EARLY DETECTION OF DYSPLASIA OF THE HIP JOINTS OF CHILDREN IN THE PRACTICE OF FAMILY DOCTORS
28.10.2015AbdulhaevaSh.R., Mirzoeva Z.A., Nazirova N.K., ShodievaSh.K., Sharipov I.G.
EARLY DETECTION OF DYSPLASIA OF THE HIP JOINTS OF CHILDREN IN THE PRACTICE OF FAMILY DOCTORS
Department of Family Medicine of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”
Aim.Early detection and implementation of adequate therapeutic measures CHD in newborns and children under one year through screening methods by family doctor on the basis of the City Health Center №1 of Dushanbe.
Materials and methods. During the monitoring period, 156 newborns were examined, of which 75 boys (48%) and girls – 81 (52%). During preventive examinations family doctor used screening methods to identify CHD. Methods: clinical, statistical – identification of congenital hip dysplasia in children.
Results. Screening established pathology in 38% of newborns. At girls pathology HD determined 4 times more often than at boys that is, girls accounted 80% (47), boys – 20% (12). Hemilesion encountered 2,3 times more often bilateral, accordingly 69% (41) and 31% (18). Thus the injury of the left hip joint was determined at 1.7 times more often than the right hip joint and accordingly was 63% (26) and 37% (15). The combination of positive methods detected in 83%, and usually limitations determined by a combination of breeding and asymmetry of skin folds. Test subjects with known positive techniques were consulted by an orthopedist, and then diagnosis of CHD has been confirmed in 87% of children. This again confirms relatively high sensitivity and specificity of application of these methods for early diagnosis of hip joint pathology in children in the first year of life in the practice of family doctor.
Conclusion. Thus, the use of special screening methods allowed family doctor in primary patronage of newborns and their dynamic observation to detect abnormalities of the hip joints, that has been confirmed after orthopedic examination in 87% of children. Early diagnosis through the application of simple methods of clinical diagnosis, which do not require extra costs, determines the effectiveness of timely initiated an adequate medical treatment and in the future prevention of complications and disability.
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.-
Locking systems in orthopedic dentistry
Nazarov Z.A., Ibragimov B.H., Akhmadov U. F.
Application of attachments in recent years is considered lo be the most efficient way of fixing partial denture on supporting teeth.
In this regard, the article describes prescriptions, methods of application, clinical and technological as well as laboratory stages of manufacturing different types of attachments.
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INTENSITY OF HALITOSIS CONDITION OF ORAL CAVITY IN PATIENTS WITH PERIODONTAL INFLAMMATORY DISEASES
ASHUROV G.G., DZHUMABOEV D.B.
Got results on study halitosis condition of oral cavitybeside 78 patients are indicative of intercoupling the unsatisfactory hygienic condition and increased concentrations flying chamois join in exhaled air. Amongst examined persons is determined even growing difference with increase level flying chamois of the join in exhaled air from 154.31% in 1 group before 283.76% in 4 groups that speaks the under investigation factors of close-fitting intercoupling. -
THE SYNDROME OF ENDOGENOUS INTOXICATION IN PATIENTS WITH CANCER OF THE MAMMARY GLAND
RASULOV S.R., MURODOV А.М., KHAMIDOV А.К., ASHUROVA M.J.
In the structure of the morbidity and mortality of the female population of cancer of the mammary gland takes the first place. The severity of manifestations of GIS in patients with cancer of the mammary gland caused by the passage of the disease (depending on the stage of the disease) and the applied method of special treatment: surgery, chemotherapy, radiation therapy. Study of biochemical markers of endogenous intoxication in patients with cancer of the mammary gland showed a decrease in total protein, albumin fraction and test the Paramecium, a slight increase in globulin, which testifies to the existence of the phenomena of intoxication depend on the stage of the prevalence of tumor process. In patients with cancer of the mammary gland, compared with healthy, have lower indicators of the quality of life, especially for the account of such scales as physical functioning and men-tal and emotional state. -
THE NEEDS OF COMMERCIAL SEX WORKERS IN HEALTH SERVICES
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. -
Optimization of a tactical approach when combined fractures of long bones
Karimov K.K, Ashurov B.O., Barotov H.N., Sharipov U.L.
In the work of the studied result of the treatment of 73 patients with impairment of long tubular bones of the lower extremities, received at the clinic for emergency and planned manner. All patients were complex clinico-diagnostic approach and appropriate treatment.
The result of the study States that early stable-functional osteosynthesis of a grant minimize disability, early activation of the patients, and also the restoration of the static-dynamic functions and kinematic balance of the musculoskeletal system. -
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. -
SOME FACTORS AFFECTING IN THE MALYARIOLOGY SITUATION IN PREDELIMNATION PERIOD IN THE REPUBLIC OF TAJIKISTAN
SHARIPOV A.A., NARZULOEVA M.F.
THE DEPARTMENT OF INFECTIOUS DISEASES, EPIDEMIOLOGY, HYGIENE AND ENVIRONMENTAL PROTECTION TIPGPMP
antimalarial drugs. Since the beginning of the 90s in the Republic of Tajikistan epidemiological malaria situation started to deteriorate due to the mass migration of refugees on the territory of Afghan¬istan and their subsequent return to their former place of residence, the sharp weakening of the work of the General and special services, and the conductors real absence of measures to fight against carriers of infection due to economic instability in the Republic of Tajikistan. The article was to study the epidemio¬logical features of the spread of malaria in the Republic of Tajikistan and the factors affecting the malarial situation in preelimination period. The situational analysis is based on data archival materials, annual reports district, regional and Republican centers for combating tropical diseases. Analysis of the archival documents showed that in 1994 and 1995 officially registered 2411 and 6103 cases pathology, respectively, reaching values 29794 patients in 1997. In 2005 as a result of anti-malaria activities registered 2309 malaria cases, in 2008 – 318, in 2010 – 112, in 2011 – 78 and in 2012 – 33 cases. In 2013, however, the incidence of malaria has increased in 1,6 times in comparison with 2012, that is connected with rapid development of road transport infrastructure, construction of new bridges connecting the two States.
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TUYCHIBOEVA M.N., MURADOV A.M. SHUKUROV T., SHUMILINA O.V.
COURSE “LABORATORY WORK” TIPGPMP
One of the most urgent problems in the structure of modern somatic pathology remains endo¬toxicosis, which is a basic component of the formation of the severity of the General condition. The article presents the results of analysis of toxic blood components 206 patients endotoxemia developed in the result of acute renal failure, peritonitis and septicemia in comparison with the figures of 20 healthy donors. Material for the study served as the blood of patients aged from 17 to 62 years, of which men made up 59,3% of women – 40,3%. The study used biochemical, gel-chromatography and infrared spectroscopic methods of diagnostics indicators token to reflect the level of intoxication. Found that the toxicity index in patients endotoxemia increases by more than 700%, compared with the control. On the basis of carried out research we can conclude that the patients endotoxemia occur intensification of lipid peroxidation, depression of immunity, reduction in antioxidant protection and detoxification abilities of organism. The comparison of the curves fractionation of blood plasma during endotoxemia and in healthy people showed that the patients of the main group there was a significant increase in fractions of A and D, to a lesser extent faction Century There was a tendency to a decrease in blood levels of medium-weight molecules due to their concentration redistribution that may be characteristic only for endotoxicosis -
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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Youth and their reproductive health
Nurmatova Z.I., Nurmatov А.А., Yusupova M.R.
As a result of research it is established that reproductive health is influenced by such factors, as a somatic and gynecologic pathology. It once again confirms necessity for timely informing of youth on problems of reproductive health and increase of their responsibility for own health. Themes on preservation of the health which excite youth, were various – questions of effective contraception, abortions and their consequences, preventive maintenance, a HIV of an infection, oncological diseases of genitals. Thus, results of socially-psychological diagnostics of personal factors of reproductive behavior allow to approach to deeper understanding of values of reproductive health of youth, desires, motives, expectations, инициаций in decision-making at modern young men and girls of reproductive age, and also to develop adequate practical psihologo-social recommendations and effective technicians of work with young men. It once again confirms necessity for timely informing of youth on problems of reproductive health and increase of their responsibility for own health.
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