In most post-stroke patients, an increase in muscle tone on the hemiplegic side is accompanied by a revival of tendon reflexes and an expansion of their reflexogenic zone, as well as the appearance of specific abnormal reflexes. All these signs have long been considered when diagnosing damage to the pyramidal system in diseases of the spinal cord and brain, but their rehabilitation significance has not yet been considered. Based on literature data, the clinical and neurophysiological characteristics of known abnormal reflexes were assessed. It is concluded that it is possible to use lively tendon reflexes, as well as tonic reflexes of the foot and hand (Babinsky and its analogues, Mayer's, Klippel – Feil, Larry`s reflexes) in rehabilitation practice. The role of phasic abnormal hand and foot reflexes (Rossolimo's sign and its analogues) in the rehabilitation process is considered insignificant due to their short duration. 

The current data on the role of breast milk hormones in the development of obesity in children are summarized. Based on the analysis of domestic and foreign special scientific and practical literature on the databases PubMed, Scopus, Elsevier, eLibrary, information on the genetic basis of the development of obesity is considered. Based on the results of the systematization of the information received, the question was raised about the need for further research in this area due to the relevance of the problems being discussed. 

The article analyzes the effectiveness of therapy for patients with chronic pancreatitis with the introduction of physiotherapeutic methods into the complex of measures. The study included 250 patients aged 28 to 67 years diagnosed with chronic pancreatitis. In the main group, patients received an additional course of physiotherapy treatment in addition to standard therapy. In the control group, treatment was carried out according to standards in accordance with clinical recommendations. The obtained results of the study showed that the inclusion of physiotherapeutic methods in the complex therapy of patients with chronic pancreatitis contributes to the complete relief or weakening of pain, a reduction in the period of pain relief, dyspepsia, and helps improve the exocrine function of the pancreas.

The literature contains isolated data on long-term persistence of the virus in the body in immunocompromised patients. The aim – to present a case of long-term persistence of SARS-CoV-2 in a patient with infective endocarditis. We retrospectively analysed the results of PCR assays for COVID-19 in a patient diagnosed with primary infective endocarditis and COVID-19. Despite the given therapy, the persistence of the virus in the patient amounted to 35 days. It was caused by infective endocarditis, a disease accompanied by changes in the organism's reactivity and immune response. COVID-19 affected the course of the postoperative period. 

Acute intestinal obstruction during pregnancy is a rare but extremely dangerous surgical pathology. Despite advances in medical technologies, preoperative diagnosis of acute surgical conditions of the abdominal organs during pregnancy is still imperfect. During pregnancy the clinical picture of the disease and laboratory parameters are nonspecific and variable which causes untimely provision of care and severe complications for both the mother and the fetus. The high incidence of acute intestinal obstruction during pregnancy is due to the adhesive process caused by surgical interventions including caesarean section the rates of which continue to rise steadily. The article presents a clinical case of a patient whose pregnancy was complicated by acute adhesive intestinal obstruction caused by the adhesive process after a previous caesarean section. The authors have noted the importance and necessity of multifield cooperation, timely decision-making both at the stage of diagnostic examination and during treatment, which made it possible to avoid severe complications from both the mother and the fetus.

A clinical case of treatment of a patient with cancer of the hepatic angle of the colon with involvement of the duodenum and head of the pancreas is presented. Traumatic surgical treatment was performed in the volume of extended gastropancreatoduodenal resection with hemicolectomy on the right. Тhe patient underwent an adjuvant chemotherapy program. Currently, he has been under dispensary observation for 3 years without signs of relapse and progression of the oncological disease.