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.
Optimization of combined treatment of fractures of the long bones in patients with signs of fatty hiperglobulemiya
Sirodzhov K.H., Karimov K.K., Mirov N. Sh. Ahmedov Sh.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical – diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system.
EVALUATIONS OF NURSING OF CHILDREN WITH LOW BIRTH WEIGHT
SAIDMURADOVA A.D., MAHKAMOV K.K.
DEPARTMENT OF NEONATOLOGY TIPGPMP
The evaluating of results of health surveillance and provided neonatal care bantam children, depending on body weight at birth, were divided into 5 groups. In the first group was composed of 11 children born weighing less than 1000 g, second – 62 children weighing from 1000 to 1490 gr., third – 112 children weighing from 1500 to 1999 gr., fourth – 200 newborns weighing from 2000 to 2499 gr., in the fifth group – 32 newborns weighing 2500 gr. The adequacy of resuscitation was directly dependent on birth weight. Resuscitative measures were timely and adequate most of un-derweight children studied groups. 2,1 often observed late start resuscitation in children weighing less than 1499gr. as a result of underestimating the doctor of the child and not a diagnosed chronic intrauterine hypoxia. Essential influence on a condition of a newborn provided incomplete volume resuscitation measures. 15,8% of children with very low body weight, born in severe asphyxia, were not conducted adequate ventilation of the lungs, tracheal intubation. The overwhelming majority of children of I-II groups in 91,1% of cases were examined неонатологом immediately after birth, in the III group accounted for 55,8% of at the appropriate values of 9,1% and 5,5% in the IV and V of the investigated groups. To increase the level of survival rate of underweight children must take into account many factors, ranging from the improvement of the quality of antenatal protection of the fetus to the improvement of medical, given their low readiness to extrauterine life.
THE NATURE OF THE PAIN SYNDROME IN PATIENTS WITH ADVANCED STAGES OF MALIGNANT NEOPLASMS MAXILLOFACIAL AND EFFICIENCY TRADITIONAL PAIN THERAPY
GAFAROV H.O., SHAKIROV M.N., MIRZOEV M.SH.
THE DEPARTMENT OF MAXILLOFACIAL SURGERY WITH CHILDREN STOMATOLOGY OF TIPGPMP
Questionnaire of 108 patients with advanced stages of malignant tumors of maxillo-facial region studied the nature of the chronic pain syndrome and assessing the effectiveness of traditional pain therapy. The 58,3% of the observed diagnosed with advanced stage cancer of mucous membranes of the oral cavity, 23.1% of installed cancer of mucous membrane of the maxillary sinus, a 3.7% identified advanced stage of osteosarcoma jaws. The 3rd and the 4th stage of malignant process revealed respectively of 17.6% and 82.5% of the observed. Among patients with the character of the pain syndrome and effectiveness of the analgetic therapy were studied by the method of questioning on the specially prepared questionnaire. Study of the dynamics of pain syndrome showed that the pain intensified after their first appearance during the first 3 months of 20,3% of patients during 3-6 months – 37,0%in 6-12 months in 25,9%, later than 1 year – 16,6% of patients. Analysis of the nature of pain showed that 37.9% of persons they are «Ripper» character, 27.7% of «capturing», 23.1% of the «hot», 6,5% – «breaking», 4.6% – «whining». It is established that the pain syndrome in this category of patients is often neuropathic development mechanism, which explains the lack of effectiveness of pain therapy using drugs. The findings suggest the need for further improvement of the well-known methods and search for new, more effective methods of reduction of chronic pain syndrome in this category of patients.
DETECTION OFFLATIN THE PRACTICE OFFAMILY DOCTORS
MIRZOYEVAZ. A.,ZARIPOVAI.I., DAVLYATOVAD.D.
Plantogrammymethodis simple,affordable,cheap technique.Everyfamily physicianshould possessthispractical skillto detectandprevent the development of flatfootand its complications,whilereferred to a specialistand givecorrect advice.
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.
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.
ON THE APPLICATION OF KOMBOGLYZE PROLONG IN THE TREATMENT OF TYPE 2 DIABETES
Aim. Evaluate the effectiveness and safety of the application of komboglyze for the diabetics of type 2.
ANALYTICAL ESTIMATION TO QUESTION OF THE ORTHOPEDIC TREATMENT OF PATIENTS USING BY DENTAL IMPLANTS
SULTANOV M.SH., ASHUROV G.G.
THERAPEUTICALLY DENTISTRY DEPARTMENT OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
DEPARTMENT OF MAXILLARY-FACE SURGERY WITH CHILDREN’S DENTISTRY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
The article conducted the analytical estimation of the literary sources on questions of the orthopedic treatment of defect teeth rows. Analyzed literary sources of the authors of near and distant countries with use of their retrospective outline estimation. On the grounds of complex test of clinical, X-ray’s, functional and computer given will develop ways of system-atizations possible variants removal of occlusion defect, which accompanied algorithm of the decision, directed on their reconstruction that will in turn promote increasing of efficiency of the implantology treatments amongst dentistry patient.
Systematizing existing variant of the removal of occlusion defect came to conclusion that presence one of the factor risk not always is a contraindication to installation of implants. Test of the main reasons promoting origin mistake and complications of implantology treatments, on the grounds of clinical, x-ray’s, functional and computer studies will help the physician to pay earnest heed on the mistake and complications and hereunder reduce both reasons, and mistakes themselves, appearing on miscellaneous stage of the implantology treatment. Presence several factors of the risk beside one patient vastly complicates the clinical situation of implantology treatments in nearest and remote periods.
Evaluation of the nutritsialy and complex corrective therapy awaiting pregnant women and mothers
Pulotova A. P., Rustamova M. S., Jalova O. D.
In this article effectiveness of using drugs, nutritional and complex treatment of the iron defesition anemia was evaluated. It was establissed, that the complex treatment was more effectiveness.
Influences of age on expressed and frequency of separate components of metabolic syndrome at the patients with podagra
Age dimorphism hypertriglyceridemia at the patients with podagra proved to be true also by presence of return correlation relation between a level of whey triglyceridemias and age on the moment of inspection. The frequency of revealing of the increased meaning of AP, on the contrary, has increased with age. It proved to be true also by presence of direct correlation dependence between age and absolute meanings systolic and diastolic of AP. Naturally, that the duration of disease was progressively increased with age of the surveyed patients. Nevertheless, the patients were younger, the in earlier age debuted podagra.