The indexes primary and secondary disability among soldiers working and retirement age because of «military trauma» in dynamics for 2015-2016. From the military in 90% of cases disability is defined in the working age. The socio- hygienic analysis of the data on primary and secondary disability, carried out on a territorial basis, points to the heterogeneous share of disability indicators among military personnel in the Federal districts of the Russian Federation. It is revealed that the North-Caucasus, southern and Central Federal districts are the leaders in the establishment of primary disability and the total number of disabled people. The heterogeneous proportion of persons with disabilities recognized as members of the armed forces in different districts determines the need to analyse the conditions and grounds on which the disability was established. The implementation of the Federal comprehensive program «Accessible environment» and sub-programs aimed at the creation of the subjects of the Russian Federation of rehabilitation centers for patients and disabled people, due to the territorial characteristics of the prevalence of primary disability and the specifics of the category of persons with disabilities. Therefore, the data of the conducted social and hygienic analysis can serve as a basis for making organizational decisions on the creation of complex rehabilitation centers for disabled people from among former servicemen in the territories of the Russian Federation.
The expert characteristics of the clinical and functional status of the military personnel for the first time recognized as disabled in 2016 because of «military trauma» are considered. It is known that the objectification of methods of expert rehabilitation diagnosis in the implementation of medical and social expertise in the establishment of disability and the development of individual programs of rehabilitation/habilitation of disabled people-one of the main objectives of the concept of «Improvement of the state system of medical and social expertise and rehabilitation of disabled people.» In accordance with this provision, clinical and expert indicators are analyzed, confirmed by the data of expert rehabilitation diagnostics, allowing to objectify the impaired functions and structures of the body of soldiers who have received a military injury, when examined in the Bureau of medical and social expertise. The main clinical and functional syndromes that have expert significance and have influenced the adoption of expert decisions in the establishment of disability groups are presented. The article describes in detail the contraindicated and shown factors of the recommended labor activity, which should be guided in the employment of disabled people from among the former soldiers. The use of evidence-based recommendations in practice makes it possible to determine the forms and conditions of employment in normal or specially created working conditions for the rational employment and socialization of servicemen who have become disabled. Referring to the updated normative legal acts, taking into account the principle of inseparability of the medical and social examination procedure from the formation of individual programs of rehabilitation/habilitation of disabled persons, the authors illustrate the possibilities of professional rehabilitation and employment of military personnel who have different groups of disability due to «military trauma».
For conservation of technologically disturbed lands, various methods of reclamation are used to prevent their negative impact on the environment. At the same time, technological methods are used, including changing the technology of waste storage, changing the state of storaged products using briquetting and granulation, creating mechanical barriers that prevent the spread of dust or continuous coating with non-dusting material, and the physicochemical method – creation of a protective layer using foam or hydro-dusting in order to stabilize a dusty surface. The most environmentally effective is the biological method – creation of a protective vegetation cover. This method is of particular relevance due to the phytotoxicity of the technogenic substrate for sludge dumps and the difficulties of creating a stable vegetation cover. Taking into account the industrial and environmental characteristics of the waste in sludge dumps of JSC “EVRAZ ZSMK”, an assessment of the physiological state was carried out as part of environmental monitoring and the chemical composition of plants growing in the reclaimed areas of this technogenic object was analyzed. A comprehensive assessment of the environmental safety of the use of sewage sludge from urban wastewater treatment plants on the substrate of the sludge storage facility as the main soil improver is given.
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