THE INFLUENCE OF THE ARCTIC SPECIAL MEDICAL AND GEOGRAPHICAL CONDITIONS ON THE OPERATIONAL AND COMBAT UNITS’ MEDICAL LOGISTICS

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ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚɍȾКʺʫʪʰКОͳʧʫОʧˀʤˇʰЧʫˁКʰˈ˄ˁЛОʦʰʱʤˀК˃ʰКʰОʥʫˁʿʫЧʫʻʰʫЧʤˁ˃ʫʱʰʺ˄Щʫˁ˃ʦОʺМиɪошничɟнкоКононоɜɊоɞионоɜɋолɞɚɬоɜЧɭɜɚшɟɜКлочкоɜɚмɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚ 194044, ɊоɫɫияɋɚнкɬПɟɬɟɪɛɭɪɝȺкɚɞɟмикɚЛɟɛɟɞɟɜɚȽлɚɜноɟɜоɟнномɟɞицинɫкоɟɭпɪɚɜлɟниɟМиниɫɬɟɪɫɬɜɚоɛоɪоныɊоɫɫийɫкойɎɟɞɟɪɚции119160, ɊоɫɫияМоɫкɜɚЗнɚмɟнкɚE-mail: rodionov_eo@mail.ruпɪоɜɟɞɟниялɟчɟɛноэɜɚкɭɚционныɯɜооɪɭжɟнныɯконɮликɬɚɯпокɚзыɜɚɟɬоɫоɛыɟмɟɞикоɝɟоɝɪɚɮичɟɫкиɟɭɫлоɜияȺɪкɬикиокɚзыɜɚюɬɜыɪɚжɟнноɟпɪɟимɭщɟɫɬɜɟннонɟɛлɚɝопɪияɬɫпоɫоɛыɜɟɞɟнияɛоɟɜыɯɞɟйɫɬɜиймɟɞицинɫкоɟоɛɟɫпɟчɟниɟɛольныɯɬомчиɫлɟоɛɟɫпɟчɟниɟɫоɟɞинɟнийɜоинɫкиɯȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟɪɚциимɟɞицинɫкимимɭщɟɫɬɜомЦɟльюиɫɫлɟɞоɜɚнияяɜлялоɫьопɪɟɞɟлɟниɟɫоɜɟɪшɟнɫɬɜоɜɚнияоɫнɚщɟниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟниймɟжɜиɞоɜойɝɪɭппиɪоɜкиɜойɫкȺɪкɬичɟɫкойɊоɫɫийɫкойɎɟɞɟɪɚцииМɚɬɟɪиɚлымɟɬоɞыɌɟоɪɟɬичɟɫкɭюмɟɬоɞолоɝичɟɫкɭюиɫɫлɟɞоɜɚнияɫоɫɬɚɜилиɬɪɭɞыоɬɟчɟɫɬɜɟнныɯоɛлɚɫɬиɫоɜɟɪшɟнɫɬɜоɜɚнияпоɪяɞкɚокɚзɚниямɟɞицинɫкойпомощиɜыполнɟнияɞɪɭɝиɯмɟɞицинɫкиɯɭɫлоɜияɯнизкойɬɟмпɟɪɚɬɭɪыокɪɭжɚющɟɝоиɫɫлɟɞоɜɚниииɫпользоɜɚлиɫьɬɚкиɟмɟɬоɞыкɚкɪɟɬɪоɫпɟкɬиɜныйлоɝичɟɫкийɫɬɪɭкɬɭɪноɮɭнкционɚльныйɊɟзɭльɬɚɬыɫɭжɞɟниɟɯоɞɟиɫɫлɟɞоɜɚнияɜыɞɟлɟныоɫоɛыɟмɟɞикоɝɟоɝɪɚɮичɟɫкиɟɮɚкɬоɪыȺɪкɬикиɭɫɬɚноɜлɟнооɛɟɫпɟчɟниɟмɟɞицинɫкимимɭщɟɫɬɜомɫоɟɞинɟнийɜоинɫкиɯɊɚɫɫмоɬɪɟныɫоɯɪɚнɟниюкɚчɟɫɬɜɟнноɝоɫоɫɬояниялɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийȺɪкɬикɟопɪɟɞɟлɟнпоɪяɞокиɫпользоɜɚнияɬɚкжɟɭɫɬɚноɜлɟныɬɪɟɛоɜɚнияɬɪɚнɫпоɪɬиɪоɜɚниюОпɪɟɞɟлɟныɫɪɟɞɫɬɜɚɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийȺɪкɬикɟПɪиɜɟɞɟныɪɟзɭльɬɚɬыɭɫлоɜийȺɪкɬичɟɫкойзоныɊоɫɫийɫкойɎɟɞɟɪɚциипоɬɪɟɛноɫɬьɫоɟɞинɟнийɜоинɫкиɯȼооɪɭжɟнныɯмɟɞицинɫкомимɭщɟɫɬɜɟЗɚключɟниɟɪɟзɭльɬɚɬɚмиɫɫлɟɞоɜɚнияɭɫɬɚноɜлɟнынɚиɛолɟɟɚкɬɭɚльныɟнɚпɪɚɜлɟнияɫоɜɟɪшɟнɫɬɜоɜɚнияоɛɟɫпɟчɟниямɟɞицинɫкимимɭщɟɫɬɜомɫоɟɞинɟнийɜоинɫкиɯȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟɪɚцииȺɪкɬичɟɫкойКлючɟɜыɟɫлоɜɚȺɪкɬичɟɫкɚязонɚкомплɟкɬымɟɞицинɫкоɝоимɭщɟɫɬɜɚкомплɟкɬноɬɚɛɟльноɟщɟниɟмɟɞицинɫкоɟоɛɟɫпɟчɟниɟполɟɜыɟɭɫлоɜияɫɪɟɞɫɬɜɚɪɚзɜɟɪɬыɜɚнияциɬиɪоɜɚнияМиɪошничɟнкоКононоɜɊоɞионоɜ., МɭɫɬɚɟɜɋолɞɚɬоɜЧɭɜɚшɟɜКлочкоɜɚȼЛИЯНИȿОɋОȻЫɏМȿȾИКОȽȿОȽɊȺɎИЧȿɋКИɏɍɋЛОȼИЙЧȺɋɌȿЙɎɚɪмɚцияɮɚɪмɚколоɝияМиɪошничɟнкоКононоɜɊоɞионоɜМɭɫɬɚɟɜɋолɞɚɬоɜЧɭɜɚшɟɜКлочкоɜɚFor citation:Miroshnichenko Ju.V., Kononov V.N., Rodionov E.O.,Klochkova I.V.THE INFLUENCE OF THE ARCTIC SPECIAL MEDICAL AND GEOGRAPHICAL CONDITIONSON THE OPERATIONAL AND COMBAT UNITS? MEDICAL LOGISTICS.Pharmacy&Pharmacology. THE INFLUENCE OF THE ARCTIC SPECIAL MEDICAL AND GEOGRAPHICAL CONDITIONS ON THE OPERATIONAL AND COMBAT UNITS? MEDICAL LOGISTICSJu.V. Miroshnichenko, V.N. Kononov, I.V. Klochkova Russian Military Medical Academy, 6, Akademika Lebedeva Str., Saint-Petersburg, Russia, 194044 Main Military Medical Directorate of the Russian Federation Defense Ministry, 19, Znamenka Str., Moscow, Russia, 119160E-mail: rodionov_eo@mail.ruPharmacy & Pharmacology V. 5 N 4, 2017 icts shows that the Arctic special medical and geographical conditions have expressed mainly negative impact on the methods of conducting military operations and medical care of the wounded and sick, including the Russian Federation Military Forces operational and combat of the study was to identify the ways to improve the equipment of medical units of in- c group of troops (forces) in the Russian Federation Arctic zon e. The theoretical and methodological basis of the research was the works of Russian scientists in the eld of improving the order of render-ing medical assistance and performing other medical measures in conditions of low ambient temperature. The study used such methods as retrospective; logical; structural and functional analyses and others. In the course of the study special medical and geographic factors of the Arctic were identi ed, and their in uence on the operational and combat units? medical logistics was established. The measures to preserve the quality of medicines and medical products in the Arctic are considered, the order of their use is determined, and the requirements for their transportation are established. Prospective means of deploying medical units in the Arctic have been identi ed. The impact analysis results of the Russian Federation Arctic zone conditions on the need of Military Forces operational and combat units in medical property are given. Based on the results of the study, the most relevant areas for the development and improvement of the organization of Russian Federation Military Forces operational and combat units` medical logistics in the Arctic Zone have been established. Arctic zone, medical equipment sets, complete-standard-issue equipment, health service support, ȼɜɟɞɟниɟȽɟоɝɪɚɮичɟɫкиȺɪкɬикойɫчиɬɚюɬɫяɫɭшиɜоɞныɯпɪоɫɬɪɚнɫɬɜкоɬоɪыɟположɟныɫɟɜɟɪнɟɟполяɪноɝокɪɭɝɚ (66?33ɫɟɜɟɪшиɪоɬыИноɝɞɚȺɪкɬикиɫɜязыɜɚюɬположɟниɟмкɚɪɬɟизоɬɟɪмыиюля +10?Ⱥɪкɬикиɫɭщɟɫɬɜɭɟɬ [1]. ɌɟɪɪиɬоɪияȺɪкɬичɟɫкойзоныɊоɫɫийɫкойɎɟɞɟɪɚ 4386,6 чɬоɫоɫɬɚɜляɟɬ 25,7% ɫɬɪɚны 25,7% Ⱦо нɚчɚлɚɫɟɜɟɪныɯɛоɟɜыɟпɪɚкɬичɟɫкиɜɟлиɫьɫɭɪоɜыɯ 1918 КольɫкоɟЗɚполяɪьɟɫɬɚлоожɟɫɬочɟнныɯɛоɟɜиноɫɬɪɚннɚяɜоɟннɚяинɬɟɪɜɟнɊоɫɫии (1918ɫоɜɟɬɫкоɮинɫкɚяɜой (1939ПɟɬɫɚмоКиɪкинɟɫɫкɚяɚɪмииКɚɪɟльɫкоɝоɮɪонɬɚȼɟликойОɬɟчɟɫɬɜɟннойɜойнɟ (1944 коɬоɪɚяɜɯоɞиɬɬɚкнɚзыɜɚɟмыɯɞɟɫяɬиɫɬɚлинɫкиɯɭɞɚɪоɜ (1944 КɚкпокɚзɚлпɪоɜɟɞɟниялɟчɟɛноэɜɚкɭɚципɟɪɟчиɫлɟнныɯɜооɪɭжɟнныɯконɮликɬɚɯоɫоɛыɟмɟɞикоɝɟоɝɪɚɮичɟɫкиɟȺɪкɬикиɬомɫɭɪоɜыйклимɚɬɫɟɜɟɪныɯɪɟзкɚяпɟɪɟɫɟчɟнноɫɬьмɟɫɬноɫɬиɝɭɫɬɚяɫɟɬьɜоɞоɟмоɜɪɭчьɟɜпɪоɬокɛолоɬɜыɫокɚязɚɛолочɟнноɫɬиɫɬояниɟɝɪɭнɬоɜыɯɜоɞɪɚзɜиɬɚяɫɟɬькоммɭникɚцийпочɬиполнойнɟпɪоɯоɞимоɫɬимɟɫɬноɫɬиɚɜɬоɬɪɚнɫпоɪɬныɯɫɪɟɞɫɬɜлɟɬомɝɭɫɬойɝиɞɪоɝɪɚɮичɟɫкойɫɟɬиɬɚйɝиокɚзыɜɚюɬɜыɪɚжɟнноɟщɟɫɬɜɟннонɟɛлɚɝопɪияɬноɟɜлияниɟɫпоɫоɛыɜɟɞɟнияɛоɟɜыɯмɟɞицинɫкоɟоɛɟɫпɟɬомоɛɟɫпɟчɟниɟɫоɟɞинɟнийȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟмɟɞицинɫкимимɭщɟɫɬɜом (1944 Цɟлью иɫɫлɟɞоɜɚнияяɜлялоɫьопɪɟɞɟлɟниɟɫоɜɟɪшɟнɫɬɜоɜɚнияоɫнɚщɟниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟниймɟжɜиɞоɜойɝɪɭппиɪоɜкиɜойɫкȺɪкɬичɟɫкойɊоɫɫийɫкойɎɟɞɟɪɚцииМɚɬɟɪиɚлымɟɬоɞыɌɟоɪɟɬичɟɫкɭюмɟɬоɞолоɝичɟɫкɭюоɫноɜɭиɫɫлɟɞоɜɚнияɫоɫɬɚɜилиɬɪɭɞыоɬɟчɟɫɬɜɟнныɯоɛлɚɫɬиɫоɜɟɪшɟнɫɬɜоɜɚнияпоɪяɞкɚокɚзɚниямɟɞицинɫкойпомощиɜыполнɟɞɪɭɝиɯмɟɞицинɫкиɯнизкойɬɟмпɟɪɚɬɭɪыокɪɭжɚющɟɝоɜозɞɭɯɚɞоɜɚниииɫпользоɜɚлиɫьɬɚкиɟмɟɬоɞыкɚкɪɟɬɪоɫпɟкɬиɜныйлоɝичɟɫкийɫɬɪɭкɬɭɪноɮɭнкционɚльɚнɚлизɊɟзɭльɬɚɬыоɛɫɭжɞɟниɟнɚɫɬоящɟɟнɚционɚльныɯинɬɟɪɟɫоɜɫозɞɚнɚмɟжɜиɞоɜɚяɝɪɭппиɪоɜкɚɜойɫкɞɚчикоɬоɪойɜɯоɞиɬпɚɬɪɭлиɪоɜɚниɟзоныоɯɪɚнɚоɛъɟкɬоɜɬɟɪɪиɬоɪийɜɞольɛɟɪɟɝоɜɋɟɜɟɪноɝоЛɟɞоɜиɬоɝоокɟɚнɚоɛɟɫпɟчɟниɟпɪоɯоɞɚɫопɪоɜожɞɟниɟкоɪɚɛлɟйɋɟɜɟɪномɭмоɪɫкомɭɬɚкжɟɞɟмонɫɬɪɚцияɜоɟнноɝопɪиɫɭɬɫɬɜияȺɪкɬикɟɫозɞɚɜɚɟмойɝɪɭппиɪоɜкиɜойɫкȺɪкɬикɟɞиɫлоциɪɭюɬɫяɛɚзиɪɭюɬɫякɚкмɚɬɟɪикоɜойɬɚкоɫɬɪоɜɚɯɋɟɜɟɪноɝоЛɟɞоɜиɬоɝоокɟɚнɚКɪомɟɬоɝооɫɬɪоɜɚɯȺлɟкɫɚнɞɪɚ I (ИоɫиɮɚНоɜойоɫɬɪоɜɟȼɪɚнɝɟляШмиɞɬɚɪɚзɜɟɪнɭɬыɪɚɞиолокɚционныɟпоɫɬыпɭнкɬынɚɜɟпɪоɜɟɞɟниилɟчɟɛноэɜɚкɭɚционɭкɚзɚнныɯоɫоɛыɟмɟɞиɝɟоɝɪɚɮичɟɫкиɟȺɪкɬикиɛɭɞɭɬокɚзыɜɚɬьɜыɪɚжɟнноɟпɪɟимɭщɟɫɬɜɟннонɟɛлɚɝопɪияɬноɟɜлияниɟɫпоɫоɛыɜɟɞɟнияɛоɟɜыɯмɟɞицинɫкоɟоɛɟɫпɟчɟниɟɛольныɯɬомоɛɟɫпɟчɟниɟɫоɟɞинɟнийɜоинɫкиɯнɚиɛолɟɟɜɚжныммɟɞикоɝɟоɝɪɚɮичɟɫкимɮɚкɬоɪɚмɫлɟɞɭɟɬоɬнɟɫɬиɫлɟɞɭющиɟнɚзɜɚниɟɫɬɪɚɬɟɝичɟɫкиɯнɚɫɬɭпɚɬɟльныɯȼɟликойОɬɟчɟɫɬɜɟннойɜойнɟпɪоɜɟɞɟнныɯ 1944 ɜойɫкɚмиɊɚɛочɟкɪɟɫɬьянɫкойɚɪмииКɚкиɞɟолоɝɟмɚпɪоɫлɚɜляющɚяɋɬɚлинɚɬɟɪминɞɟɫяɬьɫɬɚлинɫкиɯɭɞɚɪоɜпɟɪɟɫɬɚлиɫпользоɜɚɬьɫяɫоɜɟɬɫкойлиɬɟɪɚɬɭɪɟпɭɛлициɫɬикɟɜɫкоɪɟпоɫлɟɫмɟɪɬиɋɬɚлинɚɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚПɪиɪоɞныɟɮɚкɬоɪынизкɚяоɬɪицɚɬɟльнɚяɬɟмпɟɪɚɬɭɪɚокɪɭжɚюɫɪɟɞыпɪоɬяжɟнииɛольшɟйɝоɞɚ (6?9 мɟɫяцɟɜоɬɪицɚɬɟльныɟɬɟмпɟɪɚɬɭɪыɜозɞɭɯɚпочɜыпɟɪиоɞɬɟмпɟɪɚɬɭɪɚопɭɫкɚɟɬɫяпɪоɞолжиɬɟльныɟɯолоɞныɟɜɟɬɪɚзыɜɚющиɟɬɚкнɚпɪимɟɪМɭɪмɚнɫкомɛɟɪɟɝɭкɚжɞыйɬɪɟɬий (122 ɝоɞɭɫкоɪоɫɬьɜɟɬɪɚɜыɫокɚяɜлɚжноɫɬьɜозɞɭɯɚоɫоɛɟнноɫɟзонɝоɞɚɝлɭɛокийпɪоɬяжɟнииɛольшɟɝоɝоɞɚɜоɞоɟмоɜɛолоɬлɟɬомполяɪнɚяночьполяɪныйɫопɪоɜожɞɚющиɟɫяконɬɪɚɫɬɚмиɫолнɟчной ? чɬожноɝоɫɜɟɬоɜоɝопоɬокɚɫɜɟɬоɜоɝошɟɫɬɜɚлɟɬомоɬɫɭɬɫɬɜиɟɞɪɟɜɟɫнойɪɚɫɬиɬɟльноɫɬиɪоɞнойзонɟɬɭнɞɪɋоциɚльноэкономичɟɫкиɟɮɚкɬоɪынизкɚяплоɬноɫɬьнɚɫɟлɟниямɚлоɟколичɟɫɬɜонɚɫɟлɟнныɯпɭнкɬоɜɪɚзɜиɬɚяɫɟɬькоммɭникɚцийпочɬиполноɫɬьюнɟпɪоɯоɞимоймɟɫɬноɫɬиколɟɫнойɬɟɯникилɟɬомзɚɛолочɟнноɫɬиɛольшоɝоколичɟɫɬɜɚɜоɞоɟмоɜнɟкоɬоɪыɯɭчɚɫɬкɚɯзɚɜɚлɭнɟнноɫɬиɝлɭɛокоɝоɫнɟжноɝопокɪоɜɚоɫоɛɟнноɫɬиоɛɟɫпɟчɟниянɚɫɟлɟɜойɫкпɪоɞоɜольɫɬɜиɟмконɫɟɪɜыɫолɟниякопчɟноɫɬиɫɭшɟныɟоɜощиɮɪɭкɬыпɪиɜоɞяɬɜоɟнноɫлɭжɚщиɯɚɜиɬɚминозоɜɪɟзиɫɬɟнɬноɫɬьɬомɪɚɛоɬоɫпоɫоɛноɫɬьличноɝоɫоɫɬɚɜɚМɟɞикоɫɚниɬɚɪныɟɮɚкɬоɪынɟɛольшоɟколичɟɫɬɜоɪɚɫɫɪɟɞоɬочɟнноɫɬьɫоɟɞинɟнийɜоинɫкиɯпɪоɬяжɟнноɫɬьɛɟɪɟɝоɜойчɟɪɬыоколонɟɭɞоɜлɟɬɜоɪиɬɟльноɟɫɚниɬɚɪноɟɫоɫɬояниɟɛольшинɫɬɜɚɫɟльɫкиɯнɚɫɟлɟнныɯпɭнкɬоɜɛольшоɟколичɟɫɬɜɚɝнɭɫɚпɟɪиоɞмɚɪыяɜляющиɟɫяɫчикɚмизɚɛолɟɜɚнийɪɚзɞɪɚжиɬɟчɟлоɜɟчɟɫкоɝооɪɝɚнизмɚОɫоɛɟнноɫɬииɫпользоɜɚнияɭɫɬɪɚнɟнияɭɝɪожɚющиɯɫоɫɬоянийпɪоɜɟɞɟниялɟчɟɛэɜɚкɭɚционныɯоɛɭɫлоɜлɟныпоɞɯоɞɚмимɟɞицинɫкомɭоɛɟɫпɟчɟниюɜойɫкɊиɫɭнокОɫоɛɟнноɫɬииɫпользоɜɚнияокɚзɚниипɟɪɜойпомощиɫɬɪɚɞɚɜшимиɫпользɭɟɬɫяминимɚльныйлɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийȽлɚɜноɟэɬомэɬɚпɟ ? ɭɫɬɪɚниɬьɭɝɪожɚющиɟɫоɫɬояниякɪɚɬчɚйшиɟэɜɚкɭиɪоɜɚɬьɪɚнɟноɝопоɫɬɪɚɞɚɜшɟɝоэɬомиɫпользɭɟмоɟэɬомэɬɚпɟɞолжнопɪиɝоɞноиɫпользоɜɚниюэкɫɬɪɟмɚльнонизкойɬɭɪɟɜозɞɭɯɚМɟɞицинɫкиɟпɪоɜоɞимыɟɞоɫɬɚɜкɟɫɚниɬɚɪномɭɬɪɚнɫпоɪɬɭпɪɟɞɭɫмɚɬɪиɜɚюɬиɫпользоɜɚниɟɫоɯɪɚнɟнияɜɚжныɯɮɭнкцийоɪɝɚнизмɚпɪоɜɟɞɟниɟинɮɭзионнойɬɟɪɚпиииɫкɭɫɫɬɜɟннɚяɜɟнɬиляцияPharmacy & Pharmacology V. 5 N 4, 2017эɬомэɬɚпɟɬɚкжɟнɟоɛɯоɞимыɫɪɟɞɫɬɜɚоɛоɝɪɟɜɚɛольныɯɬɪɚнɫпоɪɬиɪоɜкɟɛольныɯмɟɞипоɞɪɚзɞɟлɟнияɫоɟɞинɟнийɜоинɫкиɯɜоɟнномɟɞицинɫкиɟɞɚлɟɟ ? мɟɞицинпоɞɪɚзɞɟлɟнияпомощьнɟоɛɯоɞимоɫɬиокɚзыɜɚɟɬɫямɟɞицинɫкимпɟɪɫонɚломɜнɭɬɪиɬɪɚнɫпоɪположиɬɟльнойоɬмɟɬкɟɬɟмпɟɪɚɬɭɪыɜозɞɭɯɚпоэɬомɭɫпɟциɚльноɝоэɬомэɬɚпɟɬɪɟɛɭɟɬɫяɜыполнɟниизɚɞɚчмɟɞицинɫкимипоɞɪɚзɫɬɚционɚɪныɯɭɜɟличиɜɚɟɬɫяɪɚɫɯоɞнɟкоɬоɪыɯɝɪɭпплɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜ ? лɟчɟнияɯолоɞоɜыɯпоɪɚжɟнийоɬмоɪожɟнийпɪоɮилɚкɬикилɟчɟнияпɪоɫɬɭɞныɯзɚɛолɟɜɚнийоɬɫɭɬɫɬɜииɜозможноɫɬиɪɚзмɟщɟнияпиɬɚльныɯɫɬɪоɟнияɯɜɚжнɭюɪольɛɭɞɟɬиɝɪɚɬьиɫпользоɜɚниɟɫɪɟɞɫɬɜɪɚзɜɟɪɬыɜɚмɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийполɟɜыɯɪольɫоɯɪɚнɟниикɚчɟɫɬɜɟнноɝоɫоɫɬолɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийɬɪɚнɫпоɪɬиɪоɜкɚɞоɫɬɚɜкɚкоɬоɪɚяȺɪкɬикиможɟɬпɪоɜоɞиɬьɫяпɪоɬяжɟнииɫоɬникиломɟɬɪоɜиɫпользоɜɚниɟмɪɚзличноɝоɜɫɟɝɞɚɫпɟциɚльнооɛоɪɭɞоɜɚнноɝоɬɪɚнɫпоɪɬɚКɚчɟɫɬɜɟнноɟɫоɫɬояниɟɛольшинɫɬɜɚлɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийнɚɯожɞɟнииоɬкɪыɬомɜозɞɭɯɟможɟɬɭɯɭɞшиɬьпоɞɜозɞɟйɫɬɜиɟмнизкойɬɟмпɟɪɚɬɭɪыɜыɫокойɜлɚжноɫɬиɬɚкжɟяɪкоɝооɫɜɟщɟнияНɟкоɬоɪыɟлɟкɚɪɫɬɜɟнныɟпɪɟпɚɪɚɬыɪɚзлɚɝɚюɬɫяɬɟмпɟɪɚɬɭɪɚɯкоɬоɪыɟɭɫкоɪяюɬɜыɜɟɞɟниɟкɪиɫɬɚлɜɟщɟɫɬɜɚɪɚɫɬɜоɪоɜɪɚзɪɭшɚюɬколлоиɞныɟэмɭльɫионныɟиноɝɞɚɫпоɫоɛɫɬɜɭюɬпɪоɬɟкɚниюɞɪɭɝиɯɯимичɟɫкиɯцɟɫɫоɜɪɟзɭльɬɚɬɟзɚмоɪɚжиɜɚнияпоɫлɟɞɭющɟɝооɬɬɚиɜɚниянɟоɛɪɚɬимоизмɟняюɬɫɜоиɮизикочɟɫкиɟɫɜойɫɬɜɚпɪɟпɚɪɚɬыжиɞкойкɚɪɫɬɜɟннойɮоɪмɟОɫоɛɭюопɚɫноɫɬьɜозɞɟйɫɬɜиɟɬɟмпɟɪɚɬɭɪпɪɟɞɫɬɚɜляɟɬпɪɟпɚɪɚɬоɜзɚмоɪɚжиɜɚнииоɬɬɚиɜɚниикоɬоɪыɯнɚɪɭшɚɟɬɫяɝɟɪмɟɬичноɫɬьпоɬɪɟɛиɬɟльɫкойɬɚɪыȻольшинɫɬɜопɟɪɟчиɫлɟнныɯɬɪɟɛоɜɚнийɫоɯɪɚнɟниюкɚчɟɫɬɜɟнноɝоɫоɫɬояниялɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийȺɪкɬикɟɞоɫɬиɝɚɟɬɫяɫчɟɬиɫпользоɜɚниякомплɟкɬноɬɚɛɟльноɝооɫнɚщɟнияКɌОмɟɞицинɫкойɫлɭжɛыɬɟчɟкɫɭмокмɟɞицинɫкиɯкомплɟкɬоɜмɟɞицинɫкиɯɫпɟциɚльноɪɚзɪɚɛоɬɚнныɯполɟɜыɯɫнɚɛжɟниɟɜключɟнныɯноɪмыɫнɚɛжɟнияɫооɬɜɟɬɫɬɜɭющиɯɫоɟɞинɟнийɜоинɫкиɯ ? ȼ нɚɫɬоящɟɟКɌОпоɫɬɚɜляɟɬɫяɜойɫкɚɪɚмкɚɯɜыполнɟнияɝоɫɭɞɚɪɫɬɜɟнноɝооɛоɪонноɝозɚкɚзɚнɟоɞнокɪɚɬноиɫпользоɜɚлоɫьɫпɟциɚлиɫɬɚмимɟɞицинɫкойɫлɭжэкɫɬɪɟмɚльнонизкойɬɟмпɟɪɚɬɭɪɟɜозɞɭɯɚ 1 ПɪикɚзыМиниɫɬɪɚɊоɫɫийɫкойɎɟɞɟɪɚции 21 мɚя 2011 744, НɚчɚльникɚɜооɪɭжɟнияȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟɪɚциизɚмɟɫɬиɬɟляМиниɫɬɪɚɊоɫɫийɫкойɎɟɞɟɪɚцииПɪикɚзыМиниɫɬɪɚɊоɫɫийɫкойɎɟɞɟɪɚции 18 ɞɟкɚɛɪя 2012 3740; 12 ɚɜɝɭɫɬɚ 2013 590; 14 ɚɜɝɭɫɬɚмɚɪɬɚɫɟнɬяɛɪяɊиɫɭнокОцɟнкɚɭɫɬойчиɜоɫɬинɚɛоɪоɜмɟɞицинɫкиɯɜозɞɟйɫɬɜиюоɬɪицɚɬɟльнойɬɟмпɟɪɚɬɭɪыɏɚɛɚɪоɜɫкокɚзɚниимɟɞицинɫкойпомощиȺɪкɬикипɪɟɞɭпɪɟжɞɟнияɯолоɞоɜыɯпоɪɚжɟнийпоɬɪɟɛɭɟɬɫяожоɝоɜоɛнɚжɟнныɯɭчɚɫɬкоɜпɟɪɟɜязочныммɚɬɟɪиɚломɜɚɬномɚɪпоɞɭшɟчкɚмиɬолɫɬымɫлоɟмкомпɪɟɫɫиɜɚɬыɋɪɟɞɫɬɜɚмиɯолоɞɚɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚоɛоɝɪɟɜɚɞолжныоɫнɚщɚɬьɫяпоɞɪɚзɞɟлɟнияɫɛоɪɚэɜɚкɭɚцииоɛɫɬояɬɟльɫɬɜɚпɪиɜоɞяɬпоɬɪɟɛноɫɬипɟɪɟɜязочныɯɫɪɟɞɫɬɜɚɯɝɪɟлкɚɯɯимичɟɫкиɯɬɚкжɟнɚкиɞкɚɯмɟɞиɌɟɪɪиɬоɪияоɬноɫиɬɫязɚɫɟлɟнныɯɫɬɪɚныɝоɪоɞɚɯкɪɭпныɯнɚɫɟлɟнныɯпɭнкɬɚɯɫɟльɫкоɝокɚпиɬɚльныɟɫɬɪоɟнияиɫпользоɜɚныɪɚзмɟщɟниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийɊɚзɜɟɪɬыɜɚниɟмɟɞипоɞɪɚзɞɟлɟнийȺɪкɬикɟкɚпиɬɚльныɯɫɬɪоɟнийпоɬɪɟɛɭɟɬɛольшойзɚɬɪɚɬыɪɚɫчиɫɬкɭɜɚлɭноɜпомɟщɟнийɫозɞɚниɟзɚпɚɫоɜɬоплиɜɚɜоɞызɚмɟɪзшиɯɜоɞоɟмоɜПоэɬомɭмɟɫɬɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнɟоɛɯоɞимоɭчиɬыɜɚɬьɪɟльɟɮмɟɫɬноɫɬипочɜыɝɪɭнɬɚɭɞɚлɟнноɫɬьиɫɬочникоɜɜоɞыклимɚɬɫɟзонɝоɞɚмɟɬɟоɪолоɝичɟɫкɭюоɛɫɬɚноɜкɭɪɚɫɬиɬɟльноɫɬьжиɜоɬныйнɚɫɟлɟнныɟпɭнкɬыɬɪɚнɫпоɪɬнɭюɫɟɬьɬɚкжɟɞɪɭɝиɟɫпɟциɮичɟɫкиɟɫɟɜɟɪныɯɮɚкɬоɪыɝлɭɛокийɫнɟжныйзɚɬɪɭɞняющийпоɞъɟзɞɬɪɚнɫпоɪɬныɯɫɪɟɞɫɬɜɭɫɬɚноɜкɭпɚлɚɬокпоɞɜозɝɪɭзоɜɊɚɫчиɫɬкɚмɟɫɬɪɚзɜɟɪɬыɜɚнияпɚлɚɬокпоɞɜозɚɬɪɟɛɭɟɬɛольшиɯɮизичɟɫкиɯзɚɬɪɚɬКɪомɟɬоɝоɪɚɫчищɟнныɟкоɪоɬɫнɟɝомпоɬɪɟɛоɜɚɬьпоɜɬоɪнойɪɚɫчиɫɬкинɟɪɟɞкопɪоɞолжиɬɟльныйɯолоɞныйɜɟɬɟɪɬолькозɚɬɪɭɞняющийɭɫɬɚноɜкɭпɚлɚɬокɞɜойнɚя ? оɞнонизоɜɚяɜɟɪɯоɜɚязɚмɟɬɚɟɬɫнɟɝомɬолькочɬоɜыполнɟннɭюɪɚɛоɬɭочиɫɬкɟɬɟɪɪиɬонɚноɫиɬɫɭɝɪоɛызɚɬɪɭɞняɟɬɜиɞимоɫɬьɜыполнɟниɟнɚɪɭжныɯɪɚɛоɬЗимɚ ? ɫɚмоɟпɪоɞолжиɬɟльноɟЗɚполяɪьɟɝоɞɚɛолɟɟполɭɝоɞɚɫоɯɪɚняɟɬɫяɬɟчɟниɟ 7-9 мɟɫяцɟɜоɬɞɟльныɯɝоɪныɯɜɟɪшинɚɯ ? 11 мɟɫяцɟɜоɬɞɟльныɟɝоɞыкоɪоɬкоɟпɪоɯлɚɞноɟлɟɬомɟɫɬɚмиɬɚɟɬоɫɬɚɟɬɫяэɬойɫɜязилɟɞможноиɫпользоɜɚɬьнɚпɪимɟɪпоɫɬɪойкимоɪозоɭɫɬойчиɜоɝопоɞɝоɬоɜкимɟɫɬноɫɬиɫкɚльнымɝɪɭнɬомиɫпользоɜɚниɟɜзɪыɜчɚɬыɯɜɟщɟɫɬɜокопинжɟнɟɪнойɬɟɯникинɟоɛɯоɞимоɫɪɟɞɫɬɜɚинжɟнɟɪныɯпоɞɪɚзɞɟлɟнийɫоɟɞинɟнийɜоинɫкиɯКɪомɟɬоɝокɚчɟɫɬɜɟɫɬɪоиɬɟльноɝомɚɬɟɪиɚлɚможноиɫпользоɜɚɬьпɪиɪоɞныйкɚмɟньɫɬɪоиɬɟльɫɬɜɚɫɟɝоɞняшнийоɞнимнɚиɛолɟɟɫɪɟɞɫɬɜɪɚзɜɟɪɬыɜɚниямɟɞицинпоɞɪɚзɞɟлɟнийȺɪкɬикɟяɜляюɬɫяɛыɫɬɪоɜозɜомɟɞицинɫкиɟмоɞɭлипнɟɜмокɚɪкɚɫныɯɫооɪɭжɟнийПКɋɬɟɪмоизолиɪɭюɯɚɪɚкɬɟɪиɫɬикɚми [4]. ПКɋпɪɟɞɫɬɚɜляюɬнɚɞɭɜноɟɫооɪɭжɟниɟɚɪочноɝоɫоɫɬоящɟɟнɚɞɭɜноɝоɜɚкɭɭмноɝокɚɪкɚɫɚɬкɚнɟɜыɯоɛшиɜокɪɭжнɚяɜнɭɬɪɟнняяɞɜɟɪɟйПКɋɜыполнɟнпɪоɪɟзинɟннойɞɜɭɯɫɬоɪонɬкɚниɫɬоиɬɫоɟɞинɟнныɯɟɞинɭюконɫɬɪɭкциюНɚɪɭжнɚяɜнɭɬɪɟнняяПКɋɜыполнɟныɬкɚниɚнɚлоɝкɟɜлɚɪɚкоɬоɪɚяпоɞɞɟɪжиɜɚɟɬɝоɪɟниɟнɚɫɬоящɟмɭмɟɞицинɫкойɫлɭжɛойпɪоɜɟɞɟниɫпыɬɚнийПКɋпоɫɬɚɜлɟнныɯɪɚмкɚɯɝоɫɭɞɚɪɫɬɜɟнноɝооɛоɪонноɝозɚкɚзɚоɫнɚщɟниямɟɞицинɫкиɯɪоɬмɟɞицинɫкиɯоɬɪяɞоɜɫоɟɞинɟнийȼозɞɭшноɞɟɫɚнɬныɯɜойɫкмɟɞицинɫкиɯоɬɪяɞоɜɫпɟциɚльноɝонɚзнɚчɟнияɬоɪыɟпоɞɬɜɟɪɞилиɚкɬɭɚльноɫɬьиɫпользоɜɚнияɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийȺɪкɬикɟ]. ОɝɪомныɟЗɚполяɪьяɜнɭɬɪɟнниɜоɞоɟмɚмиȽлɭɛинɚоɬɞɟльныɯɞоɫɬиɝɚɟɬ 20 ȻольшɚяможɟɬиɫпользоɜɚнɚкɚчɟɫɬɜɟпоɫɚɞочныɯлɟɞоɜыɟɚэɪоɞɪомыОɞнɚкооɝɪɚничиɜɚɟɬɫяɬɭмɚнɚмиɫнɟɝоЗɚмɟɪзшиɟɜоɞоɟмыɫлɭжиɬьɯоɪошииноɝɞɚкɪɚɬчɚйшимиɚɜɬомоɛильнымизимникɚмимɟɫяцыɝоɞɚɫлɭжиɬьпɭɬямиɜоɞнымиɬɪɚнɫпоɪɬнымиɫɪɟɞɫɬɜɚмипоɫɚɞкиɜзлɟɬɚɞɪоɫɚмолɟɬоɜɬɚкиɯɞолжнооɛɟɪɟɝɚɬьɫямɟɪзɚнияɜозɞɟйɫɬɜияɜлɚɝиɬɪɚнɫпоɪɬиɪоɜкɟɞоɫɬɚɜкɟмɟɞицинɫкиɟпоɞɪɚзɞɟлɟнияɜɚнныɟЭɬомноɝомоɛɟɫпɟчиɜɚɟɬɫяɯолоɞоɜойпоɫɬоянноɮɭнкциониɪɭющɟйпɪɚкɬичɟɫкиɯоɛɟɫпɟчиɜɚющиɯопɬимɚльныйɪɚɬɭɪныйɬɪɚнɫпоɪɬиɪоɜкиɜɫɟɯэɬɚпɚɯɫлɟɞоɜɚнияпɪɟɞпɪияɬияизɝоɬоɜиɬɟляпоɬɪɟɛиɬɟля ȼɟличинɚ ɫɚниɬɚɪныɯпоɬɟɪьɫɟɜɟɪныɯопыɬɭȼɟликойОɬɟчɟɫɬɜɟннойɜойныɫɭщɟɫɬɜɟннооɬличɚɟɬɫяпоɬɟɪьзонɟɭмɟɪɟнноɝоклимɚɬɚɌɟмɪɚɫчɟɬɟпоɬɪɟɛноɫɬинɟоɛɯоɞимоɭчиɬыɜɚɬьɮɚкɬоɪыɜлияющиɟɜɟличинɭɯɚɪɚкɬɟɪɫɚниɬɚɪныɯпоɬɟɪьȺɪкɬичɟɫкомɜыɪɚжɟнноɟнɟɛлɚɝопɪияɬноɟɜлияниɟɞикоɝɟоɝɪɚɮичɟɫкиɯɮɚкɬоɪоɜзɞоɜоɟнноɫлɭжɚщиɯоɛɭɫлɚɜлиɜɚющɟɟɫпɟциɮикɭɛолɟɟɭɪоɜɟньзɚɛолɟɜɚɟмоɫɬиличноɝоɫоɫɬɚɜɚɜойɫкНɚпɪимɟɪɫɟɜɟɪныɟлюɞɟйпɟɪиоɞоɫɬɪойɚɞɚпɬɚцииэкɫɬɪɟмɚльнымɮɚкɬоɪɚмɋɟɜɟɪɚоɬмɟчɚɟɬɫяпоɬɪɟɛноɫɬьɫɟɪɞɟчноɫоɫɭɞиɫɬыɯпɪɟпɚɪɚɬɚɯɬомлɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜɚɯноɪмɚлизɭющиɯɚɪɬɟɪиɚльноɟɞɚɜлɟниɟɜиɬɚминɚɯоɫоɛɟнноɚнɚльɝɟɬикɚɯɫпɚзмолиɬикɚɯпоɬɪɟɛноɫɬьнɟкоɬоɪыɯɝɪɭппɚɯPharmacy & Pharmacology V. 5 N 4, 2017лɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜɯолоɞоɜыɯпоɪɚжɟɮоɬооɮɬɚльмиинɟɫпɟциɮичɟɫкийконъюнкɬиɜиɬɜызɜɚнныйɫлизиɫɬɭюоɛолочкɭɝлɚзɭльɬɪɚɮиолɟɬоɜыɯɜɟɫɟннɟɝолɟɬнɟɝоɫолнцɚоɫоɛɟннолɟɞоɜойпоɜɟɪɯноɫɬипɪоɫɬɭɞныɯлɟɜɚнияɯɬяжɟлыɯɮоɪмɚɯɬɪɟɛɭɟɬɫячиɬɟльноɟколичɟɫɬɜоɫɪɟɞɫɬɜзɚɛолɟɜɚнияɯпищɟɜɚɪɟниязɚɛолɟɜɚникожипоɞкожнойклɟɬчɚɬкичɚɫɬоɬɪɭɞомпоɞɞɚющиɯɫялɟчɟниюпɟɪиоɞɪɟконɜɚлɟɫцɟнциинɚɪɭшɟнииɞɜиɝɚɬɟльноɝоɚппɚɪɚнɚɪɭшɟнииоɛмɟнɚɜɟщɟɫɬɜɜоɞноɫолɟɜоɝоɞɟɮициɬɟмикɪоэлɟмɟнɬоɜпɫиɯɚɫɬɟничɟɫкомɫоɫɬоянииɞɟпɪɟɫɫиипɪоɛлɟмыкɚчɟɫɬɜɚɞоɫɬɭпноɫɬиɜоɞоɫнɚɛжɟНɟɫмоɬɪякɚжɭщɟɟɫяɞоɫɬɭпноɫɬьɜоɞыȺɪкɬикɟчиɫɬойпиɬьɟɜойɜоɞыɬɚмпочɬиНɚиɛолɟɟɬокɫикɚнɬɚмиɫчиɬɚюɬɫяɫɬойкиɟоɪɝɚничɟɫкиɟɬяжɟлыɟмɟɬɚллычɚɫɬноɫɬиɪɬɭɬьɟɞинɟниянɚпɪимɟɪмɟɬилиɪоɜɚннɚяɪɬɭɬьɬɚкжɟɪɚɞиоɚкɬиɜныɟɜɟщɟɫɬɜɚпɪоизɜоɞныɟɚзоɬɚɫɟɪы 5 N 4, 2017ПомимоɯимичɟɫкиɯɮизичɟɫкиɯконɬɚминɚнɬоɜɜоɞыɫоɞɟɪжɚɬɝɚнизмыɬɚкиɟкɚкɛɚкɬɟɪииɜиɪɭɫыȾлиɬɟльноɟɭпоɬɪɟɛлɟниɟɬɚкойɜоɞыпɪиɜопɚɬолоɝичɟɫкимнɚɪɭшɟниямɫɜязɚннымɜымыɜɚниɟмɫолɟйоɪɝɚнизмɚнɚɪɭшɟниюɜɜоɞноɫолɟɜоɝооɛмɟнɚзɚмɟɞлɟниюɪɟɝɟнɟɪɚɬкɚнɟйэпиɞɟмиолоɝиязɚɛолɟɜɚнияɬɟплоɟɝоɞɚȺɪкɬикɟ ? июльɫɟɜɟɪныɯпояɜляɟɬɫямɚɫɫоɜоɟличɟɫɬɜокɪоɜоɫоɫɭщиɯɞɜɭкɪылыɯ ? комɚɪоɜокɚзыɜɚющиɯлоɜɟкɚоɬɪицɚɬɟльноɟпɫиɯолоɝичɟɫкоɟɬоɝɟнноɟɜлияниɟзɭɞɛɟɫɫонницɚяɞоɜиɬɚможɟɬпɪиɜɟɫɬиоɬɪɚɜлɟниюКɪомɟɬоɝоɫɛоɪноɟнɚзɜɚниɟлɟɬɚющиɯкɪоɜоɫоɫоɜяɜляɟɬɫяпɟɪɟноɫчикомɜозɛɭɞиɬɟлɟйɛолɟɟ 150 ɛолɟɜɚнийɬомɬɭляɪɟмииɋкɭчɟнноɟɪɚзмɟщɟниɟɭпомянɭɬыйɞɟɮициɬɜоɞыɜынɭжɞɟнноɟпɪɟɛыɜɚниɟɛольшɭюиɫкɭɫɫɬɜɟннойɫɪɟɞɟɫозɞɚюɬɪɚзмножɟнияпɚɬоɝɟнныɯмикɪооɪɝɚнизмоɜкɚкɫлɟɞɫɬɜиɟпояɜлɟниɟмɬɚкиɯзɚɛолɟɜɚнийкɚкɛɪɭцɟллɟзɯɟликоɛɚкɬɟɪнɚяɝɟпɚɬиɬɛɚкɬɟɪиɚльныйɬɭɛɟɪкɭлɟзпɪочиɟ 150 ПоɞɜоɞяиɬоɝиɫлɟɞɭɟɬɫɞɟлɚɬьɜыɜоɞɬомчɬонɚиɛолɟɟɚкɬɭɚнɚпɪɚɜлɟниямиɜɟɪшɟнɫɬɜоɜɚнияоɛɟɫпɟчɟнияɫоɟɜоинɫкиɯяɜляюɬɫяɊɚзɪɚɛоɬкɚɫɪɟɞɫɬɜɫоɯɪɚнɟниякɚчɟɫɬɜɟнноɝоɫоɫɬояниялɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийиɫпользɭɟмыɯокɚзɚниимɟɞицинɫкойпомощимɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийɊɚзɪɚɛоɬкɚɫпɟциɚлизиɪоɜɚнныɯɫɪɟɞɫɬɜɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийполɟɜыɯпоɞɯоɞящɟɝоɬɪɚнɫпоɪɬɚиɫɫлɟɞоɜɚниɟɜозможноɫɬииɫпользоɜɚнияɫɪɟɞɫɬɜɬɪɚнɫпоɪɬиɪоɜɚниииɫпользоɜɚнииȺɪкɬикɟɊɚзɪɚɛоɬкɚноɪмопɪɟɞɟлɟниɟпоɪяɞкɚоɛɟɫпɟмɟɞицинɫкимимɭщɟɫɬɜомɫоɟɞинɟнийɜоɟнномɟɞицинɫкиɯɞиɫлоциɪоɜɚнныɯЗɚключɟниɟɊɟɚлизɚцияɭкɚзɚнныɯнɚпɪɚɜлɟнийɫоɜɟɪшɟнɫɬɜоɜɚниюоɛɟɫпɟчɟнияɫоɟɞинɟнийɜоинɫкиɯȺɪкɬикɟɬолькоɫпоɫоɛɫɬɜоɜɚɬькɚчɟɫɬɜɚпɪоɜɟɞɟниялɟчɟɛноэɜɚкɭɚционныɯоɛɟɫпɟчиɬɝоɬоɜноɫɬьмɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийɜыполнɟниюзɚɞɚчпɪɟɞнɚзнɚчɟниюIntroduction. Geographically the Arctic is consid-located north of Arctic Circle (66?33? Northern Latitude). Sometimes the Arctic boundaries are associated with the C. There are no universally accepted Arctic boundaries [1]. The territory of the Russian Federation Arctic Zone (RF AZ) is 4386.6 thousand kmAZ) is 4386.6 thousand kmUntil the early 20th century in the northern regions military operations were practically not carried out be-cause of harsh conditions. But already in 1918 the Kola Peninsula Arctic Zone became the scene of erce battles: operation of the 14th Karelian Front Army in the Great Patriotic War in 1944, one of the so-called ?ten Stalin`s ar in 1944, one of the so-called ?ten Stalin`s As the experience of medical evacuation activities in these armed con? icts showed, special Arctic medical waterlogging, standing groundwater, poorly developed plete obstruction areas for vehicles in summer, a dense hydrographic network and taiga, etc., have a pronounced, uence on the methods of con- The common name of a number of strategic offensive operations in World War II, held in 1944, the troops of the Workers ?and Peasants? Red Army. As ideologem glorifying Stalin, the term ?Stalin?s ten strikes? ceased to be used in the Soviet literature journalism soon after Stalin?s death.ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚThe aim of the study was to identify ways to im- c group of troops (forces) medical units` equipment in the Russian Federation Arctic zone. The theoretical and meth- eld of improving the order of render-in conditions of low ambient temperature. The research used such methods as retrospective, logical, structur- At present an interspeci c al interests in the RF AZ, whose tasks include patrolling the coastal zone, protecting objects and territories along the shores of the Arctic Ocean, providing passage and es-strating Russian Federation military presence in the Arctic. The main forces of the created group of troops (forces) in the Arctic are deployed (both based on the mainland, and on the archipelagos and islands of the Arctic Ocean). In addition, on the islands of the Land of Alexander I (Franz Josef Archipelago), the New Earth, Wrangel Island, Schmidt radar posts and points of guidance for aviation tivities in these areas, the Arctic special medical and geo-graphical conditions will have a pronounced, principally uence on the ways of warfare and health service support of the wounded and sick, including the RF MF operational and combat units` logistics with MP. geographical factors of the RF AZ: ambient temperature throughout most ? negative air and soil temperature in summer (freez-? strong prolonged cold and causing snow-? high humidity, especially during the summer sea-? an abundance of water reservoirs: lakes, rivers, ? polar night and polar day, accompanied by solar ux in winter in the natural area of the ? low population density, a small number of settle-? poorly developed network of ground-based com- at almost impassable terrain off-road for large number of different bodies of water, in some ar-eas due to a large number of stones, in winter because of ? characteristics and procedure for providing the population and troops with food (canned, salted, smoked, and combat units (the length of the coastline of RF AZ is ? a large number of midges in summer (mosquitoes, ies, horse ies that transmit infectious diseases The particular qualities of using MP for eliminating uation activities are conditioned by approaches to troops (forces) medical logistics in the RF AZ conditions (Fig. 1): rst aid to the wounded (injured) a minimum set of medicines and medical products is used. The main thing at this stage is to eliminate life-threatening conditions and to evacuate the wounded (injured) as soon as possible. The MP used at this stage should be suitable wounded to sanitary transport, provide for the use of MP infusion therapy, arti cial ventilation of the lungs, etc.). medical organizations (hereinafter referred to as medical units), assistance is provided, if necessary, by medical ture, so a special MP is not required at this stage.tionary conditions, the consumption of certain groups of for the treatment of cold lesions eld will play an import-In the Arctic an important role in maintaining the their proper transportation (delivery), which can be car-ried out for hundreds of kilometers and using a different, uence of low temperature, high humidity, , temperatures, which accelerate the removal of substanc-es from solutions, destroy colloid and emulsion systems, sometimes promote polymerization and the ? ow of other chemical processes. Different drugs in a liquid form ir-Pharmacy & Pharmacology V. 5 N 4, 2017a result of freezing and subsequent thawing. The effect Most of these requirements to preserve the qualitative status of medicines and medical products in the Arctic are rst-aid kits, medical bags, eld con- and included in the supply Figure 1 ? The particular qualities of using MP in the RF AZ conditions orders of the Russian Federation Minister of Defense from May 21, 2011 744, the Chief of Armaments of the Armed Forces ? orders of the Russian Federation Minister of Defense from December 18, 2012 number 3740; on August 12, 2013 590; on Assessment of the stability of medical kits to the effect of negative air temperature, Khabarovsk, 2016.ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚWhen providing medical care in the Arctic, to pre-wool, etc.). The units for the collection and evacuation tection from cold and heating. These circumstances lead The territory of the RF AZ is among the sparsely populated regions of the country. In cities and large rural date medical units. The deployment of medical units in the Arctic outside of the capital structures will require a great deal of effort and time to clear the sites of snow, boulders, insulation of premises, the creation of fuel reserves, the extraction of water from frozen reservoirs, etc. Therefore, when selecting places of deployment of medical units in the RF AZ it is necessary to take into account the terrain, soil and ground type, distance from water sources, climate, ora and fauna, human settlements and the transport network, c for northern regions:? deep snow, hinders access of vehicles, campers, elds already cleared can be quickly cov-? frequent and strong, often both grassroot and territory, causing snow drifts, complicating visibility and Winteris the longest season in the Arctic (more than six months). The snow cover lasts for 7dividual mountain peaks and in the ravines for11 months, does not melt and remains for another year. That is why rary storage facilities for frost-resistant MP.To prepare the terrain in areas with rocky ground (use of explosives, trench charges, engineering equipment) it cal units deployed in the Arctic are fabricated medical Arctic are fabricated medical an in? atable structure of an arched type, consisting of atable vacuum frame, fabric covers (external and atable doors and the bottom. PS is made of connected in a single structure. The outer and inner plat-defense order to equip brigade medical support company, rmed the relevance of their use, in-cluding the deployment of medical units in the Arctic [7].Huge areas of the Arctic are occupied by internal res-ervoirs. The depth of some lakes reaches 20 m. Most lakes in winter can be used as landing strips for aircraft in air-ports. However, the use of aircraft is limited by frequent fogs, blizzards and snowfalls. Frozen ponds can serve as a good, sometimes the shortest and straight roads, ?winter roads?. During the warmer months, the rivers and lakes can serve as a means of communication and water vehicles for landing and take-off of the seaplanes.In such circumstances, the MP must be protected livery to the medical units stationed in RF AZ. This is constantly functioning system of organizational and ganizational and By the experience of the Great Patriotic War, the val- cantly different from the losses in the temperate zone. However, when calculating the MP needs the factors affecting the size and character of sanitary losses in the the pronounced adverse effect of a number of med-in the Russian Federation?s AZ, which determines the cs and a higher incidence of personnel. For exam-normalizing blood pressure, in vitamins, especially A, C, increased need for some groups of drugs for cold c conjunctivitis, cant amount of antimicro- cult to treat, a long period of reconvalescence in wounds, disor-(water-salt, micronutrient de ciencies, etc.); psychos- quality and availability of water supply problems. ter in the Arctic, there is almost no clean drinking water there. The most dangerous toxicants are persistent or-and its compounds, for example, methylated mercury, Pharmacy & Pharmacology V. 5 N 4, 2017tains a variety of microorganisms, such as fungi, bacteria body, disrupting the introduction and salt metabolism epidemiology and infectious diseases. In the warm season (in the Arctic July, August), a massive number of blood-sucking diptera appears in the northern regions ies, which have negative psychological effects on the person and pathogenic effects (itching, insomnia, etc.). Saliva of Simuliidae is poisonous and can lead to general poisoning. In addition, the vile (the ying bloodsuckers), is the carrier of ing tularemia. Bored accommodation, the aforementioned water shortage, the forced stay in most of the time in an cial environment create conditions for the multipli-cation of pathogenic microorganisms and, as a result, the cellosis, Helicobacter pylori infection, hepatitis, bacterial Summing up the results it should be concluded that the most relevant areas of development and perfection of the organization of RF MF operational and combat units` medical logistics in the Arctic Zone are: eld;and use of MP in the Arctic;units and military medical organizations stationed in the prove the organization providing MI formations and military units of the Armed Forces in the Arctic will not ȻиɛлиоɝɪɚɮичɟɫкийɞоɜɫкиɯКɭзнɟцоɜКɌОПОȾȿЛИɌȺɊКɌИКɍȼɟɫɬникɚкɚɞɜоɟннɚɭк 2012. 4. МɟɞицинɫкɚяэколоɝияȿɜɪопɟйɫкоɝоɫɟɜɟɪɚɊоɫɫииɪошничɟнкоɊоɞионоɜКононоɜМɟɪкɭлоɜОɊȽȺНИЗȺЦИЯɋНȺȻЖȿНИЯПОȾɊȺЗȾȿЛȿНИЙɋКОЙɋЛɍЖȻЫɎɚɪмɚкоэкономикɚɬɟоɪияпɪɚкɬикɚШɟɫɬɚкоɜȺɪɬɟмьɟɜЧɭɜɚшɟɜȼОЙɋКОȼЫȿИɋПЫɌȺНИЯПȿɊɋПȿКɌИȼОȻɊȺЗЦОȼПОȾɊȺЗȾȿЛȿНИЙМȿȾИЦИНɋКОЙɋЛɍЖȻЫȽɊɍППИɊОȼКИȺɊКɌИЧȿɋКОЙмɟɞжɭɪнɪошничɟнкоȻояɪинцɟɜȻɭнинКононоɜɊоɞионоɜИɋПОЛЬЗОȼȺНИȿКОМПЛȿКɌОȼМȿȾИЦИНɋКОȽОИМɍЩȿɋɌȼȺНȺȻОɊОȼМȿȾИКОɋȺНИɌȺɊНЫɏПОɋЛȿȾɋɌȼИЙЧɊȿЗȼЫЧȺЙНЫɏɋИɌɍȺЦИЙ // МɟɞɛиолɫоцпɫиɯолпɪоɛлɛɟзопɚɫноɫɬичɪɟзɜɫиɬɭɚцияɯПОȾɏОȾЫОɋНȺЩȿНИЮПОЛȿȼЫɏɍɋЛОȼИЯɏ // ɋоɜɪɟлɟкɚɪɫɬɜɟнноɝооɛɟɫпɟчɟнияɪошничɟнкоКононоɜɊоɞионоɜМɭɫɬɚɟɜКоɫɬɟнкоȻокɚчПОЛЬЗОȼȺНИЯɊȺЗȼȿɊɌЫȼȺНИЯОɋНȺЩȿНИЯОɌȾȿЛȿНИЯȾИЦИНɋКОȽОɋНȺȻЖȿНИЯМȿȾИЦИНɋКОȽООɌɊЯȾȺɋПȿЦИȺЛЬНОȽОНȺЗНȺЧȿНИЯмɟɞжɭɪнНиɝмɚɬɭллинȼȺЛИȾȺЦИЯɏОЛОȾОȼОЙɌȿɊМОЛȺȻИЛЬНЫɏКȺɊɋɌȼȿННЫɏȽɟмɚɬолоɝияɬɪɚнɫɮɭзиолоɝиялɞɚɬоɜȽолоɬɚКоɪнилоɜɚЛɟɜɚнɞоЧɭɜɚшɟɜШɚлɚɯинМȿȾИЦИНɋКОȿмɟɞжɭɪнReferencesGu dowski N.S., Kuznetsov V.V. KTO PODELIT ARKTIKU? [WHO WILL SHARE THE ARCTIC?] Vestnik estnik Bulletin Acad. Mil. Sciences]. 2012. V. 41, N 4. P. 4Ob raztsov L.N. 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P. 44 ict of interest ict of interest.Miroshnichenko Yuriy Vladimirovich Honored Worker of Health, Professor, retired Colonel of the Medical Service, Russian Military Medical Academy. Research interests: the organization providing medical supplies of troops (forces). ORCID: orcid.org/0000- ? Candidate of gistics and Pharmacy Department, Associate Professor, Academy.Research interests: organization providing medical supplies of troops (forces).Candidate of Sciences (Pharmacy), Head of the Accounting and Operations Department of the Pharmaceutical Center, Captain of the Medical Service, Russian Military Medical Academy. Research interests: organization providing medical sup-plies of troops (forces). ORCID: orcid.org/0000-0002-9992-7417. E-mail: rodionov_eo@mail.ru. ? Candidate of Sciences (Biology), Deputy Chairman of the Committee ? Head c) of the Military c Committee, Associate Professor, Colonel of Medical Service, The Main Military Medical Directorate of the Russian Defense Ministry. Research interests: Or-КонɮликɬинɬɟɪɟɫоɜȺɜɬоɪызɚяɜляюɬоɬɫɭɬɫɬɜииконɮликɬɚинɬɟɪɟɫоɜȺɜɬоɪыМиɪошничɟнко ? ɞокɬоɪɮɚɪмɚцɟɜɬичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльнɚчɚльникɚмɟɞицинɫкомɭɫнɚɛжɟниюзɚɫлɭжɟнныйɪɚɛоɬникзɞɪɚɜооɯɪɚнɟнияпɪоɮɟɫɫоɪполкоɜникмɟɞицинɫкойɫлɭжɛызɚпɚɫɚмɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞицинɫкимимɭщɟɫɬɜомɜойɫк). ORCID: orcid.org/0000-0002-3645-2071. E-mail: КононоɜНиколɚɟɜичкɚнɞиɞɚɬɮɚɪмɚцɟɜɬичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльнɚчɚльникɚкɚɮɟɞɪыɜоɟнномɟɞицинɫкоɝоɫнɚɛжɟнияɞоцɟнɬполкоɜникмɟɞицинɫкойɫлɭжɛымɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞиимɭщɟɫɬɜомɜойɫкɊоɞионоɜ ? кɚнɞиɞɚɬɮɚɪмɚцɟɜɬичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльнɚчɚльникɚоɬɞɟлɚмɟɞицинɫкоɝоимɭщɟɫɬɜɚнɚчɚльникɭчɟɬнооɬɞɟлɟнияɮɚɪмɚцɟɜɬичɟɫкоцɟнɬɪɚкɚпиɬɚнмɟɞицинɫкойɫлɭжɛыɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞицинɫкимимɭщɟɫɬɜомɜойɫкorcid.org/0000-0002-9992-7417. E-mail: rodionov_eo@mail.ruЗинɭɪоɜич ? кɚнɞиɞɚɬɛиолоɝичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльпɪɟɞɫɟɞɚɬɟлякомиɬɟɬɚнɚчɚльникоɬɞɟлɚɜоɟннонɚɭчноɝокомиɬɟɬɚɞоцɟнɬполкоɜникмɟɞицинɫкойɫлɭжɛыȽлɚɜноɟɜоɟнномɟɞицинɫкоɟɭпɪɚɜлɟниɟPharmacy & Pharmacology V. 5 N 4, 2017МиниɫɬɟɪɫɬɜɚоɛоɪоныɊоɫɫийɫкойɎɟɞɟɪɚциилɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞицинимɭщɟɫɬɜомɜойɫкɋолɞɚɬоɜȺлɟкɫɚнɞɪоɜичɞокɬоɪнɚɭкпɪоɮɟɫɫоɪкɚɮɟɞɪыɬɚкɬикимɟɞицинɫкойɫлɭжɛыпɪоɮɟɫɫоɪполкоɜмɟɞицинɫкойɫлɭжɛымɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜмɟɞицинɫкоɝооɛɟɫпɟчɟнияɜойɫкЧɭɜɚшɟɜМɚкɫимЛɟониɞоɜичкɚнɞиɞɚɬмɟɞинɚɭкпɪɟпоɞɚɜɚɬɟлькɚɮɟɞɪыɬɚкɬикимɟɞицинɫкойɫлɭжɛыпоɞполкоɜникмɟɞицинɫкойɫлɭжɛымɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜмɟɞицинɫкоɝооɛɟɫпɟчɟнияɜойɫкКлочкоɜɚ ? кɚнɞиɞɚɬмɚцɟɜɬичɟɫкиɯнɚɭкɫɬɚɪшийпɪɟпоɞɚɜɚɬɟлькɚɮɟɜоɟнномɟɞицинɫкоɝоɫнɚɛжɟнияɮɚɪмɚциимɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞиимɭщɟɫɬɜомɜойɫкПоɫɬɭпилɚɪɟɞɚкциюОɬпɪɚɜлɟнɚɞоɪɚɛоɬкɭПɪиняɬɚпɟчɚɬиganization providing medical supplies of troops (forces).Soldatov Evgeniy Aleksandrovich Sciences (Medicine), Professor of the Department of Or-ganization and Tactics of the Medical Service, Professor, Academy. Research interests: Organization of medical support of troops (forces).Sciences (Medicine), leactor of the Department of Orga-nization and Tactics of Medical Service,Academy. Research interests: organization of medical support of troops (forces).Sciences (Pharmacy), Senior Lecturer, Russian Military Medical Academy. Research interests: organization pro-viding medical supplies of troops (forces). E-mail: kloc-ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚɍȾКʺʫʪʰКОͳʧʫОʧˀʤˇʰЧʫˁКʰˈ˄ˁЛОʦʰʱʤˀК˃ʰКʰОʥʫˁʿʫЧʫʻʰʫЧʤˁ˃ʫʱʰʺ˄Щʫˁ˃ʦОʺМиɪошничɟнкоКононоɜɊоɞионоɜɋолɞɚɬоɜЧɭɜɚшɟɜКлочкоɜɚмɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚ 194044, ɊоɫɫияɋɚнкɬПɟɬɟɪɛɭɪɝȺкɚɞɟмикɚЛɟɛɟɞɟɜɚȽлɚɜноɟɜоɟнномɟɞицинɫкоɟɭпɪɚɜлɟниɟМиниɫɬɟɪɫɬɜɚоɛоɪоныɊоɫɫийɫкойɎɟɞɟɪɚции119160, ɊоɫɫияМоɫкɜɚЗнɚмɟнкɚE-mail: rodionov_eo@mail.ruпɪоɜɟɞɟниялɟчɟɛноэɜɚкɭɚционныɯɜооɪɭжɟнныɯконɮликɬɚɯпокɚзыɜɚɟɬоɫоɛыɟмɟɞикоɝɟоɝɪɚɮичɟɫкиɟɭɫлоɜияȺɪкɬикиокɚзыɜɚюɬɜыɪɚжɟнноɟпɪɟимɭщɟɫɬɜɟннонɟɛлɚɝопɪияɬɫпоɫоɛыɜɟɞɟнияɛоɟɜыɯɞɟйɫɬɜиймɟɞицинɫкоɟоɛɟɫпɟчɟниɟɛольныɯɬомчиɫлɟоɛɟɫпɟчɟниɟɫоɟɞинɟнийɜоинɫкиɯȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟɪɚциимɟɞицинɫкимимɭщɟɫɬɜомЦɟльюиɫɫлɟɞоɜɚнияяɜлялоɫьопɪɟɞɟлɟниɟɫоɜɟɪшɟнɫɬɜоɜɚнияоɫнɚщɟниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟниймɟжɜиɞоɜойɝɪɭппиɪоɜкиɜойɫкȺɪкɬичɟɫкойɊоɫɫийɫкойɎɟɞɟɪɚцииМɚɬɟɪиɚлымɟɬоɞыɌɟоɪɟɬичɟɫкɭюмɟɬоɞолоɝичɟɫкɭюиɫɫлɟɞоɜɚнияɫоɫɬɚɜилиɬɪɭɞыоɬɟчɟɫɬɜɟнныɯоɛлɚɫɬиɫоɜɟɪшɟнɫɬɜоɜɚнияпоɪяɞкɚокɚзɚниямɟɞицинɫкойпомощиɜыполнɟнияɞɪɭɝиɯмɟɞицинɫкиɯɭɫлоɜияɯнизкойɬɟмпɟɪɚɬɭɪыокɪɭжɚющɟɝоиɫɫлɟɞоɜɚниииɫпользоɜɚлиɫьɬɚкиɟмɟɬоɞыкɚкɪɟɬɪоɫпɟкɬиɜныйлоɝичɟɫкийɫɬɪɭкɬɭɪноɮɭнкционɚльныйɊɟзɭльɬɚɬыɫɭжɞɟниɟɯоɞɟиɫɫлɟɞоɜɚнияɜыɞɟлɟныоɫоɛыɟмɟɞикоɝɟоɝɪɚɮичɟɫкиɟɮɚкɬоɪыȺɪкɬикиɭɫɬɚноɜлɟнооɛɟɫпɟчɟниɟмɟɞицинɫкимимɭщɟɫɬɜомɫоɟɞинɟнийɜоинɫкиɯɊɚɫɫмоɬɪɟныɫоɯɪɚнɟниюкɚчɟɫɬɜɟнноɝоɫоɫɬояниялɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийȺɪкɬикɟопɪɟɞɟлɟнпоɪяɞокиɫпользоɜɚнияɬɚкжɟɭɫɬɚноɜлɟныɬɪɟɛоɜɚнияɬɪɚнɫпоɪɬиɪоɜɚниюОпɪɟɞɟлɟныɫɪɟɞɫɬɜɚɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийȺɪкɬикɟПɪиɜɟɞɟныɪɟзɭльɬɚɬыɭɫлоɜийȺɪкɬичɟɫкойзоныɊоɫɫийɫкойɎɟɞɟɪɚциипоɬɪɟɛноɫɬьɫоɟɞинɟнийɜоинɫкиɯȼооɪɭжɟнныɯмɟɞицинɫкомимɭщɟɫɬɜɟЗɚключɟниɟɪɟзɭльɬɚɬɚмиɫɫлɟɞоɜɚнияɭɫɬɚноɜлɟнынɚиɛолɟɟɚкɬɭɚльныɟнɚпɪɚɜлɟнияɫоɜɟɪшɟнɫɬɜоɜɚнияоɛɟɫпɟчɟниямɟɞицинɫкимимɭщɟɫɬɜомɫоɟɞинɟнийɜоинɫкиɯȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟɪɚцииȺɪкɬичɟɫкойКлючɟɜыɟɫлоɜɚȺɪкɬичɟɫкɚязонɚкомплɟкɬымɟɞицинɫкоɝоимɭщɟɫɬɜɚкомплɟкɬноɬɚɛɟльноɟщɟниɟмɟɞицинɫкоɟоɛɟɫпɟчɟниɟполɟɜыɟɭɫлоɜияɫɪɟɞɫɬɜɚɪɚзɜɟɪɬыɜɚнияциɬиɪоɜɚнияМиɪошничɟнкоКононоɜɊоɞионоɜ., МɭɫɬɚɟɜɋолɞɚɬоɜЧɭɜɚшɟɜКлочкоɜɚȼЛИЯНИȿОɋОȻЫɏМȿȾИКОȽȿОȽɊȺɎИЧȿɋКИɏɍɋЛОȼИЙЧȺɋɌȿЙɎɚɪмɚцияɮɚɪмɚколоɝияМиɪошничɟнкоКононоɜɊоɞионоɜМɭɫɬɚɟɜɋолɞɚɬоɜЧɭɜɚшɟɜКлочкоɜɚFor citation:Miroshnichenko Ju.V., Kononov V.N., Rodionov E.O.,Klochkova I.V.THE INFLUENCE OF THE ARCTIC SPECIAL MEDICAL AND GEOGRAPHICAL CONDITIONSON THE OPERATIONAL AND COMBAT UNITS? MEDICAL LOGISTICS.Pharmacy&Pharmacology. THE INFLUENCE OF THE ARCTIC SPECIAL MEDICAL AND GEOGRAPHICAL CONDITIONS ON THE OPERATIONAL AND COMBAT UNITS? MEDICAL LOGISTICSJu.V. Miroshnichenko, V.N. Kononov, I.V. Klochkova Russian Military Medical Academy, 6, Akademika Lebedeva Str., Saint-Petersburg, Russia, 194044 Main Military Medical Directorate of the Russian Federation Defense Ministry, 19, Znamenka Str., Moscow, Russia, 119160E-mail: rodionov_eo@mail.ruPharmacy & Pharmacology V. 5 N 4, 2017 icts shows that the Arctic special medical and geographical conditions have expressed mainly negative impact on the methods of conducting military operations and medical care of the wounded and sick, including the Russian Federation Military Forces operational and combat of the study was to identify the ways to improve the equipment of medical units of in- c group of troops (forces) in the Russian Federation Arctic zon e. The theoretical and methodological basis of the research was the works of Russian scientists in the eld of improving the order of render-ing medical assistance and performing other medical measures in conditions of low ambient temperature. The study used such methods as retrospective; logical; structural and functional analyses and others. In the course of the study special medical and geographic factors of the Arctic were identi ed, and their in uence on the operational and combat units? medical logistics was established. The measures to preserve the quality of medicines and medical products in the Arctic are considered, the order of their use is determined, and the requirements for their transportation are established. Prospective means of deploying medical units in the Arctic have been identi ed. The impact analysis results of the Russian Federation Arctic zone conditions on the need of Military Forces operational and combat units in medical property are given. Based on the results of the study, the most relevant areas for the development and improvement of the organization of Russian Federation Military Forces operational and combat units` medical logistics in the Arctic Zone have been established. Arctic zone, medical equipment sets, complete-standard-issue equipment, health service support, ȼɜɟɞɟниɟȽɟоɝɪɚɮичɟɫкиȺɪкɬикойɫчиɬɚюɬɫяɫɭшиɜоɞныɯпɪоɫɬɪɚнɫɬɜкоɬоɪыɟположɟныɫɟɜɟɪнɟɟполяɪноɝокɪɭɝɚ (66?33ɫɟɜɟɪшиɪоɬыИноɝɞɚȺɪкɬикиɫɜязыɜɚюɬположɟниɟмкɚɪɬɟизоɬɟɪмыиюля +10?Ⱥɪкɬикиɫɭщɟɫɬɜɭɟɬ [1]. ɌɟɪɪиɬоɪияȺɪкɬичɟɫкойзоныɊоɫɫийɫкойɎɟɞɟɪɚ 4386,6 чɬоɫоɫɬɚɜляɟɬ 25,7% ɫɬɪɚны 25,7% Ⱦо нɚчɚлɚɫɟɜɟɪныɯɛоɟɜыɟпɪɚкɬичɟɫкиɜɟлиɫьɫɭɪоɜыɯ 1918 КольɫкоɟЗɚполяɪьɟɫɬɚлоожɟɫɬочɟнныɯɛоɟɜиноɫɬɪɚннɚяɜоɟннɚяинɬɟɪɜɟнɊоɫɫии (1918ɫоɜɟɬɫкоɮинɫкɚяɜой (1939ПɟɬɫɚмоКиɪкинɟɫɫкɚяɚɪмииКɚɪɟльɫкоɝоɮɪонɬɚȼɟликойОɬɟчɟɫɬɜɟннойɜойнɟ (1944 коɬоɪɚяɜɯоɞиɬɬɚкнɚзыɜɚɟмыɯɞɟɫяɬиɫɬɚлинɫкиɯɭɞɚɪоɜ (1944 КɚкпокɚзɚлпɪоɜɟɞɟниялɟчɟɛноэɜɚкɭɚципɟɪɟчиɫлɟнныɯɜооɪɭжɟнныɯконɮликɬɚɯоɫоɛыɟмɟɞикоɝɟоɝɪɚɮичɟɫкиɟȺɪкɬикиɬомɫɭɪоɜыйклимɚɬɫɟɜɟɪныɯɪɟзкɚяпɟɪɟɫɟчɟнноɫɬьмɟɫɬноɫɬиɝɭɫɬɚяɫɟɬьɜоɞоɟмоɜɪɭчьɟɜпɪоɬокɛолоɬɜыɫокɚязɚɛолочɟнноɫɬиɫɬояниɟɝɪɭнɬоɜыɯɜоɞɪɚзɜиɬɚяɫɟɬькоммɭникɚцийпочɬиполнойнɟпɪоɯоɞимоɫɬимɟɫɬноɫɬиɚɜɬоɬɪɚнɫпоɪɬныɯɫɪɟɞɫɬɜлɟɬомɝɭɫɬойɝиɞɪоɝɪɚɮичɟɫкойɫɟɬиɬɚйɝиокɚзыɜɚюɬɜыɪɚжɟнноɟщɟɫɬɜɟннонɟɛлɚɝопɪияɬноɟɜлияниɟɫпоɫоɛыɜɟɞɟнияɛоɟɜыɯмɟɞицинɫкоɟоɛɟɫпɟɬомоɛɟɫпɟчɟниɟɫоɟɞинɟнийȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟмɟɞицинɫкимимɭщɟɫɬɜом (1944 Цɟлью иɫɫлɟɞоɜɚнияяɜлялоɫьопɪɟɞɟлɟниɟɫоɜɟɪшɟнɫɬɜоɜɚнияоɫнɚщɟниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟниймɟжɜиɞоɜойɝɪɭппиɪоɜкиɜойɫкȺɪкɬичɟɫкойɊоɫɫийɫкойɎɟɞɟɪɚцииМɚɬɟɪиɚлымɟɬоɞыɌɟоɪɟɬичɟɫкɭюмɟɬоɞолоɝичɟɫкɭюоɫноɜɭиɫɫлɟɞоɜɚнияɫоɫɬɚɜилиɬɪɭɞыоɬɟчɟɫɬɜɟнныɯоɛлɚɫɬиɫоɜɟɪшɟнɫɬɜоɜɚнияпоɪяɞкɚокɚзɚниямɟɞицинɫкойпомощиɜыполнɟɞɪɭɝиɯмɟɞицинɫкиɯнизкойɬɟмпɟɪɚɬɭɪыокɪɭжɚющɟɝоɜозɞɭɯɚɞоɜɚниииɫпользоɜɚлиɫьɬɚкиɟмɟɬоɞыкɚкɪɟɬɪоɫпɟкɬиɜныйлоɝичɟɫкийɫɬɪɭкɬɭɪноɮɭнкционɚльɚнɚлизɊɟзɭльɬɚɬыоɛɫɭжɞɟниɟнɚɫɬоящɟɟнɚционɚльныɯинɬɟɪɟɫоɜɫозɞɚнɚмɟжɜиɞоɜɚяɝɪɭппиɪоɜкɚɜойɫкɞɚчикоɬоɪойɜɯоɞиɬпɚɬɪɭлиɪоɜɚниɟзоныоɯɪɚнɚоɛъɟкɬоɜɬɟɪɪиɬоɪийɜɞольɛɟɪɟɝоɜɋɟɜɟɪноɝоЛɟɞоɜиɬоɝоокɟɚнɚоɛɟɫпɟчɟниɟпɪоɯоɞɚɫопɪоɜожɞɟниɟкоɪɚɛлɟйɋɟɜɟɪномɭмоɪɫкомɭɬɚкжɟɞɟмонɫɬɪɚцияɜоɟнноɝопɪиɫɭɬɫɬɜияȺɪкɬикɟɫозɞɚɜɚɟмойɝɪɭппиɪоɜкиɜойɫкȺɪкɬикɟɞиɫлоциɪɭюɬɫяɛɚзиɪɭюɬɫякɚкмɚɬɟɪикоɜойɬɚкоɫɬɪоɜɚɯɋɟɜɟɪноɝоЛɟɞоɜиɬоɝоокɟɚнɚКɪомɟɬоɝооɫɬɪоɜɚɯȺлɟкɫɚнɞɪɚ I (ИоɫиɮɚНоɜойоɫɬɪоɜɟȼɪɚнɝɟляШмиɞɬɚɪɚзɜɟɪнɭɬыɪɚɞиолокɚционныɟпоɫɬыпɭнкɬынɚɜɟпɪоɜɟɞɟниилɟчɟɛноэɜɚкɭɚционɭкɚзɚнныɯоɫоɛыɟмɟɞиɝɟоɝɪɚɮичɟɫкиɟȺɪкɬикиɛɭɞɭɬокɚзыɜɚɬьɜыɪɚжɟнноɟпɪɟимɭщɟɫɬɜɟннонɟɛлɚɝопɪияɬноɟɜлияниɟɫпоɫоɛыɜɟɞɟнияɛоɟɜыɯмɟɞицинɫкоɟоɛɟɫпɟчɟниɟɛольныɯɬомоɛɟɫпɟчɟниɟɫоɟɞинɟнийɜоинɫкиɯнɚиɛолɟɟɜɚжныммɟɞикоɝɟоɝɪɚɮичɟɫкимɮɚкɬоɪɚмɫлɟɞɭɟɬоɬнɟɫɬиɫлɟɞɭющиɟнɚзɜɚниɟɫɬɪɚɬɟɝичɟɫкиɯнɚɫɬɭпɚɬɟльныɯȼɟликойОɬɟчɟɫɬɜɟннойɜойнɟпɪоɜɟɞɟнныɯ 1944 ɜойɫкɚмиɊɚɛочɟкɪɟɫɬьянɫкойɚɪмииКɚкиɞɟолоɝɟмɚпɪоɫлɚɜляющɚяɋɬɚлинɚɬɟɪминɞɟɫяɬьɫɬɚлинɫкиɯɭɞɚɪоɜпɟɪɟɫɬɚлиɫпользоɜɚɬьɫяɫоɜɟɬɫкойлиɬɟɪɚɬɭɪɟпɭɛлициɫɬикɟɜɫкоɪɟпоɫлɟɫмɟɪɬиɋɬɚлинɚɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚПɪиɪоɞныɟɮɚкɬоɪынизкɚяоɬɪицɚɬɟльнɚяɬɟмпɟɪɚɬɭɪɚокɪɭжɚюɫɪɟɞыпɪоɬяжɟнииɛольшɟйɝоɞɚ (6?9 мɟɫяцɟɜоɬɪицɚɬɟльныɟɬɟмпɟɪɚɬɭɪыɜозɞɭɯɚпочɜыпɟɪиоɞɬɟмпɟɪɚɬɭɪɚопɭɫкɚɟɬɫяпɪоɞолжиɬɟльныɟɯолоɞныɟɜɟɬɪɚзыɜɚющиɟɬɚкнɚпɪимɟɪМɭɪмɚнɫкомɛɟɪɟɝɭкɚжɞыйɬɪɟɬий (122 ɝоɞɭɫкоɪоɫɬьɜɟɬɪɚɜыɫокɚяɜлɚжноɫɬьɜозɞɭɯɚоɫоɛɟнноɫɟзонɝоɞɚɝлɭɛокийпɪоɬяжɟнииɛольшɟɝоɝоɞɚɜоɞоɟмоɜɛолоɬлɟɬомполяɪнɚяночьполяɪныйɫопɪоɜожɞɚющиɟɫяконɬɪɚɫɬɚмиɫолнɟчной ? чɬожноɝоɫɜɟɬоɜоɝопоɬокɚɫɜɟɬоɜоɝошɟɫɬɜɚлɟɬомоɬɫɭɬɫɬɜиɟɞɪɟɜɟɫнойɪɚɫɬиɬɟльноɫɬиɪоɞнойзонɟɬɭнɞɪɋоциɚльноэкономичɟɫкиɟɮɚкɬоɪынизкɚяплоɬноɫɬьнɚɫɟлɟниямɚлоɟколичɟɫɬɜонɚɫɟлɟнныɯпɭнкɬоɜɪɚзɜиɬɚяɫɟɬькоммɭникɚцийпочɬиполноɫɬьюнɟпɪоɯоɞимоймɟɫɬноɫɬиколɟɫнойɬɟɯникилɟɬомзɚɛолочɟнноɫɬиɛольшоɝоколичɟɫɬɜɚɜоɞоɟмоɜнɟкоɬоɪыɯɭчɚɫɬкɚɯзɚɜɚлɭнɟнноɫɬиɝлɭɛокоɝоɫнɟжноɝопокɪоɜɚоɫоɛɟнноɫɬиоɛɟɫпɟчɟниянɚɫɟлɟɜойɫкпɪоɞоɜольɫɬɜиɟмконɫɟɪɜыɫолɟниякопчɟноɫɬиɫɭшɟныɟоɜощиɮɪɭкɬыпɪиɜоɞяɬɜоɟнноɫлɭжɚщиɯɚɜиɬɚминозоɜɪɟзиɫɬɟнɬноɫɬьɬомɪɚɛоɬоɫпоɫоɛноɫɬьличноɝоɫоɫɬɚɜɚМɟɞикоɫɚниɬɚɪныɟɮɚкɬоɪынɟɛольшоɟколичɟɫɬɜоɪɚɫɫɪɟɞоɬочɟнноɫɬьɫоɟɞинɟнийɜоинɫкиɯпɪоɬяжɟнноɫɬьɛɟɪɟɝоɜойчɟɪɬыоколонɟɭɞоɜлɟɬɜоɪиɬɟльноɟɫɚниɬɚɪноɟɫоɫɬояниɟɛольшинɫɬɜɚɫɟльɫкиɯнɚɫɟлɟнныɯпɭнкɬоɜɛольшоɟколичɟɫɬɜɚɝнɭɫɚпɟɪиоɞмɚɪыяɜляющиɟɫяɫчикɚмизɚɛолɟɜɚнийɪɚзɞɪɚжиɬɟчɟлоɜɟчɟɫкоɝооɪɝɚнизмɚОɫоɛɟнноɫɬииɫпользоɜɚнияɭɫɬɪɚнɟнияɭɝɪожɚющиɯɫоɫɬоянийпɪоɜɟɞɟниялɟчɟɛэɜɚкɭɚционныɯоɛɭɫлоɜлɟныпоɞɯоɞɚмимɟɞицинɫкомɭоɛɟɫпɟчɟниюɜойɫкɊиɫɭнокОɫоɛɟнноɫɬииɫпользоɜɚнияокɚзɚниипɟɪɜойпомощиɫɬɪɚɞɚɜшимиɫпользɭɟɬɫяминимɚльныйлɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийȽлɚɜноɟэɬомэɬɚпɟ ? ɭɫɬɪɚниɬьɭɝɪожɚющиɟɫоɫɬояниякɪɚɬчɚйшиɟэɜɚкɭиɪоɜɚɬьɪɚнɟноɝопоɫɬɪɚɞɚɜшɟɝоэɬомиɫпользɭɟмоɟэɬомэɬɚпɟɞолжнопɪиɝоɞноиɫпользоɜɚниюэкɫɬɪɟмɚльнонизкойɬɭɪɟɜозɞɭɯɚМɟɞицинɫкиɟпɪоɜоɞимыɟɞоɫɬɚɜкɟɫɚниɬɚɪномɭɬɪɚнɫпоɪɬɭпɪɟɞɭɫмɚɬɪиɜɚюɬиɫпользоɜɚниɟɫоɯɪɚнɟнияɜɚжныɯɮɭнкцийоɪɝɚнизмɚпɪоɜɟɞɟниɟинɮɭзионнойɬɟɪɚпиииɫкɭɫɫɬɜɟннɚяɜɟнɬиляцияPharmacy & Pharmacology V. 5 N 4, 2017эɬомэɬɚпɟɬɚкжɟнɟоɛɯоɞимыɫɪɟɞɫɬɜɚоɛоɝɪɟɜɚɛольныɯɬɪɚнɫпоɪɬиɪоɜкɟɛольныɯмɟɞипоɞɪɚзɞɟлɟнияɫоɟɞинɟнийɜоинɫкиɯɜоɟнномɟɞицинɫкиɟɞɚлɟɟ ? мɟɞицинпоɞɪɚзɞɟлɟнияпомощьнɟоɛɯоɞимоɫɬиокɚзыɜɚɟɬɫямɟɞицинɫкимпɟɪɫонɚломɜнɭɬɪиɬɪɚнɫпоɪположиɬɟльнойоɬмɟɬкɟɬɟмпɟɪɚɬɭɪыɜозɞɭɯɚпоэɬомɭɫпɟциɚльноɝоэɬомэɬɚпɟɬɪɟɛɭɟɬɫяɜыполнɟниизɚɞɚчмɟɞицинɫкимипоɞɪɚзɫɬɚционɚɪныɯɭɜɟличиɜɚɟɬɫяɪɚɫɯоɞнɟкоɬоɪыɯɝɪɭпплɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜ ? лɟчɟнияɯолоɞоɜыɯпоɪɚжɟнийоɬмоɪожɟнийпɪоɮилɚкɬикилɟчɟнияпɪоɫɬɭɞныɯзɚɛолɟɜɚнийоɬɫɭɬɫɬɜииɜозможноɫɬиɪɚзмɟщɟнияпиɬɚльныɯɫɬɪоɟнияɯɜɚжнɭюɪольɛɭɞɟɬиɝɪɚɬьиɫпользоɜɚниɟɫɪɟɞɫɬɜɪɚзɜɟɪɬыɜɚмɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийполɟɜыɯɪольɫоɯɪɚнɟниикɚчɟɫɬɜɟнноɝоɫоɫɬолɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийɬɪɚнɫпоɪɬиɪоɜкɚɞоɫɬɚɜкɚкоɬоɪɚяȺɪкɬикиможɟɬпɪоɜоɞиɬьɫяпɪоɬяжɟнииɫоɬникиломɟɬɪоɜиɫпользоɜɚниɟмɪɚзличноɝоɜɫɟɝɞɚɫпɟциɚльнооɛоɪɭɞоɜɚнноɝоɬɪɚнɫпоɪɬɚКɚчɟɫɬɜɟнноɟɫоɫɬояниɟɛольшинɫɬɜɚлɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийнɚɯожɞɟнииоɬкɪыɬомɜозɞɭɯɟможɟɬɭɯɭɞшиɬьпоɞɜозɞɟйɫɬɜиɟмнизкойɬɟмпɟɪɚɬɭɪыɜыɫокойɜлɚжноɫɬиɬɚкжɟяɪкоɝооɫɜɟщɟнияНɟкоɬоɪыɟлɟкɚɪɫɬɜɟнныɟпɪɟпɚɪɚɬыɪɚзлɚɝɚюɬɫяɬɟмпɟɪɚɬɭɪɚɯкоɬоɪыɟɭɫкоɪяюɬɜыɜɟɞɟниɟкɪиɫɬɚлɜɟщɟɫɬɜɚɪɚɫɬɜоɪоɜɪɚзɪɭшɚюɬколлоиɞныɟэмɭльɫионныɟиноɝɞɚɫпоɫоɛɫɬɜɭюɬпɪоɬɟкɚниюɞɪɭɝиɯɯимичɟɫкиɯцɟɫɫоɜɪɟзɭльɬɚɬɟзɚмоɪɚжиɜɚнияпоɫлɟɞɭющɟɝооɬɬɚиɜɚниянɟоɛɪɚɬимоизмɟняюɬɫɜоиɮизикочɟɫкиɟɫɜойɫɬɜɚпɪɟпɚɪɚɬыжиɞкойкɚɪɫɬɜɟннойɮоɪмɟОɫоɛɭюопɚɫноɫɬьɜозɞɟйɫɬɜиɟɬɟмпɟɪɚɬɭɪпɪɟɞɫɬɚɜляɟɬпɪɟпɚɪɚɬоɜзɚмоɪɚжиɜɚнииоɬɬɚиɜɚниикоɬоɪыɯнɚɪɭшɚɟɬɫяɝɟɪмɟɬичноɫɬьпоɬɪɟɛиɬɟльɫкойɬɚɪыȻольшинɫɬɜопɟɪɟчиɫлɟнныɯɬɪɟɛоɜɚнийɫоɯɪɚнɟниюкɚчɟɫɬɜɟнноɝоɫоɫɬояниялɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийȺɪкɬикɟɞоɫɬиɝɚɟɬɫяɫчɟɬиɫпользоɜɚниякомплɟкɬноɬɚɛɟльноɝооɫнɚщɟнияКɌОмɟɞицинɫкойɫлɭжɛыɬɟчɟкɫɭмокмɟɞицинɫкиɯкомплɟкɬоɜмɟɞицинɫкиɯɫпɟциɚльноɪɚзɪɚɛоɬɚнныɯполɟɜыɯɫнɚɛжɟниɟɜключɟнныɯноɪмыɫнɚɛжɟнияɫооɬɜɟɬɫɬɜɭющиɯɫоɟɞинɟнийɜоинɫкиɯ ? ȼ нɚɫɬоящɟɟКɌОпоɫɬɚɜляɟɬɫяɜойɫкɚɪɚмкɚɯɜыполнɟнияɝоɫɭɞɚɪɫɬɜɟнноɝооɛоɪонноɝозɚкɚзɚнɟоɞнокɪɚɬноиɫпользоɜɚлоɫьɫпɟциɚлиɫɬɚмимɟɞицинɫкойɫлɭжэкɫɬɪɟмɚльнонизкойɬɟмпɟɪɚɬɭɪɟɜозɞɭɯɚ 1 ПɪикɚзыМиниɫɬɪɚɊоɫɫийɫкойɎɟɞɟɪɚции 21 мɚя 2011 744, НɚчɚльникɚɜооɪɭжɟнияȼооɪɭжɟнныɯɊоɫɫийɫкойɎɟɞɟɪɚциизɚмɟɫɬиɬɟляМиниɫɬɪɚɊоɫɫийɫкойɎɟɞɟɪɚцииПɪикɚзыМиниɫɬɪɚɊоɫɫийɫкойɎɟɞɟɪɚции 18 ɞɟкɚɛɪя 2012 3740; 12 ɚɜɝɭɫɬɚ 2013 590; 14 ɚɜɝɭɫɬɚмɚɪɬɚɫɟнɬяɛɪяɊиɫɭнокОцɟнкɚɭɫɬойчиɜоɫɬинɚɛоɪоɜмɟɞицинɫкиɯɜозɞɟйɫɬɜиюоɬɪицɚɬɟльнойɬɟмпɟɪɚɬɭɪыɏɚɛɚɪоɜɫкокɚзɚниимɟɞицинɫкойпомощиȺɪкɬикипɪɟɞɭпɪɟжɞɟнияɯолоɞоɜыɯпоɪɚжɟнийпоɬɪɟɛɭɟɬɫяожоɝоɜоɛнɚжɟнныɯɭчɚɫɬкоɜпɟɪɟɜязочныммɚɬɟɪиɚломɜɚɬномɚɪпоɞɭшɟчкɚмиɬолɫɬымɫлоɟмкомпɪɟɫɫиɜɚɬыɋɪɟɞɫɬɜɚмиɯолоɞɚɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚоɛоɝɪɟɜɚɞолжныоɫнɚщɚɬьɫяпоɞɪɚзɞɟлɟнияɫɛоɪɚэɜɚкɭɚцииоɛɫɬояɬɟльɫɬɜɚпɪиɜоɞяɬпоɬɪɟɛноɫɬипɟɪɟɜязочныɯɫɪɟɞɫɬɜɚɯɝɪɟлкɚɯɯимичɟɫкиɯɬɚкжɟнɚкиɞкɚɯмɟɞиɌɟɪɪиɬоɪияоɬноɫиɬɫязɚɫɟлɟнныɯɫɬɪɚныɝоɪоɞɚɯкɪɭпныɯнɚɫɟлɟнныɯпɭнкɬɚɯɫɟльɫкоɝокɚпиɬɚльныɟɫɬɪоɟнияиɫпользоɜɚныɪɚзмɟщɟниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийɊɚзɜɟɪɬыɜɚниɟмɟɞипоɞɪɚзɞɟлɟнийȺɪкɬикɟкɚпиɬɚльныɯɫɬɪоɟнийпоɬɪɟɛɭɟɬɛольшойзɚɬɪɚɬыɪɚɫчиɫɬкɭɜɚлɭноɜпомɟщɟнийɫозɞɚниɟзɚпɚɫоɜɬоплиɜɚɜоɞызɚмɟɪзшиɯɜоɞоɟмоɜПоэɬомɭмɟɫɬɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнɟоɛɯоɞимоɭчиɬыɜɚɬьɪɟльɟɮмɟɫɬноɫɬипочɜыɝɪɭнɬɚɭɞɚлɟнноɫɬьиɫɬочникоɜɜоɞыклимɚɬɫɟзонɝоɞɚмɟɬɟоɪолоɝичɟɫкɭюоɛɫɬɚноɜкɭɪɚɫɬиɬɟльноɫɬьжиɜоɬныйнɚɫɟлɟнныɟпɭнкɬыɬɪɚнɫпоɪɬнɭюɫɟɬьɬɚкжɟɞɪɭɝиɟɫпɟциɮичɟɫкиɟɫɟɜɟɪныɯɮɚкɬоɪыɝлɭɛокийɫнɟжныйзɚɬɪɭɞняющийпоɞъɟзɞɬɪɚнɫпоɪɬныɯɫɪɟɞɫɬɜɭɫɬɚноɜкɭпɚлɚɬокпоɞɜозɝɪɭзоɜɊɚɫчиɫɬкɚмɟɫɬɪɚзɜɟɪɬыɜɚнияпɚлɚɬокпоɞɜозɚɬɪɟɛɭɟɬɛольшиɯɮизичɟɫкиɯзɚɬɪɚɬКɪомɟɬоɝоɪɚɫчищɟнныɟкоɪоɬɫнɟɝомпоɬɪɟɛоɜɚɬьпоɜɬоɪнойɪɚɫчиɫɬкинɟɪɟɞкопɪоɞолжиɬɟльныйɯолоɞныйɜɟɬɟɪɬолькозɚɬɪɭɞняющийɭɫɬɚноɜкɭпɚлɚɬокɞɜойнɚя ? оɞнонизоɜɚяɜɟɪɯоɜɚязɚмɟɬɚɟɬɫнɟɝомɬолькочɬоɜыполнɟннɭюɪɚɛоɬɭочиɫɬкɟɬɟɪɪиɬонɚноɫиɬɫɭɝɪоɛызɚɬɪɭɞняɟɬɜиɞимоɫɬьɜыполнɟниɟнɚɪɭжныɯɪɚɛоɬЗимɚ ? ɫɚмоɟпɪоɞолжиɬɟльноɟЗɚполяɪьɟɝоɞɚɛолɟɟполɭɝоɞɚɫоɯɪɚняɟɬɫяɬɟчɟниɟ 7-9 мɟɫяцɟɜоɬɞɟльныɯɝоɪныɯɜɟɪшинɚɯ ? 11 мɟɫяцɟɜоɬɞɟльныɟɝоɞыкоɪоɬкоɟпɪоɯлɚɞноɟлɟɬомɟɫɬɚмиɬɚɟɬоɫɬɚɟɬɫяэɬойɫɜязилɟɞможноиɫпользоɜɚɬьнɚпɪимɟɪпоɫɬɪойкимоɪозоɭɫɬойчиɜоɝопоɞɝоɬоɜкимɟɫɬноɫɬиɫкɚльнымɝɪɭнɬомиɫпользоɜɚниɟɜзɪыɜчɚɬыɯɜɟщɟɫɬɜокопинжɟнɟɪнойɬɟɯникинɟоɛɯоɞимоɫɪɟɞɫɬɜɚинжɟнɟɪныɯпоɞɪɚзɞɟлɟнийɫоɟɞинɟнийɜоинɫкиɯКɪомɟɬоɝокɚчɟɫɬɜɟɫɬɪоиɬɟльноɝомɚɬɟɪиɚлɚможноиɫпользоɜɚɬьпɪиɪоɞныйкɚмɟньɫɬɪоиɬɟльɫɬɜɚɫɟɝоɞняшнийоɞнимнɚиɛолɟɟɫɪɟɞɫɬɜɪɚзɜɟɪɬыɜɚниямɟɞицинпоɞɪɚзɞɟлɟнийȺɪкɬикɟяɜляюɬɫяɛыɫɬɪоɜозɜомɟɞицинɫкиɟмоɞɭлипнɟɜмокɚɪкɚɫныɯɫооɪɭжɟнийПКɋɬɟɪмоизолиɪɭюɯɚɪɚкɬɟɪиɫɬикɚми [4]. ПКɋпɪɟɞɫɬɚɜляюɬнɚɞɭɜноɟɫооɪɭжɟниɟɚɪочноɝоɫоɫɬоящɟɟнɚɞɭɜноɝоɜɚкɭɭмноɝокɚɪкɚɫɚɬкɚнɟɜыɯоɛшиɜокɪɭжнɚяɜнɭɬɪɟнняяɞɜɟɪɟйПКɋɜыполнɟнпɪоɪɟзинɟннойɞɜɭɯɫɬоɪонɬкɚниɫɬоиɬɫоɟɞинɟнныɯɟɞинɭюконɫɬɪɭкциюНɚɪɭжнɚяɜнɭɬɪɟнняяПКɋɜыполнɟныɬкɚниɚнɚлоɝкɟɜлɚɪɚкоɬоɪɚяпоɞɞɟɪжиɜɚɟɬɝоɪɟниɟнɚɫɬоящɟмɭмɟɞицинɫкойɫлɭжɛойпɪоɜɟɞɟниɫпыɬɚнийПКɋпоɫɬɚɜлɟнныɯɪɚмкɚɯɝоɫɭɞɚɪɫɬɜɟнноɝооɛоɪонноɝозɚкɚзɚоɫнɚщɟниямɟɞицинɫкиɯɪоɬмɟɞицинɫкиɯоɬɪяɞоɜɫоɟɞинɟнийȼозɞɭшноɞɟɫɚнɬныɯɜойɫкмɟɞицинɫкиɯоɬɪяɞоɜɫпɟциɚльноɝонɚзнɚчɟнияɬоɪыɟпоɞɬɜɟɪɞилиɚкɬɭɚльноɫɬьиɫпользоɜɚнияɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийȺɪкɬикɟ]. ОɝɪомныɟЗɚполяɪьяɜнɭɬɪɟнниɜоɞоɟмɚмиȽлɭɛинɚоɬɞɟльныɯɞоɫɬиɝɚɟɬ 20 ȻольшɚяможɟɬиɫпользоɜɚнɚкɚчɟɫɬɜɟпоɫɚɞочныɯлɟɞоɜыɟɚэɪоɞɪомыОɞнɚкооɝɪɚничиɜɚɟɬɫяɬɭмɚнɚмиɫнɟɝоЗɚмɟɪзшиɟɜоɞоɟмыɫлɭжиɬьɯоɪошииноɝɞɚкɪɚɬчɚйшимиɚɜɬомоɛильнымизимникɚмимɟɫяцыɝоɞɚɫлɭжиɬьпɭɬямиɜоɞнымиɬɪɚнɫпоɪɬнымиɫɪɟɞɫɬɜɚмипоɫɚɞкиɜзлɟɬɚɞɪоɫɚмолɟɬоɜɬɚкиɯɞолжнооɛɟɪɟɝɚɬьɫямɟɪзɚнияɜозɞɟйɫɬɜияɜлɚɝиɬɪɚнɫпоɪɬиɪоɜкɟɞоɫɬɚɜкɟмɟɞицинɫкиɟпоɞɪɚзɞɟлɟнияɜɚнныɟЭɬомноɝомоɛɟɫпɟчиɜɚɟɬɫяɯолоɞоɜойпоɫɬоянноɮɭнкциониɪɭющɟйпɪɚкɬичɟɫкиɯоɛɟɫпɟчиɜɚющиɯопɬимɚльныйɪɚɬɭɪныйɬɪɚнɫпоɪɬиɪоɜкиɜɫɟɯэɬɚпɚɯɫлɟɞоɜɚнияпɪɟɞпɪияɬияизɝоɬоɜиɬɟляпоɬɪɟɛиɬɟля ȼɟличинɚ ɫɚниɬɚɪныɯпоɬɟɪьɫɟɜɟɪныɯопыɬɭȼɟликойОɬɟчɟɫɬɜɟннойɜойныɫɭщɟɫɬɜɟннооɬличɚɟɬɫяпоɬɟɪьзонɟɭмɟɪɟнноɝоклимɚɬɚɌɟмɪɚɫчɟɬɟпоɬɪɟɛноɫɬинɟоɛɯоɞимоɭчиɬыɜɚɬьɮɚкɬоɪыɜлияющиɟɜɟличинɭɯɚɪɚкɬɟɪɫɚниɬɚɪныɯпоɬɟɪьȺɪкɬичɟɫкомɜыɪɚжɟнноɟнɟɛлɚɝопɪияɬноɟɜлияниɟɞикоɝɟоɝɪɚɮичɟɫкиɯɮɚкɬоɪоɜзɞоɜоɟнноɫлɭжɚщиɯоɛɭɫлɚɜлиɜɚющɟɟɫпɟциɮикɭɛолɟɟɭɪоɜɟньзɚɛолɟɜɚɟмоɫɬиличноɝоɫоɫɬɚɜɚɜойɫкНɚпɪимɟɪɫɟɜɟɪныɟлюɞɟйпɟɪиоɞоɫɬɪойɚɞɚпɬɚцииэкɫɬɪɟмɚльнымɮɚкɬоɪɚмɋɟɜɟɪɚоɬмɟчɚɟɬɫяпоɬɪɟɛноɫɬьɫɟɪɞɟчноɫоɫɭɞиɫɬыɯпɪɟпɚɪɚɬɚɯɬомлɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜɚɯноɪмɚлизɭющиɯɚɪɬɟɪиɚльноɟɞɚɜлɟниɟɜиɬɚминɚɯоɫоɛɟнноɚнɚльɝɟɬикɚɯɫпɚзмолиɬикɚɯпоɬɪɟɛноɫɬьнɟкоɬоɪыɯɝɪɭппɚɯPharmacy & Pharmacology V. 5 N 4, 2017лɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜɯолоɞоɜыɯпоɪɚжɟɮоɬооɮɬɚльмиинɟɫпɟциɮичɟɫкийконъюнкɬиɜиɬɜызɜɚнныйɫлизиɫɬɭюоɛолочкɭɝлɚзɭльɬɪɚɮиолɟɬоɜыɯɜɟɫɟннɟɝолɟɬнɟɝоɫолнцɚоɫоɛɟннолɟɞоɜойпоɜɟɪɯноɫɬипɪоɫɬɭɞныɯлɟɜɚнияɯɬяжɟлыɯɮоɪмɚɯɬɪɟɛɭɟɬɫячиɬɟльноɟколичɟɫɬɜоɫɪɟɞɫɬɜзɚɛолɟɜɚнияɯпищɟɜɚɪɟниязɚɛолɟɜɚникожипоɞкожнойклɟɬчɚɬкичɚɫɬоɬɪɭɞомпоɞɞɚющиɯɫялɟчɟниюпɟɪиоɞɪɟконɜɚлɟɫцɟнциинɚɪɭшɟнииɞɜиɝɚɬɟльноɝоɚппɚɪɚнɚɪɭшɟнииоɛмɟнɚɜɟщɟɫɬɜɜоɞноɫолɟɜоɝоɞɟɮициɬɟмикɪоэлɟмɟнɬоɜпɫиɯɚɫɬɟничɟɫкомɫоɫɬоянииɞɟпɪɟɫɫиипɪоɛлɟмыкɚчɟɫɬɜɚɞоɫɬɭпноɫɬиɜоɞоɫнɚɛжɟНɟɫмоɬɪякɚжɭщɟɟɫяɞоɫɬɭпноɫɬьɜоɞыȺɪкɬикɟчиɫɬойпиɬьɟɜойɜоɞыɬɚмпочɬиНɚиɛолɟɟɬокɫикɚнɬɚмиɫчиɬɚюɬɫяɫɬойкиɟоɪɝɚничɟɫкиɟɬяжɟлыɟмɟɬɚллычɚɫɬноɫɬиɪɬɭɬьɟɞинɟниянɚпɪимɟɪмɟɬилиɪоɜɚннɚяɪɬɭɬьɬɚкжɟɪɚɞиоɚкɬиɜныɟɜɟщɟɫɬɜɚпɪоизɜоɞныɟɚзоɬɚɫɟɪы 5 N 4, 2017ПомимоɯимичɟɫкиɯɮизичɟɫкиɯконɬɚминɚнɬоɜɜоɞыɫоɞɟɪжɚɬɝɚнизмыɬɚкиɟкɚкɛɚкɬɟɪииɜиɪɭɫыȾлиɬɟльноɟɭпоɬɪɟɛлɟниɟɬɚкойɜоɞыпɪиɜопɚɬолоɝичɟɫкимнɚɪɭшɟниямɫɜязɚннымɜымыɜɚниɟмɫолɟйоɪɝɚнизмɚнɚɪɭшɟниюɜɜоɞноɫолɟɜоɝооɛмɟнɚзɚмɟɞлɟниюɪɟɝɟнɟɪɚɬкɚнɟйэпиɞɟмиолоɝиязɚɛолɟɜɚнияɬɟплоɟɝоɞɚȺɪкɬикɟ ? июльɫɟɜɟɪныɯпояɜляɟɬɫямɚɫɫоɜоɟличɟɫɬɜокɪоɜоɫоɫɭщиɯɞɜɭкɪылыɯ ? комɚɪоɜокɚзыɜɚющиɯлоɜɟкɚоɬɪицɚɬɟльноɟпɫиɯолоɝичɟɫкоɟɬоɝɟнноɟɜлияниɟзɭɞɛɟɫɫонницɚяɞоɜиɬɚможɟɬпɪиɜɟɫɬиоɬɪɚɜлɟниюКɪомɟɬоɝоɫɛоɪноɟнɚзɜɚниɟлɟɬɚющиɯкɪоɜоɫоɫоɜяɜляɟɬɫяпɟɪɟноɫчикомɜозɛɭɞиɬɟлɟйɛолɟɟ 150 ɛолɟɜɚнийɬомɬɭляɪɟмииɋкɭчɟнноɟɪɚзмɟщɟниɟɭпомянɭɬыйɞɟɮициɬɜоɞыɜынɭжɞɟнноɟпɪɟɛыɜɚниɟɛольшɭюиɫкɭɫɫɬɜɟннойɫɪɟɞɟɫозɞɚюɬɪɚзмножɟнияпɚɬоɝɟнныɯмикɪооɪɝɚнизмоɜкɚкɫлɟɞɫɬɜиɟпояɜлɟниɟмɬɚкиɯзɚɛолɟɜɚнийкɚкɛɪɭцɟллɟзɯɟликоɛɚкɬɟɪнɚяɝɟпɚɬиɬɛɚкɬɟɪиɚльныйɬɭɛɟɪкɭлɟзпɪочиɟ 150 ПоɞɜоɞяиɬоɝиɫлɟɞɭɟɬɫɞɟлɚɬьɜыɜоɞɬомчɬонɚиɛолɟɟɚкɬɭɚнɚпɪɚɜлɟниямиɜɟɪшɟнɫɬɜоɜɚнияоɛɟɫпɟчɟнияɫоɟɜоинɫкиɯяɜляюɬɫяɊɚзɪɚɛоɬкɚɫɪɟɞɫɬɜɫоɯɪɚнɟниякɚчɟɫɬɜɟнноɝоɫоɫɬояниялɟкɚɪɫɬɜɟнныɯɫɪɟɞɫɬɜмɟɞицинɫкиɯизɞɟлийиɫпользɭɟмыɯокɚзɚниимɟɞицинɫкойпомощимɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийɊɚзɪɚɛоɬкɚɫпɟциɚлизиɪоɜɚнныɯɫɪɟɞɫɬɜɪɚзɜɟɪɬыɜɚниямɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийполɟɜыɯпоɞɯоɞящɟɝоɬɪɚнɫпоɪɬɚиɫɫлɟɞоɜɚниɟɜозможноɫɬииɫпользоɜɚнияɫɪɟɞɫɬɜɬɪɚнɫпоɪɬиɪоɜɚниииɫпользоɜɚнииȺɪкɬикɟɊɚзɪɚɛоɬкɚноɪмопɪɟɞɟлɟниɟпоɪяɞкɚоɛɟɫпɟмɟɞицинɫкимимɭщɟɫɬɜомɫоɟɞинɟнийɜоɟнномɟɞицинɫкиɯɞиɫлоциɪоɜɚнныɯЗɚключɟниɟɊɟɚлизɚцияɭкɚзɚнныɯнɚпɪɚɜлɟнийɫоɜɟɪшɟнɫɬɜоɜɚниюоɛɟɫпɟчɟнияɫоɟɞинɟнийɜоинɫкиɯȺɪкɬикɟɬолькоɫпоɫоɛɫɬɜоɜɚɬькɚчɟɫɬɜɚпɪоɜɟɞɟниялɟчɟɛноэɜɚкɭɚционныɯоɛɟɫпɟчиɬɝоɬоɜноɫɬьмɟɞицинɫкиɯпоɞɪɚзɞɟлɟнийɜыполнɟниюзɚɞɚчпɪɟɞнɚзнɚчɟниюIntroduction. Geographically the Arctic is consid-located north of Arctic Circle (66?33? Northern Latitude). Sometimes the Arctic boundaries are associated with the C. There are no universally accepted Arctic boundaries [1]. The territory of the Russian Federation Arctic Zone (RF AZ) is 4386.6 thousand kmAZ) is 4386.6 thousand kmUntil the early 20th century in the northern regions military operations were practically not carried out be-cause of harsh conditions. But already in 1918 the Kola Peninsula Arctic Zone became the scene of erce battles: operation of the 14th Karelian Front Army in the Great Patriotic War in 1944, one of the so-called ?ten Stalin`s ar in 1944, one of the so-called ?ten Stalin`s As the experience of medical evacuation activities in these armed con? icts showed, special Arctic medical waterlogging, standing groundwater, poorly developed plete obstruction areas for vehicles in summer, a dense hydrographic network and taiga, etc., have a pronounced, uence on the methods of con- The common name of a number of strategic offensive operations in World War II, held in 1944, the troops of the Workers ?and Peasants? Red Army. As ideologem glorifying Stalin, the term ?Stalin?s ten strikes? ceased to be used in the Soviet literature journalism soon after Stalin?s death.ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚThe aim of the study was to identify ways to im- c group of troops (forces) medical units` equipment in the Russian Federation Arctic zone. The theoretical and meth- eld of improving the order of render-in conditions of low ambient temperature. The research used such methods as retrospective, logical, structur- At present an interspeci c al interests in the RF AZ, whose tasks include patrolling the coastal zone, protecting objects and territories along the shores of the Arctic Ocean, providing passage and es-strating Russian Federation military presence in the Arctic. The main forces of the created group of troops (forces) in the Arctic are deployed (both based on the mainland, and on the archipelagos and islands of the Arctic Ocean). In addition, on the islands of the Land of Alexander I (Franz Josef Archipelago), the New Earth, Wrangel Island, Schmidt radar posts and points of guidance for aviation tivities in these areas, the Arctic special medical and geo-graphical conditions will have a pronounced, principally uence on the ways of warfare and health service support of the wounded and sick, including the RF MF operational and combat units` logistics with MP. geographical factors of the RF AZ: ambient temperature throughout most ? negative air and soil temperature in summer (freez-? strong prolonged cold and causing snow-? high humidity, especially during the summer sea-? an abundance of water reservoirs: lakes, rivers, ? polar night and polar day, accompanied by solar ux in winter in the natural area of the ? low population density, a small number of settle-? poorly developed network of ground-based com- at almost impassable terrain off-road for large number of different bodies of water, in some ar-eas due to a large number of stones, in winter because of ? characteristics and procedure for providing the population and troops with food (canned, salted, smoked, and combat units (the length of the coastline of RF AZ is ? a large number of midges in summer (mosquitoes, ies, horse ies that transmit infectious diseases The particular qualities of using MP for eliminating uation activities are conditioned by approaches to troops (forces) medical logistics in the RF AZ conditions (Fig. 1): rst aid to the wounded (injured) a minimum set of medicines and medical products is used. The main thing at this stage is to eliminate life-threatening conditions and to evacuate the wounded (injured) as soon as possible. The MP used at this stage should be suitable wounded to sanitary transport, provide for the use of MP infusion therapy, arti cial ventilation of the lungs, etc.). medical organizations (hereinafter referred to as medical units), assistance is provided, if necessary, by medical ture, so a special MP is not required at this stage.tionary conditions, the consumption of certain groups of for the treatment of cold lesions eld will play an import-In the Arctic an important role in maintaining the their proper transportation (delivery), which can be car-ried out for hundreds of kilometers and using a different, uence of low temperature, high humidity, , temperatures, which accelerate the removal of substanc-es from solutions, destroy colloid and emulsion systems, sometimes promote polymerization and the ? ow of other chemical processes. Different drugs in a liquid form ir-Pharmacy & Pharmacology V. 5 N 4, 2017a result of freezing and subsequent thawing. The effect Most of these requirements to preserve the qualitative status of medicines and medical products in the Arctic are rst-aid kits, medical bags, eld con- and included in the supply Figure 1 ? The particular qualities of using MP in the RF AZ conditions orders of the Russian Federation Minister of Defense from May 21, 2011 744, the Chief of Armaments of the Armed Forces ? orders of the Russian Federation Minister of Defense from December 18, 2012 number 3740; on August 12, 2013 590; on Assessment of the stability of medical kits to the effect of negative air temperature, Khabarovsk, 2016.ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚWhen providing medical care in the Arctic, to pre-wool, etc.). The units for the collection and evacuation tection from cold and heating. These circumstances lead The territory of the RF AZ is among the sparsely populated regions of the country. In cities and large rural date medical units. The deployment of medical units in the Arctic outside of the capital structures will require a great deal of effort and time to clear the sites of snow, boulders, insulation of premises, the creation of fuel reserves, the extraction of water from frozen reservoirs, etc. Therefore, when selecting places of deployment of medical units in the RF AZ it is necessary to take into account the terrain, soil and ground type, distance from water sources, climate, ora and fauna, human settlements and the transport network, c for northern regions:? deep snow, hinders access of vehicles, campers, elds already cleared can be quickly cov-? frequent and strong, often both grassroot and territory, causing snow drifts, complicating visibility and Winteris the longest season in the Arctic (more than six months). The snow cover lasts for 7dividual mountain peaks and in the ravines for11 months, does not melt and remains for another year. That is why rary storage facilities for frost-resistant MP.To prepare the terrain in areas with rocky ground (use of explosives, trench charges, engineering equipment) it cal units deployed in the Arctic are fabricated medical Arctic are fabricated medical an in? atable structure of an arched type, consisting of atable vacuum frame, fabric covers (external and atable doors and the bottom. PS is made of connected in a single structure. The outer and inner plat-defense order to equip brigade medical support company, rmed the relevance of their use, in-cluding the deployment of medical units in the Arctic [7].Huge areas of the Arctic are occupied by internal res-ervoirs. The depth of some lakes reaches 20 m. Most lakes in winter can be used as landing strips for aircraft in air-ports. However, the use of aircraft is limited by frequent fogs, blizzards and snowfalls. Frozen ponds can serve as a good, sometimes the shortest and straight roads, ?winter roads?. During the warmer months, the rivers and lakes can serve as a means of communication and water vehicles for landing and take-off of the seaplanes.In such circumstances, the MP must be protected livery to the medical units stationed in RF AZ. This is constantly functioning system of organizational and ganizational and By the experience of the Great Patriotic War, the val- cantly different from the losses in the temperate zone. However, when calculating the MP needs the factors affecting the size and character of sanitary losses in the the pronounced adverse effect of a number of med-in the Russian Federation?s AZ, which determines the cs and a higher incidence of personnel. For exam-normalizing blood pressure, in vitamins, especially A, C, increased need for some groups of drugs for cold c conjunctivitis, cant amount of antimicro- cult to treat, a long period of reconvalescence in wounds, disor-(water-salt, micronutrient de ciencies, etc.); psychos- quality and availability of water supply problems. ter in the Arctic, there is almost no clean drinking water there. The most dangerous toxicants are persistent or-and its compounds, for example, methylated mercury, Pharmacy & Pharmacology V. 5 N 4, 2017tains a variety of microorganisms, such as fungi, bacteria body, disrupting the introduction and salt metabolism epidemiology and infectious diseases. In the warm season (in the Arctic July, August), a massive number of blood-sucking diptera appears in the northern regions ies, which have negative psychological effects on the person and pathogenic effects (itching, insomnia, etc.). Saliva of Simuliidae is poisonous and can lead to general poisoning. In addition, the vile (the ying bloodsuckers), is the carrier of ing tularemia. Bored accommodation, the aforementioned water shortage, the forced stay in most of the time in an cial environment create conditions for the multipli-cation of pathogenic microorganisms and, as a result, the cellosis, Helicobacter pylori infection, hepatitis, bacterial Summing up the results it should be concluded that the most relevant areas of development and perfection of the organization of RF MF operational and combat units` medical logistics in the Arctic Zone are: eld;and use of MP in the Arctic;units and military medical organizations stationed in the prove the organization providing MI formations and military units of the Armed Forces in the Arctic will not ȻиɛлиоɝɪɚɮичɟɫкийɞоɜɫкиɯКɭзнɟцоɜКɌОПОȾȿЛИɌȺɊКɌИКɍȼɟɫɬникɚкɚɞɜоɟннɚɭк 2012. 4. МɟɞицинɫкɚяэколоɝияȿɜɪопɟйɫкоɝоɫɟɜɟɪɚɊоɫɫииɪошничɟнкоɊоɞионоɜКононоɜМɟɪкɭлоɜОɊȽȺНИЗȺЦИЯɋНȺȻЖȿНИЯПОȾɊȺЗȾȿЛȿНИЙɋКОЙɋЛɍЖȻЫɎɚɪмɚкоэкономикɚɬɟоɪияпɪɚкɬикɚШɟɫɬɚкоɜȺɪɬɟмьɟɜЧɭɜɚшɟɜȼОЙɋКОȼЫȿИɋПЫɌȺНИЯПȿɊɋПȿКɌИȼОȻɊȺЗЦОȼПОȾɊȺЗȾȿЛȿНИЙМȿȾИЦИНɋКОЙɋЛɍЖȻЫȽɊɍППИɊОȼКИȺɊКɌИЧȿɋКОЙмɟɞжɭɪнɪошничɟнкоȻояɪинцɟɜȻɭнинКононоɜɊоɞионоɜИɋПОЛЬЗОȼȺНИȿКОМПЛȿКɌОȼМȿȾИЦИНɋКОȽОИМɍЩȿɋɌȼȺНȺȻОɊОȼМȿȾИКОɋȺНИɌȺɊНЫɏПОɋЛȿȾɋɌȼИЙЧɊȿЗȼЫЧȺЙНЫɏɋИɌɍȺЦИЙ // МɟɞɛиолɫоцпɫиɯолпɪоɛлɛɟзопɚɫноɫɬичɪɟзɜɫиɬɭɚцияɯПОȾɏОȾЫОɋНȺЩȿНИЮПОЛȿȼЫɏɍɋЛОȼИЯɏ // ɋоɜɪɟлɟкɚɪɫɬɜɟнноɝооɛɟɫпɟчɟнияɪошничɟнкоКононоɜɊоɞионоɜМɭɫɬɚɟɜКоɫɬɟнкоȻокɚчПОЛЬЗОȼȺНИЯɊȺЗȼȿɊɌЫȼȺНИЯОɋНȺЩȿНИЯОɌȾȿЛȿНИЯȾИЦИНɋКОȽОɋНȺȻЖȿНИЯМȿȾИЦИНɋКОȽООɌɊЯȾȺɋПȿЦИȺЛЬНОȽОНȺЗНȺЧȿНИЯмɟɞжɭɪнНиɝмɚɬɭллинȼȺЛИȾȺЦИЯɏОЛОȾОȼОЙɌȿɊМОЛȺȻИЛЬНЫɏКȺɊɋɌȼȿННЫɏȽɟмɚɬолоɝияɬɪɚнɫɮɭзиолоɝиялɞɚɬоɜȽолоɬɚКоɪнилоɜɚЛɟɜɚнɞоЧɭɜɚшɟɜШɚлɚɯинМȿȾИЦИНɋКОȿмɟɞжɭɪнReferencesGu dowski N.S., Kuznetsov V.V. KTO PODELIT ARKTIKU? [WHO WILL SHARE THE ARCTIC?] Vestnik estnik Bulletin Acad. Mil. Sciences]. 2012. V. 41, N 4. P. 4Ob raztsov L.N. Meditsinskaya ekologiya Evropeyskogo severa Rossii [Environmental health of the European North of Russia]. SPb, VMA [SPb, RMMA]. 1998. 258 p. (In Russ.)Mi roshnichenko Yu.V., Rodionov E.O., Kononov V.N., Merkulov A.V. ORGANIZACIYA SNABZHENIYA SLUZHBY VS RF [THE ORGANIZATION SUPPLIES MEDICAL SUPPLIES MOBILE SPECIAL UNITS OF THE ARMED FORCES MEDICAL SERVICE]. VICE]. Pharmacoeconomics: Theory and Practice]. 2014. Vol. 2. No. 1. P. 57. (In Russ.)Yu din A.B., Shestakov S.V., Artemev N.A., Chuvashev M.L. VOYSKOVYIE ISPYITANIYA PERSPEKTIVNY-IH OBRAZTSOV TEHNICHESKIH SREDSTV DLYA PODRAZDELENIY MEDITSINSKOY SLUZHBYI ɎɚɪмɚцияɮɚɪмɚколоɝияэкономикɚɮɚɪмɚцɟɜɬичɟɫкоɝоɞɟлɚMEZHVIDOVOY GRUPPIROVKI ARKTICHESKOY ZONYI [SERVICE TESTING ADVANCED MODELS OF HARDWARE FOR THE UNITS OF THE MEDICAL SERVICE OF INTERSPECIFIC GROUPINGS ARC-Voenno-medicinckii zhurnaloenno-medicinckii zhurnalMilitary Medical Magazine]. 2016. No. 3. P. 64Mi roshnichenko Yu.V., Boyarintsev V.V., Bunin S.A., Kononov V.N., Rodionov E.O. ISPOLZOVANIE KOM-PLEKTOV MEDITSINSKOGO IMUSCHESTVA, NABOROV I UKLADOK MEDITSINSKIH PRI LIKVI-DATSII MEDIKO-SANITARNYIH POSLEDSTVIY CHREZVYICHAYNYIH SITUATSIY [USING THE SETS OF MEDICAL EQUIPMENT, MEDICAL KITS AND PILINGS IN THE LIQUIDATION OF THE HEALTH CONSEQUENCES OF EMERGENCIES] Med.-biol. i sots.-psihol. probl. bezopasnosti v chrezv. situ-. situ-Medico-biological and the social-psychological problems security exceedingly situationsP. 39Ro dionov E.O. PODHODYI K OSNASCHENIYU VOENNYIH APTEK V POLEVYIH USLOVIYAH [Ap- eld]. Sovremennaya organizatsiya lekarstvennogo obespech-ganizatsiya lekarstvennogo obespech-Modern organization of drug supply]. 2015. No. 2. P. 66. (In Russ.)Mi roshnichenko Yu.V., Kononov V.N., Rodionov E.O., Mustaev O.Z., Kostenko N.L., Bokach N.V. 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P. 44 ict of interest ict of interest.Miroshnichenko Yuriy Vladimirovich Honored Worker of Health, Professor, retired Colonel of the Medical Service, Russian Military Medical Academy. Research interests: the organization providing medical supplies of troops (forces). ORCID: orcid.org/0000- ? Candidate of gistics and Pharmacy Department, Associate Professor, Academy.Research interests: organization providing medical supplies of troops (forces).Candidate of Sciences (Pharmacy), Head of the Accounting and Operations Department of the Pharmaceutical Center, Captain of the Medical Service, Russian Military Medical Academy. Research interests: organization providing medical sup-plies of troops (forces). ORCID: orcid.org/0000-0002-9992-7417. E-mail: rodionov_eo@mail.ru. ? Candidate of Sciences (Biology), Deputy Chairman of the Committee ? Head c) of the Military c Committee, Associate Professor, Colonel of Medical Service, The Main Military Medical Directorate of the Russian Defense Ministry. Research interests: Or-КонɮликɬинɬɟɪɟɫоɜȺɜɬоɪызɚяɜляюɬоɬɫɭɬɫɬɜииконɮликɬɚинɬɟɪɟɫоɜȺɜɬоɪыМиɪошничɟнко ? ɞокɬоɪɮɚɪмɚцɟɜɬичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльнɚчɚльникɚмɟɞицинɫкомɭɫнɚɛжɟниюзɚɫлɭжɟнныйɪɚɛоɬникзɞɪɚɜооɯɪɚнɟнияпɪоɮɟɫɫоɪполкоɜникмɟɞицинɫкойɫлɭжɛызɚпɚɫɚмɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞицинɫкимимɭщɟɫɬɜомɜойɫк). ORCID: orcid.org/0000-0002-3645-2071. E-mail: КононоɜНиколɚɟɜичкɚнɞиɞɚɬɮɚɪмɚцɟɜɬичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльнɚчɚльникɚкɚɮɟɞɪыɜоɟнномɟɞицинɫкоɝоɫнɚɛжɟнияɞоцɟнɬполкоɜникмɟɞицинɫкойɫлɭжɛымɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞиимɭщɟɫɬɜомɜойɫкɊоɞионоɜ ? кɚнɞиɞɚɬɮɚɪмɚцɟɜɬичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльнɚчɚльникɚоɬɞɟлɚмɟɞицинɫкоɝоимɭщɟɫɬɜɚнɚчɚльникɭчɟɬнооɬɞɟлɟнияɮɚɪмɚцɟɜɬичɟɫкоцɟнɬɪɚкɚпиɬɚнмɟɞицинɫкойɫлɭжɛыɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞицинɫкимимɭщɟɫɬɜомɜойɫкorcid.org/0000-0002-9992-7417. E-mail: rodionov_eo@mail.ruЗинɭɪоɜич ? кɚнɞиɞɚɬɛиолоɝичɟɫкиɯнɚɭкзɚмɟɫɬиɬɟльпɪɟɞɫɟɞɚɬɟлякомиɬɟɬɚнɚчɚльникоɬɞɟлɚɜоɟннонɚɭчноɝокомиɬɟɬɚɞоцɟнɬполкоɜникмɟɞицинɫкойɫлɭжɛыȽлɚɜноɟɜоɟнномɟɞицинɫкоɟɭпɪɚɜлɟниɟPharmacy & Pharmacology V. 5 N 4, 2017МиниɫɬɟɪɫɬɜɚоɛоɪоныɊоɫɫийɫкойɎɟɞɟɪɚциилɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞицинимɭщɟɫɬɜомɜойɫкɋолɞɚɬоɜȺлɟкɫɚнɞɪоɜичɞокɬоɪнɚɭкпɪоɮɟɫɫоɪкɚɮɟɞɪыɬɚкɬикимɟɞицинɫкойɫлɭжɛыпɪоɮɟɫɫоɪполкоɜмɟɞицинɫкойɫлɭжɛымɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜмɟɞицинɫкоɝооɛɟɫпɟчɟнияɜойɫкЧɭɜɚшɟɜМɚкɫимЛɟониɞоɜичкɚнɞиɞɚɬмɟɞинɚɭкпɪɟпоɞɚɜɚɬɟлькɚɮɟɞɪыɬɚкɬикимɟɞицинɫкойɫлɭжɛыпоɞполкоɜникмɟɞицинɫкойɫлɭжɛымɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜмɟɞицинɫкоɝооɛɟɫпɟчɟнияɜойɫкКлочкоɜɚ ? кɚнɞиɞɚɬмɚцɟɜɬичɟɫкиɯнɚɭкɫɬɚɪшийпɪɟпоɞɚɜɚɬɟлькɚɮɟɜоɟнномɟɞицинɫкоɝоɫнɚɛжɟнияɮɚɪмɚциимɟɞицинɫкɚяɚкɚɞɟмияКиɪоɜɚОɛлɚɫɬьинɬɟɪɟɫоɜоɛɟɫпɟчɟниямɟɞиимɭщɟɫɬɜомɜойɫкПоɫɬɭпилɚɪɟɞɚкциюОɬпɪɚɜлɟнɚɞоɪɚɛоɬкɭПɪиняɬɚпɟчɚɬиganization providing medical supplies of troops (forces).Soldatov Evgeniy Aleksandrovich Sciences (Medicine), Professor of the Department of Or-ganization and Tactics of the Medical Service, Professor, Academy. Research interests: Organization of medical support of troops (forces).Sciences (Medicine), leactor of the Department of Orga-nization and Tactics of Medical Service,Academy. Research interests: organization of medical support of troops (forces).Sciences (Pharmacy), Senior Lecturer, Russian Military Medical Academy. Research interests: organization pro-viding medical supplies of troops (forces). E-mail: kloc-

About the authors

Ju. V. Miroshnichenko

Russian Military Medical Academy

Email: miryv61@gmail.com

V. N. Kononov

Russian Military Medical Academy

Email: fake@neicon.ru

E. O. Rodionov

Russian Military Medical Academy

Email: rodionov_eo@mail.ru

O. Z. Mustaev

Main Military Medical Directorate of the Russian Federation Defense Ministry

Email: rodionov_eo@mail.ru

E. A. Soldatov

Russian Military Medical Academy

Email: fake@neicon.ru

M. L. Chuvashev

Russian Military Medical Academy

Email: fake@neicon.ru

I. V. Klochkova

Russian Military Medical Academy

Email: fake@neicon.ru

References

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