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Biomedical subjects

I Iu Bykov

Publications and source records attributed to I Iu Bykov.

At least 19 recordsLinked to original sources

[Main military-and-clinical hospital in the system of medical support of the Russian Federation's Armed Forces].

Burdenko N.N. MMCH is the main hospital, a scientific-and-methodological center of medical service concerning prophylaxis-and-treatment spheres, the main clinical base of the State istitute of increasing doctors' qualification of RF MD and a military-and-medical faculty of the Moscow medical academy by Sechenov I.M. The hospital has the greatest experience of treatment of the wounded, sick and injured in all wars and armed conflicts with the participation of the Russian army. In the hospital's staff there is a unique flying surgical-and-reanimation laboratory "Skalpel" for urgent evacuation of the wounded from armed conflicts' centers. Almost all types of high technology medical care are provided in the hospital. About 6500 of the wounded and the sick obtain such treatment every year; 70-80% of the sick having treatment in the hospital are from the group of the most severe and complex patients. The hospital has the highest scientific and methodological level among hospitals of the Russian Federation's Armed Forces: 48 doctors and 141 candidates of medical science, those include 21 professors and 12 docents. It is the main base for new medical equipment and drugs testing to the interest of all medical service of the RF AF.

Delivery of Health Care↗

[The conception of physician staff training and regular policy of Russian Federation Armed Forces Medical Service].

The Conception proposed by the authors is an ideology of development of medical service regular support that determines the main contents of regular policy. The problems discussed in the article are the following: the primary directions and main principles of regular policy in RF Armed Forces medical service; bringing the medical service up to strength; the state and main directions for improving the system of military medical education; the postgraduate and additional professional education of military medical cadres; the improvement of work with medical service managerial staff; as well as the development of system for managing the medical service regular resources in the RF Armed Forces. The main directions to develop the system for managing the regular resources are the following: the improvement of information support, the use of modern automated control systems; the introduction of new analytical, educational and informative technologies in practice; the further modernization, improvement of quality and effectiveness of military medical educational system; the improvement of organizational-and-staff structure in military health service institutions; the improvement of regular staff activities--the development of regular management; the improvement of medical staff certification in the Armed Forces; the improvement of medical service Headquarters' activities and development of modern functional model for managing the military medical cadres. The Conception proposed is directed to the further development o regular potential--the main resource of military health service.

Education, Medical↗

[Main Military Medical Headquarters is two centuries].

Basing on the wide spectrum of sources the authors describe the history of creation, formation and functioning of the military medicine central headquarters in Russia, i.e. the Main Military Medical Headquarters. Control of military and civil medicine in Russia had a rich history. In XVI-XVII centuries there was a Pharmaceutical order in the system of State apparatus which served as the highest headquarters of health service in the country till 1707. Subsequently the problems of military and civil medicine were in charge of Pharmaceutical office (since 1707), Medical board (since 1721), Medical office (since 1725), Doctors' assembly (since 1730), Medical office (since 1732), Medical board (since 1763) and the 3rd expedition of Ministry of Home Affairs (1803-1805). In XIX the Medical expedition solved all the problems connected with control of military medical service. Later on this work was conducted by the Medical department of Military Ministry and since 1867 it was in charge of the Main Military Medical Headquarters. The experience of wars and armed conflicts confirms the necessity of strategic planning and development of modern military health service which is successfully coordinated by the main headquarters of Russian Armed Forces medical service during two centuries. Today the RF MD Main Military Medical Headquarters is the central organ in the system of RF Ministry of Defense, which heads the whole medical service of the Armed Forces of our country.

History, 19th Century↗

[About the history of creation and development of the system for rendering skilled surgical care in the troop region].

Practice of rendering the elements of skilled surgical care to the wounded in Russian Army during the wars of first half of the XIX century has coincided with introduction of evacuation system into medical support of troops' military operations. With improvement of the last. advantages of medical-and-biologic science, military skills the battery sick quarters, dressing detachments providing the work of main dressing stations, the medical care main stations were subsequently included into the kit of medical service means of the formations. In December 1935 this process was ended with creation of division medical-and-sanitary battalion (deployed by the division medical station) that took an active part in rendering skilled surgical care to the wounded during the subsequent local military conflicts and wars.

Delivery of Health Care↗

[Psychophysiological condition of wounded].

Psychological and psychophysiological investigation of the casualties with injured extremities was conducted in 3-5 and in 30-40 days after being wounded. It has shown that during stay in clinic some dynamics in their psychic state was observed. Marked asthenization was the leading sign in the initial treatment period. That's why it is reasonable to use not exhausting projective methods and some short questionnaires (scales) at this stage. In a month after starting treating the casualties the aggressive tendency, mood decrease, increase in the reactive anxiety level, sympathetic tonus of vegetative nervous system were coming into the foreground. It characterizes the development of posttraumatic stress disorders. Gradual increase in the casualties' activity is also typical of the hospital treatment period. That's why the psychological and psychophysiological investigation can be supplemented with volumetric personal tests.

Adaptation, Psychological↗