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Purpose – analysis and generalization of the experience of the National Academy of Medical Sciences (NAMS) of Ukraine and its subordinate research institutions, with clinical units in their structure, on the provision of highly specialized medical care to the wounded, injured, injured and sick servicemen during the anti-terrorist operation and the operation of the Joint Forces (ATO/JFO), as well as the civilian population and internally displaced persons from the temporarily occupied territories. The object of the research is the health care system of military personnel.The subject of the research is the work of the National Academy of Medical Sciences of Ukraine on the organization and provision of medical assistance to military personnel and civilians during the ATO/JFO.Research methods: bibliographic, statistical, analytical, systems approach. The NAMS of Ukraine and its subordinate research institutions, with clinical units in the structure, during the ATO/JFO took an active part in the provision of medical care to the wounded, injured, injured and sick servicemen of the Armed Forces of Ukraine and other military formations. The work of the NAMS of Ukraine in providing medical assistance to servicemen was multi-vector and was carried out in several directions: organizational, direct provision of medical care and its scientific support. Clinical institutions of the NAMS of Ukraine during the ATO/JFO did not stop providing highly specialized medical care to the civilian population of Ukraine, including internally displaced persons from the areas of the ATO/JFO. Thanks to the coordinated activities of the Presidium of the NAMS of Ukraine and its subordinate research institutions, a significant contribution has been made to the provision of highly specialized medical care to the wounded, injured and sick servicemen, as well as internally displaced persons from the temporarily occupied territories.

Purpose – analysis and generalization of the experience of the National Academy of Medical Sciences (NAMS) of Ukraine and its subordinate research institutions, with clinical units in their structure, on the provision of highly specialized medical care to the wounded, injured, injured and sick servicemen during the anti-terrorist operation and the operation of the Joint Forces (ATO/JFO), as well as the civilian population and internally displaced persons from the temporarily occupied territories. The object of the research is the health care system of military personnel.The subject of the research is the work of the National Academy of Medical Sciences of Ukraine on the organization and provision of medical assistance to military personnel and civilians during the ATO/JFO.Research methods: bibliographic, statistical, analytical, systems approach. The NAMS of Ukraine and its subordinate research institutions, with clinical units in the structure, during the ATO/JFO took an active part in the provision of medical care to the wounded, injured, injured and sick servicemen of the Armed Forces of Ukraine and other military formations. The work of the NAMS of Ukraine in providing medical assistance to servicemen was multi-vector and was carried out in several directions: organizational, direct provision of medical care and its scientific support. Clinical institutions of the NAMS of Ukraine during the ATO/JFO did not stop providing highly specialized medical care to the civilian population of Ukraine, including internally displaced persons from the areas of the ATO/JFO. Thanks to the coordinated activities of the Presidium of the NAMS of Ukraine and its subordinate research institutions, a significant contribution has been made to the provision of highly specialized medical care to the wounded, injured and sick servicemen, as well as internally displaced persons from the temporarily occupied territories.

The study found that the regulatory framework for prophylactic medical examination in the Security Service of Ukraine (SSU) is not fully regulated, this required the development and validation of a new organizational model to improve its efficiency. In the coursw of study proposals for the introduction of a modern model of profound medical examinations of the personnel of the SSU were prepared, their main elements are: first developed and implemented model of a motivated individual responsibility of SSU serviceman for their own health, its conservation, inclination to treatment of identified pathological conditions; development and implementation of military health passport, health passport of managers, health passport of agency, division, institution of the SSU; the definition of the various bulks of the annual medical examination of personnel, depending on age (with expansion of screening tests, depending on the age group); introduction of personal responsibility of heads (managers) of bodies (departments and agencies) of the SSU for the timely undergoing of profound medical examinations by subordinate personnel a clear definition of heads' responsibilities of health care organs (doctors and medical staff) of the SSU in the profound medical examinations; the development and implementation of a unified system of analysis of the results of medical care facilities of SSU for carrying out of medical examination and definition of its efficiency, the introduction of optimized system for monitoring of undergoing medical examination, reporting on undergoing of profound medical examinations by personnel of agencies, departments, institutions of the SSU. This allowed not only to justify organizational model on improvement of clinical examination of the SSU personnel but to introduce it into the work of all health facilities of the SSU, to significantly optimize conducting clinical examination and improve its performance indicators.

Khomenko І.P., Lurin I. A., Korol S. O., Shapovalov V. Yu., Hrebennikov K. O., Halushka A. M., Tertyshnyi S. V., Matviichuk B. V. Organization of sorting and surgery of wounds with soft tissue defects during the joint force surgery. Journal of Education, Health and Sport. 2020;10(1):259-269. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.01.029 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.01.029 http://dx.doi.org/10.5281/zenodo.3973586 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 20.12.2019. Revised: 25.12.2019. Accepted: 31.01.2020. ORGANIZATION OF SORTING AND SURGERY OF WOUNDS WITH SOFT TISSUE DEFECTS DURING THE JOINT FORCE SURGERY І. P. Khomenko1, I. A. Lurin2, S. O. Korol2, V. Yu. Shapovalov3, K. O. Hrebennikov 4, A. M. Halushka1, S. V. Tertyshnyi3, B. V. Matviichuk5 1Command of the Medical Forces of the Armed Forces of Ukraine 2Department of Military Surgery, Ukrainian Military Medical Academy, Kyiv, Ukraine 3Military Medical Clinical Center of the Southern Region, Odessa, Ukraine 4Orthopedic and Traumatology Center of Kyiv City Clinical Hospital №12, Kyiv, Ukraine ...