Modern approaches to preventing influence of environmental factors on the functional state of the urinary system of female military personnel when they perform tasks during military conflict (Literature review)
S.Yu. Frolova, D.V. Churkin
M. Gorky Donetsk National Medical University, 16 Il’icha Av., Donetsk, Donetsk People’s Republic, 283003, Russian Federation
The modern stage in construction of the Armed Forces based on the experience of their use in military conflicts of varying intensity, including Special Military Operation, entails an increasing proportion of women involved in military service. This puts forward additional requirements for protection of their health. Due to its structural and functional peculiarities, the female urinary system is more vulnerable to environmental exposures of hygienic nature, which calls for developing a set of preventive measures based on monitoring over risk factors of urological pathology.
Scientific relevance of the issue under consideration is reflected in modern specialized literature, while the uniqueness associated with long-term performance of official and combat tasks by women in the zone of Special Military Operation and the previous military conflict is not described in the literature. At the same time, the proposed preventive measures are strongly linked to the climatic characteristics typical for this theater of military operations and practically do not consider peculiarities of military labor, food supply as well as availability of drinking and household water. In modern literature, practically no attention is paid to placement conditions provided for female military personnel in a war zone as well as to peculiarities of providing urological care within the system for medical and evacuation support of military operations. This determines the practical value of further research in this direction. Influence of urological pathology in female military personnel on their reproductive health is also unexplored, which determines the additional importance of the ongoing research.
The review presents approaches to preventing urological diseases in female military personnel in the Armed Forces of the Russian Federation; it also identifies promising areas that can be used in developing a system for monitoring over risks of urological pathology in female military personnel performing tasks during Special Military Operation.
- Gavrilyuk A.A., Galaktionov I.V. Psychological features of military women. Psikhologiya professional'noi deyatel'nosti: problemy, soderzhanie, resursy: sbornik nauchnykh trudov. In: E.N. Tkach ed. Khabarovsk, 2019, pp. 69–73 (in Russian).
- Gerbach Zh.V. Institualization of female soldiers in modern Russian army. Gosudarstvennoe i munitsipal'noe uprav-lenie. Uchenye zapiski, 2018, no. 1, pp. 179–183 (in Russian).
- Okoyutova M.G. Psikhologicheskie aspekty rabotosposobnosti zhenshchin-voennosluzhashchikh [Psychological as-pects of performance of female military personnel]. Perspektivy razvitiya nauchnoi deyatel'nosti v XXI veke: sbornik materialov II Mezhdunarodnoi nauchno-prakticheskoi konferentsii. Astrakhan', Nauchnyi tsentr «Olimp» Publ., 2015, pp. 117–123 (in Rus-sian).
- Stewart I.J., Sosnov J.A., Snow B.D., Batou A., Howard J.T., Janak J.C., Bollinger M., Chung K.K. Hypertension af-ter injury among burned combat veterans: A retrospective cohort study. Burns, 2017, vol. 43, no. 2, pp. 290–296. DOI: 10.1016/j.burns.2016.10.005
- Donham B.P., Frankfurt S.B., Cartier R.A., O'Hara S.M., Sieg V.C. Low Incidence of Death and Renal Failure in United States Military Service Members Hospitalized with Exertional Heat Stroke: A Retrospective Cohort Study. Mil. Med., 2020, vol. 185, suppl. 1, pp. 362–367. DOI: 10.1093/milmed/usz214
- Saburova A.A., Kislitsyna I.G. Sotsial'naya rabota s zhenshchinami-voennosluzhashchimi [Social work with female military personnel]. Natsional'naya bezopasnost' Rossii v globalizirovannom mire: sostoyanie, vyzovy, riski i mekhanizmy ustoichivogo razvitiya: sbornik trudov mezhdunarodnoi nauchnoi konferentsii: in 2 volumes. In: V.P. Shalaev ed. Moscow, 2015, vol. 2, pp. 182–183 (in Russian).
- Bolanos J.A., Yuan C.M., Little D.J., Oliver D.K., Howard S.R., Abbott K.C., Olson S.W. Outcomes After Post-Traumatic AKI Requiring RRT in United States Military Service Members. Clin. J. Am. Soc. Nephrol., 2015, vol. 10, no. 10, pp. 1732–1739. DOI: 10.2215/CJN.00890115
- Stewart I.J., Sosnov J.A., Howard J.T., Orman J.A., Fang R., Morrow B.D., Zonies D.H., Bollinger M. [et al.]. Retro-spective Analysis of Long-Term Outcomes After Combat Injury: A Hidden Cost of War. Circulation, 2015, vol. 132, no. 22, pp. 2126–2133. DOI: 10.1161/CIRCULATIONAHA.115.016950
- Romero V., Akpinar H., Assimos D. Kidney stones: a global picture of prevalence, incidence, and associated risk. Rev. Urol., 2010, vol. 12, no. 2–3, pp. e86–96.
- Abrams P., Cardozo L., Fall M., Griffiths D., Rosier P., Ulmsten U., Van Kerrebroeck P., Victor A. [et al.]. The standardisation of terminology in lower urinary tract function: report from the standardisation subcommittee of the International Continence Society. Urology, 2003, vol. 61, no. 1, pp. 37–49. DOI: 10.1016/s0090-4295(02)02243-4
- Frolova S.Yu., Malinin Yu.Yu., Churkin D.V., Ischenko V.D. Assessment of the influence of the drinking regimen on the functional state and indicators of the urinary system incidence in women servicemen in different periods of the year. Vestnik gigieny i epidemiologii, 2023, vol. 27, no. 2, pp. 135–139 (in Russian).
- Churkin D., Malinin Yu., Frolova S., Ichitovkina E. Urological manifestations of psychological distress for female military personnel. Meditsinskii vestnik MVD, 2023, no. 3 (124), pp. 18–20 (in Russian).
- Zajjari Y., Montasser D., Sobhi A., Aatif T., Azizi M., Alayoud A., El Kabbaj D. Acute interstitial nephritis in the military hospital of Morocco: Clinical features and renal outcomes. Saudi J. Kidney Dis. Transpl., 2019, vol. 30, no. 6, pp. 1407–1414. DOI: 10.4103/1319-2442.275485
- Fisher R., Colombo C.J., Mount C.A., Mann-Salinas E.A., Bostick A.W., Davis K., Aden J.K., Chung K.K. [et al.]. Critical Care in the Military Health System: A 24-h Point Prevalence Study. Mil. Med., 2018, vol. 183, no. 11–12, pp. e478–e485. DOI: 10.1093/milmed/usy032
- Julien C., Laroche J., Deledalle F.-X., Brocq F.-X., Fournier R., Rivière P., Lechevallier E., Savoie P.-H. Result of treatment of urinary lithiasis for professional aptitude. Prog. Urol., 2018, vol. 28, no. 6, pp. 329–335. DOI: 10.1016/j.purol.2018.03.003 (in French).
- Kiyah T.V., Filipinenko M.Y., Leshenko Y.V. To the issue of studying the psycho-emotional state of military person-nel. Ekonomika. Menedzhment. Innovatsii, 2018, no. 2 (14), pp. 82–84 (in Russian).
- Churkin D.V., Malinin Yu.Yu., Frolova S.Yu. Faktory, vliyayushchie na funktsional'nuyu adaptatsiyu zhenshchin-voennosluzhashchikh v rannem periode voennoi sluzhby v period lokal'nogo voennogo konflikta [Factors influencing the func-tional adaptation of female servicemen in the early period of military service during a local military conflict]. Izvestiya voennogo obrazovaniya Donetskoi Narodnoi Respubliki: sbornik materialov mezhdunarodnoi nauchno-prakticheskoi konferentsii «Filoso-fiya na linii fronta – 2021: Fenomen voiny v noveishee vremya». Donetsk, GOU VPO «DON VOKU» Publ., 2021, pp. 333–337 (in Russian).
- Gimro O.G., Divakova T.S. Health status of the reproductive system of women with hazardous occupations. Voennaya meditsina, 2020, no. 3, pp. 7–13 (in Russian).
- Sergin A.A., Okoyutova M.G. The dynamics of socio-economic conditions to increase the number of female soldiers. Mezhdunarodnyi zhurnal prikladnykh i fundamental'nykh issledovanii, 2015, no. 3–2, pp. 266–269 (in Russian).
- Shnitko S.N., Bogdan V.G. Voennaya meditsina i aktual'nye voprosy meditsinskogo obespecheniya voennosluzhash-chik [Military medicine and current issues of health care for military personnel]. Voennaya meditsina, 2022, no. 3 (64), pp. 155–158. DOI: 10.51922/2074-5044.2022.3.155 (in Russian).
- Zarubenko A.I., Sivashenko P.P., Babin Y.M., Volkova Y.Y. Main tendencies of the incidence of military serving women of the armed forces of the Russian Federation. Izvestiya Rossiiskoi voenno-meditsinskoi akademii, 2020, vol. 39, no. S1–2, pp. 67–68 (in Russian).
- Gimro O.G., Divakova T.S. Perspektivnye napravleniya po sokhraneniyu i ukrepleniyu zdorov'ya voennosluzhashchikh zhenshchin [Promising directions for maintaining and strengthening health of female military personnel]. Aktual'nye voprosy voen-noi meditsiny: materialy nauchno-prakticheskoi konferentsii s mezhdunarodnym uchastiem, posvyashchennoi 25-letiyu voenno-meditsinskogo fakul'teta v uchrezhdenii obrazovaniya «Belorusskii gosudarstvennyi meditsinskii universitet». In: V.Ya. Khry-shchanovich, V.G. Bogdan eds. Minsk, 2020, pp. 145–148 (in Russian).
- Nashivochnikova N.A., Krupin V.N. Profilaktika retsidivov ostrogo tsistita [Prevention of relapses of acute cystitis]. RMZh, 2017, vol. 25, no. 8, pp. 503–505 (in Russian).
- Evropeiskaya organizatsiya po bezopasnosti pishchevykh produktov. Nauchno obosnovannoe mnenie o bezopasnosti kofeina. Chast' 3. Identifikatsiya opasnosti [European Food Safety Authority. Scientific opinion on the safety of caffeine. Part 3: Hazard identification]. Narkologiya, 2015, vol. 14, no. 11 (167), pp. 32–51 (in Russian).
- Achkasov N.B., Kotkov V.M. Nekotorye sotsial'no-psikhologicheskie i fiziologicheskie osobennosti voennosluzhash-chikh zhenshchin [Some socio-psychological and physiological characteristics of female military personnel]. Muzhskoe i zhenskoe: sotrudnichestvo i konfrontatsiya: sbornik nauchnykh trudov Mezhdunarodnoi nauchnoi konferentsii. In: V.E. Bydanov, N.A. Vakhnin, O.A. Shtain eds. Saint Petersburg, 2016, pp. 14–32 (in Russian).