Organization Of Medical Support Research Articles

Indicators of health groups of pupils of general education organizations of the Russian Ministry of Defense (2010–2022)

BACKGROUND: Currently, there are 33 educational organizations of the Russian Ministry of Defense in Russia with a total staff of about 18 thousand students studying around the clock
 AIM: to assess the dynamics of the health status of students in educational institutions of the Russian Ministry of Defense for 12 years from 2010/2011 to 2021/2022 academic year.
 MATERIALS AND METHODS: We studied reports on Form 13К/МЕД, prepared by employees of educational organizations of the Russian Ministry of Defense, and calculated the dynamics of the level of assessments of the health status of students. The article presents arithmetic averages and their errors; the development of health groups was assessed using time series analysis, for which a second-order polynomial series was used.
 RESULTS: In general educational institutions, there were 25.3 ± 0.9% of pupils with health group I, 60.7 ± 0.6% with group II, and 14.0 ± 1.2% with group III. In recent years, there has been a tendency to increase the number of pupils with health groups I and II and decrease with group III. These results indicated a properly organized educational process and optimization of medical support for students. The most positive dynamics of health status were observed in pupils aged 10–12 years, less pronounced — in pupils aged 16–18 years.
 CONCLUSIONS: In some educational organizations of the Russian Ministry of Defense during the period studied, there were not entirely favorable trends in the organization of medical support for students, which aims at more personalized work with students.

Medical support for major international sports events: a literature rewiew

Introduction. The article carries out a critical review of the literature and updates the emphasis in organizing the preparation and holding of major sporting events from the point of view of a healthcare organizer.Target: to identify areas of activity that require further improvement and development in the organization of medical support for major sporting events.Materials and methods. An analysis of the available literary sources of databases was carried out: RSCI, RusMed, Pubmed, Web of Science.Results. The most pressing groups of issues for further study and solution have been identified: the uniqueness, significance and complexity of sporting events; statistics and structure of diseases and injuries; features of the structure and course of medical conditions at sports facilities and events; organizing interaction between different services within the healthcare system and interdepartmental interaction; prevention and monitoring of infectious diseases; features of training of medical personnel.Conclusion. The holding of major sporting events, in turn, is a driver for the development of the healthcare system in the host city and country. Preparing for such an event requires the creation of a vision, operational plans, targeted training of personnel and infrastructure.

Результаты медицинского обеспечения подготовки граждан к военной службе в субъекте Российской Федерации.

The armed forces of the Russian Federation are the guarantor of ensuring the national security of our state. The importance of strengthening the health of citizens of military age is increasing, which are viewed from the perspective of a human resource responsible for the country’s defense capability. Purpose of the study is to analyze the results of medical support for the preparation of citizens for military service in the Orenburg region for the period from 2000 to 2022. M a t e r i a l s a n d m e t h o d s . Statistical and analytical methods were used in the study. The data of statistical collections of the Territorial Body of the Federal State Statistics Service for the Orenburg region, accounting and reporting documents of the Center for military medical expertise of the Federal State Institution «Military Commissariat of the Orenburg Region» were used. R e s u l t s . Over the years of the study, there has been a gradual decrease in the conscription resource (the number of young men put on military registration) by 49,2% – from 19,504 in 2000 to 9598 young men in 2022. In 2000, the fitness for military service for health reasons was 60,2%. The current situation required the adoption of managerial decisions aimed at compensating the conscription resource needed to recruit the Armed Forces of the Russian Federation in sufficient quantity by increasing the fitness of conscripts for military service. The promotion of a healthy lifestyle by young people, regular physical education and sports has become widespread. The result of the work done is a gradual increase in the fitness for military service, which in 2022 amounted to 76,3%. F i n d i n g s . The organization of medical support required interdepartmental interaction in the work of state and public organizations for timely management decisions on problematic issues. The improvement of health indicators and, as a result, an increase in the number of citizens fit for military service, contributed to the stable fulfillment of the state task of conscription of citizens for military service.

Medical Examinations of Children and Adolescents to Fulfill the Sports Standards of the “Ready for Labor and Defense” Complex

Introduction: The organization of medical support for the implementation of the standards of the All-Russian physical culture and sports complex “Ready for Labor and Defense” (“RLD”) in children’s clinics on the territory of the Republic of Komi (RK) is carried out in order to develop a physical culture among the population. Patients and methods: The analysis of the results of 2652 medical examinations of children and adolescents to comply with the standards of the “RLD” in the State budgetary healthcare institution of the Republic of Komi “Syktyvkar Children’s Clinic No. 3” (“SChCl No. 3”) in 2016-2022 was carried out. The significance of differences in quantitative characteristics between groups with a normal distribution of quantitative variables was calculated using Student’s t-tests for independent samples. The threshold value of the probability of error for statistically significant differences was set at a level equal to 0.05. The frequency ratio was calculated per 10,000-child population. The depth of the study was 7 years. Results: Among patients who applied for examination only 2604 people (98.85 ± 0.21%) were allowed to pass sports standards. The FC of those who applied was 138.44 per 10,000 children, and the FC of those admitted was 135.94. The proportion of patients of “SChCl No. 3”, who were assigned the main medical group for physical education ranged over the years from 87.37 ± 1.47% in 2017 to 98.86 ± 0.34% in 2019 and on average for 7 years amounted to 94.19 ± 0.45%. That is, almost 90% of those examined are children without health and physical development disorders, but with possible functional disorders that do not lag behind their peers in physical development and physical fitness. They are allowed to study in full according to the curriculum of physical education using preventive technologies, preparation, and passing tests of individual physical fitness. Conclusion: The average annual quantitative indicator of those who applied for certification to pass the standards of the “RLD” is a statistical tool, on the one hand, to determine the current and future workload of medical personnel and determine the forces and means of medical support, on the other hand, an indirect indicator of the interest of children and adolescents in systematic physical education and sports, instilling in schoolchildren the skills of a healthy lifestyle and the prospects for the physical development of the nation. The frequency of examinations per 10,000 of the child population should be considered as an indirect marker for assessing the physical development of children and adolescents since it is not the result of a continuous, but only selective (at the request of those who applied) research. The voluntary surrender of the “RLD” standards by children and adolescents should be approached as an indicator of physical readiness and high personal self-esteem, including psychological readiness for competitive relations in the school and adolescent environment and psychological maturity.

On the question of the use of the museum of the Ukrainian military medical academy and museums of the city of Kyiv in military-patriotic education

The creation of the military medical museum of the UVMA and the organization of a comprehensive study of the history of military medicine strengthened the scientific and cultural potential of the educational institution, created an atmosphere of involvement of the UVMA staff in the centuries-old traditions of military medicine in Ukraine, and gave a new impetus to the military and patriotic education of students. In addition, the creation of the museum made it possible to strengthen the representative functions of UVMA, create an additional factor of successful communication and establishment of business and professional contacts with colleagues in Ukraine and abroad, contributed to the organization of a meaningful cultural program for the stay of various delegations and individual officials at the academy. Museums of military and military medical educational institutions acquire special importance in the conditions of a full-scale war of the Russian Federation against Ukraine. The demand is put forward to them to truthfully reflect the military resistance of Ukraine for the preservation of its own state independence, which began in 2014, by various museum means. With the help of photo and video materials, documents, fragments of weapons, transformed into museum exhibits, it is necessary to depict the long, exhausting, tragic and at the same time heroic struggle of the Armed Forces of Ukraine, which turned into a national war of Ukraine against Russian aggression from February 24, 2022. Relevance of research. In accordance with the current legislation of Ukraine, the educational process carried out in educational institutions combines three components: the educational process, the scientific process and the educational process. The educational process, as an important integral component of the educational process, is aimed at forming in those who study patriotism, respect for the state language and state symbols of Ukraine, a careful attitude to national, historical, cultural values, the cultural heritage of the Ukrainian people, the need in case of need to protect the sovereignty and territorial integrity of Ukraine. This direction of educational activity acquires special importance in the conditions of a full-scale war between the Russian Federation and Ukraine. The valuable experience of the organization of medical support of the Armed Forces (AF) of Ukraine during the years of armed resistance to the military aggression of the Russian Federation should be highlighted in a museum exhibition. The need for military-patriotic education is determined by the requirements that the state and society apply to servicemen, the Military Oath and the Statutes of the Armed Forces of Ukraine. Activities of military and patriotic education in higher military educational institutions of the Armed Forces of Ukraine are carried out in the format of lectures, discussions, meetings with veterans, organization of thematic exhibitions, museum expositions.The purpose of the study is aimed at a comprehensive analysis of materials that highlight the specific results of using the museum of the Ukrainian Academy of Sciences and the museums of the city of Kyiv in the military and patriotic education of students. Materials and methods. The information base of the article consists of materials that highlight the impact of military-patriotic education activities on students of UVMA (excursions to museums of UVMA and the city of Kyiv, meetings with veterans of the medical service of the Armed Forces of Ukraine, prominent Ukrainian public and cultural figures, leaders and members of foreign delegations of military medical services NATO member countries, etc.). Current visual content (photo materials) is attached. The article uses general scientific methods - analysis-synthesis and special historical methods: historical-systemic and biographical.

The experience of medical support for the evacuation of the civilian population, children and adolescents across the Road of Life in 1941–1942

The organization of medical support during the evacuation of the population, including children and adolescents during the Great Patriotic War, especially in 19411942, is unique. Attention is drawn to the scale the timing of the organization of evacuation, the number of evacuated people, methods by water, aviation, land transport. Special attention in conditions of shortage deserves catering all evacuees received a hot lunch and rations for the road in the form 1 kg of bread. Gradually, the prevention of infectious diseases was established, vaccination against dysentery was actively used, teams of epidemiologists and disinfection and washing teams were formed, medical support was provided. In total, from the beginning of the blockade to the end of 1942, about 1 million 100 thousand people were evacuated, of which 871 thousand Leningraders. And during the war, about 1 million 738 thousand people were taken out of Leningrad in an organized manner, of which 1 million 360 thousand Leningraders. Priority in mass evacuation was given to children and adolescents the future of the country. All the sick and wounded, whose treatment required more than 45 days, were subject to evacuation. Thanks to the precise organization of care for evacuees on the way and during the period of overload from one mode of transport to another, difficulties were transferred to the wounded and sick relatively easily. Thanks to the planned work during the evacuation, mass outbreaks of infectious diseases were prevented by medical workers, mortality was reduced as much as possible and the possibility of restoring normal nutrition and life in the evacuation areas was ensured.

Отечественный и международный опыт организации оказания медицинской помощи пострадавшим в техногенных чрезвычайных ситуациях

ummary. The aim of the study is to investigate and to systematize world experience in the organization of measures to prevent technogenic emergencies (ES), as well as the experience of timely measures to eliminate their medical and sanitary consequences, to ensure safety of the population, to provide medical care and reduce the damage caused to national economy. Study materials and methods. Various databases were used, including PubMed; Russian information-analytical portal in the field of science, technology, medicine and education — scientific electronic library eLIBRARY.RU; open access statistical reporting data and also official sites of scientific journals on the specified subjects. Results of the study and their analysis. It is noted that most countries, including the Russian Federation, have accumulated a lot of experience and developed a large number of regulatory documents governing algorithms and a necessary amount of activities in the field of protection of population and territories from man-made emergencies. In the event of such emergencies there are extremely urgent tasks to reduce or to prevent potential sanitary losses among civil population, as well as to ensure the uninterrupted operation of medical facilities. To solve them a whole complex of measures on medical and psychological protection of the population and employees of medical institutions is carried out. A specific peculiarity of professional activity of specialists of rescue services and medical workers, providing liquidation of medical and sanitary consequences of technogenic emergencies, is work in special conditions and under the influence of a considerable quantity of stressogenic factors. Organization of medical support of the victims of man-made emergencies also includes the creation of mobile forces, capable of ensuring the timeliness of medical care to victims. Most European countries have created joint rapid response forces, which are represented by mobile medical brigades and detachments, organized on the basis of large multidisciplinary medical treatment organizations. Their main task is to assess medical situation in the affected area: number of victims, severity of injuries and their preferential localization, need for specialized medical care, dislocation of the available medical forces and facilities and their capabilities. Domestic and international experience of organization of medical aid rendering to victims of technogenic emergencies shows that high levels of stress, anxiety, depression, professional burnout occur among the specialists of rescue services and medical workers, which may have long-term consequences. New methods and approaches to the organization of medical care in man-made emergencies are being developed and implemented all over the world and ways to support specialists of rescue services and medical workers taking part in the liquidation of man-made emergencies are being improved.

ORGANIZATION OF MEDICAL SUPPORT OF MILITARY UNITS DURING COMBAT OPERATIONS ON THE BASIS OF THE PRINCIPLE OF "GOLDEN HOUR"

Against the background of the military invasion of Ukraine by the Russian Federation, various aspects of the problem of improving the provision of medical assistance to the military personnel during combat operations in the near future after receiving injury. The characteristic feature of the death rates in armed conflicts of the past decades is the increase in the number of deaths in the first hour after receiving a combat injury. Current trends in optimization of the provision of assistance to the wounded in all types of combat impressions are based on timely diagnosis and elimination of life-threatening consequences of penetrating and fire injuries, starting from the place of their receipt. The level and effectiveness of medical support for military units in emergency situations of military time depend on the progress and results of the fighting injury in the wounded. The possibility of preventing potentially fatal consequences of the injuries is realized by elimination of life threatening conditions as soon as possible after their receipt on the battlefield. At the same time, the implementation of measures aimed at the interruption of the mechanism of tanatogenesis should start from the pre-stage and continue during the whole process of evacuation of the wounded. The key importance in these conditions is the knowledge of the main modern tendencies of construction of medical and evacuation schemes, the main goal of which is to reduce the terms of providing qualified surgical and resuscitation assistance. The purpose of the work is to form on the basis of analysis of modern literature sources of information mass data on the role of the principle of "golden hour" in the organization of medical support of military units during combat actions. The article provides theoretical substantiation of the importance of the factor of time in elimination of consequences of combat wounds and revealed the basis of the principle of "golden hour" in providing medical care to the wounded, and also an estimation of the current state of their application in practice of modern combat medicine of the world. On the basis of data monitoring, current trends in the construction of medical and evacuation systems for the care of wounded and injured in the war initiated by the Russians against Ukraine are determined.

CHARACTERISTICS OF THE LEGAL FOUNDATIONS OF THE MILITARY MEDICAL EXAMINATION IN THE TROOPS OF THE NATIONAL GUARD OF THE RUSSIAN FEDERATION

Background. At present, due to political, military-technical, socio-economic and organizational factors, the organization of medical support for military personnel (employees) and their families is an urgent task for scientists and practitioners. An important direction in the provision of social guarantees in the field of medical support is the conduct of a military medical examination of military personnel and members of their families to resolve issues of determining the category of fitness for military service, establishing a causal relationship, resolving issues of the possibility of living in certain areas and resolving other issues.
 Materials and research methods. The theoretical and methodological basis of the study was the authors’ reliance on systematic, comparative legal and integrated approaches. To achieve the goal and solve the problems of the study, the authors used a set of modern methods for cognizing the phenomena of social and legal reality: systemic, interdisciplinary and complex analysis and synthesis of its results, conceptualization, abstraction, analogy, deductive and comparative legal methods and theoretical generalizations.
 Results and conclusions. The article discusses the content of the legal framework for the implementation of military medical expertise in the troops of the National Guard of the Russian Federation. Characteristics of the constitutional norms and norms of federal legislation in the field of military medical expertise are given, characterizing the requirements of regulatory legal acts that regulate these legal relations are considered. Individual legal and technical inaccuracies are pointed out, which can be improved by bringing departmental documents in line with acts of a higher power. The results of the study can be used when writing scientific papers in the field of medical and military law, as well as in the pedagogical process in the implementation of educational programs in the organization of healthcare and in the field of jurisprudence.

Experience of conceptualization of military aspects of medical law (discussion of chapter 14 of the textbook "Medical Law of Russia", editor-in-chief A.A. Mokhov, Prospect Publishing House, 2022, — discussion materials)

In 2022, under the editorship of Doctor of Law, Professor, Head of the Department of Medical Law, Moscow State Law Academy named after A.I. O.E. Kutafin Alexander Anatolyevich Mokhov, the Prospect Publishing House published the textbook «Medical Law of Russia». The theoretical breadth of views and comprehensive elaboration of the issues of legal regulation of medical activity and healthcare organization in the Russian Federation are the hallmark of this publication. At the same time, the textbook has a structural unit - chapter 14 "Legal foundations of military medicine", dedicated to the military aspects of medical law and the peculiarities of the regulatory legal regulation of the provision of medical care to military personnel, medical support for the activities of the troops, as well as activities related to admission (conscription) for military service , passing military service and dismissal from it. The issues of conducting a military medical (medical-flight) examination, medical examination and examination in relation to military personnel and other persons were considered. The appearance of the publication in question aroused wide interest among specialists in the field of organization of medical support for troops, legal regulation of the provision of medical care to military personnel and their families, which prompted the authors to discuss this issue in the format of a discussion. Based on its results, it is noted that the edition under discussion, as well as the chapter under consideration, are able to form a stable understanding of students about the military aspects of medical law. Knowledge of the legal regulation of the provision of medical care, medical examination and examination of military personnel and persons called (entering) military service is useful for the future professional activities of students of legal and medical specialties and can also serve those who are interested in medical and military right.

STATUS OF THE CURRENT DOMESTIC REGULATORY BASE FOR ENSURING RADIATION SAFETY AND ANTI-RADIATION PROTECTION OF MILITARY PERSONNEL DURING THE PERIOD OF MARTIAL STATUS.

to investigate the state of the current national regulatory framework for ensuring radiation safety and anti-radiation protection of military personnel during the period of martial law. bibliographic, analytical, historical, systematic approach. The main normative document on the organization of radiation safety and anti-radiation protection of both personnel and the population in Ukraine, as well as military personnel, currently in everyday conditions and in case of radiation accidents since 1998 and until now, are the State Hygienic Standards «Radiation Safety Standards of Ukraine (NRBU-97)». But neither in this document, nor in the transition to NRBU-2021-P, the issue of exposure to such a category as military personnel during the performance of combat (special) tasks is considered. The system of monitoring the radiation situation in Ukraine, documents on the organization of medical support for military personnel, including the Guidelines on the Medical Support of the Armed Forces of Ukraine for a Special Period (2019)and the Guidelines on the Organization of Radiation Safety in the Armed Forces of Ukraine (2020), were analyzed.modules of radiation safety principles in the Armed Forces of Ukraine were proposed. The unsolved problem of normalization of the radiation factor in the case of man-made and socio-political emergencies can create significant problems in the organization of anti-radiation protection of troops and the population in the case of the use of nuclear weapons or radiation accidents in a special period and requires anurgent solution. It is obvious that there is a need to develop regulatory documents regarding the response and planning of continuous activities to respond to potential nuclear and radiation threats during martial law, including relationships at all levels of the management vertical and methods of communication in the event of a threat.

MEDICAL PROTECTION OF TROOPS AND POPULATION IN THE USE OF CHEMICAL WEAPONS (LITERATURE REVIEW)

In the war with Ukraine, Russia will probably use chemical weapons, resorting to surgery «under someone else’s flag». This can happen in the form of fake attacks or «exposing» chemical ammunition or Ukrainian agents who «plan» an attack by chemical weapons. Given the reasoned evidence of the use of chemical weapons in Syria and Ukraine and experts, it is appropriate to conclude that chemical weapons are expensive and unpredictable, it is not very effective tools during hostilities, but it belongs to the weapon losses among civilians and troops. Objective: In the conditions of war to offer the personnel of the Armed Forces of Ukraine and the peaceful population an algorithm of actions for medical protection when the enemy uses chemical weapons. Research materials: The research is based on analysis of sources of scientific information, normative-legal documents, scientific publications, materials of scientific-practical conferences on organization of medical support of liquidation of consequences of application of chemical ammunition in combat conditions. Methods of research: Analytical, bibliographic, historical, logical, system analysis. Results: The algorithm of actions on home medical care and medical protection of the personnel of the Armed Forces of Ukraine and the civilian population in case of threat and use of chemical weapons in wartime is proposed. Conclusions: Experience shows that early, mutually agreed planning of measures to protect troops and the population, the implementation of the algorithm of actions for home care and medical protection in the event of the threat and use of chemical weapons, significantly reduces irreversible and sanitary losses in war. Key words: medical protection, chemical weapons, fighting.

Organization of medical caremajor sporting events

Organization of medical support for major international events is one of the major challenges for organizers. There is no single supranational detailed normative act yet.Objective: to analyze the existing national and international regulatory framework for the regulation of medical support for competitions with the subsequent formation of a general algorithm and uniform requirements.Materials and methods: analysis of literature data and personal experience.Results: The authors set out the general principles of organizing medical support for sports events based on an analysis of their own experience and recommendations of international organizations. The basic principles have been tested at a number of major sporting events and are practice-oriented. The preparation of the regulations should be based on the normative act of the international federation for the sport, adjusted taking into account national legislation and the scale of the sporting event being held and our own experience in holding such events. The practical significance of the work is the proposed scheme for organizing medical care at a sports facility. The number of medical teams and medical centers at each sports facility is determined by the organizers of the sports event in accordance with the approved national and international rules; the equipment of medical services is determined by the regulations of the Ministry of Health.Conclusion: Medical regulations should contain general provisions, principles of health protection of athletes, implementation of anti-doping rules, compliance with safety measures at the facility. Requirements for the medical service of the competition for the personnel, facility, medical center of the arena, special conditions for ensuring the competition, interaction with the doping control services; maintenance of accounting and reporting documentation are allocated in a separate detailed chapter. A special place and training in practical skills should be given to the algorithm of actions in case of emergencies.

ДОСТИЖЕНИЯ И ПЕРСПЕКТИВЫ РАЗВИТИЯ ВЕДОМСТВЕННОЙ МЕДИЦИНЫ ОРГАНОВ ВНУТРЕННИХ ДЕЛ ПО РЕСПУБЛИКЕ ТАТАРСТАН

Abstract. Introduction. The article reflects the results of the activities of the medical unit, as an institution in which the symbiosis of science and practice contributes to the fulfillment of tasks to preserve the health of employees of the internal affairs bodies. Attention is paid to the strategic goals of the institution and directions for improving the quality and accessibility of medical care. Aim. The purpose of the study is to present the achievements of the medical service of the Ministry of internal affairs in the Republic of Tatarstan and identify the primary tasks and our plans for the future, including the introduction of modern approaches to the organization of medical support for employees of internal affairs bodies. Material and methods. An analysis of the activities of the medical unit as a medical and preventive institution of a high level of medical care and the quality of medical care was carried out for the period from 2017 to 2022. Results and discussion. The implementation of various tasks in strengthening and maintaining the health of employees of the internal affairs bodies is carried out with the constant improvement of diagnostic and treatment methods, timely updating of equipment, close interaction with the departments of higher medical educational institutions, whose leading employees and teachers use the latest achievements of research activities in their work. Conclusion. The medical and sanitary unit of the Ministry of internal affairs for the Republic of Tatarstan continues to fulfill the tasks assigned to it, as a result of effective leadership, continuous improvement and continuous work to improve the availability and quality of medical care.

The main features of medical units participating in UN peacekeeping operations

The article is devoted to the organization of medical support for UN peacekeeping operations in modern conditions. Special attention is paid to the levels of medical care for military observers in UN missions. The main tasks of medical units, their composition of forces and means, as well as their state of the material and technical base located in missions and participating in the medical support of armed conflicts are disclosed. The main performance indicators of the medical unit based on the results of the work of 2017-2018 are analyzed.

Otorhinolaryngological contusions in mine-explosive injury

Modern trends in the conduct of military conflicts dictate their own characteristics of the formation of the size and structure of sanitary losses of the otorhinolaryngological profile. Combat trauma to the organ of hearing is characterized not only by an increase in the total number of sanitary losses, but also by various features of the course of the wound process. The organ of hearing, with the development of weapons, becomes an increasingly unprotected and vulnerable area of impact of mine explosive weapons. However, such important characteristics as treatment, duration, and outcomes of ear, throat, and nose contusions are not sufficiently presented for adequate organization of medical support. Otorhinolaryngological contusions were considered in the total mass of contusion sanitary losses with a predominance of closed brain injury and often without taking into account otorhinolaryngological contusions. Victims completed treatment in separate medical battalions, hospitals and wards for the lightly wounded. The number of injured by shrapnel and concussion increases with the use of explosive weapons, due to an increase in associated wounds. The experience of the Great Patriotic War showed that otorhinolaryngological shell-shocked patients in frequency account for about 32.5% of all shell-shocked, therefore, in 67.5% of the remaining shell-shocked otorhinolaryngological contusions were concomitant, the main manifestation of the trauma was a closed brain injury. Otorhinolaryngological shell-shocked patients are a special case of general contusion or concussion-contusion syndrome from the direct impact of a sharp drop in air pressure during explosions. The leading manifestation of otorhinolaryngological contusion syndrome is vestibular and auditory disorders, decreased hearing acuity with a whole eardrum, which occurred in all victims. There were also neurological abnormalities such as short-term loss of consciousness, dizziness, fading nystagmus, stuttering, etc., which subsided a few days after the start of conservative therapy.

Медицинское обеспечение массовых мероприятий в период пандемии COVID-19: проблемы и возможные пути их решения

The purpose of the study is to summarize the experience of organizing and implementing medical support for mass events by the specialists of the medical teams of the All-Russian Center for Disaster Medicine «Zashchita» in 2008–2019; to analyze and to assess the organization of medical support for the Tavrida Forum and Festival, as well as for the Final of the “Big Change” (“Bolshaya Peremena”) competition in the Republic of Crimea in 2020 in the face of the threat of the new coronavirus infection COVID-19 spread. Materials and research methods. We analyzed the data of medical reports of specialists of the Field Multidisciplinary Hospital of the All-Russian Center for Disaster Medicine «Zashchita», who participated in the medical support of mass events held in 2008–2020. The regulatory documents, scientific and methodological publications on the organization of medical support for public events, climatic and geographic conditions in the places of the Hospital’s deployment, legal and medical documentation on the prevention, diagnosis and treatment of COVID-19 were studied. Research results and their analysis. A brief description of the medical support of mass events by the specialists of the Field Multidisciplinary Hospital of the All-Russian Center for Disaster Medicine «Zashchita» in 2008–2019 is given. The organization and implementation of medical support for mass events held in 2020 in the Republic of Crimea in the context of the COVID-19 pandemic are presented. The work of the Consolidated Medical Unit of the FMBA of Russia with the participation of specialists from the All-Russian Center for Disaster Medicine «Zashchita» is analyzed.

Regenerative medicine for radiation emergencies.

ABSTRACTHiroshima University is a ‘medical institution for tertiary radiation emergencies’ and a ‘medical support organization as a part of the International Atomic Emergency Agency Emergency Preparedness Response–Response and Assistance Network (IAEA EPR-RANET)’. To establish a system of regenerative medicine for radiation emergencies with treatment by implantation of various types of cells derived from induced pluripotent stem (iPS) cells, it is necessary to establish methods of defense against and treatment for radiation-induced damage from nuclear power plant accidents and nuclear terrorism. It is also necessary to develop cell therapy, cellular repair technology and regenerative biotechnology as regenerative medicine for radiation emergencies. Such applications have not been established yet. To develop a regenerative medical system, by using the existing one, for radiation emergencies, we will attempt to manage the cell-processing center to establish a safe and secured iPS cell bank for radiation medicine. By using this iPS cell bank as the central leverage, we will develop an education program for radiation emergency medicine and construct a network of regenerative medicine for radiation emergency medicine.

Визначення шляхів удосконалення системи медичного забезпечення дітей шкільного віку із використанням swot-аналізу

The search for ways to effectively provide medical care to the child population is an urgent issue of our time. With the participation of experts, a SWOT analysis of the organization of medical support for schoolchildren in modern conditions was carried out. The strengths and weaknesses, opportunities and threats of medical support for schoolchildren are identified, which contributes to the identification of promising directions for improving medical care for children in the conditions of general educational institutions. So, in the absence of an alternative system of medical support for schoolchildren, existing experience of medical personnel and institutions that have the practice of training school health workers, it is advisable to clearly build the vertical of the school health system, consolidate at the legislative level competencies of medical personnel and credentials, an algorithm for improving their skills in health matters and health-saved programs. The nearest threat is the turnover of medical personnel from educational institutions through a decrease in the attractiveness of medical work in schools, which will help to limit the preventive capabilities of the health care system for children in educational institutions. The directions determined by the results of the SWOT analysis will make it possible to make informed management decisions, to coordinate activities in a timely manner and to use the available opportunities most effectively in order to improve the system of medical support for children in the conditions of general secondary education.

HISTORY OF THE MEDICAL SERVICE OF THE NORTHERN FLEET (1933-2020)

During its 88-year history, the Northern fleet medical service has passed a difficult and thorny path of formation, development and improvement. After passing through the crucible of the great Patriotic war, overcoming the difficulties of the postwar period, and in subsequent years of construction and development of the Northern fleet — the repeated transform in search of optimal structure and size for the most efficient management significant on the composition and structure of forces and means, organization of medical and preventive, sanitary and anti epidemic work, unin-terrupted supply of Navy medicine and the saturation of the most modern medical equipment. The most important component of the fleet medical service in all historical periods was the organization of medical support for ships and submarines in the far sea zone, military contingents in the Arctic zone. the Medical service is currently the main management body of the military medical institutions and medical services of military units of the Northern fleet.