SAMADOVA G.A., MULLOEV A.M., DODOBAEVA B.S.
THE DEPARTMENT OF NURSE WORK IN FAMILY MEDICINE TIPGPMP
DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
Over the past two years the birth rate in the Republic of Tajikistan ranged 29,3-by 28,7 per 1,000 popu¬lation. Along with high fertility, maternal mortality was 45,0 is 37,0 per 100,000 liveborns, the main reasons for which 25% of the cases considered bleeding, 15% and 12% – gynecological infections and eclampsia. The picture presented defined the purpose of the present research is to study the indicators of National standards of antenatal care for pregnant women with an analysis of the correlation between them. Under the supervision were 72 pregnant women aged from 17 to 40 years of age, living in one of the areas with a population of 1722 person. Analysis of work of specialists in antenatal care among women up to 12 weeks of pregnancy showed that only 47,2% of the total number of timely addressed to specialists and were taken to the dispensary registration. In the later stages of pregnancy 52,8% of women with repeated pregnancies are under dispensary observation. The majority of women in a timely manner became the dispensary reg¬istration pregnancy, were the original inhabitants of the area under study. The reason of late treatment of women with a long pregnancy, with a view to their taking on dispensary account that is linked with the arrival of hard-to-reach areas of the Republic. The obtained results allow to predict the state of pregnancy and timely to organize a correction of care for prevention of possible antenatal complications.

Shakirov M.N., Gafarov Kh.O., Mirzoev M.Sh.
Described event from practical persons endoprothesis joint offshoot to mandible with implants from porous-nontight nikelid of the titanium under such rare disease as accustomed bilateral front steadfast dislocation to mandible. The offered method can be recommended then, when all known methods conduct to this categories sick turned out to be in vain.

Aim. Surgical results improvement of musculo-skeletal system fractures in polytrauma acuity.

Ismoilov A.A., Aurochs N.G.
Results of the retrospective analysis of endodontic treatments analyzed beside 609 persons at age from 20 before 60 with presence of commonsomatic pathology in article. Got data point to insufficient possession physician modern technology that from dentist is require mastering and intensive introduction modern endodontic technology of the passing root channel and their obturation with use of corresponding filling materials.

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.

Mirzoeva Z. A., Khajaeva D. S., Abdulhaeva Sh.R., Kabirov K. M.

Dab screening according to Papanikolau should cover age from 30 to 60 years with a condition of passing of screening each 5 years. The obtained data and experience of carrying out screening show that quality of dabs and correctness of the cytologic diagnosis have bigger value for decrease in a disease by a cancer of a neck of a uterus, than increase in frequency of screening or the screening beginning at earlier age. The majority of cases of a weak displaziya (CIN 1) without treatment is exposed to return development while cases of a heavy displaziya (CIN III) without treatment tend to development of an invasive cancer. The most “vulnerable” site is the zone of transition multilayered flat an epiteliya in cylindrical epiteliya. This research traced the women (424) who have addressed to family doctors to whom dab on flora was taken. The big percent of incidence was observed by inflammatory diseases among women at the age of 21-25 years (16,03 %); 26-30 years (28,5 %); 31-35 years (13,31 %); 36-40 years (10,6 %), belong to these age structures most sexually active women. Among the women having in cytologic dab expressed degree of a displaziya, at 18,75 % the invasive cancer of a neck of a uterus aged is es- tablished 40 years are more senior. Experience specifies that the risk of development of an inva- sive cancer of a neck of a uterus is available even after carrying out anti-inflammatory treatment in the presence of a heavy displaziya of a neck of a uterus.

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, of 15,4%, 11,4 per cent to 17,3 per cent. Fractures of long bones of victims of the main group in 51,8% of the observations used for conservative treatment, 48,2% – by various methods of osteosynthesis with the use of stable forms (36,5%) and methods of osteosynthesis with additional external immobilization (11,7%).

Muminov B.G., Mirzoyeva Z.A.
Conclusion to improve continuity of service SMEs with family doctors in the Republic of Tajikistan worthwhile taking some regulations providing these services, relationships with stimulating dispensary patients and encourages patient-surrogate technologies and strengthen the role of information technology.
In the long term integration of physician SMP with a family doctor leads to unloading of high cost hospital bed and resource-intensive service SMEs, reducing indirect and direct economic costs ultimately reduce disability and mortality of the population.

Ashurov G.G., Shakirov M.N., Dzhuraeva Sh.F.

In the article the study of failure diabetes of 106 patients (46 women, 60 men) in oral cavity was made. Results investigation was shown direct correlation between pathologic action of carbohydrate exchange, statues of parodontal diseases quality of the life of dentistry patients.

Tagoybekov Z.S., Akhmedov S.M., Safarov B.D., Rasulov N.A.
It has been analyzed the results of complex diagnostic and surgical methods treatment of patients with acute calculus cholecystitis accompanied by virus hepatitis «В» and «С».
In depend from types of destructive acute cholecystitis and its complications there have been used a different type of chole- and hemostatic methods after cholecystectomy such as pnevmothermocoagulation and «Tachokomb» platelets.