Background. Due to strengthening of understanding and scope for health service, in different countries of the World, there are wider range of medical specialized trainings newly emerged by quantity and quality. According to the researchers number of factors influence in choice of specialty among medical students and young professionals such as: age, gender, income status, judgement of vocation and prestige. Evaluation on understanding, choice and basic concepts of specialized training, among undergraduate medical stu¬dent and lack of information and research related to thi question lead to motivation and justification of this research. Goal. Goal of this research is to determine the understanding and choice of specialized postgraduate training among medical students. Objectives: 1. To determine the understanding of the basic and specialized vocational training among medical student 2. To determine the choice of the basic and specialized vocational training among medical student 3. To study choice of medical students on basic and specialized vocational training in relation to the needs of health sector. Material and methods. Research has been conducted among 157 medical students of HSUM who are at the 6th year and 74 medical students of Ach Medical institute and used cross-sectional study with quantitative and qualita¬tive descriptive methods. Statistic analysis has been done by SPSS-17 program. Results. 61 students or 26,4% of all participants had a sufficient knowledge about basic and specialized vocational training,where149 or 64,5% had a moderate knowledge, and 21 or 9,1% had an insufficient knowledge. Understanding of duration and fees of basic vocational training were higher than specialized training ( p<0.0001). Source of information of 118 or 51.1% of all participants were from schools and teachers, where 115 or 49.8% were from friends, but information gathered from doctors were more grounded than from other resources. Research shows 207 participants or 89.6% had decided on choice of basic vocational training and 24 participants or 10.4% had not decided yet. If we look into sectors, 53 participants or 25.6% have chosen internal medicine, 51 or 24.6% have chosen surgery, 33 or 15.9% have chosen obstetric and gynecology, 20or 9.6% have chosen ultrasound diagnostics. Among participants, 64.1% have chosen specialized vocational training, and 35.9% were no decision yet. Choice of basic vocational training was determined by gender: internal medicine ( p<0.001), obstetric and gynecol¬ogy (p<0.008), pediatric (p<0.041) were chosen by female students, and surgery(p<0.0001), orthopedic (p<0.007), were chosen by male students, But married students preliminary chosen fields like pediatrics ( p<0.040), imaging diagnostics (p<0.013). Speciality as a general practitioner or family doctor have been chosen by no ne of them. In our country medical specialists in obstetric and gynecology, pediatric, internal medicine, surgery, anaesthesiol¬ogy, intensive care and family medicine are highly in demand. For instance, there are 25 pediatric doctors, 30 anaesthesiologists, 40 gynecologists in need of due to the demand of the first and third maternal hospitals, National child and maternal health center and UB city Health department ( MOH, order 120). 71% of all participants have chosen by their own interest, 59.75% did not have any effort to seek imminent existing post and 67.1% did not know about job description and duties of chosen work. Conclusions: 1. More than half of all participants (64.5% ) have moderate knowledge on basic and specialized vocational train¬ing, and overoll understanding, fees, duration of basic vocational training are higher than of specialized training (p<0.0001). 2. 89.6% of all participants have chosen their basic training and major fields were internal medicine, surgery, ob¬stetric and gynecology, the preliminary choice depend on gender(p<0.001, p<0.0001, p<0.008). Also 64.1% of participants have chosen their specialized training direction 3. 71% of all participants have chosen by their own interest, 59.75% did not have any effort to seek imminent existing post and 67.1% did not know about job description and duties of chosen work.

People with unexplained somatic complains are high-rate users of healthcare and often receive expensive, unnecessary tests and treatments.To study causes of unexplained somatic complains and some clinical symptoms.There were selected 25 consumers who diagnosed unexplained somatic complains according to ICD-X criteria in our study. In addition, qualitative research was used as semi-structure questionnaire for themMajority of study samples were living unpleasant environment in their family, conflicts of their parents relationship and substance abuse of parents. Most of the participants occurred change of sensation.This disorder is associated with negative family environment.

Introduction: Coronavirus infection 2019 (Ковид-19) is an infection caused by a novel virus and induces severe ARDS. КОВИД-19 pandemic has rapidly spreaded in 221 countries, 245,373,039 cases and 4,979,421 mortalities have been reported. Pulmonary and renal thrombotic angiopathy occur in patients with complications of ARDS, sepsis, and multi-organ failure. Elevated D-dimer in КОВИД-19 patients has been reported firstly by doctors in Wuhan, China. In addition, many studies have revealed that elevated D-dimer has been associated with the severity of the diseases, an increased rate of poor prognosis. Objective: We aim to determine D-dimer in КОВИД-19 patients, and patient condition a decrease of D-dimer level after administration of anticoagulant therapy. Case report: We introduce a rare case of КОВИД-19. Laboratory test results and the effect of anticoagulant therapy have been evaluated during the infection. 85 aged women were admitted with a diagnosis other than КОВИД-19. PCR for SARS-Cov-2 was negative on the previous day of admission, and Sars-Cov-2 Ag rapid test was also negative on the admission day. However, the D-dimer test result was much higher with 7120 ng/мл and X-ray and CT revealed a similar pattern to the КОВИД-19 patient. Then anti-Sars-Cov-2 test was positive with 4,08 COI. Based on laboratory test results of D-dimer, LDH, CRP, and CT pattern the patient was diagnosed with post-КОВИД-19 pneumonia, and anticoagulant therapy was initiated additionally to prevent hypercoagulation induced by КОВИД-19. D-dimer test taken before administration of anticoagulant therapy increased more to 10910 ng/мл. 3 days later D-dimer level decreased to 8180ng/мл and the patient’s condition was improved. Conclusion The evaluation of D-dimer of the patients with КОВИД-19 is highly significant. Anticoagulant therapy might be necessary for КОВИД-19 patients with high D-dimer level in serum. Further studies are needed to assess the long-term outcome of the illness and mortality.