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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.
Inprovement surgical treatment of sick with palsy of the mimic muscles
At treatment sick with palsy of the mimic muscles for undertaking statically their hang up author was used thinprofile fabrics from nikelid titanium, is in detail described move to operations. The Applicable material is deprived defect traditionally used and possesses the high degree to integrations with perceiving zone.
The connection of erosive and ulcerative lesions of the stomach and duodenum Identification of Helicobacter pylori of chronic pancreatitis.
Ducmatov A.V., Mirodgov G.K., Ichankulova D.M., Raupov N.G.
During exacerbation of chronic pancreatitis, most often changes of gastric mucosa-coolant and duodenum, which takes the form of active inflammation of gastric mucosa, otrafiyu, erosive and ulcerative lesions of the stomach and duodenum. Thus during the exacerbation of chronic pancreatitis in Hp-positive patients was dominated by inflammatory changes of gastric mucosa, superficial gastritis, manifested a bright gipermiey mucosa, predominantly fundus and antrum, thickening, swelling, swollen folds.
DETECTION OFFLATIN THE PRACTICE OFFAMILY DOCTORS
MIRZOYEVAZ. A.,ZARIPOVAI.I., DAVLYATOVAD.D.
Plantogrammymethodis simple,affordable,cheap technique.Everyfamily physicianshould possessthispractical skillto detectandprevent the development of flatfootand its complications,whilereferred to a specialistand givecorrect advice.
THE INTERACTION OF THE MYOCARDIUM IN PATIENTS WITH CORONARY HEART DISEASE AGAINST THE BACK¬GROUND OF DILATATION OF BOTH VENTRICLES
SAMADOV SH.KH., KOKSHENEVA I. V., BUZIASHVILI Y.I., ELTANAZAROV M.D.
The results obtained demonstrate the close interconnection of the two ventricles, which increases with the progression of their dilatation. The main mechanism of implementation of the interventricularinteractions is the limitation of the pericardium. Pericardium by creating a rigid limited amount for the four chambers of the heart and increases the influence of diastolic volume of one chamber to another, calling it the configuration changes and influencing the characteristics of its content. Another possible mechanism of implementation of the diastolic interventricularinteraction – deformation of the ventricles, which takes place in the ratio of forces in the ventricular septum (transseptalpressure gradient) and the severity of structural changes of the ventricles.
RESULTS ESTIMATION OF THE CONDITION OF PARODONTAL’S TISSUE BESIDE PATIENTS WITH COMMONSOMATIC PATHOLOGY
ASHUROV G.G., ISMOILOV A.A.
In the article are present results of the study of parodontological status beside 217 patients with pathology internal organ and systems. Got data indicatives that under chronic disease internal organ and systems are initiated processes, which influence on all the most important mechanisms development of the chronic diffuse parodontitis.
The possibilities of using different versions of enteral feeding of the preterm infants
Khojibekova N.A., Saidmuradova R. Kh., Buzrukova N. J.
The work is based on summing the first experience of enteral feeding of 29 preterm infants with very low and extremely low birth weight in ICU of maternity hospital No. 3, Dushanbe and the ways of transitional period of limited feeding duration reduce of the preterm infants are identified.
THE DEPENDENCE OF THE INDICES OF CENTRAL HEMODYNAMICS AND SYNDROME OF ENDOGENOUS INTOXICATION FROM ABDOMINAL PRESSURE IN TERMINAL STAGE OF PERITONITIS
MURADOV A.M., AKILOV KH.D., SHUMILINA O.V., KAKHAROV M.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF TIPGPMP
THE DEPARTMENT OF ANESTHESIOLOGY AND REANIMATOLOGY TIPGPMP
THE DEPARTMENT OF SURGERY WITH COURSE OF TOPOGRAPHIC ANATOMY KHD TIPGPMP
Increasingly important for evaluation of the patient, forecasting the severity of the disease and treatment outcomes acquires indicator of intra-abdominal pressure, which affects all organs and body systems, including the cardiovascular system, manifested by inhibition of the indices of Central hemodynamics. The article presents the results of monitoring of the parameters of Central hemodynamics 24 patients in the terminal stage of peritonitis in the preoperative period and at different times after the surgery. In parallel was monometry intra-abdominal pressure. Clinical observations have shown that an increase intraperitoneal pressure to levels I and II degrees has an identical effect on the indices of Central hemodynamics. Among the surveyed, there is reduction of the pay and minute performance of the heart due to the decreasing venous return to the heart. Toxemia accompanied by a decline in heart emission and support perfusion of tissues was provided by a moderate ascending indicators poststrain result of voltage humoral factors. The obtained results showed that patients in the terminal stage of peritonitis observed gypokinetical type of circulation, which is characterized by pronounced hypovolemia and reduced poststrain. Against the background of peripheral vascular insufficiency noted the inconsistency of the Central mechanisms of hemodynamics, due to the depression of the myocardium contractile function. Indicator intraperitoneal pressure is a prognostic criterion of the severity of the syndrome of endogenous intoxication and can be applied at the preoperative stage of examination and treatment of patients in the terminal stage of peritonitis.
Expiries and activities of the Nursing Hospital in Dushanbe
Samadova G.A., Mulloes A.M., Kosumbekova G.A., Hasanova N.H.
For the period from 2006 to 2010 the expiries is expended significantly that is prove by the following indicators: use of hospital beds structure of hospital lazed diseases. To note the budgetary funding is same, i.e. insufficient.
Assessment of baseline knowledge of experts on diabetes and pregnancy
Nazarova S.I., Mukhamadieva S.M., Kasymova S.J.
In order to assess the initial level of knowledge on diabetes and pregnancy, an anonymous survey of 438 doctors who work with pregnant women was conducted: 274 obstetricians, 96 family physicians, 52 neonatologists and 16 anesthesiology and intensive care. The results showed that experts had a low level of knowledge on diabetes and pregnancy. It’s needed to develop clinical protocols (standards) for planning and management of pregnancy, childbirth in women with diabetes mellitus and training.
Clinical manifestations of urinary disorders and their evaluation in different stages of menopause
Mirzаbekova B.T., Mukhamadieva S.M., Sultanova M.
The features of the clinical manifestations of urination disorders are their difficulty in all age periods of menopause: stress – in 54.6%, urge – in 46.6%, the imperative – to 42.9%. Anonymous survey of women at menopausal age with the use of rating scales let us to evaluate voiding disorders severity of subjective symptoms, quality of life of this category of patients and conduct performance monitoring of therapeutic measures. An integrated approach with involvement of related professionals will quickly identify reproductive tract disorders and improve this category of patients