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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.-
Bioelectric activity of brain and nervous-mental status of the liquidators of the Chernobyl accident in the remote.
Aliyev Z.D., Odinaev Sh.F., Odinaev F.I., Mehmonov P.H.
A study of bioelectric activity brain (for 100 people) of neuropsychological status (1464) persons involved in the accident and its effects on Chernobyl showed reduction bioe-lectric activity of brain dysfunction-median structures of the brain by patofiziologicheskih developments intensity of metabolic processes in the brain. Radiative forcing in remote time significantly affect the functional status of the nervous system and in structure of morbidity in place leading liquidators asteno-neurotic condition, neurocirculatory dystonia and discirculatory encephalopathy.
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RELATIONSHIP BETWEEN HYPERURICEMIA AND CARDIOVASCULAR DISEASE
Aim. Determine the relationship between hyperuricemia with cardiovascular disease
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IMPORTANCE OF DRAINAGE FOR PURULENT SPACES IN THE COMPLEX TREATMENT OF PATIENTS WITH PUTREFACTIVE-NECROTIC PHLEGMON OF THE MAXILLOFACIAL REGION
MIRZOEV M.SH.,SHAKIROV M.N., GAFAROV KH.O.
The article presents the results of treatment of 24 patients with putrid green-necrotic abscess the bottom of the cavity of mouth. Analysis of the carried out research showed that the expansion unit from alloys nickelide-titanium have obvious advantages to the traditional types of drainage, namely: improvement of visual access to the wound and their widespread separation, which leads to the improvement of aeration, which have a great importance in the conditions of mixed and anaerobic microflora.
All of the above mentioned activities with the use of expansion of devices allowed speeding up the time of cleansing and healing of wounds on average by 3-5 days and proceeding to more early medical and social rehabilitation. -
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. -
TREATMENT AND PREVENTION OF VIRAL INFECTIONS WITH THE USE OF INTERFERON INDUCTORS
MIRZOYEVA Z.A., KHISOMOVA KH.K.
THE DEPARTMENT OF FAMILY MEDICINE TIPGPMP
Today viral infections are the leading cause of morbidity worldwide, the role of which in the overall morbidity will only increase. Recently in the treatment of viral infections extensive use of immunomodulators, the range is constantly expanding. The most promising drugs in the given as¬pect are interferon inducers. The article presents the results of studies of prophylactic effectiveness and treatment of acute respiratory viral infections interferon inducers of 150 patients aged from 1 month to 17 years. The results obtained showed that anaferon having a pronounced curative and prophylactic efficiency of the flu, when before vaccine period increases the functional activity of specific antibodies that reduce the intensity of morbidity. The ability of the drug to reduce the number of bacterial complications allowed authors to effectively apply anaferon in the treatment of viral infections in children with secondary immunodeficiency condition. The inclusion of anaferon in the standard therapy of acute intestinal virus infection in children significantly reduced the duration of the main symptoms of the disease. -
Important introduction of curse palliative care into education curriculum for nurses.
Samadova G.A., Azizov Z.A., Abidjanova N., Sharipova Sh.T.
Analyst work’s program of Republic Medical Kolledj show that important part of the palliative care have on the different study years. Prepared the module of the palliative care and put it on the end years of the study increase knowledge of the students, who can support population of the palliative care in the future. -
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%). -
THE HEMODYNAMIC CONDITION OF THE SYSTEMIC CIRCULATION IN PATIENTS WITH BILIARY TRACT DISORDERS
KOSIMOVZ .K., KHOMIDOVJ.B., MAHMUDOVS.A., NAIMOVA.H., MAHMADIEROVS.I.
112 patients with biliary tract disorders have studied hemodynamic circulation. The changes of hemodynamic severity of which was dependent on the severity of choledocholithiasis, cholehemia and toxemia -
COMPARATIVE CHARACTERISTICS OF MALARIA INHABITANTS OF THE BORDER AREAS OF THE KHATLON REGION OF THE REPUBLIC OF TAJIKISTAN.
AKHMEDOV A., SHARIPOV A. A., NARZULOEVA M. F., SHARIPOVA SH. T., TOLIBOV A. H.
Thus we can assume that of the anti-malaria activities only intensified in the border areas of Tajikistan with the Islamic State of Afghanistan persistent results to restrict importation of malaria mosquitoes can not give. In this connection it is necessary to undertake joint efforts for anti-malaria activities in the northern areas bordering Tajikistan the Islamic State of Afghanistan in order to create a barrier of the border zone, a depth of at least 10 – 15 km, in which mosquito measures should be implemented after termination of the rest of the country. -
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.