Iodine deficiency diseases (IDD) and helmint infections among schoolchilrens of four pilot districts of Sino project in Tajikistan.
30.01.2014Kasimova S., Davlatmamadova М.
Problems of IDD spreading in Tajikistan among schoolchildren some regions of the Republic ase still under consideration. Situation with IDD is worsfen by helmint infection among schoolchildren/ these two diseases are worsfen each other and negatively affect physical and mental helth of schoolchildren. Despite the progress the Republic of Tajikistan did not achieve the necessary level of the Program of World Salt iodiration.
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.-
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. -
МИЛДРОНАТ® В КОМПЛЕКСНОЙ ТЕРАПИИ ИШЕМИЧЕСКОЙ БОЛЕЗНИ СЕРДЦА В УСЛОВИЯХ ВЫСОТНОЙ ГИПОКСИИ
* RAKHIMOV Z.YA., **KUDRATBEKOVA., * NARZULLAYEVA A.R.
**CARDIOLOGISTS ASSOCIATION OF THE REPUBLIC OF TAJIKISTAN
*DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
The article is devoted to the study of the use of Meldrony in 30 patients with chronic coronary heart disease, stable angina of II-III class combined with arterial hypertension of II degree with high and very high risk of cardiovascular complications in conditions, Midlands Gorno-Badakhshan Autonomous region of Tajikistan. Among the examined patients on the background of the drug Meldrony in a daily dose of 1000 mg, showed a significant improvement cardiohaemodynamic indicators. Simultaneously, a decrease of the average frequency of angina attacks a day with 2,77±0,26 to 1,52±0,17. Also noted a decrease of the daily quantity of consumed nitroglycerin from 2,4 to±0,23 to 1,4±0,16 and significant increase of tolerance to physical activity detected test 6-minute walk from 388±33 m up to 512±39 m Significantly increased the degree of shortening the anterior-posterior size of the left ventricle and the speed of the circular of the shortening of the fibres infarction. Examine the safety and efficacy of the use of Meldrony patients with stenocardia voltage conditions, Midlands Pamir confirmed distinct antianginal its properties. -
ULTRASOUND DIAGNOSTICS THYROID PATHOLOGY IN CHILDREN AND ADOLESCENTS
KASYMOVA S.D., AYUBOVA G.SH., RAHMONOV V.D., BOYMATOVA M.B.
THE COURSE OF ENDOCRINOLOGY AT DEPARTMENT OF THERAPY TIPGPMP REPUBLICAN CLINICAL CENTRE OF ENDOCRINOLOGY
In connection with the exceptional importance of the thyroid gland problem of pathology of the organ of children is the focus of endocrinologists. Pathology of the thyroid gland in the regions of iodine deficiency, which includes the Republic of Tajikistan, occupies the leading position in the endocrine pathology in children and adolescents. Diagnostics of thyroid pathology in this category includes a phased investigation with the decision of the question concerning the goitrous increase the authority and assessment of the functional state of the thyroid gland. Many tasks successfully done with the use of ultrasonic technologies. The article suggests the use of ultrasound diagnostics for estimation of structural and functional changes of the thyroid gland, 93 children and adolescents with a duration of pathology from 6 months to 2 years. Depending on the functional state of the examined organ children and adolescents were divided into the following groups: I group amount¬ed to 61,3% of patients with diffuse nontoxic goiter, II – 20,4% of individuals autoimmune, with tireoidita III group – 18,2% of surveyed with hypopituitarism thyroid gland. Results of ultrasonic research show the greatest increase in volume of the thyroid gland in the group 2 patients with au¬toimmune thyroiditis. Analysis of results of ultrasonic research showed that in the 1 group of the examined enlargement of the thyroid gland was moderately expressed. The largest increase of the volume of the thyroid was noted in group 2 patients with autoimmune thyroiditis. Of the 17 patients with subclinical hypothyroidism last group in 58% of cases of thyroid volume slightly increased in 42% of cases, the value remains in the normal range. The results obtained allow to note that for the estimation of structural and functional changes of the thyroid gland are essential ultrasound diagnostics. -
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. -
X-ray estimation to alveolar bone in patients with chronic diseases organ and systems
Ashurov G.G., Ismoilov A.A.
On the grounds of X-ray examination patients with diseases of the gastrointestinal tract (25), endocrine (27) and cardiovascular (26) pathology is installed risk of the development osteoporosis of the alveolar offshoot and is forecasted development actively progressing resorbtion of the bone fabrics. Amongst patients with presence raised mineral sediment in year, 18 months and 3 accordingly in 85,7% , 81,6% and 79,5% events X-ray’s were not noted reduction of the height interdentally alveolar partition. For similar period of the observation beside persons without surplus sediment calcium on peripheries of the alveolar offshoot importance reduction of the height interdentally alveolar partition corresponded to 74,3%, 69,2% and 61,7%. -
The contribution to studing the pathology of infections
A.A. Sharipov, M.F. Narzuloeva, A.H. Tolibov, A.D. Salimov
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PIRNAZAROVAM.G., AKHMEDOVAM.I. KOAGULOPATIC CHANGE IN PATIENTS WITH UNDEVELOPMENTS PREGNANCY
UsmonovaF.L, KosimovaZ. N., YakubovaF. A.,
As a result called on studies is installed that long dead embryo is found in cavities of the womb that denominated koagulopatic of the change in rolling up system of blood. -
The effectiveness of modern tools for locating individuals who use removable plate denture
Ibragimov B.H., Nazarov Z.A.
In this study are noted, the effectiveness of modern adhesive products Corega and Protefix in 54 patients, using partial and full removable dentures. The use of these resources contributes to a better adhesive fixation of prostheses, accelerate adaptation. They have a healing, analgesic, isolation and prophylactic properties.
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Differentiated approach to surgical treatment of groin hernias.
Pirov B.S., Nurmatova M.M.
In work analysed results of operative treatment of 283 patients during the period with 1997 on 2011 with groin hernias by which in a planned and emergency order it is made Hernia section. The patient intraoperative 1s made measurement of structures groin’s channel, is revealed degree of changes of fabrics also picks up a method of operations. Thus some kinds of groin section are modified by us. At the risk of development of complications and differentiated approach it is possible to lower percent of relapse of disease to 1,3 %.
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THE COMPARATIVE EVALUATION OF SURGICAL TREATMENT OF CLUBFOOT PARALYTIC
TOLIBOV SH.M., MIRZOEVA S.M., SIRODJOV K.KH., ESHONOV I.B.
Analyzing the results of surgical treatment of paralytic deformities of the feet, 53 children who were in the children’s orthopedic Department of the National medical center of the Republic of Tajikistan, correlation treatment outcome on the quality of the diagnosis at an early age, the complexity of the orthopedic prevention, quality of preoperative preparation and adequately selected tactics of surgical intervention and compliance with orthopedic re¬gime in the postoperative period.
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