Military service suitability among young men

2021 ◽  
Vol 16 (3) ◽  
pp. 105-109
Author(s):  
V.K. Sevostyanov ◽  
◽  
S.N. Makhmudova ◽  
A.Z. Bikmaeva ◽  
S.L. Balashov ◽  
...  

Objective. To analyze main chronic diseases in 16-year-old boys and assess their significance in terms of military service. Materials and methods. In this observational cohort study, we analyzed medical records of 315 young men residing in Moscow. We used forms No 025/u ‘Medical outpatient card,’ and No. 112/u ‘Information on child development’ and their digital analogues (Unified Medical Information and Analytical System of Moscow). To identify dynamic changes in the structure of morbidity, we used the results of medical examinations of young men from the Central Military District (n = 239) for 2015, provided by the Ministry of Defense of the Russian Federation. Data analysis was performed using the Statstica 6.0 software; we used the methods of descriptive statistics and Z-test. Differences were considered significant at р < 0.05. Results. More than one-third of participants (34.3%) were suitable for military service (Category A); 33% had minor limitations/were temporarily unsuitable for military service (Category B); 21% of young men had limited suitability for military service/were temporarily unsuitable for military service (Category C); 3.2% of participants were temporarily unsuitable for military service; 8.5% of participants were absolutely unsuitable for military service. Over 5 years, the structure of morbidity among young men of pre-conscription and military age has changed significantly: the number of patients with the most common pathologies making men unsuitable for military service (diseases of the musculoskeletal system and diseases of the eye and adnexa) has increased dramatically (a 3-fold and 7-fold increase, respectively). Conclusion. The simple information and analytical model proposed in this study allows the assessment of the dynamics of defense potential formation in the Russian Federation, as well as the evaluation of the effectiveness of pediatric care. Our findings suggest that it is necessary to perform a more thorough, early, timely examination of adolescents, correct their lifestyle, control the implementation of medical measures, increase the coverage of healthcare services for male children and adolescents. Keywords: military service, morbidity among adolescents, categories of suitability, medical examination.

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


2019 ◽  
Vol 100 (4) ◽  
pp. 701-705
Author(s):  
A A Sogiyaynen

Aim. Examination of expert opinions and social and hygienic aspects of the activities of draft board doctors of the subjects of the Russian Federation. Methods. The results of an anonymous continuous survey of medical specialists of the military-medical commissions of the military commissariats of the subjects of the Russian Federation (n=646) are presented, who directly conduct military-medical examination of the studied contingent. Results. When interviewing experts, significant factors were found that affect the health of citizens of draft age and the quality of military medical expertise. Thus, experts assessed the state of health of modern young men as satisfactory in 84% of cases, and in 3.6% as unsatisfactory. 46.5% of medical specialists noted a positive trend in the level of moral and psychological training of the contingent. Over 14% of respondents noted a negative trend in the health status of young men of draft age over the past 5 years. 9.8% of specialists assess the level of treatment and preventive measures among persons of draft age as unsatisfactory, 25.3% of experts consider it necessary to expand the list of mandatory diagnostic studies when preparing citizens for military service. The reasons for the unsatisfactory work of the system for the prevention of diseases among citizens before being drafted for military service, according to medical specialists, are formalism in carrying out activities for the prevention of diseases, lack of subspecialists in health care organizations, especially in remote areas, and the elimination of adolescent service. The state of the regulatory framework governing the relationship of the parties during the medical provision of training and conscription to the military forces of the Russian Federation adversely affects the work of 43.6% of doctors. Conclusion. An expert opinion of the medical specialists of the military medical commissions of the military commissariats indicates that the main reserves for improving the quality of measures to prepare citizens for military service are the expansion of diagnostic and treatment and prophylactic measures carried out before military conscription.


2020 ◽  
Vol 6 ◽  
pp. 35-44
Author(s):  
L. A. Shmarov ◽  

Based on the analysis of citizens’ claims against medical organizations, as well as on the basis of the analysis of the courts’ consideration of such claims, significant differences were found in the amount of compensation for non-pecuniary damage under various conditions related to both the condition of the victim of medical assistance rendered with defects and on the number of patients. It was shown that it is necessary to further accumulate material in order to obtain a more objective picture of satisfied claims and unification in the Russian Federation. Similar calculations can be carried out for other situations related to the possibility of causing moral harm, for example, disseminating information defaming the honor and dignity of a citizen, or compensating moral harm caused by unlawful actions of a law enforcement officer during criminal proceedings. Using the established average values, the court can, on the basis of established factual circumstances, calculate the amount of compensation for non-pecuniary damage in a particular case.


Author(s):  
Sergey Aleksandrovich Kuzmin ◽  
◽  
Lyubov Kuzminichna Grigorieva ◽  
Margarita Vadimovna Mirzaeva ◽  
◽  
...  

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.


2005 ◽  
Vol 54 (1) ◽  
pp. 122-131
Author(s):  
Y. V. Tsvelev ◽  
V. G. Abashin ◽  
V. F. Bezhenar'

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


Author(s):  
G.A. Nurlygayanova ◽  
◽  
V.I. Belousov ◽  
A.A. Varentsova ◽  
A.S. Sharypov ◽  
...  

In the Russian Federation, for the period from 2014 to 2019, the largest number of patients with brucellosis was detected among cattle – 55,591 heads and small cattle - 8,814 heads, which is 80.7 % and 12.8 %, respectively, of the total number of animals that respond positively to brucello-sis. Brucellosis of cattle was detected in 28 subjects of the Russian Federation, brucellosis of small cattle-in 8, brucellosis of horses in 9, brucellosis of pigs and deer (marals) in three subjects, respec-tively. In 2019, 397 cases of the disease were registered in the country.


2021 ◽  
pp. 111
Author(s):  
Svetlana V. Polubinskaya

The article discusses a number of issues associated with medical privacy in psychiatry, including forensic psychiatric evaluation. Current Law of the Russian Federation “On Psychiatric Care and Guarantees of Citizens’ Rights in Its Provision” requires taking into account the mental state of a person with a mental disorder when informing him about his mental health condition. However this rule misses new realities of digital health and is not included into the legislation on protection of citizens’ health. It is hardly possible to realize in practice and it needs an additional and established by law mechanism of access to medical records, considering specific properties of psychiatric patients. Problems also arise with a mentally disordered person&apos;s access to his forensic psychiatric medical record. On the one hand, the report of forensic psychiatric evaluation is an evidence in the court case, and the procedure for its disclosure is regulated by procedural legislation and legislation on state forensic expert activities. On the other hand, the Constitutional Court of the Russian Federation considers such a report as a medical document, for which the rules of legislation on protection of citizens’ health apply. In this paper the authors propose the solution to this dilemma that requires corrections in the position of the Constitutional Court of the Russian Federation. The authors analyze the history of legislation on medical privacy and draw attention to obvious long-term trend that shows in continuing expansion of the range of persons who have right to access such information without consent of the citizen concerned. The authors conclude that medical privacy is gradually losing the nature of the right guaranteed by federal law. Especially worrying are the attempts of a number of state bodies and officials to obtain information about mental health of unspecified groups of people. Too many third parties already have access to medical information for various reasons, and the number is growing with introduction of digital health information systems. The authors come to conclusion that such a development can lead to serious negative consequences for the legally guaranteed rights of citizens and stress the importance of special attention to protection of medical information, including measures against unlawful access and possible leaks.


2021 ◽  
pp. 156-165
Author(s):  
Денис Сергеевич Мунь

Целью исследования является определение роли самостоятельности в военной службе офицеров и ее влияние на успешное выполнение служебно-боевых задач. Рассмотрена структура деятельности человека, а также место в ней элементов самостоятельности. На основе исследования научной литературы определяются основные структурные элементы понятия «самостоятельность», что позволяет интерпретировать результаты проведенного анализа отзывов на выпускников военных вузов войск национальной гвардии Российской Федерации. Выявленные недостатки в подготовке военных специалистов позволяют сделать вывод о недостаточном развитии самостоятельности в их служебной деятельности. Из этого следует, что зафиксированный уровень развития самостоятельности препятствует проявлению нестандартного, нешаблонного мышления, а также значительно затормаживает саморазвитие офицера как личности и специалиста. Особое внимание уделяется формированию практических навыков курсантов военных вузов, соответствию решения практических задач на занятиях реальным запросам командования различного уровня. Проанализированы возможные причины формирования практических навыков выпускников на уровне ниже ожидаемого и проблема адаптации младших офицеров к новым вызовам. Также в ходе исследования определены основные пути решения проблемы морального устаревания предлагаемых в ходе практических занятий «жизненных» ситуаций. Важно отметить, что уровень профессиональных компетенций выпускников военных вузов войск национальной гвардии Российской Федерации тесно взаимосвязан с практикой их применения. Отмечено, что деятельность курсанта и офицера схожа по своей структуре, что позволяет предложить более результативные способы формирования их поведения в нестандартных/критических ситуациях. The purpose of the article is to determine the role of independence in the military service of officers and its influence on the successful fulfillment of service and combat missions. The article examines the structure of human activity, as well as the place of elements of independence in it. Based on the study of scientific literature, the main structural elements of the concept of “independence” are determined, which allows interpreting the results of the analysis of responses to graduates of military universities of the National Guard troops of the Russian Federation. The identified shortcomings in the training of military specialists allow us to conclude that there is insufficient development of independence in their service activities. As a result, the recorded level of development of independence prevents the manifestation of non-standard, unconventional thinking, and also significantly inhibits the self-development of an officer as a person and as a specialist. Particular attention is paid to the formation of practical skills of cadets of military universities, the correspondence of the solution of practical problems in the classroom to the real requests of the command of various levels. The article discusses the possible reasons for the formation of practical skills of graduates at a level below the expected level and the problem of adaptation of junior officers to new challenges. Also, in the course of the study, the main ways of solving the problem of obsolescence of the “life” situations offered during practical exercises were determined. It is important to note that the level of professional competence of graduates of military universities of the National Guard troops of the Russian Federation is closely interconnected with the practice of their application. The article notes that the activities of a cadet and an officer are similar in structure, which allows us to offer more effective ways of shaping their behavior in non-standard / critical situations.


2012 ◽  
Vol 17 (3) ◽  
pp. 23-27
Author(s):  
V. G. Akimkin ◽  
M. Zh. Parshin ◽  
C. V. Zemlyakov

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


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