THE NEEDS OF COMMERCIAL SEX WORKERS IN HEALTH SERVICES
06.05.2015
Bobokhodjaeva M.O
On the basis of analysis of cards 600 commercial sex workers, filled with the use of coding systems, applied in "the Cabinet of confidence" in the City center of reproductive health of the city. Dushanbe for 2008 – 2012 y . identified the need of commercial sex workers in the health services. It is established, health services are one of the basic needs of commercial sex workers, and the most priority is the need for medical assistance on the issues of sexual health, contraceptive assistance needs in the prevention of unwanted pregnancy, STI/HIV.
The high cost of diagnostic laboratory research methods and medicines is a major barrier to timely treatment for medical services and provide timely qualified medical help, therefore in the framework of the programmes on STI/HIV/AIDS consider it necessary organized the program by SW.
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.-
ASSESSMENT OF MEDICAL SERVICES DURING CONTRACEPTIVE AID
MUKHAMADIEVA S.M.
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TIPGPMP
Many of the problems associated with a reduction in reproductive losses have not been ful¬filled. In the given aspect determining role belongs to the provision of contraceptive security. To understand the knowledge, attitudes and practices of women of reproductive age who use family planning services, those who are these services are provided, and also to determine the quality of contraceptive assistance to the population of medical institutions, conducted socio-logical research on the quality use of contraceptives by women of reproductive age. A specially designed questionnaire survey was conducted among 200 specialists of medical institutions for a professional assessment of knowledge, attitude and practice professionals providing contra¬ceptive services in the Republic. There was set low level of awareness of modern methods of contraception, the confidentiality of provision of contraceptive services and principles of coun-seling, post-Natal and postabortal contraception and voluntary surgical sterilization, methods of emergency contraception, indications and rules of their use, on the principles of counseling condom use. Specialists have an insufficient level of knowledge on the indication, duration of use and unwanted effects with the use of oral contraceptives and Depo-Provera. -
Status and prospects of integration of physicians ambulance (SMP)
Muminov B.G., Mirzoyeva Z.A.
Conclusion to improve continuity of service SMEs with family doctors in the Republic of Tajikistan worthwhile taking some regulations providing these services, relationships with stimulating dispensary patients and encourages patient-surrogate technologies and strengthen the role of information technology.
In the long term integration of physician SMP with a family doctor leads to unloading of high cost hospital bed and resource-intensive service SMEs, reducing indirect and direct economic costs ultimately reduce disability and mortality of the population. -
Applying of Clinical experience preparation “Metakrizol” in the treatment of women with cervicitis against the background of benign cervical pathology
KHAYRIDINOVA J, KHUSEYNOVA M.B, KHABIROVA S.Z.
The drug of metakrizol has a broad antibacterial l, trihomonotsidnym and antimycotic effect. The use of this drug in the treatment of viral and bacterial cervicitis against dishormonal ectopia of the cervix allows 70% of women to accelerate the elimination of clinical signs of inflammation. However, the therapeutic effect metakrizola significantly reduced in the treatment of inflammation of the cervix against a background of degenerative changes in the cervix caused by scar deformities. It is also effective use of the drug before physical – surgical therapy of cervical cancer, promotes epithelialization of the wound earlier defect (66.7%). -
VALUE DOPPLEROGRAPHIC CHANGES OF PROSTATE IN SELECTION HEMOSTASIS IN ADENOMECTOMY
Aim. Improve the results of open adenomectomy of prostate through the development and introduction of a new approach to hemostasis in intraoperative bleeding.
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Inprovement surgical treatment of sick with palsy of the mimic muscles
Shakirov M.N.
At treatment sick with palsy of the mimic muscles for undertaking statically their hang up author was used thinprofile fabrics from nikelid titanium, is in detail described move to operations. The Applicable material is deprived defect traditionally used and possesses the high degree to integrations with perceiving zone.
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EVALUATING THE EFFECTIVENESS OF MEASURES COUNTERACTION DRUG DEPENDENCE IN REPUBLIC OF TAJIKISTAN
Aim. Evaluation of the effectiveness of existing measures designed at preventing drug use, in particular women.
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SOME ASPECTS TO EPYDEMIOLOGY AND TREATMENT INWARDEYE MELANOMA IN REPUBLIC OF TADJIKISTAN
MAHMUDOVA L.SH, NUMANOVA M.A., SATTOROV A.A., AZIZOV M.M.
Disease inwardeye melanoma on addresses has formed 0,08 on 100 000 population. At a moment the address to ophthalmology inwardeye melanoma diagnosed in stage T3 and T4, that speaks of difficulties of the diagnostics of the disease on early stages and weak preparation general ophthalmologists in primary section of the public health republic of Tadjikistan. At the average in republic of Tadjikistan annually inwardeye melanoma diagnosed in 1-2 person on 1 million of populations. -
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. -
METHODS OF PREVENTION OF TACTICAL AND THERAPEUTIC ERRORS IN THE TREATMENT OF EPILEPSY
KHADIBAEVA G.R., IZZATOV KH.N., SHARIFOVA B.A.
DEPARTMENT OF NEUROLOGY AND MEDICAL GENETICS OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
The publication highlights modern conception about etiology and pathogenesis, clinical manifestation and treatment of different types of epilepsy. Tour has been undertaken to understand different types of convulsion and non-convul¬sion paroxysm, as well as modern antiepileptic treatment. In addition the analysis of medical records undertaken by neurologists and psychiatrists allowed to objectives a great deal tactical and therapeutically doctor’s mistakes.
It was determined that doctors not always clearly differentiate type of paroxysm. The medicine prescribed by spe¬cialists not relevant to the given type of convulsion. The treatment starts with multi-therapy, which not recommended in modern literature sources. In treatment scheme along with anti-convulsive drugs indicated medicines that contrain-dicated for treatment of epilepsy, these aggravate course of disease and facilitate early development of epileptic status as well as epileptic encephalopathy.
Therefore publication and informing wide auditorium the correct treatment tactics of epileptic patients will promote correct anti-epileptic drugs and reduce mistakes during epilepsy treatment. -
INFLUENCE SEX STEROID HORMONES ON THE CARDIOVASCULAR SYSTEM OF WOMEN
Narzullaeva A.R., Rakhimov Z.Y., Muradov A.M., Rofieva H.Sh.
Department of Cardiology with the course of clinical pharmacology of Tajik Institute of Post-Graduate Education of Medical StaffThe review describes the questions of influence of sex hormones on the cardiovascular system. Data provided numerous studies show a veracious cardioprotective effect of female sex hormones, which manifests itself in pronounced vasodilatory, anti-atherogenic, and antiagregatine anticoagulant action aimed at preventing the pathological changes in the cardiovascular system.
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