Vol 336, No 8 (2015)

The article presents main directions of activities of the medical service, dealing with implementation of personal electronic cards for military personnel, organizing the process of automation of medical service management, military and medical organizations and health care departments. The given article reveals the on-going activity, concerning creation of the military-medical information system, which will unite all medical units, organizations, and governments into one information space.

The authors suggested an original technique of plastic surgery of round and oval-shaped gunshot wounds of soft tissues with the use of triangular flap. The core of technique is to move triangular skin flap in the form of the letter «Ya» and «I». By moving this flap, as well as stretching and displacement of surrounding tissue it is possible to close the occured defect. The authors describe 32 surgical interventions on the upper and lower limbs in 21 wounded, defect size ranged from 2ґ2 cm to 12ґ18 cm. Closure of defects was performed during the period from 5 to 22 days after injury. As a result of the treatment the primary wound healing was observed in 87,5% of cases. In 12,5% of the wounded was observed marginal necrosis that healed after the second intervention and didn’t require repeated plastic reconstruction. Patients didn’t get rough tightening scars affecting joint movement after the plastic reconstruction. All patients achieved good cosmetic and functional results. The proposed method has several advantages over dermatomal plastic reconstruction, and before transplanting islet skin-facial flap in free and non-free versions. It is technically easier and does not require special software and tools.

Standard neurological examination was performed in 85 patients of military service age (the average age was 32,6±5,3 years - from 19 to 44 years) with a confirmed diagnosis ofsubstance abuse, caused by the use of narcotic drugs and psychotropic substances: cocaine and amphetamine in 12 patients, opioids - in 73 patients. Some symptoms of nervous system damage had statistically characteristic peculiarities for different forms of substance abuse. Mydriasis, signs a bilateral pyramidal insufficiency, hyperkinetic disorder are often characteristic for cocaine and amphetamine abuse. Opioid abuse is characterised by more severe symptoms of nervous system damage, disseminated neurologic symptomatic and polyneurotic disorders. Symptoms of neurasthenia and vegetative-vascular dystonia, which are usually accompanied by the symptoms of organic lesions of the central and peripheral nervous system, were observed in all patients with substance abuse. In order to detect the symptoms of nervous system damage in patients, which are supposed to be conscribe, it is neccessary to take medical history.

The article is devoted to the development of an integrated system for remote assessment of the functional state of the military serivcemen. A review of domestic and foreign literature concerning this problem is presented and proposed a new look and approach to monitoring the combat capability of the military servicemen. The authors carried out analysis of the possibility of using accumulated experience and the use of high-tech means to solve an assigned task at the level «troop - battalion - brigade» and gave a concrete way to solve this task at the current stage to improve the quality of health care and the efficiency of professional activity of servicemen.

The present article deals with international legal issues that arise in case when various mass diseases go beyond any national jurisdiction. The emphasis is made on the problem of international responsibility, which different actors have to bear in such cases. The authors also examine the implementation of responsibility mechanism, including the indentication of the relevant international court, authorized to establish such liability and identify the specific forms of its realization.

The article is devoted to the analysis of organizational basis of provision with modern first-aid kits, emergency bags and delivery of emergency care intended to equip the military transports, which are described in the «Instructions on the content and the use of first-aid kits, emergency bags and delivery of emergency care for military transportation in the Armed Forces of the Russian Federation», which was approved on 9th of February, 2015 by the Chief of the Main Army Medical Department of the Ministry of Defence of the Russian Federation.

A mode of cyclic cryothermic effects on the body to increase its functionality is designed. The effectiveness of such effects when used in a group of students and freshmen that have difficulties of adaptation and acclimatization is showed. The result of the method is to increase the maximum amount of physical work performed, optimizing autonomic provision of physical activity, acceleration of regenerative processes in the body. The data obtained allow recommending widespread use of the method in the system of measures of physiological adaptation process optimization of various categories of persons with strained business conditions.

The article is devoted to the contribution of the General Military Medical Department of the Red Army (GMMD) to organisation of health care support during the Great Patriotic War of 1941-1945. In the summary you may follow the main ways of activity of the central governing body of medical (health) services of the Red Army. The main focus of the article is made on conditions under which GMMD had to organize medical support of the Red Army at the beginning of the war, the most difficult period of the Great Patriotic War. The authors payed attention to the forms and methods of the work of the head of GMMD and its subordinate departments under the conditions of rapidly changing environment of combat and rear situation, as well as interaction with GMMD People’s Commissariat of Health. The authors tried to highlight not well known but not less important moments in the activities of the Red Army GMMD.