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.
Diagnosis and surgical treatment of occlusive lesions of brachiocephalic arteries
Gulmurod U.T., Sultonov D.D., Gulmurodov T.G.
Observed the results of observation and surgical treatment of 102 patients with occlusions defeat of brachiocephalicus trunk and artery subclavia, caused by atherosclerosis (57), nonspecific aorto-arterition (36), and consequences of traumas of arteries (9). Investigation of regional and a brain haemodynamics has shown that occlusion of trunk brachiocephalicus and I – segment artery subclavia essential decrease a brain blood-groove for the account “steal syndrome” on vertebral and to sleepy arteries.
Choice of a method of operation depended on localization, quantities and extents of defeat of vessels. Shunting operative interventions were applied: intrathoracies (18) and extrathoracies (82). At defeats of left sleepy and subclavia arteries used link sided lateral thoracial access. At occlusion of distal portions of artery subclavia a choice method was roundabout autovenouse shunting.
Optimization of surgical tactics has
The clinical and immunological features of onychomycosis in elderly and the senile age
Каsimov O. I., Salimov B. M., Каsimov A. O.
From among 45 patients at the age of 60-85 (men – 36, women – 9) with onychomycosis 23 (51.1%) had distal and lateral form, 5 (11.1%) – superficial and white, 6 (13.3%) – proximal and hyponychial, 11 – total and dystrophic. All patients with onychomycosis had various forms of the athlete’s foot. The cell immunity decreased (fall of CD3 and CD8) and the humoral one increased (raise of IgM, IgG and the circulating immune complexes).
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.
TREATMENT AND PREVENTION OF VIRAL INFECTIONS WITH THE USE OF INTERFERON INDUCTORS
MIRZOYEVA Z.A., KHISOMOVA KH.K.
THE DEPARTMENT OF FAMILY MEDICINE TIPGPMP
Today viral infections are the leading cause of morbidity worldwide, the role of which in the overall morbidity will only increase. Recently in the treatment of viral infections extensive use of immunomodulators, the range is constantly expanding. The most promising drugs in the given as¬pect are interferon inducers. The article presents the results of studies of prophylactic effectiveness and treatment of acute respiratory viral infections interferon inducers of 150 patients aged from 1 month to 17 years. The results obtained showed that anaferon having a pronounced curative and prophylactic efficiency of the flu, when before vaccine period increases the functional activity of specific antibodies that reduce the intensity of morbidity. The ability of the drug to reduce the number of bacterial complications allowed authors to effectively apply anaferon in the treatment of viral infections in children with secondary
Condition and methods of prevention at school and street accidents reading to disability (in Dushanbe, Tajikistan)
Mirzoeva Z.A., Hisomova H.K., Ortikova M.M.
The family doctor can show care, gain trust of children and their parents, attention and correctness in relation to patients. It has good knowledge and skills of questions to prevention of a school and street invalidation. The family doctor has a key to professional consultation.
OPTIMIZATION OF COMBINED TREATMENT OF FRACTURES OF THE LONG BONES IN PATIENTS WITH SIGNS OF FATTY HIPERGLOBULEMIYA
SIRODZHOV K.H., KARIMOV K.K., MIROV N. SH. AHMEDOV SH.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical -diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system.
Structural studying of pathology ENT bodies at children for the five years’ period
Shamsidinov B.N., Mahmudnazarov M.I., Gijasov H.A., Kosimov A.A., Shajdoev S.S.
In given article authors make the analysis of structure hospital ENT pathologies at children according to case records for the five years’ period on an example children’s ENT branches of the National medical centre of Republic Tajikistan. The increase in number of planned hospitalisation over the last 5 years is noted. It is established that in structure нозологических forms of diseases ENT of bodies of children’s age a leading place occupy a pathology of the top respiratory ways. The tendency to increase in number of patients with the complicated forms of a chronic purulent average otitis, and also papilomatos throats is revealed. Conclusions are drawn on organisation perfection оториноларингологической the help to children by carrying out of regular preventive actions on places and timely treatment of sharp pathologies ENT of bodies at children.
THE EXPERIENCE OF RESTORATIVE TREATMENT OF PATIENTS WITH PATHOLOGICAL ABRASION OF THE TEETH
Nazarov Z.A. , Faizov K.S. , Nosirov A.F. , Gulahmadov D.A.
The paper considers the application of porcelain and metal prostheses in 37 patients with pathological abrasion of the teeth. The authors of the indications and contraindications to the use of these structures in this group of patients.
INFLUENCE SEX STEROID HORMONES ON THE CARDIOVASCULAR SYSTEM OF WOMEN
Narzullaeva A.R., Rakhimov Z.Y., Muradov A.M., Rofieva H.Sh.
Department of Cardiology with the course of clinical pharmacology of Tajik Institute of Post-Graduate Education of Medical Staff
The review describes the questions of influence of sex hormones on the cardiovascular system. Data provided numerous studies show a veracious cardioprotective effect of female sex hormones, which manifests itself in pronounced vasodilatory, anti-atherogenic, and antiagregatine anticoagulant action aimed at preventing the pathological changes in the cardiovascular system.
OPTIMISATION OF COMPLEX TREATMENT OF DAMAGES OF A SKELETON AT PATIENTS WITH A POLYTRAUMA
SIRODZHOV K.KH., RAHIMOV A.T.
THE DEPARTMENT OF TRAUMATOLOGY AND ORTHOPEDICS TIPGPMP
The unsatisfactory results of complex treatment of skeletal injuries and injury outcomes in patients polytrauma testify to the social and economic importance. The paper analyzes the results of studying the peculiarities of the structure of multiple and associated injuries skeleton, ways to optimize the treatment of fractures on the basis of orthopedic «Damage control» of 30 trauma patients. In the structure of combined trauma of the skeleton in the 81,7% of cases, there were fractures of long bones, 36,3% – fractures of other departments, 21,3% – pelvic bones, in 5,3% of cases – fracture of the spine. Fractures of the long bones in 78,4% of cases were of indoor and 21,6% of cases – the open character. Methods of early reposition fractures in the study group used in 30,4% of the observations, delayed – 15,7%, and later – in 9,5% of cases. In the control group received digital values amounted to, respectively,