Pub Date : 2024-01-30DOI: 10.25016/2541-7487-2023-0-4-18-24
P. Avitisov, A. V. Zolotukhin, A. H. Dzutsev
Introduction. Current advances in war-waging strategies have imposed new demands on public medical care and civil defense forces amid social emergency settings. Elimination of medical and sanitary consequences of emergencies compels to explore new horizons in order to develop advanced approaches and strategies of medical care provided to victims at all stages of medical evacuation among affected population, emergency rescue personnel of various departmental affiliations, including military personnel of military rescue formations.The objective is to share the experience of cross-departmental medical forces providing medical care to victims amid disrupted and non-functional healthcare services due to biological and social emergency of regional scale.Results and analysis. The paper describes experience of medical aid efforts in the newly incorporated regions of Russia, suggesting a cross-institutional strategy of dedicated medical care provision to the population and military rescue personnel amid social emergency settings.Conclusion. Deployment of cross-institutional medical forces allows to reinforce the capacities of regular medical organizations in emergency areas, whereas advanced diagnostic, treatment and medical evacuation technologies allow to stabilize the condition of victims to carry out evacuation “as intended” within most optimal timeframes.
{"title":"Cross-institutional provision of medical care to social emergency casualties","authors":"P. Avitisov, A. V. Zolotukhin, A. H. Dzutsev","doi":"10.25016/2541-7487-2023-0-4-18-24","DOIUrl":"https://doi.org/10.25016/2541-7487-2023-0-4-18-24","url":null,"abstract":"Introduction. Current advances in war-waging strategies have imposed new demands on public medical care and civil defense forces amid social emergency settings. Elimination of medical and sanitary consequences of emergencies compels to explore new horizons in order to develop advanced approaches and strategies of medical care provided to victims at all stages of medical evacuation among affected population, emergency rescue personnel of various departmental affiliations, including military personnel of military rescue formations.The objective is to share the experience of cross-departmental medical forces providing medical care to victims amid disrupted and non-functional healthcare services due to biological and social emergency of regional scale.Results and analysis. The paper describes experience of medical aid efforts in the newly incorporated regions of Russia, suggesting a cross-institutional strategy of dedicated medical care provision to the population and military rescue personnel amid social emergency settings.Conclusion. Deployment of cross-institutional medical forces allows to reinforce the capacities of regular medical organizations in emergency areas, whereas advanced diagnostic, treatment and medical evacuation technologies allow to stabilize the condition of victims to carry out evacuation “as intended” within most optimal timeframes.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"95 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529512","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-30DOI: 10.25016/2541-7487-2023-0-4-25-33
S. Kuzmin, L. Grigorieva
Relevance. With the army and navy forces understaffed with physically strong and healthy young recruits, the problem is currently being considered at the state level; the lack of military reserve forces is a major problem for the Armed Forces of the Russian Federation.The objective is to assess the health status, lifestyles, quality of life, ethic and professional aptitudes of potential conscripts in the Orenburg region in the course of preliminary military training. Methods. Reports and accounts of enlistment commissariats across Orenburg municipalities were studied from 2012 through 2021. The study focused on the Orenburg region residents of conscription age, who underwent an anonymous social and demographic survey. Quality of life indicators were estimated by MOS SF-36, whereas dedicated personality and aptitude testing was used to assess neuropsychic stability and cognitive abilities.Results and analysis. In 2012 the Orenburg region had 21,600 residents of conscription age, with 65.1% considered healthy and apt for military service. Almost one in three conscripts was unfit for military service due to health issues. Due to demographic challenges in the region, the number of conscripts decreased year to year, resulting in a 30% drop-down by 2021 according to forecasts. This situation undermined military service conscription goals. Therefore, efforts were undertaken to mainstream healthcare and fitness initiatives among the youth, as well as actively promote healthy lifestyles and sports, which eventually allowed to attract more newly drafted conscripts. Thus, in 2021 the rate of conscripts considered healthy and apt for military service stood at was 77.7%.Conclusion. Analyses of medical, social and psychological characteristics of Russian nationals of conscription age provides evidence for appropriate decision-making to maintaining the combat abilities of the Armed Forces of the Russian Federation.
{"title":"Medical, social and psychological characteristics of conscription-age residents of the Orenburg region of Russia","authors":"S. Kuzmin, L. Grigorieva","doi":"10.25016/2541-7487-2023-0-4-25-33","DOIUrl":"https://doi.org/10.25016/2541-7487-2023-0-4-25-33","url":null,"abstract":"Relevance. With the army and navy forces understaffed with physically strong and healthy young recruits, the problem is currently being considered at the state level; the lack of military reserve forces is a major problem for the Armed Forces of the Russian Federation.The objective is to assess the health status, lifestyles, quality of life, ethic and professional aptitudes of potential conscripts in the Orenburg region in the course of preliminary military training. Methods. Reports and accounts of enlistment commissariats across Orenburg municipalities were studied from 2012 through 2021. The study focused on the Orenburg region residents of conscription age, who underwent an anonymous social and demographic survey. Quality of life indicators were estimated by MOS SF-36, whereas dedicated personality and aptitude testing was used to assess neuropsychic stability and cognitive abilities.Results and analysis. In 2012 the Orenburg region had 21,600 residents of conscription age, with 65.1% considered healthy and apt for military service. Almost one in three conscripts was unfit for military service due to health issues. Due to demographic challenges in the region, the number of conscripts decreased year to year, resulting in a 30% drop-down by 2021 according to forecasts. This situation undermined military service conscription goals. Therefore, efforts were undertaken to mainstream healthcare and fitness initiatives among the youth, as well as actively promote healthy lifestyles and sports, which eventually allowed to attract more newly drafted conscripts. Thus, in 2021 the rate of conscripts considered healthy and apt for military service stood at was 77.7%.Conclusion. Analyses of medical, social and psychological characteristics of Russian nationals of conscription age provides evidence for appropriate decision-making to maintaining the combat abilities of the Armed Forces of the Russian Federation.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"232 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529985","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-30DOI: 10.25016/2541-7487-2023-0-4-74-82
N. S. Shulenin, R. N. Lemeshkin, A. V. Soldatova
Relevance. To reduce the consolidated budget burden, public administration both in Russia and abroad is pursuing optimal solutions. In turn, identification of the most effective approaches to eliminating terrorist attack consequences is implemented by all concerned departments, agencies and services, with reimbursement of damages incurred by terrorist attacks among the goals. By analyzing retrospective data on the reported incurred damage of different scale, medical specialists and health care authorities can justify medical and economic feasibility of efforts to adapt preparedness to the elimination of the medical and sanitary consequences of terrorist attacks.The objective is to identify in terms of incurred damage the most dangerous methods, strategies, and targets to perform terrorist attacks.Methods. This study relies on a generalized database of terrorist attack consequences taken place from 1970 through 2020, and reported by various experts. The retrospective analysis included more than 220,000 cases of terrorist actions; the study key parameters were identified to include terrorist attack methods, strategies, and targets.Results and analysis. The study results show that depending on the scale of damage over years, the share of terrorist attacks associated with fatal outcome is characterized by a general upward trend. Terrorist attacks by explosion remains the most significant in terms of frequency of cases and share among other methods. Individuals are top one target of terrorist attacks by the number of cases. Business community representatives bear the utmost share of major consequences.
{"title":"Global irreparable population losses and economic damage reported by method, strategy, and target of terrorist attack","authors":"N. S. Shulenin, R. N. Lemeshkin, A. V. Soldatova","doi":"10.25016/2541-7487-2023-0-4-74-82","DOIUrl":"https://doi.org/10.25016/2541-7487-2023-0-4-74-82","url":null,"abstract":"Relevance. To reduce the consolidated budget burden, public administration both in Russia and abroad is pursuing optimal solutions. In turn, identification of the most effective approaches to eliminating terrorist attack consequences is implemented by all concerned departments, agencies and services, with reimbursement of damages incurred by terrorist attacks among the goals. By analyzing retrospective data on the reported incurred damage of different scale, medical specialists and health care authorities can justify medical and economic feasibility of efforts to adapt preparedness to the elimination of the medical and sanitary consequences of terrorist attacks.The objective is to identify in terms of incurred damage the most dangerous methods, strategies, and targets to perform terrorist attacks.Methods. This study relies on a generalized database of terrorist attack consequences taken place from 1970 through 2020, and reported by various experts. The retrospective analysis included more than 220,000 cases of terrorist actions; the study key parameters were identified to include terrorist attack methods, strategies, and targets.Results and analysis. The study results show that depending on the scale of damage over years, the share of terrorist attacks associated with fatal outcome is characterized by a general upward trend. Terrorist attacks by explosion remains the most significant in terms of frequency of cases and share among other methods. Individuals are top one target of terrorist attacks by the number of cases. Business community representatives bear the utmost share of major consequences.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"165 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-30DOI: 10.25016/2541-7487-2023-0-4-67-73
O. M. Lyulko, V. I. Zolotareva
Relevance. Responses to natural emergencies of long-term action entail stringent requirements to emergency rescue operational management.The objective is to disseminate the joint experience of emergency response and disaster medicine units of the Regional Disaster Medicine Center of the Republic of Crimea, obtained operations to eliminate medical and sanitary consequences of natural disaster (dangerous meteorology events – squally wind, heavy icy precipitation, strong sea waves in coastal areas, destruction of buildings and structures) throughout the Republic of Crimea.Methods. The authors analyzed emergency operations of dedicated medical units at the Disaster Medicine Service of the Regional Center for Disaster Medicine of the Republic of Crimea in the natural emergency setting on November 26–27, 2023, when abnormal atmospheric front carrying heavy icy precipitation, squally winds up to 38 m/s, and strong sea waves in coastal areas swept over the Republic of Crimea.Results and discussion. When at night on November 26–27, 2023 the epicenter of a super-powerful cyclone hit the Republic of Crimea, emergency response and disaster medicine units of the Regional Disaster Medicine Center undertook unprecedented response measures both to maintain smooth operation of emergency medical units and provide specialized emergency response and medical care where required. Although power supply was cut off at almost half of power substations supplying energy to Simferopol ambulance stations and 16 % of locations, where emergency medical units were deployed, emergency medical care was provided promptly and in full scope.Conclusion. On November 26–27, 2023 emergency response and specialized medical emergency units of the Disaster Medicine Service of the Regional Center for Disaster Medicine of the Republic of Crimea was able to provide appropriate and prompt dedicated emergency response and medical care to the population who suffered a super-powerful cyclone (heavy rain, icy precipitation, flooding, mudflow, storm wind, leading to damage to power lines, destruction of structures, buildings, uprooting of trees, flooding of the coastal strip) at the proper level.
{"title":"Eliminating medical and sanitary consequences of dangerous meteorology events that occurred in the Republic of Crimea on November 26–27, 2023","authors":"O. M. Lyulko, V. I. Zolotareva","doi":"10.25016/2541-7487-2023-0-4-67-73","DOIUrl":"https://doi.org/10.25016/2541-7487-2023-0-4-67-73","url":null,"abstract":"Relevance. Responses to natural emergencies of long-term action entail stringent requirements to emergency rescue operational management.The objective is to disseminate the joint experience of emergency response and disaster medicine units of the Regional Disaster Medicine Center of the Republic of Crimea, obtained operations to eliminate medical and sanitary consequences of natural disaster (dangerous meteorology events – squally wind, heavy icy precipitation, strong sea waves in coastal areas, destruction of buildings and structures) throughout the Republic of Crimea.Methods. The authors analyzed emergency operations of dedicated medical units at the Disaster Medicine Service of the Regional Center for Disaster Medicine of the Republic of Crimea in the natural emergency setting on November 26–27, 2023, when abnormal atmospheric front carrying heavy icy precipitation, squally winds up to 38 m/s, and strong sea waves in coastal areas swept over the Republic of Crimea.Results and discussion. When at night on November 26–27, 2023 the epicenter of a super-powerful cyclone hit the Republic of Crimea, emergency response and disaster medicine units of the Regional Disaster Medicine Center undertook unprecedented response measures both to maintain smooth operation of emergency medical units and provide specialized emergency response and medical care where required. Although power supply was cut off at almost half of power substations supplying energy to Simferopol ambulance stations and 16 % of locations, where emergency medical units were deployed, emergency medical care was provided promptly and in full scope.Conclusion. On November 26–27, 2023 emergency response and specialized medical emergency units of the Disaster Medicine Service of the Regional Center for Disaster Medicine of the Republic of Crimea was able to provide appropriate and prompt dedicated emergency response and medical care to the population who suffered a super-powerful cyclone (heavy rain, icy precipitation, flooding, mudflow, storm wind, leading to damage to power lines, destruction of structures, buildings, uprooting of trees, flooding of the coastal strip) at the proper level.","PeriodicalId":518600,"journal":{"name":"Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations","volume":"173 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140529452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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