This article discusses one of the approaches to work with dependent families on surfactants. The features of relationships in dependent families are described. Special attention is paid to the importance of a systematic approach to work with dependent families, which gives a more holistic perception of the problem and a broader search for therapeutic solutions. This article will be of interest to specialists working in the field of medicine, psychology, education.

For the purpose of studying of structure of alienations of the remote period of the craniocerebral trauma (CT) and their comorbidity of a chronic alcoholization, manifestations of a social and psychological disadaptation and also influence of weight of a trauma and an alcoholization on character and expressiveness of a psychopathological symptomatology, the clinical and epidemiological analysis of medical documentation (out-patient cards) of all patients with mental pathology owing to CT staying on the dispensary registry on two sites — city and rural is carried out. The considerable abundance of the studied frustration in general (14.1 on 10000 population), with their dominance in men's and city populations is revealed. The first was caused by higher frequency of CT at men; the second — smaller availability of mental health services to villagers that was confirmed by presence at them of more high level of an invalidism and bigger frequency of a traumatic dementia (the heaviest psychopathology). The high comorbidity of alienations of the remote period of CT and chronic alcoholization (about 50 % on all contingent of patients), with the greatest that expressiveness in subgroups of a traumatic dementia, organic paranoid and hallucinosis and also organic frustration of the person is found. At persons with a traumatic dementia heavy CT prevailed, and at other posttraumatic pathology — injuries of average and mild weights. Most of patients of the studied contingent were characterized by the considerable decrease in social and psychological adaptation that was shown by low labor employment and a high level of disability, violation of the family relations and delinquency of behavior. Development and deepening of all these negative trends were promoted substantially by a factor of a chronic alcoholization.

The article presents 69 cases of observation of adolescents living in the city of Chelyabinsk, with an established diagnosis of narcological disease in the period 2013-2015. Clinical and dynamic variants of drug disorders are compared with the socio-psychological characteristics of the cohort of minors.

In this paper, the authors describe in detail a new method of diagnosis of facet pain syndrome of the lumbar spine. The essence of the method is as follows — conduct a survey and examination of patients suffering from back pain, and evaluate the following indicators: age, history and complaints, assessment of the neurological status and data of instrumental methods of examination, assessment of the volume and nature of movements in the lumbar spine. Next, the patient produces a blockade of the arcuate joints with a mixture of local anesthetic and glucocorticosteroid. Next, the points are summed to identify the cause of back pain. Later in the article the clinical examples on which the new method is applied are given. This new method was used in 73 patients and its results were proved by good immediate and long-term results. Thus, this method makes it possible to accurately verify the cause of back pain and plan timely interventional treatment, which will reduce the duration of treatment and quickly return to the patient's ability to work.

A brief article presents options for the reconstruction of arterio-venous fistulas on the forearm in the  presence of juxtaanastomous stenoses and stenoses of the radial artery. Two author's methods rely on ultrasound mapping data and take into account certain anatomical features of the location of the arteries and veins of the forearm. The proposed methods are aimed at preventing the recirculation syndrome in the arterio-venous fistula to improve the efficiency of the hemodialysis procedure.

An approximate list of organizational and methodological measures recommended in the formation of the system of internal quality control and safety of medical activities in the clinic, the implementation of which will ensure the quality of emergency medical care.

During the work was a retrospective analysis of 148 case histories of patients treated in the intensive care unit and intensive care clinic of South-Urals State Medical University in 2017. The aim of the study was to determine the structure of CNS lesion among patients in a specialized Department. The distribution of patients was carried out taking into account gender and age characteristics, stage of HIV infection, etiological factors and the volume of Central nervous system damage.

Epidemiological and clinical characteristics of myasthenia patients entering emergency and intensive care department of SUSMU Clinic are analyzed. Patients were distributed by sex, debut age, form of disease, reasons for hospitalization in the ICU, basic treatment ways and existing factors provoking development of myasthenia were identified.

This article is dedicated to the one the most common complications —Acute Kidney Injury. The RIFLE classification was used as a diagnostic tool. We performed a study on ICU patients with stage 4 of HIV infection. We sought to evaluate the ability of the RIFLE criteria to predict outcomes, as well as impact of gender and age differences and stage of HIV on AKI occurrence.

A retrospective analysis was conducted at an intensive care unit of the hospital of South-Urals State Medical University in 2017 among 148 people who were being treated. Gender and age differences, the level of HIV infection, infectious factors, damaging the kidneys, the development of renal dysfunction in HIV-infected patients have not been identified. The development of acute kidney damage in an HIV-infected patient is a factor that increases the frequency of deaths.