The prediction of ability for military service by the health of patients who are experienced (with war experience) military persons with arterial hypertension (AH) with existing comorbid pathology is an urgent issue of today and a component of national security. The objective: to analyze the of factors that influence on the prognosis of health service for the military service of patientsmilitary personnel with AH – the participants of anti-terrorist operation / operation of the united forces (ATO / OUF), taking into account the available comorbid pathology. Materials and methods. Medical card of 213 military personnel – ATO/OUF participants with AH and comorbid pathology were analyzed. The first group included medical cards of 126 patients with AH stage I, the second group – medical cards of 87 patients with AH stage II. Clinical and laboratory, instrumental methods of research and consultation of narrow specialists and cumulative CIRS disease scale, which provides a separate total assessment of the condition of each of the organ systems on the range of Likert scale were used. Results. During the study, the professional longevity was forecasted using program Statistica SSP 10.0 and the forecasting of professional longevity using IBM SPSS 23.0. The most important prognostic factors that affect the change in the category of suitability for military service for the health of patients with AH of military personnel – ATO/OUF participants with comorbid pathology were determined, namely: age, sum of points on the cumulative CIRS scale and stage of AH (87.0 –91.8 % of the correct classifications of generated artificial neural networks, the area index under the ROC-curve AUC 0.971–0,992). Conclusions. Based on the statistics obtained data in the construction and analysis of artificial neural networks, the “algorithm for predicting a category of suitability for military service for the health of patients with arterial hypertension of military personnel – ATO/OUF participants with comorbid pathology” was developed.

Arterial hypertension (AH) without proper treatment can lead to heart attack, stroke, kidney or heart failure, vision impairment and other complications. The determination of effective preventive measures to prolong siutability for military service based on the health status of experienced military persons with existing comorbid pathology is an urgent issue today and a component of national security. The objective: to analyze the effective measures that influence on the prolongation of the suitability for military service of military personnel with AH – the participants in the anti terrorist operation / operation of the United Forces (ATO/OUF), taking into account the existing comorbid pathology. Materials and methods. 213 servicemen – the participants of the ATO/OUF with AH and comorbid pathology were examined, who were divided into two statistically homogeneous groups according to the age. The first group included 126 patients with AH stage I, the second group – 87 persons who were diagnosed with AH stage II. CIRS cumulative disease scale was used to assess comorbidity. Results. It has been established that the most important prognostic factors (predictors) that influence on the prolongation of the professional longevity of servicemen with AH – the participants of ATO/OUF with comorbid pathology are timely diagnosis and secondary prevention of atherosclerotic cardiovascular diseases, reduction of total cholesterol and triglyceride levels, the prescribtion of hypolipidemic and antiplatelet drugs therapy, normalization of carbohydrate metabolism disorders, body weight and smoking cessation. Conclusion. The «Algorithm for determination of preventive measures for prolonging suitability for military service based on the health status of servicemen with AH – the participants in ATO/OUF with comorbid pathology was developed».

The professional health of a serviceman is the absence of diseases in the presence of a certain level of compensatory and protective mechanisms that ensure high combat effectiveness in the conditions of his professional activity. That is why the most important component of the national security system of our country is the protection and strengthening of the health of military personnel. In recent years, armed conflict has continued in the east of Ukraine. Therefore, today’s urgent task is to study the features of comorbid diseases that may be primary to modern combat trauma in military personnel participating in the anti-terrorist operation / Joint Forces Operation (ATO / JFO). Comorbid diseases have a negative impact on the course of modern combat trauma, as well as combat trauma has a negative impact on the course of these diseases. The objective: to analyze the frequency of comorbid diseases in military personnel – participants in the ATO / JFO, depending on the presence of a closed craniocerebral injury (CTBI). Materials and methods. The study was performed in the Ukrainian Military Medical Academy based on the National Military Medical Clinical Center “Main Military Clinical Hospital” where 183 servicemen – participants of the ATO / JFO with arterial hypertension (AH) were examined. Patients were divided into two statistically homogeneous groups according to age: group I – 127 people who, while participating in the ATO / JFO, did not receive CTBI, group II – 56 people with such injury. Statistical analysis of the results was done by use of the standard statistical package STATISTICA 10.0 for Windows from StatSofr Inc. (USA) using parametric statistical methods. Results. In military personnel participating in the ATO/JFO, there was no correlation between the severity of hypertension and the presence of a cranio-cerebral injury. At the same time, in subjects with CTBI, there was an increase in the frequency of comorbid diseases of the nervous system and diseases of the ear and mammillary process and a decrease in the frequency of comorbid endocrine and metabolic diseases and diseases of the genitourinary system compared to patients without such an injury. Patients with CTBI have an increase in the frequency of acubarotrauma and sensorineural hearing loss and a decrease in the frequency of urolithiasis compared with military personnel without CTBI. Conclusions. The study established the features of comorbid diseases in military personnel – participants in modern military conflicts, depending on the presence of a closed craniocerebral injury. This information is important for the further medical and social rehabilitation and development of proper functional-organizational model of secondary prevention of this comorbid pathology in order to prolong the professional longevity of highly professional military personnel. It is necessary to study further the influence of organic (traumatic) brain lesions over time on the morphogenesis of arterial hypertension and comorbid diseases, and their combination in military personnel participating in the ATO/JFO.