HUMANITARIAN OPERATIONS ORAL ABSTRACTS

HUMANITARIAN OPERATIONS ORAL
ABSTRACTS
MA MUTOMBE
Lieutenant Colonel Mutombe’s specialties are public sanitarian health care and health economics. He
is the Deputy Director of Research, Strategic Studies and Planning, General Directorate of the Military
Health Service, Kinshasa, Democratic Republic of Congo. He has a General Practice Degree and a
Master of Public Health (Health Economics) from Kinshasa National University. LTC Mutombe
speaks French, English and Lingala. He is married, has 5 children and is Roman Catholic. He was
born in Kinshasa, Democratic Republic of Congo.
Socio-Demographic and Epidemiologic Profile Of Kinshasa Population At The Medflag 10
Situakibanza H, Kabanda K. G., Mbuyi M. A.
Kinshasa University Clinic
INTRODUCTION: MEDFLAG 10 was the name of the joint military medical exercise between
United States Army in Africa (USARAF) and Armed Forces of the Democratic Republic of Congo
(FARDC), a Humanitarian Civic Action (HCA) was organized from 11 to 15 September 2010 in
Kinshasa. Medical care was freely given to the population. The aim of the study is to establish the
socio-demographic and epidemiologic profile of this population. METHOD: 1870 files of the
patients admitted during the HCA were validated and their socio-demographic and epidemiologic data
were studied. RESULTS: Majority of the patients (84%) consulted for an affection of general
medicine, 16% for odontopathies. Most patients were between 45 and 49years, male to female ratio
was 1.8:1. On average 466 patients were seen per day. 43.5% lived in Funa district. In different
frequencies, transmissible pathologies (malaria 33%, intestinal parasitosis 11.2% and genital
infections 11.6%) while non transmissible pathologies (rheumatism with 17.6%, HTA with 9.6%,
dyspepsias with 12.8%) made up the rest. More men (56.7%) than women presented HTA after 40
years. Genital infection was found with more occurrences (68%) between 20 and 49 years among
women, and between 40 and 64 years for men. CONCLUSION: More men than women attended the
HCA. The selection bias was in favour of inhabitants of Funa District. Both transmissible and non
transmissible pathologies were observed.
KEY WORDS: MEDFLAG 10, HCA, Socio-demographic, Epidemiologic, transmissible pathologies,
Non transmissible pathologies.
XIANG SHIPING
Xiang Shiping was born on 1st December, 1958. He studied Medicine at Hubei Medical University
(HBMU), China between 1994-1997, then (Project management), Naval Engineering University of the
China People's Liberation Army, between 1998-2001. He has served as Deputy Director, Director,
Navy Guilin Military Sanatorium (2000-2005), Director of NO.421 Military Hospital (2005-2007) and
is Deputy Director of Guangzhou General Hospital Guangzhou military Command since 2007. He is
also Deputy Chief, the Hygiene society of Guangdong Medical Association and Committee member,
the Health Management Committee of PLA Medical Association.
Experience of the China Medical Team with Emergency Medical Relief in Burma after Cyclone
Nargis
Xiang Shiping, TU Weifeng, JI Hongbiao, et al. Guangzhou General Hospital of Guangzhou Military
Command, Guangzhou 510010, (CHINA).
Objective: To review and summarize the experience and lessons learnt by Chinese Medical Team,
being as the first organizational hospital, going to Burma take part in international emergent medical
relief for 2 weeks after “5·02” Cyclone Nargis. Methods: The experience and comprehension were
retrospectively summarized and analyzed in the transnational emergent medical relief and epidemic
prevention following the “5·02” Cyclone Nargis powerful tropical storm. Results: During the period
of aiding Burma to join in disaster medical relief for 2 weeks, Chinese Medical Team totally provided
the medical service for 3,197 patients, of which 58 cases being anaesthetized and operated on, 180
cases for acute and chronic pain relief, 80 cases for postoperative monitoring and infusion therapy, and
2 cases of severely critical acute respiratory dysfunction being rescued successfully. The diverse
auxiliary examinations such as clinical laboratory tests, and ultrasonic and X-ray checkouts, 561 cases,
were completed. Two hundred and sixty-seven species of the diverse drugs and medical equipment
were sent, Five hundred and ten times of water quality and food were inspected, Five hundred square
kilometers were disinfected., More than 30 Burma party epidemic prevention personnel were trained.
Before returning back, Chinese Medical Team donated Myanmar a great deal of medical rescue
supplies, medicine, materials and equipment including 2 ambulances and 2 luxury middle-sized bus.
Conclusion: It is hopeful that these can provide a typical sample and the successful experience to
fulfill the analogous diverse military tasks abroad and to ensure the independent medical service.
Key words: international medical assistance, disaster relief; tropical cyclone
LEONIE VAN DEN HEEVER
Colonel Leonie van den Heever was born on 12 January 1954. She obtained a Masters in Business
Administration (MBA) at the University of Pretoria from 1998-2000. She obtained a Postgraduate
Diploma in Hospital Dietetics at the University of the Free state in 1975 and a Baccalaurette degree in
Dietetics at the University of Pretoria from 1972-1974. She has been employed by the South African
Military Health Service since 1990 and is currently the Senior Staff Officer Dietary Service. She is
responsible for the ddevelopment of Ration Packs and Ration Scales and is a member of South African
National Defence Force Hospitality Service Workgroup. She is a registered dietician with the Health
Professions Council of South Africa. Energy Intake and Free Living Energy Expenditure Of Learner Special Forces Operators
During Different Training Phases
L. Van Den Heever, South African National Defence Force
Introduction: Surveys were conducted to establish the energy expenditure and nutritional intake of
Special Forces (SF) learners on minor tactics, pre-selection and selection phases. The purpose of the
research was to establish whether adequate nutrition is provided. Methodology: Food was provided
according to the South African National Defence Force Ration Scale. The researchers weighed
sample meals and individual leftovers at mealtimes and collected containers of snacks and drinks. The
intake of energy (EI) and nutrients and the percentage energy derived from macronutrients were
calculated. Nutritional analyses were completed and compared to the Dietary Reference
Intakes1.Energy expenditure (EE) was established by the doubly labelled water technique.Results: The
nutritional intakes of macronutrients compared favourably with prudent guidelines. The intake of most
other nutrients was well above the recommended daily allowance. The total EE and EI were not well
matched. During minor tactics training there was an average deficit of 3 345kJ per day. During
preparation phase the average daily EE was 3 300kJ higher than the EI. This is apparent in the mean
body mass loss of 1.54kg during 6 days. During selection the mean daily EE was 27 460kJ. The EI
was not established. The EI and EE comparison highlighted significant individual variance in soldiers
performing the same training. Conclusion: Additional supplementation of energy with energy-dense
carbohydrate rich preparations need to be considered for certain individuals and particular training
phases.
ESSAM NLO’O
Dr ESSAM NLO'O received his undergraduate education at Mohammed V University; he then
completed postgraduate training in cardiology at the Abidjan Cardiology Institute. From 2003 to 2005,
Dr ESSAM NLO'O served as medical officer at the Department of Internal Medicine, Yaounde
Military Hospital; in 2005, he was appointed Chief of Medical Services at the Fire Fighters
Department. He currently serves at the Cardiology Department in Yaounde Military Hospital. Dr
ESSAM NLO'O is member of Cameroon Cardiac Society and the French Society of Cardiology.
The Epidemiologic and Therapeutic Aspect of Hypertension within the Cameroonian Military
Hospital Environment.
A. Essam Nlo’o, O.Hamadou, N. Sileu, E. Bizome. Ministry of Defence, Yaounde, Cameroon.
Objective: Analysing the epidemiologic and therapeutic caracteristics of (TAH) at the military
hospital cardiologist service department of Yaounde. Methods and Material: Retrospective
descrition and analytic studies of 102 hypertensive patients using WHO criteria from January to
December 2010 at the military Hospital in Yaounde. Database: Sex, age, quality of the military or
civillian; certain cardiovascular risks as well as the indices of body masse were reviewed. The blood
preasure and the treatment recieved were also noted. Result: Amongst 612 patients admitted during
the year 2010, the TAH represent 16,8% of consultations; the average age of the patients were
between 55.2 +13.2 years ; a slight feminine predominance with a sex ratio of 0.7 was noted. The
patients in most cases were civilians (71.8%) than military (28.15%). Other risk factors were
recoreded as follows : 64% over weight or obessed patients, 5.8% Tobacco intoxicants patients, 50.5%
Alchoholics patients ; 9.7% diabetics patients, 20.6% TAH heriditory patients. Systologic pressure in
average of 170mmhg(140-231), diastolic pressure in average of 100.43mmhg (63-160). The bitherapy
fix has been established in (71.5%) cases. The monotherapy followed with calcic inhibitors (2.4%),
the diuretic in (11.74%). A tritherapy has been prescribed in (13.72%) casas.Conclussion: The TAH
(Therapeutic Aspect of Hypertension) remains a major cardiovascular risk factor. Its prevalence in the
cardiology service departmnet of the military hospital in Yaounde is weak despite its national
prevalence of 30%, the explaination is certainly due to low patronage of the Yaounde military hospital
to the benefit of other health formations. Its global reach nevertheless is overtaken by the control of
other cardiovascular risk factors. The medicinal treatment depends much on the habits of the medical
teams.
SH IRAVANI
Comparison of Fecal Calprotectin Level as an Inflammatory Factor in Iranian General
Population and Army Personnel
Iravani SH, Azimzadeh P
AJA University of Medical Sciences – Tehran- Iran
Background: Fecal Calprotectin is released in the colon by activated nutrophils. Investigation of
diagnostic application of determination of fecal Calprotectin levels is considered by many researchers
to compare between different colorectal diseases like Irritable Bowel Syndrome (IBS) and
Inflammatory Bowel Diseases (IBD). Objective: The main goal of this study was to compare the level
of fecal Calprotectin between patients with IBD and IBS and healthy control subjects for
determination of probable relationships between this molecular marker with considered
gastrointestinal diseases in Iranian general population (1st phase) and Army personnel (2nd phase).
Method: This study was prospective and sample collection method was using available samples
(Convenience sampling). We collect stool samples from subjects with corresponding data collection
form. Determination of Calprotectin levels was done by specific third generation ELISA kit and
statistics were done using SPSS software. Results: Mean Calprotectin level in three included groups
were 202.4 micrograms per gram in IBD group, 24.4 micrograms per gram in IBS group and 25.2
micrograms per gram in healthy control subjects. Fecal Calprotectin level in IBD group was
significantly higher than Healthy controls (P<0.001). Despite the little increase in Calprotectin levels
in IBS group compared with control group this difference wasn’t statistically significant (P>0.05).
Conclusion: Determination of fecal Calprotectin levels as a cost effective and non invasive test could
be used by military physicians for early diagnosis of inflammation in IBD patients and differentiation
between these patients with IBS subjects.
Keywords: Inflammatory Bowel Diseases, Irritable Bowel Syndrome, Inflammation, Calprotectin.
MOHSEN HAZEINOLABEDINI
Mohsen Hajzeinolabedini lives in Tehran, Islamic Republic of Iran. He graduated with MSc. Degree
in Educational Management. He has accomplished some seven projects and published fifteen articles
in local and international journals. Currently, he is the Manager of Educational Department,
Headquarters, Police Force Medicine, Islamic Republic of Iran.
A Comparative Study of Police Force Medicine Service Members Job Motivation Based on
Herzberg`S Theory
Askarian M., Bagheri SH., Shirzad H. Aghdam H.
Research Center-Head Quarter of Police Force Medicine, Tehran, (IRAN)
Background: The main objective of this article is to measure and compare education service
member’s job motivation in NAJA based on Fredrick Herzberg`s Motivation-Hygiene Theory.
Method: A descriptive-survey research method was employed. A sample of 82 education service
members was selected through a proportionate classified sampling method. The data-gathering
instrument included a 81- item researcher-made questionnaire. The instrument coefficient reliability
was estimated 0.881 and its content and internal validities were also determined. Results: The results
indicate that the hygienic factors contributed more than motivation factors to job motivation of the
members. Meanwhile, job safety, salary and gratitude and praise in work played a more positive role
in job motivation of the members. Moreover, there was no significant difference with regard to the
relationship between demographic variables such as sex, age, educational credentials and the academic
ranking.
Key words: Motivation, job motivation, hygienic factors, motivation factors, motivation factors,
education service,NAJA
A BARSUKOV Some Predictors of Orthostatic Hypotension in Young Regular Servicemen Suffering
from Acute out of Hospital Viral-Bacterial Pneumonia
Barsukov A., Karimova A., Shustov S., Gordienko A.
Military medical academy, S.-Petersburg, (RUSSIA)
Background: Acute infectious disorders increase probability of orthostatic unfavorable hemodynamic
reactions occurrence irrespective of a gender and age. Objective: To determine some factors
associated with of orthostatic hypotension (OH) in young males suffering from out of hospital non
severe viral-bacterial pneumonia. Methods and design: There were investigated 108 males (mean age
20,1 ± 1,6 years), from them 64 had acute pneumonia and 44 were healthy volunteers. Everybody
were underwent to active orthostatic test (AOT) (European society of neurologists recommendations,
2006). AOT was made with regular heart rate and blood pressure control. Heart rate variability (HRV)
was assessed by spectral analysis of 5 minutes rhythm-cardiogram recording in horizontal position
before and during AOT. In state of bed rest there were researched plasma levels of angiotensin I and
aldosteron. Dispersion statistic analysis of anthropometric, hemodynamic, HRV and neurohumoral
parameters totality was accomplished. Results: Prevalence of OH was 18% among males with acute
faze of pneumonia and 7% among healthy volunteers (p<0,05). On the basis of AOT result patients
with pneumonia were subdivided into two groups (OH positive (+) and OH negative(−)). OH+ persons
demonstrated lower body mass index (BMI, kg/m2) then OH− patients (21,5±1,4 vs 22,9±2,1;
p<0,05). According to the dispersion analysis some signs and factors turned out associated certainly
with OH (OH+ patients vs OH− ones): lesser BMI (F-criterion 4.8; p=0.033), lesser magnitude of
initial low frequency (LF, ms2) waves density and total power of spectral waves (TP, ms2) before
standing up (F-criterion 7,4; p=0,009; F-criterion 3,6; p=0,06 respectively), lower aldosteron level
(ng/ml) (F-criterion 11,6; p=0,001). Conclusions: The phenomenon of orthostatic hypotension in
young patients with out of hospital pneumonia is associated with lesser BMI, transitory functional
insufficiency of sympathetic pattern and aldosteron secretion in comparison with persons who have
normal orthostatic tolerance.
TAHIR OSHE UMAR
Major General Tahir Oshe Umar was born on the 23 August 1954 in Iyamoye Ijumu in Kogi State,
Nigeria. He attended educational institutions at Gombe and Maiduguri before moving to the Ahmadu
Bello University in Zaria for his MBBS course from 1974 to 1979. He received a Federal Government
Merit Scholarship Award in his first year in the Medical School. He returned to the University
Teaching Hospital in 1985 for a postgraduate course in Internal Medicine. He obtained a Fellowship
of the West African College of Physicians in 1992. His dissertation on Electrocardiographic Changes
in healthy young Adult Nigerians following physical conditioning put him more into the realms of
cardiology in his professional practice. In the Nigerian Army, he has served at unit, command and
administrative levels at various times in his service. He is presently the Chairman of the Ministry of
Defence HIV Programme under the Emergency Plan Implementation Committee in collaboration with
the United States Department of Defence. His hobbies include reading, music and sports.
Counterpart Funding as a Veritable Tool for Ensuring Programme Sustainability: The NMODUSDOD HIV Programme Experience
Tahir Oshe UMAR, Chairman, Emergency Plan Implementation Committee, Ministry of Defence,
Abuja, (NIGERIA).
Background: Planning for programme sustainability is a key contributor to health and development,
especially in developing countries. The eventual ownership of ‘donor driven’ health programmes
hinges on the establishment of a sound community involvement and robust sustainability mechanism.
The President’s Emergency Fund for AIDS Relief (PEPFAR) was accessed by the US Military HIV
Research Programme (USMHRP) to provide preventive, care and support activities in the Nigerian
Military Health Facilities. The Programme is now in its 6th year of implementation in partnership with
the Nigerian Ministry of Defence (NMOD). The efforts of USMHRP have been complemented by the
recipient nation (Nigeria) through counterpart funding. Budgetary allocations are made from the
Federal Government of Nigeria to complement the resources provided through PEPFAR. Objective:
To highlight the gains of recipient’s counterpart funding in the NMOD-USDOD HIV program and
assurance of its sustainability. Result: The counterpart funding mechanism has enhanced human
capacity building, strengthened the existing health infrastructure of implementing sites, improved
service delivery, facilitated formation PLWHA support groups, and increased enthusiasm by both
partners. Also, the number of benefitting sites has increased from 4 in 2005 to 20 in March 2009.
Conclusion: The sustained efforts towards reducing HIV/AIDS to a level that it will no longer be a
public health burden in Nigeria has been enhanced by the recipient partner’s counterpart
funding. With this effort, sustainability of the programme is guaranteed. Recommendation: The
counterpart funding mechanism should be adopted by all recipient countries.
DONG GANG
Associate Professor (Colonel, MD) Dong Gang was born on 6th August, 1971. He attended the
Quartermaster University of People’s Liberation Army, Veterinary Public Health between 1990 1nd
1994, from where he obtained a Bachelor’s degree. At the same university, he studied genetics of
laboratory animals, obtaining a Master’s degree. He has served as Staff Officer, Laboratory Animal
Center, General Hospital (301 Hospital), PLA. Currently, he is Director of the Office of Diseases
Control, Academy of Military Medical Sciences.
Experiences with and Lessons Learned from Earthquake Rescue and Epidemic Prevention in
Yushu
Dong Gang, Xu Tianhao. The Academy of Military Medical Sciences, General Logistic Department
of the Chinese PLA, Beijing, (CHINA).
Based on the experience with earthquake rescue and epidemic prevention in Yushu, the authors
analyzed the factors that might have affected the earthquake rescue in Yushu, such as natural
conditions, geography, climate and the magnitude of the quake. The hazards to the public health after
the earthquake were also identified. This paper is intended to serve as a systematic summary of the
experience gained by the military professional rescue personnel in their efforts of epidemic prevention
under a cold high-altitude environment in light of epidemic diseases, hygiene of drinking water and
foods, sanitation of the environment, species-neutral diseases and plateau diseases. Four proposals are
raised: (1) formulating sound and relevant standards and codes for epidemic prevention during peacetime military actions; (2) enhancing the research on applied technology for epidemic prevention in a
special area; (3) building a standard reserve for emergency response and preparation; (4) improving
the training of personnel for emergency rescue and enhancing their the ability to deal with
emergencies.
GODWIN AYUBA
Colonel Godwin Iko Ayuba was born on 28 November 1959 at Maigamo village of Saminaka in Lere
Local Government, Kaduna State, Nigeria. He attended All Saints Primary School, Samaru, Zaria then
proceeded to Government Secondary School, Kafanchan and the School of Basic Studies Ahmadu
Bello University, Zaria, Nigeria. At the same university, he was at the Faculty of Medicine from
where he obtained the MBBS degree. He went for residency training in Histopathology and obtained
the Fellowship of the the Faculty of Pathology of the National Postgraduate Medical College of
Nigeria. He was comissioned 2nd Lieutenant in the Nigerian Army in 1981 and has risen to the rank
of Col and Chief Consultant Histopathologist. He has published in peer review journals. Godwin is
married to Rebecca and the both have three children. His hobbies include, table and lawn tennis,
jogging and reading the bible.
Hematological, Anti-Inflammatory and Antioxidant Properties of a Commercial Herbal
Preparation, Jobelyn®
Godwin Iko Ayuba, Patrick O Erah, Moses O Okubena
68 Nigerian Army Referennce Hospital, Yaba, Lagos, (NIGERIA)
Jobelyn® is a herbal preparation whose primary active ingredient is from the leaves of Sorghum
bicolor plant that has been used for over a century to treat several diseases. Phytochemical screening
revealed the presence of oligomeric and polymeric proanthocyanidins, anthocyanins, monomeric
catechins, carbohydrates, protein, saponins, apigenidin and proapigenidin. In vitro studies have
revealed that in rabbits and rats with trypanosome-induced anemia, Jobelyn® rapidly increases
haemoglobin and packed cell volume levels. Investigation of antioxidant capabilities revealed that
Jobelyn® has oxidative radical absorbance capacity (ORAC) of 3,123.0 per mg and antioxidant
capacity which is more than 13 well-known antioxidant-rich fruits combined. Animal and in vitro
studies, supplemented by epidemiological evidence and human studies, indicate numerous health
benefits (including protection from various ailments), associated with the antioxidant effects. In
humans, Jobelyn has been shown to increase CD4 counts in HIV positive patients either alone or in
combination with antiretroviral drugs making it a possible good alternative and/or supplement to
antiretroviral drugs in the management of HIV/AIDS patients. Studies on the effects on
lipopolysaccharide-induced cytokine and PGE2 release in human monocytes of healthy human blood
donors using enzyme-linked immunosorbent assay (ELISA) indicate that Jobelyn® significantly
inhibits lipopolysaccharide-induced release of cytokines (IL-1beta, TNFalpha, IL-6, IL-8) and PGE2.
Its selective effect on COX-2 activity makes it a very promising anti-inflammatory medicine with
minimal side effects. Results of acute toxicity studies using laboratory animals revealed LD50 values
of 215.1mg/kg and 193.4mg/kg for oral and intraperitoneal routes, respectively. It is concluded that
Jobelyn® is safe and useful for the management of anemia and HIV/AIDS, and is a promising
medicine for inflammatory diseases and protection against many other diseases.
YU MIN
Professor (Senior Colonel, MD) YU Min was born on 7th May 1963. He is a pecialist in Health
Services Management. Between 1979 and 1983, he was at Xi'an Jiaotong University for the
Bachelor’s Degree in Science. In 1985, he went to the 4th Military Medical University for a Master
Degree in Medicine, obtaining a doctorate at the same university in 1995. He was at London School of
Hygiene and Tropical Medicine for a Master Degree of Health Service Management (2003-2004).
Between 1988 and 1992, he was a lecturer at the Fourth Military Medical University, becoming
Associate professor, between 1995 and 2005 and a full professor in 2010. In 1997, he got the Chinese
Oversea -study Scholarship and the WHO Fellowship in 2003-2004. A member of many professional
groups, he has been Chairman of Chinese Medical System Engineering Association, Member of
Technical Advisory Group of United Nation for medical services of Peacekeeping Operation and a
teacher of the ICMM reference Center for the LOAC.t
The Medical Evacuation for UN Peacekeeping Operations: Achievement and Challenge
YU Min1, SONG Yu2.
1
The Health Teaching and Research Division of the Fourth Military Medical University,
Department of General Logistics Department (CHINA)
2
The Health
Objective: By analysis of the achievements recorded and the role of medical evacuation system of UN
peacekeeping operations, and by discussion of the deficiencies and challenge met in the new situation,
advices are given to improve the ability of medical support for UN peacekeeping operations.
Methodology: Data of medical evacuation from 2006 to 2007 of UNMIS were analyzed, medical
evacuation system of MONUSCO was visited and some of FMO and CMO were interviewed in 2011.
Results: UN medical evacuation system played an important role to ensure the life and health of the
peacekeepers, meanwhile it faced to severe challenges, such as bad weather, complex terrain and
landing sites, limited conditions for night flying, inadequate deployment and use of AMET and long
distance between each two of the 4 hospitals. Discussion: The airborne and medical resources should
be rationally allocated and the AMETs needed to be well trained for improving the medical evacuation
ability of UN peacekeeping operation.
AJ BOLAJOKO
Promoting Civil Relationship through Community Health Service
AJ Bolajoko; UR Habib, SO Apetuje, A Anekwe. 45 Nigerian Air Force Hospital, Makurdi,
(NIGERIA)
Nigeria is a multi ethnic, multi religious country that had undergone a 3 year civil war. Post civil war,
demobilized soldiers had problem integrating back into civil life and a number of clashes resulted in
different parts of the country. In addition, the advent of the military into politics and governance
resulted in a widespread civil distrust of the military as an organization. The objective of this paper is
to present means of promoting military civil relationship through community health service. This was
done by opening the Nigerian Air Force Base Makurdi’s gates to civilians in the immediate
neighbourhood for their general health maintenance and to the whole State and surrounding States for
access and uptake of HIV counseling/testing and anti-retroviral (ARV) drugs therapy. The Hospital
records show an increase in civilians seeking health services in general practice and specialized care,
rising from 7,650 to 21,219 over a 15 month period (July 2006 – October 2007). The number of
civilians seeking HIV related services was 3447 counseled and tested with 2737 positives and 2102 on
ARV supplied free of charge through American Department of Defence (DoD) and Nigerian Ministry
of Defence (NMOD) partnership. In the same period, only 170 soldiers had counseling and testing
with 21 positives and on ARVs. The report for 15 months of activities shows a change in attitude of
both soldiers and civilians. The civilians see the soldiers as human beings who are also Nigerians and
who care about their well being. The soldiers on their part are more ready to accept the civilians with
the realization that they are Nigerians who need access to health facility
CORNELIA van STRATEN
Dr Cornelia van Straten is currently employed at 1 Military Hospital, Pretoria, Republic of South
Africa, as a Maxillo-Facial&Oral Surgeon. Both degrees in dentistry (BChD) and medicine (MBChB)
were obtained from the University of Pretoria. Medical Internship was performed in Rustenburg
Provincial Hospital, North-West Province of South Africa, and Community Service performed at 1
Military Hospital. Master degrees were obtained from the University of Pretoria and from the College
of Medicine of South Africa, in the speciality of Maxillo-Facial & Oral Surgery in 2011. The research
was done under the guidance of Prof K.W Butow, at the University of Pretoria’s Facial Cleft
Deformity Clinic, the largest Facial cleft clinic in Africa and the second largest in the southern
hemisphere. The clinic was initiated by Prof Butow in 1982 and currently has more than 3500 patients
and include a multidisciplinary team consisting of Maxillo-Facial & Oral Surgeons, Orthodontists,
Psychologist, Speech therapists, Pedodontist, Geneticist, Community Nursing staff and Prosthodontist.
It is also a recognized international training facility for a fellowship in Cleft Surgery. The research has
already been presented at IADR (International Association of Dental Research) 2010, Pretoria and at
the South African Dental Association (SADA), International Dental Exhibition & Congress (IDEC),
November 2010, Durban, South Africa.
Three Syndromes, Connected to the P63 Gene: Peri-Operative Complications
C Van Straten, K-W Bütow, E Honey
Departments Maxillo-Facial and Oral Sugery and Genetics, University Of Pretoria
Objective: The objective was to evaluate three different syndromes associated with p63 gene
mutations, known as Ectrodactyly-Ectodermal-Dysplasia-Clefting syndrome (EEC), Ankyloblaphron
Ectodermal Dysplasia Clefting syndrome (AEC or Hay-Wells) and Rapp-Hodgkin (RHS) syndrome,
concerning the post-operative complications associated. Methods: Demographic information and in
particular the following data is extensively recorded: clinical appearance, associated malformations
and the type and complications of the reconstructive surgical procedure. This data was analysed using
the Microsoft Excel program. 3352 Cleft Lip and Palate patients were evaluated for these three
specific syndromes usually associated with the p63 gene mutation. Results: The analysis presents with
10 (0.30%) cases of p63 associated syndromes: EEC (6), RHS (3) and AEC (1). These three
syndromes were recorded with following clinical appearance and associated demographic information
- EEC: unilateral right-sided CLA = 1 (female); CLAP = 4 (males) 3 - 2-bilateral CLAP and 1unilateral right-sided CLAP; female 1 - unilateral left-sided CLAP); hPsP = 1 (female) (3 Black, 2
White, 1 Indian); RHS: bilateral CLAP = 2 (White males); hPsP = 1 (White female); AEC: bilateral
CLAP = 1 (White male). Post-operative complications included: stenosis of nasal opening after
closure of bilateral cleft lip and columella lengthening (2), premaxilla-prolabium fusion (2), repeated
occurrence of oro-nasal fistula (4) and retrognathic development of midfacial structures (3).
Conclusions: The three p63 associated syndromes (EEC, AEC, and RHS) were reported in 0.30% of
cleft deformities. The majority presented with a bilateral CLAP, and only in males, where females and
males had a unilateral CLA and only females an hPsP cleft deformities. The associated ectodermal
component of these syndromes most probably had a negative influence on post-operatively wound
healing, concerning the nasal, sulcus and palate mucosa. As such, the reconstruction of these three p63
associated syndromes is a challenge to the surgeon.
ALI-MAJIDI
Gen. II , MD Ali- Majidi Head Manager of I.R.IRAN Police Medical Organization, graduated in M.D
from Shahid Beheshti University of Medical Science in 1986, in Master of Neurosurgery from Tabriz
University of Medical Science in 1994. His responsibilities include as Head Manager of Islamic
Republic of Iran Police Medical Organization since 2007; Vice-Chancellor Health & Treatment
Department of Police Health Center from 2001 to 2006; Head Manager of Medical council of Islamic
Republic of Iran Police Medical Organization from 2000 to 2001.
Seatbelt Use in Tehran: Facts and Beliefs Shirzad H., Majidi A, Bahadorani H.
Research Center-Head Quarter of Police Force Medicine, Tehran, Iran
Objectives: to describe the underlying reasons that prohibits seatbelt use among citizens of Tehran.
Method and Materials: 810 citizens were selected through two-stage sampling. Clusters were defined
based on the zip codes and individuals were identified through convenient sampling. The study was
approved by Human Subject Committee of Tehran’s Police Department, divisions of Health and
Traffic safety. Results: 810 citizen were interviewed (Male/Female=4/1), 62% were active drivers.
Mean age of the interviewees was 31 years (range: 20-82 years). Twenty five percent had more than
12 years of education’ 28% of the study population had received at least one ticket and 2% three
tickets for not fastening the seatbelt. The preventive importance of seatbelts (55%), fearful of
receiving a traffic citation (10%) and combination of these two factors (35%) were the most common
reasons for using seatbelts. 91% [of total 810 people] were aware of the safety impacts of seatbelts
however only 51% of them used seatbelts frequently. Discussion: enforcement is police study showed
that a significant factor that can significantly promotes seat belt use in the community. Providing the
legal requirements for further reinforcement of the seatbelt law and changing the seatbelt law to a
primary law, accompanied by public education and equipping vehicles with standard seatbelts might
significantly increase seatbelt use in the Tehran.
AS MOHAMMED
Surgeon Lieutenant Commander AS Mohammed was born on 29th July 1974. He attended the
Nigerian Military School, Zaria and thereafter proceeded to Usmanu Danfodiyo University, Sokoto
where he graduated as a medical doctor in 2000. In 2010 he obtained the Master of Public Health
degree from University of Lagos. He joined the Nigerian Navy in 2001 and has served as a medical
officer onboard both the Naval Medical Centre –Nigerian Naval Dockyard and the Nigerian Navy
Reference Hospital, Ojo. He was also the Base Medical Officer onboard the Nigerian Navy Finance
and Logistic School, Owerrinta from where he proceeded for his residency training. He is currently a
senior registrar in public health at the Lagos State University Teaching Hospital, Ikeja. Mohammed is
married and has three children.
Rational Drug Prescribing Among Doctors at Nigerian Navy Hospitals in Lagos
Mohammed A Shehu, Senior Registrar, Public Health, Lagos State University Teaching Hospital,
Ikeja, Lagos (NIGERIA).
In rational drug prescribing, patients receive medications appropriate to their clinical needs, in doses
meeting individual requirements, for adequate duration, and at the lowest cost. The potential negative
consequences of irrational prescriptions justify this study. Objectives: The study sort to assess rational
prescribing and factors affecting them among doctors at navy hospitals in Lagos. Methodology: This
was a cross-sectional descriptive study. All doctors in the 3 navy hospitals were enrolled while
systematic sampling was used to prospectively record 600 drug prescriptions. Data was collected,
using a self-administered questionnaire and a prescription survey form. Data was analyzed using the
Statistical Package for the Social Sciences version 17. The level of significance was set at 0.05.
Results: Although only 16.4% of doctors had ever received any formal training on rational drug use,
85.2% had good knowledge, while, 67.2% had good attitude towards rational prescribing. However,
only 29.5% reported good practice. Average number of drugs per prescription was 3.78 +/- 1.6 while
generic prescription rate was 51.38%. Percentage antibiotics prescription was 46.3% while percentage
injections prescription was 24.5%. Percentage of drugs prescribed from the essential drug list was
91.01%. Most (93.86%) of prescribed drugs were dispensed and average cost of dispensed drugs per
prescription was N745.37 +/- 539.05. Seventy-five percent of anti-malarial prescriptions were
Artemisinin Based Combinations. Training, duration of practice, being military officers, use of
essential drug list, use of standard treatment guideline, health insurance status and age of patients
affected rational prescribing. Conclusion: Although knowledge of rational prescribing was good and
attitude fair, practice could be greatly improved. All measured drug use indicators showed worse
values than WHO.
Keywords: Rational drug prescribing, Navy, Nigeria.
KAMAL ABOALI
Graduated in M.D from Shaheed- beheshtee university of medical science • Graduated in MMPH
(military master primary health) from Baghiatollah university of medical science • Manager of health
department of the Iran police force since 2004 • Membership of the Iranian National Committee of
AIDS Prevention & Control • Author of following books: - Mental Health Generalities - Diseases
Prevention & control - Psychological tests - Usage of Insecticides & disinfectant Guideline • Author of
article titled " evaluation of frequency of HIV,HBV,HCV and risk factors in IDU`s in shafagh camp
during 2006-2007 " • Author of article titled " a survey on Ureaase test in identifying H.Pylori
infection"
Evaluation of Knowledge, attitudes and impact of education on how to apply pesticides in police
centers
Colonel Kamal Abooali , Bahareh Younesei, Noroozali Noroozi
Naja Health department. Health Office
[email protected]
Objectives: Police health departmen of Iran belives on sanitation actions much more than using
chemical pesticides in the police centers but sometimes employing other methods such as application
of pest toxins (insecticides, rodenticides) becomes unavoidable. Health engeneers and health officials
have the responsibility of the operation supervision as squad-leaders. This study was conducted to
evaluate knowledge of health engineers and health officials in police centers about different
insecticides and correct application of each of them, as well as effects of training on this subject with
the aim of weak points recognition and planning future programs on this field. Method: In this
descriptive analytical study, 120 health officials from Iran's police centers were chosen as the sample
population. A four-part questionnaire which was approved by the University Human Subjects
Research Office. Using the questionnaire background information and primary knowledge of the
population and then, effects of training on safety knowledge and practices were evaluated.
Furthermore, evaluation was made considering some other factors such as working years, gender and
education level. Results: Health officials working in large police centers have more background
information (higher mean total scores) about the application of pesticides and insecticides in
comparison with whom working in police training centers. Attendants with environmental health
education got higher mean total scores about integrated application of insecticides. There were no
meaningful correlation between working years and the background information. Moreover, no
significant correlation was observed between gender and insecticide application information.
Conclusion: Considering the study results, more training on the integrated application of pesticides
and employing appropriate type of insecticides for indoor spraying is quite necessary. In addition,
results showed that personal protection tools (cloth, glasses, mask) did not provided appropriately,
which led to spray men objection during and after spraying operation and needs more authorities'
attention in police health department.
Key Words: Insecticides, Knowledge, Attitudes, Practices and Training
ABODO JACKO
Major (Dr) Abodo Jacko was born on 1st of January, 1971 at Bouaké in Côte d’Ivoire. The Best at
Ivorian National Physicians Hospital Resident test, he has been Assistant Professor, Department of
Internal medicine, metabolic diseases and Geriatrics (Abidjan);- Internist-EndocrinologistDiabetologist (Military Hospital of Abidjan); and President of Obesity and Diabetes Association of
Côte d’Ivoire. He has High Specialization Diploma in Internal Medicine and Geriatrics (France), a
University Diploma in Methods and Clinical Research (France), and a University Diploma in Genetics
Diagnosis and Genetics Advices (France). He attended the Specialist course in Endocrine, Metabolic
disease – Nutrition at Abidjan in Côte d’Ivoire, and has a High Post-Doctoral Diploma in Human
Biology. Past appointments include Resident in Internal Medicine and Geriatrics, Marseille, France,
Resident in Endocrine – Diabetes, Paris, France. He is the Vice-President of the Ivorian Military
Medicine Society, a Member of Francophone Diabetes Society and Vice-secretary General of African
Francophone Diabetes Society. In addition, Dr Jacko is a Life Member of the International Diabetes
Federation, a Member of French Endocrine Society, Member of European Association for the study of
Diabetes and a Member of Ivorian Geriatric Society. He has 20 Publications, 60 communications on
Internal Medicine and Diabetes to his credit.
Burden of chronic diseases in the military environment of Côte d’Ivoire.
Abodo Jacko
(COTE D'IVOIRE)
After China and India, numerous countries in Sub-Saharan Africa are making major leaps in economic
development. Meanwhile, urbanization in these countries shows a very fast growth. This phenomenon
has, unfortunately, been associated with an increasing rate of obesity, high blood pressure, diabetes,
stress, cardiovascular and other non communicable diseases. All social and occupational sectors have
been affected. Our study aims is to specify chronic diseases frequency in military environment in
Côte d’Ivoire. Methods: From 2000 through 2010, we made a meta-analytical study of works realized
in military environment in Côte d’Ivoire (Mmilitary Hospital of Abidjan, military regions Barracks).
Results: High blood pressure was has been found in 20-50 % of the cases; post-traumatic stress
disorder in 45.45 % of cases; smoking in 27 % of the cases; overweight and obesity in 21 % of cases;
the asthma in 18.2 % of cases; the alcoholic consumption in 12.4 % of cases; type 2 diabetes in 5 % of
cases. On the other hand, the mobile teams for HIV screening reported 1.13 % whereas UNAIDS gave
4.7 % in the general population of Côte D’Ivoire. Conclusion: While HIV/AIDS prevalence shows a
much lower figure compared to the general population drastic decline, non-communicable chronic
diseases showed a high prevalence. increase dangerously. A World Bank report (2007) report (2007)
of the World Bank predicts that, in less than 10 years, chronic conditions will be the main cause of
death death main cause in developing countries. Also, population ageing associated with these chronic
conditions bound to the lifestyle of the most productive population will destroy the countries already
fragile economies. Regrettably, defense forces officers of Côte d’Ivoire do not escape this. We must
do implement everything possible to slow down these modern times plagues. Key words: chronic
diseases, urbanization, military, Côte d’Ivoire.
EBRAHIMNIA MEHDI
Organizational Diagnosis of Integration Medical Education with Staff a Military Health
Organization: A Qualitative Study
Parsa H. , Abdi A. , Amerion A.,Ahmadizadeh M., Farzaneh A
Health Management Research Center, BMSU
[email protected]
Objectives: Special importance has been given to structure for the effectiveness and as an
organizational control tool in the management literature. The most comprehensive type of
organizational change is organizational restructuring. Integration is a type of structural changes that
focus on centralization of decision-making centers, saving resources, increasing effectiveness and
reduce incumbency. Organizational diagnosis is introduction to evolution and reconstruction in any
organization. It is a systematic process of data collection to effective and profitable interaction in order
to solve problems, challenges and environmental pressures and constraints in the organization. This
study evaluates the integrated collection strategy of medical education component with health care
system in a military health care organization to identify dimensions, strengths and weakness of
variables. Methods: this descriptive study with a qualitative approach has been done in 2009 in the
senior managers of a military health organization. A targeted sampling was conducted and data
analyzed, we using from external evaluation, peer assessment and member evaluation and used
renewed coding in order to measure reliability. Results: The integration created centralization of
decision-making in staff. Although the integration could crated human resources efficiency with the
mechanical structure and provided smaller offices, but cannot reached a lot of effectiveness due to
inappropriate strategies, the type of structure and creating a high concentration. Conclusion: the
integration had being medical employees familiar and responsible with the new subjects in medical
sciences, educational and research, also was interfere affairs headquarters and undermine medical
education in line. There was not realizing of some goals of integration.
Key words: integration, medical education, services system, organizational structure, Organizational
diagnosis
ESMAEIL ALI BAKSHI
Esmaeil Ali bakhshi was born on 16th August, 1982 at Nahavand in the Islamic Republic of Iran.
He is researcher in Exercise Physiology and Sport Rehabilitation at Ministry of Health and Medicine
since 2010. He has a Diploma in Experimental Sciences from Shohadaye Nahavand High School,
Nahavand, Iran (1997-1999), B.A degree in Physical Education and Sports Sciences from Arak
University, Iran (2001-2005) and later a Master’s of Arts degree in Physical Education from same
university, (2005-2007). He also trained under the famous rehabilitation specialist Dr Golpaygani,
between 2004 and 2005 in Corrective and therapeutic exercise from Arak Free Instruction Institute.
Esmaeil has worked as a professional teacher in Physical Education at Arak University – Science
University to MA students of Physical Education (from 2005 to now). He was also Aquatic Therapist
of Arak Petrochemical Co. (2007), Deputy of Physical Education office, Arak University (2007) and
head of sport teams participating at national universities competitions (2007). His research interests
are Exercise rehabilitation, Exercise Science, Exercise Therapy, Sport Medicine, Sport Injuries and
Rehabilitation, Sport Manipulation and Sport Physical Therapy. He is a keen sportsman, writer and
administrator. Currently, he is Assistant professor and researcher in Exercise Physiology research
center of Iran – Exercise Rehabilitation Group from 2010.
A Comparative Study of Massage, Physical Therapies and Compound in the Treatment of
Chronic Knee Pain among Members of the Armed Forces
Esmaeil, Alibakhshi, 1, Vahid Sobhani2
1, 2
Exercise Physiology Research Center - Beqyatallah University of Medical Science, Tehran,
(IRAN).
Introduction: A comparative study of Massage and Physical therapies and Compound in the
Treatment of chronic knee pain among members of the Armed Forces. Aim comparative study of
Massage and Physical therapies and effect of compound of it on chronic knee pain. Methodology: 45
army males who suffer from chronic knee pain in 3 programs of massage therapy, physical therapy
and Compound with average ages of 35/27±2/13 years old from army education centers of Iran
randomly were selected at 2011 year. For evaluation the injury used of, MRI, Special Clinical Tests,
Rang of Motion (ROM) of Knee and EMG test. Statistics methods, Descriptive statistics and Tstudent in the level of (P<0.01). Findings: Special Clinical Test (P<0.0061) and MRI (P<0.0025) in 3
programs was more significant. In ROM the Compound program (T=16/336, P<0.0214) had more
significant of Massage and Physical therapies. In EMG, Reaction time of Quadriceps muscles in
Physical therapies group was more significant (RT=222.3±12.6, P<0.00251). Conclusions: Physical
therapies, Massage Therapy and Compound significant effective on treated chronic knee pain of army
forces (P<0.001). But Compound treatment in improve of ROM, Reaction time muscle extensor and
Clinical tests had more effect than Massage and Physical therapies.
Key words: Physical therapy, Massage therapy, chronic knee pain, Army forces.
OA OGUNBIYI
Brigadier General Obashina Ogunbiyi was commissioned into the Nigerian Army as a 2/Lt on 12 May
1980. He is a Chief Consultant Anaesthetist. He graduated with MBBS degree from the prestigious
University of Ibadan, Nigeria. He is a Fellow of the National Postgraduate Medical College of Nigeria
(FMCA-Anaesthesia), Fellow of the West African College of Surgeons (FWACS), Fellow of the
International College of Surgeons (FICS) and he is a UK-certified Instructor on Basic and Advanced
Life Support. In 1997, through a British Government-sponsored Post-Fellowship grant, he undertook
sub-specialty training in Intensive Care Medicine at the James Paget University Hospital, Gt.
Yarmouth (1997-1999), with working experience at the Royal London Hospital. In 2000, Brig Gen
Ogunbiyi was a subject of biographical citation in the renowned MARQUIS WHO’s WHO IN
MEDICINE AND HEALTHCARE IN THE WORLD following his outstanding achievements and
meritorious contributions in the field of Medicine. This earned him the Chief of Army Staff
Commendation same year. He is an avid and professed author of many scientific articles published in
local and international peer-reviewed medical journals. Brig Gen Ogunbiyi has held several
regimental, command and professional appointments including: Regimental Medical Officer, General
Duty Medical Officer and he was the 1st Commander of the UN-COE Level II Hospital (NIMED 1) at
El-Geneina, Darfur; Head of Department (Anaesthesia), 44 Nigerian Army Reference Hospital,
Kaduna; Director, Field and Curative Medicine, HQ NAMC and presently he is the Director, Military
Hospital, Lagos. ’Gen Ogunbiyi is a member of the UN Technical Advisory Group (TAG) for revision
of the UN Medical Support Manual that started in March 2011. Military decorations include the
Forces Service Star, the Meritorious Service Star and Golden Jubilee Medal. He is happily married,
loves meeting new people and occasionally plays squash racket.
The UNAMID-Nigerian Level 11 Hospital: A Pioneering Experience in Medical Support in
International Peace Support Operations
Obashina Ayodele Ogunbiyi, Military Hospital, Ikoyi, Lagos, (NIGERIA)
Introduction: With the transition of the African Union Mission in Sudan (AMIS) to the Hybrid
United Nations African Union Mission in Darfur (UNAMID) in 2007, the UN approved the Nigerian
Government’s pledge to deploy a Level II Hospital in Darfur in support of UNAMID. Objective: The
objective of this presentation is to review the deployment of the 1st Troop Contributing Country
(TCC) Level II Hospital in UNAMID with emphasis on challenges and achievements during their tour
of duty. Methodology: A retrospective review of the deployment and challenges of the first Nigeria
Level II Hospital (NIMED 1) to UNAMID in El-Geneina, Darfur between 13 Sep 2008 and 17 March
2009. The Level II Hospital located in the new Super camp was commissioned by the UNAMID Force
Commander on 12 March 2009. Results: The NIMED 1 contingent composed of 96 officers and
soldiers made up of 66 medical specialists (including an Aero-Medical Evacuation Team, AMET) and
30 members of the 1x Infantry platoon strength Protection Force with a Brigadier-General (the author)
as Commander. With initial constraints of late arrival of Contingent Owned Equipment (COE), lack of
hospital infrastructure and difficult operational environments, some personnel of the Level II Hospital
were deployed to other team sites in the sector to enhance the capabilities of their Level I Hospital.
The Commander, assisted by the UN Sector West Engineering Team designed the layout of the
proposed hospital to be sited at the new UN Super Camp. A total of 320 peacekeepers presented
mostly with malaria, gastroenteritis and diarrheal symptoms. There were 3 mass casualty incidents
(RTA and rebel attacks on UN patrol) with a total of 8 soldiers with severely injured lower limbs out
of a total number of 20 peacekeepers involved. Three successful evacuations to Level III Hospital
were conducted by the AMET Unit. Long distances and difficult terrain, dearth of Air ambulances and
UN bureaucracy were major challenges to medevac. Conclusion: In spite of initial constraints, the
pioneer personnel of the UNAMID Level II Hospital, Darfur (NIMED 1) successfully discharged their
mandate during their tour of duty from 13 Sep-17 Mar 2009. The pioneer Commander received a
Letter of Commendation from the UN Under-Secretary General (DPKO), Mr. Alain De-Roy for the
successful establishment of the first COE Level II Hospital in UNAMID. The UN should enhance the
capabilities of their Logistic Division when establishing a new PSO mission to mitigate challenges
experienced by NIMED I.
Keywords: Medical support, Level II Hospital, aero-medical
A VLASOV
Application of the Medical Force (Airmobile) Provision for Medical Emergencies in Peacetime
Vlasov A, Shelepov A., Mirgorodskiy A., Gogolevsky A., Lemeshkin R.
Military Medical Academy, S.-Petersburg, (RUSSIA).
Prediction and prevention of accidents, natural disasters and catastrophes, as well as the elimination of
their consequences are one of the sharpest-term global problems. Several regions of the Russian
Federation are currently vulnerable to emergencies in peacetime. Predict the occurrence of most
natural and industrial disasters it is difficult or impossible. Despite this, before the service of disaster
medicine is a difficult problem to provide urgent and adequate medical assistance to a large number of
wounded and sick, arising in a short period. In emergencies may be involved medical units of various
ministries and departments, including mobile hospitals Defense Ministry. The issue of participation of
military medicine in the care of affected populations as a result of disasters is becoming increasingly
important. Military-medical unit is best suited to provide medical assistance to populations in the area
of emergency. They are able to quickly advance in the desired area, a fully autonomous, high level of
organization and medical equipment. As part of the medical service Airborne Division has a medical
unit (airmobile), which is a separate medical military unit of permanent combat readiness and is
designed to provide medical parts Airborne Division, in combat operations of all sizes, as well as in
peacetime. In addition, to provide medical care to victims of emergencies. The structure and completehospital-issue equipment can provide skilled care and 300 wounded a day, may provide the elements
of specialized care in the event the hospital relevant professionals. Deployment of airfield evacuation
receiver allows the preparation of the victims to further medical evacuation by air to their destinations.
During the day, the hospital staff is able to perform 70-80 surgeries, of which up to 40 complexes. All
units of the detachment can be transported by any transport, including aviation. Detachment to be in
constant readiness for take-off and landing in the disaster areas by planting method. Upon arrival at
the crash site of the first stage units (receiver and evacuation department, operating and intensive care)
are able to turn around and begin to receive the victims in the shortest time (1.5-2 hours). A
deployment of all functional departments in the hospital the full scheme will be achieved through 33.5 hours. Thus, analyzing the functionality of the Medical Detachment Airborne Division, it can be
concluded with regard to its possible application to provide adequate medical care to victims of natural
disasters, accidents and disasters.
Colonel Igor Bukhtiyarov is a graduate of Military Medical Academy named after S. M. Kirov, the
City of S.Petersburg. Currently he holds the position of Chief of Scientific Research and Exploratory
Institute of Military Medicine of the Military Medical Academy named after S. M. Kirov, the City of
Moscow. Colonel Bukhtiyarov is a PhD and a Professor in aerospace medicine, author of numerous
publications in the field of military medicine. The officer has been decorated with a number of awards
and medals for the distinguished service.
New Solutions for Health Care in the Brigade Branch of Medical Service of the Ministry of
Defence of the Russian Federation
IV Bukhtiyarov; NV Murashev; AB Yudin; T A Zavalina
Scientific Research and Exploratory Institute of Military Medicine of the Military Medical Academy
named after S. M. Kirov, the City of Moscow (RUSSIA).
For the brigade branch of medical service in the Russian Federation was developed a set of mobile
facilities (MFS) of high degree of readiness for immediate use on the basis of modern deployment
tools designed to be used in various climatic and geographic conditions, for the accelerated transfer by
the air transport in the area of military conflict or a large-scale emergency. The organizational and
staff structure of the MFS is based on the "blocky" principle: management; receiving and sorting
department; surgery and dressing department; hospital ward for 75 beds; laboratory department; X-ray
room; sanitary-epidemiological department; department of special processing; department of medical
intensification and rapid response (mobile medical team); supplying unit; auxiliary unit. There was
executed the economic evaluation of MFS implementation by the medical company of the brigade. It
was determined separately by the seriously injured, moderately injured and slightly injured. During the
work the value life of the saved was calculated according to the amount of the nonrecurring
disbursements paid to the families of deceased uniformed personnel. These payments are afforded by
the Russian Federation in the amount of 3 million rubles. Excessive economic benefits over the costs
for health care show the economic feasibility of MFS usage by the medical company of the brigade
with a new image.