Topical issues of medical waste compliance with Federal Law 89-ФЗ On Production and Consumption Wastes and aspects of conducting medical waste management activities in order to comply with this regulatory legal act are considered. It has been established that when medical waste falls under the federal law FZ-89, additional requirements for conducting waste management activities are not taken into account, the entry of medical waste into the Federal Classification Catalog of Waste (FCCW) as a separate unit and optimization of the certification of medical waste. In our opinion, there are currently gaps in the medical waste management activities in the environmental legislation of the Russian Federation and, as a consequence, in law enforcement practice. An algorithm of scientifically based approaches to solving the main problems of the existing problems that can be applied during the preparation and development of the Information and Technical Guide on the best available technologies (BAT) for medical waste management is proposed.

Among 38 patients with arterial hypertension I and II degree, the diastolic function of the left ventricle was studied in the course of a twelve-month treatment with Telmisartan (Micardis). Analysis of the diastolic function of the left ventricle before the treatment with telmisartan showed that in both groups of patients with respect to the control group there was a significant decrease in the maximum speed of early diastolic filling and an increase in the maximum rate of atrial filling with increasing severity of the disease.At the same time, the period of isovolumetric relaxation and the end diastolic pressure in the left ventricle increased, and the E/A and Ei/Ai ratios tended to decrease. At the end of the 12-month period of treatment with micardis, the achievement of target levels of blood pressure and normalization of diastolic function of the left ventricle were noted. Keywords: arterial hypertension, left ventricular diastolic dysfunction, micardis.