[Medical discourse as a social activity: formation, priorities, dynamics (based on the material of the Russian popular science magazine «Zdorovie¼)].

Increasing interest in society in topics related to medicine and health is due to the current trend to consider physical, mental and social well-being as a basic human need. In the context of modern life, health is perceived as one of the most important values of an individual and society as a whole, therefore, medical discourse today plays a special role in culture, covering not only the professional expert and scientific community, but also the widest audience - the audience of the media. The media play a key role as a source of medical information and its targeted and targeted distribution. In this article, the medical discourse is analyzed in terms of its formation as a social activity and the role of modern mass media in it. The aim of the study is to analyze the demand for medical discourse in society and the features of its mediatization, which is the most important factor in the value-semantic dynamics of society and its way of life. The main empirical material is publications in the magazine "Zdorovie", the most popular Russian publication about a healthy lifestyle, medicine, practices for the treatment and prevention of diseases, the art of preserving beauty and vitality. The discourse of the popular scientific magazine "Zdorovie" as a very important segment of the value-semantic space of modern media is represented by a set of genres aimed at disseminating theoretical and practical medical knowledge, experience and providing medical services, taking into account the characteristics of medical subjects. dis-course, their information needs and problem-thematic requests, goal-setting attitudes, the degree and nature of interest, as well as the level of professional, general cultural and communicative competencies.

[Management of the patient with renal artery fibromuscular dysplasia: clinical case].

Fibromuscular dysplasia (FMD) is a rare disease that affects small and medium-sized arteries. Clinical manifestations of FMD depend on its localization. In many cases, FMD of renal arteries (RA) is associated with arterial hypertension. Young age, particularly of female patients, suspected RA dissection or kidney infarction, absence of atherosclerosis or presence of FMD in other arteries of such patients evidence for RA FMD. In invasive treatment of hemodynamically significant stenoses, transluminal balloon angioplasty (TBA) of renal arteries is preferrable. Taking into account initial alterations of the vascular wall and unevenness of the lumen of the affected blood vessel, stent implantation is associated with an increased risk of complications and is recommended only if ballooning complications develop. An open reconstructive surgery is indicated in complicated narrowing anatomy, a high risk of the endovascular treatment, or after failure of the endovascular intervention. This article presents a clinical case of a young female patient with RA FMD and renovascular arterial hypertension who successfully underwent renal TBA with a drug-coated balloon.