Analysis covered contemporary state of departmental medical service in Russian Internal Affairs Ministry, main directions to improve medical care for police officers are outlined.

The article covers review of legal documents on medical and psychologic rehabilitation of Internal Affairs officers, topical problems of improvement concerning this sphere of medical departments within Russian Internal Affairs Ministry and other departmenst working with the personnel.

The article presents studies concerning medical and psychologic consequences of combat stress on military officers, with posttraumatic stress disorder formation. Mechanism of posttraumatic stress disorders formation is considered.

The article covers organization of stationary medical care and structure of endocrinologic disorders among Internal Affairs officers. The authors presented clinical observation of II type autoimmune polyglandular syndrome manifesting in Graves' disease with endocrine ophthalmopathy and subsequent development of primary hypothyroidism and adrenal insufficiency.

Based on results of complex studies, the authors determined prevalence of borderline mental disorders in cardiovascular diseases, features of cardiohemodynamics among Internal Affairs officers, defined the disorders relationships with occupational activity features and influence on work performance. The authors suggested a psychophysiologic monitoring system for the officers with occupational risk traits consideration.

The authors present results of studies concerning psycho-genetic factors of hierarchic structure of male youth crew of water polo masters as an example of team working in extremely high physical and mental exertion. Finding was a connection between sociometric hierarchy state of the crew members with both personality psycologic parameters and genotype by Val66Met mutation of BDNF gene.

Ambulance emergency care staffers at work are daily under stress due to contact with injuried and diseased individuals in need of emergency medical care. Relationship between inadequate human supply with bioelements and various diseases including psycho-emotional stress-related is well-known. Atomic emission spectrometry and mass-spectrometry helped to determine hair contents of bioelements responsible for psychoemotional sphere (Mg, K, Li) and assess serum levels of adrenaline and cortisol by immune-enzyme assay in 54 medical staffers of ambulance emergency crews and 56 polyclinic staffers. Findings are concordance of element state with stress level in ambulance emergency crews: reliably lower levels of Mg (p = 0.005), K (p < 0.001) and Li (p = 0.007) in hair, and reliably higher serum levels of adrenaline (p = 0.047) and cortisol (p = 0.024) vs. those in polyclinic staffers.

The authors studied influence of personality traits of doctors and medical nurses in therapeutic department on development of emotional burnout syndrome. Correlation between this syndrome, personality traits and self-regulation abilities is proved. Recommendations are to specify measures on prevention of emotional burnout syndrome for health preservation in medical personnel.

Prevalence of early symptoms of carpal tunnel syndrome among following dentistry professions: dentists, hygienists, dental mechanics. Questionnaire helped to analyze differences in prevalence of symptoms in those groups, presence of risk factors among workers, habits at work and subjective evaluation of workplace comfort. Findings are that dentists demonstrated such typical symptoms of carpal tunnel syndrome as pain, numbness, sensitivity loss at night, weakness, sensitivity loss and pain at daytime. Typical complaints of carpal tunnel syndrome were more frequent among hygienists, more rare in dental mechanics. The symptoms frequency corresponded to age and increased 2-11-fold after 35 years of age. Among dentists, there was correlation between frequency and intensity of symptoms and length of service in specific profession, duration of working day and week, diabetes mellitus, obesity, hand injury and pregnancy, as well as with subjective evaluation of workplace as uncomfortable.