[Complexity in clinical diagnosis of internal diseases of acutely-progressive forms of tuberculosis].
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Biomedical subjects
Publications and source records attributed to A A Matveev.
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Flying personal with chronic hepatitis received beta-caratinoid vetoron. The latter proved to be an effective immunomodulator improving lipid peroxidation, clinical and morphological characteristics in the personnel with chronic persistent hepatitis. Follow-up gives proves on longer physical fitness for service of those pilots who have taken beta-caratinoids.
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The prevalence of hypercholesterolemia in flying personnel is presented. It is related to duration of service. Correction of lipid metabolism is made by enduracin, long-acting drug of nicotinic acid permitted for use in pilots.
Among diseases causing pilot disqualification ahead of time the cardiovascular disorders amount to 60 percent. In this connection there has been generalized the experience of examining the Armed Forces Aviation pilots with cardiovascular disorders beginning from 1979 when by the order of the Ministry of Defence N 220 the Regulations of Aeromedical Examination of pilots have been come into force. The features of examining the pilots with cardiovascular disorders are presented. The present-day methods for the instrumental examination which have been tested in cardiology are systematized in an effort to use them during aeromedical examinations of the pilots. The algorithm of the examined pilots with cardiovascular disorders is set. For the first time the three main groups of approaches to the appraisal of partial or complete loss of the work capacity with known result of diseases. The proposed organization-and-methodologic approach to medical examination of the flying personnel with consideration for the features of stage diagnostics of cardiovascular disorders, individual assessment of their manifestations enables one to handle more qualitatively the aeromedical examination issues with the aim of maintaining the professional working capacity.
The expert criteria with regard to the pilots with dissociation of atrioventricular conduction in the context of modern cardiological advancements are subject to the considerable improvement. It is demonstrated that the disqualification decision taken with regard to the individuals with the anomalies of conduction system depends not on the type of flying activities but on the paroxysmal supraventricular tachyarrhythmia. The required volume of examination which must include the modern cardiological methods of the noninvasive cardiologic study (ECG monitoring, echocardiography, transesophageal electrophysiological examination). The appropriate changes and improvements included in the Pilot Examination Regulation would take the valid expert decisions in intent to increase the professional longevity of the pilots.
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In the modern stage of the development of medical service the planning of preventive measures must be accompanied with prognostication and economic estimation of the expenses, as well as by veritable definition of the malady. The improvement of methodological approaches in planning is an important part of a system of prophylaxis of infectious diseases. The complex method of the analysis of epidemiological situation must provide for more effective fulfillment of tasks using short and long-term plans of prophylactic works.
The article summarizes the results of examination of a considerable number of flight personnel of the Air Forces with cardiac conduction system abnormalities. The article contains peculiarities and algorithm of examination of such patients. New expert approaches are given concerning this kind of patients as well as methodic recommendations on their medical examination. The data which were obtained during this researches make it possible to improve the work of flight medical evaluation.
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The tasks required for the preservation of the health of rescuers can be accomplished with the creation of a system for medical examinations and rehabilitation that functions with commonly used methodological and organizational principles. Absence of such a common methodological platform often results in the disqualification of members of the special contingent and a mistake in the evaluation process that gives birth to serious medical and social problems. The specific character of the rescuers' activities during conditions associated with extraordinary situations necessitates the development of criteria-based evaluation systems for determining the prognosis, and the clinical, diagnostic, normative, and legal, medical, and social criteria that include methodological approaches that define the criteria to be used in the examinations. We propose that the concept of the professional health examinations becomes the methodological basis used for the medical examinations and rehabilitation of the rescuers.
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