The article includes results of the observational study of level civil-legal consciousness of students studying at medical university and taking part in the training program for medical service officers of reserve. In the beginning of training at the military department initial parameters of civil-legal consciousness of students were estimated such as household, business and civil-legal consciousness including level of legal knowledge.

A sociological survey conducted in three military clinical medical centers of the Armed Forces of the Republic of Belarus was attended by 455 patients. Despite the presence of a factor of subjectivity, there are objective reasons that affect the decrease in the quality of medical care. The results of the study can be used both to comprehensively assess the quality of care provided and to justify measures to improve it.

The article examines the issues of medical observation of patients with varicocele. A list of the main medical and diagnostic measures aimed at improving the effectiveness of medical examinations has been studied. An algorithm for diagnosing varicocele for a military doctor has been developed. The main postoperative complications of varicocele and methods of their treatment and prevention are shown.

Diabetic foot syndrome is one of the most common complications of diabetes mellitus, often leading to severe consequences due to neurological disorders and a decrease in main blood flow due to atherosclerosis in the arteries of the lower extremities. The severity of these complications and the difficulty of their treatment make it necessary to carry out the earliest possible and accurate diagnosis of emerging pathological processes. It is noted that the main role in the diagnostic process belongs to instrumental methods.

The technologies for applying each of the methods are briefly presented, their advantages and disadvantages are outlined. Timely application in practice of available diagnostic methods can help reduce the number of high amputations, reduce the volume of resected foot fragments.

This article included important practical classifications, which have been analyzed from point of view expertise. Our team explain how use specific classification of diseases in controversial situations, how to determine definitive diagnosis. We offered changes in expert military laws of health assessment.

The article discusses methods for determining the protective properties of armored clothing, as well as standards for assessing local concussion injury in the interaction of the striking element with a bulletproof vest.

The problem of wound management infected and chronic wounds is still relevant in modern surgery. The number of nosocomial multidrug-resistant strains of bacteria is increasing, which reduces the significance of antibiotic therapy. One of the options for solving this problem is the development of new agents and methods of local treatment, in particular, in the creation of new highly effective wound dressings with antibacterial and reparative properties. Chitosan is a natural biopolymer that has its own antimicrobial activity, hemostatic and sorption effects, the ability to biodegrade and biostimulate repair processes. Due to the amino groups, chitosan can act as a carrier for antiseptic agents such as silver and cerium ions. The article presents the results of an experimental study that evaluated the antibacterial properties of chitosan nanofibers directly modified with silver and cerium ions against standard and hospital strains of microorganisms. The results obtained indicate a high antimicrobial activity of the studied samples and the need for their further study on the model of the wound process.

Aim of the study. To study clinical and radiological features of hammertoe deformity of the middle toes, accompanied by overload (primary) metatarsalgia.
The results of clinical and radiological examination of hammertoe deformity of 227 toes on 127 feet in 103 patients (96 women and 7 men) aged 31 to 79 years were studied. During clinical examination, the degree of transverse flatfoot and the variant of the 2nd, the 3rd, and the 4th hammertoe deformity were determined, the passive range of motion in the metatarsophalangeal (MTP) joints was measured, the Visual Analogue Scale (VAS) for pain and the American Orthopаedic Foot and Ankle Society Lesser Toe Scale (AOFAS-II-V) were used. X-ray evaluation determined the angular parameters of the forefoot and evaluated the ratio of the lengths of the metatarsals. The analysis showed that the deformity of the 2nd toe was noted in 54.62% of cases, the 3rd – in 32.16%, and the 4th – in 13.22% of cases. At the same time, the extensor variant of hammertoe deformity was observed in 29.9% of cases, the flexion variant – in 31.5%, and the extensor-flexion variant – in 38.6% of cases. X-ray showed a significant increase in the median values of the valgus angles of the 1st, the 2nd, the 3rd, and the 4th toes, as well as a significant excess of the length of the 2nd metatarsal over the 1st one. The median value of VAS reached 6 [6; 7] points, and the median AOFAS-II-V was only 35 [30; 47] points, while the state of the feet in 80.31% of cases was assessed as unsatisfactory. Thus, the deformity of the middle toes, complicated by overload metatarsalgia, is characterized by the prevalence of the most severe extensor-flexion variant of the hammertoe deformity, accompanied by an excessive length of the 2nd and the 3rd metatarsals, which leads to widespread corns on the sole and severe pain in the forefoot.

In some cases, in the depressive symptoms of schizophrenia, the phenomenon of mental pain or «vital melancholy» is traced, which often has an obsessive nature and proceeds with suicidal intentions. The low effect of existing methods of therapy of this condition with the help of psychopharmacotherapy is noted. In this study, the authors attempted to additionally influence this symptom complex using binaural stimulation of the brain, along with psychopharmacotherapy. The authors used The Psychache Scale to assess mental pain and measure it numerically, and the PANSS scale to diagnose the clinical symptoms of schizophrenia. In the main group of patients receiving binaural brain stimulation, it was possible to achieve better treatment results for a number of symptoms related to the negative cluster, the cluster of general symptoms and one more additional symptom: emotional lability than in the control group that did not receive this specific additional treatment. The use of binaural brain stimulation in combination with drug therapy has significantly reduced the severity of mental pain in patients with schizophrenia.

The aim is to evaluate the efficacy of the developed method of resection of the metatarsophalangeal joints (MPJ) in the surgical treatment of forefoot deformity in patients with rheumatoid arthritis (RA). The results of surgical treatment of the forefoot deformities in 34 patients with RA were studied. The operation was performed on both feet in 25 patients. A total of 59 feet were operated on. Resection of the heads of the II-V metatarsals using the traditional method was performed in group 1 (n = 28 feet) (the comparison group). In group 2 (n = 31 feet), resection of the heads of the II-V metatarsals was performed according to the method developed by us (the study group). The American Orthopedic Foot and Ankle Society Lesser Toe Scale (AOFAS-II-V) and the Visual Analog Scale (VAS) were used for clinical evaluation. Our own developed method of treatment (group 2) allowed to achieve better clinical and functional results according to the AOFAS-II-V scale and a more pronounced decrease in pain syndrome according to the VAS scale compared to group 1 where the traditional method was used.

The main technological possibilities of using Functional spectral-dynamic diagnostics (FSD diagnostics) for diagnostic support of tasks of the military medical service are considered. The main technological characteristics of FSD diagnostics are given.

The article considers the peculiarities of the use of different classes of antihypertensive medications in patients with diabetes mellitus, presents the results of studies of the influence of the main classes of blood pressure medications on the risk of SARS-Cov-2 infection and the severity of the course of COVID-19. Particular attention is paid to the stratification and correction of cardiovascular risk in diabetics, the safety of statins in patients with COVID-19 and the role of fixed combinations, including polypill, in increasing adherence to treatment to reduce cardiovascular risk during a pandemic.

Adequate informing of women about the possibilities of hormonal contraception, knowledge of military doctors about advantages and disadvantages of different types of hormonal contraception will make it possible to choose a contraceptive method based on individual characteristics of the female organism and characteristics of her profession.

Acute pancreatitis is one of the most life-threatening urgent surgical diseases. Endogenous intoxication is the main pathogenetic factor causing multiple organ failure in severe acute pancreatitis, which attaches particular importance to the search for new methods of its correction. The presented analysis of the literature data indicates that the development of effective methods of cell transplantation is currently in the focus of experimental research. The use of mesenchymal stromal cells in inflammatory processes is a new direction of regenerative medicine. Therapy of acute pancreatitis, based on the use of mesenchymal stromal cells of various origins, shows a convincing anti-inflammatory and anti-apoptotic effect in the experiment.

Chronic venous insufficiency of the lower extremities is currently one of the most common pathologies of the human vascular system and represents an important socio-economic problem for developed countries both due to its high prevalence and due to the costs of diagnosis and treatment. In highly developed countries, 15–40% of the adult population suffer from chronic venous insufficiency, and decompensated forms with pronounced trophic skin disorders are detected in 15–18% of the population. Taking into account the high prevalence of chronic venous insufficiency among the population and a large number of people with decompensated forms of venous insufficiency, the treatment of such patients creates certain difficulties for the healthcare system and remains an unsolved problem both medical and socio-economic. In this work, we analyzed the approaches to the treatment of trophic disorders in venous insufficiency of the lower extremities that currently exist.

The article is dedicated to the outstanding scientist-epidemiologist, doctor of medical sciences, professor, academician, major general of the medical service Vitaly Dmitrievich Belyakov. The role of the scientist in the formation and development of the theory of self-regulation of the epidemic process, which describes the mechanisms of formation, manifestations of the epidemic process and represents the theoretical basis of epidemiology, is analyzed. The theory of self-regulation is a scientific discovery and a new concept of epidemiology about the internal mechanisms of the development of the epidemic process, allows us to rationally explain the temporal and territorial patterns in the spread of infectious diseases in the human population. The article presents the main results of V. D. Belyakov‘s scientific heritage, which have theoretical and practical significance for epidemiological science.