In the review modern presentations of diagnostics and prognostication of acute coronal syndrome are summarized. Meaningfulness of each diagnostic test, sensible to the damage of myocardium and specific for fabric of myocardium, are estimated.

In the review current scientific literature on the status of the problem of chronic occlusion endovascular treatment of coronary arteries in multivessel coronary lesions is presented. The results of studies conducted in the past 15 years, including a systematic review and meta-analysis, are shown. The main indications of percutaneous coronary intervention in patients with chronic total occlusion and its effectiveness are described.

A prospective study in pregnant women of high risk is conducted. The hemodynamic parameters of uterine and fetal blood flow are included into algorithm of prenatal diagnosis, fetal echocardiography (2D and 3D) in comparison with the morphological indices of placenta and clinical pregnancy outcomes. It is shown that development of placental abnormalities, detected in functional (disorders of maternal, placental and fetal hemodynamics) and morphological studies (secundines), symptoms of cardio-placental insufficiency with indices decrease in ejection fraction, fractional-shortening, cardiac output etc., which can be identified in a study during pregnancy.

On the basis of own experience the authors proposed and implemented a clinical diagnostic algorithm for acute colon epiploic appendage, which allowed improving the results of the treatment in this group of patients. The effectiveness of conservative treatment reaches of 19.2 %. Laparoscopy remains the optimal method of diagnosis and treatment.

In the article the possibility of treating patients with acute arterial ischemia and acute arterial thrombosis in critical limb ischemia is considered. The need to use minimally invasive interventions is emphasized. The hybrid technology of rheolytic thrombectomy with the AngioJet thrombectomies complex, used in 11 patients, is proposed. High efficiency and safety of the method in treatment of acute arterial ischemia is shown. In comparison to the traditional thrombectomy the method allows to reduce duration of hospitalization by 3,2 days (p < 0.05).

In order to raise analgesia in intra-operative period and postoperative period of obstetric operations, we analyzed the influence of subhypnotic doses of ketamine. In the first group, we used epidural analgesia with opioids and intravenous injection with benzodiazepine. In the second group, we used ketamine 0,5 mg/kg/hour. The using of subhypnotic doses of ketamine allows us to do more qualitative anaesthesia with better tolerability and significantly lower incidence of side effects.

Echinococcosis is a parasitic disease. An early clinical diagnosis is a challenge in virtue of absence or poverty of clinical symptoms at incipience of a dyscrasia. Therefore at a new stage of echinococcosis surgery development a crucial importance belongs to ultrasound imaging diagnostic methods, computerized tomography and magnetic resonance imaging. An effective complex examination of patients with echinococcosis program lets optimize surgical treatment tactics.

The use of modern dressings on the background of insulin, adequate unloading of affected areas, supervision of a specialist in a large percentage of cases, determine the effect of healing of ulcerative lesions in patients. Reduction of package inputs in cabinet of diabetic foot is possible for account of medications eliminating with a low proven efficiency and early identification of risk factors for development of foot syndrome in patients with diabetes, with a further ranking of patients in this group to select ways of providing medical care.

In the article the results of central nervous system psychophysiologicalindicators research are presented, defining its current functional state taken from firemen as extreme profile professionals in KhMAO - Ugra.

The microbial flora in patients with papulo-pustular, indurative, abscess, acne conglobata forms of acne is evaluated. It is established that the formation of thee-particularly severe forms of acne (conglobata and acne abscessed) is accompanied by changes of microbial communities from a variety of aerobic associations microorganisms to associations of aerobic and anaerobic microorganisms with a high degree of lesions contamination.