Muhiddinov Nuriddin Davlatalievich, born in 23.10.1970 Doctor of Medical Science. Chief editor of the journal «Herald of institute of postgraduate education in health sphere». Rector of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”, Head of Department of Surgery and Endovideosurgery of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”. Laureate of the prize of I. Somoni, excellent of Healthcare of Republic of Tajikistan.Read more
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.
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, 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%).
SCIENTIFIC BASIS OF APPLICATION OF INDIRECT ELECTROCHEMICAL OXIDATION OF BLOOD IN CLINICAL PRACTICE
SHUMILINA O.V., MURADOV A.M.
DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
Indirect electrochemical oxidation is the process of modulating mono-oxygenized oxidation in liver on cytochrome R-450. Herewith the hydrophobic toxic components moves into hydrophilic which later on actively removes from organism by excreting organs. By using special electrochemical equipments, the isotonic saline solution exposes elec¬trolyses, transforms into hypo chloride sodium, that appear to be highly active oxidation with broad range impact. As for external and intra cavity use the medicine showed up as active antiseptic, necrolitic and anti-inflammatory agent. In intravascular injection of therapeutically concentration of the hypo chloride sodium (0,06%) renders remarkable detoxication effect. Promote hypo coagulation and improve the reologic characteristics of blood. Farther redistribu-tion intracellular and serum concentration of electrolytes , that effectively normalize metabolic disorders, provides also control of bacteria grow , decreases the resistant of microorganisms to antibiotics, cause indirect correction of immune system. Effectively decries the blood concentration of hydrophobic, hydrophilic, amfiphilic toxic compounds, corrects the hyperglycemia and hyperlipidemia. These all the characteristics of indirect oxidation has been widely im¬plemented in different field of medicine: surgery, efferent medicine, stomatology, obstetric and gynecology , oncology, dermatovenerology, infectious diseases etc.
INCIDENCE OF DENTAL CARIESIN PATIENTS WITH CHRONIC DIFFUSELIVER DISEASES OF VIRALETIOLOGY
NAZAROVZ.A., AKHROROVAZ.K., KHOLOVAS.M., PAKHMONOVAN.O.
In this article examined the prevalence, intensity and structure of the elements of in¬dicators in 120 patients with chronic diffuse diseases of the liver viral etiology.
STUDY OF THE IMPLEMENTATION OF NATIONAL STANDARDS FOR ANTENATAL CARE FOR PREGNANT WOMEN
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.
Endodontic aspects of the treatment of endoparodontal syndrome(review of the literature)
Turaev N.G., Ismoilov A.A., Ashurov G.G.
In presented work organized analytical estimation nearest and remote results of endodontic’s treatments of the teeth. Stated material are indicative of that that improvement modern and development new endodontic methods of the treatment teeth will allow to conduct the well-timed diagnostics an endoparodontal syndrome and select the efficient methods its early preventive maintenance.
Analysis of cases of maternal mortality in the republic of Tajikistan
Mukhamadieva S.M., Kurbanov Sh. M., Chalova O.D.
The structure of maternal mortality consists of controlled factors by 77 %. Causes of maternal mortality often seen not from a position of obstetric errors, and in connection with the difficulties of diagnosis, intensive care, which largely depend on the allied professionals. At the same time eliminating the elimination of obstetric complications in the main role of an obstetrician-gynecologist is obvious. The prospect of further reduction in obstetric complications and maternal mortality is the use of new scientific advances. The introduction of national standards is the realistic way to reduce maternal morbidity and mortality. Research on privacy and investigation of cases of maternal loses and maternal audit will let to improve the quality of medical services.
Retrospective estimation results of endodontic’s treatment in patients with somatic pathology
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.
Planed relaparotomiya in treatment of the terminal stage of the general peritonitis
Аkilov H.D., Kaharov M. A., Sidikov A. U.
We analyzed the results of surgical treatment of 61 patients admitted to hospital in the terminal stage of peritonitis. Along with a complex of modern medical diagnostic measures the authors studied the prognostic significance of MPI, which allowed surgeons to concentrate on the most difficult group of patients. The dynamics of change in the number of microbial cells during the planned renovation of the abdomen that will optimize the treatment policy for these patients. Research in this direction is continuing.
REALIZATION OF BACKGROUND PRINCIPLES OF PROFESSIONAL AND INDIVIDUAL HYGIENE OF ORAL CAVITY ON STAGE OF THE DENTAL IMPLANTATIONS
Aim. Development and introducing the algorithm of hygienic measurements on stage of dental implantation in dentistry patients with accompanying somatic pathology.
SOME EPIDEMIOLOGICAL AND EPIZOOTIC FEATURES PREVALENCE OF BRUCELLOSIS IN DISTRICTS OF REPUBLICAN SUBORDINATION REPUBLIC OF TAJIKISTAN
subordination republic of Tajikistan.
Aim. Study of some epidemiological and epizootic features prevalence of brucellosis in districts of republican