Prospective directions for innovative development strategies in pharmacy in the military health system of the Russian Federation

Medical service activity in organizing medical equipment provisions to a limited contingent of Soviet troops (forces) during the armed conflict in Afghanistan (19791989) was presented. It was established that thanks to the medical supply specialists competent work in the most difficult conditions in the shortest possible time during the creation and build-up of Soviet troops (forces) grouping, a medical supply system adapted to the specific conditions of activity was formed, functioning in three, largely isolated areas. The work medical supply units and institutions to provide troops (forces) with medical equipment during the armed conflict is shown, as well as the problematic issues of their functioning, which were successfully resolved thanks to the involvement of students from the faculty of Military Medical Academy named after S.M. Kirov. It reflects the priority tasks facing the medical supply system during the withdrawal period of a group of Soviet troops (forces) from Afghanistan, including providing local population assistance and its armed forces by transferring not only buildings, structures, medical service units, but also part of the medical property. The features of certain drug provision for the medical evacuation and military hospitals stages were presented, particularly injection and infusion solutions, as well as medical oxygen. The operational experience of the troops (forces) medical supply system during the armed conflict in Afghanistan was analyzed, and a number of contradictions were identified, which were later successfully eliminated. The medical supply specialists role was emphasized, whose professionalism and dedication made it was possible to solve all the tasks facing them in providing troops (forces) with medical equipment. In general, military units and military medical organizations that were part of a limited contingent of Soviet troops were provided with medical equipment within their actual need, which contributed to the timely provision of medical care and treatment of the wounded and sick, as well as maintaining a high level of the troops (forces) combat capability.

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Medical supply system peculiarities for the troops (force) during the Afghanistan territory armed conflict (1979–1989)

Miroshnichenko

Perfiliev

Kostenko

2022

Bulletin of the Russian Military Medical Academy

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Peculiarities of functioning of the medical supply system for troops (forces) during the operation to force Georgia to peace in South Ossetia (august 7–12, 2008)

Miroshnichenko

Perfiliev

Ovchinnikov

et al. 2023

Bulletin of the Russian Military Medical Academy

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The activities of providing medical equipment to the troops (forces) participating in the operation to force Georgia to peace in South Ossetia (August 712, 2008) are presented. The functioning features of medical supply institutions and units on the eve and after the invasion of the military contingents of Georgia into South Ossetia are shown. The chronology of the activities of units and institutions of medical supply in the combat zone is outlined. The features of providing troops (forces) with medicines and blood products, disinfectants, and medical products are revealed. The purchase procedure, delivery routes, and creation of a reserve of the most demanded medical equipment, as well as the dispatch and repair of mobile medical equipment in preparation for an operation and during hostilities, have been determined. Owing to the professionalism of the medical service specialists of the Armed Forces of the Russian Federation at all levels of military healthcare, a grouping of forces and means were quickly developed, including medical supply units, and institutions. The functioning issues on the system of providing medical supply to troops (forces) are indicated, considering the negative impact of objective and subjective factors and the characteristics of measures to optimize it based on the experience of medical support for troops (forces) during the operation to force Georgia to peace. The implementation of research and development improve the regulatory legal framework relating to the use of narcotic drugs and psychotropic substances in combat conditions and the creation of modern models of complete and standard equipment: first-aid kits, medical bags, medical equipment sets, and medical, and styling sets. In general, organizing the provision of medical equipment to troops (forces) during the operation to force Georgia to peace in South Ossetia allowed the involved institutions and medical supply units to cope with the tasks. Medical supply specialists of all levels of military healthcare selflessly performed their professional duties. With their efforts, military medical organizations, formations, and military units were almost completely provided with medical equipment, which contributed to the timely and complete provision of medical care and treatment of the wounded (injured).

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Experimental evaluation of the purity of medical oxygen obtained by adsorption technology with pressure fluctuations taking into account the variability of the parameters of the incoming air

Miroshnichenko,

Enikeeva,

Klimkina

2024

Bulletin of the Russian Military Medical Academy

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This study presents the results of the evaluation of the purity of medical oxygen obtained by adsorption technology with pressure fluctuations, taking into account the variability of the parameters of the incoming air, and the results of the correlation analysis of data obtained from the monographs of the European and American Pharmacopoeias. The quality of oxygen obtained from air that meets sanitary standards and under conditions of the “worst case,” while fixing the time of the output of the slip signal of monoxide and carbon dioxide as marker gases, was assessed. The slip time under the experimental conditions was 13 h 22 min. The composition of the gas produced by installation was analyzed. Impurities of nitrogen, argon, and water were recognized as predominant quantitatively. Nitrous gases and sulfur dioxide were not detected. A comparative assessment of the data on medical oxygen (93%) presented in the European EP 8. 0 (No. 2455) and the American USP 38-NF (No. 4180) pharmacopeias showed that no single approach is available to assess the quality of 93% medical oxygen in pharmaceutical practice worldwide. The authors of the above-mentioned pharmacopeias note that installations for obtaining 93% medical oxygen, implementing adsorption technology with pressure fluctuations, must be equipped with gas-analytical devices to quantify the level of at least two impurities: carbon monoxide and dioxide. In general, the data obtained indicate that when obtaining 93% medical oxygen by adsorption technology with pressure fluctuations from air corresponding to sanitary and hygienic indicators (clean), the resulting gas did not contain impurities requiring quantitative assessment and/or identification. If oxygen in its pure form is rarely supplied to the patient, its further dilution to 40%–60% is more often required, and the content of hypothetically possible impurities becomes negligible. However, the technology of air separation on molecular sieves is a complex physicochemical (thermodynamic) process, and its effectiveness depends on the component composition of the incoming air, which may change when working under unfavorable environmental conditions in various locations. In this regard, medical oxygen production plants that implement this technology must employ gas-analytical devices to quantify the level of carbon dioxide and carbon monoxide impurities without fail.

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Prospective directions for innovative development strategies in pharmacy in the military health system of the Russian Federation

Cited by 6 publications

References 5 publications

Medical supply system peculiarities for the troops (force) during the Afghanistan territory armed conflict (1979–1989)

Medical supply system peculiarities for the troops (force) during the Afghanistan territory armed conflict (1979–1989)

Peculiarities of functioning of the medical supply system for troops (forces) during the operation to force Georgia to peace in South Ossetia (august 7–12, 2008)

Experimental evaluation of the purity of medical oxygen obtained by adsorption technology with pressure fluctuations taking into account the variability of the parameters of the incoming air

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