• IMPROVEMENT OF CLASSIFICATION OF BILIOUS PERITONITIS

    Muminov S., *Kurbonov K.M., Rasulov N.A., *Kayumov A.A.

    IMPROVEMENT OF CLASSIFICATION OF BILIOUS PERITONITIS

    Department of Surgery of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    *Department of Surgical Diseases №1 of the Tajik Medical State University named after Abuali-ibn- Sino

    Aim. Improve and introduce classification of bile peritonitis.

    Materials and methods. For a basis of this research the experience of complex diagnosis and surgical treatment of 87 patients with bilious peritonitis was put. Patients treated in the City Clinical Hospital of Emergency Medical Care Dushanbe. Also, evidence to date classification of peritonitis, and in particular, the bilious was analyzed and studied.

    Results. The dinical manifestation of bilious peritonitis largely depended from reasons of disease arising and severity of endotoxemia. Based on the study and review of available clinical data the clinical classification

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  • MINIMALLY INVASIVE SURGERY OF LIVER ECHINOCOCCOSIS

    Gulmuradov T.G, Amonov Sh.Sh, *Prudkov M.I., Sangov D.S.

    MINIMALLY INVASIVE SURGERY OF LIVER ECHINOCOCCOSIS

    Department of Cardiovascular and Plastic Surgery of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    *State Budgetary Educational Institution of Higher Professional Education Ural State Medical University, Ekaterinburg, Russia

    Aim. Improving results of surgical treatment of hepatic echinococcosis by applying minimally invasive technology.

    Materials and methods. Under the supervision during the period 2002-2013 there were 149 patients with hepatic echino-coccosis. From them 52 were examined at the Department of Surgical Diseases advanced training faculty and postgraduate training. The remaining 97 patients – in endosurgical department of the Republican Scientific Center for Cardiovascular Surgery in Dushanbe. Among them were men 63 (42,2%) and 86 women (57,8%). In 105 (70,4%) patients echinococcal

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  • SOME FEATURES OF STI/HIV DISSEMINATION IN THE MODERN SOCIAL AND ECONOMIC CONDITION

    Bobohodjaeva M.O., *Ahmedov A., *Kasymova M.K.

    SOME FEATURES OF STI/HIV DISSEMINATION IN THE MODERN SOCIAL AND ECONOMIC CONDITION

    Department of Obstetrics and Gynecology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    *Department of Public Health, Economics, Management with a course of medical health statistics of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    Aim.Definition of features STI/HIV transmission in modern social and economic conditions.

    Materials and methods.Conducted a sociological survey of 400 workers, providing sexual services (SW) in Dushanbe. The survey was anonymous, voluntary on the basis of an oral informed consent. The questionnaire included questions that reflect the issues of social characteristics, sexual and reproductive behavior and health of the PC and users of their services.

    Results. On growth and

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  • POSITIVE INFLUENCE OF SORBITOL IN PATIENTS WITH CHRONIC RENAL FAILURE

    Bobieva N.H., Gadoev S.H., Subhonova Z.I., *Sunatulloev D.S.

    POSITIVE INFLUENCE OF SORBITOL IN PATIENTS WITH CHRONIC RENAL FAILURE

    Department of Internal Disease № 3 of the Tajik Medical State University named after Abuali-ibn-Sino

    *Department of Therapy of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    Aim.To estimate actions of sorbitol in combination with enterosorbents on gastrointestinal tract in the complex treatment of chronic renal failure.

    Materials and methods. The study included 40 patients with chronic renal failure. Diagnosis and assessment of severity of uremia was conducted by determination of glomerular filtration rate (the level of urea and creatinine in blood), the A / D profile and the degree of edemas.

    Results. In patients on background of reception of sorbitol 10-15 days earlier than in the control group, marked decrease in the level of nitrogenous wastes in the peripheral blood

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  • ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN

    Bahodurov J.T., Ibodov H.I., Rofiev R.R., Asadov S.K., Nurov M.S.

    ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN

    Department of Pediatric Surgery, Anesthesiology and Reanimatology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    Aim.Determination of the value of ultrasound scanning in the diagnosis of lung diseases such as exudative pleurisy in children.

    Materials and methods. Investigated the clinical and laboratory, radiographical, CT, MRCI and ultrasound scan data of 76 patients with a diagnosis of pleural effusion in age from 1 month to 15 years.

    Results. Based on the clinical and laboratory, radiographical, MRCI and ultrasound scan data of 76 patients in 3 diagnosed lung cancer, in 5 specific process, and in rest 68 children set pulmonary-pleural form of bacterial destructive pneumonia. At bacteriological research in 15 patients sown staphilococcus, in 6

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  • STUDY OF INJURIES STRUCTURE AND IMPROVEMENT OF PREVENTATIVE ACTIVITY OF FAMILY PHYSICIANS IN THE CITY HEALTH CENTER №1 C. DUSHANBE

    AshurovZ.Ya., Mirzoeva Z.A., Davlyatova D.D.

    STUDY OF INJURIES STRUCTURE AND IMPROVEMENT OF PREVENTATIVE ACTIVITY OF FAMILY PHYSICIANS IN THE CITY HEALTH CENTER №1 C. DUSHANBE

    Department of Family Medicine of the State Educational Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    Aim. Analyze the traumatism in the city health center №1 c. Dushanbe, evaluate its structure, suggest ways of preventing in practice of family doctor.

    Materials and methods. For the analysis of traumatism in the city health center №1 c. Dushanbe statistical data of emergency station №3 at city health center №1 c. Dushanbe of 2012 -2013 years were used.

    Results. Concerning street traumatism in 2012 1937 persons (40,4%), in 2013 – 1997 (38,4%) appealed. In 2013 decrease of cases of street traumatism on 2% is observe. Concerning home traumatism for medical care 2854 – 59,6% of patients, and in 2013 – 2495 – 47,9% (decrease 11,7%) appealed. 459 pupils

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  • ANTIDESTRUCTIVE ACTION OF GLUCOCORTICOIDS AT EARLY REUMATOID ARTHRITIS

    Ahunova N.T., Holova Z.U., *Niyazov F.I.

    ANTIDESTRUCTIVE ACTION OF GLUCOCORTICOIDS AT EARLY REUMATOID ARTHRITIS

    Department of Therapy of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    *Department of Internal Disease № 3 of the Tajik Medical State University named after Abuali-ibn-Sino

    Aim. Study of antidestructiveactionsofglucocorticosteroids on the background of the basic treatment of early rheumatoid arthritis by methotrexate.

    Materials and methods. Present results of treatment of 42 patients (all women) in the age of 32 to 58 years (mean 45 years). Duration of disease from 0,5 to 2 years with a valid RA (ARA criteria, 1987), observed during the year. Exclusion criteria were the presence of stomach ulcer or 12-duodenal ulcer. Patients with IV stage of radiographic disease. All patients were divided into two groups: 1 – 22 persons receiving methotrexate 10 mg per week and glucocorticosteroids7.5mg

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  • OPTIMIZED APPROACH TO THE TREATMENT OF LIMB FRACTURES IN PATIENTS WITH ORTHOPEDIC TRAUMA

    Ahmedov Sh.M., Sirodzhov K.H., Muradov A.M., Holov D.I., Rahimov A.T.

    OPTIMIZED APPROACH TO THE TREATMENT OF LIMB FRACTURES IN PATIENTS WITH ORTHOPEDIC TRAUMA

    Department of Traumatology and Orthopedics of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

    Aim.Optimization of diagnostics and surgical treatment of fractures in patients with multiple injuries.

    Materials and methods. The work is based on analyzing results of diagnosis and treatment of 183 patients in the period 2001-2013, which were divided into 2 groups. In the main group osteosynthesis of fractures optimized with the lipid spectrum of blood plasma, in the control group treatment of fractures is traditionally held. The examination program of patients included: clinical examination, beam diagnostics, clinical laboratory tests, the study of the concentration of total lipids, catalase, atherogenic index calculation, the concentration of cholesterol,

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