Operation of emergency medical services and evaluation of its effectiveness in diverse countries around the world
01.01.2014Muminov B.G., Akhmedov A.A.
Choosing a model service organization depend on many factors. In the developed countries to the fore the economic aspects. In this connection, he prefers low-cost paramedical teams. In Russia and CIS countries in the Republic of Tajikistan to doctors there is no single approach. It would be expedient to adopt organizational commitment in the choice of the ratio of different teams (specialized, linear, BIT, paramedical and paramedical teams), in favor of teams BIT, paramedical and paramedical teams..
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.-
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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Influence adiposity at women on an outcome of pregnancy and sorts
Nurmatov A.A., Nurmatova Z.I., Ibragimova N.I., Rakhimov of M. Н.
Thus, the adiposity, which frequency has an authentic tendency to increase, is a negative background for development of pregnancy and a current of sorts. The complications specified in work authentically are is more often noted at a combination of adiposity to others others disease by diseases. Hence, women with adiposity should be carried to group of risk of development of complications during pregnancy, in sorts and perinatal disease. Frequency of complications of pregnancy and perinatal outcomes are defined by presence and degree of expressiveness НЖО (infringement of a fatty exchange), increase proportionally to increase of degree of adiposity. The further researches will allow to win the answer contract the arisen questions and to optimize tactics of conducting pregnancy and sorts at women with adiposity. -
INFLUENCE OF MELDONY ON CARDIOTOXITY OF DOXORUBICINE IN PATIENTS WITH ACUTE LEUKEMIAS
RASULOV U.R., SHARIFOV M.M., SHAMSOV A.T., KHASANOV D.M., RAKHIMOV B.R., SUN’ATULLOEV D.S.
THE DEPARTMENT OF THE INTERNAL DISEASES №3 TSMU BY NAME ABUALI IBN SINA THE DEPARTMENT OF THERAPY WITH COURSE OF THE ENDOCRINOLOGY TIPGPMP
Acute leukemia, as a rare disease, is only 3% of human malignancies. The aim of treatment of acute leukemia is eradication of leukemic clone restore normal blood, achieveming long-term disease free survival of patients. This is achieved through the use of myelotoxical anticancer drugs that cause deep aplasia haemopoesis. In the present
paper summarises the results of the antitumor antibiotic antratcycline stimulants doxorubicin, with a joint appointment cardioprotector meldony. Under the supervision were 147 patients with acute leukemia. Among the observed patients 85 people received chemotherapy initially, 62 people – previously been subjected to chemotherapy effects. For the induction of remission patients of the 1st group was appointed polychemotherapy by the scheme “7+3”. Patients in group 2 received similar polychemotherapy together with cardioprotector Mildronate. During the treatment of patients of group 1 in 32% of cases were observed sinus tachycardia, atrial and ventricular arrhythmia, changes in segment ST, 7% of cases developed a complete atrioventricular block that shows the development of early cardiac toxicity of doxorubicin. In 19,04% of cases in patients of group 2 were observed ventricular tachycardia, and changes in segment ST. -
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.
The epidemic situation of malaria in the last decade was complicated by the advent of pathogen resis¬tance to -
QUANTITATIVE AND ENZYMOCHEMICAL ESTIMATION OF THE CREVICULAR LIQUID
MUKHAMEDOV SH.SH., ASHUROV G.G., KARIMOV S.M.
THERAPEUTICALLY DENTISTRY DEPARTMENT OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STATE INTERNATIONAL ASSOCIATION STOMATOLOGISTS OF THE REPUBLIC OF TAJIKISTAN
Crevicular liquid, representing itself transudation fluid part of blood, contains the squirrel, presented albumin and globulin. There are uniform elements of blood, epitheliocity, microorganisms, ferments, products of tissues disintegration in the crevicular liquid. Under inflammatory disease of parodont process of transudation of mentioned liquid replaced to exudation. Enzymochemical aspect of crevicular liquid under prosthesis with using of metalceramic designs present actual. In presented article determined dynamic of matrix metalloproteinase which are significant for prosthetic’s gingivitis and capable to serve the marker of the condition of the fabric gums beside orthopedic patients. Organized analysis has revealed the type of matrix metalloproteinase, which is found in tissue of gums and in crevicular liquids in equivalent correlation, correlation with gravity of the parodontal diseases. Results of the analytical review allows to note that track record of matrix metalloproteinase in ambience of tooth-gum’s groove of the supporting teeth of metallceramic designs can be considered as diagnostic and prognostic factor, allowing define the necessary of volume medical and preventive action at observation patients with prosthetic’s gingivitis. -
TO QUESTION ABOUT DINAMICS OF THE INTENSITIES OF CARIES AND VELOCITY NATURAL REMINERALIZATION OF ENAMEL DEFECTS IN DEPENDING OF STRUCTURED-FUNCTIONAL TEETH REZISTANCE
YORAKOV F.M.
Indicates of structured-functional resistance of the enamel are diametrically opposite with im¬portance of the intensities of the caries. If beside examined persons with high structured-function¬al enamel’s resistance index of intensities of the caries has at the average formed 4,22±0,41 then beside persons with very low cariesresistance -7,82±0,64. Full recovering the area after action of acid to enamel surface occurred in relatively short periods that is indicative of high level enamel resistance. -
MODERN MEDICAL CONCEPT OF THE HEALTH CARE SYSTEM AND HEALTH PROBLEMS
ISOMIDINOV A. I.
On the first primitive communal system of the conflict physical solution to the problems is the primacy of the vegetative level, evolutionary fastened way, where prevails anarchist social laws of the company. On the second biological social level of existing conflicts indicates the lowest – “the most elementary form of political formal behavior” – the class struggle.
On the third intellectual democratic level of the struggle, as a rule, is over conscious nature, and the motive force of social development – the “struggle for existence” for himself, takes psychologically open, exalted form of the struggle for a society to the principles of cooperation with the physical and emotional forms. In such a community “competition” and conflicts are leveled and smoothed, due to natural social laws physical and emotional struggle is suppressed and sacrifice and dies or leaves in a shade. -
Efficacy of fluсopt to treat otomycosis in children
Azizov K. N., Bustonov M. O., Abdukhalilov Z. A., Azimova S. Ch.
In article are results of clinical study of efficacy of flucopt used to treat otomycosis in children. according to the results of the study flucopt has effectively surpressed the mycotic in-fection and ameliorated symptoms of the disease, thus promoting earlier recovery. -
Endodontic aspects of the treatment of endoparodontal syndrome (review of the literature)
Turaev N.G., Ismoilov A.A., Ashurov G.G.
In presented work organized analytical estimation nearest and remote results of endodontic’s treatments of the teeth. Stated material are indicative of that that improvement modern and development new endodontic methods of the treatment teeth will allow to conduct the well-timed diagnostics an endoparodontal syndrome and select the efficient methods its early preventive maintenance. -
USING THE METHOD OF THE TISSUE ENGINEERING ON BASE OF THE ALLOY NIKELID TITANIUM AT TREATMENT THE PATIENS WITH BENIGNANT NEW FORMATIONS OF THE BONES MAXILLOFACIAL AREA
Aim. To improve the tacticians of surgical treatment of the patients with benignant neoplasms (new formations) of the bones of maxillofacial area using the tissue engineering method on the basis of the small-pelleted nikelid titanium.
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