Vol 335, No 3 (2014)

Authors showed data about medical backup of military personnel taking part in the parade on Red Square dedicating to anniversary of Victory in the Great Patriotic War. Experience of running such events allowed to work out an algorithm for medical service: preparatory stage, training stage, running of parade, stage of move out to permanent base. During the parade on Red Square for medical care asked 18 people (participants of parade and civilians). Authors came to conclusion that as a result of medical backup of military personnel taking part in the parade no infectious and group diseases were registered.

Analysis of health status of military personnel is carried out in the interests of optimizing medical support personnel, maintaining a high level of health of servicemen, reducing morbidity. To perform this analysis it is necessary to compile materials about health status and morbidity in servicemen received from medical records. Selected data from medical records produced by mechanical summation of homogeneous diagnoses and time consuming. Today we have an opportunity to use common software for registration and result indices. So, by using the Excel program of Microsoft Office 2010, it is possible to implement the procedure for obtaining summary data from the electronic versions of documents medical records. By using the proposed algorithms allow authors to link the troop significantly optimize the process of accumulation, storage and use for analysis of the military - medical information, make the whole process of analysis of morbidity faster and more efficiently.

One of the most important issues in the management of patients with community-acquired pneumonia is the correct initial assessment of the severity of the patient’s condition. In the context of outbreaks of pneumonia among soldiers performing military service, this position is crucial. Up to date specialized scales were developed and used in clinical practice allowing assessing a risk on the basis of an adverse outcome, objectifying the decision on the choice of the place of treatment of a patient with community-acquired pneumonia. Various prognostic scales have their advantages and several disadvantages; in particular the possibility of their use to date has not been studied in the management of patients with pneumonia of organized groups. This publication is a brief description and analysis of the possibilities of applying the most well known scales in young people.

Annually about 6,5 thousands of military servicemen retire due to cardiovascular diseases, every second serviceman retires before superannuation. Stress echocardiography in comparison with other imaging studies is cheaper, safer and matches in sensibility and specificity. The prevalence of stress echocardiography and stress systems can make it available in district, central and main hospitals, and clinics of the Kirov Military Medical Academy. It is proposed to expand indications for stress echocardiography for certain contingent soldiers: those senior commanders, aircrew, and divers soldiers at high risk of cardiovascular complications. For training of specialists in the filed of stress echocardiography in the Kirov Military Medical Academy themed cycles for medical ultrasound and functional diagnostics are orginised.

Based on a survey of 165 patients with metabolic syndrome is determined that changes in the psychological status and quality of life they are heterogeneous with age features that should be considered when assigning treatment and preventive measures.

Authors showed that distress syndrome mortality even having treatment and diagnostic equipment is about 45%. Authors gave data about the treatment of patient with with severe community-acquired pneumonia accompanied by acute respiratory distress syndrome.

The article is concerned with addressing of military physicians at the end of XIX - in the beginning of XX centuries in the section of military medicine at the Pirogov Congresses. Military physicians brought up an issue about the necessity to put an end on tradition to serve out vodka during holidays, play war and combat operations. Physicians warned that drug abuse could be common condition as alcoholism.

Disease control in domestic fleet in XVIII century was a part of government measures concerning protection of the territory of the Russian Empire from the penetration of dangerous infectious diseases. Understanding the role fleet could play in the spread of infection, the government sought to prevent its entry from the sea. Following this task, in the early 20-s of XVIII century on islands of the Gulf Seskar and Wolf organized sanitary quarantine stations where ships from unfavorable in relation to the epidemic areas stayed before they pester the Russian shore. Eventually when the Black Sea Fleet was created, similar items appeared in Ochakov, Sevastopol, Feodosia, Yalta and Kerch. In XVIII century health legislation was supplemented by a number of regulations relating to the activities of the fleet. In particular, during the reign of Peter I epidemic rules were composed, which, as it became known, lasted for about sixty years. In 1786, the band released a set of quarantine rules designed to streamline the work of sanitary and quarantine stations. Important for protection against the penetration of Russian borders infectious diseases had timely warning of epidemics broke out abroad. Cooperating with European countries in the prevention and control of communicable diseases, Russia has successfully developed methods antiepidemic protection.