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.

Aim. Development and introducing the algorithm of hygienic measurements on stage of dental implantation in dentistry patients with accompanying somatic pathology.

Aim. Improve the results of open adenomectomy of prostate through the development and introduction of a new approach to hemostasis in intraoperative bleeding.

Aim. Assessment of efficiency of application of therapeutic and diagnostic laparoscopy at liver damage.

Aim. Rate of gender relations and their impact on reproductive behavior and health in the modern world.

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.

ASHUROV G.G., KARIMOV S.M.
THE DEPARTMENT OF THERAPEUTIC STOMATOLOGY TIPGPMP
To determine the frequency of various types of fixed prosthesis in need of re-manufacture, conducted clinical and epidemiological study of orthopedic status in 264 patients, including men and women, respectively, 62,10% and 37,9%. All examined patients previously received orthopedic treatment and had dentures in the oral cavity. Age range, the largest group comprised patients older than 60 and 50-59 years (according to 34,5% and 27,2%). IN patients with partial absence of teeth investigated 1167 fixed prosthesis in need of re-manufacture, among which 66.1% was forged-soldered lined or without it, 29,8% – solid lined or without it, 3,2% – plastic and 0,9% -ceramic. Among fixed prosthesis oral prevail forged-pressure welded prostheses, the number of which was two times more than one, and twenty times more, than plastic and ceramic. Service life of 5 to 7 years have 37,6% of one-piece prostheses, life for over 7 years – 36,25% one-constructions without facing. Dominated by the share of remade one-piece designs over forged-soldered in a pe¬riod of use up to 7 years. After a seven-year term of use of an increase in the share forged-soldered prostheses, compared with the solid. The most common causes of withdrawal of fixed prosthesis were aesthetic disorders and the need to manufacture additional dentures.

BOBOEV K.R., ASHUROV G.G.
Life’s quality in patient with dentistry pathology is defined many social factor – a floor, social position, formation, labor employment, level of income and household position. For achievement of the firm positive result of the treatment among dentistry patient, which valued the life’s quality as “high”, it is enough education their rule hygiene of oral cavity and undertaking professional hygiene.

Kholova Z.U.
Osteopenic syndrome is the pure complicated PA. The development of osteoporosis under PA associate with high activity, gravity pathologic process, intake of glucocorticosteroids. In patients of PA with complicated osteoporosis have pains evident pain syndrome in bones in comparison with patients, that haven’t osteoporosis.

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.