scholarly journals Prevalence of hypertension in military age males according to physical evaluation results

2017 ◽  
Vol 14 (2) ◽  
pp. 69-74
Author(s):  
M V Melnik ◽  
B V Uvarovskaya ◽  
I P Makson ◽  
A A Ivanov
Keyword(s):  
Cardiovascular Diseases ◽  
Russian Federation ◽  
High Mortality ◽  
Military Service ◽  
Young Men ◽  
Armed Forces ◽  
Medical Examination ◽  
Medical Support ◽  
Physical Evaluation ◽  
The Russian Federation

Introduction. The social and medical implication of cardiovascular diseases is determined by their frequency, early disability and high mortality they cause. High mortality of working age men is one of the primary state problems in Russia. The greatest concern is caused by negative changes in health status of men aged 18-27 years who determine the military potential and thus the safety of the country. The defects of public health services and medical support of young men affect the primary criterion of system of preparing citizens to military service effectiveness - fitness for service status. Every 5th young man liable for military service is send to health care facilities for follow-up examination. Also every 4-5th from those on military service discharges from the Armed Forces of the Russian Federation early as improperly called up for military service for medical reasons. Among the reasons for early discharge of military personnel cardiovascular diseases rank first. Objective. To determine prevalence of hypertension as cardiovascular risk factor in military aged male according to physical evaluation results. Materials and methods. An analysis of statistical data provided by State-owned Federal State Institution “The Main Center of Military Medical Examination of the Ministry of Defense of Russian Federation” in the Western Military District in 2011-2016 year and data on results of military-medical examination of recruited men in military registration and enlistment office of Izmaylovo district of Eastern Administrative Okrug in Moscow in 2011-2016 year was conducted. Results. In the Western Military District cardiovascular diseases amounted to 26‰ in 2011, 22.3‰ in 2012, 19.5‰ in 2013, 32‰ in 2014, 32‰ in 2015, and 27‰ in 2016 year. The percentage of newly diagnosed hypertension did not exceed 13.8‰, with its maximum in 2011 year and tendency to decrease through analyzed 6 years (11.4, 10.0, 10.0, 9.0, 7.0‰ respectively). All in all a decrease of total number of young men was observed in Moscow in the last 4 years, from 2011 to 2014. More than 58% military aged male committed to military registration and enlistment office of Izmaylovo district in Moscow have signs of various diseases and are not suitable for military service for health reasons. According to data on disease distribution in the abovementioned district, cardiovascular diseases took the second place and accounted for 12.6% in 2011 year. In the following 2012, 2013, and 2014 years the prevalence of cardiovascular diseases decreased to 8.9, 8.1, and 7.3%, respectively, so they took the 5th place. However, in 2015 and 2016 years cardiovascular diseases were again among the top three, giving way to musculoskeletal and nervous system disorders. Conclusion. Detection of hypertension on initial stages of the disease and differential diagnostics with other diseases with similar clinical symptoms is a crucial task and providing high quality medical support of military men is essential for high military effectiveness of the Armed Forces of the Russian Federation

Issues of medical examination and selection of citizens for military service under a contract in Armed Forces of the Russian Federation

2022 ◽  
pp. 48-52
Author(s):  
Sergey Aleksandrovich Kuzmin ◽  
◽  
Lyubov Kuzminichna Grigorieva ◽  
Margarita Vadimovna Mirzaeva ◽  
◽  
...  
Keyword(s):  
Russian Federation ◽  
Military Personnel ◽  
Military Service ◽  
Armed Forces ◽  
Medical Examination ◽  
Federal Law ◽  
Stage System ◽  
The Russian Federation ◽  
The Military ◽  
Selection Of

In the context of the reform of the Armed Forces of the Russian Federation and a significant increase in the proportion of military personnel doing military service under contract, the issues of manning the troops with healthy, physically developed citizens with high moral and business qualities are of paramount importance. Of particular importance in the selection of candidates for military service under the contract is the conduct of laboratory and instrumental studies, professional and psychological selection, determination of the level of citizens’ physical fitness. The Federal Law «On Military Duty and Military Service» defines a two-stage system for medical examination of citizens entering military service under contract, which is necessary as a barrier in order to prevent citizenswho do not meet the necessary requirements for military personnel from entering the Russian Armed Forces. At the first stage (preliminary examination), the military and medical examination of citizens was carried out by specialist doctors working in medical organizations of the outpatient-polyclinic link of municipalities at the place of citizens’ permanent residence. Medical specialists of the regular military medical commission of the military commissariat of the constituent entity of the Russian Federation participated in the second stage (final examination) of the military medical examination. During the five-year period under study, 5,133 citizens (72.9 %) were selected out of 7,043 candidates for military service under contract, who fully met all the criteria for defenders of the Fatherland.

scholarly journals Features of medical support of physical training and mass sports events in the Armed Forces of the Russian Federation

2021 ◽  
Author(s):  
V. V. Maslyakov ◽  
A. V. Savchenko ◽  
A. L. Zhilyaeva
Keyword(s):  
Russian Federation ◽  
Military Personnel ◽  
Physical Training ◽  
Armed Forces ◽  
Medical Examination ◽  
Medical Support ◽  
Sports Events ◽  
The Russian Federation ◽  
Definition Of ◽  
Nursing Teams

Introduction. Physical training is the most important element of the combat readiness of the troops, its goals and objectives are defined by the Manual on Physical Training in the Armed Forces of the Russian Federation. The solution of these tasks should contribute to the formation of military personnel's readiness to endure extreme physical and mental stress during the preparation and conduct of combat operations. Comprehensive provision of physical training in the troops requires the hard work of various services, including the medical service.The purpose of the study. Identify problematic issues of medical support for physical training and sports events in the Armed Forces of the Russian Federation and identify ways to solve them.Materials and methods. The article uses the materials of the work of medical and nursing teams in the medical provision of physical training of units of the Southern Military District from 2016 to 2019. Additionally, the data of an in-depth medical examination of the personnel of some units of the district subordination for 2018 were used.Results and discussion. When analyzing the work of visiting medical and nursing teams during the medical support of passing the standards for physical training, a number of problematic issues were identified. First, there are always military personnel who regularly do not engage in physical training and during the delivery of standards make excessive efforts and work at the limit of their capabilities. Secondly, some exercises are very dangerous, either in terms of injuries or the likelihood of developing complications from the cardiovascular system. All this applies to the medical support of the competition. As an example, the championship of the Armed Forces of the Russian Federation in fire and rescue sports, held from 3 to 6 September 2019 in Rostov-on-Don on the territory of the garrison fire brigade, is given. The program of the competition included passing the obstacle course, climbing the training tower, extinguishing the fire, etc., all very traumatic. Therefore, for the medical support of these competitions, a medical and nursing team of the resuscitation profile was allocated on a reanimobile with specialized stowage, respiratory and oxygen equipment.Conclusion. It is necessary to strictly monitor the correctness of the definition of the group of physical training and the gradual increase in physical activity in order to avoid complications and further progression of diseases or even deaths in military personnel. It is impossible to approach formally the conduct of an in-depth medical examination of military personnel.

Analysis of the results of medical examination of citizens of draft age

2021 ◽  
pp. 23-28
Author(s):  
Sergey Aleksandrovich Kuzmin ◽  
Lyubov Kuzminichna Grigorieva ◽  
Kargla Amanzhulovna Izbagambetova
Keyword(s):  
Military Service ◽  
Digestive System ◽  
Circulatory System ◽  
Armed Forces ◽  
Medical Examination ◽  
Inpatient Setting ◽  
Outpatient Basis ◽  
The Third ◽  
The Russian Federation ◽  
Mental And Behavioral Disorders

In the context of the reform of the Armed Forces of the Russian Federation, the issues of recruiting troops with healthy, physically developed and mentally stable young conscripts are of paramount importance. Only citizens "A" - fit for military service and "B" fit for military service with minor restrictions are subject to conscription. When analyzing the results of medical examination of persons of military age, it was found that over the studied period of time, fitness for military service for health reasons decreased by 3.8% (from 78.3% in 2016 to 74.5% in 2020). However, despite the general decrease in fitness for military service, there is an increase in the fitness for military service "A" by 13.5% (from 23.4% in 2016 to 36.9% in 2020). Every year, during the period of work of the draft commissions, a significant number of citizens (more than 10%) were sent for additional examination to medical organizations. As a rule, the examination of conscripts was carried out on an outpatient basis (up to 85%) and much less often in an inpatient setting (up to 15%). The first place was occupied by diseases of the musculoskeletal system and connective tissue, which accounted for 24.9%. Mental and behavioral disorders ranked second with an indicator of 18.7%. The third place was taken by diseases of the circulatory system - 14.9%. Diseases of the eye and adnexa ranked fourth - 8.2%. Diseases of the digestive system were less common, accounting for only 4.5%. Thus, in total, the listed diseases accounted for 71.2% and were the main ones in determining the fitness of conscripts for military service for health reasons.

scholarly journals Medical and social problems of the military service of women

2005 ◽  
Vol 54 (1) ◽  
pp. 122-131
Author(s):  
Y. V. Tsvelev ◽  
V. G. Abashin ◽  
V. F. Bezhenar'
Keyword(s):  
Russian Federation ◽  
Military Service ◽  
Social Problems ◽  
Medical Engineering ◽  
Armed Forces ◽  
Demographic Situation ◽  
The Russian Federation ◽  
The Military

The reform of the Armed Forces of the Russian Federation (RF Armed Forces) in the current unfavorable demographic situation is accompanied by the involvement of a significant number of women in all types and branches of the armed forces in various positions associated mainly with the specialties of military humanitarian, medical, engineering, legal and other profiles.

scholarly journals THE DYNAMICS AND STRUCTURE OF THE DETECTION OF HIV INFECTION AT THE STAGE OF RECRUITMENT OF CITIZENS FOR MILITARY SERVICE AND DURING THEIR MILITARY SERVICE IN THE ARMED FORCES OF THE RUSSIAN FEDERATION

2012 ◽  
Vol 17 (3) ◽  
pp. 23-27
Author(s):  
V. G. Akimkin ◽  
M. Zh. Parshin ◽  
C. V. Zemlyakov
Keyword(s):  
Hiv Infection ◽  
Russian Federation ◽  
Military Service ◽  
Armed Forces ◽  
Hiv Disease ◽  
Major Threat ◽  
High Prevalence ◽  
The Russian Federation ◽  
Structural Indices ◽  
Epidemiological Situation

HIV infection is a major threat to national security of the Russian Federation. Unfavorable epidemiological situation of HIV infection and drug addiction in Russia leads to a significant increase in the number of conscripts, recognized unfitfor military service on health grounds in connection with this disease. The quantitative and structural indices of detection of HIV infection in people at the stage of recruitment and during the period of their service in the Armed Forces of the Russian Federation in the dynamics have been analyzed. The most detection rate of HIV infection in soldiers in the regions of the Russian Federation with high prevalence of HIV = disease has been established. With aim to prevent the carrying and further spread of HIV infection in the Armed Forces of the Russian Federation the performance of the mandatory medical examination ofpersons qualifying for induction has been suggested.

scholarly journals Assessment of the working conditions under exposed to noise and infrason

2021 ◽  
Vol 23 (1) ◽  
pp. 207-214
Author(s):  
Vasily G. Mironov ◽  
Nikolai D. Khasiev ◽  
Vadim S. Isachenko ◽  
Ksenia Yu. Korolevа
Keyword(s):  
Working Conditions ◽  
Russian Federation ◽  
Occupational Diseases ◽  
Noise Exposure ◽  
Armed Forces ◽  
Medical Examination ◽  
Physical Factors ◽  
Industrial Noise ◽  
The Russian Federation ◽  
Special Assessment

Currently in healthcare of the Russian Federation created a system of measures to combat the harmful effects of industrial noise on workers. However, the level of specific and nonspecific morbidity rates the effect of industrial noise is not reduced, and the incidence of occupational diseases tends to increase. This is due to several reasons, including a large number of sources of noise, not enough high quality of medical examinations, lack of and low effectiveness of means of individual protection from noise and others. Noise is one of the leading places among the harmful physical factors in the Armed forces of the Russian Federation. Features noise resulting from the operation of military equipment and armament is its high intensity, intermittent nature, the presence in the spectrum of low and infrasonic frequencies. Noise exposure leads to the development of diseases, primarily of the organ of hearing, increase in total morbidity and the reduction of military-professional health. In the normative documents of the military medical service the noise is not identified as a harmful factor leading to the development of occupational diseases that were not fully developed the issues of professional selection and medical examination of noise pathology. System noise control should be comprehensive and include organizational and technical measures, special assessment of working conditions, monitoring of noise sources, the presence and correct application of means of protection against noise professional selection, clinical monitoring, medical examination, treatment and preventive measures. Existing in the Armed forces of the Russian Federation the system of measures for the fight against harmful impact of noise on military personnel requires revision in accordance with the existing state legislative framework.

scholarly journals IMPROVING MEDICAL SUPPORT FOR EVENTS TO TRAIN MILITARY PERSONNEL TO PERFORM TASKS IN THE HIGHLANDS

2017 ◽  
Vol 19 (2) ◽  
pp. 3-8
Author(s):  
E A Soldatov ◽  
A S Anisimov ◽  
V A Blinov ◽  
N V Belkin
Keyword(s):  
Russian Federation ◽  
Military Personnel ◽  
Armed Forces ◽  
Northern Caucasus ◽  
Medical Support ◽  
South Ossetia ◽  
Mountain Landscape ◽  
Military Conflicts ◽  
The Russian Federation ◽  
The Military

Most of the military conflicts in the last decades with participation of the Armed forces of our country took place in the mountain landscape, namely Afghanistan, counterterrorist operations in the Northern Caucasus, peacemaking missions in South Ossetia and Abkhazia. The warriors passed through «trouble spots» know that a war in mountains is not the same as a war in plain and it requires special preparation. It is necessary to take into consideration factors of climate and geography which influence medical provision in mountains as well as sanitary casualty’s formation and mode of evacuation and treatment. Based on literature data, the historical facts of warfare conduction in mountains were presented. Factors of climate and geography adversely affected the human health during warfare conduction in mountains. The analysis of the mountain training medical provision organization was carried out. Based on that some proposals for improvement of mountain training medical provision of military personnel of the Armies forces of the Russian Federation were formulated

scholarly journals Systemic and morphological method of scheduling of medical support of troops (forces) and the population at elimination of medical and sanitary consequences of emergency situations by forces and means of Medical service of the Armed Forces of the Russian Federation

2018 ◽  
Vol 20 (4) ◽  
pp. 156-163
Author(s):  
R N Lemeshkin ◽  
I F Savchenko ◽  
V A Blinov ◽  
A A Zhukov ◽  
D A Sidorov ◽  
...  
Keyword(s):  
Russian Federation ◽  
Armed Forces ◽  
Legal Regulation ◽  
Medical Support ◽  
Social Character ◽  
Emergency Situations ◽  
Self Sufficiency ◽  
System Resource ◽  
The Russian Federation ◽  
Level Of Training

The technique of the systemic-morphological analysis allowing to create alternative decisions is provided. Options of medical support of troops (forces) and the population in case of elimination of medical and sanitary consequences of emergency situations of natural, technogenic and social character are developed: «Departmental», «Interdepartmental»,«International». Concerning each option, nine indices (criteria) are offered: legal regulation; controllability system; complexity of the organization of system; resource (material) cost intensity; personnel security; adequacy of medical care; efficiency; experience and innovations; self-sufficiency of actions. For the production of computation and a choice of the most rational option of planning of system the original dialogue program system of «MPRIORITY 1.0» (MY PRIORITY) realizing a method of the analysis of hierarchies by repetitions (iterations) is used. The results characterizing each of the considered alternative options with the replying weight priority are received and their preference is defined. During the first iteration priorities for the system of indices and criteria, characteristic of achievement of result with emphasis on normative legal regulation of activities with the organization structure and management system were defined. In the second - priorities for the system of indices and criteria with emphasis on the organization of delivery of healthcare with the existing system of material support, medical supply and also an adequate level of training of medical frames were changed. Results were subjected system to the analysis and sentences are developed for health service of the Armed Forces of the Russian Federation, in particular for Service of medicine of catastrophes the Russian Defense Ministry, on the organization of system of medical support of troops (forces) and the population in case of elimination of medical and sanitary consequences of emergency situations of natural, technogenic and social character.

scholarly journals Issues of prevention of suicidal behavior in the Armed Forces of the Russian Federation

2019 ◽  
Vol 21 (2) ◽  
pp. 74-77
Author(s):  
V K Shamrey ◽  
K V Dnov
Keyword(s):  
Mental Disorders ◽  
Russian Federation ◽  
Military Personnel ◽  
Military Service ◽  
Armed Forces ◽  
Steady Increase ◽  
Addictive Disorders ◽  
Suicide Rates ◽  
The Russian Federation

The issues of prevention of suicidal incidents in the Armed Forces of the Russian Federation are considered. The analysis of suicide prevalence among military personnel of various categories and their prevailing causes for the period from 2013 to 2017 is indicated. Indicates a change in the percentage ratio of various categories of military personnel who committed suicide, with a steady increase in the proportion of privates and sergeants serving in military service under the contract (from 24,6% in 2011 to 57,4% in 2017). It was established that among the servicemen under the contract family and everyday reasons for suicide prevailed, while conscripts were military professional. A comparison was also made of the long-term (2007-2017) dynamics of suicide rates and the incidence of mental disorders among military personnel, and certain patterns were identified. Thus, in the group of officers and ensigns, a significant correlation was noted between the long-term dynamics of suicide rates with neurotic (r=0,74) and addictive disorders (r=0,86), as well as general mental morbidity (r=0,83), and for conscripts, with personality disorders (r=0,79) and organic mental disorders (r=0,71). A comparison of the long-term dynamics of the overall incidence of mental disorders and the suicide rate among conscripts also showed a positive correlation (r=0,69). Analyzed the system of prevention of suicidal incidents in military personnel, which currently exists and proposed measures for its improvement, including the areas of activity of officials for the prevention of suicidal incidents in the military. It also indicates the need to shift the focus from specific prevention (direct detection and prevention of suicidal actions in military personnel with mental disorders) to non-specific (prevention of general mental distress and suicidal tendencies in mentally healthy people).

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