This paper is dedicated to an integrated environmental assessment of soil cover in the Ivanovo Region’s territory. Using modern instrumental methods of analytical control has been determined a content of gross and mobile forms for Pb, Cd, Co, Ni, Zn, Mn, Cu and Fe in the soil. The analysis of the soils ecological state in the period from 2010 to 2014 has been performed. It has been found that the region soils are generally characterized by relatively low levels of heavy metals contamination. Areas with high concentrations of heavy metals’ mainly mobile forms are local ones. For the first time in Ivanovo region has been performed an assessment related to potential risk of soil contamination for the public health. Comparison of experimental results with statistical materials on morbidity and mortality, as well as the subsequent analysis of the obtained data together with the results of sanitary-hygienic research allow highlight the most contaminated areas, and identify potential sources of negative impacts, as well as to conduct ecological and hygienic assessment for investigated region’s soil status. Using of vivid cartographical techniques allows visually assess the scale of contamination for Ivanovo region’s soil cover, and reveal this information to the public in a timely manner.

There were 105 patients with shoulder replacement under our supervision (terms of supervision were up to 10 years). There were 43 men and 62 women. Age of patients was from 29 to 80 years. Two ways of optimization of shoulder replacement are offered: “Method of preoperative determination of the sizes of a head of shoulder joint endoprosthesis” (Patent of the Russian Federation N 2469670 d.d. 12.20.2012) and “Method for intraoperative navigation of a shoulder stem of joint” (Patent of the Russian Federation N 2467725 d.d. 11.27.2012). We reached the improvement of quality of the operation due to the fact of an installation of the implants which are as much as possible close to the anatomy of a normal shoulder joint by size and position.