Adenovirus infections occur in different military groups as acute respiratory diseases combined with backsets and pneumonia. At definition of etiological structure of acute respiratory diseases in 1606 soldiers of 1-2 year of service, placed in the division of infectious diseases of the military medical academy in 2000-2011, dominance of an adenoviral infection (37.4%) was revealed, especially in non-epidemic periods of influenza (77% in 2007-2008). Adenoviral diseases among the hospitalized patients became complicated pneumonia in 17.8% of cases, and the proportion of adenoviral pneumonia in the overall community-acquired pneumonia with acute respiratory disease was 55.2%.
Forty HIV-positive women living with HIV-infected sexual partner as well as 40 HIV-positive women from discordant pairs (HIV-positive wife and HIV-negative husband) were surveyed. Less than half of HIV-infected patients (40%) specified the use of condoms for sexual contacts. In the group of women living with HIV-infected partner more expressed immunosupression (CD4 count 427 cells/mcl versus 528 cells/mcl) was observed. Statistically significant increased viral load in the 1st group compared with the women from discordant pairs was revealed.
The possibilities of the control over the processes determining the HIV-infection spreading risk are considered. In the view of that the automated system which enables to evaluate risk factors predetermining the appearance of new infection cases was proposed. These factors are systematised in a multilevel database. On the basis of the statistical analysis of the risk factors situations of the spread of the HIV infection are revealed and analysed and measures for their liquidation are worked out promptly. The system is universal and can be used for the prevention of the beginning of other extreme situations caused by the spread of different infections. The examples of the comparative analysis of the risk of sexual behaviour in various groups of servicemen are given.
The authors have studied the recovery process of functional state and performance capability in 887 convalescents after pseudotuberculosis. All the examinees were servicemen of male sex, age 18-23, without somatic or psychoneurological disorders. Clinical, biochemical, immunological and psychophysiological methods of examinations were applied. It was found out that the outcomes of the diseases were favourable. At the same time in 79.8% of patients functional disorders of nerve, cardiovascular, hepatobiliary and digestive systems were taking place for one month. A half of convalescents had a low performance capability and low psychoemotional labour motivation. Application of adaptogens, physiotherapy, and a system of gradually growing physical loads which was elaborated by the authors give the possibility to improve and shorten the period of rehabilitation.
