Export of educational services is one of priorities for successful development of higher education in the Republic of Belarus. The article analyzes the first results of training learners of the faculty of pre-university training in English. The training process is based on educational materials made by the higher-education teaching personnel of the Biology department of the educational institution Belarusian State Medical University. The article describes educational methods associated with communication in a foreign language, features of current and intermediate knowledge assessment and correlation of their result with the result of the end-of-course assessment. Authors discuss crucial factors having effect on learners’ academic progress in the faculty of pre-university and effectiveness of their training. The result of the end-of-course assessment is grades from «7» and higher gained by approximately 70% of learners.

 Aspects of epidemiology, clinical presentation, diagnostics and prevention at drug allergy among medical staff are reflected in article. 

The data about the features of course mental processes at persons with exception states, which will defining the possibility of commiting by them against law actes are presented. The disorderes of mental activity in the vew of breaking perception, way of thinking, emotions and move-willing sphere with disorderes organization of behaviour in the time of turn for the exception states creating the conditions for to appearance of criminal events using in law guard practice.On the data of justice-psychiatrical expertise the possibility of manifestation social-danger behaviour in the vew of social-danger actes connecting with the presence keen mental disorderes at the moment of commiting the social-danger action, that connecting with physical and mental exhaustion, observing of the unhealthy mode of the life. In the article have been examined the commom and private the signs of the exception states, which furthering against law behaviour. One must considering the needing of the avertion arising the exception states in the view carring the measures by propaganda of the health mode of the life. The present article has concrete practical meaning.

The problems of diagnosis and differential diagnosis of the hallucinations are discussed. The description of a clinical case during the medical military examination is presented.

The infected defects of long bone is a serious medical and social problem of traumatology and an orthopedics. Was performed the analysis of results of treatment of 88 patients who passed the treatment in the center osteomyelitis of Minsk.
Treatment of patients was carried out as a combination of extrafocal compression-distraction osteosynthesis and various plastic bone-plastic materials.

The article reflects aspects of allergy to cow's milk protein. The analysis of the clinical and immunological effectiveness of the personalized reception of mare's milk in patients with allergy to cow's milk protein.

The aim of the study was determine the degree of risk of postoperative hypoparathyroidism, depending on the volume of surgery on the thyroid gland, in the performance of various types of thyroidectomy and various kinds of lymphatic dissection of lymph collectors.
During the period from 2014 to 2016 performed 167 surgical interventions for multinodular goiter 3—4 st. and thyroid cancer.
All patients were divided into 3 groups based on the volume of surgery: group A-patients who underwent thyroidectomy — 45 patients (26.9%), Group B — thyroidectomy and central lymph node dissection (removal of the 6th Group of lymph nodes in the neck) — 54 patients (32.4%), group C — patients who underwent thyroidectomy, central and lateral lymph node dissection (removal of 3 and 4 groups of lymph nodes) — 68 (40.7%).
According to the following conclusions obtained results: the volume of surgery is directly proportional effect on the risk of transient hypoparathyroidism in the early postoperative period. At the same time the size of the thyroid gland at this rate is not affected.
The main factor determining the development of hypocalcemia after operation is the level of parathyroid hormone on the second day after the operation lower 11.0 pg / mL. The postoperative level of parathormone higher 11.0 pg/ml excludes the subsequent development of symptomatic hypocalcemia.
The risk of developing persistent hypoparathyroidism does not depend on the volume of surgery on the thyroid gland.

There were studied the risks of perforated ulcers in patients with ulcer disease (UD) in their individual annual cycle (IAC). The establishment of periods in the IAC of patient with UD when the risk of complications are maximally or minimally allows predict their occurrence for timely and personalised prevention.

The results of the analysis of the external structure of the major duodenal papilla in neonates and adults allocated more of its forms. For each form of the Vater papilla is established: the frequency of registration of “suprapapillary” folds, its height and the ability to cover the mouth of the papilla. Given the localization of high frequency, the dependence of the height “suprapapillary” folds from the shape of duodenal papilla, as well as the ability to cover his mouth, it can be concluded that in adult individuals “suprapapillary” pleat is an element of the antireflux protection of the Vater papilla.

It is investigated the expression`s levels of cyclooxygenase-2 gene (COX-2) and Survivin (BIRC5) gene in the primary tumor and parietal peritoneum of 52 radically operated gastric cancer patients. It is defined the prognostic cutoff value of COX-2 allowing to predict the disease progression with peritoneal dissemination after radical surgery.

There are some comparative neuropsycological researches, addicts to smoking blends, subjects which have acute psychotic disorders are not connected with taking psychoactive substance and addicts to opioids in the article. The research was carried out with using neuropsycological methods of diagnostics. Wisconsin Card Sorting Test was applied. The results of the researches discovered the characteristics of thinking processes, which can be associate with addiction of smoking blends assisted by the methods. The attention resistance was characterized by methods of “Shulte Scale”. The results are testify to a rather good psychoactivity, addicts to smoking blends, but in despite of young age and small term of addiction low psycho fixity and tolerance.

Complex approach to an assessment of efficiency of treatment of opiate drug addiction at patients with HIV infection which basis is made by definition of quantitative indices of the medical and social status of the drug-addicted patients forming clinical and social criteria of efficiency of treatment of a drug addiction with use of the original method “Measurement of Addictive Behavior of Injection Drug Users” is presented in the article.

There is an increasing of uterine fibroid’s morbidity among fertile women in the last time. This pathology can occurs infertility and miscarriage in frequent cases. Strictly speaking about leiomyoma and its influence to the pregnancy and parturition, we have had many unexpanded questions — fertility safe among women with leiomyoma, tactics of obstetric management during pregnancy and labor of this category of patients, including those who had been eliminated leiomyoma before pregnancy Moreover, there is no uniform opinion for problem how to plan pregnancy for those women who had been diagnosed leiomyoma and what the optimal period for making CME — before planned pregnancy or after? This article represents results of researching pregnancy and parturitions of this category of patients including those who had myomectomy before, comparing with patients with cesarean section in anamnesis. We made recommendations about realization of fertile potential, management of pregnancy and parturitions of women who had conservative myomectomy before, suggested the optimal term and way of parturition.

The analysis of the spatio-temporal organization of sleep—wakefulness cycle allowed authors to educe important dynamic conformities to law of man functioning in space and time and their connection with consciousness. It is shown that on basis of sleep—wakefulness cycle phases changing there are punctuational alterations of individual spatio-temporal models with the changes of man’s individual space size and of individual time direction for a day long according to world transformations.

The authors have revealed the fundamental violations of spatio-temporal organization of sleep-wakefulness cycle in patients with mental disorders, where the most important is changing of taking place in the healthy people two-pronged course of individual time on single-vector. As a result the whole phases of this cycle fall out, or the cycle is significantly distorted or disappears.

The aim of the study was to determine the age-related changes of microcirculation and particularly its reaction to some exposure, as the body's system.
Method of edemometry the studied parameters of microcirculation in 48 healthy patients in three age groups, at 13 after infusion into a vein 1—2 liters of normal saline and 5 % glucose solution. In 17 patients with acute cholecystitis and pancreatitis are indicators of edemometry defined in the earlobe and in the axillary-brachial fold. Separately, an analysis of the structure of the microcirculation. The results are evaluated with regard to age and the influence of various effects on the microcirculation.
It is established that the microcirculation is a specific system of the body that accompanies life. It exerts its influence depending on the age and the effect on the organism of environmental factors, consists of many organ and tissue environments, is responsible for the defeat of one medium by the reaction of the other (or all) environments. Microcirculation is a specific system of the body is his living environment.

The microcirculation was studied by the method of edemometry in the first interdigital space of the hand in patients with acute calculous cholecystitis (17), acute pancreatitis (16), dynamic intestinal obstruction (2), diffuse purulent peritonitis (1), gastroduodenal bleeding ulcer etiology (2). In the study of these indicators was used edemometry examination with compression (tourniquet) trial and without it.
Received evidence showed that the microcirculation is a specific system of the body. Microcirculatory code of acute pancreatitis was determined as well as violation of the microcirculation in diseases of the abdominal organs.

Morphogenesis of pancreas during embryogenesis of white rats in comparison with human was investigated. Homology of organ in human and animal's studies on the source of development, patterns of organo- and histogenesis, which interpret the validity of extrapolation on human modeling results of the pancreas disease on the white rat are established.

Pneumonia is one of the most common therapeutic diseases, common among people of working age, requiring hospital treatment. Knowledge of the pathogenetic links of the disease, diagnostic guidelines, clinical forms is an integral part of the process of improving the provision of care for pneumonia.

The article shows the role of genetic factors in the organism`s adaptive capability elaboration as is also mechanisms of phase xenobiotic biotransformation and genes polymorphism.

Аngioedema are not only medical but also social and economic problem. Increased incidence of some extent is associated with increased intake inhibitors of angiotensin-converting enzyme. Аngioedema is a life-threatening condition, late diagnosis, lack of drugs for the relief of acute attacks or short or long-term prevention, lack of knowledge about the disease and how to control the patient may lead to death. The review provides information on classification, diagnosis, approach to treatment and prevention for various types of angioedema, based on the results of the International consensus on the problem of angioedema.

He data on current approaches to surgical treatment of patients with chronic inflammation of epithelial coccygeal, the effectiveness of surgical treatment. There is still no consensus on the etiology and pathogenesis of epithelial coccygeal. All theories concerning this problem can be divided into two main — congenital and acquired epithelial coccygeal course. In the domestic literature epithelial coccygeal course it is considered congenital defect, whereas foreign researchers tend to acquired etiology of this disease. Also unresolved question of choosing the most optimal method of surgical treatment. The long period of wound healing, postoperative pain, often occurring disease relapses are fairly common in the treatment of such patients. Currently, surgical treatment methods ECx should meet the following requirements: be simple to implement, provides a low pain, rapid recovery of disability.

The analysis of a number of works of domestic and foreign literature devoted to the study of regulatory impact on melatonin hormone, tissue and cellular levels. Has been shown age dynamics of the synthesis of melatonin, has been highlighted certain mechanisms of influence on the reproductive function, antioxidant and immunomodulatory properties. The results of many studies melatonin has confirmed participation in the carcinogenesis process, by changing the proliferative and apoptotic activity, inhibition of telomerase activity.

The article presents options for different, methods of diagnostics. There are discussed questions of specific treatment and indications for with treatment with ganciclovir in infants of congenital cytomegalovirus infection.

Original positions of the last revision of the Global initiative for Asthma (BA) — GINA in 2015 year are surveyed. 

Based on the literature and our own data shows that the widespread use of effective drugs based on monoclonal antibodies in the Republic of Belarus, made possible by the introduction of the practice of morphological studies of tumors from 2008 immunohistochemical determination of markers required for the appointment of targeted therapy. Most often, these studies are used in breast cancer and limfoproliferatinyh diseases. Along with increased consumption of imported drugs for oncology tasks 2.8 times in terms of money, on an increase in the period 2010—2014 immunohistochemistry costs., more than 10 times. In 2016., due to the arrival on the market of new firms immunohistochemical diagnostics distributors, their price has dropped significantly. However, there is a question of methods of debugging and the certification of immunohistochemical studies.

Here is present an analysis of treatment’s results of 68 patients after inguinal canal plastic with polypropylene explant. The aim of the study was evaluate the results of plasticinguinal canal for Lichtenstein and operation inour own modifications, which providesisolation the spermatic cord from the allograft, which is the prevention of male infertility.

Relapsing polychondritis (RPC) is a systemic inflammatory disease with varying clinical manifestations that can include compromise of the structural and functional integrity of cartilage; organs of special sense; and the cardiovascular, renal, and nervous systems. The analysis of the present data on pathogenesis, clinical manifestations and methods of treatment is performed. The clinical observation of relapsing polychondritis is described.

Presents general information on firearms and injuries from the use of gunshot injury.The main types of weapons, the mechanism of gunshot injuries described interesting cases of gunshot wounds of the forensic medical expert practice. Special attention is paid to the description of accidents in hunting, in an accessible form set out the events that actually took place, when the mishandling of weapons, or a fatal combination of circumstances was the cause of inflicting serious injury or fatal gunshot wounds. The statistics of accidents in hunting the necessity of strict compliance with the rules of use of firearms and ammunition. The article has a specific practical and preventive value.

The problem of organization and contents of surgical care to the wounded in the modern Ukraine Armed Forces in conditions of armed conflict is discussed in the article.

It is a review of the literature about the structure and organization of health care in the armed forces of Federal Republic of Germany. There are stated the basic principles of medical personnel training and specifics of staffing. There was conducted analysis of the allocation of health service into a separate kind of the armed forces.