Vol 338, No 3 (2017)

The article provides description of modern status of the system of medical rehabilitation for servicemen of the Armed Forces on the level of health resort treatment. Authors give results of work analysis of military health resort institutions, concerning medical rehabilitation for military servicemen. Studied problem issues, defined main ways of medical rehabilitation organization improvement in health resort treatment institutions.

Pulmonary embolism takes the third place in cardiovascular mortality structure. Separate clinical symptoms don’t have adequate sensibility and specificity for pulmonary embolism verification. For pulmonary embolism diagnosis are usually used clinical probability scales. Clinical markers, pulmonic ventricle dysfunction markers, and myocardial injury markers determine risk stratification. Methods for diagnosis and treatment of pulmonary embolism are based on risk levels. In case of suspected pulmonary embolism the treatment should be prescribed immediately without waiting for diagnosis approval. Pulmonary embolism accompanied with shock and hypotension is an absolute thrombolytic therapy indication. According to data, provided by authors, efficacy and safety of prourokinase appeared to be as effective and safe as alteplase according to clinical and instrumental criteria. Alteplase effectiveness is higher than prourokinase in case of short anamnesis (<3 days), while in case of long anamnesis (>3 days) proukinase has the advantage of alteplase. To prevent repeated venous thromboembolism should be prescribed indirect anticoagulant (Vitamin K antagonist) or factor Xa inhibitor oral inticoagulant rivaroxaban.

At this article presented integrated technique correction metabolic syndrome from military contract servicemen (officers), based on using non-drug treatment methods: leech therapy, reflexology, manual therapeutic treatment and mandatory psychophysiological correction. Complex using this methods allows to reduce the severity of metabolic syndrome, lead to normalization clinic-laboratory indicators and following psychophysiological correction permit to change behavioural responses from military servicemen and to apply special skills of self-regulation and self-help in subsequent. All of this in regular using are the component of prevention of possible violations in state of health related with professional activities and can contribute increase effectiveness of implementation tasks set before military servicemen. The results obtained by the authors cause the possibility and necessity the application of the methods traditional medicine and psychotherapy in complex therapy military contract servicemen with metabolic syndrome.

The first can be considered the simplest mask gauze or cotton-gauze impregnated with sodium hyposulfite, which pressed to his face and breathed through it (i. e. «Wet» gas mask, based on the principle of chemical neutralization of toxic substances). The most successful type of domestic wet gas mask is considered to be a gas mask constructed by N.T.Prokofev with hermetically inserted glasses of plain glass. Using by Germany all new toxic substances required continuous improvement of gas masks and the use of not chemical, but physical principle of neutralization, based on the non-specific binding molecules toxic agent. Creation in Russia really acting dry gas mask associated with the name of the outstanding scientist Zelinsky, first proposed to use as activated carbon adsorbent. Engineer Petrograd factory «Triangle» E.L.Kummant developed rubber helmet with goggles, do not require special mounting head and reliably protects both respiratory tract and eyes from exposure to toxic substances. The principle of the device mask Zelinsky-Kummant - canister with activated charcoal (and various additives) and a rubber facemask - is the basis of all modern designs masks.