Assessment of baseline knowledge of experts on diabetes and pregnancy
30.01.2014Nazarova S.I., Mukhamadieva S.M., Kasymova S.J.
In order to assess the initial level of knowledge on diabetes and pregnancy, an anonymous survey of 438 doctors who work with pregnant women was conducted: 274 obstetricians, 96 family physicians, 52 neonatologists and 16 anesthesiology and intensive care. The results showed that experts had a low level of knowledge on diabetes and pregnancy. It’s needed to develop clinical protocols (standards) for planning and management of pregnancy, childbirth in women with diabetes mellitus and training.
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 optmizacllucebnogo proctss in the medical schools of a sо
Isomidinov А.I., Isomodinov А.А.
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 professional level of the future doctor. Such approach helps the student will learn skill to put before 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. -
SCIENTIFIC BASIS OF APPLICATION OF INDIRECT ELECTROCHEMICAL OXIDATION OF BLOOD IN CLINICAL PRACTICE
SHUMILINA O.V., MURADOV A.M.
DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
Indirect electrochemical oxidation is the process of modulating mono-oxygenized oxidation in liver on cytochrome R-450. Herewith the hydrophobic toxic components moves into hydrophilic which later on actively removes from organism by excreting organs. By using special electrochemical equipments, the isotonic saline solution exposes elec¬trolyses, transforms into hypo chloride sodium, that appear to be highly active oxidation with broad range impact. As for external and intra cavity use the medicine showed up as active antiseptic, necrolitic and anti-inflammatory agent. In intravascular injection of therapeutically concentration of the hypo chloride sodium (0,06%) renders remarkable detoxication effect. Promote hypo coagulation and improve the reologic characteristics of blood. Farther redistribu-tion intracellular and serum concentration of electrolytes , that effectively normalize metabolic disorders, provides also control of bacteria grow , decreases the resistant of microorganisms to antibiotics, cause indirect correction of immune system. Effectively decries the blood concentration of hydrophobic, hydrophilic, amfiphilic toxic compounds, corrects the hyperglycemia and hyperlipidemia. These all the characteristics of indirect oxidation has been widely im¬plemented in different field of medicine: surgery, efferent medicine, stomatology, obstetric and gynecology , oncology, dermatovenerology, infectious diseases etc. -
CRYOSURGERY TUMORS OF ORAL CAVITY IN CHILDREN BY LOW AUTONOMOUS POROUS-PERMEABLE APPLICATORS OF NI-TI
MIRZOEV M.SH.
The efficiency results of cryosurgical treatments tumorsoral cavities by low autonomous porous-permeable applicators from nicelide titanium in 16 children at age from 1 before 14 years. Special efficiency of the method arerevealled beside sick with wide-spread and persistently not amenable treatment by forms of the tumors, such as papillomatosand fibromatosoral cavities. Installed painless, unblood, simplicity, accessibility and economy, as well as absence negative consequence offered method. -
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. -
Condition and methods of prevention at school and street accidents reading to disability (in Dushanbe, Tajikistan)
Mirzoeva Z.A., Hisomova H.K., Ortikova M.M.
The family doctor can show care, gain trust of children and their parents, attention and correctness in relation to patients. It has good knowledge and skills of questions to prevention of a school and street invalidation. The family doctor has a key to professional consultation.
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THE EFFECTIVENESS OF THYMOZIN IN PSORIASIS
Aim. The study of the effectiveness of application of thymozin in treatment of patients with psoriasis.
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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. -
PATHOLOGICAL CHANGES IN THE PERIMENOPAUSAL PERIOD AND THEIR INFLUENCE ON THE FORMATION OF HYPERTENSION AND CORONARY HEART DISEASE IN WOMEN
NARZULLAEVA A.R., RAKHIMOV Z.Y., MURADOV A.M., ROFIEVA KH.SH.
DEPARTMENT OF CARDIOLOGY WITH A COURSE OF CLINICAL PHARMACOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN)
The review describes the issues of influence reduce levels of sex hormones on the cardiovascular system and contribute to the development of climacteric hypertension and coronary heart disease in the perimenopausal period. Proved that the perimenopausal period is an additional risk factor for cardiovascular disease in women due to lower cardioprotective effects of estrogen. At the same time noted that the appearance of pronounced climacteric syndrome revealed deeper changes in the cardiovascular system , namely, left ventricular hypertrophy , metabolic changes , both on the carbohydrate and lipid metabolism by more malignant for hypertension and coronary artery disease. -
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. -
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.
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