The article is devoted to reviewing manuscripts in the context of modern scientific communication. Attention is paid to the requirements for the reviewer, the process and types of review. Recommendations for writing a recension and the most common remarks of reviewer are given. Emphasis is placed on the ethics of peer review. The main conclusion: peer review is not punitive, but a helping, pursuing positional goals mechanism for improving the scientific level and quality of publications, a necessary and important component of an objective assessment of the activities of each scientist.

The professional terminology of any field of human activity is an expression of its status in a certain period of development. Historical and etymological analysis of specialized reference literature allows to trace the emergence of new terms and, consequently, the improvement of the relevant field. The article provides a review of the historical way of formation of the most important medical disciplines – anesthesiology and resuscitation. The study found that since ancient times people have tried to use anesthesia during surgical operations, and also tried to revive a person. However, the scientific growth of the specialty “anesthesia” began only in the mid-19th century, and the term “anesthesiology” has been used as “teaching about anesthesia” since the 1920s. Resuscitation techniques began to develop rapidly two decades later. Around this time (1932) the term “resuscitation” appears in dictionaries. The development of resuscitation as a science is associated with the work of V. A. Negovskiy, who introduced the term “resuscitation” in 1961. The discovery of more advanced anesthetics and auxiliary drugs (barbiturates, neuroleptics, muscle relaxants, etc.) at the turn of the 20th–21st centuries contributed to the creation of new effective methods of local anesthesia, narcosis and resuscitation, which is confirmed by the appearance of their names in specialized literature. Some medicines (nitrous oxide, chloroform, morphine, etc.) have been recorded in dictionaries from ancient times to the present day. Obviously, terminology helps to identify the progress of a particular field of science.

Based on the analysis and discussion of the results of this study pulse pressure waves and pulse flow waves, the reaction of arterial vessels to changes in hemodynamics when pulse waves pass through them, as well as literature data, the following assumptions can be made:

– pulse pressure waves store the energy of the contracting myocardium in the form of a pressure gradient. Part of the energy of the pulse pressure wave front is spent on its propagation along the artery wall. Another portion of the pulse pressure wave energy is probably converted into a pulse flow wave, promoting the movement of a certain volume of blood into the artery;

– the duration of the delay time of pulse waves relative to the phases of myocardial excitation and the cardiac cycle reflects the direction of the arterial vessels reaction to a rapid change in arterial blood pressure and blood flow to them. Under these conditions an increase in the delay time and a decrease in the velocity of pulse waves propagation indicate on relaxation the smooth myocytes of the arterial wall and vessel expansions. The delay time shortening and increase in the velocity propagation indicate on the reaction of narrowing arterial vessels.

– pulse wave parameters encode a variety of information about the work of the heart (heart rate, rhythm, and stroke volume), the state of hemodynamics (blood pressure level and the dynamics of its changes, blood volume, blood flow velocity, and blood properties), and vessels reaction to their changes (constriction or dilation);

 – pulse waves propagating through arteries and blood at high velocity initiate the basic response of arterial vessels to changes in the pulse wave’s parameters. With a rapid increase in pressure at the front of pulse pressure wave, and with a rapid increase in velocity and blood volume during the passage of pulse pressure and pulse flow waves, arterial vessels may initially respond with rapid myogenic constriction followed by their dilation. The vascular response occurs during each cardiac cycle, and it is an integral part of the systemic mechanisms of hemodynamic correspondence of blood volumes flowing from the proximal arteries and flowing further into distal vessels, and prevention of macro- and microcirculation correspondence disorders;

 – there are grounds for assumption that pulse waves are involved in the implementation of the mechanism of maintaining the correspondence of macro- and microcirculation, by their influence on the balance of factors and substances with vasoconstrictor (myogenic constriction, endothelin, norepinephrine (NE), peptide Y) and vasodilator effects (CGRP peptide, nitric oxide (NO). Changing this balance is necessary for the transition from myogenic vasoconstriction to dilation, for reducing peripheral resistance, the possibility of the pronounced reflected waves formation, and return of vessels to the intermediate lumen to restore their readiness to respond to new changes in hemodynamics;

 – dysfunction of the basic central reflex mechanisms and/or peripheral mechanisms of dynamic assessment of pulse wave parameters, as well as the reaction of the heart, large and small arteries initiated by the pulse wave, may be the cause of pathological changes in hemodynamics. Thus, a disturbance of the central reflex mechanisms of dynamic assessment of pulse wave’s parameters by the aortic arch and carotid artery receptors under changes of the arterial blood pressure can result in the development of orthostatic hypotension up to temporary loss of consciousness. It can be assumed that such dysfunction of the peripheral mechanisms of dynamic assessment of pulse wave’s parameters, and initiated by pulse waves small arteries and arterioles response to changes of hemodynamics, may be a component of arterial hypertension pathogenesis, as well as disturbances of hemodynamic correspondence of macro- and microcirculation in heart failure, intravenous fluid infusion for blood loss, sepsis and other conditions in intensive care units.

Additional research is required to verify the assumptions made about the role of pulse waves in implementation and regulation of hemodynamics in a healthy body, and the possible significance of its disturbance in the mechanisms of development of cardio vascular and other diseases.

Depending on the severity of residual deformity malunited calcaneal fractures may lead to significant restrictions of daily life and to invalidization of patients. Pathophysiology of malunited calcaneal fracture, diagnostics, classifications and current methods of surgical treatment are discussed in the article. Essential for proper pre-operative planning are weightbearing radiograms (hindfoot alignment view and lateral projection of the ankle and foot), which provide important information of the degree of deformity and the direction of the axial malalignments. Surgical treatment is aimed to pain-free function of the foot, what can be achieved by the restoration of correct height of the calcaneus and restoration of the correct axial alignment. Depending on the severity of the deformity, surgical treatment may include marginal calcaneal osteotomy, subtalar fusion in situ, different modifications of correcting subtalar fusion and/or calcaneal osteotomies. Current treatment modalities provide significant improvement of the functional condition of the foot with acceptable rate of complications.

Objective. To study the advantages of assessing muscle mass using ultrasound for diagnosing sarcopenia in young and middle-aged patients with arterial hypertension (AH) and non-alcoholic fatty liver disease (NAFLD).

Materials and methods. A cross-sectional (comparative), single-center study was conducted, including 92 patients of both sexes with AH grade I–II and NAFLD aged 31 to 59 years, the average age at inclusion was 47.9 ± 8.21 years. Muscle mass was determined in 3 ways: 1 – anthropometric methods by measuring the circumference of the shoulder muscles and calf circumference, 2 – ultrasound visualization of the thigh muscle tissue, 3 – dual-energy X-ray absorptiometry (DXA) with the determination of muscle indices. Statistical analysis of the obtained data was performed using the SPSS 27.0 statistical software package (IBM, USA). The obtained data were interpreted as reliable, and the differences between the indicators were considered significant at p < 0.05.

Results. Anthropometric methods for assessing muscle tissue did not reveal significant differences between the study groups. Determination of muscle mass using the ultrasound method in patients with AH and NAFLD demonstrated a decrease in muscle size, as well as an increase in the thickness of subcutaneous fat in patients with sarcopenia. Numerous correlations were established between an increase in fat mass and a decrease in muscle mass.

Conclusion. In comparison with anthropometric methods, verification of muscle mass reduction using ultrasound imaging of the thigh muscles can contribute to the diagnosis of sarcopenia at earlier stages, and be an alternative method to DXA for determining muscle mass in patients with sarcopenia and comorbid pathology.

To establish risk factors for the development of postpartum subinvolution of the uterus and to develop a method for predicting the development of the disease in a woman in labor.

Materials and methods. The study of risk factors for the development of postpartum subinvolution of the uterus was carried out using Wald’s sequential statistical analysis, calculating the Kullback information measure, based on Genkin-Gubler’s statistical technologies. The first group consisted of 49 women in labor with subinvolution of the uterus and the second – 47 women in labor with a normal course of labor and the postpartum period. In accordance with A. Wald’s method, the diagnostic coefficients of each of the signs were calculated using the formula and the informativeness of the sign.

Results. Based on the obtained point estimates of risk factors, a method for predicting the development of postpartum subinvolution of the uterus was developed. The total quantitative point estimate on the scale indicates the probability of PSM development. With a score of more than 15 points, a high risk is predicted, with a score of 7 to 15 points – an average risk, and with a score of less than 7 points – a low risk of developing PSM, and if one of the signs with a score of 6 on the scale is detected, the risk should be considered high.

The article presents the results of the analysis of the cyclicity of changes in the concentrations of pollutants in the atmospheric air of Minsk. The purpose of this study was to establish the cyclicity of changes in the concentrations of pollutants in the atmospheric air of Minsk to develop a system of preventive measures.

Materials and methods. The study materials were the concentrations of the main pollutants from the route monitoring posts of Minsk for 2009–2022. Methods: statistical, retrospective epidemiological analysis.

Conclusion. The presence of seasonal fluctuations in the content of nitrogen dioxide and particulate matter (increased content in the summer), carbon monoxide and formaldehyde (in the summer-autumn period) was established, which can be used to develop a system of preventive measures.

Materials and methods. We conducted a retrospective analysis of 63 medical records of pregnant women with thrombophlebitis and phlebothrombosis of the lower extremities.

Results and discussion. In 41 cases pregnant women had thrombophlebitis of the superficial veins of the lower extremities and in 22 cases – phlebothrombosis of the deep veins. Thrombophlebitis of the superficial veins in 100 % cases developed on the background of varicose disease of the lower extremities. Pulmonary embolism developed in 2 out of 41 patients with thrombophlebitis of the superficial veins (3.2 %) and in 3 out of 22 patients with deep vein thrombosis (13.7 %). We conducted surgical treatment in 7 patients. In 6 cases we performed crossectomy, in one case – ligation of superficial femoral vein. There is a tendency for higher incidence of pulmonary embolism in deep vein thrombosis compared to superficial thrombophlebitis (13.7 and 3.2 %, respectively). However, there are no statistically significant differences, which, in our opinion, is due to the size of the group.

Conclusions. 1. Superficial vein thrombophlebitis in all patients developed on the background of varicose disease. This indicates the need for varicose disease correction as pregravid preparation. 2. There is a tendency towards a higher incidence of pulmonary embolism in deep vein phlebothrombosis compared to thrombophlebitis of superficial veins in pregnant women.

Mouthwash solutions are commonly used additional hygiene products. The majority of mouthwash solutions have antimicrobial properties that allow to use them for the control of the number of pathogenic and opportunistic microorganisms.

The article presents a comparison of bactericidal activity of mouthwash solutions available on the market. Analysis of antimicrobial activity of these products allows the doctor to evaluate their effectiveness in desactivation of bacteria, which are the main cause of diseases such as caries, periodontitis, halitosis, etc. The study allows to perform comparative analysis of various mouthwash solutions. This analysis helps to choose the most effective ones of these products. The performed study helps to evaluate the safety of the mouthwash solutions application and identify possible side effects or contraindications.

Serious clinical and population studies have revealed a close relationship between arterial elasticity indices and atherosclerotic damage to various vessels, the development of clinical complications, as well as a number of comorbid conditions that may affect atherogenesis. Thyroid pathology is often characterized by the development of cardiometabolic complications in the absence of previous symptoms.

Objective of the study: to evaluate the possibilities of the volume sphygmography in the diagnosis of preclinical stages of carotid atherosclerosis in patients of working age with thyroid dysfunction.

Materials and methods. Study design: cross-sectional cohort. Seventy healthy patients with newly diagnosed thyroid pathology were examined: 46 with subclinical hypothyroidism (SH) (thyroid stimulating hormone (TSH) level > 4.0 mIU/L with normal characteristics of free fractions of thyroid hormones) and 24 patients without thyroid dysfunction. We used methods of ultrasound examination of carotid arteries and volume sphygmography with assessment of the cardio-ankle vascular index (CAVI) and ankle-brachial index (ABI) in order to diagnose preclinical stages of atherosclerosis.

Results. In 69.6 % of patients with SН and 29.2 % of patients with normal thyroid function, vascular wall stiffness indices were different from normal and/or didn't correspond to the age norm (χ 2 = 10.43; p < 0.01). A direct relationship between a low ABI value in one of the legs and the presence of multivessel (2 or more) atherosclerotic lesions of the carotid arteries (r = 0.337, p < 0.001), signs of ASP instability (r = 0.43; p < 0.05) was established.

Conclusion. The obtained results indicate the development of polyvascular atherosclerosis with signs of instability of the atherosclerotic plaques in clinically healthy patients of working age with SH, compared to individuals without thyroid dysfunction. Untimely detection of preclinical stages of atherosclerosis entails untimely use of preventive drug and non-drug tactics, as a consequence – the development of atherosclerosis-associated complications, disability and mortality at a young age due to CSD. In order to promptly select the optimal diagnostic search, on the one hand – sufficient to identify asymptomatic stages of atherosclerosis of various localizations, on the other – safe for the doctor and the patient, economically accessible and easily performed in various regions of the Republic of Belarus, the volume sphygmography method can be recommended. The use of this non-invasive method for determining arterial wall damage in the diagnosis of atherosclerosis will increase the effectiveness of medical care for patients with CVD, which will lead to a decrease in the proportion of people with cardio- and cerebrovascular pathology in the Belarusian population.

Studying the quality of life is a topical issue in managing a multidisciplinary patient. A patient with comorbidity requires an individual approach, taking into account all the features of the combined pathology when choosing treatment, diagnostic and preventive tactics for cardiovascular complications. Thyroid pathology is often characterized by the development of cardiovascular complications in the absence of previous ischemic symptoms. The aim of the study was to study clinical and instrumental data, evaluate health-related quality of life and compliance with antiatherogenic therapy in individuals with newly diagnosed thyroid dysfunction and subclinical coronary atherosclerosis.

Materials and methods. A prospective cohort study was conducted with the analysis of data from 200 working-age individuals (66 men and 134 women) with different hormonal status of the thyroid gland without clinical signs and history of coronary heart disease (CHD): 120 with subclinical hypothyroidism (SH), 30 with hyperthyroidism and 50 patients with euthyroidism. The patients were followed up for 1 year (12 months ± 30 days). The assessment of tolerance to physical activity, laboratory diagnostics of the lipid spectrum, computed tomographic angiography of the heart (CCTA) were performed. The SF-36 questionnaire (Medical Outcomes Study Short-Form 36) was chosen to assess the health-related quality of life. We assessed adherence to treatment using the Morisky-Green compliance scale. The obtained data were interpreted as reliable, and differences between indicators were considered significant at p < 0.05.

Results. In the groups of patients with thyroid dysfunction (hypo- and hyperthyroidism), the average group results of the 6-minute walk test were significantly lower, and the proportion of individuals with NYHA II was higher than similar results in the euthyroid group. Multivessel atherosclerotic lesions (2 or more) of the coronary arteries were detected in 6.7 % (n = 1) of patients with hyperthyroidism, 36.1 % (n = 30) of individuals with SH versus 3.2 % (n = 1) in individuals with normal thyroid hormonal status (F = 0.108; p < 0.001). An analysis of the components of the quality of life of patients with different hormonal status of the thyroid gland depending on clinical data demonstrated that the shorter the distance covered in the 6-minute walk test and the higher the NYHA FC, the lower the level of physical functioning and mental health according to the results of the SF-36 questionnaire, which led to lower indicators of general health in this category of individuals.

Conclusions. The obtained results indicate a more aggressive course of dyslipidemia and coronary atherosclerosis in individuals with thyroid pathology, require the closest attention from the entire therapeutic service to the issues of medical examination of the working-age population: raising awareness; introducing mandatory laboratory screening for thyroid dysfunction during routine medical examinations; even in individuals who feel “absolutely healthy” with newly verified thyroid pathology – the use of an algorithm for non-invasive diagnostics of preclinical stages of atherosclerosis. Underestimation of cardiovascular risks in multidisciplinary patients, due to the absence of “specific” complaints or clinical equivalents of coronary heart disease is fraught with the development of atherosclerosisassociated complications, early disability and death of patients due to coronary heart disease. The SF-36 quality of life questionnaire is a simple, accessible and validated instrument for assessing the main components of physical and mental health in multidisciplinary patients in clinical practice.

Electromyography, ultrasonography and rheography have been used to evaluate restoration of muscle activity, peripheral nerve conduction and regional bloodflow in 15 patients (24–65 years old) with the distal tibia fractures after intramedullary osteosynthesis. An assessment of muscle motor function indicator was carried out in consequtive stages of osteoregeneration (8–10 days, 1.5–2, 3–4 and 6–12 months). The degree of muscles function impairment, the degree of vascularization of the injured leg segment, the degree of compensation of the initial and secondary disturbances of blood supply were assessed quantitatively. Functional indicators were compared with radiological sings of callus formation, consolidation and remodeling of bone tissue, clinical date on the restoration of weight bearing and movement in the ankle joint. It has been shown that period of rehabilitation treatment are characterized by adaptive redistribuition recirculatory processes that correspond to the metabolic needs of developing bone tissue and varying degrees of impairment of a motor function of muscles and peripheral nerves. Muscle adaptation after intramedullary fixation of the distal tibia fractures has different restoration potency and is not finished after complete fracture union and restoration of full weight-bearing capacity. EMG-signs of subclinical axonopathy of peripheral nerves were revealed, mostly involving distal parts of fibular nerve. These changes may comprise the need to raise the question about feasibility of neurotropic therapy as a measure to improve the results of surgical treatment. The use intramedullary osteosynthesis for complex fractures creates favorable conditions for the implementation of one's own mehanizms of osteogenesis, providing full compensation for disturbances in tissue blood flow, gradual restoration of muscle activity and weight-bearing ability.

Congenital malformations of the female genital tract includes various forms of deviations from normal anatomy that arise from embryological abnormal development of the Paramesonephric or Mullerian ducts with an incidence of 4–7 %. The Herlyn–Werner–Wunderlich syndrome (OHVIRA) is a form of Mullerian duct anomalies consisting of hemivaginal septum and duplicated uterus with ipsilateral renal agenesis. The article describes cases of congenitalanomalies of the female genital tract in adolescents observed in 2024 in the healthcare institution “1st City Clinical Hospital”, Minsk Belarus.

Methods. There were eight patients with congenital anomalies of female genital tract in the study period: 4 adolescence with OHVIRA syndrome and 4 patients with transverse vaginal septum and imperforate hymen. The authors present their experience in the management of pediatric patients with congenital anomalies of female genital tract focusing on the clinical course, diagnostic findings and treatment options.

Results. The mean age of patients was 11 years (10 years–14 years). The most common presenting sign was pain due to obstruction, causing difficulties in the passage of menstrual flow with hematocolpos formation. Surgical treatment was performed in 7 cases of complete obstruction with transvaginal septoplasty and drainage of the hematocolpos and hematometra, but one patient with OHVIRA syndrome required further laparoscopy with salpingectomy for pelvic inflammatory complications related to obstructed hemivagina.

Conclusion. Due to the association of female genital tract anomalies with renal anomalies we recommend that girls with identified renal malformations should be screened for the presence of female genital tract anomalies.

The article presents controversial diagnostic and therapeutic approaches to the problem of uterine scar insufficiency after cesarean section, described in the world and Russianlanguage literature. The modern surgical techniques of metroplasty (patent № 042881) and their impact on reproductive function are considered. A rather rare clinical case of ectopic pregnancy in a uterine scar after cesarean section from the authors’ practice is presented.

Hemolytic uremic syndrome (HUS) is a member of the group of thrombotic microangiopathies (TMA) and includes a triad of symptoms: microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury. Clinical manifestations of TMA are determined by the damage to those organs and systems where damage to the microcirculatory vessels by microthrombi is formed. The main diseases associated with the development of TMA are the above-mentioned HUS and thrombotic thrombocytopenic purpura (TTP). TMA can be both primary and secondary. Moreover, secondary TMA occurs in a wide range of pathologies – autoimmune and lymphoproliferative diseases, infections, oncology, and the use of certain medications. Although rare, HUS is one of the most common causes of acute kidney injury (AKI) in previously healthy children and is also one of the causes of end-stage chronic kidney disease in young adults. Patients are hospitalized in a specialized hospital depending on the prevailing clinical manifestations, therefore, it is important in the diagnosis of the above pathology to conduct a timely diagnostic search for the etiology of this disease with the involvement of related specialists and subsequent adequate treatment. A clinical case of identified hemolytic-uremic syndrome in a 19-year-old young man during military service is presented. As a result of an integrated approach to treating the disease using glucocorticosteroid and renal replacement therapy, as well as the involvement of specialized doctors, an improvement in the patient’s condition was achieved.

The main causes of mechanical valve dysfunction are: 1) thrombosis; 2) fibrous ingrowth of pannus; 3) infective endocarditis. Clinical and diagnostic criteria for identifying the cause of prosthesis dysfunction include the timing and rate of development of dysfunction, the presence of signs of systemic inflammation (CRP, rheumatoid factor, positive blood culture) or, conversely, insufficient anticoagulation and thrombosis (low INR, increased levels of D-dimers). Current methods of treating prosthetic thrombosis include: 1) optimization of anticoagulant therapy; 2) thrombolysis; 3) transcatheter manipulations; and 4) surgical valve replacement. A comparative description of surgical and thrombolytic methods of restoring valve function is given. Previously the main method of treating obstructive thrombosis was repeated surgery. However, thanks to modern advances in pharmacology, the relevance of drug thrombotic therapy for prosthetic valve dysfunction is increasing. For instance, the 2020 American College of Cardiology/American Heart Association guidelines suggest an alternative approach to these techniques depending on clinical factors, degree of valve obstruction, comorbidities, and hemodynamic status of the patient. Factors influencing the choice of management method for patients with prosthetic valve thrombosis are highlighted. The material is illustrated by a case of successful thrombolysis in a patient with thrombosis of the aortic and mitral valves.

Pericardial cysts are rare mediastinal lesions that are usually asymptomatic and often discovered incidentally on chest radiographs. Pericardial cysts can be congenital or acquired (due to inflammation, infection, trauma, parasitic infection, etc.). In the article, we presented a clinical case of a 74-year-old man with coronary heart disease, paroxysmal atrial fibrillation associated with obesity, who developed right ventricular failure. The pericardial cyst was not visualized on a plain chest X-ray. The diagnosis was made using computed tomography and echocardiography. The dimensions of the pericardial cyst according to CT data are 70×52×80 mm, with contrast enhancement without accumulation of contrast agent, the formation compressed the right ventricle of the heart. Complex conservative treatment of coronary heart disease in combination with rhythm control was effective. To resolve the issue of surgical decision, the patient was transferred to cardiac surgery. The article presents an analysis of the main causes of this pathological condition, research data, and treatment tactics. It is necessary to know the clinic of pericardial cysts and take them into account in differential diagnosis.

Otogenic sigmoid sinus thrombosis is a rare complication of acute otitis media and mastoiditis in pediatric age group, but has a high risk of lethal outcome.

In our data in the period 2019–2024 in the ENT-department of the 3rd Minsk City Children’s Clinical Hospital, operations anthrotomy (or anthromastoidotomy) was performed on 83 patients whis a complicated course of acute purulent otitis media. The most frequent complication of otitis media was anthromastoiditis. 5 patients (6 %) had intracranial complications: otogenic meningitis – 4 (4,8 %) and sigmoid sinus thrombosis – 1 (1,2 %).

Symptoms of sinus thrombosis are usually divided into two groups: local (circulatory) and general (infectious) and in typical cases the diagnosis is not doubtful but the use of antibiotics can change the symptoms and course of inflammation in the middle ear and sigmoid sinus which complicates diagnosis. Diagnostically significant information is provided by MRI and CT of the skull with contrast.

Diagnosis of sigmoid sinus thrombosis in most cases requires urgent surgical intervention in the middle ear with exposure of the sigmoid sinus wall. Postoperative treatment includes the administration of antibiotics, anticoagulants, thrombolytics, non-steroidal anti-inflammatory drugs and detoxification therapy.

On January 13, 1944, a meeting took place between N. N. Burdenko, who sent a report to the Government of the USSR outlining the concept of organizing the USSR Academy of Medical Sciences, and the First Deputy Chairman of the Council of People's Commissars of the USSR V. M. Molotov. The concept was supported and sent for further consideration to the Secretary for Ideology of the Central Committee of the All-Union Communist Party (Bolsheviks) A. S. Shcherbakov. From him, the document was sent to the Propaganda and Agitation Department of the Central Committee of the All-Union Communist Party (Bolsheviks) for detailed study and preparation of a draft resolution of the Council of People's Commissars of the USSR. Unexpectedly, a letter from the People's Commissar of Health of the USSR G. A. Miterev arrived at the Central Committee of the All-Union Communist Party (Bolsheviks) on the same issue - on the creation of the USSR Academy of Medical Sciences, but differing from the report of N. N. Burdenko on a number of fundamental issues. Both concepts were carefully studied by the Central Committee of the All-Union Communist Party (Bolsheviks), and soon the draft resolution of the Council of People's Commissars of the USSR on the establishment of the Academy of Medical Sciences of the USSR landed on the desk of the Deputy Chairman of the Council of People's Commissars of the USSR, K. E. Voroshilov. The draft of this document took into account individual proposals by G. A. Miterev and N. N. Burdenko, with greater support for the position of G. A. Miterev. However, due to the absence of the interests of military medicine in the final documents, which N. N. Burdenko defended, another letter was born, which was sent on May 29, 1944 to G. A. Miterev from the Main Military Sanitary Directorate of the Red Army. On May 31, 1944, additional materials taking into account the interests of military medicine landed on the desk of K. E. Voroshilov. On June 29, 1944, a meeting of the Politburo of the Central Committee of the All-Union Communist Party (Bolsheviks) was held under the chairmanship of I. V. Stalin, at which the issue of creating the USSR Academy of Medical Sciences was considered and a draft resolution of the Council of People's Commissars of the USSR on the establishment of the USSR Academy of Medical Sciences under the People's Commissariat of Health of the USSR was approved, and on June 30, 1944, at a meeting of the Council of People's Commissars of the USSR, resolution No. 797 «On the establishment of the USSR Academy of Medical Sciences» was adopted - the first official document on the creation of the USSR Academy of Medical Sciences.