Vol 338, No 12 (2017)

The article describes the historical aspects of the development of the system of medical examination in the Armed Forces, its main problem issues at the present stage. The main documents regulating the organization and content of clinical examination, the characteristics of their content are given. It is shown that in the prophylactic examination of military personnel under the contract there are many more doctors involved, and the volume of diagnostic studies allows to fully achieve the goals set for the medical examination. Methodical approaches to the evaluation of the quality and effectiveness of clinical examination are outlined. The use of modern survey methods, quantitative approach, quality control made it possible to achieve the efficiency of military personnel under contract in IHD at 91,6% at 9 LDCs, 91,2% in hypertensive disease, 96,4% in diseases of the endocrine system. The questions of economic analysis and information support of medical examination are reflected.

The results of the questionnaire survey of students of the residency of the S.M.Kirov military medical academy are described in order to determine their professionally important qualities that affect the practical activities, professional competencies and the educational process in the discipline «Emergency medicine». Through feedback from students, their educational needs in the field of disaster medicine have been established, and the following groups of factors have been identified: those who determine the professionally important quality of the listeners are «communicative», «professional» and «personal»; influencing the training, practical activities and professional competence - «methodology of managerial activities of specialists», «organizational and staff structure of the medical service» and «methodology for the intended purpose with the organizational and staff structure of the medical service»; affecting the educational competence - «regulatory legal framework, regulation of the activities of specialists», «methodology for the intended use», «methodology of managerial activities of specialists». Their ranking is done, the significance is established. The directions of the development of professionally important qualities, professional knowledge and activity of military medical specialists in terms of their intended use in eliminating the medical and sanitary consequences of emergencies have been determined.

The aim was to study the results of total elbow arthroplasty in the treatment of gunshot wounds and open injuries. The analysis of treatment and long-term results of 69 patients with gunshot wounds and open injuries of the elbow joint, which performed total endoprosthetics, was carried out. The duration of the preoperative period was 3-16 months after receiving injury or trauma, postoperative follow-up - no less than 12 months after arthroplasty of the joint. The volume of motion in the joint (ROM), functional indices (DASH) and quality of life (SF-36) at 1, 3, 6 and 12 months after the operation were studied. It has been established that both in severe trauma and in gunshot wounds, endoprosthetics of the elbow joint equally reliably reduces the pain syndrome, gives a high level of physical functioning, which improves the quality of life of patients.

Clinical examination is one of the methods of early detection of chronic diseases in children and adolescents. The article presents data on the results of medical examination of students of the Boarding School of the Ministry of Defense of Russia for 2011-2016. Optimization of the methods of medical examination based on new scientific data made it possible to identify, correct and prevent various deviations in the health status of pupils in a timely manner, which led to a decrease in 2014-2016. compared with 2011-2013. prevalence of chronic pathology of the nervous system (by 6%), gastrointestinal tract (8,4%), ENT organs (17,3%), cardiovascular system (4%), and the proportion of pupils with 1st group of health increased by 5,7%.

Results of treatment of 68 patients who underwent urethroplasty with the use of the mucous membrane of the cheek were presented. The overall effectiveness of performed urethroplasty operations was 89,7%. Histological examination of buccal autografts in patients with recurrent constrictions did not reveal structural changes. The multilayer squamous, non-coring epithelium, which was under prolonged exposure to an aggressive medium, remained unchanged.

The author presents the author’s experience of reconstructing the iconography of the personnel of the Military Sanitary Scientific Committee of the Main Military Sanitary Directorate of the Russian Army in 1916. This committee existed in 1867-1917. and solved the most important issues of military medicine in Russia: the life and sanitary and hygienic situation in the troops, the development and supply of medical supplies to medical institutions and troops, the examination of cases for the improvement of doctors, scientific papers, the publication of the Military Medical Journal,

The article is devoted to the history of creation and activity of the 736th Main center of the state sanitary and epidemiological surveillance of the Ministry of Defense of the Russian Federation. This multidisciplinary medical-preventive institution of the highest level is at the head of the system of sanitary-epidemiological formations of the Armed Forces and fulfills the tasks of organizing and conducting surveillance and sanitary-anti-epidemic (preventive) measures in the army and navy. The main stages of the development of the Center, achievements and directions of activity at the present stage are presented.

The report on the conference «Toxicology and radiobiology of the XXI century» held at the S.M.Kirov Military Medical Academy is presented. The main directions of the conference work are considered: toxicology, radiobiology, medical and biological problems of radiation and chemical safety, training of personnel in toxicology and radiobiology.