post of a doctor (paramedic) and a regular hospital. It is intended for isolation and medical surveillance of military personnel at risk of contracting infectious diseases. The main functions of an abnormal isolator (infirmary) should be the reception and placement of military personnel in the infirmary in accordance with established standards and requirements, provision of medical observation of military personnel in the infirmary under epidemic indications, their laboratory examination and emergency prophylaxis. Regulatory issues of the organization of work of additional (non-regular) isolators in military units and military educational organizations of the Ministry of Defense of the Russian Federation are considered.

The most important medicinal gaseous forms include medical gases: medical oxygen, nitrous oxide, xenon, which are listed in the State Register of Medicinal Products of the Russian Federation. At the same time, other gases are used in domestic health care - carbon dioxide, nitrogen, argon, helium, nitric oxide, krypton, radon, air, etc. According to the requirements of the Federal Law «On Circulation of Medicines», the regulatory documentation for the drug should be based on the requirements a similar pharmacopoeial monograph to this medicinal product, as well as a general pharmacopoeial monograph on the dosage form in which the medicinal product is presented. The article presents data indicating that the requirements for the production and quality of most gases used in domestic medical and pharmaceutical practice are not properly regulated. Formulated proposals, the implementation of which will not only create the conditions to facilitate the introduction of new medical gases into health care and harmonize their quality indicators with leading world pharmacopoeias, but also update the standards and procedures of medical care.

The results of treatment of alveolitis in 120 conscripts and contract servicemen aged from 18 to 53 years using a dental gel containing a chelate complex of an organogensium organic compound with guanine, alginic acid potassium salt and xylitol are presented. It is shown that the use of this drug allows, depending on the severity of the flow of alveolitis, to stop the pain syndrome during the first days after rendering medical assistance and to ensure that the holes are completely filled with granulation tissue for 7-16 days

The article is devoted to the description of the preparation and conduct of the centenary of the Military Medical Academy in 1898. Despite the existing historiography, the corpus of sources, now stored in the Russian State Military Historical Archive, first introduced into the scientific circulation by the authors, has not yet been used. The documents shed light not only on various aspects of the preparation and conduct of the jubilee, but also serve as an illustration of the «golden period» of the history of the Military Medical Academy.

The scientific and practical contribution of Academician Lieutenant-General Medical Service Oleg Gazenko to aviation and space medicine during his service at the Institute of Aviation and Space Medicine of the Ministry of Defense of the USSR in 1947-1969 is presented. In the field of aviation medicine, under his scientific guidance and with direct participation, research was carried out on theoretical and practical aspects of high-altitude physiology, medical support of personnel of units and formations of the Air Force in the Arctic, rationalization of labor and life of flight and technical personnel of aviation units in a hot climate testing of ejection seats, the development of methods for modeling erroneous actions of a pilot in order to study their mechanisms, etc. cooking suborbital flights of animals, he elaborated in a team onboard and ground systems physiological reactions registration and carry out appropriate investigations in flight conditions.