1. Clinical examination is the main component of therapeutic and preventive measures and is a scientifically based system of preventive and therapeutic and diagnostic measures aimed at maintaining, strengthening and restoring human health.
Under medical examination of military personnel of the Armed Forces Russian Federation refers to the system of work of the medical service of military units, formations, military medical units and institutions, aimed at maintaining, strengthening and restoring the health of military personnel and providing for dynamic monitoring of the health of healthy military personnel, military personnel suffering from chronic diseases or who have had acute illnesses, who have risk factors for development chronic diseases, as well as for military personnel whose service is associated with exposure to adverse environmental factors.
Systematic analysis of the state of health of military personnel, the study of their psychological and mental status, morbidity and its causes, the quality and effectiveness of clinical examination.
The main tasks of medical examination of military personnel are timely early detection of signs of diseases, prevention of the risks of their development and the implementation of all treatment and preventive measures prescribed for military personnel, including primary and secondary prevention measures.
4. Primary prevention measures are understood as a set of organizational, therapeutic, preventive, hygienic, anti-epidemic and educational measures aimed at preventing diseases by improving the conditions of service and life of military personnel, strict compliance with sanitary standards and the requirements of the regulations of the Armed Forces of the Russian Federation for the deployment of military personnel, organizing their nutrition, water supply, fulfillment of the daily routine and duty time regulations, rational use of days off by military personnel, rest before joining the outfit and after service, timely and complete bringing to each serviceman the prescribed allowances, eliminating or reducing to the established limits the influence of environmentally hazardous natural and anthropogenic factors on the health of servicemen, psychoprophylaxis.
5. Secondary prevention measures include a set of measures aimed at preventing exacerbations and relapses of diseases, as well as the progression of chronic diseases. Timely, complete and adequate treatment of certain diseases (acute tonsillitis, acute respiratory diseases) is also the primary prevention of other more serious diseases (rheumatism, pneumonia, chronic bronchitis).
The elimination of risk factors for the occurrence of diseases can relate to measures of both primary and secondary prevention (for example, smoking cessation is the prevention of lung cancer, chronic obstructive pulmonary disease; the elimination of hypokinesia in healthy military personnel and patients with diseases of the circulatory system is aimed at preventing the development of coronary heart disease) .
Permanent medical monitoring of the living conditions of personnel: accommodation, food, water supply, bath and laundry services for military personnel, as well as daily medical monitoring of military personnel in the process of combat training and at home in order to identify factors that adversely affect the health of military personnel;
Monitoring compliance with the diet of military personnel in the following areas: the first is monitoring the nutrition of healthy and practically healthy military personnel in order to prevent obesity and the development of diseases gastrointestinal tract; the second is the correct organization of the dietary nutrition of military personnel suffering from diseases internal organs.
The development of alimentary-constitutional obesity leads to overeating and alcohol intake, calorie mismatch daily ration actual energy consumption, violation of the working day, physical inactivity, uneven unbalanced nutrition.
7. Of universal importance in the prevention of diseases, especially diseases of the circulatory system, is the fight against hypokinesia in military personnel with military specialties, in which motor activity is reduced.
Propaganda healthy lifestyle life, including the prevention of drug addiction, substance abuse, alcoholism and smoking, which is organized by the deputy commander of the military unit for work with personnel in cooperation with military law enforcement agencies, the head of the medical service of the military unit and army public organizations operating under the military unit.
9. One of the areas of preventive work in a military unit is psychoprophylaxis. Psychoprophylaxis is understood as a set of measures aimed at preventing the development of mental disorders by preventing the effect on the body of pathogenic, primarily psycho-traumatic factors, identifying individuals with signs of neuropsychic instability, prone to personality disorders, alcoholism, drug addiction, early recognition of mental disorders, prevention of chronicity of mental diseases by carrying out medical and recreational activities to needy military personnel.
Along with commanders (chiefs), responsibility for organizing work to preserve and strengthen the mental health of military personnel is assigned to:
For counteracting the spread of alcohol and drugs, educational work to prevent drug addiction, substance abuse, alcoholism and smoking among military personnel - to deputy commanders of military units for work with personnel, medical service;
For the identification of persons predisposed to personality disorders, alcoholism, drug addiction - to the deputy commanders of military units for work with personnel, medical service;
Features of medical control over the state of health of officers and military personnel undergoing military service under the contract, are due to the older age of this category of military personnel compared to conscripted military personnel, longer service in the Armed Forces, the specifics of the performance of official duties, the nature of work, increased professional and domestic risk factors (psychogenic, physical, chemical, dishormonal ). On the background age-related changes in various organs and systems, diseases in this category of military personnel become chronic, mutually aggravating, proceed sluggishly and atypically, with exacerbations and complications of the main process.
These features determine the need for examination of military personnel by appropriate medical specialists.
Medical monitoring of the state of health of officers and servicemen undergoing military service under a contract in the course of their daily activities is carried out by selective individual questioning about the well-being of officers during combat training, about their state of health, complaints, and conducting some functional tests. Most Attention is given to persons with an increased risk of diseases, as well as those under dispensary dynamic observation.
effective form medical control over the health of officers and servicemen undergoing military service under the contract is an in-depth medical examination, which is carried out in the fourth quarter of the year. An in-depth medical examination of officers and military personnel under contract, under the age of 40, who are not under dispensary dynamic supervision, is carried out by a doctor of a military unit. According to medical indications, the necessary laboratory, functional, x-ray studies and consultations with specialists from medical institutions are carried out.
Officers and military personnel serving under a contract, over the age of 40, as well as persons under dispensary dynamic observation, are examined with the obligatory participation of the necessary medical specialists of medical institutions according to individual plans developed by the head of the medical service of the military unit with taking into account the recommendations of medical specialists.
Before a medical examination of officers and military personnel serving under a contract, the head of the medical service of the military unit writes in the officer’s medical book a brief epicrisis on the results of medical observation in the past year, on diseases suffered during the year, their consequences, and for military personnel under dispensary dynamic observation, - about the course of the main and concomitant diseases, exacerbations of the disease, labor losses for last year, and also evaluates the completeness and effectiveness of the therapeutic and preventive measures taken. The doctor of the military unit studies the opinion of the subject about the dynamics of his health, conditions of service and life.
The mandatory volume of an in-depth medical examination of officers and military personnel undergoing military service under a contract includes:
fluorography of organs chest;
general blood and urine tests; in addition, for persons over 40 years of age - a study of blood sugar, total cholesterol and triglycerides in the blood;
electrocardiographic study - once every two years, and for people over 40 years old - annually; if coronary heart disease is suspected, an ECG is performed - a study with a stress test;
measurement of intraocular pressure in persons over 40 years of age - once every two years;
anthropometry (determination of body weight, height, circumference of the chest and abdomen; spirometry, dynamometry);
examination by a doctor of a military unit (specialist doctor);
examination by a dentist.
A medical examination of the officers of the administration of the formation and military units that do not have doctors, and are stationed in the same garrison with the omedb, VG, is carried out in their outpatient departments, or in the garrison military clinic.
If military personnel have complaints, risk factors for diseases, manifestations of diseases, the doctor of the military unit appoints them the necessary additional laboratory, instrumental studies, consults them with the appropriate specialist. According to the conclusion of a specialist, additional studies are carried out for the serviceman, consultations with other specialists, if necessary, an inpatient examination in a medical institution is prescribed by a specialist.
At the end of the in-depth medical examination, the head of the medical service of the unit writes down the health status group in the medical book (form 2), and if a disease is detected, the diagnosis, the physical fitness group, and also prescribes the necessary treatment and preventive measures to those in need.
Military personnel over 40 years of age, as well as persons under dispensary dynamic observation and undergoing an in-depth medical examination by specialists, an entry in the medical book about the health status group, physical fitness group, main and concomitant diseases, about medical and recreational activities assigned to the serviceman, done by a medical specialist.
According to the results of a medical examination, officers and military personnel serving under a contract are divided into the following health status groups:
Group I - "healthy" - these are people who do not have diseases or their remote manifestations, the consequences of acute diseases and injuries, as well as military personnel who have some functional and morphological abnormalities without a tendency to progression that do not affect performance and ability to perform military service obligations;
Group II - "practically healthy" - servicemen who have been diagnosed with diseases without disrupting the functions of organs and systems that do not limit the ability to perform military service duties. This group also includes people who have had acute illnesses, injuries, injuries, and who have manifestations of their consequences that do not significantly reduce performance, as well as people with periodically exacerbated chronic diseases;
Group III - "having chronic diseases". This group includes military personnel who have chronic diseases with moderate dysfunctions of organs and systems and periodic exacerbations that reduce performance. This group also includes people who have the consequences of injuries, poisoning, surgical interventions and other influences of external factors that reduce performance. Servicemen assigned to the third group of health status are subject to dispensary dynamic observation. IN individually servicemen of the third group of the state of health are assigned the terms of control medical examinations (examinations) and the necessary medical and recreational measures.
The list of major diseases to determine the group of the health status of military personnel serving under a contract is given in Appendix 9 of the Guidelines for the medical support of the Armed Forces of the Russian Federation in peacetime.
Based on data on the health status groups of officers and military personnel undergoing military service under the contract, as well as the requirements of the Manual on physical training and Guidelines for the medical provision of physical training, they are divided into the following groups of physical training:
Group I - under the age of 30;
Group II - aged 31 to 35 years and transferred for health reasons from the first group;
Group III - aged 36 to 40 and transferred for health reasons from the first and second groups;
Group IV - aged 41 to 45 and transferred for health reasons from the first, second and third groups;
Group V - aged 46 to 50 and transferred for health reasons from other groups;
VI - aged 51 and over.
Persons with a health status group "practically healthy" are engaged in physical training groups: at the age of 30-35 years - in III; 36-40 years - in IV; over 45 years old - in the exercise therapy group.
At the end of the calendar year, according to the results of medical examination of military personnel, incl. Based on the in-depth medical examination, the head of the medical service of the military unit analyzes differentially the dynamics of the state of health of the officers, military servicemen under contract and conscription, evaluates the completeness and effectiveness of the treatment and preventive measures carried out during the year, and reports the summarized materials to the commander of the military unit. In the report 1 / honey. and annual report in form 3 / honey. the head of the medical service of the unit is provided with data on the completeness and quality of the in-depth medical examination of military personnel, on the effectiveness of medical examinations of military personnel.
The report to the commander of the unit reflects the following questions:
the number of those surveyed compared with the payroll of the military unit;
data on the state of health of military personnel, and the causes of morbidity, as well as on persons in need of dispensary dynamic observation, incl. about those who are lagging behind in combat training, in need of medical and recreational measures, inpatient examination and treatment, in sanatorium-and-spa treatment, and medical examination;
characteristics of changes in the state of health of military personnel compared with the data of the previous in-depth medical examination with explanations of the reasons for these changes;
evaluation of the effectiveness of therapeutic and preventive measures carried out for Last year, as well as measures to be taken to improve the conditions of military service and the life of military personnel;
a list of servicemen who have not undergone an in-depth medical examination, as well as those who are subject to inpatient examination and examination by the IHC.
Control medical examinations of military personnel,
* It is possible to use other disinfectants in accordance with the guidelines for their use.
** Only with adenovirus infections.
Annex 8 to the Guidelines (p. 295)
SCROLL
major diseases to determine the group of the state of health of military personnel undergoing military service on conscription
Group I (healthy) military personnel who do not have any diseases or have some deviations in the state of health without a tendency to progress and which do not affect their ability to perform military service duties are included.
These include:
the consequences of diseases and traumatic injuries suffered in childhood without disrupting the functions of organs and systems;
limited forms of vitiligo, pigmented nevus;
curvature of the nasal septum, which does not impede breathing;
slight expansion of the inguinal and umbilical rings without protrusion;
the presence in the lungs of petrificates, a Gon's focus, or limited areas of pneumosclerosis.
This includes military personnel who have chronic diseases without dysfunction of organs and systems or with rare exacerbations that do not limit the ability to perform military service duties.
These include:
moderately pronounced residual effects after myocardial cardiosclerosis, not accompanied by impaired myocardial function;
moderately pronounced pneumosclerosis after inflammatory processes in the lungs without respiratory failure;
chronic bronchitis without respiratory failure in the absence of signs of process activity and exacerbations over the past two to three years;
persistently compensated tuberculosis of the lungs, pleura, lymph nodes in the absence of signs of activity of the process over the past three years;
biliary dyskinesia and chronic cholecystitis in the absence of complaints and exacerbations for three years;
alimentary-constitutional obesity of the 1st degree;
residual effects after bone fractures without a pronounced dysfunction;
uncomplicated dental caries, stage I periodontal disease, enamel hypoplasia, wedge-shaped teeth defects, rhomboid glossitis, increased tooth wear;
chronic vasomotor rhinitis that does not require systematic treatment; chronic adhesive otitis without exacerbations with | minor hearing impairment; chronic I steadfastly compensated tonsillitis;
myopia and hypermetropia without a tendency to progression, mild chronic blepharitis and conjunctivitis, latent strabismus, unilateral ptosis, mild congenital cataract;
consequences of diseases nervous system without focal symptoms;
flat feet 1-11 degrees without symptoms of osteoarthritis;
moderately pronounced hypospadias, epispadias, cryptorchidism, phimosis.
Military personnel who have chronic diseases with moderate dysfunctions of organs and systems, periodic exacerbations and decreased performance are included.
These include:
neurocirculatory dystonia moderately expressed;
organic diseases of the heart muscle that do not interfere with military service;
residual effects of acute diseases of the joints that do not interfere with the performance of service; rheumatism inactive;
chronic obstructive bronchitis with respiratory failure of the 1st degree and (or) the presence of an exacerbation during the last year;
diseases suspected of tuberculosis (conflicts), erythema nodosum, subfebrile condition of unclear etiology, contact with patients with active tuberculosis; hyperergic reactions to tuberculin and past dry pleurisy;
malnutrition;
chronic gastritis, gastroduodenitis, chronic colitis, helminthiases, giardiasis;
chronic cholecystitis, pancreatitis without digestive dysfunction and with rare exacerbations;
neuropsychic instability, neurotic or psychotic reaction, neuroses, abuse of medicinal or other substances without the phenomena of drug addiction, substance abuse or alcoholism;
previous closed injuries of the brain and spinal cord from the phenomena of asthenia;
chronic diseases and the consequences of acute diseases of the peripheral nerves with minor disorders of sensitivity and reflexes;
consequences of injuries of peripheral nerves, persistent non-progressive disorders of sensitivity and reflexes;
other diseases of the central and peripheral nervous system and their consequences that do not prevent military service; *
expansion of the saphenous veins and veins of the spermatic cord, which does not prevent military service;
chronic rhinosinusitis, nasal polyposis, condition after surgery on the paranasal sinuses, chronic decompensated tonsillitis, chronic atrophic or hypertrophic laryngitis;
progressive myopia and hypermetropia, chronic recurrent uveitis, keratitis, iridocyclitis with rare exacerbations that do not interfere with the service;
slightly pronounced trichiasis, eversion of the eyelids, lagophthalmos;
recurrent aphthous stomatitis, cheilitis, leukoplakia;
chronic inflammatory diseases genitourinary system that do not interfere with military service;
limited forms of eczema in stable remission, chronic furunculosis; primary seronegative and seropositive, secondary fresh syphilis (after specific treatment), not interfering with military service;
chronic forms of streptoderma, rarely recurring, not interfering with military service.
Appendix 9 to the Guidelines (p. 295)
SCROLL
major diseases to determine the group of health status of military personnel undergoing military service under the contract
Group I (healthy) includes persons who do not have any diseases or have some deviations in health, without a tendency to progress and not affecting their ability to perform military duties.
These include:
consequences of traumatic injuries without disruption of the functions of organs and systems;
limited forms of vitiligo, pigmented nevus.
In Group II (practically healthy) includes persons who have chronic diseases without dysfunction of organs and systems or with rare exacerbations that do not limit the ability to perform military service duties.
These include:
malformations of the spine (lumbarization, sacralization), moderately expressed, without dysfunction and in the absence of pain;
mild expansion of the saphenous veins and veins of the spermatic cord;
persistent residual effects after acute diseases of the peripheral nervous system (without a tendency to exacerbate) or the consequences of traumatic injuries of the nerve trunks without pain and without a significant impairment of motor function;
moderately expressed neurocirculatory dystonia;
initial forms of aortic atherosclerosis;
chronic bronchitis without symptoms of pulmonary insufficiency in the absence of exacerbations over the past two years;
consequences of adhesive pleurisy without impaired lung function;
chronic persistently compensated tonsillitis;
steadfastly compensated tuberculosis of the lungs, pleura, lymph nodes without a decline in nutrition and functional disorders, in the absence of an exacerbation of the process over the past two years;
functional disorders of the stomach;
chronic gastritis, chronic colitis, moderately expressed, without a decline in nutrition, in the absence of exacerbations over the past two years;
chronic non-calculous cholecystitis in the absence of complaints and exacerbations over the past five years;
peptic ulcer of the stomach and duodenum in the absence of exacerbations over the past five years;
initial forms of hemorrhoids without bleeding and infringement;
latent form of diabetes mellitus;
obesity I degree;
local forms of lichen scaly and eczema without signs of progression and exacerbations during the last year;
mild forms of ichthyosis without signs of progression.
Group III (those with chronic diseases) military personnel who have chronic diseases with moderate dysfunctions of organs and systems, with periodic exacerbations and decreased performance are included.
These include:
atherosclerosis of the cerebral arteries, accompanied by neurasthenic syndrome or symptoms of chronic cerebrovascular insufficiency;
residual effects after cerebrovascular accident;
residual effects after traumatic brain injuries and neuroinfections;
chronic diseases of the peripheral nervous system (sciatica, plexitis, neuritis, polyneuritis, trigeminal neuralgia, etc.) in the presence of exacerbations over the past two years;
epilepsy;
neurosis and asthenic conditions (with a protracted course);
pronounced and persistent forms of neurocirculatory dystonia;
hypertonic disease;
chronic ischemic disease hearts;
diseases of peripheral vessels (atherosclerosis obliterans, thromboangiitis, thrombophlebitis);
rheumatism, rheumatic heart disease, residual effects after rheumatic myocarditis;
congenital heart defects;
polyarthritis (infectious-nonspecific and metabolic-dystrophic);
chronic bronchitis in the presence of exacerbations over the past two years; chronic asthmatic bronchitis;
chronic pneumonia; bronchiectasis; pneumosclerosis;
bronchial asthma;
compensated forms of pulmonary tuberculosis (subsiding and inactive forms);
malnutrition;
chronic gastritis with secretory insufficiency;
chronic gastritis with preserved and increased secretion in the presence of exacerbations over the past two years;
peptic ulcer of the stomach and duodenum in the presence of exacerbations over the past five years;
chronic gastroduodenitis, duodenitis;
peptic ulcer of the stomach and duodenum in the presence of exacerbations over the past five years;
chronic colitis (enterocolitis) in the presence of exacerbations over the past two years;
chronic dysentery;
chronic cholecystitis, cholangitis in the presence of exacerbations over the past five years;
cholelithiasis;
chronic pancreatitis;
chronic hepatitis;
polyps (polyposis) of the stomach and intestines;
chronic diffuse glomerulonephritis (or chronic nephritis);
chronic pyelonephritis;
urolithiasis (kidney and ureter stones);
tumors of the genitourinary system;
chronic prostatitis, vesiculitis, epididymitis;
diabetes;
diffuse toxic goiter;
obesity 11-111 degrees;
diseases of the blood and blood-forming organs (anemia, chronic leukemia, erythremia);
phlebeurysm lower extremities with symptoms of venous insufficiency;
hemorrhoids with recurrent course;
spondylarthritis and spondylarthrosis with moderate pain syndrome;
chronic osteomyelitis in the presence of periodically opening fistulas;
chronic diseases of the vascular and retinal membranes of the eyes;
glaucoma;
chronic diseases of the edges of the eyelids, cornea and lacrimal ducts;
macular degeneration;
cataract; clouding of the vitreous body;
chronic purulent mesotympanitis and epitympanitis;
chronic rhinosinusitis (allergic, purulent-polypous);
cochlear neuritis, otosclerosis and other diseases leading to persistent progressive hearing loss;
chronic decompensated tonsillitis;
leukoplakia of the mucous membrane of the lips and oral cavity; hyperkeratosis; diamond-shaped glossitis;
chronic pronounced stomatitis;
scleroderma;
lupus erythematosus, pronounced forms of ichthyosis, scaly lichen, neurodermatitis, eczema;
skin reticulosis; fungal mycosis; Kaposi's angioreticulosis;
skin vasculitis; skin horn; Bowen's disease; Paget's disease;
basalioma;
malignant tumors of any localization.
Appendix 10 to the Guidelines (p. 296)
METHODOLOGY
individual assessment of the nutritional status of servicemen
1. An individual assessment of the nutritional status of military personnel is carried out on the basis of anthropometric measurement data and the determination of body mass index (BMI) (Tables 1-2).
BMI= Body mass. kg
The square of the size of growth, m 2.
3. The nutritional status of military personnel is assessed by body mass index depending on age.
Power status | Body mass index |
|
Normal | ||
Increased (including obesity) | 23 and over | 26 and over |
Reduced (including insufficient nutrition*) | 19.4 or less | 19.9 or less |
* With a BMI less than 18.5 for age group 18-25 years old and with a BMI less than 19.0 for the age group of 26-45 years old, nutrition is assessed as insufficient.
Table 1
RELATIONSHIP OF HEIGHT AND BODY WEIGHT IN MILITARY PERSONNEL IN NORM AND WITH DISORDERS
A. At the age of 18-25 years
m 2 | Body mass BMI less than 18.5 (under- static | Body mass (reduced | Body mass (normal | Body mass (increased- nutrition) | Body mass (obesity | Body mass (obesity | Body mass (obesity | Body mass more (expect |
|
The square of the size of growth, m 2 | Body weight (kg) with BMI less than 18.5 (malnutrition) | Body weight (kg) at BMI 18.5-19.4 (reduced nutrition) | Body weight (kg) at BMI 19.5-22.9 (normal diet) | Body weight (kg) at BMI 23.0-27.4 (increased nutrition) | Body weight (kg) with BMI 27.5-29.9 (obesity 1 stage) | Body weight (kg) with BMI 30.0-34.9 (obesity II stage) | irooool Body weight (kg) with BMI 35.0-39.9 (obesity grade III) | burning table. one Body weight (kg) with a BMI of 40.0 or more (obesity stage IV) |
|
The end of the table. one
Body mass BMI less than 18.5 (under- static | Body mass (reduced | Body mass (normal | Body mass (increased nutrition) | Body mass (obesity | Body mass (obesity | Body mass (obesity | Body mass more (expect |
||
104,7-122,1 |
Features of medical control over the health status of officers, military personnel under contract, are due to the older age of this category of military personnel compared to military personnel on active duty, longer service in the Armed Forces, the specifics of the performance of official duties, the nature of military labor, the presence of a larger number professional, domestic risk factors.
This category of military personnel includes persons aged 20 to 50 years and older. For seniors up to 30-35 years of age, the average statistical indicators of health and functional capabilities of the body are significantly higher than for senior seniors.
In patients aged 35 years and older, against the background of age-related changes in various organs and systems, diseases and their consequences become chronic, mutually aggravating, in most cases they proceed sluggishly and atypically, with periodic exacerbations and complications of the main process. For officers and military personnel under the contract of this age group, a change in the social status, content and volume of performance of official duties, an increase in neuropsychic stress, a violation of the diet, rest, a decrease in physical activity, an increase in the number of occupational and household risk factors for diseases.
The most common types of pathology among seniors over 40 years of age are diseases of the circulatory system, mainly diseases characterized by high blood pressure, coronary heart disease, atherosclerosis, diseases of the arteries, veins, cerebrovascular diseases; disease endocrine system, in particular, diabetes mellitus, metabolic disorders, thyroid disease, obesity and other types of overnutrition; neoplasms; diseases of the digestive system; diseases of the genitourinary system; manifestations of the consequences of bad habits, exposure to professional factors, etc.
Contracted officers and military personnel under contract who are under contract military service under the age of 40 undergo an in-depth medical examination (IMD) at the unit’s medical center once a year before winter period learning. Scope of medical examination:
1. Fluorography of the chest organs.
2.Anthropometry
3. Examination by a general practitioner at the medical center of the unit.
Persons of the officer corps and military personnel under the contract 40 years and older undergo an annual ULV in military hospitals, infirmaries and a medical battalion in stationary conditions for a period of 5 days. Mandatory scope of examination:
1.FOGK in two projections.
2. anthropometry
3. General blood and urine tests.
4.Studies of blood sugar, blood serum lipids.
5. ECG, incl. according to indications with stress tests.
6. Measurement of intraocular pressure.
According to the results of the medical examination, officers and military personnel under the contract are divided into the following health status groups:
1st group - "healthy"- persons who do not have diseases or their individual manifestations, the consequences of acute diseases and injuries, as well as in / with, who have some deviations of a functional and morphological nature without a tendency to progression and do not affect performance;
Group 2 - "practically healthy"- military personnel who have undergone acute diseases, injuries, injuries and have manifestations of their consequences with minor violations of the functions of organs and systems that do not significantly reduce performance;
3rd group - "having chronic diseases or the consequences of past diseases and injuries." This group includes persons with chronic diseases of the internal organs with minor impairment of their functions and rare exacerbations, as well as persons with the consequences of injuries, poisoning, surgical interventions and other external factors. V / s assigned to the 3rd group of health status are subject to dispensary dynamic observation. On an individual basis, the terms of control medical examinations and the necessary medical and recreational measures are assigned to the 3rd group of the state of health.
At the end of the UMO, the NMS of the part summarizes the results of the examination of each officer. At the same time, taking into account the main and concomitant diseases, a group of health status is determined and a complex of medical and recreational measures is prescribed. The results of ULV are recorded in the medical book.
Officers and military personnel under the contract, who newly arrived in the unit and did not pass the UMO at the time established by the order, are examined within a month from the date of arrival in the unit.
Contracted officers and military personnel who, according to the results of the UMO, have contraindications to military service, are sent by the unit commander for a medical examination in military hospitals and infirmaries within 2 weeks.
Chapter 7. Requirements for verification and assessment of condition physical fitness members of the Armed Forces
General provisions
215. The commander (chief) systematically checks, analyzes and evaluates the level of physical fitness of servicemen subordinate to him, the state of physical fitness in subordinate military command and control bodies, military units and organizations of the Armed Forces.
216. Physical fitness testing is carried out in order to determine the level of physical fitness of military personnel. Verification is carried out:
during the first two weeks of service of military conscripts who arrived at the military unit for its replenishment;
before signing by citizens of the contract on military service and when it is extended;
during the period of entrance (examinations) tests of candidates for admission to military educational institutions of the Ministry of Defense;
quarterly (including control and final) - military personnel undergoing military service under the contract;
in the process of training cadets and trainees during current control, intermediate and final certification, during inspections;
upon appointment to a higher position.
Checking the state of physical training in military command and control bodies, military units and organizations of the Armed Forces, as well as the quality of physical training management is carried out during inspections, final and control checks, while the timing of the checks is determined at least 3 months before the start of the check. The duration of the check is: for a battalion and its equal - up to 3 days; for a regiment and its equal - up to 6 days; for a brigade - up to 10 days; for connection and its equal - up to 14 days; for military authorities - up to 6 days.
217. Testing of physical fitness from a military unit and above is carried out with the obligatory participation of specialists in physical training.
218. In the course of an audit of the directorates of military units and organizations of the Armed Forces, commanders (chiefs) and their deputies are necessarily involved in the audit.
219. At the end of the training period, school year physical fitness is checked before the start of the final check (control classes) according to a separate plan, during the period necessary for 100% coverage of military personnel.
220. In military educational institutions, at the end of each odd-numbered semester of training, tests are held with an assessment in physical fitness, and exams are held at the end of even-numbered semesters. At examinations and tests, starting from the 2nd semester of study, students and cadets are additionally checked for theoretical and organizational and methodological readiness.
221. When checking a military educational institution, the following is assessed:
the level of physical fitness of military personnel (variable and permanent composition);
the level of theoretical and organizational and methodological readiness of the commanders of educational units, cadets and students;
the state of physical training and sports-mass work in the inspected units and the military educational institution.
222. In training military units, at the end of training, a final exam is held, which tests the level of physical fitness of military personnel. Cadets studying under the program of squad commanders and their peers are additionally tested for the level of theoretical and organizational-methodical preparedness.
223. Based on the results of checking the physical fitness of a military unit, the following are evaluated and determined:
the level of physical fitness of military personnel;
the level of physical training of units;
theoretical knowledge and organizational and methodological skills of unit commanders;
quality of physical training management;
positive experience and shortcomings in the management of physical training and their causes;
necessary measures to improve physical training in the military unit and subdivisions.
Checking and evaluating the physical fitness of military personnel
224. During the academic year, a serviceman must be tested and evaluated on the physical exercises of the training program.
225. To test physical fitness, military personnel are divided into categories depending on the characteristics of military professional activity (hereinafter referred to as categories):
category N 2: personnel of the main units and combat support units (except those indicated in category N 1) of military units of the branches (arms of service) of the Armed Forces, directorates of formations, military units; students and cadets of universities;
category N 3: military personnel of subdivisions of material, technical and medical support, repair and maintenance, formations (brigades) of surface ships and submarines, military bands, variable composition of training military units (contractual servicemen - cadets). Servicemen doing military service in military command and control bodies (from the command of the association and above), in organizations of the Armed Forces.
Military personnel of units not included in categories N 1 and 2 belong to category N 3.
226. The assessment of the level of physical fitness of military personnel is determined by the sum of points received by them for performing exercise taking into account the fulfillment of the minimum threshold level in each exercise, according to the table for assessing the physical fitness of military personnel (Appendix N 16 to this Manual).
The list of physical exercises for checking and assessing the level of development of physical qualities and motor skills of military personnel (Appendix N 17 to this Manual) (hereinafter referred to as the List of physical exercises) is proposed by physical training specialists and approved by the commanders (chiefs) conducting the check. Contracted servicemen are given the right to choose exercises from those offered.
Physical exercises for general or speed endurance are assigned for verification in all cases, and the rest - taking into account the passage of the program and the stages of military professional activity according to the List of physical exercises. The level of development of each physical quality and motor skill is checked for no more than one exercise (except for military personnel of the military command and control bodies from the management of the joint strategic command and above), while checking for exercises N 48, , , endurance exercises are not assigned and submitted for verification 3-4 exercises. Agility exercises can be replaced by military-applied skills exercises.
For military personnel of military command and control bodies from the management of the joint strategic command and above, it is allowed to perform two exercises for the selected physical quality with the condition mandatory implementation exercises N 46 for endurance.
227. Conscripted servicemen are checked according to the exercises of the physical training program, which characterize the main physical qualities and applied military skills, which are defined in the types (arms of service) of the Armed Forces.
229. Performing physical exercises in order to improve the score obtained is not allowed.
230. During the test, physical exercises are performed in the following sequence: agility exercises, speed exercises, strength exercises, hand-to-hand combat techniques, endurance exercises, overcoming obstacles, swimming and exercises as part of a unit.
All physical exercises assigned for testing are performed, as a rule, within one day. Exercises to assess general endurance and military applied skills can be performed on different days.
In some cases, the order of performing physical exercises can be changed.
231. Checking the physical fitness of military personnel is carried out, as a rule, in sportswear clothes, with the exception of physical exercises, for which only military uniforms are provided.
To award points to military personnel performing exercises in difficult conditions, amendments to the results for performing the exercise are taken into account (Appendix N 18 to this Manual).
232. A serviceman who has not completed the assigned physical exercise is assessed as "unsatisfactory".
If it is impossible for servicemen to perform physical exercise due to illness or injury, the inspector determines an exercise of the same quality, while assessing the individual practical preparedness of the serviceman.
If a soldier refuses to take a physical fitness test without a good reason, then he is assessed as "unsatisfactory".
Military personnel involved in the performance of service in daily duty, combat duty and other duty units (forces) of the military unit are not involved in the check. He determines a separate day for passing the physical fitness test.
233. Testing of military personnel in swimming is carried out at a water temperature not lower than plus 18 ° C; cross-country skiing and march on skis - at an air temperature not lower than minus 20 ° C, with a wind of 5-10 m / s - not lower than minus 15 ° C, with a wind of 10-15 m / s - not lower than minus 10 ° C; for other physical exercises - not lower than minus 15°С, not higher than plus 35°С.
234. Scoring for performing physical exercises is carried out in accordance with the Scoring Tables in accordance with Appendix No. 14 to this Manual.
235. In the absence of standards that have a numerical expression, the performance of exercises is evaluated:
"excellent" - if the exercise was performed according to the description, without errors, easily and confidently, minor errors were made during landing;
"good" - if the exercise was performed according to the description, confidently, but minor mistakes were made (insufficient range of motion, slight bending of the legs and arms, performing a power element with a slight swing or a swing element with a slight boost, touching the projectile without losing pace);
"satisfactory" - if the exercise was performed according to the description, but uncertainly and with significant errors (significant bending and spreading of the legs, large bending of the arms and body, performing a power element with a jerk, and a swing element with a significant boost, a stop was made or extra swings were added, no extension in dismount);
"unsatisfactory" - if the exercise is not completed or distorted (skipping an element, falling from a projectile, in vaults - pushing with one foot or busting with hands).
236. The scoring equivalent of a serviceman's assessment for exercises that do not have a numerical expression is determined by:
"excellent" - 75 points;
"good" - 60 points;
"satisfactory" - 40 points;
"unsatisfactory" - 0 points.
The estimated equivalent of points for one exercise is determined in accordance with Appendix N 19 to this Manual.
238. When checking in the volume of the initial complex of hand-to-hand combat (RB-N), general (RB-1) and special (RB-2, RB-3) complexes, a serviceman sequentially performs five techniques assigned for verification. Instead of one of the techniques in the assessment of the complexes RB-1 and RB-2, by decision of the inspector, complexes of techniques for 8 counts with and without weapons may be included.
239. The performance of individual techniques, as well as complexes of techniques for 8 counts with weapons and without weapons, is evaluated:
"excellent" - if the reception is performed according to the description, quickly and confidently;
"good" - if the reception is performed according to the description, but not quickly and confidently enough;
"satisfactory" - if the technique was performed according to the description, but slowly and with a violation of the unity of movement or a loss of balance was allowed, but the ultimate goal was achieved;
"unsatisfactory" - if the reception is not performed or performed not in accordance with the description.
Additionally, when evaluating sets of techniques for 8 counts with and without weapons, the execution time is taken into account:
"excellent" - no more than 7 s (8 s - with a gun);
"good" - no more than 8 s (9 s - with a gun);
"satisfactory" - no more than 9 s (10 s - with a gun);
"unsatisfactory" - more than 9 s (10 s - with a gun).
240. Overall score for hand-to-hand combat is made up of marks for the performance of individual techniques included in various groups of the RB-N, RB-1, RB-2 complexes (combat techniques with a weapon; fighting techniques with a hand and foot; techniques for freeing from grips by the enemy; techniques for disarming the enemy; pain techniques and strangulation , throws, special moves) and exhibited:
"excellent" - if more than half of the ratings are excellent, and the rest are not lower than good;
"good" - if more than half of the ratings are good, and the rest are not lower than satisfactory;
"satisfactory" - if half or more of the grades are satisfactory, if there are no unsatisfactory ones, or if one grade is unsatisfactory, if there is at least one grade not lower than good;
"unsatisfactory" - if more than one unsatisfactory mark is received.
241. When evaluating a "combat situation", a serviceman must perform one of the following actions: defensive-response actions; disarming the enemy (without knowing the nature of his attacking actions and the type of weapon used); release from capture, special techniques; painful holds (throws) immediately after the inspector's command.
Previously, the serviceman stands with his back to the "enemy" at a distance of 2 m from him and after a signal of his readiness, at the command of the inspector: "FORWARD" turns to the attacker with a jump, prepares for battle and performs a reception (action). Without a turn, releases from a capture from behind or disarming are performed when a weapon is threatened point-blank from behind and during escort.
To perform throws and painful holds, the inspector first calls the hold, then commands: "FORWARD", after which the serviceman turns, approaches the assistant and performs the hold.
The performance of a reception (action) in a "combat situation" is assessed:
"excellent" - if the serviceman managed to defend himself from an enemy attack, while:
carried out a counterattack
made a throw with a finishing blow,
fulfilled submission hold or marked a choke hold,
carried out an effective escort or "destroyed" the enemy.
"good" - if the reception (action) is performed without stops, technically correct, but not fast enough;
"satisfactory" - if the reception (action) is performed with a violation of unity and speed, loss of balance during throws, a fall is allowed, but the ultimate goal is achieved;
"unsatisfactory" - if the reception (action) was not performed, grossly distorted, or the serviceman did not defend himself and did not carry out counterattacking actions.
The rating of a serviceman in hand-to-hand combat (RB-3) is made up of the marks received for performing the assigned techniques, the hand-to-hand combat complex for 8 accounts and actions in a "combat situation".
242. To evaluate a serviceman according to a special complex of hand-to-hand combat techniques (RB-3), five techniques provided for by the training program from various groups are assigned, which are evaluated in accordance with Art. 240, one of the hand-to-hand combat techniques for 8 counts with or without weapons (estimated according to Art. 239) and "combat situation" (estimated according to Art. 241).
Overall score for completion special complex RB-3 exhibited:
"excellent" - if two marks are excellent (including for the "combat situation") and one is not lower than good;
"good" - if two ratings are good (including for the "combat situation") and one is not lower than satisfactory;
"satisfactory" - if more than half of the ratings are satisfactory with no unsatisfactory ratings, or if one unsatisfactory rating is received with a good rating for the "combat situation".
The point equivalent of a soldier's assessment in hand-to-hand combat is determined in accordance with paragraph 236.
243. When checking military personnel for physical exercises performed as part of a unit, the number of points and an individual assessment of the physical fitness of a soldier is determined by the assessment received by the unit.
245. The assessment and qualification level of physical fitness of a serviceman are made up of the number of points received by him for performing all the physical exercises assigned for testing, subject to the fulfillment of the minimum threshold level in each exercise, and are determined in accordance with the Table for assessing the physical fitness of military personnel in accordance with Appendix N 16 to this Instruction.
Inspection and evaluation of military personnel conducting physical training classes, students and cadets of military educational institutions, cadets of training military units who train squad commanders and their peers
246. The theoretical preparedness of military personnel conducting physical training classes, students and cadets of military educational institutions, cadets of training military units who train squad commanders and their equals, is checked in accordance with the topics of theoretical and methodological classes.
Theoretical knowledge is tested by the method of oral or written survey. During the test, the soldier answers one question from the physical training program. The level of theoretical knowledge is assessed:
"excellent" - if the answer to the question posed is essentially correct and complete;
"good" - if the answer to the question posed is essentially correct, but not complete enough or stated with errors that are insignificant in meaning;
"satisfactory" - if the answer to the question posed is basically correct, but stated incompletely or with some significant errors;
"unsatisfactory" - if the answer does not reveal the essence of the question posed.
247. The organizational and methodological readiness of military personnel conducting classes, students and cadets of military educational institutions, cadets of training military units preparing squad commanders and their equals, is checked and evaluated by the quality of the implementation of a methodological task, including practical actions for organizing and conducting physical training. The specific content of tasks for checking the organizational and methodological readiness of military personnel is determined in accordance with physical training programs. According to the decision of the checking task, they are carried out in whole or in part.
248. The quality of the implementation of the methodological task is assessed:
"excellent" - if the task is completed correctly and confidently;
"good" - if the task is done correctly, but not confident enough;
"satisfactory" - if the task was performed correctly, but uncertainly, and with minor errors;
"unsatisfactory" - if the task is not completed or performed uncertainly and with gross errors.
When evaluating the fulfillment of a task for conducting physical training, the following are taken into account:
appearance;
drill bearing;
command knowledge;
the ability to name, clearly show and explain the exercise, choose a rational methodology for conducting a lesson, a methodology for teaching exercises, techniques and actions, prevent and correct mistakes, carry out insurance and provide assistance, determine the condition of trainees and correctly dose their physical activity.
249. In the process of training, at the end of the training period and the academic year, during inspections (comprehensive checks), examinations in military educational institutions, when checking the theoretical and organizational and methodological preparedness of military personnel, examination cards are drawn up.
250. Verification of the theoretical and organizational and methodological readiness of military personnel is carried out, as a rule, before the military personnel fulfill practical standards for physical training.
251. The overall assessment of the physical training of class leaders, students and cadets of military educational institutions, cadets of training military units, training commanders of departments and their equals, is made up of assessments of their practical, theoretical and organizational and methodological readiness and is determined by:
"excellent" - if two marks are excellent (including for practical preparedness) and one is not lower than good;
"good" - if two marks are good (including for practical preparedness) and one is not lower than satisfactory;
"satisfactory" - if more than half of the grades are satisfactory with no unsatisfactory grades, or if one unsatisfactory grade is received with an excellent mark for practical preparedness;
"unsatisfactory" - if the conditions for the assessment "satisfactory" are not met.
Checking and evaluating the quality of physical training management
255. During inspections of military units and military educational institutions, the quality of the physical training department is assessed with the definition of the criterion:
a) "meets the specified requirements":
the necessary orders are developed in a timely and qualitative manner, the state of physical training is analyzed, and its results are regularly summed up;
planning of physical training ensures the solution of general and special tasks of physical improvement of military personnel; the amount of time allocated for physical training and mass sports work meets the requirements of the governing documents;
systematically conducted theoretical, instructor-methodical and demonstrative classes with officials;
daily control over the organization of physical training in the units;
accounting data correspond to the actual state of physical training and mass sports work;
timely, according to the established forms, reporting data are submitted;
the state of the educational and material base allows for physical training classes;
the planned activities for physical training and mass sports work are carried out in a timely and organized manner;
shortcomings identified during previous inspections are eliminated in a timely manner and in full.
b) "does not meet the established requirements":
if two or more of the listed elements are not fulfilled or the accounting data does not correspond to the actual state of physical training and sports and mass work.
The results of the physical training management quality check are reflected in the check report and reported to higher commanders (chiefs).
When evaluating the quality of physical training management "does not meet the established requirements", the overall assessment of the military control body, military unit and organization of the Armed Forces for physical training is reduced by one point.
Requirements for the physical fitness of citizens entering military service under a contract
260. The physical fitness of citizens entering military service under a contract is assessed based on the results and conditions for performing three exercises, which are performed, as a rule, in sportswear for one day in accordance with Appendix No. 20 to this Manual.
Citizens entering military service under a contract have the right to choose to perform one of the exercises for each physical quality.
In case of non-fulfillment of the minimum standard in one of the exercises, the requirements for those entering the military service under the contract are considered not fulfilled.
The results of checking the level of physical fitness of citizens entering the military service under the contract are entered into the card for recording the results of practical checks on physical fitness and the level of sports fitness and are stored until the expiration of the service life.
Requirements for the physical fitness of military personnel under the contract
261. The physical fitness of contract servicemen is determined in accordance with the category and age group, while the number of exercises must correspond to:
for contract servicemen: Category 1 - 5th exercises for 1-4 age groups (for dexterity, speed, strength, endurance and military applied skills), 4 exercises for the 5th age group (for speed or agility, strength, endurance and military-applied skills), 3 exercises for age groups 6-8 (for speed or agility, strength, endurance);
for servicemen under the contract of the 2nd category - 4 exercises for the 1st-4th age groups (for speed or agility, strength, endurance and military applied skills), 3 exercises for the 5th-8th age groups (for speed or agility, strength , endurance);
for servicemen under the contract of the 3rd category - 3 exercises for all age groups (for speed or agility, strength, endurance);
for female military personnel - 3 exercises (for strength, speed or agility, endurance);
for contract servicemen, military command and control bodies - 3 exercises for all age groups (for physical qualities).
262. Data on the physical fitness of military personnel are reflected in service characteristics, attestation sheets and cards for recording the results of practical checks in physical fitness and the level of sports fitness (according to the results of annual checks), are taken into account when appointing to a position, assigning a class level and determining the amount of rewarding with money.
263. The requirements for the physical fitness of contract servicemen for the corresponding type, type of troops of the Armed Forces consist of exercises in the training program.
264. The requirements for physical fitness are considered to be met if the serviceman scored the amount of points according to the table of standards corresponding to the "satisfactory" rating for his age group and category, subject to the fulfillment of the minimum threshold level in each exercise.