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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, профессор Мухаббатзода Дж.К.-
THE SYNDROME OF ENDOGENOUS INTOXICATION IN PATIENTS WITH CANCER OF THE MAMMARY GLAND
RASULOV S.R., MURODOV А.М., KHAMIDOV А.К., ASHUROVA M.J.
In the structure of the morbidity and mortality of the female population of cancer of the mammary gland takes the first place. The severity of manifestations of GIS in patients with cancer of the mammary gland caused by the passage of the disease (depending on the stage of the disease) and the applied method of special treatment: surgery, chemotherapy, radiation therapy. Study of biochemical markers of endogenous intoxication in patients with cancer of the mammary gland showed a decrease in total protein, albumin fraction and test the Paramecium, a slight increase in globulin, which testifies to the existence of the phenomena of intoxication depend on the stage of the prevalence of tumor process. In patients with cancer of the mammary gland, compared with healthy, have lower indicators of the quality of life, especially for the account of such scales as physical functioning and men-tal and emotional state. -
Differentiated approach to surgical treatment of groin hernias.
Pirov B.S., Nurmatova M.M.
In work analysed results of operative treatment of 283 patients during the period with 1997 on 2011 with groin hernias by which in a planned and emergency order it is made Hernia section. The patient intraoperative 1s made measurement of structures groin’s channel, is revealed degree of changes of fabrics also picks up a method of operations. Thus some kinds of groin section are modified by us. At the risk of development of complications and differentiated approach it is possible to lower percent of relapse of disease to 1,3 %.
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STEPS OF IMPLEMENTATION OF PALLIATIVE CARE ON THE HEALTH SYSTEM OF TAJIKISTAN
AKHMEDOV A., SAMADOVA G.A., MAKSUDOVA Z.YA., ABIDZHANOVA N.N.
DEPARTMENT OF PUBLIC HEALTH, ECONOMICS, MANAGEMENT AND MEDICAL STATISTICS OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF
DEPARTMENT OF NURSING IN FAMILY MEDICINE OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF OPEN SOCIETY INSTITUTE “ASSISTANCE FUND” IN TAJIKISTAN
Every year, the incidence of chronic diseases in Tajikistan is growing. By year 2010, the average life expectancy reached 68,3 years, although the figure is not close to pre-war level. There are appeared lonely elderly segment, who suffer under reduced quality of life, and very often death occurs as a result of disease. This picture proves the need to revise the form of medical care of these patients in the final stage of life. Many countries have proved that to meet the needs of these groups of patients, especially when they have decompensation stage and drug treatment is ineffective, palliative care is necessary not only because it -
DEATHS FROM RESPIRATORY DISEASES IN THE REPUBLIC OF TAJIKISTAN
MURADOV A.M., YAKUBOV M.R.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF TIPGPMP
Diseases of respiratory organs are in the lead in the overall morbidity of the population, taking 1st place in the structure of primary morbidity worldwide and deaths from which is on the 4th place in the overall structure of death after circulatory diseases, injuries, poisoning and cancer. In work the analysis of indicators of mortality from respiratory diseases in the Republic of Tajikistan for the period 2000 to 2010. It is revealed, that in structure of total mortality from diseases 2010 diseases occupied the 4-th rank place, after malignant neoplasms. As a result of statistical analysis revealed a trend towards increased mortality among people of working age. This situation is explained by the fact that the majority of persons of working age due to fear of job loss, despite not feeling well, continue to work and this leads to late start of therapy and adherence complications. In 2002, -
MODERN MEDICAL CONCEPT OF THE HEALTH CARE SYSTEM AND HEALTH PROBLEMS
ISOMIDINOV A. I.
On the first primitive communal system of the conflict physical solution to the problems is the primacy of the vegetative level, evolutionary fastened way, where prevails anarchist social laws of the company. On the second biological social level of existing conflicts indicates the lowest – “the most elementary form of political formal behavior” – the class struggle.
On the third intellectual democratic level of the struggle, as a rule, is over conscious nature, and the motive force of social development – the “struggle for existence” for himself, takes psychologically open, exalted form of the struggle for a society to the principles of cooperation with the physical and emotional forms. In such a community “competition” and conflicts are leveled and smoothed, due to natural social laws physical and emotional struggle is suppressed and sacrifice and dies or leaves in a shade. -
LESON IN THE COMPLEX TREATMENT OF ALLERGIC DERMATOSES
Aim. To study the efficiency of Leson in the complex treatment of atopic dermatitis (AD) and chronic urticaria (CU).
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Influences of age on expressed and frequency of separate components of metabolic syndrome at the patients with podagra
Abduloev H.J.
Age dimorphism hypertriglyceridemia at the patients with podagra proved to be true also by presence of return correlation relation between a level of whey triglyceridemias and age on the moment of inspection. The frequency of revealing of the increased meaning of AP, on the contrary, has increased with age. It proved to be true also by presence of direct correlation dependence between age and absolute meanings systolic and diastolic of AP. Naturally, that the duration of disease was progressively increased with age of the surveyed patients. Nevertheless, the patients were younger, the in earlier age debuted podagra.
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Evaluation of the nutritsialy and complex corrective therapy awaiting pregnant women and mothers
Pulotova A. P., Rustamova M. S., Jalova O. D.
In this article effectiveness of using drugs, nutritional and complex treatment of the iron defesition anemia was evaluated. It was establissed, that the complex treatment was more effectiveness. -
DISTRIBUTION OF TUBERCULOSIS IN CONJUNCTION WITH HIV/AIDS AND THE PROBLEMS OF EARLY DETERMINATION
Aim. To study speared of co-infection TB/HIVS and develop prophylaxis measures for early determination of TB
among HIV/AIDS infected people. -
THE IMPACT OF INDIRECT ELECTROCHEMICAL OXIDATION THE TOXICITY OF BLOOD IN PATIENTS IN THE TERMINAL PHASE OF PERITONITIS, DUE TO PANCREONECROSIS
DOSTIEVA Z.A., SHUMILINA O.V., MURADOV A.M., HAMROKULOV A.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
In 15 patients with pancreonecrosis complicated by the terminal phase of peritonitis, we estimated the effect of indirect electrochemical blood oxidation on the state of the detoxification function of the lungs by intravenous 0,06% solution of sodium hypochlorite. To study the detoxification function of the lungs compared the blood of the right ventricle of the heart and arterial blood from radiotherapy or femoral artery, taken simultaneously. Study was carried out after 1 and 4-6 h after infusions of the mentioned solution. If, prior to the infusion of sodium hypochlorite concentration of urea and creatinine in the blood drains were reliably higher than in streams to the light respectively by 20,9% and 12,9%, for 1 hour, these figures are reduced to the respective indicators of 18,2% and 7,6%, and after 6 hours of light to see themselves their detoxifying that