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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 Мухиддинов Н. Д.
PERFORMANCE EVALUATION DIAGNOSTIC CENTERS AT THE PRESENT STAGE
SAFAROV Z.SH., AHMEDOV A. A., SAFAROVA T.M.
NDC MPH RT
DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
At the present stage of development the aim of the health system is the organization of qualita¬tive models of infrastructure and management schemes. In the given aspect the most urgent health problem is to build a high-quality system of medical care. The article summarizes the results of the situational analysis of medical activities and evaluation of diagnostic services at the present stage in the conditions of state financing and transition to full cost accounting in the Republic of Tajikistan. Analysis of normative-legal documents showed that of 2866 institutions of primary health care 3,8% of them are represented by the district and city health centers, 26,5% of rural health centers, 10,8% in the specialized outpatient centers, 58,9 per cent – houses of health. Analysis of the equipment of the medical equipment in the period 1990-2011, showed that mostly diagnostic equipment prevailed in medical-preventive institutions, Dushanbe and Sughd regions (25,4% and 23,8%). On the balance of research institutions, Republican specialized hospitals and centres, it amounted to 19,9%. Oth¬er administrative territories of the Republic of equipment diagnostic equipment was significantly lower. Analysis of the activity of the services on provision of diagnostic help to the population of the Republic of Tajikistan in the modern socio-economic conditions showed that the main factors in the development of diagnostic centers and efficiency of delivered medical assistance are: good governance, improving financing with the purpose of modernization, improvement of quality and successful use of personnel and technological potential.
Diagnostics of osteoporosis under psoriatic arthropathy
Osteopenic syndrome is the pure complicated PA. The development of osteoporosis under PA associate with high activity, gravity pathologic process, intake of glucocorticosteroids. In patients of PA with complicated osteoporosis have pains evident pain syndrome in bones in comparison with patients, that haven’t osteoporosis.
ULTRASOUND DIAGNOSTICS THYROID PATHOLOGY IN CHILDREN AND ADOLESCENTS
KASYMOVA S.D., AYUBOVA G.SH., RAHMONOV V.D., BOYMATOVA M.B.
THE COURSE OF ENDOCRINOLOGY AT DEPARTMENT OF THERAPY TIPGPMP REPUBLICAN CLINICAL CENTRE OF ENDOCRINOLOGY
In connection with the exceptional importance of the thyroid gland problem of pathology of the organ of children is the focus of endocrinologists. Pathology of the thyroid gland in the regions of iodine deficiency, which includes the Republic of Tajikistan, occupies the leading position in the endocrine pathology in children and adolescents. Diagnostics of thyroid pathology in this category includes a phased investigation with the decision of the question concerning the goitrous increase the authority and assessment of the functional state of the thyroid gland. Many tasks successfully done with the use of ultrasonic technologies. The article suggests the use of ultrasound diagnostics for estimation of structural and functional changes of the thyroid gland, 93 children and adolescents with a duration of pathology from 6 months to 2 years. Depending on the functional state of the examined organ children and adolescents were divided into the following groups: I group amount¬ed to 61,3% of patients with diffuse nontoxic goiter, II – 20,4% of individuals autoimmune, with tireoidita III group – 18,2% of surveyed with hypopituitarism thyroid gland. Results of ultrasonic research show the greatest increase in volume of the thyroid gland in the group 2 patients with au¬toimmune thyroiditis. Analysis of results of ultrasonic research showed that in the 1 group of the examined enlargement of the thyroid gland was moderately expressed. The largest increase of the volume of the thyroid was noted in group 2 patients with autoimmune thyroiditis. Of the 17 patients with subclinical hypothyroidism last group in 58% of cases of thyroid volume slightly increased in 42% of cases, the value remains in the normal range. The results obtained allow to note that for the estimation of structural and functional changes of the thyroid gland are essential ultrasound diagnostics.
Comparative estimation of efficiency of some methods of treatment papillomatos throats at children
Shamsidinov B.N., Mahmudnazarov M.I., Bekov A.A., Shajdoev S.S., Bustonov M.O.
During the period with 2006 for 2010 under supervision of authors there were 45 children with papillomatosis of laryngs in children’s ЛОР – branch NMS MZ RT by which during the first hours stay in branch in an emergency order it is spent endolaryngeal removal of papillomas of a throat. With the account of character of a clinical current papillomatosis of laryngs patients have been divided into 2 groups. In the postoperative period, patients of both groups have received viferon-2 (500 000 МЕ) on 1 суппозиторий two times a day with the 12-sentry an interval every other day. Course of treatment made 5 days. For preventive maintenance of relapses of disease 17 (70 %) the patient of 1 group and 10 (60 %) to patients of the second group the first days after operation have been entered preparations индукторы interferon (ИФН) – амиксин and циклоферон. Clinical supervision have shown that in groups where patients have received complex therapy with application амиксина and циклоферона in a combination with антиоксидантой therapy frequency of relapses of disease were reduced almost in 2 times. From here conclusions that endolaryngeal removal of throat papillomas with the subsequent use индукторов interferon and antioxidants in the postoperative period is the optimal and effective method of complex therapy papillomatosis of laryngs at children are drawn.
Iodine deficiency diseases (IDD) and helmint infections among schoolchilrens of four pilot districts of Sino project in Tajikistan.
Kasimova S., Davlatmamadova М.
Problems of IDD spreading in Tajikistan among schoolchildren some regions of the Republic ase still under consideration. Situation with IDD is worsfen by helmint infection among schoolchildren/ these two diseases are worsfen each other and negatively affect physical and mental helth of schoolchildren. Despite the progress the Republic of Tajikistan did not achieve the necessary level of the Program of World Salt iodiration.
Intrarenal hemodynamics at the typhoid fever, complicated by acute renal failure
Sangov M. S., Muradov A. M., Rahmonov E. R.
Results of research of patients are given in work by a typhoid, complicated sharp nephritic insufficiency at which indicators in nephritic haemo dynamics were studied. By researches at different levels of nephritic haemo dynamics it is proved that it directly depends on system or central haemo dynamics, decrease in indicators of UO, UI, SI and in-crease in OPSS, and also pulmonary pressure that leads to authentic decrease in a blood-groove in a nephritic artery which depends on weight of OPN, degree of a gipovolemiya and endogenny intoxication at a typhoid.
USING OF PHENOL IN INGROWN NAIL IN PRACTICE OF FAMILY DOCTOR
MIRZOEVA Z.A., HISOMOVA H.K., KABIROV K.M.
Using of phenol for treatment in ingrown nail condition decreasing the level of recidivating in¬grown nails that finally brings to traumatism and invalidism of population.
ANALYSIS OF THE ONE-YEAR MORBIDITY OF BREAST CANCER IN THE REPUBLIC OF TAJIKISTAN
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 breast, in one case, occurs bilateral defeat of the mammary glands, which amounted to 0,5%. Locally common cancer was 83,3%. Metastases in supraclavicular lymph nodes on the side of formerly belonged to the M1, and since 2002 became as N3, that the demand to include them in the group of patients with locally advanced process. Patients with category N3 in this group are 4,5%. The incidence of breast cancer in the Republic of Tajikistan increases from year to year and steadily occupies the first rank place among malignant neoplasms of the female population.
FREQUENCY DISCOVERY OF SECONDARY CARIES BESIDE PERSONS WITH DIFFERENT LEVEL OF CARIESRESISTANCE
Aim. Install the frequency of secondary caries when use different filling material and raise efficiency of its preventive maintenance beside persons with different level of cariesresistance.
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