The most important task of training in medical school – training of specialists in charge of practical public health requirements. Currently, the training stimulus is becoming a mandatory component of training. It is based on modeling professional activity provides an opportunity for each student to repeatedly perform the elements of medical activities in accordance with accepted professional standards. This allows them to study the reaction to the situation, so as they would do in real life. Implementation of a simulation staged training of anesthesiology and intensive care enables pupils to more effectively learn the theory and practice of anesthesia and intensive care patients in a critical or terminal condition. Also, the organization of training significantly increases the objectivity of evaluation of students and their motivation to learn. The article describes the motivation and the general principles of organization of a simulation training at the department of anesthesiology and intensive care at the Belarusian State Medical University.

Сurrent understanding of the ethiopathogenesis of gastroesophageal reflux disease, classification, esophageal and extraesophageal symptoms of the disease are presented in the article.

Modern methods of diagnosis and treatment of gastroesophageal reflux disease are presented in the article, and alsо the types of prevention, methods of dynamic dispensary observation and military-medical examination are considered.

Taking into account the fact of increase in allergic diseases in children and adolescents, natural to represent the interests of doctors, including the military doctors, to the under-researched issues of epidemiology, diagnosis and prevention of allergic diseases. Epidemiological studies have established that the data of the draft-age commissions of the Republic of Belarus on allergic diseases have been found unfit for military service 2.6% of recruits. However, 11.8% of the surveyed conscripts established risk factors of allergic diseases. Allergic survey shows that 2.8% of them are installed allergic diseases, preventing the passage of military service, indicating underdiagnosis of them at stages of pre-conscription and conscription medical examination . Unfit for military service due to allergic diseases found 1.8% of all recruits, past medical draft commission and 5.5% of all recruits recognized as unfit for military service during this period in various diseases. It is necessary to implement a method of medical examination of young people suffering from allergic diseases, while encouraging them to military service, aimed at reducing allergic disease, and the prevention of the return of allergy patients from the troops.

The paper provides describes modern approaches to diagnostics, therapy, a warning about adverse effect by the electromagnetic field of super-high-frequency range on the military personnel’s and civilian’s organism on the beam are. Authors of the publication also paid attention to questions of biomedical impact of radio-frequency range of the electromagnetic field, historical aspects of its study, clinical implications.

The article presents the results of experimental studies conducted in laboratory rats (n = 85) with models of clean wounds 2.5 cm in diameter. We used multipotent mesenchymal stem cells (MMSC) derived from adipose tissue (AT), and photoregulatory exposure (PRE) using monochromatic polarized light-emitting diode radiation (PLEDR) with wavelength λ = (0,630±0,03) μm and density of the irradiation energy 10±5 J/cm2 for their treatment. Five groups (according to n = 17 animals in each) were formed: 1 — control (spontaneous regeneration of the wound) and 4 — major groups. It was reliably determined that a higher rate of wound regeneration was observed in groups with the use of cellular biomaterial and PRE. It was revealed that the course of the healing processes of the experimental wound defects depended on the conditions (scheme) of the transplantation — both the number of MMSCs used and the multiplicity of their local administration. It was found that the local application of PRE and MMSC led to an acceleration of phase change in the wound process and to a significant reduction in the duration of epithelialization of wound defects.

A comparative analysis of the clinical effectiveness of the gastric shunting operations in patients with morbid obesity, depending on their type identified eating disorders. It was found that the highest efficiency of operations was observed in patients with type externality eating disorders worse outcomes in patients with restrictive and emotion-type. There is the expediency of developing methods and improving existing methods of bariatric surgery. The choice of method of surgical treatment of a patient with morbid obesity should be based on the definition of psychological TNPP patient.

Back pain is one of the urgent problems of modern medicine. The present study aims to conceptually new understanding of the pathogenetic mechanisms of pain with lumbar degenerative disk disease, viewed from the perspective of the whole organism of the disease. The results of the examination and treatment of 628 patients neurological department. For the first time the criteria of clinical and pathogenetic variants reflected vistsero-vertebral lumbar pain, depending on the predominant pathology that caused pain syndrome (vertebral, visceral, or combinations thereof). The findings suggest an important role of concomitant visceral pathology in the formation and manifestation of pain in the lumbar degenerative disk disease.

The article shows the value of the mare's milk according to its chemical composition. The article reflects the dynamics of specific IgE to cow's milk protein while receiving mare's milk in 25 patients with an allergy to cow's milk protein. Hypoallergenic properties are proven of mare's milk. Mare's milk can be considered hypoallergenic in patients with allergy to casein, β-lactoglobulin and BSA cow's milk.

Retrospective study of treatment 86 patients with small intestine lesions was performed. Systemic inflammatory response syndrome features lesion OIS type, complications rate, mortality was analyzed.

The article presents the results of a study of 152 patients by direct oximetry. Objective: to show the pattern of violations of the microcirculation of the skin of the anterior abdominal wall in acute pancreatitis, as well as to study the respiratory anterior abdominal wall skin activity in the dynamics of development of the disease. The findings suggest that the development of acute pancreatitis hypoxia leads to skin of the anterior abdominal wall. Pancreatic necrosis is greatly exacerbated microcirculatory disturbances in the skin of the anterior abdominal wall, than interstitial pancreatitis. Among the complications of acute pancreatitis is the most effect on the tissue respiration has pancreatic necrosis, and among related diseases - anemia.

The article dedicated to the study of the prevalence and structure of malocclusions in children and adolescents in Grodno and Grodno region. This study included 450 children and adolescents aged 7—15 years. As a result of the statistical processing the reliable statistics have been established which indicates a high prevalence of malocclusion in this region.

Аrticle heading: clinicodiagnostic comparison, the provision of medical assistance to patients with a Kimmerle’s anomaly, as well as provide its own data analysis of care for these patients in a 432 MMCMC. Emphasis is placed on the diagnostic possibilities of treatment tactics and to prevent possible complications, the decision of expert questions.

The structure of individual models of man’s consciousness with inherent to him spatio-temporal spheres, where a basic place is occupied by the real sphere which at psychical pathology is substituted by others or disappears wholly is described by authors. The variants of spatio-temporal consciousness models of healthy people and patients with psychical disorders are presented.

The aim. The determination of regularities of the microcirculation revealed by edemometry.
Method of edemometry tissue of the first interdigital interspace brush the studied parameters of the microcirculatory environment in 48 healthy individuals aged 20 to 65 years, 38 — with various diseases and nieznanowice vital organs, 45 — a variety of diseases, 11 — in terminal condition. Includes 10 experiments on dogs with the definition of the integral indicators of the liver, spleen, pancreas, greater omentum, rectus abdominis, lung and right atrium. 13 patients with acute cholecystitis and pancreatitis anemometry performed simultaneously in the first interdigital spaces of the brush, the ear lobe and axillary-brachial fold. Obtained in the study data are subjected to comprehensive analysis. In this study they are assessed in terms of identifying patterns of microcirculation and its changes in the age of 20 years and older.
Identified several patterns of activity of the microcirculation:
— Age-related changes,
— An inverse relationship, the maximum pressure decreases from the integral of the microcirculatory pressure,
— Structural build of the whole system,
— Microcirculatory synthesis of its components,
— Unity and continuity vascular, intercellular and tissue components of the environment,
— Genetic determination of the cellular elements,
— System response to disease and effects on the body.
The functional activity of the microcirculation is carried out in the framework of these laws and, thus, ensures the existence of the organism in the environment.

This article identifies the basic features of the epidemic process of HIV-infection in the Republic of Belarus. It also demonstrates a moderate efficacy of antiretroviral drugs, which are used for pre-exposure prevention of HIV-infection in high-risk groups.

This article analyzes the prevalence of viral hepatitis E in military communities. We describe the incidence of hepatitis E in the studied groups by region. Due to the prevalence of hepatitis E in the Republic of Belarus there is a need to review the antiepidemic measures in organized groups.

The article presents the materials about the need for preventive sanitary supervision for the development of medical and technical requirements for weapons and military equipment, military clothing and equipment, their design and creation (updating).

The article presents the results of experimental studies conducted in laboratory rats (n = 51) with models of clean wounds 2.5 cm in diameter. We used multipotent mesenchymal stem cells (MMSC) derived from adipose tissue (AT), and cultured rat skin fibroblasts (RSF). Three groups (according to n = 17 animals in each) were formed: 1 — control (spontaneous regeneration of the wound) and 2 — major groups. It was reliably determined that a higher rate of wound regeneration was observed in groups with the use of cellular biomaterial. It was revealed that the course of the healing processes of the experimental wound defects depended on the conditions of transplantation (used cellular biomaterials) and on the stage-by-stage application of cells. It was found that the local application of RSF and MMSC led to an acceleration of phase change in the wound process and to a significant reduction in the duration of epithelialization of wound defects.

The article presents the results of a comparative analysis of existing methods for the preparation of platelet concentrates. Details covered technology for obtaining platelet rich plasma, platelet rich fibrin matrix. Perspective directions of development methods for the preparation of platelet concentrate.

For correction of dentoalveolar anomalies and deformations in the formed bite conducts comprehensive orthodontic treatment, in which locally, in the field of movable teeth, weakens bone and increases its flexibility. Low-frequency ultrasound is effective for thet purpose. Morphological changes in the jaw bone of experimental animals after exposure to a continuous, pulsed and modulated ultrasound frequency of 60 kHz described in article. All applicable exposures causes a variety of morphological changes in the bone, the severity of which depended on the number of procedures carried out. The most pronounced changes were observed after the 15 impacts, and the most optimal for complex orthodontic treatment is up to 10 ultrasound impacts of frequency 60 kHz.

The differences in efficiency and performance characteristics of the turnstiles are largely determined by the variety of design solutions when they are created. Developed home a sample of the turnstile allows you to effectively block blood flow to the distal divisions of both the upper and lower extremities. The time required to tighten the tourniquet (the number of rotations of the knob), similar to the most common tourniquets foreign armies. The intensity of pain when applying the developed model turnstile is significantly lower than that of foreign analogue.

Pneumonia is one of the most common diseases of therapeutic profile, common among people of working age, requiring hospital treatment. The article highlights the approaches to differential diagnosis and treatment of community-acquired pneumonia of different etiology.

In this article represented tactics of patients with functional dyspepsia (FD) in the light of the main provisions of IV Rome Consensus and Kyoto global consensus in HP-associated gastritis. Conclusions, according to which the diagnosis and treatment process is quite costly, requires a broad knowledge of a related pathology and effort by doctor and by patient.

The article highlights the current understanding of the pathogenesis, classification, methods of treatment of chronic arterial insufficiency of the lower limbs; presents the most complex issues of treatment of such patients reflects the promising options for their solutions.

The analysis of use of caudal anesthesia as a component of anesthesiology ensuring the surgeries which are carried out at children is presented in the literary review. The historical information, data on indications, contraindications and technical features of realization of caudal anesthesia are submitted. An opportunity and prospects of the modern methods of neurovisualization when using caudal anesthesia is described.

The article provides an overview of the literature data on key aspects of the treatment of gouty arthritis. Paying attention to the objectives and characteristics of dietary treatment, medication and physical therapy of gouty arthritis. Shows the recommended medications and combinations thereof in the treatment of gouty arthritis, tophi indications for surgical treatment. The methods of intensive patient education, which includes a belief in the need to change their lifestyle, smoking cessation and alcohol; the pursuit of the ideal body weight and dieting; information on the nature of the clinical manifestations of acute gouty arthritis and consequences of uncontrolled hyperuricemia; about the purposes and characteristics of the treatment of gout; methods of rapid relief of acute gouty arthritis, the side effects of drug therapy. The main therapeutic errors in the treatment of acute gout period. The review includes studies to analyze the effectiveness of various drugs for the treatment of gouty arthritis, the doctor described the tactics under certain comorbid conditions. The necessity of a proper understanding of all the issues of treatment and selection of the most appropriate drug for the individual patient with gout.

The article presents the results of the study of the age and gender regularities of the changes of body mass and subcutaneous adipopexis in city school children aged 7–17 who were examined within 2010–2012. It has been found that the period of the maximum growth of body mass in boys is between the age of 14–15, and in girls — 11–12. There is a general tendency of negative dynamics of the subcutaneous fat thickness in boys and positive one in girls at puberty (11–15). School girls detect decreased fat thickness during the beginning of puberty (10–11) and its termination (14–15).

Own impressions of visit of native places of professor F. I. Pasternatsky are reflected in article. 

This article is a continuation of message number 1, placed in the journal «Military Medicine» № 1 dated January 2017 describes the events associated with the military confrontation between Russian and Turkish armies during the war of 1877—1878. The characteristic of the forces and means «Belarusian» formations and units 4 army corps and medical service from the Vilna and Warsaw military districts. It is shown that the activities of military medical service in the provision of medical assistance to the wounded and sick soldiers on the Danube theater. The main actors - the medical staff, managers and dressing stations.