Vol 336, No 7 (2015)

Ten of the most frequent symptoms that do not require special methods of their determination except general clinical examinations established by any health care professional on pre-hospital stage were determined on the basis of analysis of more than one thousand records of patients with acute surgical abdominal diseases and clinical symptom load. The authors performed an assessment of each symptom depending on severity of patient’s condition ranging from 1 point (satisfactory condition) till 5 points (critical condition). Information has been obtained: in case of satisfactory condition - up to 10 points, moderate - up to 20 points, heavy - up to 30 points, extremely heavy condition - up to 45 points and terminal condition - more than 45 points. Thus, conditional descriptive method of assessment of patient’s condition during the clinical examination is combined with objective-scoring. The given method combines numeric expression with methods accepted in literature - «MFS-CA », «APACHE II» and allows to perform an objective assessment of the treatment process at different stages, to practice health care standards, to perform an analysis of outcomes. The article provides tables, which substantiate proposed method.

Medical rehabilitation of patients with spinal cord injuries is an actual problem of modern medicine, which is associated with increased number of victims injured in road and domestic accidents, high rate of disability, and necessity for a long-term rehabilitation. An analysis of treatment of 386 patients with spinal cord injury in a specialized spinal center Saki military resort is given in the article.

The subject of hyperbaric medicine is a diagnosis, treatment and prevention of clinical disease manifestations caused by humans entering undersea environment, and development of measures for medical support of work under high pressure. It is based on achievements of hyperbaric physiology, preventive, and clinical medicine. The rapid development of diving in Russia, development of the «Concept of development of the search and rescue support in the Navy for the period until 2025» approved by the Minister of Defense of the Russian Federation on 14th of February, 2014, determined an investigation in the field of hyperbaric medicine.

Treatment of 112 patients with ENT skin cancer with the use of a new method of photodynamic therapy with photosensitizer and is performed. It is concluded that, this highly therapeutic method should be used in case of primary and recurrent cancer of skin of upper respiratory tract.

The Hospital made a great contribution to the development of national healthcare during its 180-years history. Outstanding medical scientists of XIX-XX centuries, such as Bekhterev, Sklifosovsky, Vreden, Kupriyanov, Petrov and many others stood not only behind the history of the Hospital, they represented scientific society of military medical science. The merit of the Hospital cannot be overestimated during the World War II period, when 82% of the wounded and sick soldiers were returned to duty. The Hospital is considered as one of the best hospitals in the medical service of the Western Military District of the Russian Federation. Despite the on-going reconstruction of the main building, the year of 2014 has been eventful - institutional personnel achieved positive progress in improving combat skills and field training in the sphere of medical support in the district. Nowadays the methods of tutoring seminars with all categories of personnel are actively being improved. Currently 442th Military clinical hospital of Russian Defense Ministry is in the process of acquisition of its modern appearance. Phased plan for reconstruction and capital construction of its main building is now successfully implementing.

Flight medical expertise (FME) in military aviation is one of the most important areas of medical support of flight crews manning, maintaining of aircrew health and flight safety. The authors analyse the main stages of development of this area of medical practice. The priority in creation of FME system belongs to our country. Domestic scientists, prominent organizers of military medicine and a large group of aviation physicians developed organizational and methodological basis for studying different impacts of flight factors on the health of flight personnel, development of criteria for admission to flight operations, principles of organization of the examination, implementation of effective methods of disease diagnosis. At the present stage FME development is determined by the needs of medical, technical and psycho-physiological support of supersonic aircraft, the need to adjust to the requirements of aircrew health, advanced diagnostics of the functional state and the search for means to improve the stability of his body to flight factors. The main principles of the FME remains the complexity of the study of the human body in terms of its professional and individual approach to a medical examination, a thorough clinical, clinical and physiological and psychological examinations, regular medical supervision of the health of flight crews.