The most exact prediction of possible size and structure of sanitary losses is the base for planning medical providing forthcoming fighting. The calculation of the size of sanitary losses in dependence on quantity of alleged general losses considers the influence of the main conditions of the troops’ fighting activity, in which they occur and by means of which they are determined. The use of radiation evaluation line allows to determine the size of alleged general losses of motorized rifle divisions and the size of alleged sanitary losses as well, their structure depending on the severity of wounds.

Atrial fibrillation (AF) in the practice of the therapist began to occur more often. Changed approaches to managing patients with AF. Triggers of the development of AF are inflammation and fibrosis in the myocardium, which are caused by the activation of RAAS and the transforming growth factor (TGF-β). In the arsenal of the doctor for treatment for AF there are new opportunities – it is radiofrequency ablation (RFA). Guidelines of the management of a patient with AF (ESC 2016) on the clearly defines the sequence of the doctor's actions in the treatment of a patient with AF.

Studies are devoted to the clinical and biological phenomenology of acute drug-induced extrapyramidal disorders in schizophrenia. The article presents the results of studies of the association of clinical symptoms of schizophrenia with acute parkinsonism and akathisia, which resulted from the administration of standardized antipsychotic therapy to patients. It has been found that drug-induced akathisia is more reliably associated with such common psychopathological symptoms as anxiety, depression, affective lability, impaired control impairment, and active social exclusion. Drug-induced Parkinsonism revealed a relationship with negative symptoms, as well as motor retardation and violent impairment.

Based on the clinic interview and test inspection it is established that the patients operated concerning a cloelithiasis suffer from affective disturbances with rising of situational, personal anxiety and a depression. In 6 months after surgical treatment the persons receiving an additional correction of the arising affective disturbances in comparison with the patients receiving the traditional volume of rehabilitational actions, had a level of situational anxiety and level of personal anxiety, authentically below. Depression level at them didn't differ. Level of situational anxiety level of personal anxiety and level of a depression in these terms didn't differ authentically from indicators at healthy people unlike the persons receiving only traditional treatment. Besides, in six months after operation these patients showed improvement of subjective indicators of somatic convalescence and psychological recovery that confirmed the best way of rehabilitational processes and the favorable forecast.

Variant anatomy of the extraorganic arteries of the adult kidney, that should be taken into account in kidney transplantiation, was established. The variants of the structure of the renal arteries, which are considered to be a risk factor for posttransplantation complications, were identified.

The article presents an analysis of the effectiveness of revascularization in patients with chronic ischemia of the lower limbs based on the angiosomal concept of revascularization. The analysis was carried out based on the results of treatment of 106 patients in the Department of Purulent Surgery and Vascular Surgery of the UZ «4-th City Clinical Hospital N. E. Savchenko» with chronic arterial insufficiency 2B-4-th by Pokrovsky-Fontaine from 2013 to 2015. As a result of the study, the advantage of angiosomal or targeted revascularization before nontarget revascularization was established. The angiosomal concept of revascularization and its evaluation is applicable at this stage of the study so far only with chronic arterial insufficiency 4-th grade.

In the article results of application of properly developed methods of correction of a condition of patients with a heavy outcome of a schizophrenia are resulted. Calculations of the effectiveness of the methods were carried out in the G*Power program by calculating the achieved and predicted power for fixed values of the error of the first kind α = 0.05, the number of the investigated and empirically detected size of the effect Δ. Calculations of power method neurocognitive rehabilitation schizophrenia patients method forecast extrapyramidal disorders (EPR) in the treatment of schizophrenia medicines haloperidol (Haloperidol) and fluphenazine (Fluphenazine) on the results of genotyping of polymorphic loci CYP2D6*4 cytochrome P-450, method correction mode dispensing medicaments means from the group of antipsychotics in the therapy of paranoid schizophrenia by testing the type of metabolism and the way of predicting the response to therapy when prescribing (drugs) from the group of antipsychotics in patients with schizophrenia.

The purpose of this study is to determine the influence of emotional arousal of various modalities (anger, fear, sadness, joy) on the functional indices of the cardiovascular system at different degrees of cardiovascular pathology. 105 patients with high and low total cardiovascular risk were examined, at which the values of these indices were recorded at the peak of emotional excitement. It was found that in a state of emotional excitement in patients with a high cardiovascular risk such indices as systolic blood pressure, pulse pressure were significantly elevated and heart rate, a double product were significantly lowered versus the patients with a low cardiovascular risk and a shift of the Kerdo index to the parasympathetic zone was noted. Modality of emotions, on the whole, has little effect on the functional parameters of the cardiovascular system.

Cardiavascular diseases are the number 1 cause of death worldwide. Number of patients, suffering from congestive heart failure are constantly increasing. One of the most dangerous complication of congestive heart failure is cardiogenic pulmonary edema.
Objective: To identify effectiveness of mechanical lung ventilation in cardiogenic pulmonary edema (CPE) patients.
Methods: It was a retrospective study of 87 CPE cases treated with mechanical lung ventilation. Severity of CHF and associated pathologies were stratified. Weaning this patients from mechanical ventilation were studied.
Findings: In group of survived patients severity of CHF and associated pathologies were less expressed. In group of successful weaning from mechanical lung ventilation all criteria of weaning where followed much accurately.
Conclusion: Mechanical lung ventilation allows to cure cardiogenic pulmonary edema. Weaning from mechanical lung ventilation without following the criteria rules to repeated ventilation and increasing mortality.

The authors presented the treatment experience of 39 patients with the fractures dorsal fragment of the base distal phalanges of the Hand. In 3 cases were performed conservative treatment, in 36 – surgical (in this cases 33 patients had closed avulsion fractures). The best results were found in operative methodics.

The results of the authors spatial-temporal analysis of affective disorders showed that the essence of the latter lies in the excessive increase and decrease of the individual spatial-temporal asymmetries degree during a single episode, resulting in fall of sleep-wake stable phases of wakefulness and sleep, and hypertrophia of the linking – of wakefulness and sleep phases. The individual patients time becomes unidirectional to forward and up at mania or to backward and downward in depression, which leads to violations of individual spatio-temporal models exaggeration or minimization of the patients consciousness spheres.

The aim of the study was to assess the state of adaptation possibilities of the students in the learning process in the higher military educational institution in terms of the cardio vascular system. For this purpose anthropometric, oscillometric, calculated, physiometric and statistical research methods were used in data processing. As a result, it was found that the majority of cadets had satisfactory levels of adaptation according to the most of studied indicators. However, while the continuating of study at the university, there is a tendency to decrease the relative number of these individuals, which requires the intensification of the purposeful work of the medical service in this direction.

In experiments were studied morphology of testes on 60 adult white mongrel male rats after a single external γ-irradiation at a dose 1.0 Gy, in different time periods (Days 3–10–90). The morphological investigations revealed elements of destruction in tubule apparatus of the testis (in 3–10 days after irradiation) and the signs of the following recovery of their structure (Day 90). It is concluded that the signs of structure and function recovery of therat testes were registered only in 3 months after a single external γ-irradiation. The signs of testis stromal oedema disappeared, and radiation damaged spermatogenic epithelium partially recovered.

The performed analysis of the disturbances of vibration-tactile sensitivity in workers of various professions, with the purpose of determining the capabilities of the AVS-01 analyzer of vibration sensitivity. In the past, 86 people participated, whose average age was 46.35 ± 1.87 years. The registration of the thresholds of vibration sensitivity was carried out according to the procedure. The obtained data testified that the device can be used for carrying out a donorological diagnosis of changes in the peripheral nervous system as a polyneuropathy.

The aim: Synthesis and analysis of digital data edemometry obtained in the study of the microcirculatory environment in normal and in various diseases.
Material and methods: The analysis of 189 edemometrograms. 48 studies done in healthy people of different ages. 14 surveyed edemometry performed before and after a meal. In 28 people before and after physical load on the wrist. Edemometry performed in 34 patients with acute calculous cholecystitis and 29 patients with acute pancreatitis, 15 with the defeat of the brain, heart, lungs, liver and kidneys. In 21 patients edemometry performed with the defeat of the other organs of the abdominal and thoracic cavity and purulent and functional diseases.
Results. Identified five types of reactions of microcirculation in various diseases. A method of digital assessment of these types of reactions. The developed scheme of a digital evaluation of edemometry.

Rifampicin-resistant tuberculosis/multidrug-resistant tuberculosis (RR-TB/MDR-TB) is a serious health care problem in the Republic of Belarus. The use of new molecular genetic and bacteriological technologies is necessary for timely diagnostics and treatment of patients with RR-TB/MDR-TB, and will improve the effectiveness of these patients treatment.

The aims of the study were development and clinical approbation of the method of local catheter thrombolysis in patients with deep vein thrombosis. The immediate and long-term results of the use of the new endovascular technology in nine patients with iliofemoral deep vein thrombosis were studied. Comparative analysis of treatment outcomes with a group of patients who received monotherapy with vitamin K antagonists confirmed the safety and efficacy of catheter thrombolysis in regard to hemorrhagic complications, the incidence of post-thrombotic disease and the degree of its severity.

Infections after osteosynthesis are difficult to manage and impair fracture healing. While relatively rare fractures become infected after surgical treatment, it is often challenging to obtain a rapid diagnosis. Optimal management strategies should be complex and highly customized. At present, there is no high level of relevant evidence; most literature data are based on laboratory and nonrandomized clinical studies. This article presents the overview of recent literature concerning pathogenesis, diagnosis and classification of infections after osteosynthesis.

The article presents an overview of literature sources on the very urgent problem of osseointegration of dental implants. The authors analyzed the state of the problem to date, presented data, methods and results of various studies on the subject matter. Various research directions, such as choice of implant material, application of physical factors of osteogenesis stimulation, application of medicines and combined effects by physico-pharmacological methods are highlighted.

The article presents a literature review of existing available sources containing data on the characteristics of children and parents´ relationship and its influence on alcohol addiction development in teenagers. «PubMed», «TheCochraneLibrary», «Medline», «ResearchGate», «PsycInfo» electronic databases starting from Year 1986 were analyzed. The review describes and analyses children and parents´ relationship and its influence on the addictive behaviour development. It describes theoretical approaches to the understanding of the children and parents´ relationship phenomenon and its influence on the development of a child. Factors influencing the development of a child’s personality, his psychological characteristics and his development dynamics are presented. The article also describes family relationship styles and family types. The article highlights the importance of a comprehensive approach to studying alcohol addiction. In particular, the influence of children and parents´ relationship, its analysis, finding out disharmonic relationships and the subsequent correction as part of treatment and preventive treatment measures.

The introduction of information technologies into the practical activities of medical and preventive institutions is one of the priority directions of health system reform at the present stage. At the same time, the use of innovation is impossible without a deep, detailed study of all aspects of this process. The article presents a literary review of the development of information technologies in medicine from the «pre-electric» period to our days, achievements at the present stage, both in the world and in our country. According to many authors, the introduction of telecommunication technologies in the organization of primary medical care will increase the availability and quality of medical care, especially remote regions with low levels of medical personnel, and reduce the cost of the population to receive medical care.

Nowadays nonalcoholic fatty liver disease is one of the most widespread diseases in hepatology, leading to life deterioration, invalidization and death rates that first of all is caused by high risk of progressing with development of hepatic insufficiency and hepatocellular carcinoma. The aim of the present review is the analysis of the literature information specifying in features of pathogenetic mechanisms of nonalcoholic fatty liver disease, diagnostik and patients managment.

Presents the data on the properties of blood research in connection with practical needs of health care and forensic expert investigations. It is showed the importance of blood as the biological material in the maintenance of human vitality and assess its «footprints» in the practice of forensic medical examination in connection with criminal events. Diapazon of styding the blood properties and blood traces on the site of the alleged crimes is constantly expanding, becoming more scientific, which has leg to the use of gets results in the part of the evidence base. The above material is supported by practic examples, that makes the presentation interesting. The article has a specific scientific and practical importance.

The big range of modern functional methods of researches of cardiovascular system available to most the treatmentand-prophylactic organizations of health care is given today in article. Special attention is paid on indications and contraindications to their carrying out. The listed methods of functional diagnostics at their purposeful use and the correct interpretation of results of a research provide to the practical doctor rather large volume of the valuable diagnostic information including which does not have equivalents in clinical displays of a disease that allows the doctor to estimate objectively extent of violations of concrete function at a preclinical stage of a disease to estimate adequacy to the carriedout therapy, rehabilitations. At healthy faces to estimate functional reserves of an organism, first of all the blood circulatory systems, for the purpose of the forecast and control of individual adaptation of the person to extreme conditions of the habitat, to sports loadings, at professional selection and medical observation of divers, pilots, etc.

The article highlights the issues of the etiology and pathogenesis of obesity, focuses attention on diseases associated with obesity in terms of the latest international clinical recommendations. Detailed medical recommendations on the use of the drug liraglutide for weight reduction are given. Its use in obese patients in combination with lifestyle modification allows not only to effectively reduce body weight, but also to prevent comorbidities and improve their course, reduce the risk of cardiovascular diseases and their complications, which significantly improves the quality of life of patients.

The article presents modern views about autophagy.
It is possible, by stimulating autophagy, to increase the duration and quality of human life.

Echinococcosis of the liver is a widespread parasitic disease, which in endemic regions does not tend to decrease. A high incidence of complications, reaching up to 57%, relapses of the disease, are accompanied by repeated reoperations, leave the problem actual at the present time. The main goal is to improve the results of treatment of patients with echinococcal cysts of the liver. The article presents the results of surgical treatment of two patients who underwent anatomical segmental liver resection for echinococcosis using the technique of total vascular isolation. The application of the total vascular isolation method allows to significantly reduce intraoperative blood loss, and also makes it possible to avoid extensive resections with echinococcal cysts of the liver.

Among the patients suffering from exogenous allergic alveolitis there was no fibrosis in the lungs. These patients recovered. In cases of idiopathic fibrosing alveolitis, patients died.

Introduction. Mirizzi syndrome is a rare complication of cholelithiasis, the general lethality at which reaches up to 11–14%.
Goal. Analysis of the results of treatment of patients with Mirzizi's syndrome.
Materials and methods. In 2016, from 475 operations performed on the biliary tract, Mirizi's syndrome was diagnosed in 2 cases, which were retrospectively analyzed.
Results and discussion. Mirizzi's syndrome in patients with cholelithiasis was diagnosed with ultrasound and MRI. The diagnosis was confirmed during laparoscopy in both cases, followed by a conversion and Roux-en-Y hepaticojejunostomy.
Conclusions. 1. Visualization of the «wrinkled gallbladder» with an enlarged proximal part of the d. hepaticocholedohus allows one to suspect Mirzzy syndrome when performing an ultrasound, magnetic resonance imaging helps to clarify the diagnosis before surgery. If necessary, perform magnetic resonance cholangiopancreatography, retrograde cholangiopancreatography, cholangioscopy, intraoperative cholangiography.
2. Roux-en-Y hepaticojejunostomy is one of the acceptable operations that allow to achieve a favorable result in the surgical treatment of Mirizzi syndrome.
3. Timely diagnosis of Mirizzi's syndrome can prevent intraoperative iatrogenic lesions of the bile ducts.

The article highlights main stages in the development of organizational forms of medical support of partisan movement and results of the medical service of partisan formations during the Great Patriotic War of 1941–1945.