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Purpose of the study. Analysis of the effectiveness of cryoprecipitate – antienzymatic with common soft tissue phlegmon and sepsis.Patients and methods. To achieve the intended goal, a study of the results of treatment of 92 patients with a diagnosis of advanced soft tissue phlegmon and sepsis was performed. All patients underwent a comprehensive diagnostic study with an in-depth study of the indicators of the hemostasis system. For a comparative assessment, 2 groups of patients were identified. Group 1 (46 (50 %) patients – the main one) – received cryoprecipitate-antienzymatic therapy as part of complex treatment, group 2 (46 (50 %) patients – comparisons) – received only the generally accepted basic treatment.Results. An in-depth study of the hemostasis system in patients with widespread soft tissue phlegmon and sepsis indicated the development of thrombohemorrhagic syndrome, which was manifested by depletion of both the coagulation and anticoagulation systems of the blood, a drop in AT III, an increase in thrombinemia and fibrinolysis depression. In order to correct thrombohemorrhagic syndrome, a cryoprecipitate-antienzymatic complex was included in the complex treatment of patients with widespread soft tissue phlegmons and sepsis, aimed at unblocking microcirculation in inflammatory foci and parenchymal organs, to improve the penetration of antibacterial drugs and other drugs into these foci, thereby stopping inflammation and preventing the increase of multiple organ failure. The effectiveness of the cryoprecipitate-antienzymatic complex was evaluated based on clinical data of the course of the purulent – inflammatory process and the results of indicators of the hemocoagulation and fibrinolysis system on 8–10 days from the start of therapy.Conclusion. The use of cryoprecipitate-antienzymatic complex, which includes freshly frozen plasma (FFP), heparin, proteinase inhibitors, in patients with widespread soft tissue phlegmon and sepsis effectively eliminates thrombohemorrhagic syndrome, which improves microcirculation in purulent – inflammatory foci and affected parenchymal organs, improving the flow of antibacterial drugs into these foci. At the same time, there is an improvement in the course of the wound process, so the wounds are cleaned faster from necrotic masses and filled with healthy granulation tissue, which makes it possible to perform plastic closure of the wound defect 1.6 times faster. Mortality is reduced by 2.2 times and the number of thrombotic and thromboembolic complications in the structure of deaths is reduced.

The article discusses a new approach to the assessment of psychological readiness for learning through the study of the level of higher education students’ social and emotional intelligence development. Personality features, motivation, emotional and social intelligence of Pacific State Medical University students (138 people) are analysed. The necessity of introducing innovative education forms in the education process and that of organizing annual team building activities for freshmen are proved.

The purpose of the work is the modeling in the experiment of guided regeneration of bone tissue with the use of osteoplastic materials Bioplast and Cerabone with the subsequent morphological study of their influence on the course of osteoreparation. The experimental-morphological part of the work was performed on 90 mature rats of the Wistar line. The animals were divided into 3 experimental groups. In the first group (30 rats), the osteoplastic material Bioplast-Dent was used; in the second group (30 rats), the osteoplastic material Cerabone was used. The third (30 rats) group was the control group. A defect in the bone region was formed in rats, a titanium screw (BT1-00) was implanted, then the bone defects were filled with osteoplastic material. In the control group, the osteoplastic material was not used. The animals were removed from the experiment by decapitation under ether anesthesia in 30, 60 and 90 days. For morphological examination the resection of the central part of the femur shaft was carried out, including a defect site with a regenerator and a titanium screw. Each studied case was subjected to a microscopy survey in which the general character of the bone structure was assessed, as well as the presence or absence of changes and their nature in the zone of implant and osteoplastic material, as well as in dependent bone areas. The result of the comparative morphological study of xenogeneic osteoplastic materials Bioplast-Dent and Cerabone resulted in the recommended use of one of the materials in this implantation technique. Regeneration time of bone structures and qualitative characteristics of the newly formed bone did not differ fundamentally, however, when using Bioplast-Dent material, osteoreparation proceeded more actively and with more optimal morphological characteristics; there were no inflammatory changes, rejections or allergic reactions in response to implantation at all stages of the experiment.

This article describes a generalized experience in the treatment of pregnant women with acute surgical diseases of the abdominal cavity.