3. On 50 years are talked about,that an importance reason for rheumatism is streptococcus infection. Are these reasons are changed?

 To rheumatism is streptococcus is main provoker, but on the 10 years last are found lots of bacterial and virus agents, causing spine disease and joints. That found a role, not just these factors of external environment, but,  and family-genetical predisposition to him. In a base for rheumatic damages are lie immunity destroy, thus first tasks for scientists staying a search for remedies, which will normalize immune answers of organism on affecting unfavourable external factors or breakdowns inside .Here,  in our  institute created region for immunopathology , laboratories for immune genetic, clinical immunology, extracorporeal methods for blood clean.And,  moderns methods for diagnosis and cure enters hope  ,that on a close time we can effectivity help for patients. 

4. Valentina dear, to which specialists, not immunologists,  you can unite efforts in attacking on rheumatism?A close is keeping for 25 years with cardiosurgeriests, as his based methods  comissurotomy , prosthesis for damages heart valves by rheumatism, corrected heart defect are helped saved life, full value created and enduring who rheumatic attack And we have contacts  for the long time with Evpatorias Spa, Pjatigorsk, Rheumatology at Yaroslavl, are on a base source and local Big salts are restored effective rehabilitation in patients.

And of course we are widening contacts with Lor, urologists, dermatovenerologists,as a base popularity having in tertiary preventing as restored for lost or strong limited functions of damages joints. Surgeries-orthopaedists success operates anchyloses   joints, as formed a new  speciality as rheum-ortopaedsia, as success developing in many countries.As these rheumo-orthopaedic regions created at Saratov institute by traumatology and orthopaedic in institute for clinical medicine at Lituania   as operating patients in orthopaedic clinics and regions of big hospitals in Minsk, Sank-Petersburg, but its these are less, patients are long time waiting a turn.

 5. In begin,  for our speech we are talked about a needing for rising knowledges and qualification for rheumatologists, does are possible here too having?And,  which role here for science community?As all specialization and rising qualification by doctors doing at on a base institute for rheumatology, as on public beginning is free, and lots of doing half- 2 months courses for therapeutist and paediatricians  , cycles for rheumatologists, but rheumatology knowledges are needing sharing for therapeutists and podiatrists , as and new methods with for diagnosis are meeting on seminaries in trips, symposiums, conferences ,which we are doing every year in different regions of country. A clinic for institute rheumatology staying on Kashirsky highways , as we are going ready new rheumatologists as on his worked places, as opened a cathedral  for central institute for improving doctors. But all of these i think is little.

6. Valentina, am think, that social activity ,which differenced by activity of community for a first years her staying is weakened  and shifted to the medical problems. As a problems for disabilities, that with joints problems are staying alone as one to one with trouble, as not mobility and teared off from our life community. But,  medics are not leaving theirs, but they must be a loudly and incessant by patients names to put questions of social rehabilitation. Yes, you are right, we are in big debt  before these patients. Doctors , informed theirs anamnesis is, will stay a expensive theirs interests. As beginning with chairs, stools, pen s nozzles, beds, sticks,  and cars. Am think, as a scientist to put this question very sharply, as to help to visit for home with steps for chairs built. As a very little to recognize an own inertial  , a need to do! They are not tearing off from life, they are communicating, walking, cooking, singing or playing, creating  gadgets ,which are need for friends and yourself. Am supporting these offers and creating disabilities associations. And its in the interests of every disability and community in common.

 7. And a last, which direction on the future searching by scientists?

A lot of patients which are not ability to stop fast progressing a joint and system damaging for tissues and organs, preventing early disability. Thus , we are searching new high quality anti-inflammatory , immunosuppressive and immune modulating remedies, as affecting on cartilage metabolism and connective tissue. And new remedies and preventing methods.  FUTURE PROGRESS IN RHEUMATOLOGY IS WITH CLOSE COOPERATION WITH SPECIALISTS, WORKING IN REGIONS OF THESE FUNDAMENTAL SCIENTISTS, AS VIROLOGY , IMMUNOLOGY, IMMUNE GENETIC, AND MOLECULAR GENETIC, ENZYMOLOGY.