№3, 2016, volume 12

Aim: analysis of different dermatoscopic patterns of lichen planus and psoriasis. Material and methods. We observed 80 patients: 40 with psoriasis, 40 — with lichen planus. Dermatoscopic study was conducted using video-dermatoscope of expert class "MoleMaxHD" (Derma Medical Systems company, Austria), under magnification from хЗО to x80. Results. Comparing the dermotoscopic findings of psoriatic plaque and lichen planus, vascular features were found to be more significant in psoriasis and in lichen planus non-vascular features were more prominant. Conclusion. Dermoscopy can be successfully used in differential diagnosis of these dermatoses.

This article reviews the histological studies written by Professor P. S. Grigoriev in his scientific papers, about the rare skin disease, several clinical forms of acquired syphilis and experimental syphilis, performed at the Department of Skin and Venereal Diseases of Saratov University.

The article presents the biographical data of Doctor of Medicine, A. P. Minch. It describes his scientific and practical contribution to the development of medicine in Russia, to the public health organization in Saratov and to the training of medical specialists at Saratov Medical Institute.

Phases in the system of development of medical practices in Russia have allocated. The historical overview of the formation and development of traditional medicine has been presented in the article. The characteristic features that form the concept of the development of primary health care have been listed. The analysis of experience of traditional medical school has become necessary for improving organization of public medicine in Russia.

Priority tasks concerning the improvement of the Russian health and the primary health care, restoring the primacy of prevention as a strategic line of health are impossible without highly qualified training of health personnel, particularly therapeutists and general practitioners (family doctors). Departments of polyclinic therapy play a crucial role in the training of specialists of primary health care.

The article discusses the succession of teaching of basic and clinical (therapeutic) disciplines in higher medical school: the urgency and necessity of interdisciplinary cooperation, its form, expected results, existing obstacles and ways to overcome them. The experience cathedral groups in the implementation of the process and prospects of further interdisciplinary cooperation in teaching basic science education and internal medicine.

The article presents the author's analysis of modern interpretations of palliative care. Transformation of palliative care conceptualization during the last decade has led to the appearance of a palliative approach to treatment of patients with chronic diseases; quality feature of this approach is possibility to render a palliative care along with treatment of underlying disease and syndrome treatment of a patient. The authors note that due to increasing number of patients requiring renal replacement therapy, organization of palliative care is relevant in the group of patients with chronic kidney diseases. According to the authors' viewpoint, palliative approach to aging and fast-growing cohort of dialysis patients, many of which are in the period of living out, suggests implementation of individual program of dialysis therapy, in domestic literature there are only a few works devoted to palliative approach to patients with terminal chronic renal failure that suggests prospects of research in this direction.

The aim is to study reasons for repeated fundoplication and possible variants of cardia correction in patients suffering from hiatal hernia and reflux esophagitis. Material and methods. Results of antireflux correction in 118 patients suffering from hiatal hernia have been studied, such results have been observed for the period of up to 36 months. Results. Most recurrent cases have been characterized by anatomical background for repeat hernia development, such as migration of fundoplication cuff, inconsistency, extreme traction of tissues that form gastric cuff or derived technique of fundoplication during previous operation. It has been found out that the subjective assessment of patients' condition after fundoplication is one of the most important criteria in deciding whether the repeated intervention is needed. Conclusion. Analysis of long-term results of the repeated antireflux surgery has revealed that quality-of-life index of patients having undergone repeated surgery may be compared to that of a healthy person. Traditional fundoplication of Nissen with non-tractional surgical intervention should be the method of choice for treatment of recurrent hiatal hernias.

Purpose: to study the effect of vitamin D3 on cytokine activity of macrophages and monocytes of gingival fluid. Material and methods. The examination and treatment of 42 patients with chronic generalized periodontitis at the age of 45-50 years were conducted. Gingival fluid was obtained from the periodontal pockets of patients. Material processed statistically. Results. Colecalciferol efficacy in inflammation and processes of destruction of periodontal tissue was twice higher than using traditional therapy. Resistance anti-inflammatory effect of the drug was maintained for 6 months, which had been confirmed by clinical and laboratory investigations. Conclusion. The use of applications of vitamin D in the treatment of periodontitis may achieve compensatory restoration of immune protection of the oral cavity.

The article is devoted to the methods of orthopedic treatment of dentition defects. To restore the functionality and individual aesthetic standards of dental system, with different types of partial loss of teeth, depending on the anatomical and topographical conditions, various kinds of dental prosthesis designs are used in the oral cavity: non-removable (bridges, cantilever, adhesive) dentures and removable (laminar and clasp dental) prostheses, as well as their combinations.