[Colon injury during percutaneous nephrolithotomy (clinical case, literature review)].

Urolithiasis occupies one of the leading places in terms of the frequency of requests for urgent urological care and emergency hospitalization in specialized departments. Percutaneous surgery for urolithiasis, like any of the surgical methods, is associated with a number of specific and non-specific complications. Of course, the frequency of occurrence is dominated by hemorrhagic and inflammatory complications.

[Possibilities of using Mexidol in the complex therapy of mental disorders].

A review of the current literature on the possible use of mexidol (ethylmethylhydroxypyridine succinate) in the treatment of mental (including addictive) disorders is conducted. The possibility of its use to reduce negative psychopathological symptoms, neurocognitive deficit, manifestations of the antipsychotic syndrome (including its extrapyramidal disorders) in antipsychotic treatment of patients with schizophrenia spectrum disorders and insomnia disorders in the complex therapy of borderline mental disorders has been shown. The potential of mexidol in the treatment of addictive pathology, as well as the effects of intoxication caused by alcohol and other psychoactive (including narcotic) substances, deserves special attention.

[Principal indications and contraindications of the use of extracorporeal hemocorrection in psychiatry].

Analysis of different aspects of application of extracorporeal hemocorrection (EH) in psychiatric practice allows to make a conclusion about the necessity of a differential approach to the use of isolated and combined procedures. The latter were assessed by the results of combined treatment of 226 patients. Indications and contra-indications for EH use in psychiatric practice are outlined.

[Extracorporeal blood correction in the therapy of drug-resistant mental disorders].

544 patients resistant to pharmacotherapy were treated by different methods of extracorporal hemocorrection (EH). Positive changes in mental state were achieved in more than half of the patients by means of EH without any psychopharmacologic drugs. These changes were caused by antipsychotic and antidepressive effects of EH as well as by its ability to normalize biochemical, immunological and rheological blood indices

[The tasks in maintaining and strengthening the mental health of servicemen].

The state of medical psychiatric service and the outlook for its improvement in Armed Forces of Russian Federation have been analyzed. In peace time it is reasonable to organize medical psychological and psychiatric care to military men with border disorders, to psychosomatic patients and also to really healthy men, who are in critical situation, to elaborate a new organized structure of staff, providing psychoprophylactic care. During war conflicts it is important to foresee in forward zone the corrective activities and treatment of patients with psychological stress reactions and addict disorders, to provide the wounded with psychiatric correction and care.

[The mental health of surgical patients with combat wounds].

Under analysis were results of examination of 119 servicemen who had got wounds of different degree during military operations. The authors come to a conclusion that mental disorders are a component in semiology of traumatic disease in the wounded. Clinical manifestations were found to correlate with the view of the injuring factor, localization, degree of the injuries combination as well as with specific personal reactions to stress.

[The prevention of borderline psychoneurotic disorders in servicemen].

The border psychic disorders are the main cause of the personnel discharge. Its frequency for many years remains on the high level and has no tendency towards decrease. To solve the problem of maintaining psychic health of servicemen is possible by psychiatric care reorganization with participation of social and military psychologists, specialists in professional selection, psychotherapy, etc.

[The addictive behavior of servicemen under combat conditions].

On the basis of the analysis of literature the authors make a correction in the significance of terms "addiction" and "addictive behaviour", making from them a single notion "additive disorders". The article analyses the problem of addictive disorders which occupied an important place among psychiatric casualties in the 40th Army during the war in Afghanistan. The comparison of this experience with the experience of the US Army in Korea and Vietnam gave the possibility to come to a conclusion that addictive disorders were an important medico-social problem for modern local wars.

[The organizational characteristics of psychiatric care in modern local wars and armed conflicts].

In order to improve the organization of psychiatric care in modern local wars and armed conflicts the authors propose to follow a number of basic principles: to bring psychiatric care closer to the forward combat zone; to realize prognostic triage throughout casualty staging; to assure in maximum the return of minimally wounded and sick to their ranks directly from the forward zone; to unify the approaches to diagnosis, treatment and rating evaluation of psychic disorders; to observe the sequence and succession in psychiatric care; to realize recovery measures throughout all stages.

[Experience in teaching emergency care at the otorhinolaryngological faculty of the continuing medical training].

In order to improve the expertise and special skills of ENT doctors dealing with urgent cases, the curriculum of advanced medical training courses (the city of Donetsk) has been modified to include several stages: evaluation of the qualification of students; lectures, seminars, practical lessons. This helps ENT doctors to be better prepared when coping with urgent cases, which in turn leads to lower lethality rate and more successful rehabilitation of patients.