scholarly journals M. I. Pirogov's contribution to the formation of the basic principles of medical support of troops and the system of medical service management in war

2021 ◽  
Vol 25 (1) ◽  
pp. 181-186
Author(s):  
L. G. Kovalenko ◽  
M. I. Yukalchuk ◽  
K. F. Antoshchuk

Annotation. M. I. Pyrohov is a founder of battlefield surgery, organization and medical military services. His ideas laid the foundation of well-managed system of modern medical support services of troops. The article reveals some aspects of the formation of structure of the Medical Service management in the war.

2020 ◽  
Vol 22 (3) ◽  
pp. 153-158
Author(s):  
G. G. Zagorodnikov ◽  
I. M. Uliukin ◽  
E. S. Orlova ◽  
A. A. Sechin ◽  
V. M. Reznik ◽  
...  

Аbstract. The current regulatory framework of the Ministry of Health and the Ministry of Defense of the Russian Federation on the regulation of the provision of medical assistance to military personnel affected by the infection caused by the SARS-CoV-2 coronavirus is considered. The state of the problem of information support for the provision of medical care to military personnel of this category is assessed. The developed methodology and the draft regulatory document for organizing the collection of medical information in the register of military personnel affected by the infection caused by the SARS-CoV-2 coronavirus are presented, and a regulation on this register is developed. The content, scope and algorithm of creating an information-analytical system for registering this pathology among military personnel, as well as the need to introduce new medical document management technologies into the medical service of the Armed Forces of Russia based on personified records of military personnel and the medical and psychological assistance provided to them, are substantiated. It is shown that for the smooth functioning of the register within the framework of a justified list of tasks, the presence of high-speed secure communication channels between the participating military units, institutions and medical service management bodies will be required. Consequently, the improvement of the information support system for managing the medical support of troops in peacetime and wartime is an important component of increasing the effectiveness of managing medical support for military.


2021 ◽  
Vol 7 (1) ◽  
pp. 78-84
Author(s):  
P. V. Agafonov ◽  
Yu. Sh. Khalimov ◽  
S. V. Gaiduk ◽  
E. V. Kryukov ◽  
G. G. Zagorodnikov

The aim of the study: to consider the main sanitary-epidemiological, climatic and military-professional factors of the Far North, which can have an adverse effect on the health of military personnel, their military-professional adaptation, maintaining combat effectiveness and working capacity.Materials and methods. In preparing this article, an analysis of scientific literature was used on the features of medical support for military personnel in the Far North, as well as the experience of the authors’ practical activities in the field of organizing medical service in the Arctic region.Results and discussion. It was shown that due to the remoteness of the regions of the Far North, their harsh climatic and geographical characteristics, complex sanitary and epidemiological conditions, as well as the peculiarities of military labor, there is a significant contribution of therapeutic pathology to the morbidity structure of personnel. It has been substantiated to carry out such activities aimed at effectively solving the problems of the medical service for the provision of therapeutic care, such as equipping medical units and over-staffing units with demanded medical specialists, medical equipment and property, actively using the capabilities of the remote telemedicine consultation system, establishing effective interaction with medical organizations of civil systems health care of the Far North, as well as with medical units of other ministries and departments performing tasks in the Arctic.


Author(s):  
Jiaqi Zhao ◽  
Yi Zhou ◽  
Jiafeng Wang ◽  
Chong Zhang ◽  
Zhuhong Cai

Abstract From June 28 to November 22, 2018, the Chinese People’s Liberation Army Navy – PLA(N) – Peace Ark hospital ship had conducted Mission Harmony 2018, providing humanitarian medical assistance and carrying out international cooperation, in 4 Pacific island countries and 6 Central and South American countries. Compared with its application only in onshore outreach medical teams in the previous Mission Harmony, portable ultrasonography was used both onboard and onshore in Mission Harmony 2018. The purpose of this study was to assess the performance of onboard portable ultrasonography in PLA(N) Peace Ark hospital ship during Mission Harmony-2018, share our onboard working experience, and provide a reference for humanitarian assistance missions in the future. A retrospective review was performed on a cohort of patients checked by onboard portable ultrasonography. Patients’ gender, age, the distribution of examined organs, and multiple applications of the portable ultrasonography were analyzed. Some limitations of portable ultrasonography on the mission and possible improvements in the future were also discussed. A total of 5277 cases (mean age: 43.74 years; range: 2 months–105 years) of ultrasound examinations were performed during the mission; among them, 3126 (59.2%) cases were performed by portable ultrasonography, including 3024 onboard cases and 102 onshore cases. The portable ultrasonography had been applied in many scenarios, for example, onboard emergency triage process, onboard bedside medical support, and onshore outreach medical service, which had become one of the indispensable auxiliary examination methods for its compatibility, portability, and flexibility. The onboard deployment of portable ultrasonography played a versatile and irreplaceable role in the humanitarian medical assistance and medical cooperation carried out by the PLA(N) Peace Ark hospital ship, and will contribute to such kind of missions in the future.


2020 ◽  
Vol 18 (6) ◽  
pp. 541-544
Author(s):  
Vahid Ghanbari, PhD ◽  
Ali Ardalan, MD, PhD ◽  
Amir Nejati, MD ◽  
Leili Rostamnia, PhD ◽  
Ghasem Mousavi, PhD

Introduction: An emergency is a serious, unexpected situation which may lead to injury, loss of life and damage to property and often needs urgent interventions. Emergency calls can bring urgent life-saving intervention in such situations. Although access to emergency lines for all persons of a society is one of the effectiveness indexes of this critical service, in most countries, these lines are not accessible for disabled people.Case presentation: This study examined the issue of emergency number accessibility for disabled people in the I.R. of Iran. Two persons who had been poisoned by carbon monoxide died because their deaf-mute father could not communicate with the Emergency Medical Service Center (EMSC). This led to the Emergency Medical Service Management Center (EMSMC), in collaboration with Iranian Society of Deaf People Family (ISDPF), developing a system that is a combination of short message system (SMS) and location-based information (LBI) to facilitate the communication of such disabled persons with EMSMCs. The system did not receive any emergency message until this report is provided. Conclusion: Because emergency call service has not been available for disabled people in Iran until now, emergency service organizations should take a proactive approach in developing a reliable and easy to use a method with the current technologies. These organizations should also provide information about the installed systems for end-users.


2019 ◽  
Vol 21 (4) ◽  
pp. 94-96
Author(s):  
O G Chernikov ◽  
V S Chernyi ◽  
S A Kupriyanov

A report on the held at the S.M.Kirov Military Medical Academy jubilee scientific and practical conference dedicated to the 80th anniversary of the departments of the organization and tactics of medical service fleet (with the course of the tactics and weapons of war fleet), naval surgery, training faculty physicians for Navy of the S.M. Kirov Military Medical Academy is presented.


Author(s):  
Ivanna Makukh-Fedorkova

The features of forming and development the system of health protection Canada open up in this article; attention is concentrated on the personal touches and general principles of construction of sphere of medical service. An author marks that the Canadian system of health protection in obedience to international standards provides the high enough level of medical service and by a certificate there are high life-span and low level of child’s death rate it. Principles of social organization of society and system of health protection in Canada were formed in the second half of ХХ century. The system of health protection Canada has a reasonable legislative base; her forming took place in a few stages: on the first stage (beginning of 40th of XX of century) the grant of having special purpose subsidies is legislatively envisaged for the special programs of health protection and for building of hospital establishments. Such normatively-legal base assisted to development of network of hospital establishments in a country; on the second stage (in 1957) was passed an act that fastened federally-provincial allocation of financial resources on Medicare about medical insurance. Thus the quality indexes of grant of Medicare were determined by national requirements; on the third stage (1968-1979) legislative documents that formed the Canadian system of medical insurance of Medicare and set distribution of money on hospital. In 1984 in Canada was passed an act about a health protection that fastened basic principles of Medicare. This system provides free or practically free medical service and medical services to all citizens of Canada. Such structure was worked out because medical service is in the department of local, provincial authorities, but not federal government. It is well-proven that the Canadian system of health protection has certain defects also, in fact on the modern stage Canadian medicine tests a sharp requirement in experience doctors, and also one of basic problems there are large turns in medical establishments and protracted expectation of possibility to get medicare. In the same time, without regard to the outlined problems, the Canadian system of medicine under the name of Medicare is pride of country, as financed by the state and provides free medical service to all citizens practically.


Author(s):  
M. V. Bilous ◽  
O. A. Ryzhov ◽  
O. P. Shmatenko ◽  
О. V. Galan

The Armed Forces (AF) health care system of Ukraine today requires further improvement and development in the direction of unification and interoperability with the medical services ofNATO member countries. One of the important tasks facing the medical service of the Armed Forces ofUkraine, according to the Main Provisions of Logistics Provision of the Armed Forces ofUkraine, is the creation of a single effective system of resource management. The effectiveness of such a system is determined by the quality and reliability of the information used to control the flow processes. The aim of the work–а study of the singularities of the medical support of the troops in the integrated information network of logistic support of the Armed Forces of Ukraine. To achieve the purpose of the research, the analysis of the domestic and foreign scientific literature, the current regulatory framework of Ukraine was conducted. Research methods are: information search, contrast, arrangement and modeling. While conducting a study of the existing integrated information network of logistics support for military units and units of the Armed Forces of Ukraine it was found that this is one of the largest and most complex nodes. It was found that each node of the logistic information network is connected to other nodes of the transverse and longitudinal canals. The transverse canals connect the nodes inside the echelon, and the longitudinal canals connect the nodes between the echelons. Thus, the information network is a hierarchical network. It has been determined that the set of logistic support nodes is divided into three groups according to the research of foreign military scientists can be called: executives, operators and consumers. It is established that according to the current legislation in the information network of logistic support of the Armed Forces of Ukraine, the Main Military Medical Directorate, as a body managing the medical service of the Armed Forces of Ukraine, is on par with the Main Logistics Department of the General Staff of the Armed Forces of Ukraine. A study was conducted to study the peculiarities of the medical provision of troops in the integrated information network of logistical support of the Armed Forces of Ukraine. On the basis of theoretical generalization of data of scientific literature and normative-legal acts, the model of the current information network of logistical support of military units and units of the Armed Forces of Ukraine was constructed. The necessity to develop national decision support software in military logistics for the needs of the Armed Forces of Ukraine is identified.


2021 ◽  
Vol 99 (5-6) ◽  
pp. 361-368
Author(s):  
V. P. Stolyar ◽  
P. E. Krainyukov

The article represents the issues of information and analytical support of clinicians. The article deals with the theory and practice of creating a digital subsystem of medical support for the population and a modern system for examination and treatment, the collection, storage and use of medical information in the databases of medical organizations, as well as data processing centers and situational control centers of the federal level or subjects of the Russian Federation. The basic principles of digital medicine, such as continuous development, mobility of doctors and patients, as well as the interaction of sensors and executive devices are discussed.


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