The sensitivity of microorganisms circulating in the dental offices to antibiotics
01.01.2014Shamsidinov A.T., Ahmedova G.A., Fayzov K.S., Abdulloev Sh.U.
The paper deals with sensitivity and resistance of microorganisms to the 20 most popular antibiotics that are used in dental offices. Studied 600 strains of the main types of microorganisms. Strains of all species of microorganisms circulating in thedental clinics have expressed polyresistance by 7-10 antibiotics. The microorganismsextracted from environmental objects, and standing out in health care workers, are morepronounced polyresistance. The environment in dental clinics is a reservoir ofopportunistic microorganisms.
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.-
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. -
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. -
Operation of emergency medical services and evaluation of its effectiveness in diverse countries around the world
Muminov 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. -
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.
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Psychosomatic systems «in the light» of the classical medical anthropology
Muzaffari M.
The article highlights the psychosomatic problems «in the light» of medical anthropology. In the classical treatises on medical anthropology the problem of human nature are considered from the ontological, epistemological and cosmological positions.
Genesis and formation of human body according to the authors of treatises was made possible by the existence of the five great elements. The human nature is the highest link in the chain of creation. Five human senses based on above mentioned elements. In medical anthropological treatises all information which related to physical, mental and intellectual nature of human being presented in systematical form. -
IMPORTANCE OF DRAINAGE FOR PURULENT SPACES IN THE COMPLEX TREATMENT OF PATIENTS WITH PUTREFACTIVE-NECROTIC PHLEGMON OF THE MAXILLOFACIAL REGION
MIRZOEV M.SH.,SHAKIROV M.N., GAFAROV KH.O.
The article presents the results of treatment of 24 patients with putrid green-necrotic abscess the bottom of the cavity of mouth. Analysis of the carried out research showed that the expansion unit from alloys nickelide-titanium have obvious advantages to the traditional types of drainage, namely: improvement of visual access to the wound and their widespread separation, which leads to the improvement of aeration, which have a great importance in the conditions of mixed and anaerobic microflora.
All of the above mentioned activities with the use of expansion of devices allowed speeding up the time of cleansing and healing of wounds on average by 3-5 days and proceeding to more early medical and social rehabilitation. -
USING OF PHENOL IN INGROWN NAIL IN PRACTICE OF FAMILY DOCTOR
MIRZOEVA Z.A., HISOMOVA H.K., KABIROV K.M.
Using of phenol for treatment in ingrown nail condition decreasing the level of recidivating in¬grown nails that finally brings to traumatism and invalidism of population. -
PERFORMANCE EVALUATION DIAGNOSTIC CENTERS AT THE PRESENT STAGE
SAFAROV Z.SH., AHMEDOV A. A., SAFAROVA T.M.
NDC MPH RT
DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
At the present stage of development the aim of the health system is the organization of qualita¬tive models of infrastructure and management schemes. In the given aspect the most urgent health problem is to build a high-quality system of medical care. The article summarizes the results of the situational analysis of medical activities and evaluation of diagnostic services at the present stage in the conditions of state financing and transition to full cost accounting in the Republic of Tajikistan. Analysis of normative-legal documents showed that of 2866 institutions of primary health care 3,8% of them are represented by the district and city health centers, 26,5% of rural health centers, 10,8% in the specialized outpatient centers, 58,9 per cent – houses of health. Analysis of the equipment of the medical equipment in the period 1990-2011, showed that mostly diagnostic equipment prevailed in medical-preventive institutions, Dushanbe and Sughd regions (25,4% and 23,8%). On the balance of research institutions, Republican specialized hospitals and centres, it amounted to 19,9%. Oth¬er administrative territories of the Republic of equipment diagnostic equipment was significantly lower. Analysis of the activity of the services on provision of diagnostic help to the population of the Republic of Tajikistan in the modern socio-economic conditions showed that the main factors in the development of diagnostic centers and efficiency of delivered medical assistance are: good governance, improving financing with the purpose of modernization, improvement of quality and successful use of personnel and technological potential. -
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. -
Results of x-ray estimations of the endoparodontal conditions of supporting teeth under metallceramic design
Karimov S.M., Ashurov G.G.
Generalized results of x-ray estimations of the condition of endoparodontal status supporting teeth in system of metalceramic designs in the article. Estimated quality of the filling root channel in the supporting teeth, residing under unremoved metalceramic design. It is noted that absence of the full-fledged access to root channel does not allow to conduct qualitative processing and guaranteed obturation of root channel, particularly in events their complex construction that is indicative of low level endodontic treatments when preparing teeth to prosthesis.
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