[Description of the life quality of contracted servicemen].

There are presented results of a comprehensive study of the life quality of representatives of three reference groups of servicemen on contract: cadets of military high schools (n = 400), contracted servicemen of the units of power ministries and departments (n = 453), common soldiers and junior commanders (n = 357). The study was executed with the aid of the public survey, the performing of both psychological and functional load tests. This work is notable for the complexation of indices which characterize socio-hygienic, psychological and medical aspects of the life quality, life values, life satisfaction, and specific features of the military profession. Results of the study, which differ from the prior investigation by inclusion of indices characterizing the specific features of military-professional activity, lifestyle and spirituality, for the first time made it possible to assess the life quality related to health, taking into account the axiological values in life and important needs of the studied population. Changes in the life quality indices of contract servicemen were shown to be more sensitive to changes in their health than the traditional clinical-laboratory and instrumental data, which allows to recommend a wide practical use of the monitoring the life quality for professional selection and medical support of the military service, including the implementation of measures on optimization of psychological climate in military units, and the personification of the complex of therapeutic-recreational measures. The results allow us to recommend to military medical commissions of military commissariats in the call of citizens for military service under contract to carry out studies of quality and lifestyle of recruits for the early detection of groups of risk for their health. The program of in-depth medical examinations of military-contract there is recommended to include research aimed at identifying adverse social and hygienic factors of service and living conditions, psychopathological personality traits, rehabilitation and psychological climate in a military collective, execution of a personalized set of therapeutic measures.

[Sensitization of lymphocytes to insulin as one of risk factors of ischemic heart disease].

Prevalence and character of sensitization of lymphocytes to insulin and its prognostic significance were studied in 71 patients with ischemic heart disease and 55 healthy people. Direct overt sensitization of lymphocytes to insulin was found in 14 of 71 patients (p<0.01 compared with control group). This type of reaction was associated with myocardial infarction. Concealed indirect reaction of lymphocytes to insulin was revealed at inhibition of cells with receptors to histamine or prostaglandin synthesizing cells in 13 and 19 of 71 patients, respectively (p<0.01 and p<0.05 compared with control group). Direct overt sensitization of lymphocytes to insulin and concealed indirect sensitization revealed at inhibition of functional activity of cells with receptors to histamine serve as prognostically unfavorable factors because they are associated with development of heart failure and higher rate of lethal outcome.