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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.
DEATHS FROM RESPIRATORY DISEASES IN THE REPUBLIC OF TAJIKISTAN
MURADOV A.M., YAKUBOV M.R.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF TIPGPMP
Diseases of respiratory organs are in the lead in the overall morbidity of the population, taking 1st place in the structure of primary morbidity worldwide and deaths from which is on the 4th place in the overall structure of death after circulatory diseases, injuries, poisoning and cancer. In work the analysis of indicators of mortality from respiratory diseases in the Republic of Tajikistan for the period 2000 to 2010. It is revealed, that in structure of total mortality from diseases 2010 diseases occupied the 4-th rank place, after malignant neoplasms. As a result of statistical analysis revealed a trend towards increased mortality among people of working age. This situation is explained by the fact that the majority of persons of working age due to fear of job loss, despite not feeling well, continue to work and this leads to late start of therapy and adherence complications. In 2002, the mortality from pneumonia in the Republic remained at a high enough level that is connected with late referral for medical care, medical errors in diagnosis of the disease and inadequate selection of therapy. The second by frequency of mor¬tality in 2002 followed acute respiratory infections of the upper respiratory tract. Based on the structural analysis of deaths from chronic lower respiratory disease, States that the greatest contribution to the formation of this indicator belong mortality from bronchitis, asthma and other respiratory diseases affecting mainly the interstitial tissue.
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.
The medical of terminology’s tajik language in modern conditions
Fathulloev T. F., Usupov A. N., Shekhov A.M.
This article indicates that one of necessary conditions for use of medical terminology is the brevity and the pithiness which in many medical institutions isn’t observed. Besides in documentation analysis medical establishments the logic and unscientific content of many expressions and the offer, the wrong transfer and inexact terminology in the medical dictionary, and such mistakes in word-formation by means of suffixes is revealed.
Sensorineural relative deafness at children: features of psycho neurological rehabilitation.
Bustonov M. O., Shamsidinov B. N., Hujamulloev T. Sh., Azizov K. N.
In structure etiological factors neurosensory relative deafness at children mattered: children’s infectious diseases – 67 %; diseases perinatal the period, a Rhesus factor-incompatibility – 18 %; application ototoxicity antibiotics – 8 %; consequences of a craniocereberal trauma – 6 %; genetic rapidly growing the disease form – 1 %.
On severity level sensorineural hearing loss (SHL) the following was marked: heavy degree sensorineural relative deafness (3rd and 4th degree of loss of hearing) – 79 %; 2nd degree of relative deafness – 19 % and accordingly, with 1st degree of relative deafness – 2 %.
Sensorineural relative deafness at children is multifactorial disease, requires early revealing and individual selection of psycho neurological rehabilitation actions.
THE EFFECTIVENESS OF THERAPY IMMUNOSTIMULATING ONYCHOMYCOSIS IN ELDERLY AND SENILE AGES
KASYMOV O.I., KASYMOV A.O.
THE DEPARTMENT OF DERMATOVENEROLOGY OF TIPGPMP
The article shows the efficiency of complex method of treatment of mycosis stop with onychomycosis in elderly and senile ages using immunostimulant thymocine 45 patients aged 60 to 85 years. Using methods of bacteriological research, 64.4% of the patients were grown culture of Trichophyton rubrum, in 11.1% of Trichophyton mentagrophytis var.interdigitale, in 24.4% – fungi not sown. Intertriginous form of mycosis stop diagnosed in 12 patients, dishydrotic – 6, mixed – 18. Combination squamous and intertriginous forms was observed in 11 patients, squamous, dishydrotic and intertriginous – for 7. The erased form of mycosis stop was noted in 9 patients. Immediate and remote results of treatment showed a significant advantage of an integrated method of treatment with the application of immune system stimulant. By the end of 6 months of follow-up highly effective results when immunostimulating therapy were achieved in 83,3% of patients in the group of patients treated without immunomodulator, efficiency indicator accounted for 61.9%. Among patients with total-dystrophic and proximal forms of combined treatment of onychomycosis gave clinical and mycological recovery in 66.7%, without immunostimulant – only 50%. The average speed of growth of nail plates stop in complex treatment using thymocine amounted to 1.37±0.06 mm per month, which is much faster than in the treatment only systemic antimycotics. The obtained results have shown the effectiveness of immunostimulating method of treatment of athlete’s foot with onychomycosis, compared with the traditional.
X-ray estimation to alveolar bone in patients with chronic diseases organ and systems
Ashurov G.G., Ismoilov A.A.
On the grounds of X-ray examination patients with diseases of the gastrointestinal tract (25), endocrine (27) and cardiovascular (26) pathology is installed risk of the development osteoporosis of the alveolar offshoot and is forecasted development actively progressing resorbtion of the bone fabrics. Amongst patients with presence raised mineral sediment in year, 18 months and 3 accordingly in 85,7% , 81,6% and 79,5% events X-ray’s were not noted reduction of the height interdentally alveolar partition. For similar period of the observation beside persons without surplus sediment calcium on peripheries of the alveolar offshoot importance reduction of the height interdentally alveolar partition corresponded to 74,3%, 69,2% and 61,7%.
ROLE OSTEOSYNTHESIS ILIZAROV AND COMBINED WITH MULTIPLE INJURIES OF THE LOWER LIMB
Aim. To optimize the method of transosseous osteosynthesis in patients with fractures of the long bones in combined and multiple injuries of the lower extremities .
STEPS OF IMPLEMENTATION OF PALLIATIVE CARE ON THE HEALTH SYSTEM OF TAJIKISTAN
AKHMEDOV A., SAMADOVA G.A., MAKSUDOVA Z.YA., ABIDZHANOVA N.N.
DEPARTMENT OF PUBLIC HEALTH, ECONOMICS, MANAGEMENT AND MEDICAL STATISTICS OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF
DEPARTMENT OF NURSING IN FAMILY MEDICINE OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF OPEN SOCIETY INSTITUTE “ASSISTANCE FUND” IN TAJIKISTAN
Every year, the incidence of chronic diseases in Tajikistan is growing. By year 2010, the average life expectancy reached 68,3 years, although the figure is not close to pre-war level. There are appeared lonely elderly segment, who suffer under reduced quality of life, and very often death occurs as a result of disease. This picture proves the need to revise the form of medical care of these patients in the final stage of life. Many countries have proved that to meet the needs of these groups of patients, especially when they have decompensation stage and drug treatment is ineffective, palliative care is necessary not only because it is able to improve the quality of life of patient, but also because it is cost efficient. Sociological research of OSI “Assistance Fund” in Tajikistan found out that 76,4% of respondents with various chronic diseases needed palliative care but have not received it.
A group of concerned medical staff started a phase implementation of palliative care in the country’s health system. On the first stage awareness of the health authorities were increased and specialists in palliative care were trained (60 people). Further all education institutions introduced questions on palliative care in the medical educational programs. Parallel undergraduate and postgraduate teachers of nursing education completed coaching courses (185 people). Moreover there were released textbooks for students and teachers guides. In the country graduated new specialists with palliative care knowledge and skills.
EFFECTIVENESS OF BAKTOVEGA THE TREATMENTOF ACUTE AND CHRONIC RHINOSINUSITIS
Aim. Increase the effectiveness of treatment of patients with inflammatory diseases of the paranasal sinuses by applying regional (endonasal) antibiotic therapy.
THE QUALITY OF TREATMENT OF ARTERIAL HYPERTENSION PATIENTS IN FAMILY MEDICINE BEFORE AND AFTER THE INTRODUCTION OF A CLINICAL PRACTICE GUIDELINE
MIRZOEVAZ.A., RAKHIMOVZ.J., NAZIROVAN.K.
Use indicator checking of quality for estimation of efficiency of the treatment patient with arterial hypertension has allowed to compare the existing practical person of the treatment these patient household physician in medical-preventive institutions of Dushanbe, Istaravshan and Konibodom.