scholarly journals COMPARATIVE ANALYSIS OF DISMISSAL FOR HEALTH REASONS IN MILITARY PERSONNEL OF THE NAVY AND OTHER BRANCHES OF THE ARMED FORCES OF THE RUSSIAN FEDERATION (2003-2018)

2019 ◽  
Vol 5 (4) ◽  
pp. 44-65
Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko

Introduction. Excessive stress on the functional reserves of the body of military personnel can lead to persistent health disorders, disability and dismissal from the Armed Forces of Russia. Aim. Compare the dismissal for health reasons in the military personnel of the Navy of Russia and the Russian Armed Forces in 2003–2018. by categories of military personnel. Material and methods. We conducted a statistical analysis of medical reports on the health status of personnel and medical service activity according to Form 3/MED in military units with a sample comprising about 60% of the total number of military personnel of the Russian Armed Forces and the Navy served from 2003 to 2018. The results and their discussion. Dismissal for health reasons in officers of the Russian Navy over 2003 to 2018 was 15,90±1,36, officers of other branches of the Russian Armed Forces — 7,98±1,10‰ (p<0,001); contract servicemen — 6,82±0,57 and 3,92±0,32, respectively (p<0,001); conscripts — 33,38±1,79 and 17,57±1,19, respectively (p<0,001); women soldiers — 23,01±3,34 and 9,14±1,37‰ (p<0,01). There were no significant differences in the nomenclature of disease blocks that caused dismissals in the categories of military personnel of the Russian Navy and the Russian Armed Forces. Higher dismissal levels within disease blocks indicated higher intensity of professional work and increased demands to the health status of the Navy servicemen compared to those from other branches of the Armed Forces. As a rule, dismissals of military personnel of the Russian Navy and the Russian Armed Forces were due to diseases of the circulatory system (ICD-10 Chapter IX), diseases of the digestive system (Chapter XI) and neoplasms (Chapter II). At the same time, some features of the structure of dismissals for health reasons were identified in the military personnel by categories. Conclusion. Accounting for and prevention of leading diseases that caused dismissals due to health reasons will contribute to improving the health of military personnel. It is necessary to focus the attention of the Russian Navy on a healthy lifestyle and increased physical activity.

Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko

Relevance. When solving military-professional tasks during the period of reforming the Armed Forces of Russia, military servicemen under contract (sergeants, foremen, privates and sailors) are given a special role, and in a number of units they must replace conscripts.Intention To analize medical and statistical morbidity indicators of military personnel under contract in the Navy and the Land Forces of Russia.Methods. We studied medical reports on the state of health of personnel and medical service activity according to Form 3 / MED of military units, in which about 60% of the total number of servicemen of the Russian Armed Forces served from 2003 to 2018. Morbidity indicators were correlated with the International statistical classification of diseases and related health problems, 10th revision (ICD-10).Results and Discussion. As a rule, the military personnel under contract in the Russian Navy had lower morbidity rates with high dismissal rates. In particular, the indicators were as follows: the average annual overall morbidity rates were (855.0 ± 65.3) and (946.9 ± 49.7) ‰ in the military personnel under contract in the Russian Navy and in the Land Forces of Russia, respectively; primary incidence, (384.8 ± 19.3) and (472.0 ± 22.8) ‰, respectively (p < 0.01); need for follow-up, (92.8 ± 9.9) and (74.3 ± 4.7) ‰, respectively; hospital admission rates, (205.8 ± 39.2) and (235.2 ± 13.2) ‰, respectively; working days lost, (4,038 ± 203) and (3.944 ± 196) ‰, respectively; dismissal rates, (6.82 ± 0.57) and (4.40 ± 0.61) ‰, respectively (p < 0.01); mortality rates, (112.13 ± 9.91) and (111.76 ± 7.80) per 100,000 military personnel under contract. It is possible that this phenomenon was determined by the peculiarities of professional activity, the organization of medical support and the high demands placed on the state of health of the Russian Navy servicemen. A significant part of the leading disease blocks with a share of 0.5% or more in the structure of medical and statistical morbidity indicators, were similar between the military personnel under contract in the Navy of Russia and the Land Forces of Russia. In the structure of the assessed military-epidemiological significance of disease blocks among the military personnel under contract of the Russian Navy, acute infections of the upper respiratory tract (J00– 06 by ICD-10) ranked 1st, diseases of the esophagus, stomach and duodenum (K20–K31) ranked 2nd, followed by injuries involving several areas of the body (T08–T14), head injuries (S00–S09), ischemic heart disease (I20–I25). In the military personnel under contract in the Land Forces of Russia, these were the following diseases, from the most to least significant: acute infections of the upper respiratory tract (J00–J06), injuries involving several areas of the body (T08–T14), head injuries (S00–S09), diseases of the esophagus, stomach and duodenum (K20–K31), and infections of the skin and subcutaneous tissue (L00–L08).Conclusion. Prevention of the leading groups of disaeses will contribute to improving the health status of servicemen under contract, and taking data on morbidity into account will help organize diagnostic and treatment assistance and optimize the personnel and material resources of military medical organizations. 


Author(s):  
V. I. Evdokimov ◽  
P. P. Sivashchenko ◽  
V. V. Ivanov ◽  
V. V. Khominets

Relevance. The extreme conditions of the service determine the probability of servicemen' erroneous actions, stress, and often a decrease in the functional reserves of the body. This results in diseases and injuries.Intention: To analyze the indicators of injuries in the contract military personnel (privates, sergeants and foremen) of the Russian Armed Forces in 2003-2019.Methodology. The selective statistical analysis of medical reports on the state of health of military personnel by the form 3/MED was carried out. The military units with the contract military personnel about 80 % of the total personnel were under consideration. The indicators of injuries were correlated with the blocks (S00-T98) of the ICD-10 Chapter XIX “Injuries, poisoning and certain other consequences of external causes”.Results and their discussion. In 2003-2019, the injuries incidence among the contact military personnel by ICD-10 Chapter XIX was (18.39 ± 1.74) ‰. Its percentage in the general structure of incidence rate for all ICD-10 Chapters was (3.7 ± 0.3) %. Corresponding hospitalization rates were (12.12 ± 0.88) ‰ with the percentage of (5.0 ± 0.4) %, working days loss - (311.5 ± 26.0) ‰ and (7.9 ± 0.6) %, dismissal - (0.24 ± 0.03) ‰ and (6.2 ± 0.7) %, mortality - (51.48 ± 4.53) per 100 thousand of personnel and (50.5 ± 2.2) %, respectively. There was a decrease in the rate and proportion of injuries in the general structure of analyzed indicators of morbidity. The most common injuries among the contract military personnel were injuries to the head (ICD-10 Chapter XIX block 1, S00-S09), wrist and hand (block 7, S60-S69), ankle and foot (block 10, S90-S99), knee and lower leg (block 9, S80-S89), elbow and forearm (block 6, S50-S59), shoulder and upper arm (block 5, S40-S49). The structure of the types of injuries to the areas of the body was presented. The military epidemiological assessment of the significance of the contract military personnel injuries was performed. The 1st rank of the negative health effects significance was assigned to head injuries (block 1), injuries involving multiple body regions (block 11, T00-T07) ranked 2nd, sequelae of injuries, of poisoning and of other consequences of external causes (block 22, T90-T98) ranked 3rd, injuries to the ankle and foot (block 10) ranked 4th and injuries to the wrist and hand (block 7) ranked 5th. In total, these injuries amounted to 70.9 % of the assessed structure. Concerning trauma circumstances, many injuries occurred during off-duty hours (38.3 %). Injuries on combat duty comprised 3.4 %, during combat training - 17.4 %, on duty - 4.8 %, when using weapons and military equipment - 4.1 %, during household work - 5.4 %, during construction work - 1.7 %. Other circumstances were associated with 24.9 % of injuries.Conclusion. The obtained medical and statistical indicators of the injuries can determine the strategy of safe conditions for military professional activity, injuries prevention, medical and health promotion and rehabilitation measures for contract military personnel. 


2021 ◽  
pp. 11-15
Author(s):  
V.A. Sidorenko ◽  
◽  
V.Yu. Rybnikov ◽  
N.V. Nesterenko ◽  
◽  
...  

The purpose of the study is to assess the main indicators of health status as well as the structure of overall morbidity of employees of the Ministry of Internal Affairs of Russia in 2015–2019 on the basis of long-term data. Authors compare them with the corresponding indicators of the employees of the Federal Fire Service of the State Fire Service of the EMERCOM of Russia and of the contract servicemen, including officers, of the Armed Forces of the Russian Federation. Materials and research methods. The materials of medical reports on the health status of police officers were analyzed, which contained generalized medical and statistical data on the overall morbidity of all police officers who served in 2015–2019. The comparison of these indicators with the indicators of the employees of the State Fire Service of the Ministry of EMERCOM of Russia and of military personnel under the contract, including officers, of the Armed Forces of the Russian Federation, is made. Research results and their analysis.Analysis of health indicators of police officers for 2014–2019 showed that the effectiveness of preventive measures was quite high: about 90% of employees were classified as "healthy" and "practically healthy"; almost every police officer applied for medical help every year. It was noted that the indicators of the health status of the police officers were similar to those of the military personnel of the Armed Forces and the employees of the State Fire Service of the EMERCOM of Russia. At the same time, the level of general morbidity and mortality was significantly lower among the police officers, in comparison with the military personnel of the Armed Forces, but there were more cases and days of temporary disability. In comparison with the employees of the State Fire Service of the Ministry of EMERCOM of Russia, the police officers had significantly lower "primary access to disability", etc. It is concluded that data on the health status of police officers can serve as a starting point in the work on further improving the system of medical support for police officers.


Author(s):  
V. I. Evdokimov ◽  
D. A. Chernov ◽  
P. P. Sivashchenko ◽  
A. A. Vetoshkin

Relevance. Injury indicators in military personnel reflect injuries and their consequences that occur in a certain period, as a rule, over a year. Injury indicators in the Armed Forces (AF) are important for assessing occupational safety.Intention: To compare injury indicators in military conscripts between the Russian Armed Forces and the Republic of Belarus for 18 years from 2003 to 2020.Methodology. We carried out a selective statistical analysis of medical reports on the health status of personnel and the activities of the medical service according to 3/MED form in military units where at least 80 % of the total number of conscripts of the Armed Forces of Russia and Belarus served. Groups (blocks) of injuries in Chapter XIX “Injuries, poisoning and certain other consequences of exposure to external causes” were agreed with the International Statistical Classification of Diseases and Related Health Problems, 10th revision (ICD-10). Injury data were calculated per 1000 military personnel or ‰, mortality rates – per 100 000 military personnel.Results and their Discussion. In the Russian Armed Forces compared to the Belarusian Armed Forces, the average annual injury rates (primary morbidity) of conscripts were (15.91 ± 1.65) ‰ vs (20.23 ± 1.96) ‰, hospitalizations with injuries (14.16 ± 1.29 ) vs (14.50 ± 0.96) ‰, work days lost (303.4 ± 27.0) vs (303.4 ± 27.0) ‰, dismissal due to injuries (0.552 ± 0.066) vs (0.551 ± 0.051) ‰, injury-related mortality (21.96 ± 4.26) vs (24.18 ± 4.29) per 100 000, respectively. As a rule, polynomial trends with high determination coefficients showed a decrease in the levels of injury, hospitalization, work days lost and mortality. Dismissal trends showed decrease in the Russian Armed Forces and increase in the Belarusian Armed Forces. The conscripts of the Armed Forces of Russia and Belarus have a positive statistically significant congruence in indicators of injuries, hospitalizations, work days lost and mortality, which may indicate the influence of the same (unidirectional) factors in the formation of annual indicators. Injuries of the head (Group 1, Chapter XIX by ICD-10), shoulder girdle and upper limbs (Groups 5–7), the area of the hip joint and lower extremities (Groups 8–10), injuries, affecting several areas of the body (Group 11), and the consequences of injuries, poisoning and other external causes (Group 22) are of high military-epidemiological significance for conscripts in the Russian Armed Forces and the Belarusian Armed Forces. These injuries accounted for 78.7 % and 82.8 % of the generalized estimate in the Russian Armed Forces and the Armed Forces of Belarus, respectively.Conclusion. Taking into account the indicators of injuries will allow the medical service to optimize the calculation of forces and assets for treatment and rehabilitation of servicemen with injuries. Injuries are not only a medical problem; it is necessary to involve more extensively military professionals from various services to analyze the cause-and-effect relationships of injuries and develop measures for their prevention.


Author(s):  
K. Kravchenko

The cognitive-perceiving sphere of the individual has got a crucial load in terms of developing a world model. Among thecognitive processes there’re the sense, perception, memory, contemplation, imagination and attention. The scientificpsychologicalapproach demands an analytical perception of the perception procedures, however in this real psychological lifeall these processes are combined unified and dependent on the structure and content of the individuals’ personality, its motives,global purpose etc.The cognitive-perceptional sphere of the individual takes an important role in many types of professional activity. The militaryactivity is not an exception. The timely and correct orientation under combat circumstances, the assessment of one’s role andsignificance, without considering the necessity of taking decisions that could have implications not only for the results of thetasks set, but also the life and health of other military personnel, which is achieved by intense intellectual activity. Addi tionally,every service men is obliged to clearly understand the algorithm of actions in average situations of service activity, supposed tohave the skills of self-regulation of the cognitive functions, sufficient creative potential and the ability to conduct rapid logicalanalyses of insignificant complications of the situation under the conditions of combat activities.This work presents certain aspects of the cognitive-perceptional sphere of military personnel, namely the peculiarities ofcontemplating and intellectual capabilities (intellect).The article presents certain results of empirical research, that have been conducted in air-assault units of the Armed Forcesof Ukraine in the period from 2019 till 2020. 173 military men – participants of combat activities in the east of Ukraine have takenpart in the research. Due to the fact that the conducted research was vast and broad in terms of volume its results shall behighlighted in a number of scientific publications.The purpose of this particular part of research is to determine certain elements of the cognitive-perceptional sphere, that aretypical to the finest military men of the air assault troops. The research is constructed in the following manner. It contained twofields of activity: the first one was the conduct of diagnosis methods with military personnel; the second one was the conduct ofa survey among the direct commanders of this military personnel with the aim to identify the example group. The necessity toidentify the example group was dictated by the following: determining of a certain number of individuals among the generalamount of those that are under research, the psychological features of which are going to be determined as the best andnecessary to assure the effective implementation of combat tasks. The survey among direct commanders contained only onesingle question: « Who of your subordinates could be characterized as a serviceman that has been effective in terms of carryingout tasks in the combat area”. Here is of utmost importance to stipulate the exercise of combat activities, and no other features,as good discipline, healthy working atmosphere etc. The first example group included 18 military men, whilst the secondincluded – 155.By indicating the example group and the further comparison of the features with another group, the purpose that has beenset by the researchers has been achieved.The results of the research conducted could be used when determining the candidates to continue service in the air-assaulttroops of the Armed Forces of Ukraine under the conditions that some of the changes are to be added to the Instruction onorganizing the professional-psychological selection in the Armed Forces of Ukraine. Also when receiving the results, the militarypsychologists could use in terms of internal activities (psychological training and psycho correctional events) in order to achievethe finest results by the military personnel as the representatives of their military branch.


2020 ◽  
Vol 10 (4) ◽  
pp. 137-142
Author(s):  
ALEXEY ROMAKHIN ◽  

This article reveals the problem of the role of the religious factor in the formation of the value orientations of the military personnel of the Russian army from its inception to the present state. In the article, the author reveals the significance of the Church in the formation of the value orientations of military personnel. The problem of religious situation in foreign armies is considered. The article presents data from sociological studies confirming the increase in the number of religious servicemen in the modern Armed Forces. The concept of “religious factor” is revealed. The author suggests considering the influence of the religious factor on the formation of value orientations through the functions of religion. The article provides examples of the influence of religion on the formation of value orientations of military personnel from the time of the Baptism of Russia to the present. Examples of writers of Russian classical literature about the influence of religion on the morale of troops are given. Examples of religious participation in major battles and wars of the past years are shown. The significance of the religious factor in uniting the people and the army is shown. The work of officials of the Ministry of defense of the Russian Federation in strengthening values among military personnel in modern conditions is demonstrated. The role of the Minister of defense of the Russian Federation, General of the army S.K. Shoigu in strengthening the faith of the Russian army is outlined. Issues related to the construction of the Main Temple of the Armed Forces and its impact on the public masses were discussed. In this study, the author aims to show the significant role of religion in the formation of value orientations in Russian military personnel. The analysis shows an increasing role of religion in the minds of military personnel in modern conditions.


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.


Author(s):  
S. G. Grigoriev ◽  
V. I. Evdokimov ◽  
V. A. Sanzharevsky ◽  
G. G. Zagorodnikov

Relevance. On September 27, 2017, Russia announced the completion of disposal of chemical weapons with organophosphorus toxic substances. ahead of its international obligations. Besides men, military women also served in enterprises for disposal of these weapons.Intention. To assess the impact of occupational factors on the primary morbidity of female military personnel (n = 267) served in enterprises for disposal of chemical weapons with organophosphates in 2007-2016.Methodology. The object of the study was data on the primary morbidity of female military personnel employed in disposal of chemical weapons with organophosphates (group 1) and serving in support and service units (group 2). The results were compared with the indicators of primary morbidity of all female military personnel Armed Forces of Russia. Nosologies were correlated with the chapters of diseases by the International Statistical Classification of Diseases and Related Health Problems (ICD-10).Results and Discussion. In Group 1 of female military personnel, the primary morbidity for a number of disease categories was better than in Group 2 and all the female military personnel of the Russian Armed Forces, which can be explained by careful preliminary selection before recruting, good work organization, and timely prevention of initial health disorders and rehabilitation of the functional reserves of the body. In military women of Groups 1 and 2, compared to all the female military personnel of the Russian Armed Forces, a statistically significantly higher level of primary morbidity was revealed for mental disorders and behavioral disorders (Chapter V by ICD-10). This can be explained by the cumulative effect of mental tension during disposal of chemical weapons. Of note, the above disorders were not the leading category of primary morbidity in both female military personnel working in enterprises and in all the female military personnel of the Russian Armed Forces. In female women of Group 1 compared to all the female military personnel of the Russian Armed Forces, there was a statistically significantly higher level of diseases of the musculoskeletal system and connective tissue (Chapter XIII by ICD-10). It can be assumed that negative memories of the likelihood of emergencies when moving weapons that require disposal create additional physical efforts and overstrain of individual muscles. It is appropriate to point out that diseases of the musculoskeletal system and connective tissue increased in female military personnel in all groups and overall in 2007-2016. In Group 1 of female military personnel, there was an increase in proportion of diseases from Chapter XIII vs certain stability of their percentage in all the female military personnel f the Russian Armed Forces.Conclusion. The results obtained showed a sufficient effectiveness of preventive and protective measures during the disposal of organophosphate weapons by female military personnel.


Author(s):  
V. K. Shamrei ◽  
K. V. Dnov ◽  
V. I. Evdokimov

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.


2020 ◽  
Vol 64 (3) ◽  
pp. 132-138
Author(s):  
Anastasiya A. Khablova ◽  
Galina N. Bondar’ ◽  
Pavel F. Kiku ◽  
Natal’ya S. Tumanova ◽  
Valentina N. Rasskazova ◽  
...  

Human health, in addition to social and spiritual well-being, is determined by its physical condition, which reflects the functional capabilities of the body, features of physical development and ensures working capacity in any activity, including academic workload, which is extremely important for students in higher educational institutions. The purpose of the study is to assess the health status of students at the School of Biomedicine of the Far Eastern Federal University. Material and methods. The health status of 184 medical students (147 young women and 37 young men) was assessed using a sociological survey (questionnaire) and a study of the component composition of the body using bioimpedancemetry. Results. The low physical activity, detected in 68% of students and bad habits (smoking tobacco) have been established to negatively affect students’ health. Among smokers, 75% of students live in dormitories on the university campus. According to the results of bioimpedancemetry, significant deviations from the age norm were noted in terms of body mass index (BMI) (50% of cases) and fat mass (FM) (71% of cases). Significant gender differences in the individual components of the body were not identified. Discussion. The most aggressive factors that significantly affect the health of students are unbalanced nutrition, lack of compliance with the regime of study and rest, lack of sleep and stay in the fresh air, lack of physical activity, lack of motivation for a healthy lifestyle. Significant deviations in BMI and FM, identified by bioimpedancemetry, indicate the risks of developing arterial hypertension, metabolic syndrome, and nutritional status disorders. Medical students need to give recommendations for increasing motor activity and changing diet. Conclusion. The results of the study can be used in the future to determine the functional state of students and develop preventive measures to preserve the health of medical students.


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