Currently, diseases of the arteries of the lower extremities are an urgent problem of modern medicine, one of the most common variants of peripheral artery diseases. Of these, obliterating atherosclerosis of the lower extremities and, as a consequence, intermittent lameness deserve special attention. Intermittent claudication is one of the main and striking symptoms of diseases of the arteries of the lower extremities, the main cause of disability, has a significant negative impact on the quality of life of the patient. To date, the vascular endothelium is considered an active endocrine organ that supports vascular hemostasis, due to the synthesis and isolation of biologically active compounds. This fact has found application in the diagnosis and treatment of this group of diseases. In recent years, in the conservative treatment of obliterating atherosclerosis of the lower extremities, special attention has been paid to the drug cilostazol.

The purpose of the study was to study the characteristics of the course and prognosis criteria of bacterial pneumonia in patients with multiple myeloma. It has been estab-lished that pneumonia ranks second in the structure of infectious complications of multiple myeloma – 26%. Community-acquired pneumonia was diagnosed in 54% of cases, nosocomial pneumonia – in 46% of cases. The risk of pneumonia in multiple myeloma is associated with the following factors: renal failure, thrombocytopenia and severe hemorrhagic syndrome, ECOG status 3-4, relapse of multiple myeloma. In patients with renal failure and neutropenia, late nosocomial pneumonia occurred in low-symptomatic or latent variants. Early nosocomial pneumonia and Community-acquired pneumonia in multiple myeloma in most cases had a typical course. The causative agents of late nosocomial pneumonia in most cases were gram-negative flora, while Community-acquired pneumonia and Early nosocomial pneumonia were gram-positive. An unfavorable prognosis was asso-ciated with the following factors: status 3-4 on the ECOG scale, 3-4 degree of comorbidity on the CIRS scale for cardiovascular diseases, association of causative agents of pneumo-nia, severity of the condition more than 16 points. according to the APACHE II scale, la-tent variant of the course of NP, severe hemorrhagic syndrome, relapse of MM, bilateral lo-calization of the inflammatory process.

The pandemic of the new coronavirus infection (NCI) COVID-19 has captured almost all age groups of the population, among which medical students were the most active and socialized group. The purpose of the research was to study the nature of the course and features of clinical manifestations of NCI COVID-19, post-Covid syndrome in medical students depending on the level of health. The study, conducted through a voluntary and anonymous survey, involved 204 students aged 20 to 26 years (average age 22.1 ± 2.1 years), 160 girls (78.4 %) and 44 boys (21.6 %). The analysis of the survey data was carried out both among the total number of surveyed students and separately in two groups: among relatively healthy individuals (134 people, 65.7%) and respondents with chronic diseases (70 people, 34.3%). In the group of students suffering from chronic diseases, the percentage of those who became ill was higher (55.7% versus 29.9% among practically healthy ones). Clinical manifestations of NCI did not differ significantly depending on the level of health of the re-spondents, except for a higher frequency of asymptomatic course in the group of students with chronic diseases. The majority of students (59 people, 74.7%) noted manifestations of post-Covid syndrome in the form of memory loss (59.3%), night sleep disturbances (49.2%) and increased daytime sleepiness (76.3%). ), hair loss (50.8%), headache (42.4%) and dizziness (50.8%), muscle pain (35.6%), feeling of “coldness” (35.6%) and numbness (11.9%) of the arms/legs, loss of smell for more than 5 days (28.8%), increased sweating (27.1%), increased blood pressure (22.0%), episodes of disorientation (13, 6%) and perversion of taste (3.4%). Among students with a lower level of health, both manifestations of post-Covid syndrome (79.5% compared to 70% in the practically healthy group) and post-vaccination complications (34.8% and 24.2%, respectively) were more common.

The article describes a case of viral hepatitis A in a military school cadet who arrived in the Amur region from the Republic of Cameroon, a hyperendemic country for various infectious diseases. The modern epidemiological characteristics of enteral viral hepatitis are reflected, and the features of the clinical course of viral hepatitis A in a representative of the Negroid race are outlined. This observation indicates that persons arriving from endemic countries do not exclude the risk of infection with viral infections with a fecal-oral transmission mechanism.

The article discusses the problems of communication between an anesthesiologist and resuscitator with patients and colleagues. In the context of increasing society’s demands on the work of an anesthesiologist and the peculiarities of his practical activities, the importance of improving communication skills in relationships with patients and colleagues was noted. Typically, this concept includes the ease of establishing contact, the ability to maintain a conversation, the skills of pleasant communication for the interlocutor, the ability to negotiate with both patients and colleagues. It is important for the doctor to have control over his own emotions, the ability to remain confident, to control his reactions and behavior in general. In this regard, the professionally significant quality of an anesthesiologist-resuscitator is communicative tolerance, communicative competence, and the ability to establish relationships with patients of different social groups. This article presents data from available sources and our own data on communication skills the skills of effective communication of an anesthesiologist-resuscitator with patients and with colleagues.

This article is dedicated to the 20th anniversary of the pediatric faculty of the Amur State Medical Academy. It reflects the history of the creation, formation, achievements and prospects for further development of the faculty.