[The prevalence of initial stages of coronary artery disease in relation to risk factors in military men of dangerous professions].

Coronary artery disease (CAD) remains the leading cause of death in most highly developed countries. According to the WHO, more than 17 million people in the world die of cardiovascular pathology (CVP) annually; of them, more than seven million die of CAD. For the medical service of Russian Federation Armed Forces, CAD and atherosclerosis present an important problem due to their prevalence in military men leading to high levels of morbidity, mortality, labor losses, disability, dismiss rate and disqualification of highly professional officers and generals. Certain factors of military service and extreme factors have been found to increase CAD risk. Until now, the incidence and prevalence of initial forms of CAD in military men of dangerous professions have been studied insufficiently. In order to investigate the prevalence of atherosclerotic cardiosclerosis (ASCS), the effects of risk factors (RF), and prognostication of its development, 267 military men, including 14 men of dangerous professions (pilots, navigators, command post operators), and 153 engineers, technicians and supply officers were examined at Military Hospital No7, Mandryk Military Hospital No 2, and four units of a Space Forces division. The clinico-functional examination revealed ASCS in 53 or 19.8% of the servicemen; its rate increased with age. Only a few cases of ASCS were found in subjects aged less than 30 years; a significant increase in ASCS frequency was noted in 41- to 50-year-old subjects (29.8%); between 51 and 60 years old ASCS was found in 32% of the subjects, which meant only a 2.2% increase vs. the previous age group. Possibly, this could be connected with the fact that at this age initial signs of initial forms of CAD, including ASCS in military men of dangerous professions depended not only on age, conventional RF of CAD, but on occupational hazardous factors as well. Lipid exchange disorder is an important RF for the development and progress of various CVP, CAD in the first place. Timely and correct diagnostics and interpretation of an altered lipid profile as well as assessment of concomitant cardiovascular RF are necessary conditions to organize rational prophylaxis of the most important CVP.

[Analysis of the causes of loss of tolerance to standard G-loads by fighter pilots]. / Analiz prichin ponizheniia ustoichiivosti k ékspertnym peregruzkam letchikov istrebitel'noi aviatsii.

Analytical treatment has been given to causes for the loss of tolerance to radial accelerations by fighter pilots subjected to clinical tests during flight medical certification in recent years. The diagnostic necessity of implementation of additional tests by this cohort of pilots has been demonstrated and methods to improve pilots' cardiovascular adaptability to g-loads during the inpatient medical examination have been proposed.

[A method increasing G-tolerance of fighters' pilots with symptoms of the partial cardiovascular deficiency]. / Metod povysheniia ustoichivosti k peregruzkam letchikov istrebitel'noi aviatsii s iavleniiami partsial'noi nedostatochnosti serdechno-sosudistoi sistemy.

Training on the static ergometer was shown to increase tolerance of fighters' pilots for radial accelerations. Proposed is a program of training on the static ergometer consisting of two incremental loads in the interval between 120 and 240 kgf. In persons with cardiac pathologies this training program noticeably improved parameters of the cardiovascular adaptive reaction to static loads. Effectiveness, technical simplicity and low cost of the training are the attributes that can insure it a proper place in the rehabilitative treatment of pilots prior to or during the institutional examination as a part of the medical flight certification.

[Contemporary approaches to diagnosis and treatment of chronic duodenitis among flying personnel]. / Sovremennye podkhody k diagnostike i lecheniiu khronicheskogo duodenita u letnogo sostava.

Causes for increased gastric and duodenal morbidity were analyzed in 435 patients. Chelibacteriosis was shown to be one of the key factors of development and recurrence of chronic duodenitis which which, in its turn, leads to physical disability retirement of flying personnel. The role of determining the immune status in dynamics in predicting recurrence, and effectiveness of therapy was confirmed. Results of the investigation indicate that "triple therapy" (Tribemol, Doxacyclin, Trichopol) of chronic duodenitis on the background of chelibacteria is most effective as it reduces length of treatment, decreases the recurrence rate and improves the clinical and certification-important indices in flying personnel.