scholarly journals Pharmacoeconomic analysis of drug supply of the military personnel with chronic bronchitis

2021 ◽  
Vol 14 (3) ◽  
pp. 336-342
Author(s):  
O. V. Plieshkova ◽  
O. V. Bielozorova ◽  
M. V. Bilous ◽  
D. V. Drozdov ◽  
A. V. Nikituk
Keyword(s):  
Chronic Bronchitis ◽  
Military Personnel ◽  
Military Service ◽  
Pharmacoeconomic Analysis ◽  
Economic Benefits ◽  
Expert Assessment ◽  
Drug Supply ◽  
Military Health ◽  
The Cost ◽  
The Military

Despite the superiority of bronchitis in the structure of respiratory diseases in the military personnel, its course develops with certain peculiarities due to the peculiarities of military service. Consequently, the optimization of the costs of providing the military personnel with medicines is becoming more and more of medical and social importance. Reasonable selection of medicines in the treatment of chronic bronchitis is the result of the choice of effective and safe drugs, considering the cost of the components for military health care. Aim. To perform a pharmacoeconomic analysis of drug supply to the military personnel with chronic bronchitis. Materials and methods. The materials of the study were a database of drugs registered in Ukraine, presented on the official website of the State Institution “State Expert Center” of the Ministry of Health of Ukraine. The study employed “cost – effectiveness” method, which allows comparing the cost of a particular treatment method and its effectiveness. Results. The scheme of the pharmacoeconomic analysis method has been offered. According to the results of the previously formed list of drugs for the treatment of military personnel with chronic bronchitis, a further analysis of the proposed range of drugs is conducted using an expert survey. By calculating the efficacy ratio within each presented pharmacotherapeutic group, a 10-item list of the most optimal drugs for the treatment of chronic bronchitis has been compiled. Conclusions. Pharmacoeconomic analysis of medical supply to the military personnel is a constructive solution in the process of identifying manufacturers as potential suppliers of medicines to cover the needs of the medical service of the Armed Forces of Ukraine. Based on the results of the pharmacoeconomic analysis of the drug supply to military personnel with chronic bronchitis, a recommended list of drugs for their treatment has been formed. However, this list can be expanded to include drugs with the highest efficacy – according to the expert assessment. In the future it may become the basis for inclusion of drugs in the clinical protocols of medical care and could be used for the development of cost standards for the relevant nosological forms, which will improve the efficiency and quality of treatment and will provide economic benefits.

scholarly journals Associations between earplug use and hearing loss in ROK military personnel

2020 ◽  
pp. jramc-2019-001378
Author(s):  
Hwi Jun Kim ◽  
S Y Oh ◽  
S Y Won ◽  
H J Kim ◽  
T K Kim ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Logistic Regression ◽  
Regression Analysis ◽  
Air Force ◽  
Logistic Regression Analysis ◽  
Military Personnel ◽  
Military Service ◽  
Military Health ◽  
The Republic ◽  
The Military

IntroductionThe easiest way to prevent noise-induced hearing loss (NIHL) is to wear earplugs. The Republic of Korea (ROK) Ministry of National Defense (MND) is supplying earplugs to prevent NIHL, but many patients still suffer from this. We speculated that earplugs would have a high NIHL rate, depending on the rate of use of earplugs, regardless of the rate of supply. Therefore, we conducted this study to investigate the relationship between the use of earplugs and hearing loss by ROK military personnel.MethodsThe study used data from the Military Health Survey conducted in 2014–2015, which included 13 470 questionnaires completed by ROK military personnel. Hearing loss and earplug use were self-reported. Logistic regression analysis was used to assess associations between earplug use and hearing loss.ResultsThe study sample included 13 470 ROK military personnel (response rate of 71.2%) (Army, 8330 (61.8%); Navy/Marines, 2236 (16.6%); and Air Force, 2904 (21.6%)). Overall, 18.8% of Korean military personnel reported that they always wore earplugs, and 2.8% reported hearing loss. In logistic regression analysis, there were significant differences in the rates of hearing loss associated with wearing earplugs sometimes (OR=1.48, 95% CI 1.07 to 2.05) and never wearing earplugs (OR=1.53, 95% CI 1.12 to 2.10). In subgroup analysis, in Air Force, non-combat branch, forward area and long-term military service personnel increased hearing loss was associated with not wearing earplugs.ConclusionOur study confirmed that within the ROK military, there is an association between hearing loss and lack of earplug use. In the ROK MND, Army, Navy/Marines and Air Force headquarters must provide guidelines for the use of earplugs during field training to protect military personnel’s hearings and, if necessary, need to be regulated or institutionalised.

scholarly journals Helminth infections in the US military: from strongyloidiasis to schistosomiasis

2021 ◽  
Author(s):  
Alyssa R Lindrose ◽  
Indrani Mitra ◽  
Jamie Fraser ◽  
Edward Mitre ◽  
Patrick W Hickey
Keyword(s):  
Military Personnel ◽  
International Classification Of Diseases ◽  
Data Repository ◽  
Military Health ◽  
Intestinal Nematode ◽  
Us Military ◽  
Helminth Infections ◽  
The Us ◽  
East And Southeast Asia ◽  
The Military

Abstract Background Helminth infections caused by parasitic worms, including nematodes (roundworms), cestodes (tapeworms) and trematodes (flukes), can cause chronic symptoms and serious clinical outcomes if left untreated. The US military frequently conducts activities in helminth-endemic regions, particularly Africa, the Middle East and Southeast Asia. However, the military does not currently screen for these infections, and to date, no comprehensive surveillance studies have been completed to assess the frequency of helminth diagnoses in the military personnel and their families. Methods To determine the burden of helminth infections in the US Military Health System (MHS), we conducted a retrospective analysis of International Classification of Diseases (ICD)-9/10 diagnosis codes from all medical encounters in the MHS Data Repository (MDR) from fiscal years (FY) 2012 to 2018. Chart reviews were conducted to assign ICD diagnoses as incorrect, suspected, probable or confirmed based on the laboratory results and symptoms. Results Abstraction of MHS data revealed over 50 000 helminth diagnoses between FY 2012 and FY 2018. Of these, 38 445 of diagnoses were amongst unique subjects. After chart review, we found there were 34 425 validated helminth infections diagnosed amongst the unique subjects of US military personnel, retirees and dependents. Nearly 4000 of these cases represented infections other than enterobiasis. There were 351 validated strongyloidiasis diagnoses, 317 schistosomiasis diagnoses and 191 diagnoses of cysticercosis during the study period. Incidence of intestinal nematode infection diagnoses showed an upward trend, whilst the incidence of cestode infection diagnoses decreased. Conclusions The results of this study demonstrate that helminth infections capable of causing severe morbidity are often diagnosed in the US military. As helminth infections are often asymptomatic or go undiagnosed, the true burden of helminth infections in US military personnel and dependents may be higher than observed here. Prospective studies of US military personnel deployed to helminth-endemic areas may be indicated to determine if post-deployment screening and/or empirical treatment are warranted.

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 ACTUAL PROBLEMS OF PREVENTION OF SUICIDE IN THE ARMED FORCES OF THE RUSSIAN FEDERATIO

2019 ◽  
pp. 50-58
Author(s):  
V. K. Shamrei ◽  
K. V. Dnov ◽  
V. I. Evdokimov
Keyword(s):  
Mental Disorders ◽  
Early Detection ◽  
Behavioral Disorders ◽  
Military Personnel ◽  
Military Service ◽  
Somatoform Disorders ◽  
Armed Forces ◽  
International Classification Of Diseases ◽  
Addictive Disorders ◽  
The Military

Relevance. The level of suicides, according to several authors, is one of the most significant indicators of mental health in society, including in the armies of the world.Intention. To analyze suicides and their existing prevention system in the Russian Federation population and Armed Forces in 2007–2018.Methodology. Mental disorders and behavioral disorders (F00–F99 by Chapter V, the International Classification of Diseases of the 10th revision) were analyzed according to 3/MED Form in the military units, where ≥ 80 % of the military personnel served. The longterm trends of the main statistical indicators of suicides and mental disorders among military personnel compared to the Russian population have been established.Results and Discussion. In 2007–2018, the level of suicides in the Russian Armed Forces was (12.00 ± 1.35) per 100 thousand military personnel and was 1.7 times lower than in the population of Russia (20.12 ± 1.56) per 100 thousand (p < 0.001). The level of suicides seems to decrease among the military personnel of the Russian Armed Forces. When analyzing the longterm incidence of mental disorders and the level of suicides in the personnel of the Armed Forces of Russia, no significant correlation was found. At the same time, in a cohort of officers and ensigns, a statistically significant correlation was established between the level of suicides and the general incidence of the Chapter V diseases (r = 0.87; p < 0.01), including stressrelated neurotic and somatoform disorders (F40–F48; r = 0.72; p < 0.01), mental and behavioral disorders associated with the use of psychoactive substances (F10–F19; r = 0.89; p < 0.001). In the military conscripts, there was a correlation between the level of suicides and general morbidity related to Chapter V diseases (r = 0.72; p < 0.05), including personality and behavior disorders in adulthood (F60–F69; r = 0.81; p < 0.01) and organic, including symptomatic, mental disorders (F00– F09; r = 0.76; p < 0.05). It was revealed that among the officers and military personnel under the contract, family and domestic causes of suicide prevailed in contrast to the draft servicemen. Meanwhile somatic and mental diseases as a predominant cause of suicide accounted for a relatively small proportion.Conclusion. Psychoprophylactic measures should be aimed at early detection of servicemen prone to suicidal behavior, effective assistance in resolving militaryprofessional difficulties and domestic problems, as well as at improving their adaptation to military service. Special attention should be paid to the early detection of people with addictive disorders, especially alcohol abusers.

The Military Service Sleep Assessment: an instrument to assess factors precipitating sleep disturbances in U.S. military personnel

2021 ◽  
Author(s):  
Vincent Mysliwiec ◽  
Kristi E. Pruiksma ◽  
Matthew S. Brock ◽  
Casey Straud ◽  
Daniel J. Taylor ◽  
...  
Keyword(s):  
Military Personnel ◽  
Military Service ◽  
Sleep Disturbances ◽  
Sleep Assessment ◽  
The Military

A Review of Military Health Research Using a Social–Ecological Framework

2018 ◽  
Vol 32 (4) ◽  
pp. 1078-1090 ◽  
Author(s):  
Pauline Lubens ◽  
Tim A. Bruckner
Keyword(s):  
Health Outcomes ◽  
Military Personnel ◽  
Health Research ◽  
Military Service ◽  
Federal State ◽  
Post Traumatic Stress ◽  
Care Needs ◽  
Military Health ◽  
Social Ecological ◽  
Combat Deployment

Objective: We aim to contextualize the growing body of research on the sequelae of military service in the wars in Afghanistan and Iraq. We employ a social–ecological (SE) framework for the taxonomy of military health research and classify risk as arising from the individual, family, community, and the institutional levels. We intend for this review to inform enhanced health promotion efforts in military communities. Data Source: Articles reviewed were extracted from Web of Science, PubMed, and Scopus. Inclusion and Exclusion Criteria: Research focused on somatic and psychological sequelae of combat deployment published from 2001—the year the war in Afghanistan began—through the end of 2014. We excluded studies of non-US military personnel, other systematic reviews, meta-analyses, book chapters, and theoretical papers. Data Extraction: We examined and summarized the aims, participants, methods, study design, SE framework tier, risk factors, and health outcomes. Data Synthesis: Studies were categorized according to SE tier, whether they focused on somatic, behavioral, or psychological outcomes, and by risk factor. Results: Of the 352 peer-reviewed papers, 84% focused on war’s sequelae on the index military personnel, and 75% focused on mental or behavioral health outcomes—mostly on post-traumatic stress disorder. We find comparatively little research focusing on the family, community, or institutional tiers. Conclusions: We know relatively little about how family and community respond to the return of personnel from combat deployment; how family resources affect the health of returning military personnel; and how a war’s persistence presents challenges for federal, state, and local agencies to meet military health-care needs. Such work is especially salient as US troops return home from war—particularly in communities where there are substantial military populations.

scholarly journals Actual issues of the implementation of social security of military personnel of the Armed Forces of Ukraine in modern conditions

2019 ◽  
Vol 9 (6) ◽  
Author(s):  
Serhii Diachenko ◽  
Liudmyla Tsiukalo
Keyword(s):  
Social Security ◽  
Military Personnel ◽  
Military Service ◽  
Armed Forces ◽  
Legal Framework ◽  
The Military

The article deals with the modern legal framework that regulates the issues related to social security of the military of the Armed Forces of Ukraine. One of the components of the personnel social security - pension - is analyzed. Peculiarities of pension provision of personnel retired from military service are considered. The focus is on the issues of recalculation of pensions due to changes in legislation. Ways to improve the pension provision of persons retired from military service considered are proposed.

scholarly journals Forecasting combat readiness of military personnel of information and technical divisions of the Russian aerospace forces

2020 ◽  
Vol 5 (3) ◽  
pp. 133-144
Author(s):  
Vladislav Petrov ◽  
Evgeniya Panferova
Keyword(s):  
Military Personnel ◽  
Military Service ◽  
Standardized Test ◽  
Expert Assessment ◽  
Combat Training ◽  
The Individual ◽  
Intellectual Potential ◽  
Personal Questionnaire ◽  
Selection Of ◽  
Combat Readiness

The article is devoted to the development and verification of a model for psychodiagnostic forecasting of readiness of military personnel of information and technical units of the Russian aerospace forces to perform combat duty. The longitudinal study used standardized test tools (the method "Motivational profile of the individual", the personal questionnaire "Big five", the method of diagnosing the tendency to deviate behavior, the multi-level personal questionnaire" Adaptability", the method of studying the features of thinking), a questionnaire and expert assessment. Participants were 119 experts and 255 military personnel serving under a contract. The main difference in subgroups of military personnel of various degrees of readiness for combat duty was the presence of purposefulness and awareness of activity. In the regression model of predicting military readiness, the success of activity is associated with the presence of adaptive abilities, consciousness and intellectual potential. Combat readiness is reduced due to the soldier's tendency to aggression and violence, power and recognition, as well as utilitarian motivation. The results of the research allow us to improve the procedure for professional psychological selection of candidates for military service under a contract and preventative work with personnel, optimize training and combat training of military personnel, and ultimately increase the combat readiness of units and formations of constant readiness.

scholarly journals Theoretical review of psychosemantic studies of military servants

2017 ◽  
Keyword(s):  
Professional Identity ◽  
Military Personnel ◽  
Military Service ◽  
Social Representations ◽  
Social Institution ◽  
The Third ◽  
Qualitative Effect ◽  
Military Activity ◽  
The Military

The article analyzes psychosemantic researches of servicemen in Ukraine and Russia. The study proposed solutions to the following tasks: to analyze the main content of psychosemantic research with the military and determine the focus of further research with the military. The general analysis of psychosemantic studies of servicemen can be divided into three groups: The first group is the study of the peculiarities of the personal and semantic sphere of servicemen, as well as professional identity. The second group is the study of the behavior of the military, the features of their communication and motivation to serve. Performance of their official duties due to the regularity and hierarchy of military service. The third is the study of the formation of social representations about the image of the military and the army in general. Familiarization with the results and conclusions of the psychosemantic researches of military personnel, received by specialists, allowed to determine the focus of further research in this direction. In further studies, in our opinion, the actual question arises of the study of social representations of conscripts and soldiers of the regular service for the army and the military, as well as its impact on society as an important social institution. The study of these social representations can have a qualitative effect on the formation of young people's motivation to undergo military service, their adaptation to military activity, and the quality of their military professional tasks. The need for conducting these studies is determined by the dynamics of society development, the peculiarities of the modern worldview and the importance of military structures for each country.

ROLE OF VITAMINS AND MINERALS IN THE DEVELOPMENT OF DENTAL DISEASES IN MILITARY SERVICE

2020 ◽  
pp. 19-32
Author(s):  
Филипп Сергеевич Соколов ◽  
Константин Георгиевич Гуревич ◽  
Дмитрий Анатольевич Пустовалов ◽  
Олег Петрович Каражелясков ◽  
Нателла Ильинична Крихели
Keyword(s):  
Oral Cavity ◽  
Military Personnel ◽  
Military Service ◽  
Age Groups ◽  
The Body ◽  
International Studies ◽  
Microelement Composition ◽  
Dental Diseases ◽  
The Military

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

Sign in / Sign up

Export Citation Format

Share Document