scholarly journals Questions of medical and social examination and rehabilitation of disabled people with the consequences of military trauma

2018 ◽  
Vol 20 (3) ◽  
pp. 199-202
Author(s):  
O S Andreeva ◽  
L A Karasaeva ◽  
M A Shkurko ◽  
S B Shahsuvaryan

The expert characteristics of the clinical and functional status of the military personnel for the first time recognized as disabled in 2016 because of «military trauma» are considered. It is known that the objectification of methods of expert rehabilitation diagnosis in the implementation of medical and social expertise in the establishment of disability and the development of individual programs of rehabilitation/habilitation of disabled people-one of the main objectives of the concept of «Improvement of the state system of medical and social expertise and rehabilitation of disabled people.» In accordance with this provision, clinical and expert indicators are analyzed, confirmed by the data of expert rehabilitation diagnostics, allowing to objectify the impaired functions and structures of the body of soldiers who have received a military injury, when examined in the Bureau of medical and social expertise. The main clinical and functional syndromes that have expert significance and have influenced the adoption of expert decisions in the establishment of disability groups are presented. The article describes in detail the contraindicated and shown factors of the recommended labor activity, which should be guided in the employment of disabled people from among the former soldiers. The use of evidence-based recommendations in practice makes it possible to determine the forms and conditions of employment in normal or specially created working conditions for the rational employment and socialization of servicemen who have become disabled. Referring to the updated normative legal acts, taking into account the principle of inseparability of the medical and social examination procedure from the formation of individual programs of rehabilitation/habilitation of disabled persons, the authors illustrate the possibilities of professional rehabilitation and employment of military personnel who have different groups of disability due to «military trauma».

2018 ◽  
Vol 47 (2) ◽  
pp. 137-163 ◽  
Author(s):  
Elisa Tamburo

With the nationalist government – Kuomintang (KMT) –retreating from mainland China in 1949, some 600,000 military personnel relocated to Taiwan. The military seized former Japanese colonial properties and built its own settlements, establishing temporary military dependents' villages called juancun ([Formula: see text]). When the prospect of counter-attacking the mainland vanished, the KMT had to face the reality of settling permanently in Taiwan. How, then, did the KMT's authoritarian power enter the everyday lives of its own support group? In this article I will focus on the coercive elements of KMT authoritarianism, which permeated these military villages in Taiwan. I will look at the coercive mechanisms through the analytical lens of Foucauldian discipline. I argue that disciplinary techniques such as surveillance, disciplining of the body and the senses, as well as the creation of morality regimes played an important role in the co-optation of village residents into KMT authoritarianism by normalising and naturalising it.


2017 ◽  
Vol 5 (1) ◽  
Author(s):  
Deepti Tumu

Locomotor disabilities are one among the many disabilities in which the body movements are hampered. These disabilities can have detrimental effects on the functioning of individuals. It can affect the self-esteem of an individual and consequently lead to poor adjustment and sometimes maladjustment. Considering the detrimental effects of locomotor disabilities on the effective functioning of individuals the researchers have conceptualized the present study. This investigation aim is to study how intervention in terms of adjustments and aspiration can help in enhancing the well being of locomotor disabled persons. This study is conducted in two phases. In the 1st phase 100 locomotor disabled people from Vocational Rehabilitation Centre for Physically Disabled, Hyderabad were approached and using standardized tools their adjustment and level of aspiration was obtained. Subsequently after analyzing the data it was found that 63 people had poor adjustment and low level of aspiration. Appropriate psychological counseling interventions were planned and were provided to these subjects on individual basis. Once again the adjustment questionnaire and level of aspiration questionnaire were administered, between pre and post measures of adjustment and level of aspiration in which a significant difference was found. Thus, this study revealed that intervention like counseling helps to enhance the well being of people with locomotor disability.


2019 ◽  
Vol 2 (1) ◽  
pp. 6-14 ◽  
Author(s):  
Ada Traumann ◽  
Teele Peets ◽  
Inga Dabolina ◽  
Eva Lapkovska

The aim of this paper was to analyse several measurements of soldiers to provide a reference for trousers sizes of military combat clothing. For sizing and fitting of military clothing, information on the body measurements of the user population is a precondition. More than 400 soldiers in the Estonian and Latvian Defence Forces as well as the military personnel were measured using Human Solution 3-D scanner. It focused on collating basic human body measurement data for the revision of size charts by STANAG 2335. Fit and comfort of trousers mainly relate to the following measurements: waist girth, leg inseam, leg length, and waistband. Present parameters play a significant role in the quality of trousers to ensure the wearer’s mobility in all situations particularly concerning the activities of soldiers. Correlating measurements and existing sizing systems are made to offer recommendations for manufacturers. In addition, this paper helps to provide sizing and fitting criteria of military combat clothing to STANREC document compiled by NATO RTO HFM-266 Group.


Author(s):  
Филипп Сергеевич Соколов ◽  
Константин Георгиевич Гуревич ◽  
Дмитрий Анатольевич Пустовалов ◽  
Олег Петрович Каражелясков ◽  
Нателла Ильинична Крихели

Заболевания полости рта являются одними из наиболее распространенных заболеваний, с которыми сталкивается здравоохранение во всем мире. Эта проблема затрагивает людей всех возрастных групп. Анализ литературных данных позволяет выделить множество факторов риска развития кариеса и его осложнений, которые могут касаться военнослужащих помимо несбалансированного питания, курения, неудовлетворительной гигиены полости рта и нерегулярного посещения стоматолога. Множество международных исследований демонстрируют актуальность проблемы стоматологических заболеваний среди военнослужащих, указывая на отсутствие своевременной диспансеризации, низкую мотивацию к регулярному посещению стоматолога и тщательному проведению самостоятельной гигиены полости рта. Кроме этого, стоит учитывать специфику выполняемых военными задач за весь период службы, во время которых они оказываются под воздействием множества неблагоприятных факторов, которые в свою очередь, влияют на микроэлементный состав организма, что непосредственно влияет на общее состояние здоровья. Необходимость применения в армии РФ более актуальных по своему составу витаминно-минеральных комплексов (ВМК) уже неоднократно описана в современных исследованиях. Но до настоящего времени не проводилось работ по изучению взаимосвязи между микроэлементным статусом организма и состоянием твердых тканей зубов и пародонта Diseases of the oral cavity are one of the most common diseases that public health has worldwide. This problem affects people of all age groups. An analysis of literature data allows us to identify many risk factors for the development of caries and its complications, which may concern military personnel in addition to unbalanced nutrition, smoking, poor oral hygiene and irregular visits to the dentist. Many international studies demonstrate the urgency of the problem of dental diseases among military personnel, indicating the lack of timely medical examination, low motivation for regular visits to the dentist and thorough self-hygiene of the oral cavity. In addition, it is worth considering the specifics of the military tasks performed for the entire period of service, during which they are influenced by many unfavorable factors, which in turn affect the microelement composition of the body, which directly affects the overall health. The need to use in the army of the Russian Federation more relevant in its composition vitamin-mineral complexes (VMC) has been repeatedly described in modern studies. But so far no work has been done to study the relationship between the microelement status of the body and the state of hard tissues of teeth and periodontium


Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko

Relevance. When solving military-professional tasks during the period of reforming the Armed Forces of Russia, military servicemen under contract (sergeants, foremen, privates and sailors) are given a special role, and in a number of units they must replace conscripts.Intention To analize medical and statistical morbidity indicators of military personnel under contract in the Navy and the Land Forces of Russia.Methods. We studied medical reports on the state of health of personnel and medical service activity according to Form 3 / MED of military units, in which about 60% of the total number of servicemen of the Russian Armed Forces served from 2003 to 2018. Morbidity indicators were correlated with the International statistical classification of diseases and related health problems, 10th revision (ICD-10).Results and Discussion. As a rule, the military personnel under contract in the Russian Navy had lower morbidity rates with high dismissal rates. In particular, the indicators were as follows: the average annual overall morbidity rates were (855.0 ± 65.3) and (946.9 ± 49.7) ‰ in the military personnel under contract in the Russian Navy and in the Land Forces of Russia, respectively; primary incidence, (384.8 ± 19.3) and (472.0 ± 22.8) ‰, respectively (p < 0.01); need for follow-up, (92.8 ± 9.9) and (74.3 ± 4.7) ‰, respectively; hospital admission rates, (205.8 ± 39.2) and (235.2 ± 13.2) ‰, respectively; working days lost, (4,038 ± 203) and (3.944 ± 196) ‰, respectively; dismissal rates, (6.82 ± 0.57) and (4.40 ± 0.61) ‰, respectively (p < 0.01); mortality rates, (112.13 ± 9.91) and (111.76 ± 7.80) per 100,000 military personnel under contract. It is possible that this phenomenon was determined by the peculiarities of professional activity, the organization of medical support and the high demands placed on the state of health of the Russian Navy servicemen. A significant part of the leading disease blocks with a share of 0.5% or more in the structure of medical and statistical morbidity indicators, were similar between the military personnel under contract in the Navy of Russia and the Land Forces of Russia. In the structure of the assessed military-epidemiological significance of disease blocks among the military personnel under contract of the Russian Navy, acute infections of the upper respiratory tract (J00– 06 by ICD-10) ranked 1st, diseases of the esophagus, stomach and duodenum (K20–K31) ranked 2nd, followed by injuries involving several areas of the body (T08–T14), head injuries (S00–S09), ischemic heart disease (I20–I25). In the military personnel under contract in the Land Forces of Russia, these were the following diseases, from the most to least significant: acute infections of the upper respiratory tract (J00–J06), injuries involving several areas of the body (T08–T14), head injuries (S00–S09), diseases of the esophagus, stomach and duodenum (K20–K31), and infections of the skin and subcutaneous tissue (L00–L08).Conclusion. Prevention of the leading groups of disaeses will contribute to improving the health status of servicemen under contract, and taking data on morbidity into account will help organize diagnostic and treatment assistance and optimize the personnel and material resources of military medical organizations. 


Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko ◽  
V. V. Ivanov ◽  
V. V. Khominets

Relevance. The extreme conditions of the service determine the probability of servicemen' erroneous actions, stress, and often a decrease in the functional reserves of the body. This results in diseases and injuries.Intention: To analyze the indicators of injuries in the contract military personnel (privates, sergeants and foremen) of the Russian Armed Forces in 2003-2019.Methodology. The selective statistical analysis of medical reports on the state of health of military personnel by the form 3/MED was carried out. The military units with the contract military personnel about 80 % of the total personnel were under consideration. The indicators of injuries were correlated with the blocks (S00-T98) of the ICD-10 Chapter XIX “Injuries, poisoning and certain other consequences of external causes”.Results and their discussion. In 2003-2019, the injuries incidence among the contact military personnel by ICD-10 Chapter XIX was (18.39 ± 1.74) ‰. Its percentage in the general structure of incidence rate for all ICD-10 Chapters was (3.7 ± 0.3) %. Corresponding hospitalization rates were (12.12 ± 0.88) ‰ with the percentage of (5.0 ± 0.4) %, working days loss - (311.5 ± 26.0) ‰ and (7.9 ± 0.6) %, dismissal - (0.24 ± 0.03) ‰ and (6.2 ± 0.7) %, mortality - (51.48 ± 4.53) per 100 thousand of personnel and (50.5 ± 2.2) %, respectively. There was a decrease in the rate and proportion of injuries in the general structure of analyzed indicators of morbidity. The most common injuries among the contract military personnel were injuries to the head (ICD-10 Chapter XIX block 1, S00-S09), wrist and hand (block 7, S60-S69), ankle and foot (block 10, S90-S99), knee and lower leg (block 9, S80-S89), elbow and forearm (block 6, S50-S59), shoulder and upper arm (block 5, S40-S49). The structure of the types of injuries to the areas of the body was presented. The military epidemiological assessment of the significance of the contract military personnel injuries was performed. The 1st rank of the negative health effects significance was assigned to head injuries (block 1), injuries involving multiple body regions (block 11, T00-T07) ranked 2nd, sequelae of injuries, of poisoning and of other consequences of external causes (block 22, T90-T98) ranked 3rd, injuries to the ankle and foot (block 10) ranked 4th and injuries to the wrist and hand (block 7) ranked 5th. In total, these injuries amounted to 70.9 % of the assessed structure. Concerning trauma circumstances, many injuries occurred during off-duty hours (38.3 %). Injuries on combat duty comprised 3.4 %, during combat training - 17.4 %, on duty - 4.8 %, when using weapons and military equipment - 4.1 %, during household work - 5.4 %, during construction work - 1.7 %. Other circumstances were associated with 24.9 % of injuries.Conclusion. The obtained medical and statistical indicators of the injuries can determine the strategy of safe conditions for military professional activity, injuries prevention, medical and health promotion and rehabilitation measures for contract military personnel. 


Author(s):  
Georgiy Rubenovich Petrosyan

Worldwide, December 3 is the International Day of Persons with Disabilities. Back in 1982, a 10-year Action Program for Persons with Disabilities, called the «Decade of Disabled Persons», was adopted, and at its end in 1992, the General Assembly proclaimed December 3 the International Day of Persons with Disabilities. The task of this day was to promote the rights of persons with disabilities in all spheres of public life, as well as to draw the attention of the general public to the problems of disabled people. Every year there are more and more people with disabilities, for instance, in the Russian Federation alone, the total number of disabled people is 9 % of the population. Some people resign themselves to their fate and close themselves within the walls of their home, while others continue to lead an active life, unwilling to change anything in their usual way in connection with their new status. Such strong-minded people master new professions, acquire previously unknown skills, and try to expand their horizons in various available ways. What is more, some unique personalities in a desire to prove to others, and first of all to themselves, that disability is not destiny even take part in sports competitions organized specifically for people with disabilities. While participation in the Olympics, and even more so victory in it, is a matter of prestige and world recognition for any famous athlete, participation in the Paralympic Games for a disabled person primarily means the victory of the spirit over the body, victory over their own helplessness and weakness, recognition of the fact of beauty and the value of life.


2017 ◽  
Vol 26 (1) ◽  
pp. 41
Author(s):  
Liana Pļaviņa ◽  
Natalija Vellere ◽  
Silvija Umbraško

Military activities are characterized with high physical endurance exercises and the psychological load. The cadets of the last study year participate in the combat training course lasting for ten days. The combat training course is a challenge for military officers. It is characterized with the transition from the daily military study process routine in the National Defence Academy to military exercises in the external environment. The cadets face feeding limitation, sleeping deprivation, intensive and continuous training, strict discipline, etc. Such a situation requires the adaptation to a novel way of activity, which includes hardships and arduous training. We provided the assessment of the body mass fluctuation during the combat training course. We provided the analysis of anthropometric parameters before, during and after the combat training course, summarized the data of the health statement and health problems that are fixed in the medical cards. The proper body mass supports the good health capacity. The body composition undergoes changes during the higher physical load performance. The analysis of the average value of the body mass and the Body Mass Index have shown large individual changes inside the groups. Physical fitness and body composition have an adverse effect on military performance. The assessment of the results of physical fitness tests is provided differentially according to the individual corresponding age subgroup. The military personnel have a high risk for the health concerning the impact of external and internal factors. According to the review of the medical cards of the cadets group we indicated the main problems which are fixed after the combat training course. These are acute respiratory infections, dermatological problems, locomotor system problems, gastro-intestinal problems.


2019 ◽  
Vol 5 (4) ◽  
pp. 44-65
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko

Introduction. Excessive stress on the functional reserves of the body of military personnel can lead to persistent health disorders, disability and dismissal from the Armed Forces of Russia. Aim. Compare the dismissal for health reasons in the military personnel of the Navy of Russia and the Russian Armed Forces in 2003–2018. by categories of military personnel. Material and methods. We conducted a statistical analysis of medical reports on the health status of personnel and medical service activity according to Form 3/MED in military units with a sample comprising about 60% of the total number of military personnel of the Russian Armed Forces and the Navy served from 2003 to 2018. The results and their discussion. Dismissal for health reasons in officers of the Russian Navy over 2003 to 2018 was 15,90±1,36, officers of other branches of the Russian Armed Forces — 7,98±1,10‰ (p<0,001); contract servicemen — 6,82±0,57 and 3,92±0,32, respectively (p<0,001); conscripts — 33,38±1,79 and 17,57±1,19, respectively (p<0,001); women soldiers — 23,01±3,34 and 9,14±1,37‰ (p<0,01). There were no significant differences in the nomenclature of disease blocks that caused dismissals in the categories of military personnel of the Russian Navy and the Russian Armed Forces. Higher dismissal levels within disease blocks indicated higher intensity of professional work and increased demands to the health status of the Navy servicemen compared to those from other branches of the Armed Forces. As a rule, dismissals of military personnel of the Russian Navy and the Russian Armed Forces were due to diseases of the circulatory system (ICD-10 Chapter IX), diseases of the digestive system (Chapter XI) and neoplasms (Chapter II). At the same time, some features of the structure of dismissals for health reasons were identified in the military personnel by categories. Conclusion. Accounting for and prevention of leading diseases that caused dismissals due to health reasons will contribute to improving the health of military personnel. It is necessary to focus the attention of the Russian Navy on a healthy lifestyle and increased physical activity.


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