Desmopathy is a rare hereditary disease associated with a mutation in the DES gene, which is a kind of myofibrillar myopathy. With this disease, it is possible to damage skeletal, cardiac, smooth muscles, as well as diaphragm. In clinical practice, desminopathy is a difficult diagnostic task. In this article, the clinical case of the family form of myofibrillar myopathy with the established mutation c.1021A> C (Thr341Pro) in the DES gene in the heterozygous state is considered. We present a family study in a cumulative calculus of over 100 years describing the dynamics of clinical manifestations, morphological, cardiological and electromyographic parameters.

Key words: desmin, DES, desminopathy, myofibrillar myopathy, mutation, cancer, electromyography, heart failure

An unexpected interview came from a conversation with the journalist of the newspaper Tyumen News Irina Tarabaeva.

Application of this method allows to make a quantitative and functional characteristic of all the skin constituent elements for use in diagnosis.

The creation of fertile innovative ecological environment in the country is constrained by barriers of a conceptual nature. The article identifies four groups of such barriers. The authors propose a strategy for overcoming them based on a comparison of functions necessary for the innovative development of social practices and the natural mechanisms of a new life birth. This allows us to formulate a number of pragmatic recommendations for creating an innovative eco-environment for a wide range of industries. By analogy with natural dynamics of obstetrics, the approach is called placental

Keywords: Innovation, innovation infrastructure, acceleration, eco-environment, placenta, development.

International Festival in Travel and Tourism named after N.N. Miklouho-Maclay "Russian traveler" was held in Orel.

My lecture "Diagnosis: The Traveler", planned in three parts, one for each day of the festival, was received with interest by world-famous travelers. But, as they say, tell God about your plans and he will laugh - and it happened. The third part, in my opinion the most important, because of the time-bound regulation was not brought to the listeners. However, in this there was a plus, as this is the best reason to continue the relationship outside the festival and breaking the boundaries, regardless of the distance to complete the scheduled. Let's do it, my friends!

Interview for the author's program "Persona" Anatoly Konstantinovich Omelchuk on the TV channel Russia24 Region-Tyumen.

The article makes it clear that the problems of public health service are strategic in nature. That is why only tactical strategic decisions on its development can significantly influence such basic indicators as the sickness rate, the life-span and the ability to work of the population. The conceptual nature of public health service, substantiating the necessity of its conceptual restructuring, is revealed. The scenario of public health service innovative upgrade based on the conceptual technologies, taking into account of the system approach and the cultural context in their inseparability is suggested.

Keywords: Public health care, conceptual restructuring, innovative scenario, system approach, the cultural context

Одним из перспективных направлений является применение новых технологий, в частности разработка препаратов, обладающих способностью к нейтрализации и элиминации патогенных микроорганизмов, хорошо проникающих в рану и обладающих репаративными свойствами... читать далее

Сведений об истории медицинских учреждений Тюмени, которая раньше относилась к Тобольской губернии, сохранилось немного. Известно, что в 1741 году в городе находился госпиталь, в котором числилось 3 служителя. Госпиталь располагался при монастыре. В первой половине XIX века (1845 год) в городе функционировала уже одна больница. По медицинскому ведомству служило 5 чиновников (врачей) и 7 нижних служителей (санитаров). В 1859 году была открыта городская больница, по мнению современников — лучшая в Западной Сибири, располагающая шестью больничными палатами, лабораторией, аптекой, анатомическим театром... вся история

A good leader must combine several important qualities at once and perform many functions: competently manage the budget, be a mentor for subordinates and a friend to his clients, create a working atmosphere, set an example, solve problems, set tasks ... Simply put, to be the center of your business .

But there is one more duty that among others is usually not called: if the boss defaults, encourages and directs, he must also punish, and sometimes - severely. Of course, this is very few people enjoy, but it is - as an integral part of the leadership process, like the others.

About what misdemeanors of subordinates deserve indulgence, and which ones can not be forgiven in any case, and also what will be the most serious punishment for a doctor working in a medical institution, we talked with the "Aesthetic Guide".