СЛОВО ГЛАВНОГО РЕДАКТОРА
Наше издание является научно-практическим журналом, в котором публикуются основные научные результаты диссертаций на соискание ученой степени кандидата и/или доктора медицинских наук как нашего института, так и других лечебно-учебных медицинских учреждений, интересные случаи из практики, обзоры литературы, лекции и юбилейные статьи. Журнал выходит 4 раза в год, и каждый номер имеет не менее 80 страниц. Каждая поступающая статья принимается по требованиям, проходит строгий отбор и отдается для выпуска в номер только после рецензирования и обязательного редактирования.
У нас принято одностороннее слепое рецензирование. Рецензенты уделяют особое внимание содержанию статьи и проверке данных статистической обработки, их соответствие современным требованиям.Главный редактор журнала доктор медицинских наук Мухиддинов Н. Д.
ENDOVIDEOSURGICAL TREATMENT OF ECHINOCOCCOSIS OF THE LIVER
GUL’MURADOV T.G., SANGOV D.S., NAZAROV F.N.
THE DEPARTMENT OF CARDIOVASCULAR AND RECONSTRUCTION SURGERY TIPGPM RSCSSH MPH RT
To conduct comparative assessment of the results videolaparoscopycal and traditional echi-nococcectomya of liver and improve the results of surgical treatment of echinococcosis of the liver using videolaparoscopycal technology analyzes the results of surgical treatment of 206 patients with echinococcosis of liver aged 15 to 64 years. 96 patients operated with the use of videolaparoscopycal technology (main group) and 110 – traditional way (control group). Indi¬cation for use videoendosurgical technology was the presence of uncomplicated echinococcosis cysts of the liver in zones good view, not lying deep into the parenchyma, with a diameter of 10 cm in the absence of signs of sepsis, and a breakthrough in the bile ducts. When diagnostic laparoscopy in 6 cases was detected intrahepatic localization cysts, Two patients detected adhe¬sions in subdiaphragmatic space,
THE HEALTH CARE OF NEWBORNS (NATIONAL PROTOCOL)
MAKHKAMOV K.K., SAIDMURADOVA R.KH., BUZRUKOVA N.D
DEPARTMENT OF NEONATOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
This paper presents the national protocol for the care of healthy newborns, which is approved by Ministry of Health and social protection of the population of the Republic of Tajikistan 07.06.2011 (№318), including 5 protocols of maintaining newborns (care of the healthy newborn, reanimation of newborns, sepsis of newborns, pneumonia of newborns, a haemolytic illness of newborns). The approved standard was the first step on standardization and optimization of the neonatologic help, and respectively, decrease in incidence, mortality and an invalidization of newborns. Мaterial is based on the available evidence regarding the practice of medicine and nursing care of newborns in many countries, including your own experience, and consistent with the recommendations of WHO
PARTICULARITIES OF THE CLINICAL COURSE AND SURGICAL TACTICS IN BAKTERIOIDICAL INFECTIONS AT MAXILLOFACIAL AREA
Mirzoev M.Sh., Shakirov M.N., Gafarov Kh.O., Khushvakhtov D.I. Depertment of Maxillofacial Surgery with Children's Stomatology of State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan» Aim. To study the particularities of the clinical course and surgical tactics treatment of the festering-inflammatory processes of maxillofacial area and necks, caused bakterioidical infections….
Some social-hygienic aspects of the metabolic syn¬drome in patients with gout
Abduloev H., Hidirov I.F.
Therefore, the data environment and health analysis indicate a certain influence of some fac¬tors on the prevalence, duration of disease and gout with components of metabolic syndrome. Among the factors that adversely the value of the following: age, lack of exercise, diet, alcohol abuse, smoking, overweight, obesity. This re¬quires the elimination of this category of people at risk of developing the disease and the necessary laboratory and instrumental investigations
THE OPTMIZADHICEBNOGO PROCTSS IN THE MEDICAL SCHOOLS OF A SO
ISOMIDINOV A.I., ISOMODINOV A.A.
Thus account of the horizontal and vertical forms of training, their integration and realization of other new educational games, interconnected to various disciplines, in all (theoretical and practical) faculties is capable to raise an educational, scientific and profes¬sional level of the future doctor. Such approach helps the student will learn skill to put be-fore itself the purpose to analyze and to give synthesis to the received knowledge to find ways of the decision of the put task, will join and to look at a subject from others scientific integrative points of view.
PATHOLOGICAL CHANGES IN THE PERIMENOPAUSAL PERIOD AND THEIR INFLUENCE ON THE FORMATION OF HYPERTENSION AND CORONARY HEART DISEASE IN WOMEN
NARZULLAEVA A.R., RAKHIMOV Z.Y., MURADOV A.M., ROFIEVA KH.SH.
DEPARTMENT OF CARDIOLOGY WITH A COURSE OF CLINICAL PHARMACOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN)
The review describes the issues of influence reduce levels of sex hormones on the cardiovascular system and contribute to the development of climacteric hypertension and coronary heart disease in the perimenopausal period. Proved that the perimenopausal period is an additional risk factor for cardiovascular disease in women due to lower cardioprotective effects of estrogen. At the same time noted that the appearance of pronounced climacteric syndrome revealed deeper changes in the cardiovascular system , namely, left ventricular hypertrophy , metabolic changes , both on the carbohydrate and lipid metabolism by more malignant for hypertension and coronary artery disease.
THE NATURE OF THE PAIN SYNDROME IN PATIENTS WITH ADVANCED STAGES OF MALIGNANT NEOPLASMS MAXILLOFACIAL AND EFFICIENCY TRADITIONAL PAIN THERAPY
GAFAROV H.O., SHAKIROV M.N., MIRZOEV M.SH.
THE DEPARTMENT OF MAXILLOFACIAL SURGERY WITH CHILDREN STOMATOLOGY OF TIPGPMP
Questionnaire of 108 patients with advanced stages of malignant tumors of maxillo-facial region studied the nature of the chronic pain syndrome and assessing the effectiveness of traditional pain therapy. The 58,3% of the observed diagnosed with advanced stage cancer of mucous membranes of the oral cavity, 23.1% of installed cancer of mucous membrane of the maxillary sinus, a 3.7% identified advanced stage of osteosarcoma jaws. The 3rd and the 4th stage of malignant process revealed respectively of 17.6% and 82.5% of the observed. Among patients with the character of the pain syndrome and effectiveness of the analgetic therapy were studied by the method of questioning on the specially prepared questionnaire. Study of the dynamics of pain syndrome showed that the pain intensified after their first appearance during the first 3 months of 20,3% of patients during 3-6 months
Operation of emergency medical services and evaluation of its effectiveness in diverse countries around the world
Muminov B.G., Akhmedov A.A.
Choosing a model service organization depend on many factors. In the developed countries to the fore the economic aspects. In this connection, he prefers low-cost paramedical teams. In Russia and CIS countries in the Republic of Tajikistan to doctors there is no single approach. It would be expedient to adopt organizational commitment in the choice of the ratio of different teams (specialized, linear, BIT, paramedical and paramedical teams), in favor of teams BIT, paramedical and paramedical teams.
Planed relaparotomiya in treatment of the terminal stage of the general peritonitis
Аkilov H.D., Kaharov M. A., Sidikov A. U.
We analyzed the results of surgical treatment of 61 patients admitted to hospital in the terminal stage of peritonitis. Along with a complex of modern medical diagnostic measures the authors studied the prognostic significance of MPI, which allowed surgeons to concentrate on the most difficult group of patients. The dynamics of change in the number of microbial cells during the planned renovation of the abdomen that will optimize the treatment policy for these patients. Research in this direction is continuing.
The renal complication in the long-term periods in the women who have had acute renal failure after birth
Sodiqov A. M., Murodov A. M., Hamroqulov A. A., Shumilova O. V.
The data obtained indicate excessively slow recovery of lost functions, which is most intense during the first 2 – 3 years and indicate the need for prolonged recovery of renal function for more than 6-7 years, deterioration of renal function contributed to: a chronic underlying disease (chronic glomerular – pyelonephritis, anemia, and subsequent pregnancy and childbirth in the background is not completely recovered renal function). Therefore, this group of patients should be on the dispensary to the full restoration of the functional usefulness of the kidneys, at least 2-3 years, and patients with chronic renal failure observed in different stages – for life