Important introduction of curse palliative care into education curriculum for nurses.
01.01.2014Samadova G.A., Azizov Z.A., Abidjanova N., Sharipova Sh.T.
Analyst work’s program of Republic Medical Kolledj show that important part of the palliative care have on the different study years. Prepared the module of the palliative care and put it on the end years of the study increase knowledge of the students, who can support population of the palliative care in the future.
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 INTERACTION OF THE MYOCARDIUM IN PATIENTS WITH CORONARY HEART DISEASE AGAINST THE BACK¬GROUND OF DILATATION OF BOTH VENTRICLES
SAMADOV SH.KH., KOKSHENEVA I. V., BUZIASHVILI Y.I., ELTANAZAROV M.D.
The results obtained demonstrate the close interconnection of the two ventricles, which increases with the progression of their dilatation. The main mechanism of implementation of the interventricularinteractions is the limitation of the pericardium. Pericardium by creating a rigid limited amount for the four chambers of the heart and increases the influence of diastolic volume of one chamber to another, calling it the configuration changes and influencing the characteristics of its content. Another possible mechanism of implementation of the diastolic interventricularinteraction – deformation of the ventricles, which takes place in the ratio of forces in the ventricular septum (transseptalpressure gradient) and the severity of structural changes of the ventricles. -
ESTIMATION QUALITY OF CONSTRUCTIVE FEATURES NON-REMOVABLE PROTHESIS IN ORAL CAVITY
ASHUROV G.G., KARIMOV S.M.
THE DEPARTMENT OF THERAPEUTIC STOMATOLOGY TIPGPMP
To determine the frequency of various types of fixed prosthesis in need of re-manufacture, conducted clinical and epidemiological study of orthopedic status in 264 patients, including men and women, respectively, 62,10% and 37,9%. All examined patients previously received orthopedic treatment and had dentures in the oral cavity. Age range, the largest group comprised patients older than 60 and 50-59 years (according to 34,5% and 27,2%). IN patients with partial absence of teeth investigated 1167 fixed prosthesis in need of re-manufacture, among which 66.1% was forged-soldered lined or without it, 29,8% – solid lined or without it, 3,2% – plastic and 0,9% -ceramic. Among fixed prosthesis oral prevail forged-pressure welded prostheses, the number of which was two times more than one, and twenty times more, than plastic and ceramic. Service life of 5 to 7 years have 37,6% of one-piece prostheses, life for over 7 years – 36,25% one-constructions without facing. Dominated by the share of remade one-piece designs over forged-soldered in a pe¬riod of use up to 7 years. After a seven-year term of use of an increase in the share forged-soldered prostheses, compared with the solid. The most common causes of withdrawal of fixed prosthesis were aesthetic disorders and the need to manufacture additional dentures. -
INFLUENCE OF ORGAN DYSFUNCTIONS ON THE OUTCOME OF THE SHARP PERIOD AT PATIENTS WITH THE POLYTRAUMA
Aim. Diagnostics results and treatment improvement of polytrauma acuity by assessment of cerebrum metabolic dys¬function in patients with cranium-brain-concomitant trauma.
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Earnoseconjunctival syndrome, reality and means under fungal sinusitis and otomycosis
Bustonov M.O., Azizov K.N., Весоv А.А., Dusanova S.B., Kasirova M.Т.
100 patients with chronic sinusitis in combination with chronic otitis media of fungal-bacterial etiology were examined. The control group was formed by 50 chronic otitis media patients.
Clinically, under otomycosis, structural changes appear in three forms: hypertrophic (44%), hydropic (32%) and combined (24%). -
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. -
Detection of flat in the practice of family doctors
Mirzoyeva Z. A., Zaripova I.I., Davlyatova D.D.
Plantogrammy method is simple, affordable, cheap technique. Every family physician should possess this practical skill to detect and prevent the development of flatfoot and its complications, while referred to a specialist and give correct advice. -
EFFECTIVENESS OF BAKTOVEGA THE TREATMENTOF ACUTE AND CHRONIC RHINOSINUSITIS
Aim. Increase the effectiveness of treatment of patients with inflammatory diseases of the paranasal sinuses by applying regional (endonasal) antibiotic therapy.
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Some aspects of the normative – legal base of ambulance service in the Republic of Tajikistan
Muminov B., Akhmedov A.
Legislative and legal framework that regulates the organization of emergency medical services in the Republic of Tajikistan does not reflect the modern features. Provide emergency medical care not determined the composition and the principles of state regulation, as well as interaction with other first responders in the new economy.
The current standard rate of 1 ambulance per 10 thousand populations does not account for the geographical feature of the topography and density of living of the population.
The current statistical reporting focused on quantitative measures and requires revision in favor of qualitative indicators of emergency medical services. -
COMPARATIVE EVALUATION OF EFFICIENCY APPLICATION OF MODERN METHODS OF DIAGNOSTICS TOXIC BLOOD COMPONENTS DURING ENDOTOXEMIA
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
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