Some aspects of the normative – legal base of ambulance service in the Republic of Tajikistan
01.01.2014Muminov B., Akhmedov A.
Legislative and legal framework that regulates the organization of emergency medical services in the Republic of Tajikistan does not reflect the modern features. Provide emergency medical care not determined the composition and the principles of state regulation, as well as interaction with other first responders in the new economy.
The current standard rate of 1 ambulance per 10 thousand populations does not account for the geographical feature of the topography and density of living of the population.
The current statistical reporting focused on quantitative measures and requires revision in favor of qualitative indicators of emergency medical services.
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.-
The renal complications in the women who have had acute renal failure, as soon as possible after birth
Sodiqov A. M., Murodov A. M., Hamroqulov A. A., Shumilova O. V.
Thus, in the near term, despite the fact that the recovery phase lasts more than a year, from 70 patients with CGF of all three groups is almost back to normal has not recovered any one patient: 34 patients (48.6%) recovered to 60 KGF – 50 ml / min, which corresponded to a stage of chronic renal failure, in 22 (31.4%) EC 45 – 25 ml / min., corresponding to stage 2 CHRF, 12 (17.1%) KGF 20 – 10 ml / min – 3 stage renal failure in 2 (2.9%) KGF less than 10 ml/min – end-stage renal failure. Therefore, in the near term, these patients require careful observation and treatment for the full rehabilitation and prevention of chronic renal failure.
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Influence adiposity at women on an outcome of pregnancy and sorts
Nurmatov A.A., Nurmatova Z.I., Ibragimova N.I., Rakhimov of M. Н.
Thus, the adiposity, which frequency has an authentic tendency to increase, is a negative background for development of pregnancy and a current of sorts. The complications specified in work authentically are is more often noted at a combination of adiposity to others others disease by diseases. Hence, women with adiposity should be carried to group of risk of development of complications during pregnancy, in sorts and perinatal disease. Frequency of complications of pregnancy and perinatal outcomes are defined by presence and degree of expressiveness НЖО (infringement of a fatty exchange), increase proportionally to increase of degree of adiposity. The further researches will allow to win the answer contract the arisen questions and to optimize tactics of conducting pregnancy and sorts at women with adiposity. -
FORENSIC MEDICAL EXAMINATION OF THE DAMAGE, INFLICTED BY SLASHING WEAPON – TESHA
RAKHMONOV T.R., RAKHIMOV A.ZH., TARAKUL A.
THE COURSE OF FORENSIC MEDICAL EXAMINATION TIPGPMP
The article contains results of injuries on four corpses of people at the age of 22 to 70 age, caused to the national instruments of labor produced artisanal – tesha. The attack does concave and direct blades. Just suffered 12 strokes, 8 of them on the head, 2 in the facial area, 2 in the back surface of the right hand. Concave blade coated with a 7 hits, direct – 5. After hitting measured the thickness of the soft tissue of the head and bones of the skull on average, the Department of wounds and/or a cut in the cases of penetration of the blade into the cranial cavity. Damage studied macro- and stereomicroscopically, photographed and put on the outline scheme. It is established that in the area of damage to the thickness of the skin ranged from 0,1 to 0,3cm, soft tissues of 0,1-0,2 cm bones of cranial fornix – 0,3-0,7 see the Wounds from direct blade when strictly per¬pendicular to the direction of impact to surface-to-injure area usually had the appearance of an irregular oval. When an inward-curving blade form of RAS was arched, which is the distinctive feature of the wounds inflicted by axes. In 8 cases the length of the wound to the head match the width of the blade, and obviously depends on the fact that if the mass of tesha from 620 to 710 g blade width her a little. The length of the wound does not exceed the width of the blade. It is revealed that the damage by tesha, have their own characteristics, allowing to distinguish them from injuries inflicted by other cutting tools, you can also determine the strength and direction of the shot, also the interrelationships between the victim and the attacker in the moment of injury. -
ESOPHAGEAL CANCER MORBIDITY IN REPUBLIC OF TAJIKISTAN
Aim. Performed statistical analysis of the incidence of esophageal cancer in Republic of Tajikistan at 2007-2012.
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EPIDEMIOLOGICAL SURVEILLANCE OF NOSOCOMIAL INFECTIONS IN SURGICAL HOSPITAL
Aim. To develop and implement programs for the Epidemiological Monitoring of nosocomial infections in surgical departments, according to the recommendations of the Ministry of Health of the Republic of Tajikistan on the need to create model programs for each department, as well as some projects WHO.
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DISTRIBUTION OF TUBERCULOSIS IN CONJUNCTION WITH HIV/AIDS AND THE PROBLEMS OF EARLY DETERMINATION
Aim. To study speared of co-infection TB/HIVS and develop prophylaxis measures for early determination of TB
among HIV/AIDS infected people. -
SOME PARTICULARITIES SEXUAL AND PHYSICAL DEVELOPMENT BESIDE PATIENTS OF THE NORTH TAJIKISTAN
KASYMOVA Z.N., KADAMALIEVA M.D., ABDURAKHMANOV M.K.
Performed study among patients of north Tajikistan have revealed some particularities a sexual and physical development, as well as obstetric and prenatal complication at period of pregnancy and sort. -
The renal complication in the long-term periods in the women who have had acute renal failure after birth
Sodiqov A. M., Murodov A. M., Hamroqulov A. A., Shumilova O. V.
The data obtained indicate excessively slow recovery of lost functions, which is most intense during the first 2 – 3 years and indicate the need for prolonged recovery of renal function for more than 6-7 years, deterioration of renal function contributed to: a chronic underlying disease (chronic glomerular – pyelonephritis, anemia, and subsequent pregnancy and childbirth in the background is not completely recovered renal function). Therefore, this group of patients should be on the dispensary to the full restoration of the functional usefulness of the kidneys, at least 2-3 years, and patients with chronic renal failure observed in different stages – for life.
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EVALUATION OF DENTAL CARE IN PATIENTS DEPENDING ON THE INDIVIDUALLY-TYPOLOGICAL STATUS
GUREZOV M.R., MAKHMUDOV D.T.
When using clinical dental scales identified the main types of emotional reactions among dental patients, determining the present status of the examined persons. The use of this scale has enabled us demonstrate rapid diagnostics of the emotional status of patients and at the same time to get positive results of dental treatment on an outpatient reception. -
TO QUESTION ABOUT PREVALENCE AND INTENSITIES OF ENDOPERIAPICAL’S COMPLICATIONS IN DENTISTRY PRACTICE (REVIEW OF THE LITERATURE)
TURAEV N.G., ISMOILOV A.A.
Endoperiapical’s syndrome often is a reason of odontogenic inflammatory processes of the max¬illa-face area, including sharp odontogenic sepsis, odontogenic mediastinitis and inwardlyskull’s of inflammatory processes.
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