The article presents the results of the analysis incidence of ischemic health diseases in Russia, North Caucasus federal district and Karachay-Cherkessia republic by federal statistical observation forms. The differences were found in the incidence of cardiovascular disease outcomes between regions. The significance of the availability of cardiology and cardiac care to improve the health of residents of the region was shown.

Bronchial asthma in children aged 7-14 years has mild and middle forms without any sex differences. When the course of this disease increases the gravity of pathologic process worsens. Positive control in treatment of this disease reached 48,39% of cases only in mild and mean grave cases. In 41,49% of children a part of good results in treatment of bronchial asthma was achieved. In 43,55% of cases basic therapy was not fully carried out or was performed only in exacerbation of bronchial asthma.

48 patients from 100 with total blockade of the left peduncle of the bundle of His and with sinus rhythm had a normal fraction ejection (FE) and 52 patients didn't have it. 94,2% of patients in the group with reduced FE and 85,5% of patients in the group with normal FE of the left ventricle were patients of the second period of mature age and the elderly age.

In work the basic principles of diagnostics and treatment of patients with chronic vertebrogeniс pain syndromes are stated. The comparative analysis of results of diagnosis and treatment of 80 patients with chronic vertebrogenic pain syndromes is provided. Expediency of purpose of zhen Jiu with complex therapy is proved to patients with a chronic vertebrogenic pain syndrome.

In publishing the comparative analysis of patients with gallstone disease with metabolic syndrome and without. Found, that in the presense of metabolic syndrome surgery performed on aggravated polymorbidity background, which makes it difficult for comorbidities and affects the quality of life in the postoperative period. That's why, it is critical to improve the immediate and long-term results of surgical treatment of patients with metabolic syndrome and gallstone disease by optimizing the operational tactics and observed of patients in the postoperative period.

For the study of plasmic hemostasis impairments while experimental burn trauma in winter and summer seasons, and the possibilities of their correction with the use of phytoadaptogens, the burn model in rats was reproduced, the dynamics of hemostasis indices was studied in the 1, 7 and 21 days after trauma, the combinations of complex phytoadaptogens reception were used as phytococktails «Biorhythm-E» and «Biorhythm-RG» for the correction of the developing DIC-syndrome. The treatment-and-prophylactic method was more productive and had seasonal differences: internal way of coagulation and the activity of fibrinolysis were restored quicker in winter, the correction of anticoagulant activity and the final stage of coagulation took place in summer, normalizing influence on the external way of coagulation was manifestated during both seasons, larger efficacy of the preparations showed «Biorhythm-RG».

Microbiological laboratory and diagnostic research methods were employed to conduct the study involving children aged 12-15 with dentoalveolar anomalies. The examination implied semi-quantitative evaluation of cariogenic bacteria Streptococcus mutans in mixed saliva and dental deposit; besides the examination covered the functional indicators in the oral liquid: salivation rate; viscosity; mineralizing potential; buffer capacity, and рН. The saliva in the patients with this dentoalveolar pathology proved to have controlled biological risk criteria for developing and intensifying caries: Strept. mutans concentration 1х106 CFU/ml; low and average buffer capacity; low and very low mineralizing potential; and pH shifted severely toward the acidic side. There has been proof offered concerning a need for comprehensive approach in evaluating the cariogenic situation, taking into account equally the clinical indicators of the oral cavity organs and tissues, physical and chemical indicators of the oral liquid, the tooth enamel, and the dental deposit.

At 60 students - two weeks prior to the first final employment and before the first final employment carried out test of cardiorespiratory synchronism. On dynamics of the regulation-adaptive status determined a level stress resistance. After the first final, before the second, 30 of examinees passed within two weeks autogenous training by Schultz's technique, and 30 didn't. Then, at them again carried out test of cardiorespiratory synchronism, twice, and on dynamics of the regulatory-adaptive status determined a level stress resistance. By results of an evaluation stress resistance on dynamics of the regulatory-adaptive status autogenous training at the end of one academic year did not cause authentic change stress resistance of students with high and low levels of stress resistance. At the same time it raises stress resistance at persons with a moderate level stress resistance. Under the action of the stress factor from those not held autogenic training index of regulatory-adaptive status was 39,5 ± 0,7, and held it at 62,6 ± 0,3.

The work presents the results of a study of changes of Central hemodynamics in response to a cardiorespiratory synchronism in healthy volunteers. It is established that the test leads to the uncertain decrease in the impact index, cardiac index, and the uncertain increase in total peripheral resistance vessels.

The aim of a given work was investigation of a cell therapy effectiveness in spinal cord traumatic disease by mesenchymal stem cells in an experiment. Findings of the experiment have shown that in experimental animals restoration of locomotive functions occure quicker and in greater part than in controled ones. Besides, histologic investigation of a spinal cord sections has shown that in animals of an experimental group in traumatic zone there was reveald an active growth and myelinisation of a nerve conductors that wasn't marked in control group.

The results of treatement of 67 patients with chronic hemorrhoids were analyzed. There was used a complex of health activities to stimulate anal canal healing after hemorrhoidectomy. It was revealed that usage of suggested registered treatement scheme leads to decrease of postoperative pain, wounds healing acceleration, reduction of an amount of complications.

The relationship between level of pro-inflammatory cytokines and processes of remodeling of intra-renal vessels in patients with essential arterial hypertension (EAH) were studied. Were surveyed 80 patients with EAH. Ambulatory blood pressure monitoring and renal artery doppler ultrasound were performed all patients. Further we determined the level of IL-1, IL-6, TNF-α. It was found that patients with EAH and overweight, there are more significant changes in circadian blood pressure profile and renal hemodynamics. Significant correlation between IL-6, TNF-α and indicators of the remodeling intra-renal vessels were identified. It may indicate that processes of nonspecific inflammation causes the structural alteration of the renal vascular in the patients with EAH.

A complex evaluation of central components of the hearing organ was performed using evoked brain stem potentials. We demonstrated a correlation of pathological processes in a voice producing system and in a hearing organ. The examination of short- and long-latency evoked brain stem potentials in patients with functional and organic voice dysfunction revealed changes in the brain stem structures, as well as in the cortex. It was demonstrated that more pronounced changes in the hearing organ can be found in patients with organic nature of voice deterioration.

Results of study of the health status of adolescents and young men of pre-conscription and conscription age in the Krasnodar territory for the period from 2006 to 2012, the analysis of the completeness of their medical care in the preparation for military service. The negative changes of the indicators of the health of the conscripts. Discusses trends in health status, his connection with the quality of life of pre-conscripts and recruits, ways of optimization of medical and social prevention of health disorders.

For the purpose of influence studying the depending on a position of changes of the main venous blood-groove a kidney on systolic arterial pressure measurement of arterial pressure, blood-groove speed in renal veins is taken, resistance indexes among patients with pathological mobility of a kidney are defined. These researches showed dependence of systolic arterial pressure as from high-speed, and resistive indicators in both kidney vessels. It is shown that measurement of arterial pressure in six static states can give a new modern assessment to physiological norm of arterial pressure and help with diagnostics of the early pathogenetic factors responsible for development of arterial hypertension.

A person develops cardio-respiratory synchronism in the high-frequency breathing in time with indifferent stimuli in a certain frequency range. It means that each breath performs one heart contraction. Change in respiratory rate leads to synchronous changes in heart rate. In the present study found that deep increasing of breathing in a healthy man extends the range of cardio-respiratory synchronization.

The aim of our study is to explore the hemostatic system features in pregnant women with preeclampsia undergoing operative delivery under general and regional anesthesia. We have found that the most common disorders of hemostasis in this category of patients is hemodilution coagulopathy; in patients with severe preeclampsia degree of incidence of chronic DIC was significantly higher than in the other groups that should be considered when assessing the dynamics of patients condition and choice of anesthetic. Shown that the duration and nature of the cure of coagulopathy associated with preeclampsia, depends on the anesthetic method. The use of long-term epidural anesthesia allows you to more quickly and with less need to use drugs to stop blood available hemostatic disorders.

Despite the wide range of basic research in the field of radiotherapy, certain aspects of therapeutic gamma radiation doses remain unknown. The present in vitro investigation of irradiated human skin fibroblasts is aimed at finding radioactive dosage, which would maintain anti-tumours effect without inflicting damage to healthy cells. Furthermore, the authors observe the timing required for cell damage detection as well as the recovery after the radiation stress. Thus, it was shown, that 24-48 hours after gamma irradiation at 2, 4, 12 Gy is a period of time sufficient to identify the dose affecting fibroblast vital functions. It was additionally found that radiation of 2 Gy has no effect on viability and proliferation capacity of dermis cells. Consequently, we can assume that clinical risks of long-term complications (e. g., fibrosis) after such radioactive exposure is lower than after the 4-12 Gy radiation impact. Moreover, the 48 hour period is not enough to identify reparation time required by the cells which have been gamma irradiated by more than 2 Gy.

100 patients with CHF FC III against the background of ischemic heart disease (IHD) and/or stage III hypertensive disease (HD). All them administered of complex therapy (Quinapril, Torasemide, Spironolactone). Upon randomization, Group 1 consisted of 56 patients (57,5±21,7 years old) and received metoprolol succinate of sustained release (Betalok ZOK, Sweden's AstraZeneca, 59,1±12,7 mg per day). Group 2 consisted of 44 patients (57,1±21,4 years old) and received Ivabradine, inhibitor of If channels in the sinoatrial node (Coraxan, France's Servier, 12,1±4,6 mg per day) in cases when use of beta-blockers (BB) was not possible. VO₂max treadmill tests, echocardiography, 24-hour blood pressure monitoring, NT-proBNP blood plasma test were done initially and 6 months in. A cardiorespiratory synchronism test was done in order to objectively evaluate the regulatory adaptive status (RAS). On the result of reseache, complex therapy with the use of Ivabradine showed comparable clinical effects with metoprolol succinate: improved the structural and functional condition of the myocard, increased tolerance to physical exercise, caused reduction in the level of NT-proBNP in blood plasma and increase of VO₂мах during physical strain, but more than BB positively influenced the RAS. Therefore, Ivabradine can serve as an alternative to BB if it's impossible to use in patients with CHF FC III against the background of IHD and/or stage III HD.

A review of literature on the general concept of “communication” between people was held. History of the communication development and modern achievements of communication people. The methods of interpersonal communication between people, and especially physician-patient relationship are taken up. Usage of the verbal and nonverbal means of communication by the hearing impaired. Analyzed the essence of the communicative process. Examined the methods of communication between the dentist and the hearing-impaired patient, and the main problems that are appearing during the communication between the dentist and the hearing-impaired patient. The role of a sign language interpreter in the doctor-patient relationship. Conducted a review of the auxiliary means of communication, their advantages and disadvantages. The use of computer technology and software to translate oral speech into sign language. Identified the main problems of hearing-impaired and deaf patients, associated with their medical care.

In 14 supervisions the cat hearts were placed in an electrical field. Luminescerica of pacemaker zone in phase of depolarization was оbserved. In experiments the nervusvagys was stimulated by volley of electric impulses and vagus-heart's synchronization was appeared. In that time luminescence of pacemaker zone increased. Tomography registration of pacemaker zone luminescence shows the substantial increace of diameters and areas of its tomographic image in comparison with an initial condition, that at the vagus-heart,ssynchrorization may serve as a marker of its development.

Evoked potentials technique owing to informativeness and diagnostic value is widely used in clinical and experimental studies. Herein, we investigated whether the auditory P300 event-related potentials predict syndrome vascular mild cognitive impairment. 42 patients with I and II stages of discirulatory encephalopathy (50-70 years) included in clinical study. The discriminant analysis method was used to work out an equation with two variables as predictors - the P300 latent period and patient's age. The diagnostic accuracy of the discriminant equation at a cut-off -0,268 was established through receiver operating characteristic (ROC) analysis (sensitivity 80%, specificity 74,1%).

It was stadied the efficiency of complex treatment of patients with acne treated with systemozone therapy. We obser ved 90 patients (47 men and 43 women) with mild to moderate form of acne between the ages of 18 to 32 years with a dis ease duration of 1-5 years. Patients of the study group (n = 45, from which the 21 with mild acne, 24 - with moderate) rece ived retinol palmitate to 200,000 units per day for 2 months., Essenciale Forte 1 tablet 3 times a day for 2 months., zinc, 1 tab. day 1 month., Ascorutinum 1 tab. 3 times a day - 1 month., Topical disinfectants and antibiotics (2% salicylic rubbi ng alcohol and 0,05% chlorhexidine bigluconate for 2-3 months. Ointment «Fucidinum» - 1 month., Then «Baziron A» - 2 months.) and systemic ozone therapy. The control group n = 45 (22 patients - with a mild form of acne, 23 with moderat e) received similar treatment except for ozone. The use of ozone in the treatment of acne has led to a shortening of the du ration of treatment, an increase in the duration of remission, as well as a significant decrease in lipid peroxidation (LPO) -hydroperoxides and malondialdehyde, while increasing the antioxidant defense (AOD) - catalase.

The article presents the results of a study of morbidity and disability in children. It is noted that the primary morbidity of children under the age of 14 years in the Russian Federation and the North Caucasus Federal District has increased. In the Stavropol region is marked reduction of primary disease in general, but the recorded growth of primary morbidity of obesity (+12,96%), the same trends observed in the North Caucasus Federal District (+26,83%). Among the subjects of the district the maximum growth of primary disease occurred in the republics of Dagestan, Karachay-Cherkessia and Stavropol territory (+64,36%, +157,02%, +35,86% respectively). Despite the implemented projects in the health pediatricians decreased: in Russia by 1,9%, and North Caucasus Federal District Stavropol region - by 15,4%. The authors note the need for infrastructure rehabilitation and restorative treatment of children.

The study involved 80 male patients (40 patients with osteoporosis and 40 patients with normal bone mineral density) with 1-2 stages of arterial hypertension, moderate and high cardiovascular risks. Also examined 70 male patients (40 patients with osteopenia and osteoporosis and 30 patients with normal bone mineral density - the control group) with normal blood pressure. All patients underwent trans-thoracic echocardiography and osteodensitometry (Dual-energy X-ray absorptiometry). Decreased bone mineral density in male patients has been shown to be a marker of unfavorable concentric variants of cardiac remodeling.

523 patients with necrotizing pancreatitis (2006-2013) were retrospectively analyzed. We compared results of the CT data, intraoperative locat-dock, the results of histological examination of biopsy material of 77 cases of necrotizing pacreatitis. Revealed their fair match. The main criteria (providing the ability to model) characterizing pancreatic necrosis were volume and localization of pancreatic necrosis, the prevalence of extrapancreatic disease process. To improve the results of treatment patients with necrotizing pacreatitis. Four clinical and morphological models of pancreatic necrosis were created: «Model-1» - 191 patients, «Model-2» - 159, «Model-3» - 95, «Model-4» - 78. Depending on the results of modeling used various methods of treatment of percutaneus drainage (PCD), open surgery (OS) and combined step-up approach. Specific complications in cases managed with PCD (n=117) - 8 (6,8%), OS (n=58) - 16 (27,5%); Combined step-up approach - 200 (17,5%) of all (n = 375) - 59 (15,7%). The greatest number of complications observed in cases with «Model 3» and «Model-4». Mortality: «Model-1» - 3 (6,9%), «Model-2» - 23 (14,4%), «Model-3» - 21 (22,1%), «Model-4» - 22 (28,2%) of (n=523) - 69 (18,4%). Clinical management of patients with necrotizing pancreatitis is defined by the location and extent of pathological changes in retroperitoneum, depending on the amount, location of pancreatic necrosis. Modeling of pancreatic and peripancreatic necrosis allows in selection of the optimal method of surgery and reduce the incidence of complications, morbidity and mortality.

Studied and analyzed by a subjective analysis of the waiting list for section VTMP assist children in Krasnodar within the national project «Modern healthcare» Found that children in Krasnodar significantly more needed HTMC in traumatology and orthopedics (p> 0,001) - 30 (39,47%) boys and 16 (42,11%) girls. In nosological structure prevalent congenital disorders of the musculoskeletal system - 98 (86%) patients. Unlike boys to girls was not required during the study period VTMP hematology, neurosurgery, cardiovascular surgery and endocrinology. HTMC children receive in major medical institutions in Russia. HTMC hematology, neurosurgery, cardiovascular surgery and endocrinology. HTMC children receive in major medical institutions in Russia. Significantly (p> 0,001) in the number of children treated Children's regional hospital (CRH) of Krasnodar - 21 (24,14%).

The article discusses the anatomical features of the most clinically significant perforators which are the medial perforating veins of the leg. Medial perforators are veins that drains blood from network of superficial veins below the medial ankle. In normal state this veins have valves which permit the blood to pass only from superficial to the deep systems. In many cases of varicose veins these valves become incompetent. This condition often is associated with ulcers. To effect a cure it is necessary to interrupt this veins. Focuses on the features of the surgical anatomy of the medial group of perforating veins

The histologic picture of the medullary cancer can resemble a papillary and follicular cancer that takes away doctors towards the wrong statement of the diagnosis. Therefore it is necessary to investigate calcitonin in the presence of knot in a thyroid gland. Research on existence of mutation RET-protoonkogen is obligatory for an exception of hereditary forms of the medullary cancer. Research of time of doubling of calcitonin in the postoperative period allows to predict survival of patients. Bisfosfonates interfere with progressing of metastatic process at the medullary cancer of the thyroid gland.