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

2018 ◽  
Vol 20 (4) ◽  
pp. 156-163
Author(s):  
R N Lemeshkin ◽  
I F Savchenko ◽  
V A Blinov ◽  
A A Zhukov ◽  
D A Sidorov ◽  
...  

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

Author(s):  
G. V. Dmitriev ◽  
R. N. Lemeshkin ◽  
I. F. Savchenko ◽  
A. V. Stepanov

Relevance. Currently, the solution to the problem of medical support for troops (forces) and the population during the liquidation of the health consequences of emergencies by forces and means of the medical service of the Armed Forces of the Russian Federation does not lose its relevance.Intention. The system-morphological method to create a multidimensional morphological matrix with the corresponding morphological features and develop solutions to the problem of medical support in responding to the health consequences of emergencies.Methodology. The methodology of system-morphological analysis is presented, which allows creating alternative solutions. Variants of medical support for troops (forces) and the population were developed during the liquidation of the health consequences of emergency situations of a natural, technogenic and social nature: “Departmental”, “Interdepartmental”, “International”. In relation to each option, 9 indicators (criteria) are proposed: normative legal regulation; system controllability; complexity of organizing the system; resource (material) cost; staffing; the adequacy of medical care; efficiency; experience and innovation; autonomy of action. To achieve the goal of the study, the original MPRIORITY 1.0 dialog system (MY PRIORITY) was used which implements a method for analyzing hierarchies through repetitions (iterations).Results and Discussion. The results characterize each of the considered alternative options with an appropriate weight priority, and their preference is determined. During the first iteration, priorities were identified for a system of indicators and criteria that are characteristic for achieving a result with an emphasis on normative legal regulation of activities with its organizational structure and management system. In the second one, the priorities for the system of indicators and criteria were changed with a focus on the organization of medical care with the existing system of material and technical support, medical supply, as well as the proper level of training of medical personnel.Conclusion Proposals have been developed for the medical service of the Armed Forces of the Russian Federation, in particular for the Service for Disaster Medicine of the Ministry of Defense of Russia, on the organization of a medical support system for troops (forces) and the population during mitigation of the health consequences of emergencies.


2017 ◽  
Vol 14 (2) ◽  
pp. 69-74
Author(s):  
M V Melnik ◽  
B V Uvarovskaya ◽  
I P Makson ◽  
A A Ivanov

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


Author(s):  
V. V. Maslyakov ◽  
A. V. Savchenko ◽  
A. L. Zhilyaeva

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


Author(s):  
V. Yakovlev

The military security of the Russian Federation in the face of external and internal threats is still primarily important. In this context the rightful principles of defense and security in Russia play a discrete role. The article provides the analysis of these principles for a legal framework of the Russian military security regulation. It reveals system problems, gaps and contradictions of the legal regulation. Complex and urgent measures for the legal system and legal instruments improvement are suggested in the article. It is proposed to develop a number of regulatory acts needed by reason of the blanket character of the Federal Defense Act. Among these are: The Armed Forces of the Russian Federation Act, The Operational Equipment of the Territory of the Russian Federation for the Purpose of Defense Act, The Armed Forces of the Russian Federation Management and Control during the War Act, etc. Problems of the social relations legal regulation in the defense and security sphere are systemic and complex, require a constant attention on the part of government agencies and a painstaking daily work of legislators. It should facilitate bringing the defense and military security system of the Russian Federation to a fundamentally different, whole new level relevant to the present level of external and internal threats.


2017 ◽  
Vol 19 (2) ◽  
pp. 3-8
Author(s):  
E A Soldatov ◽  
A S Anisimov ◽  
V A Blinov ◽  
N V Belkin

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


2021 ◽  
Vol 118 ◽  
pp. 03018
Author(s):  
Valentina Vladimirovna Ustyukova ◽  
Daria Vladimirovna Tropina ◽  
Tatyana Sergeevna Lebedeva ◽  
Anastasia Maruanovna Surikova

The purpose of the research is to show the self-sufficiency of agricultural law as a branch of law and the need to refer agricultural legislation to the subjects of joint jurisdiction of the Russian Federation and its constituent territories at the constitutional level. During the research, emphasis was placed on legal comparative studies; applied were historical-legal, comparative-legal, formal-legal and other general and special methods of the scientific knowledge. The paper resulted in conclusions from the analysis of the historical and legal development of the policy management of agricultural relations in Russia; the identified features of the constitutional regulation of agricultural relations in foreign countries, as well as the designation of the subject of legal regulation of agricultural law and the specifics of the creation of a regulatory framework in the agricultural sector in the Russian Federation. The novelty of the work lies in the conclusion about the relationship between the separation of agricultural legislation at the constitutional level into a separate industry and the effectiveness of the state’s agricultural policy at the federal and regional levels.


Author(s):  
Maxim S. DEMCHENKO

On January 30, 2020, the spread of a new coronavirus infection was declared an international emergency by the World Health Organization. The state authorities of the Russian Federation have developed measures aimed at minimizing and eliminating the consequences caused by coronavirus infection, which in turn caused the need for rapid changes and additions to the regulatory framework in the field of protecting the population and territories from emergency situations. The question on the features of the emergency and high-alert mode, as well as the legality of restrictions on individual rights and freedoms introduced in the high-alert mode, has caused a scientific discussion in the field of protecting the population and territories from emergency situations. In this article, the author examines changes in legislation in this field, offers his interpretation of the basis and features of the legal regulation of the high-alert mode and restrictions on the rights and freedoms of an individual associated with the spread of the COVID-19 coronavirus infection. According to the author, taking into account the current epidemiological situation, Federal Law No. 68-FZ of December 21, 1994, “On the protection of the population and territories from natural and man-made emergencies” needs prompt and consistent changes in order to fully and comprehensively ensure the rights and freedoms of an individual. For example, it is necessary to introduce the concept of a biological and social emergency as one of the types of emergency situations that fall under legislative regulation. Analyzing the current legislation for legality of the introduced high-alert mode and restrictions on individual rights and freedoms, it is concluded that the existing mechanism for restricting individual rights and freedoms does not fully comply with the Constitution of the Russian Federation. Regarding the current epidemiological situation, it should be considered as an emergency situation with the need for introducing an appropriate mode. The research methodology is based on both general scientific and specific scientific methods of cognition: formal-logical, systematic, formal-legal, comparative, dialectical, predictive, modeling method, etc.


Lex Russica ◽  
2021 ◽  
pp. 36-45
Author(s):  
N. L. Lyutov

At the beginning of 2021, new norms came into force, completely revising the content of Ch. 49.1 of the Labor Code of the Russian Federation concerning remote workers. Since 2020, the interest in this form of labor relations has acquired a feverish character due to the need to adapt to the COVID-19 pandemic. The original text of the amendments was prepared for the State Duma by the Department of Labor Law and Social Security Law of Kutafin Moscow State Law University. However, it was deeply revised during the discussion by social partners. The paper evaluates how the new rules on remote work solve the key problems identified by experts in connection with this form of work. The author makes conclusions that, as a whole, the new norms, to a greater extent, reflect the interests of employers rather than employees. For the convenience of employers, rules have been adopted that provide for the unilateral temporary transfer of employees to remote work mode in emergency situations, for the recall of employees from remote to stationary ork mode, etc.Unfortunately, the law failed to solve the urgent problem of securing the right of workers not to be in constant communication with the employer (“the right to disconnect”). The most important asset for workers is the exclusion from the Labor Code of the Russian Federation of the discriminatory right of employers in relation to remote workers to secure additional grounds for dismissal in an employment contract.A number of significant problems in the legal regulation of remote work remained unsolved. We are talking about transnational and trans-regional remote work, when remote workers and their employers are located in different states or in different constituent entities of the Russian Federation.


2021 ◽  
Vol 1 ◽  
pp. 12-16
Author(s):  
Vladimir A. Vinokurov ◽  

The article is devoted to a new type of emergency situations — the situation created as a result of the spread of a disease that poses a danger to others. The article considers the norms of Federal laws that regulate issues related to the spread of a new coronavirus infection (COVID-19), analyzes the powers of the Federal Executive body authorized to solve problems in the field of protecting the population and territories from emergencies, and the chief state sanitary doctors who head the Federal Executive body responsible for organizing and implementing Federal state sanitary and epidemiological supervision, and its territorial bodies for the subjects of the Russian Federation. As a result of the analysis, proposals were formulated to amend the Federal laws “On the protection of the population and territories from natural and man-made emergencies” and “On the sanitary and epidemiological welfare of the population”, allowing to establish restrictions on the rights and freedoms of individuals and organizations in accordance with the requirements established by the Constitution of the Russian Federation, as well as to provide compensation in return for the restrictions imposed


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