The article describes various clinical forms of lichen planus and features of their course. The causative factors and provoking factors in the development of lichen planus, age and gender characteristics,
patient complaints, dental and somatic status, the state of the oral mucosa, elements of the lesion, their localization, the boundaries of the lesion of the oral mucosa were taken into account. The description of
the course of various clinical forms of lichen planus is relevant for diagnosis, prevention and selection of an effective treatment method, therefore, we analyzed the clinical features of the course of lichen planus
of the oral mucosa.
Methods and materials. 60 patients with various clinical forms of lichen planus of the oral mucosa aged 20 to 60 years and older, who came with complaints in the oral cavity. Clinical and descriptive
methods were carried out, the method of photoactivation was used to determine the true border of the pathological process.
Results. The proposed scheme for the diagnosis of lichen planus is necessary for practical healthcare, especially in the management of patients with pathology of the oral mucosa with similar clinical signs of the disease.

Objective. To assess the quality of medical services provided at the level of the outpatient surgery center in Almaty, using the example of the KGP at the PCV GP No. 10.
Materials and Methods. A questionnaire developed by us at the Department of Public Health of the Kazakh-Russian Medical University was used as a research tool.
Results. The presented results allow us to understand that modern polyclinic surgery is a definite alternative to inpatient surgery.
Conclusions. Based on the results obtained by us, the conducted statistical analysis, it can be concluded that modern polyclinic surgery is a definite alternative to inpatient surgery due to a reduction in the
waiting time for patients to perform operations, a reduction in the unsatisfactory management of surgical patients in polyclinics when they are treated after discharge from the hospital due to the lack of coupons for an appointment with a doctor or nurse. In addition, in the conditions of outpatient surgery, patients also have the possibility of treatment using minimally invasive methods of surgical interventions and the use of new anesthetics. All of the above indicates the need to open new centers in each district of the city to reduce the load on the hospitals of the city.

Purpose. This study aims to evaluate the prognostic value of the Barthel Index in patients following acute cerebrovascular events for determining survival prognosis.
Materials and methods. In this research, various methods were employed, including a statistical retrospective analysis of patient data from those who had experienced acute cerebrovascular events, a
comprehensive evaluation of patients using the Barthel Index assessment methodology, an assessment of the prognostic reliability of the Barthel Scale in dealing with patients who had experienced acute
cerebrovascular events, and a review of retrospective publications on this subject. The results obtained enable an assessment of the difference in Barthel Index scores between the group of survivors and the group of deceased patients. This difference was statistically significant, with the mean score in the survivor group being 77.5 points and the mean score in the deceased group being 37.5
points. Importantly, the score was lower in the deceased group compared to the survivor group. According to the linear trend, a decrease in the Barthel Index indicates an increased risk of mortality in patients who have experienced a cerebrovascular event.
Conclusions. Based on the research findings, it can be concluded that the Barthel Index is a valuable assessment system for predicting the survival of patients who have experienced a cerebrovascular event.

The article describes the clinical experience of 4 simultaneous operations in the conditions of the Regional Cardiology Centre of Taldykorgan, Zhetysu region. The relevance of this problem has recently
increased with the growing number of patients requiring simultaneous interventions. Simultaneous (single stage, combined) operations are surgical interventions during which correction of different nosological
diseases with localization in different organs is performed.
The purpose of the study. Description of clinical cases of simultaneous operations in cardiac surgery.
Materials and methods of research. In the period from 02.2022 to 05.2023, 4 simultaneous operations with lung cancer, kidney cancer, thymus cancer with competing cardiac pathology were
successfully performed in the Department of Cardiac Surgery of the GKP at the Regional Cardiology Center in Taldykorgan.
Results. The operations were performed by a multidisciplinary team of cardiac surgeons and oncologists. In three cases, surgical access was provided by median sternotomy, in one patient: sternotomy and laparotomy.

Purpose. The concept of medical gases includes all gases used for therapy or medical diagnostics - ozone-oxygen mixture, hydrogen, noble gases (xenon, krypton, argon, helium), hydrogen
sulfide, nitrous oxide, nitric oxide, carbon monoxide and carbon dioxide.
Material and methods. The main method is a systematic review of the literature on the topic. The sources were searched in the PubMed and elibrary electronic libraries, using the keywords:
«medicalgases», «ozone», «molecularhy-drogen», «xenon», «hormones», «homeostasis», «Pavlovianconditionedreflex»; the historical depth of the search was not limited. Results and discussion.
Results. The review provides a large body of data that directly indicates that WE are very sensitive to the effects of medical gases.

The purpose of this review is to explore software solutions employed internationally for telemedical patient consultations and the training of medical professionals, with the goal of enhancing the efficiency of consultations and education.
Materials and Methods. We conducted an analysis of the disparities between conventional and cloud-based video conferencing systems, along with an examination of system identification and testing
methodologies.
Results. The findings presented herein facilitate a deeper comprehension of the distinctions between cloud-based solutions and conventional software.
Conclusions. This review identifies the essential characteristics of software solutions that can be utilized to evaluate the suitability of cloud conferencing technologies and justify the transition from
traditional technology to a cloud-based environment. Additionally, we provide an evaluation template for assessing system compliance.

Purpose. Back pain is a prevalent and often debilitating ailment that affects individuals of all ages and backgrounds. Conventional medical treatments offer relief but sometimes fall short of addressing
the root causes. An alternative approach that has gained recognition is Ayurveda, an ancient system of medicine originating in India. Ayurveda focuses on holistic healing, emphasizing the interplay between the
mind, body, and spirit.
Materials and methods. This article presents a comprehensive exploration of Ayurvedic principles and practices for managing back pain. Our research included a thorough literature review of Ayurvedic
sources, expert interviews with practitioners, and a qualitative synthesis of findings. We examined the role of dosha imbalances, individualized treatment approaches, and holistic well-being in the context of back
pain management.
Results. Ayurveda's unique perspective identifies back pain as a manifestation of dosha imbalances, particularly an aggravated Vata dosha. Ayurvedic treatments encompass dietary adjustments, herbal
remedies, yoga, Abhyanga (oil massage), meditation, and lifestyle modifications. These treatments aim to pacify Vata dosha and promote balance. Qualitative synthesis suggests potential benefits, while scientific
evidence supporting Ayurvedic interventions is ongoing.
Discussion. The individualized approach of Ayurveda, tailoring treatmentsto one's dosha constitution, offers a promising avenue for back pain relief. The emphasis on holistic well-being, addressing mental and
emotional factors, aligns with the broader trend towards integrative healthcare. While limitations exist, including the need for further research, Ayurveda's enduring wisdom reminds us of the interconnectedness
of mind, body, and spirit in the journey towards back pain relief.
Conclusion. Ayurveda emerges as a holistic and complementary approach to managing back pain. Its ancient roots offer a timeless path towards harmony and well-being. As we navigate the complexities of
back pain, embracing Ayurveda's wisdom encourages a deeper connection with our bodies and the natural world, resonating with the holistic healthcare approaches of our time.