The paper presents an analysis of a examination of 87 patients with relapse of varicose veins after surgery, manifested in the form of an extension of perforating veins. These patients after the examination were re-operated on us. Depending on the method used to treat the patients were divided into 3 groups. In group I, the elimination of reflux of superficial femoral vein combined with ligation of perforating veins. In group II perforating veins ligation was performed without eliminating reflux. In the III group included patients femoral vein-off valve, which also carried the ligation of perforating veins. Repeated relapse in group I was observed in 9.1% (2), the second was observed in 66.7% (10) of patients in the third group recurrence showed at 37% (11) patients.

Ultrasonography was made at pregnant woman for the period from 7 th to С0 th week. 2 types of miometry blood flow were allocated at pregnant woman in the period from 7 th to С0 th week. The course of pregnancy until the end of the first trimester was analyzed. The high specificity and sensitivity of doppler velometry miometry bloodstream was shown and was proposed to use this method to predict spontaneous abortion and missed abortion in the first trimester.

We study the variation form patella in both sexes of different somatotype first and second adulthood MRI studies. It was found that in the first adulthood, almost all somatotypes are characterized I &II shape of the patella by Virburg, whereas in the second adulthood characteristic type only is I of the patella mesomorph of women. Rare types of patella in the first mature age are more common in women ectomorph (III) and women endomorph (IV), whereas in the second adulthood ectomorph women are more likely to have type IV and type III patella male ectomorph. In contrast to the observed distribution of somatotype for both groups of persons from accidental.

It studied 764 patients with widespread peritonitis shows the benefits of treatment relaparotomy-programmed with the closing of the surgical wound with removable draining musculoaponeurotic seams (RDMAS). In the case of intra-abdominal pressure normalization performed laparotomic closing the wound using RDMAS, and at its persistent increase -only skin sutures. This proved a significant decrease in mortality. For large defects of the abdominal wall, in the case where the conventional surgical wound closure of sutures is impossible, it is permissible use of fabric tensor, and free shaded plastic skin flaps.

During the studying of an anti-inflammatory activity of this infusion it was revealed an influence on the different stages of inflammation process. An anti-exudative activity was explored on the model of acute inflammatory swelling, which was raised by an injection in the mouse hinder leg 0,05 ml 2,5% formaline solution. For the discovering of proliferative properties we used a model of «cotton granuloma». Antiphlogistic activity is determined in the modeling of the local inflammatory reaction using xylene of albino rabbits. An anti-inflammatory action of infusion of a herb of thymus Pallasianus appears in oppression of an exudative (69,66%) and proliferative stages (69,43%) and the effect on capillary permeability (increased latency manifestations of spots staining - 60.61% reduction in the diameter of spots staining - 47.40%) an action force is comparable or exceeds the action of officinal species thymus serpillum.

The work presented offers an analysis into the shapes and sizes of the dental arches in 684 patients of both sexes in their early adulthood who reveal physiological occlusion of the permanent teeth. The study outcomes show that the universal Damon braces system does not match all types of the dental arches to be found in cases of physiological occlusion of permanent teeth. The one that is closest in shape and size is the arch of brachygnathic shape with the permanent teeth normodontia and macrodontia. In case of the mesognathic shape combined with macrodontia of the permanent teeth the Damon arch has a size and shape that are close to the parameters of the anterior dental arch.

The analysis results of treatment and quality life of 154 patients (elderly and senile age) with acute cholecystitis, who was operated buy different method is carried out. Fanlike laparolift using has allowed to expanding of indications to endovideosurgical operations and improvement treatment results and quality life of patients with high anesthesiology-operations risk.

Doppler ultrasound dynamic in interlobar arteries allows indirectly assess arterial blood flow component intraorganic, state microvasculature of kidneys when they are damaged on the background of endotoxemia, as well as state of the peripheral vascular bed of the kidney and the degree of functional disorders in acute pancreatitis. Hemodynamics indicators in renal interlobar arteries in conjunction with standard laboratory methods to help in determining the extent of kidney damage in acute pancreatitis and its destructive forms.

Course administering rats with adjuvant arthritis model, a sodium salt of 4- (3-methyl-2-oxo-2H- [1, 2, 4] triazino [2, 3-c]-quinazolin-6-yl) butyric acid (compound DSK-38, 2 mg/kg i/p) as diclofenac (4 mg/kg i/p), resulted in animals attenuation characteristics of the inflammatory reaction. This was evidenced by a statistically significant reduction in the blood under the influence of the two substances MDA level while increasing the activity of SOD, the positive dynamics seromucoid activity and gamma-glutamyl and normalization of albumin and globulin fractions relative to untreated animals. In this connection performance DSK-38 does not concede, and in some cases (on the ability to normalize indicators seromucoid and gamma-glutamyl) superior-drug comparisons. In the group of animals treated with diclofenac, one rat died of perforated ulcer, against DSK-38-lethality absent.

The use of foreign materials in modern herniology, on the one hand, reduces the number of recurrences, and on the other - increases the risk of several complications: profuse exudation and possible infection in the postoperative wound, extensive cicatricial deformation of a zone of operations, persistent pain syndrome and possible reduced fertility in men. In the experiment 30 rats were studied influence of drugs «mesogel®» and «iodopiron» in the course of wound process during operations using mesh explant. Histological methods were evaluated the usefulness of the formation of connective tissue, degree of involvement in cicatricial process is located in the area of operation of tissues and structures. Compared with the control group of animals is set to a relatively low density and fewer collagen fibers. In the control group of animals had a marked proliferative response in the surrounding tissue prosthesis, gross deformity and involvement in the scar process near structures.

The use of inhibitors of HMG-Co-A reductase inhibitor simvastatin, atorvastatin, rosuvastatin and nanoparticulative rosuvastatin on background modeling endotoksininducing pathology, introduction of strain 603 Staphylococcusaureus leads to the development of dose-response endotelioprotectiv action, expressed in the normalization of QED, prevent increase adrenoreactivity and exhaustion of myocardial reserve and and normalization of biochemical markers of inflammation (C-reactive protein) and the level of proinflammatory cytokines. When this is detected positive dynamics and-products of NO and expression of eNOS.

The work presented offers an analysis into the shapes and sizes of the dental arches in 684 patients of both sexes in their early adulthood who reveal physiological occlusion of the permanent teeth. The outcomes of the study suggest that small dental arch type is specific to dolichognathic normodontia, mesognathic microdontia, and dolichognathic microdontia. The medium type is to be found in cases of mesognathic normodontia, brachygnathic microdontia, and dolichognathic macrodontia. The large arch type is typical of brachygnathic normodontia, mesognathic macrodontia, and brachygnathic macrodontia.

For the first time the effect of metal complex derivatives of 1-alkenilimidazol on the function of the central nervous system is studied by tests: conditioned defense reflex of avoidance, duration of hexenal sleep, the individual behavior of mice in the «open field» and the process of korazol convulsions. These experiments show the benefit of the activating influence of pilim-1 and pilim-2 on the central nervous system of animals. The studies confirm the hypothesis about the possible psychosedative effect of the compound «allim-2».

In the work the efficacy of influence of cardiotonic drugs on the cytokine system changes in the response to acute maximal myocardial pressure overload in congestive heart failure (HF) animals was study in controlled randomized trial. It has been shown, that treatment with Adenocin unlike levosimendan in HF occurs restoration of systolic and diastolic function not only at rest, but also under the acute maximal pressure overload. Therapy with levosimendan at acute pressure overload condition leads to the additional dysbalance in the proinflammatory cytokines and activation of nuclear factor (NF)-kB, as marker of pivotal role of innate immune system in cardiac remodeling under HF. Beneficial action of adenocin on the restoration the balance between pro- and anti-inflammatory cytokine production associated with the normalization of activation of NF-kB that leads to adequate expression of tumor necrosis factor (TNF)-a and interleukin (IL) 1ß in myocardium. Obtained results suggested the hypothesis about acute response of IL6 and in less extent changes in IL 1ß and TNF-a. Thus, adenocin restores myocardium tolerance to pressure overload and reserve ability of immune system, while levosimendan occurs less harmonized action.

Work is devoted to research of internal structure of a zygomatic bone taking into account age, sex and loss of natural teeth that is bound to use in maxillofacial surgery of zygomatic implants. The internal structure of a zygomatic bone on 120 skulls (75 man's and 45 female) the people who died aged from 18 until 79 years is studied. Skulls had teeth on top and lower jaws that provided to these people at their life a usual physiological masticatory stress during meal on a bone of the chewing device. For an assessment of influence of loss of natural teeth on internal structure of a zygomatic bone, 170 skulls (95 man's and 75 female) the people who died aged from 45 until 82 years are in addition investigated. Skulls had different extent of loss of teeth on top and lower jaws. Among these skulls, 120 were with partial loss of teeth in the field of premolar tooth’s and molar teeth and 50 - with full loss of teeth on the top jaws. On craniological material by means of cranioscopy and craniometrics methods of research studied expressions of a series of external and measuring signs of a zygomatic bone, and also estimated its internal structure: a ratio of compact and spongiform (trabecular) substance in different departments of a zygomatic bone. It is established that at the adult the internal structure of a zygomatic bone doesn't change with age, and also doesn't depend on loss of natural teeth. Thus features of a ratio of compact and spongiform (trabecular) substance in different departments of a zygomatic bone are shown, correlation of types of a bone tissue, agrees accepted classifications in a dental implantology, with types of a bone tissue of jaws, and also the sizes and a shape of a skull.

The article describes the experience of training the members of students rescue team and the first aid instructors. Conclusions about targeted audience which are the most in need in first aid training and about worries that need to be attended in the system of rendering first aid to the population.

In order to visualize distribution of induction frog's sciatic nerve in a high electric field experiments were performed on 90 frogs Rana temporaria. In immobilized frogs were isolated sciatic nerve and placed it on the scanner camera gas discharge visualization install KELSEY, which creates an electric field high-frequency (1024 Hz). The 60-second video movie (frequency-lapse shooting 1000 frames per second) was shooted by scanner with a highly sensitive video cameras. The regional luminescence - effect Kirlian was observed in a frog's sciatic nerve in high-frequency electric field out of irritation. 4 hearth inner glows were appeared during nerve stimulation by single impulses. They disappeared after finishing the stimulation. This fact indicates that the inside of the nerve centers of luminescence reflects the induction of nerve fibers. The rate of emission of a luminescence corresponded to the speed of distribution induction in the nerve in m/s: (1 hearth) Aa = 46,2 ± 0,4; (center 2) Aß = 23,4 ± 0,5; (hearth 3) AY = 15,2 ± 0,4; (hearth 4) B = 10,0 ± 0,6. The centers of luminescence and their projections vary in size. Area of centers of luminescence in mm2 1 center - 8,0±0,4; 2 center - 4,3±0,4; 3 center - 3,2±0,2; 4 center - 2,4±0,4. The largest area of the centers of luminescence, moving to the muscle, has a center corresponding to the speed fiber Aa, then AY and Aß. The list area - center luminescence fibers of group B. Thus the visualization indicates the spread of induction in the frog's sciatic nerve.

In the Krasnodar region assessed the effectiveness of the current system of medical support youth of premilitaries age and conscripts to military service. Established therapeutic effectiveness of health measures. The effectiveness in the healthcare system supported by growth in the number of recognized fit for military service (on 4,6%), and fit with minor restrictions (on 5,3%), which contributed to an increase in the overall index of fitness for military service on 9,9%.

Observations were performed on 20 healthy pregnant women and 84 women with diabetes on 38-40 weeks of gestation. All pregnant conducted obstetric examination, determined the glycemic profile, urinalysis, glucose, ketone bodies, acetone. The regulatory-adaptive status was evaluated on a sample of cardio-respiratory synchronism. Registration of uterine activity, along with the movements of the fetus and the fetal heart rate was monitored by external cardiotocography. To determine the functional state of the fetus were used ultrasound. It was found that among 34 pregnant women 9 of them had incorrect diagnosis compensated diabetes, which had been disproved by values of regulatory-adaptive status indicated decompensated diabetes. Later the diagnosis had been proved. Thus, the question of delivery of pregnant women with diabetes should not only be on the level of blood glucose, glycated hemoglobin, fetal biophysical profile data, but also on the regulatory-adaptive status which is determined by the parameters of the sample cardiorespiratory synchronism.

Dermatoprotective activity (DPA) comparative evaluation of dymephosphone, actovegin, trental and meksidol under reduced blood circulation has been carried out. It has been proved that in experimental mice dymephosphone judging by DPA exceeds actovegin in quality by 2,8 times and is similar to meksidol. At the same time it is 5,2 times is worse than trental; as for its width of therapeutic activion (WTA) it is better than meksidol, trental and actovegin by 5.6, 1.8 and 2.9 times respectively. In experimental rats dymephosphone judging by DPA exceeds actovegin in quality by 3,6 times and is worse than trental and meksidol by 4.7 and 1.3 times respectively; as for the WTA it is better than actovegin, trental and meksidol by 3.8, 2.0, 5.5 times respectively.

In the treatment of 12 patients with generalized purulent peritonitis was the method of ascending gas-liquid flow (AGF). Using the AGF assumed at elevated intra-abdominal pressure. The influence of increased intra-abdominal pressure on the possibility of developing abdominal compartment syndrome in a number of clinical-ray and laboratory parameters. It is shown that increase of abdominal pressure to 16+2 mm. Hg. Art. when using the method AGF in the treatment of generalized peritonitis does not lead to abdominal compartment syndrome, but the risk of its development is the highest in the 1st day after the operation.

A total of 100 patients (86% - men, 14% are women), aged 56-69 years, which was later performed coronary artery bypass surgery. The methodology was based on a comprehensive survey assessing the functioning of the heart muscle, the clinical and instrumental parameters, which reflect the state of the cardiovascular system and other vital organs (liver, kidney, pancreas) and blood clotting system. The study developed a mathematical model of the relationship set out indicators ejection fraction of the heart muscle. It is established that as a benchmark, providing a high level of predicting a favorable outcome and the ejection fraction of the myocardium can be considered indicator of the scale of the risk assessment of adverse outcomes (EuroSCORE).

To study the clinical and diagnostic features of inflammatory pathology of the vulva and vagina in the background diseases of urinary tract (pyelonephritis, dysmetabolic nephropathy) of the girls, it was performed the investigation of complaints of clinical signs and characteristics of vaginal microbiocenosis in 86 patients aged 4 to 6 years. The control group consisted of 30 healthy girls of the same age. It is revealed that inflammatory urogenital diseases of the girls, there is a frequent chronic vulvovaginitis, the development of synechiae of the labia minora, frequently reported microbial associations.

A comparative study of the influence of metal complex of iron under the code of тetravim and actoprotector bemythyl (metaprot, «Pharmproekt», Russia) and bromantan (ladasten, CJSC «Lecco», Russia) on physical performance white nonlinear mice in normal and complicated hypoxia conditions. It is established, that under normal conditions of тetravim no effect on physical performance, and in hypoxia shows the positive effect that exceeds the action bemythyl and bromantan. The obtained data are of interest for further study of тetravim as a safe and highly efficient corrector of physical performance in the anoxic conditions.

The work was the comparative assessment of the effectiveness of treatment with the use of drugs for intravitreal injection - angiogenesis inhibitors and a biodegradable implant with dexamethasone in patients with post-thrombotic retinopathy and macular edema. The clinical criteria of treatment effectiveness was the results of visometrie and optical coherence tomography of macular area (the thickness of the Central region of the retina and macular region). The momentum indicators allowed us to develop a differentiated approach in the treatment of post-thrombotic retinopathy with macular edema.

In this review opinions of various researchers on a problem of a course of the schizophrenia with the first episode at youthful age are described. Lack of identical views on character of a long course of schizophrenia, frequent contradictions in opinions of certain scientists and psychiatric schools as a whole attracts attention. It is noted on that fact that timely diagnostics and correctly picked up complex therapy can correct disease manifestations in many respects. Need of carrying out complex research with attraction of a number of neurobiological, clinical genetic, neurophysiological, neuropsychological, clinical psychological and psychopathological techniques which will allow to receive the most objective ideas of character of a course of schizophrenia and its outcomes locates in the review.

The article gives an overview of modern diagnostic methods compression-ischemic neuropathy of the median nerve at the carpal tunnel. The etiology, clinical presentation and classification of the disease. We present the clinical and instrumental features of the manifestation of carpal tunnel syndrome. Given the possibilities and limitations of both basic research methods (EMG and ENMG) and highly informative modern techniques (MRI), as well as high-resolution ultrasound in the diagnosis of compression of the median nerve.

In cardiac surgery practice has accumulated a great experience and made significant progress in the performance of CABG. At the same time the emergence of a number of specific cases of postoperative complications (atrial fibrillation, renal failure, disorders of acid-base balance and fluid and electrolyte balance) associated with the need to use artificial blood circulation. In this regard, currently the most promising methods of improving the technology of CS recognized the operation on a beating heart, and the use of parallel normothermic perfusion. The analysis of literature indicates only a single study of comparative clinical effectiveness of these methods compared with traditional surgery with cardiopulmonary bypass with cardioplegia.

The level of cardiovascular complications remains high in the perioperative period in case extracardiac interventions. The cardiovascular complications were found very often for the elderly patients with coronary artery desease and with factors of development their. However, there is no perfect method of assessment of the risk cardiovascular complications. The heart rate variability can be used for the evaluate of the autonomic nervous system for the predicting the rick of sudden death and cardiovascular desease.