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Український журнал військової медицини
Number of Followers: 1  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2708-6623 - ISSN (Online) 2708-6615
Published by Ukrainian Military Medical Academy Homepage  [1 journal]
  • The role and place of the National academy of medical sciences of Ukraine
           in providing medical care to servicemen during ATO / JFO

    • Authors: V. I. Tsymbalyuk, I. A. Lurin, V. O. Zhakhovsky, V. G. Livinskyi, A. V. Shvets
      Pages: 5 - 18
      Abstract: The purpose of the work is to study the place and role of the National Academy of Medical Sciences (NAMS) of Ukraine and its subordinate research institutions, which include clinical units, in the system of medical care for wounded, injured, traumatized and sick servicemen during the anti-terrorist operation and Joint Forces operation (ATO / JFO). Materials and methods. It was used legal acts on national security and health in Ukraine, publications in open scientific sources on the activities of the National Academy of Medical Sciences of Ukraine to provide medical care. Methods - bibliographic, statistical, analytical, system's analisys. Results. NAMS of Ukraine and its subordinate research institutions, in the structure of which there are clinical units, during the ATO / JFO took an active part in providing medical care to wounded, injured, injured and sick servicemen of the Armed Forces of Ukraine and other military formations. The work of the National Academy of Medical Sciences of Ukraine on providing medical care to servicemen was multi-vector and was conducted in several areas: organizational, direct medical care and scientific support. During the anti-terrorist operation / Joint Forces operation, the clinical institutions of the National Academy of Medical Sciences of Ukraine did not stop providing highly specialized medical care to the civilian population of Ukraine, including IDPs from the areas of anti-terrorist operation / Joint Forces operation. Conclusions. Thanks to the coordinated activities of the Presidium of the National Academy of Medical Sciences of Ukraine and its subordinate research institutions, a significant contribution was made to the provision of highly specialized medical care to wounded, injured and sick servicemen during the ATO / JFO.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-005
      Issue No: Vol. 1, No. 3 (2020)
       
  • Role and contribution of Ukrainian military medical academy in the Medical
           support of the Armed Forces of Ukraine during ATO / JFO

    • Authors: A. M. Halushka, V. L. Savytskyi, V. O. Zhakhovsky, V. G. Livinskyi
      Pages: 19 - 28
      Abstract: The purpose of the work is to study the role and contribution of the Ukrainian Military Medical Academy (UMMA) in the medical support of the Armed Forces (AF) of Ukraine during the Anti-Terrorist Operation and the Joint Forces Operation (ATO / JFO) Materials and methods. Regulations on national security and health care in Ukraine, guiding documents of the Ministry of Defense of Ukraine, publications in open scientific sources, annual reports of UMMA were used. The object of research is the system of training medical personnel for the Medical Forces of the Armed Forces of Ukraine (Medical Forces). The subject of the research is the work of UMMA on the training of medical personnel for the Medical Forces and scientific support of the development of the medical support system of the Armed Forces of Ukraine during the ATO / JFO. Research methods - bibliographic, statistical, analytical, systems approach. Results. UMMA's contribution to the medical support of the Armed Forces of Ukraine was not limited to the training of military doctors for the needs of military units and military medical institutions, but also was significant in such areas of military medicine as practical medical care for wounded, injured, and sick servicemen in military medical institutions in the areas of anti-terrorist operation / environmental protection and at clinical bases of UMMA, in matters of scientific support of the development of the medical system of the Armed Forces of Ukraine, including development of legal and guiding documents on medical support, medical and technical requirements of modern models of evacuation vehicles, special medical equipment, complete equipment of the Medical Forces and individual means of medical protection. Conclusions. UMMA made a significant contribution to the medical support of the Armed Forces of Ukraine during the ATO / JFO, in the issue of staffing the Medical Forces with trained medical personnel, providing medical care to wounded, injured, and sick servicemen and scientific solutions to medical care in combat environment.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-019
      Issue No: Vol. 1, No. 3 (2020)
       
  • Improvement of treatment-evacuation measures in the Airborne troops of the
           Armed Forces of Ukraine at Armed Conflict Conditions

    • Authors: M. I. Badiuk, V. V. Solarik, T. V. Yarosh, O. S. Falshtynsky
      Pages: 29 - 35
      Abstract: The purpose.  Scientific substantiation of improvement of the system of LES in the armed forces of Ukraine by bringing the organizational-personnel structure of medical units of the DSHV into conformity to the specific conditions of this kind of troops ' activity in the conditions of armed conflict. Methods. The breakdown of localization of wounds in tactical units of the JI armed forces of Ukraine in the ATO/JFO zone during the years 2017-2018 was analyzed. On the basis of the reports and filled field medical cards (PMK) F-300 (n = 114), information was collected and analysed for localization of wounded in the armed forces of Ukraine (79 and 95 separate Assault Brigade and 25 separate airborne assault Brigades). Brigade) in the ATO/ JFO area during the same period, as well as in the DSHV units that took part in the raids during 2014, the research methodology was based on the system approach. The following methods were applied to solve the problems: system analysis (systematic-historical, systematic-structural, systematic-communicative) and methods of statistical analysis. In processing the results of the research used the φ technique – Fisher, the criteria χ ² – Pierson and  t – Student. Results. At the comparative analysis of distribution of wounds localization in carrying out the divisions of the DSHV, it was discovered that it differs from such distribution at tactical divisions of CB and DSHV in the ATO/ JFO area with statistically meaningful (рα (t, df)≤0,05). A predominance of wounds of the head and extremities, and the chance to get injured by the head (with the calculation of odds ratio) in this contingent under such conditions increases by 1.3 times, which is caused by a fundamentally different combat situation, methods and methods of conducting Hostilities. This focuses on the need for surgical and anesthetic components in the provision of medical care in units and parts of the DSHV in the performance of specific tasks in isolation and autonomous functioning. Conclusion. The necessary condition for the successful fulfillment of the tasks inherent in THE armed forces of Ukraine (landing-raid, landing-drums, assault-assault operations, assault-landing actions) is improvement of the LES system by means of bringing the organizational-personnel structure of medical Subdivisions of this kind of troops in accordance with the specific conditions of activity, by strengthening by their doctors-specialists who can fully provide primary and elements of secondary medical care. This idea during the performance of the work was implemented in the practical plane by developing and approving the relevant directive of the armed Forces of Ukraine (2018), with the introduction of the medical mouth parts of the DSHV surgeons, physicians and anesthesiologists, who are particularly relevant in Conditions of isolation and autonomous functioning of DSHV units in the performance of specific combat tasks.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-029
      Issue No: Vol. 1, No. 3 (2020)
       
  • Improvement of Dental Care for Military Servicemen of the Armed Forces of
           Ukraine in Accordance with NATO Standards

    • Authors: M. I. Badiuk, V. V. Kovalenko, V. V. Solarik, T. V. Yarosh, T. V. Khersonskaja
      Pages: 36 - 44
      Abstract: The purpose. The scientific substantiation of improving the provision of dental care to the armed forces of Ukraine by achieving compatibility of medical and technological documents of dental care with NATO standards. Methods. The research methodology was based on the systemic approach. The following methods of researches were applied for the solution of the tasks: system analysis (systemically-historical; systemically-structural; systemically-element; systemically- communicative) and methods of statistical analysis. Results. In the study analyzed the performance indicators of the dental service of the armed forces of Ukraine during the peacekeeping missions (Liberia, Congo) and in the СМО. NATO's standards for dental care organization have been researched in the context of armed conflict and the possible directions of improvement of dental care by Ukrainian armed Forces servicemen by adapting national standards to NATO standards. Materials of the research were reflected in the developed collective of Dental Service of the armed Forces of Ukraine "Collection of local clinical protocols of dental care provision to servicemen with major diseases of the oral cavity the area of combat operations "(2017), which are currently being used by dentists of the armed forces of Ukraine in practice. Conclusions. The study allows to argue that the existing organizational structure of a dental service of the armed forces of Ukraine allows you to fully apply NATO standards and adapt Assistance to servicemen of the armed forces of Ukraine for wounds in the MFA in the context of armed conflict.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-036
      Issue No: Vol. 1, No. 3 (2020)
       
  • Acute respiratory disease caused by coronavirus SARS-CоV-2 in the
           Armed Forces of Ukraine

    • Authors: V. L. Savytskyi, A. A. Kozhokaru, I. V. Ohorodniychuk, N. S. Ivachevska, D. I. Dobroshtan, V. V. Narozhnov, V. M. Yakymets
      Pages: 45 - 51
      Abstract: The purpose. Carry out a comparative analysis of the incidence of COVID-19 among servicemen of the Armed Forces and the civilian population of Ukraine in the area of responsibility of the regional sanitary-epidemiological departments of the MFC of the Armed Forces of Ukraine to further study the disease and the consequences of SARS-CoV-2 virus infection. Materials and methods. The characteristics of the epidemiological status of the consequences of SARS-CoV-2 virus infection in the countries with the largest number of infected persons adjacent to Ukraine at the time of the study were analyzed: the incidence of COVID-19 among servicemen and employees of the Armed Forces of Ukraine was studied the state of spread of acute respiratory disease COVID-19 caused by coronavirus SARS-CoV-2 on the territory of Ukraine and the course of implementation of measures to prevent its spread in the Armed Forces of Ukraine provided by the MFC of the Armed Forces of Ukraine. Research methods - bibliosemantic, epidemiological, sociological and conceptual modeling. Results. The article considers the problem of the incidence of acute respiratory disease caused by the coronavirus SARS-COV-2 (hereinafter - COVID-19) among the population of Ukraine and servicemen of the Armed Forces. The research shows a difference in the ratio of quantitative indicators among the servicemen who recovered - 2,247 people (79.5%) and the civilian population - 92,360 (44.0%) of Ukraine. It is noted that from the point of view of state security, COVID-19 is an example of a biological attack on the country's society and the state's readiness to protect the population. Conclusions. According to the results of the analysis, there is a difference in the ratio of quantitative indicators among the recovered servicemen - 2,247 people (79.5%) and the civilian population - 92,360 (44.0%) of Ukraine, with the lion's share of positive PCR test results for SARS-CoV -2 is observed among the servicemen of the units stationed on the territory of the unit A 4520 (36.1%) and unit A 0972 (35.3%), which correlates with the morbidity rates of the civilian population of these regions. From the point of view of state security, COVID-19 is an example of a biological attack on the country's society and the state's readiness to protect the population. The high ability of coronaviruses to mutate and spread in human populations, mortality from complications, including pneumonia, and on the other hand - a high percentage of asymptomatic and mild disease causes controversy and tension in society, creates enormous pressure on the economy. The fight against new viral diseases requires intensive development of modern methods of laboratory diagnosis (PCR, ELISA), training of virologists, the introduction of rapid diagnostic test systems in medical institutions of the Armed Forces of Ukraine.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-045
      Issue No: Vol. 1, No. 3 (2020)
       
  • Students’ personal characteristics as a prerequisite for professional
           formation and successful adaptation of a military medic

    • Authors: I. S. Trinka, V. V. Kalnysh, N. I. Mudryk , V. O. Voloshyn
      Pages: 52 - 60
      Abstract: Introduction. The professional training of a military doctor is a dynamic process of professional self-determination associated with personal crisis phenomena. The causes of intrapersonal conflicts in the process of obtaining professional education are the low adaptive level of mental capabilities of the individual, which does not meet the requirements of educational activities and is manifested in a high level of anxiety, aggression. The purpose of the study was to determine the personal characteristics and test the level of adaptive capacity of students - future military doctors. Materials and methods. The method of multifactorial study of R. Kettel's personality was used (16 RF questionnaire). Statistical analysis of the obtained results was performed by the method of variation statistics and cluster analysis. Results. Experimental data using cluster analysis by the method of k-means were divided into two subgroups with different psychological characteristics according to a set of personal qualities, which were conventionally called "active" and "cautious". It was found that students of the subgroup "cautious" are characterized as more vulnerable to failure, cautious, with a strong sense of duty, sensitive to the assessment of others, somewhat lonely, have significantly higher learning outcomes than students of the subgroup "active", and students of the subgroup active "are more communicative, which is a certain advantage for military service. Representatives of this subgroup need to pay more attention to the quality of their education. It is shown that the personal characteristics identified in the students generally confirm the presence of professionally significant for the military medic character traits: self-confidence, high mental abilities, intelligence, the presence of abstract thinking, sociability, dominance, restraint, emotional stability, independence, independence in judgments and in behavior, conscious high normative behavior, meaningful observance of norms and rules, persistence in achieving the goal, responsibility, courage, prudence, trust, kindness to other people. Conclusions. The actual ways of further improvement of the educational process and management of the process of formation of professional worldview at the students of the faculty of training of military doctors of the Ukrainian Military Medical Academy are offered.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-052
      Issue No: Vol. 1, No. 3 (2020)
       
  • A Quarter Century of the Anestesiology and intensive care
           Department's History in Ukrainian Military Medical Academy

    • Authors: G. P. Khytryi, T. M. Levchenko
      Pages: 61 - 69
      Abstract: Introduction. Coverage of the main historical moments of the Department of Anesthesiology and Intensive Care of the Ukrainian Military Medical Academy for 25 years is relevant for the reproduction of a holistic picture of the history of the department, stages and periodicity of its reorganization and development. The study of the contribution of those scientific and pedagogical workers who stood at the origins of the department, as well as those who made changes in the educational process, summarizing the experience of hostilities in eastern Ukraine, and today continues their work is an important aspect of historical and medical research. The purpose of work. To consider the issues of the process of formation and development of the Department of Anesthesiology and Intensive Care of the Ukrainian Military Medical Academy. Materials and methods. The materials for the article were legal acts related to the reform of the military medical education system, reports on the work of the department. Historical, analytical and bibliosemantic methods were used. Results. During existence, the Department of Anesthesiology and Intensive Care UMMA has made a significant contribution to the training and retraining of specialists for both medical institutions of the Armed Forces of Ukraine and medical institutions of the Ministry of Health of Ukraine. In the process of creating department the scientific potential of its employees, their experience, scientific and practical achievements were preserved, which allowed forming the faculty and staff and scientific team of the department in a relatively short time, to effectively organize the educational process with students of the Ukrainian Military Medical Academy, anesthesiologists, and doctors of other specialties of medical institutions of the Ministry of Defense of Ukraine, to develop scientific, methodical and educational work of faculty and staff of the department and to bring the system of military anesthesiologists training to a qualitatively new level. Thanks to the fruitful work of the staff of the department there were 23 graduations of anesthesiologists, 191 military anesthesiologists were trained. Conclusions. For a relatively short period of its existence, the Department of Anesthesiology and Intensive Care UMMA has made a significant contribution to the training and retraining of specialists for the Armed Forces of Ukraine and for other military formations and medical institutions of Ukraine. Today, the Department of Anesthesiology and Intensive Care is the only one in Ukraine that provides postgraduate training and retraining of military medical personnel in the specialty "Anesthesiology and Intensive Care" to strengthen the country's defense capabilities based on lessons learned from ATO/JFO.
      PubDate: 2020-10-01
      DOI: 10.46847/ujmm.2020.3(1)-061
      Issue No: Vol. 1, No. 3 (2020)
       
 
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