The structure of urgent conditions of servicemen of the Armed Forces of Ukraine in modern conditions

Badiuk, M. I.; Mykyta, O. O.; Semeniv, Igor; Rygan, M.M.; Kosarchuk, V. V.

doi:10.14739/2310-1237.2018.2.141431

Cited by 4 publications

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“…У структурі сучасної бойової патології вагоме місце посідають кислотозалежні захворювання шлунка та дванадцятипалої кишки. Частка цих захворювань та їх важких ускладнень серед військовослужбовців зросла під час активної фази бойових дій на українському Донбасі [5,7]. Вважається, що інфікування H. pylori (НР) є ключовим фактором у розвитку ерозивно-виразкових захворювань шлунка та дванадцятипалої кишки [1].…”

Section: эрозивные поражения гастродуоденальной зоны у военнослужащих...unclassified

Erosive Damages of the Gastroduodenal Zone in Servicemen: Clinical and Pharmacoeconomic Aspects

Halyna

Kotyk

2021

FMEP

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Erosive and ulcerative lesions of the gastroduodenal zone in military personnel occupy one of the key places in the structure of the general pathology of internal organs. They significantly reduce the quality of life, affect the work capacity and personal life. Risk factors for their development is H. pylori infection, stress, severe trauma, certain drugs, and smoking. Delay in diagnosis and treatment can have negative consequences. The objective: to analyze the disease course, determine the clinical and pharmacoeconomic efficacy of the combined bismuth-containing and acid-suppressive treatment regimens for erosive gastroduodenal lesions in military personnel. Materials and methods. The study was designed as analyze of 40 medical charts of military personnel, who underwent treatment of the non-HP-associated erosive lesions of the gastroduodenal zone at the National Military Medical Clinical Center (NMMCC) «Main Military Clinical Hospital». The study used clinical, bibliographic, statistical, pharmacoeconomic analysis together with the assessment of the quality of life by SF-36 questionnaire. Results. It was found that the treatment regimen with use of rabeprazole and colloidal bismuth subcitrate has better clinical effectiveness (85% of patients recovered in 14 days of treatment compared to the group with omeprazole monotherapy, where the same indicator was 60%). Also, this scheme has a higher cost-utility (by 48%) and cost efficiency (by 56%) at a lower cost of treatment (by 17%). Conclusion. The treatment regimen for non-HP-associated erosive lesions of the gastroduodenal zone based on rabeprazole and colloidal bismuth subcitrate is more expedient from the point of view of clinical effectiveness and pharmacoeconomic feasibility compared to the regimen based on omeprazole alone and its use can improve the pharmacoeconomic results and rationality of budget funds use.

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Section: эрозивные поражения гастродуоденальной зоны у военнослужащих...unclassified

Erosive Damages of the Gastroduodenal Zone in Servicemen: Clinical and Pharmacoeconomic Aspects

Halyna

Kotyk

2021

FMEP

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“…Такими заходами є комплекс профілактичних, лікувально-діагностичних і реабілітаційних заходів. Враховуючи сучасні виклики, насамперед широкомасштабну збройну агресію, такі заходи є однією з важливих медичних та соціальних проблем сьогодення [1,2,9,14,21], важливою складовою системи національної безпеки і повинні вирішуватись на національному (міжвідомчому) рівні в межах єдиного медичного простору [9,10,12,14,21].…”

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Prolongation of Professional Longevity of Patients with Arterial Hypertension in Military Personnel Participating in Modern Armed Conflicts

Andrii

Olha

Alla³

et al. 2023

FMEP

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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».

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Scoring of Professional Longevity of Patients with Arterial Hypertension of Military Personnel – the Participants of Modern Armed Conflicts

Andrii

Olha

Alla³

et al. 2022

FMEP

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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.

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The structure of urgent conditions of servicemen of the Armed Forces of Ukraine in modern conditions

Abstract: Мета роботи-дослідити структуру невідкладних станів військовослужбовців із бойовими травмами та захворюваннями в сучасних умовах.

Cited by 4 publications

References 0 publications

Erosive Damages of the Gastroduodenal Zone in Servicemen: Clinical and Pharmacoeconomic Aspects

Erosive Damages of the Gastroduodenal Zone in Servicemen: Clinical and Pharmacoeconomic Aspects

Prolongation of Professional Longevity of Patients with Arterial Hypertension in Military Personnel Participating in Modern Armed Conflicts

Scoring of Professional Longevity of Patients with Arterial Hypertension of Military Personnel – the Participants of Modern Armed Conflicts

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