Military Personnel Research Articles

Team Cohesion and Mental Disorder Symptoms in Canadian Helicopter Emergency Medical Service Personnel

Team Cohesion and Mental Disorder Symptoms in Canadian Helicopter Emergency Medical Service Personnel

"Coming Home Is the Hardest Part": An Interpretative Phenomenological Analysis of Sense Making in Military Postdeployment Reintegration.

The purpose of the present interpretative phenomenological analysis (IPA) study was to understand how military service members and veterans (MSMVs) make sense of their reintegration experiences following deployment. IPA provides the ability to gain a deeper understanding of a shared experience, or phenomenon, such as reintegration following deployment. Data collection involved semi-structured interviews via Zoom. Participants included seven men and three women who met eligibility criteria. The present study provides important insights into how MSMVs make sense of their reintegration experiences following deployment through exploration of transitional challenges, transitional support aspects, and growth through deployment experiences, as well as the urgent need for comprehensive community-based, growth-focused initiatives to support their reintegration following deployment.

Relationship Between Treatment Hours of Selected Disciplines and Change in Pain Impact During the Year Following Referral to an Interdisciplinary Pain Management Center: A Latent Class Analysis.

Introduction: Pain management clinics differ in treatments offered, and little evidence exists regarding which combinations of therapies result in best outcomes. This study analyzed clinical encounters and pain outcomes data for associations between treatment composition and outcomes. Methods: Retrospective observational study of 2,142 predominantly active-duty US service members referred to an interdisciplinary pain management center between 2014 and 2021. Latent class analysis was used to identify treatment groups with distinct outcome patterns during the year following initial assessment. The primary outcome measure was the National Institutes of Health Task Force on Research Standards for Chronic Low-Back Pain impact score. Results: Four distinct treatment groups were identified: 1 group engaged in conventional medical therapies alone (n = 726, median 3.5 treatment hours), and 3 groups used a combination of conventional, psychological, rehabilitative, and complementary therapies, with different levels of treatment hours: low (n = 814, median 15.7 h), medium (n = 177, median 40.1 h), and high (n = 425, median 72.5 h). All groups showed significant improvement in pain impact score from baseline up to 9 months but not at 12 months following initial assessment. At the 6-month time point, the group with high multimodal treatment hours had the most improvement in pain impact (-3.1 [95% CI -3.8, -2.4]) compared with the group using only conventional therapies (-1.0 points [95% CI -1.8, -0.1]) or with low multimodal treatment hours (-1.3 points [95% CI -1.9, -0.7]). There were no between-group differences at the 9- or 12-month time points. Conclusion: These results suggest that a combination of pain therapy approaches results in greater reduction in pain impact than the use of conventional medical treatment alone for up to 6 months after initiating therapy and that there may be a threshold of treatment hours that must be exceeded to achieve this benefit. Clinical trial registration: As this study is not a clinical trial, no registration was required.

ПСИХОЛОГІЧНА ДОПОМОГА ВІЙСЬКОВОСЛУЖБОВЦЯМ ІЗ ПОСТТРАВМАТИЧНИМ СТЕСОВИМ РОЗЛАДОМ

The article is devoted to the problem of psychological assistance to military personnel who have experienced prolonged combat stress, have acquired traumatic experience and have post-traumatic stress disorder. This condition is interpreted as a mental disorder arising as a result of the military personnel’s experience of psychotraumatic events caused by combat operations. It is manifested throught pathological memories, obsessive return to what was experienced in the war, sleep disturbance, excessive emotional excitability, inadequate readiness to resist, hypersensitivity in the situation of expectation of new extreme conditions. The results of an empirical study are presented, according to which post-traumatic stress disorders were observed in military personnel who were in the combat zone. The negative dynamics of the development of the emotional and cognitive sphere are noted, which is reflected in behavior and a tendency to deviations and aggression. The problem of providing comprehensive professional assistance is actualized, with psychological assistance occuping a prominent role. According to the authors' vision, it should be focused on correcting the social and psychological competence of military personnel, solving their personal problems and problems of interaction with the surrounding world and people around them. Educational, holistic, social and therapeutic directions of psychological assistance to persons with post-traumatic stress disorder are considered. Attention is focused on the psychological and axiological approach as a methodological basis for developing a system of work with military personnel with long-term consequences of post-traumatic stress disorder. Their value-semantic perception of reality opens up possibilities for self-acceptance, acceptance of other people, and establishing interactions with the surrounding world, with themselves and people around them. Prospects for studying the conditions for the deployment of personal and semantic activity of military personnel, their productivity in various types of activity are outlined

Local oral immunity and psycho-emotional state in military personnel with chronic gingivitis

Local oral immunity and psycho-emotional state in military personnel with chronic gingivitis

Rekrutmen Private Military Contractors Yang Dilakukan Negara Dibolehkan Dalam Hukum Internasional

Introduction: Private Military Contractors (PMC) are former military personnel employed by private military companies or what are known as Private Military Companies/Private Military Contractors (PMC). The widespread use of military contractors in armed conflicts such as the one in Iraq has raised problems in international law, especially international humanitarian law related to the use of military contractors. The involvement of its members in armed conflicts often results in unclear status in International Humanitarian Law, with many assuming that PMCs are the same as paid soldiers.Purposes of the Research: The aim of the research is to determine the legal status of PMSCs in the invasion of Iraq by the United States (US) based on applicable international law and to analyze the responsibility of the United States (US) as the party that used PMCs in the invasion of Iraq which has caused many problems for Iraq.Methods of the Research: The research method used is normative juridical using a case approach, conceptual approach and statutory approach.Results of the Research: The results of this research show that the legal status of mercenaries is legally recognized in accordance with the 1949 Geneva Convention and confirmed in Additional Protocol 1 of 1977 Article 47 paragraph (1) that: "A mercenary is not entitled to the status of a combatant or prisoner of war" and Sanctions which can be applied in violations of International Law, namely, Complaint, Reprisal, and Payment of Compensation or Compensation.

On the concordance between CAPS-5 and PCL-5 scores

ABSTRACT Background: As reported in this journal, Resick and colleagues (2023) investigated discrepancies between scores from two widely used PTSD measures: the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5; Weathers et al., 2013) and the PTSD Checklist for DSM-5 (PCL-5; Weathers et al., 2013), a clinician-rated structured interview and a self-rated questionnaire, respectively. Using data from four clinical trials of active-duty military personnel and veterans, the authors replicated the common finding that PCL-5 scores are higher than CAPS-5 scores. They then examined item response distributions, finding that ratings on the PCL-5 were more evenly distributed across all five options whereas specific CAPS-5 scores were used relatively infrequently. Concluding that this finding indicates a problem that should be addressed, they offered suggestions for revising anchors and items to improve correspondence between the two measures. Objective: The results are informative and the nature and size of the sample are well-suited to this important research question. However, we have a number of concerns and comments about this paper. Conclusion: In our view, the authors mischaracterized the CAPS-5 and PCL-5 in several important ways, resulting in some erroneous conclusions about their findings and the expected nature of the relationship between the CAPS-5 and PCL-5. Given that these issues are vital to the field of traumatic stress, we felt compelled to address them and provide an alternative perspective.

Comparison of Patient Safety Ethics of Health Professionals: A Qualitative Content Analysis of the Ethical Principles by the Type of Profession

Purpose: This study aimed to determine the similarities and differences in patient safety ethical principles according to the type of healthcare professional defined by South Korea’s legislation.Methods: This comparative study used a qualitative content analysis of the patient safety ethical principles established by the central associations of each profession. In July 2024, we collected ethical principles, including codes of ethics, guidelines, charters, oaths, and declarations. 17 out of 20 types of healthcare professionals’ ethical principles were analyzed by unitizing, sampling, recording, coding, reducing, abductively inferring, and narrating.Results: Among the 20 types of health professionals, including medical personnel and health and medical services personnel, oriental medicine pharmacists and sanitarians did not have ethical principles. Physicians, nurses, and dentists do not threaten patient safety in common with their own conditions or practices. The ethical principles of healthcare professionals in the same clinical setting are not unified in either form or content.Conclusion: Healthcare professionals require a unified ethical basis to share core ethical values and patient safety cultures. Furthermore, a cross-sectional survey or focus group discussion evaluating knowledge, attitudes, and practices of patient safety ethics may provide more scientific evidence for amending ethical principles.

Protection for Victims of Domestic Violence Perpetrated by Military Members

This study examines the protection of Domestic Violence (KDRT) victims perpetrated by military personnel in Indonesia. Domestic violence cases involving military members are complex issues requiring serious attention, as they encompass aspects of general criminal law and military disciplinary law. Based on Law No. 23 of 2004 on the Elimination of Domestic Violence and Law No. 25 of 2014 on Military Discipline, military personnel who commit domestic violence can be subjected to both criminal and disciplinary sanctions. The legal process for military domestic violence cases involves two pathways: the criminal pathway, managed by the police and prosecution, and the military disciplinary pathway, handled by the authorized superior. Besides law enforcement, this study highlights the importance of protecting victims’ rights, such as security, physical and psychological recovery, and legal support. However, there are several obstacles to victim protection, including the strong patriarchal culture, lack of understanding about domestic violence within the military, and the complexity of the legal enforcement process. This study recommends increasing awareness of domestic violence, strengthening support for victims, and improving legal procedures to make the protection of domestic violence victims more effective.

Screening assessment of psycho-emotional state and cardiometabolic risk factors in combatants and civilians during the war in Ukraine

Objective — to conduct the screening assessment of symptoms of psycho‑emotional disorders (post‑traumatic stress disorder (PTSD), general anxiety, perceived stress) and their relationships with metabolic disorders and body composition indicators in combatants and civilians during the war in Ukraine. Materials and methods. 21 combatants with the duration of participation in active hostilities up to 6 months and 20 civilians of the comparison group who permanently resided in Kharkiv and the unoccupied part of Kharkiv region since the beginning of the war were examined. The study included men aged 25 to 55 years without cardiovascular diseases and diabetes. Questionnaires were surveyed using the Post Traumatic Stress Disorder (PTSD) Checklist Scale‑5 (PCL‑5), the Generalized Anxiety Disorder 7 (GAD‑7), and the Perceived Stress Scale 10 (PSS‑10). The body mass index was determined, visceral fat level, percentage of total body fat mass, and muscle mass were measured by bioimpedance. The levels of lipids, blood glucose, glycated hemoglobin were determined, and the triglyceride‑glucose index (TyG) was calculated. Results. Combatants’ PCL‑5 severity scores were only numerically higher than civilians’, and the GAD‑7 severity score was higher (p=0.028). Perceived stress in civilians corresponded to the low level, in combatants — to the moderate level. The PSS‑10 scale scores in combatants was significantly higher than in the comparison group (p=0.018). Among combatants the proportion of individuals with signs of probable PTSD (33.33%) was significantly higher than in civilians (5.00%, p=0.022). Compared to the civilians among the combatants there were also significantly more individuals with moderate and severe general anxiety (28.6% versus 5.0%, respectively, p=0.045). The combatants had higher systolic blood pressure, lower body fat percentage and greater skeletal muscle percentage than the civilians. Metabolic changes in military personnel were characterized by elevated triglyceride levels and lower glycemic indices in comparison to the civilians. In the cоmbatants the assessed severity of PTSD symptoms and perceived stress level were positively correlated with skeletal muscle mass. There were negative correlations between the general anxiety level and fasting glucose, and between the perceived stress level and body fat mass. In the civilians, the severity of symptoms of probable PTSD was positively correlated with body mass index, body fat and visceral fat accumulation, and the triglyceride‑glucose index. The increase in general anxiety and perceived stress levels were associated with the increase in glycemic indices. In addition, the level of general anxiety was inversely correlated with high density lipoprotein cholesterol. Conclusions. In the conditions of ongoing war, the higher proportion of individuals with signs of probable PTSD were found among combatants than among civilians. Compared with civilians, military personnel had higher levels of general anxiety and perceived stress. In civilians, the increase in psycho‑emotional disorders was associated with adverse changes in metabolic parameters and body composition, while in military personnel the accumulation of stressful experiences was correlated with the increase in skeletal muscle mass, the decrease in fat body mass and in glycemia levels.

Juridical Analysis of Sexual Harassment Committed by Individual TNI Members

Indonesia is a legal state based on Pancasila and the 1945 Constitution of the Republic of Indonesia (UUDNRI 1945). The concept of a legal state proposed by Wiryono Projodikoro defines it as a state where rulers or the government, as the state organizers, are bound by the applicable legal regulations in carrying out state duties. The Indonesian National Armed Forces (TNI) is an integral part of the legal community, playing a crucial role in supporting the formation of legal culture within its ranks. Legal awareness within the TNI is upheld when military personnel, as supporters of legal culture, actively contribute by adhering to all applicable regulations and making the law a guide in their behavior and actions. Despite having rules in place governing prohibited behaviors for military personnel, the reality indicates that there are still individuals within the TNI involved in criminal activities. When a military member engages in sexual harassment, it creates dissonance in the execution of military duties and can undermine public trust in the military institution, which should be responsible for safeguarding and protecting the community. Unfortunately, reality does not always align with expectations, as evident in cases involving TNI members, who are a vital force in maintaining the integrity of the Republic of Indonesia. This phenomenon not only highlights individual problems but also significantly impacts public trust in the structure of the national defense institution. Therefore, when a TNI member or soldier is involved in sexual harassment, the most severe punishment that can be imposed is dismissal, or in other words, removal from their position. This sanction is not only administrative but also includes criminal consequences regulated in the Criminal Code. Protection of the integrity of the TNI, therefore, involves not only internal disciplinary aspects but also engages in a legal process that can provide criminal sanctions commensurate with the crime of sexual harassment committed by military personnel. Military members, being part of a unit, form an integrated family. It seems as though within a military unit, an "autonomous power" is created specifically within that unit. This military unit has a commander and a deputy commander, supported by section officers and unit commanders. When issues arise within the military unit, efforts for resolution are made, as much as possible, by the appointed unit commander.

SOCIAL SUPPORT AND PSYCHOLOGICAL ASSISTANCE FOR MILITARY PERSONNEL AND THEIR FAMILIES THROUGH ONLINE COUNSELING

The problem of improving mental health, ensuring psychological stability and readiness to perform assigned tasks is a priority in the system of moral and psychological support of the Armed Forces of Ukraine and should aim to maintain a high level of combat readiness of units and subdivisions. A large proportion of servicemen in the combat zone have severe stress disorders, and sometimes they cannot and do not know how to cope with the states and feelings they experience. This has a direct impact on the military's immediate environment. The purpose of the article is to conduct a differential analysis of contemporary practices in consultative psychology, to obtain and scientifically interpret empirical data as a prerequisite for identifying the characteristics and determining the priorities of online counseling within the system of psychological rehabilitation and social support for military personnel and their families. This study employs a structured and systematic methodology to explore the potential and implementation of online counseling as a form of psychological and social support for military personnel and their families. The methodological framework integrates theoretical analysis, empirical research, and practical application to provide a comprehensive understanding of the subject. The study is based on the world experience of psychological counseling, as well as the results of an empirical study, which made it possible to identify and characterize the psychological needs of military personnel, to determine the priority steps to meet them with the tools of psychological practice. It is substantiated that psychological counseling of servicemen has a number of features, which are primarily related to the specifics of military service, conditions of stay, constant danger and threat to life. The necessity and expediency of developing and implementing the latest forms and programs of psychological counseling are proved. The article substantiates the need to organize online psychological counseling in view of the involvement of military personnel in performing tasks in combat areas and the remoteness from qualified psychological assistance - one of the few available.

Legal Analysis of the Authority of Military Judges in the Procedural Law of Examination of Connectivity in Corruption Cases

In order to uphold law enforcement, especially in the field of criminal law, the law distinguishes between civilians and the military. The problem that arises now is what if a criminal act is committed by the military together with civilians, which in its development is called a connectivity case. The corruption case that occurred in Indonesia involving the military and civilians that has been decided by the Connectivity Court is the Corruption Case of the Indonesian Army Compulsory Savings from 2013 to 2020 with the Defendant from the Military, namely Brigadier General TNI (Ret.) Yus Adi Kamrullah, S.E., M.Sc., and from the civilian party Ni Putu Purnamasari which caused the state a loss of Rp. 127,000,000,000,- (one hundred and twenty seven billion rupiah), and the corruption case of the 123 East Longitude Orbit Slot Satellite Procurement Project/Floater Satellite Procurement between the Indonesian Ministry of Defense in 2012 to 2021 involving the military and civilians with the Defendant Rear Admiral (Ret.) Agus Purwoto, and from the civilian side the Defendants Arifin Wiguna and Surya Cipta Witoelar which caused the state a loss of Rp.453,094,059,540.68 (four hundred fifty three billion ninety four million fifty nine thousand five hundred forty point sixty eight cents). The purpose of this study is to determine the implementation of handling corruption criminal cases through connectivity courts in Indonesia and the authority of military judges in connectivity courts and to determine the resolution of connectivity criminal cases in corruption crimes committed by civilians and military personnel in both cases in the Connection Court. The study uses a normative legal research method. The data used are secondary and primary data, then the data is processed and presented in the form of a literature study. The analysis used is deskriftif juridis and fersfektif analysis. The results of the study indicate that the process of handling connectivity cases in corruption cases of connectivity has been partially carried out in accordance with the applicable criminal procedure law (KUHAP) and the defendants are legally and convincingly guilty of committing corruption together in accordance with Article 2 Paragraph (1) in conjunction with Article 18 of Law Number 31 of 1999 as amended by Law Number 20 of 2001 in conjunction with Article 55 Paragraph (1) ke-1 of the Criminal Code.

Real-time animal monitoring system using pulse, temperature, and GPS sensor

GPS tracking systems utilize the Global Positioning System (GPS) to monitor device movements and determine precise locations. In recent years, GPS technology has been extensively used in navigation applications, providing directions and creating digital maps. This technology has proven indispensable to various professionals, including pilots, surveyors, farmers, boat captains, military personnel, and scientists. Additionally, GPS systems are employed to track animals, offering insights into their behaviors, and locations, and helping to protect endangered species. Various tracking technologies, such as scale clapping, radar, acoustic telemetry, radio tags, Xirgo XT-200, geolocators, GSM mobile phone telemetry, and pop-up satellite archival tags, have been used. This paper focuses on a GPS-based tracking system that collects data through various sensors and processes it using an AVR microcontroller. We measure environmental parameters such as temperature and humidity (using the DTH11 sensor) and monitor pulse rates alongside GPS-derived location data of tracked animals. By scientifically collecting and analyzing this data, we can better understand the condition, movement patterns, and behaviors of wild animals, domestic animals, and pets, enhancing efforts to care for and protect them.

Interpersonal Dynamics in Legal Services: A Study of User Perceptions on Court Personnel Communication Skills

Interpersonal communication plays a pivotal role in public services. Despite technology transforming the way we interact with customers and users, human relationships in public services remain crucial. Interpersonal communication also enables direct feedback, which is invaluable for enhancing service quality as it requires honesty and transparency. This study aims to assess the quality of interpersonal communication within public service delivery, particularly focusing on court services. The goal is to ensure that courts can consistently provide the best service to their users' needs. The descriptive method was employed, and data were collected through questionnaires distributed to lawyers as service users, providing valuable insights.. This research shows the excellent interpersonal communication skills exhibited by service personnel towards users, effectively serving the community. These findings are expected to serve as a guideline for other governmental agencies in executing inclusive and competitive public services.

HIGH-FREQUENCY METHODS FOR CALCULATING SCATTERING CHARACTERISTICS OF GROUND-BASED RADAR OBJECTS OF COMPLEX SHAPE

One of the ways to obtain information on the scattering characteristics of ground-based weapons and military equipment in the radar range is mathematical modeling. Mathematical modeling, unlike full-scale and physical experiments, requires significantly less material, organizational and time costs. Radar detection of ground objects is an important component of modern intelligence, surveillance and security systems. They are used to monitor military facilities, vehicles, equipment and personnel on the ground. The main types of radar detection equipment for ground objects are: ground-based radar stations (hereinafter referred to as radars), mobile and portable radars, as well as radar systems installed on board manned or unmanned aircraft.One of the main directions of development of modern offensive weapons and military equipment is the creation of samples of ground (armored) military equipment possessing small values of effective scattering surface. Reduction of radar conspicuity of ground-based military equipment samples is achieved by applying special smoothing forms and covering local areas of the strongest secondary radiation associated with geometro-optical reflection and with scattering on surface fractures with radio-absorbing materials. These measures not only noticeably reduce the energy level of the reflected signal, but also lead to significant changes in other, in particular, polarization characteristics of the target and thus complicate the effective solution of not only detection but also recognition tasks.The article evaluates modern high-frequency methods for calculating the secondary radiation characteristics of complex ground-based radar objects of complex shape by mathematical modeling. The calculation of the scattering characteristics of objects with surface breaks is carried out by preliminary dividing the surface into a smooth part and edge areas of the surface. The considered methods make it possible to evaluate the characteristics of secondary radiation of both a perfectly conductive object located near the boundary of a homogeneous half-space and a ground-based radar object with an imperfectly reflective surface.The application of the presented calculation methods can contribute to obtaining a priori information about the scattering characteristics of ground-based radar objects of complex shape, taking into account such complicating factors as the intra-system interaction “ground object - ground surface”, the presence of radio-absorbing coatings and their complex effect.

Implementation of the Military Law on Military Members Involved in the Crime of Desertion

Desertion is a military crime involving members of the Indonesian National Armed Forces (TNI) leaving their duties or military obligations without proper authorization from their superiors. Desertion has serious implications for military discipline, cohesion, and operational efficiency, and it can threaten national defense. The legal enforcement of desertion offenses is regulated under the Military Penal Code (KUHPM), particularly Articles 87 and 88. The process of handling desertion cases involves investigation by the Military Police (POM), investigation by military investigators, and trial by military courts that issue rulings according to the applicable laws. The penalties imposed vary, ranging from imprisonment, demotion, dishonorable discharge, and even the death penalty during wartime.This study aims to explore in-depth the implementation of military law on individuals who commit desertion and to analyze the factors causing desertion. These factors include personal issues, psychological pressure, and unfavorable working environments. The study employs a normative juridical method, with an approach focused on relevant regulations and military court case studies concerning desertion offenses. The findings show that the application of military law to desertion is a crucial effort in maintaining the stability, discipline, and integrity of the TNI. However, there are several challenges in enforcing the law, such as internal and external factors affecting military personnel. In the relationship between the Military Penal Code (KUHPM) and the Criminal Code (KUHP), both are complementary, where general crimes are regulated by the Criminal Code (KUHP), while offenses related to military duties are governed by the Military Penal Code (KUHPM). This study recommends strengthening law enforcement and discipline training to minimize desertion within the military.

THE CONCEPT OF USING PLATELET AUTOMESO-CONCENTRATE IN THE COMPLEX REHABILITATION OF SERVICEMEN AFTER GUNSHOT WOUNDS WITH DEFECTS OF INTEGUMENTARY TISSUES

Aim. To identify the reparative processes mediation and improvement by growth factors from platelets automesoconcentrate (AMC) in the treatment of gunshot wounds. An additional aim was to perform a comparative analysis of the AMC-therapy efficacy with and without the wound defect area autodermatoplastic closure. Materials and methods. The clinical case of the wounded V., who was admitted for rehabilitation treatment following gunshot wounds to both hands from a gas cylinder explosion, is presented. As a result of the explosion, there were objectively observed residual skin wounds on both hands in the regenerative period. Dynamic monitoring was carried out in the form of photo-fixation of the results of treatment of wound defects of the palmar and back surfaces of the left and right hands. Results. A wounded person entered rehabilitation treatment with wound defects in the regeneration phase and foci of weak marginal epithelisation. The wounded received classical treatment (in the form of staged debridement) of 2 wounds of the left hand (without the AMC), 1 wound of the left hand was treated only with AMC, the thenar wound on the right hand was decided to be closed by the autodermatoplastic method according to Thirsch with the use of AMC. Complete epithelisation of all wound defects was achieved within 21 days. The use of AMС therapy made it possible to avoid rejection and necrosis of transplanted skin grafts, to achieve rapid epithelisation of wounds without the formation of a pathological scar at the edge of the wound defect, to restore skin sensitivity in the affected area, to achieve regression of interstitial edema and contractures in the phalanges of the fingers. Conclusions. AMC-therapy improves the results of treatment, allows to shorten significantly both treatment and rehabilitation duration, improves the quality of life by wound healing acceleration which is also an economically important when the need for further treatment, long-term dressings and work capacity restoration disappears. We consider the use of automesoconcentrate of platelets to be justified and expedient from a fundamental, scientific, clinical and economic point of view within the framework of our proved multimodal approach to the soft tissues’ gunshot defects reconstruction in the aspect of majority of military personnel suffering from gunshot wounds comprehensive recovery.

INFLUENCE OF MINE-BLAST INJURY AND COMBAT STRESS ON THE STATE OF THE VEGETATIVE NERVOUS SYSTEM

Aim. In order to study the disorders of the autonomic nervous system as a result of mine-blast trauma and combat stress, as well as to analyze the dependence of the manifestation of these disorders on the age and duration of the injury, 62 people were examined. Materials and methods. The main group consisted of 37 servicemen with mine-blast trauma (MBT) and surgical interventions, and the control group consisted of 25 civilian men. The age of the subjects ranged from 18 to 45 years. The state of the autonomic nervous system was determined using ANS Analysis equipment and included three main parameters: resting heart rate, sympathetic nervous system parameters, and parasympathetic nervous system parameters. The significance of the difference between the groups of results was checked using the Mann-Whitney test, and the relationship between them, the age of patients and the time interval from the injury was checked using the Spearman rank correlation coefficient. Results. According to the results of the study, changes in the autonomic nervous system indices were absent in the group of civilians, while significant changes in the ANS indices in the group of servicemen with combat trauma were found for all three parameters: heart rate, sympathetic and parasympathetic autonomic nervous system indices. Also, in the group with MBT, a pronounced dissonance between the indicators of the autonomic nervous system was revealed: against the background of a significant increase in sympathetic status, a significant decrease in parasympathetic status was observed (179,0 (57,5; 309,0) vs. 13,0 (10,0; 28,0). Changes in the indicators of autonomic nervous system with combat trauma did not depend on the age of patients. Instead, there was a weak but statistically significant positive correlation between the duration of the injury and the parasympathetic nervous system: rs=0.325 (p=0.049). Therefore, the early use of a set of measures that increase the activity of the parasympathetic nervous system is logical. Conclusions. There were no changes in the autonomic nervous system parameters in the civilian group, but significant changes in the ANS parameters were found in the group of military personnel with combat trauma.

МЕТОДЫ ОЦЕНКИ УПРАВЛЕНЧЕСКИХ КОМПЕТЕНЦИЙ ПЕРСОНАЛА

The purpose of this article is to develop recommendations for the application of methods for assessing the managerial competencies of service personnel. The empirical basis of the study was made up of questionnaire surveys jointly developed with the organization’s management: a personnel assessment system (survey for managers), a personnel assessment system (survey for employees). The study was carried out on the basis of an organization engaged in the collection and purification of water for drinking and industrial needs. To comply with the principle of trade secrets, the work does not indicate the full name of the organization. When analyzing the results of the study, it was found that the personnel assessment system is more aimed at managers, employees are not aware of the assessment system; the assessment does not take into account the specifics of the organization and objectivity; Respondents are ready to introduce new methods and technologies in personnel assessment. All respondents who took part in the survey are satisfied with the current personnel assessment system in the organization. Based on the identified data, recommendations were developed for the use of personnel assessment methods. An important factor will be the involvement of employees in the evaluation process and taking into account their opinions can help increase confidence in the evaluation system and its results. When choosing evaluation methods, the views and preferences of employees should be taken into account to ensure their participation and active interaction with the process.