[The expert questions in practice of rheumatologist].

The rheumatic diseases are a source of serious medical, psychological, social problems both for individual and society. This pathology is characterized by: wide prevalence, often early onset, continuously progressive course. All this is resulted in at first regular episodes of temporary disability and later to disability.

[The health control of employees in digitization conditions].

The article considers issues of health management of employees at workplace in conditions of globalization and digitalization of society, causing need to revise the labor relations. Under impact of global trends in field of digital technologies, transformation occurs concerning working environment and labor safety measures, contributing to development of new forms of interaction between employee and employer and employment models as well. The ongoing changes in society and global changes in labor market require to investigate new labor conditions, formation of system of knowledge about directions and perspectives for development of labor relations and human resources management.

[Vitamin B12 is a diagnostic marker of decreased men reproductive function].

Although the relationship between the amount of vitamin B12 and the quality of sperm exists, but results are controversial and require several additional research. The objective of our study was to analyse the amount of vitamin B12 in the sperm samples from patients with chronic prostatitis and varicocele with accompanying asthenozoospermia, and to identify the relationship between the amount of vitamin B12 and asthenozoospermia. The research was carried out of men with chronic prostatitis and varicocele with accompanying asthenozoospermia and infertility at the age of 27±2 years.

[The inhibitors of angiogenesis in therapy of diabetic macular edema: the modern experience and perspectives of application on the Russian Federation].

The article presents and analyzes functional results of intravitreal application of two angiogenesis inhibitors of Ranibizumab and Aflibercept in treatment of diabetic macular edema. The positive results were obtained after triple administration of preparation with monthly intervals.

[The morbidity of medical personnel of mobile teams of emergency medical care].

The medical personnel of mobile teams of emergency medical care are exposed to factors of working environment that affect health state and results in development of occupational diseases. The purpose of study is to analyze morbidity of medical personnel of mobile teams of emergency medical care according data of temporary disability and results of medical check-ups. The analysis was made according information from certificates of incapacity for work and the final acts of periodic medical examinations for five-year period.

[The characteristics of life-style of medical students].

Unlabelled: The article considers the results of study of characteristics of lifestyle and behavioral risk factors of students of the medical university.

Materials And Methods: The object of the study was students of medical university. The survey was implemented in remote mode using the Google Forms.

[The organization of pre-clinical studies of bactericidal and wound healing effects of the impulse photoherapy device "Zarya"].

The purpose of the study is to determine therapeutic effectiveness of the pulsed high intensity optical irradiation device "Zarya" exemplified by treatment of model wounds in laboratory animals and to compare with traditional methods of wound treatment. The prototype of "Zarya" device was used whose operating principle was based on pulsed irradiation of affected areas with high intensity optical radiation in continuous spectrum generated by pulsed xenon lamp. The therapeutic effect of the "Zarya" device was compared with effectiveness of the certified medical ultraviolet irradiator based on low-pressure mercury lamp and also with known wound-healing and antibacterial medication Levomekol ointment.

[The medical social problems and methods of diagnostic of cognitive disorders in patients taking "Spice"].

The article presents the results of pilot study implemented to determine cognitive disorders in patients taking "Spice". The purpose of research is to identify targets of psychological correction interventions to prevent cognitive deficiency in patients addicted to synthetic cannabinoids. The pilot sampling consisted of 30 patients taking "Spice".

[The psycho-physiological aspects of morbidity of cadets of military educational institutions].

The purpose of the study is to determine and to estimate the psycho-physiological factors affecting morbidity of cadets of military educational institutions. The study was carried put using sampling of 79 male cadets of the Academy of the Federal Penal Service of Russia. The cluster analysis was applied to indices of morbidity and psychological characteristics of cadets.

[The modification of predictors of course of acute period of craniocerebral trauma under implementation of stream model of medical care support].

The specificity of course of acute period of craniocerebral injury and organization of medical care support are the factors determining outcomes for this category of patients. The purpose of the study is to investigate changes in predictors of course of acute period course of craniocerebral injury under implementation of stream model of medical care organization. The sampling included 150 patients with moderate and severe craniocerebral injury based on data obtained in 2013 and 2019, respectively.

[The mental reactions of psychiatrists and narcologists against the background of COVID-19 pandemic].

The article considers various mental reactions of psychiatrists and narcologists against the background of the SARS-CoV-2 pandemic, based on a brief scientific analysis of publications and experimental psychological research methods. The purpose of study was to identify impact of the COVID-19 pandemic on mental health of psychiatrists and psychiatrists-narcologists. The results of survey of psychiatrists and narcologists are presented.

[Carnitine chloride reduces the severity of experimental hyperhomocysteinemia and promotes lactate utilization by mitochondrial fraction of the rat epididymis].

Hyperhomocysteinemia is a risk factor for many diseases, including reproductive disorders in men. L-carnitine is used in medical practice to correct impaired bioenergetic conditions; in patients with idiopathic forms of infertility its effects are associated with improvement of the sperm parameters. However, the effect of exogenous L-carnitine on the level of homocysteine in the gonadal tissues, as a risk factor for impaired fertility, has not been investigated yet.

[The experience of SERVQUAL technique application in measuring satisfaction of patients with medical services quality].

The implementation of system of quality control conforming to requirements of interstate ISO 9001 standards in in the medical organization, the important role is assigned to indicator of satisfaction of patients with quality of medical care as a feedback channel. The study purpose was to investigate satisfaction of patients with quality of medical services in medical organization rendering hospital medical care on the basis of SERVQUAL technique. The analysis of results of survey of 339 patients treated in the twenty-four-hour department of municipal hospital demonstrated rather high rating of perception of quality of rendered medical services that made up to 4.

[The short-term prognostication of characteristics of course and optimization of tactics of medical care support of patients with epilepsy].

In clinical practice the identification of the dynamics of course of focal epilepsies on the basis of available clinical and neurophysiological indices (prognostication) is of great importance. The purpose of the study is the short-term prognostication of the course of focal frontal and temporal epilepsy. The materials and methods.

[The analysis of failures of intra-familial relationships in families with children suffering of diabetes mellitus].

The article presents the results of study of in-family (child-parents) relationships in families with children suffering with diagnosed diabetes mellitus type I. The purpose of study is to investigate the disorders of family relationships in families of such kind. The established disorders allow to develop psychotherapeutic measures both for children and their parents.

[The medical social importance of functional disorders under chronic obstructive disease of lungs].

The chronic obstructive disease of lungs is considered as important problem of modern public health system. The disease is increasingly keenly reflected in agenda of our society, economic and social sphere of the state. The steadily progressing course of disease, disability and increasing economic costs assigns task of finding and improving diagnostic methods in real clinical practice.

[The awareness of patients with chronic dermatitis about rendering medical services and rights at their acceptance].

The information about disease, its cause, prognosis, methods of diagnostics, treatment and prevention is always very important for patient and relatives. The article presents the results of questionnaire survey of 412 patients with chronic dermatitis residing in Moscow. The purpose of study was to evaluate awareness of patients with chronic dermatitis and residing in the capital of Russia about medical services provided and their rights to receive them.

[The associations of indices of echocardiography with polymorphism of genes of angiotensinogen and angiotensin receptor type I in examined patients with chronic rheumatic heart disease].

The purpose of study is to evaluate associations of polymorphism of genes encoding components of renin-angiotensin system and indices of echocardiography in examined patients with rheumatic heart disease (RHD). The sampling consisted of 128 patients with RHD and average age 58,96±0,34 years. The echocardiography was implemented using Philips Affinity 50 machine.

[The role of ADRB1 genes polymorphism in examined patients with chronic rheumatic heart disease].

The study purpose is to evaluate effect of ADRB1 gene polymorphism on echocardiography indices and endothelial function in patients with chronic rheumatic heart disease. The sampling consisted of 128 patients with chronic rheumatic heart disease. The echocardiography was performed on Philips Affinity 50 device and evaluation of endothelial function was implemented on "AngioScan01" device.

[The Stomatological Morbidity and Primary Stomatological Care to Population].

The article presents dynamics of volumes and costs of primary stomatological care of population considering structure of stomatological morbidity in 2012-2016. The establishment of trends of development of stomatological morbidity, dynamics of population appealability for primary stomatological care is needed for supporting accessibility of medical care and rational distribution of resources including financial ones within the framework of territorial program of mandatory medical insurance.

[The Dynamics of Primary Disability and Establishment of Losses of Healthy Life-Span of Able-Bodied Population of the Ryazan Oblast].

The problem of disability being a cause of decreasing of healthy life-span is actual especially nowadays when during last decade rate of increasing of primary disability of able-bodied population significantly advances mortality harming economics. The article considers dynamics of primary disability of population of the Ryazan oblast. The analysis of losses of healthy life-span of able-bodied population of the region caused by disability is implemented.

[Normative values for peripheral electrical gastroenterocolonography].

Aim: To elaborate the normative values of peripheral electrical gastroenterocolonography (EGECG).

Subjects And Methods: Fifty apparently healthy young people (14 women and 36 men; mean age 20.2 ± 4.