• THE ROLE AND PLACE IN THE STRUCTURE OF MORBIDITY OF RESPIRATORY DISEASES AND DYNAMICS OF MORBIDITY FROM CHRONIC BRONCHITIS AND ASTHMA FOR 2002 -2010 YEARS FOR EXAMPLE TURSUNZODA, FAIZABAD AND SARBAND AREAS IN TAJIKISTAN

    YAKUBOV M.R., MURADOVA.M., KHAMROKULOV A.A.
    THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
    The article presents the analysis of population morbidity chronic bronchitis and asthma for the period from 2002 to 2010, on the examples of Tursunzade, Sarband and Faizabad districts of the Republic of Tajikistan. The results of these studies suggest that respiratory diseases occupy the first rank place of uptake of the adult population for medical help. In the dynamics of increase in incidence of respiratory diseases for 6 years has decreased by 24%. For the period from 2002 to 2010, the proportion of hospitalized children under 14 years of age increased from 26% to 67% of the total number of cases of appeals regarding the pneumonia. Despite declining in-hospital mortality of children under 14 years of age, they exceed 2 times mortality among the adult population. Levels of primary and total prevalence of chronic bronchitis in the Republic for 11 years grew 1.3 and 3 times respectively.

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  • SOME FACTORS AFFECTING IN THE MALYARIOLOGY SITUATION IN PREDELIMNATION PERIOD IN THE REPUBLIC OF TAJIKISTAN

    SHARIPOV A.A., NARZULOEVA M.F.
    THE DEPARTMENT OF INFECTIOUS DISEASES, EPIDEMIOLOGY, HYGIENE AND ENVIRONMENTAL PROTECTION TIPGPMP
    antimalarial drugs. Since the beginning of the 90s in the Republic of Tajikistan epidemiological malaria situation started to deteriorate due to the mass migration of refugees on the territory of Afghan¬istan and their subsequent return to their former place of residence, the sharp weakening of the work of the General and special services, and the conductors real absence of measures to fight against carriers of infection due to economic instability in the Republic of Tajikistan. The article was to study the epidemio¬logical features of the spread of malaria in the Republic of Tajikistan and the factors affecting the malarial situation in preelimination period. The situational analysis is based on data archival materials, annual reports district, regional and Republican centers for combating tropical diseases. Analysis of the archival documents showed that in

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  • 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,

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  • EVALUATIONS OF NURSING OF CHILDREN WITH LOW BIRTH WEIGHT

    SAIDMURADOVA A.D., MAHKAMOV K.K.
    DEPARTMENT OF NEONATOLOGY TIPGPMP
    The evaluating of results of health surveillance and provided neonatal care bantam children, depending on body weight at birth, were divided into 5 groups. In the first group was composed of 11 children born weighing less than 1000 g, second — 62 children weighing from 1000 to 1490 gr., third — 112 children weighing from 1500 to 1999 gr., fourth — 200 newborns weighing from 2000 to 2499 gr., in the fifth group — 32 newborns weighing 2500 gr. The adequacy of resuscitation was directly dependent on birth weight. Resuscitative measures were timely and adequate most of un-derweight children studied groups. 2,1 often observed late start resuscitation in children weighing less than 1499gr. as a result of underestimating the doctor of the child and not a diagnosed chronic intrauterine hypoxia. Essential influence on a condition of a newborn provided incomplete volume resuscitation measures. 15,8% of children with very low body

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  • FORENSIC MEDICAL EXAMINATION OF THE DAMAGE, INFLICTED BY SLASHING WEAPON — TESHA

    RAKHMONOV T.R., RAKHIMOV A.ZH., TARAKUL A.
    THE COURSE OF FORENSIC MEDICAL EXAMINATION TIPGPMP
    The article contains results of injuries on four corpses of people at the age of 22 to 70 age, caused to the national instruments of labor produced artisanal — tesha. The attack does concave and direct blades. Just suffered 12 strokes, 8 of them on the head, 2 in the facial area, 2 in the back surface of the right hand. Concave blade coated with a 7 hits, direct — 5. After hitting measured the thickness of the soft tissue of the head and bones of the skull on average, the Department of wounds and/or a cut in the cases of penetration of the blade into the cranial cavity. Damage studied macro- and stereomicroscopically, photographed and put on the outline scheme. It is established that in the area of damage to the thickness of the skin ranged from 0,1 to 0,3cm, soft tissues of 0,1-0,2 cm bones of cranial fornix — 0,3-0,7 see the Wounds from direct blade when strictly per¬pendicular to the direction

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  • МИЛДРОНАТ® В КОМПЛЕКСНОЙ ТЕРАПИИ ИШЕМИЧЕСКОЙ БОЛЕЗНИ СЕРДЦА В УСЛОВИЯХ ВЫСОТНОЙ ГИПОКСИИ

    * RAKHIMOV Z.YA., **KUDRATBEKOVA., * NARZULLAYEVA A.R.
    **CARDIOLOGISTS ASSOCIATION OF THE REPUBLIC OF TAJIKISTAN
    *DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
    The article is devoted to the study of the use of Meldrony in 30 patients with chronic coronary heart disease, stable angina of II-III class combined with arterial hypertension of II degree with high and very high risk of cardiovascular complications in conditions, Midlands Gorno-Badakhshan Autonomous region of Tajikistan. Among the examined patients on the background of the drug Meldrony in a daily dose of 1000 mg, showed a significant improvement cardiohaemodynamic indicators. Simultaneously, a decrease of the average frequency of angina attacks a day with 2,77±0,26 to 1,52±0,17. Also noted a decrease of the daily quantity of consumed nitroglycerin from 2,4 to±0,23 to 1,4±0,16 and significant increase of tolerance to physical activity detected test 6-minute walk from 388±33 m up to 512±39 m Significantly

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  • ANALYSIS OF THE ONE-YEAR MORBIDITY OF BREAST CANCER IN THE REPUBLIC OF TAJIKISTAN

    RASULOV S.R.
    КАФЕДРА ОНКОЛОГИИ ТИППМК
    The work presents the results of scientific and statistical analysis of materials of primary breast cancer patients registered at the polyclinic of the Republican oncological scientific center of the Republic of Tajikistan in 2012. Analysis of data of out-patient cards of 215 patients ages 25 to 97 years, with the presence of a tumor in the breast. Study of age-related data breast cancer patients showed that up to 24 years of age are not encountered a single case of the disease. In the 25-29 age noted only 3,3% of women with this pathology. The peak incidence of pathology occurs at the age 45-49 years, accounting for 16,7% of the total number of women. Analysis of statistical material has shown that starting from the age of 60, breast cancer risk is gradually fading. Of the total number of patients for 64,7% of the нозологией were residents of rural areas, 35,3% is urban. On топическому location of the cancer in 54% of cases localized in the right

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  • CLINICO-FUNCTIONAL FEATURES OF ARTERIAL HYPERTENSION AND ISCHEMIC HEART DISEASE IN THE PERIMENOPAUSAL PERIOD

    NARZULLAEVA A.R., NARZULLAEVA Z.R., KARIMOVA L.M.
    DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
    The article presents the results of a study of clinical and functional features of arterial hyperten¬sion and ischemic heart disease in 95 of women ages 37 to 55 years in the perimenopausal period. Depending on the degree of disorder of menstrual function surveyed women were divided into 2 groups. Group I includes 30 women perimenopausal period, also women, whose registered irregular menstrual cycles over the past 3-11 months. The second group included 65 women in the postmenopausal period. For the majority of the surveyed women typically early development perimenopausal changes. In 20% of patients recorded premature menopause, 30,8% of women early. Among persons with postmenopausal 53,8% of women aged 35-45. Correlation of time of appearance of complaints on the blood pressure rises with the beginning of the menstrual cycle disorders noted 73,3% of women in the

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  • ASSESSMENT OF MEDICAL SERVICES DURING CONTRACEPTIVE AID

    MUKHAMADIEVA S.M.
    DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TIPGPMP
    Many of the problems associated with a reduction in reproductive losses have not been ful¬filled. In the given aspect determining role belongs to the provision of contraceptive security. To understand the knowledge, attitudes and practices of women of reproductive age who use family planning services, those who are these services are provided, and also to determine the quality of contraceptive assistance to the population of medical institutions, conducted socio-logical research on the quality use of contraceptives by women of reproductive age. A specially designed questionnaire survey was conducted among 200 specialists of medical institutions for a professional assessment of knowledge, attitude and practice professionals providing contra¬ceptive services in the Republic. There was set low level of awareness of modern methods of contraception, the confidentiality of provision of contraceptive services and principles of

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  • INDICATORS OF DISABILITY ON TUBERCULOSIS IN TAJIKISTAN

    ZAKIROVA K.A., MAKHMOUDOV R.U., MAKHMUDOVA P.U., SULTONOVA S.K.
    THE DEPARTMENT OF PHTHISIOLOGY TIPGPMP
    We studied the influence of medico-social and economic factors on the incidence of tuberculosis. The main contingent of patients is unemployed young men aged 20 to 29 years, with incomplete secondary education, under-financed vital food, a living area (lower health standards), with a monthly income below the subsistence minimum of a large family living crowding, who have dependent from 6 to 10 people. By level of education 67% of respondents were with primary and secondary education, respondents with special secondary education was 22%, with higher and incomplete education — 11%. According to the social status of unemployed amounted to 53% of patients, the retirement age of 16%, working — 22%, employees — 5%, entrepreneurs — 3,7% of patients. Respondents living on income below the subsistence level, among the unemployed was 53%, working — 21%, pensioners — 16%, employees — 2,1%, entrepreneurs

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