Gerontology isthe studyof biological, social and psychological aspects of human aging, its causes and ways to combat it (rejuvenescence). It appeared about a century ago. One of the components of gerontology is geriatrics - the doctrine of diseases associated with involutional changes, as well as features of treatment and prevention of diseases in elderly and senile age. Order No. 38n of January 29, 2016, regulates the procedures of medical care delivery to patients of elderly and senile age.

Mucous dystrophies are metabolic disorders developing in the stroma of organs. Lipomatosis is a localized fatty tissue growth without clear boundaries (for example, interstitial myocardial lipomatosis in obesity) or multiple lipomas (tumors of adipose tissue). In some cases, these processes are combined. Dercum’s disease is a mucous dystrophy, lipomatosis, which is characterized by the appearance of lipoma-like painful growths in the hypodermis of the upper limb, skin of the mammary glands, back, anterior abdominal wall, buttocks and thighs. This article is devoted to the issues of etiopathogenesis, clinical picture, diagnosis and treatment of this disease.

Sometimes in the practice of a general practitioner, a case may occur when the patient develops petechial rash, hemorrhage in the mucous membranes, joint pain and abdominal pain, after a previous infection of the upper respiratory tract, flu or sore throat. The first elements of the rash appear symmetrically on the lower limbs, and then spread throughout the body. Joint lesions are characterized by severe pain syndrome, swelling.The changes usually affect large joints like knees, ankles, but sometimes even smaller joint surfaces are affected. Hemorrhages in the mesentery and wall of the intestine are the cause of abdominal pain, flatulence, bowel disorders, nausea and vomiting, sometimes with an admixture of blood. All these signs are characteristic for hemorrhagic vasculitis, which is still called the Henoch–Schönlein purpura, purpura rheumatica or anaphylactoid purpura. For the first time, the description of several cases of purpura, associated with arthritis, was given by German physician Johann Schönlein in 1837, and several decades later, Eduard Henoch described this nosology in his scientific work.

The authors presented a positive experience on increasing the accessibility and ensuring the proper quality of preventative medical examination of certain groups of adults.

Since January 1, 2016, the application of professional standards has become mandatory in terms of qualification requirements, which are necessary for the employee to perform job functions. Given the large number of functions, that are entrusted to the geriatric physician, the introduction of a professional standard is an extremely necessary normative document that gives adequatepresentationof the duties and rights of a specialist in job descriptions, as well as protection of his or her interests in training and attestation.

The article presents a clinical impressionof a patient with the Churg-Strauss syndromein outpatient practice. A post hoc analysis on the course of the disease revealed key signs of vasculitis, which make it possible to suspect it at an early stage.

Stroke is an acute disorder of the cerebral blood circulation, characterized by sudden (within a few minutes, hours) appearance of focal and/or cerebral neurological symptoms that persist for more than 24 hours or lead to the patient's death in a shorter period of time due to cerebrovascular pathology. Strokes include cerebrovascular accident, cerebral hemorrhageand subarachnoid hemorrhage, withetiopathogenetic and clinical differences. Awarenessby the patientof early symptoms of this pathology, as well as modern methods of preventing its occurrence, is the basis for reducing the lethality of the disease.

Regardless of whether you are a pet owner or prefer to watch shaggy pets from a distance, you have probably heard about their medicinal properties. The concept of "dolphin therapy" or "hippotherapy", when cute aquatic mammals and horses help sick children, suffering from autism or cerebral palsy, and people who suffered severe trauma and who need rehabilitation, came into general use. Communication with animals is good for social adaptation, it helps to cope with many stressful situations, find peace of mind in the current difficult and dynamic time. It is clear that animals cannot be panacea and do not completely replace medicine and doctors, but their beneficial effect on the physical and mental health is undoubted. This method ofanimal-assisted therapy was called "pet therapy," in Russia the term "zootherapy" or "animal therapy" is more common.

According to the World Health Organization, deafness is one of the most common pathologies of sensory perception in the world. This disease affects about 360 million people around the world. Deafness may be caused by a number of factors, including: genetics, the impact of traumatic factors and infectious agents, and the use of ototoxic drugs. And otolaryngologists believe that in about half the cases the development of deafness and hearing loss could have been prevented. This event was establishedin order to draw public attention to the problems of people with hearing impairment