Detection of flat in the practice of family doctors
01.01.2014Mirzoyeva 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.
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.-
TREATMENT AND PREVENTION OF VIRAL INFECTIONS WITH THE USE OF INTERFERON INDUCTORS
MIRZOYEVA Z.A., KHISOMOVA KH.K.
THE DEPARTMENT OF FAMILY MEDICINE TIPGPMP
Today viral infections are the leading cause of morbidity worldwide, the role of which in the overall morbidity will only increase. Recently in the treatment of viral infections extensive use of immunomodulators, the range is constantly expanding. The most promising drugs in the given as¬pect are interferon inducers. The article presents the results of studies of prophylactic effectiveness and treatment of acute respiratory viral infections interferon inducers of 150 patients aged from 1 month to 17 years. The results obtained showed that anaferon having a pronounced curative and prophylactic efficiency of the flu, when before vaccine period increases the functional activity of specific antibodies that reduce the intensity of morbidity. The ability of the drug to reduce the number of bacterial complications allowed authors to effectively apply anaferon in the treatment of viral infections in children with secondary immunodeficiency condition. The inclusion of anaferon in the standard therapy of acute intestinal virus infection in children significantly reduced the duration of the main symptoms of the disease. -
RESULTS ESTIMATION OF THE CONDITION OF PARODONTAL’S TISSUE BESIDE PATIENTS WITH COMMONSOMATIC PATHOLOGY
ASHUROV G.G., ISMOILOV A.A.
In the article are present results of the study of parodontological status beside 217 patients with pathology internal organ and systems. Got data indicatives that under chronic disease internal organ and systems are initiated processes, which influence on all the most important mechanisms development of the chronic diffuse parodontitis. -
Diagnostics of osteoporosis under psoriatic arthropathy
Kholova Z.U.
Osteopenic syndrome is the pure complicated PA. The development of osteoporosis under PA associate with high activity, gravity pathologic process, intake of glucocorticosteroids. In patients of PA with complicated osteoporosis have pains evident pain syndrome in bones in comparison with patients, that haven’t osteoporosis. -
Status and prospects of integration of physicians ambulance (SMP)
Muminov B.G., Mirzoyeva Z.A.
Conclusion to improve continuity of service SMEs with family doctors in the Republic of Tajikistan worthwhile taking some regulations providing these services, relationships with stimulating dispensary patients and encourages patient-surrogate technologies and strengthen the role of information technology.
In the long term integration of physician SMP with a family doctor leads to unloading of high cost hospital bed and resource-intensive service SMEs, reducing indirect and direct economic costs ultimately reduce disability and mortality of the population. -
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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THE EFFECTIVENESS OF THERAPY IMMUNOSTIMULATING ONYCHOMYCOSIS IN ELDERLY AND SENILE AGES
KASYMOV O.I., KASYMOV A.O.
THE DEPARTMENT OF DERMATOVENEROLOGY OF TIPGPMP
The article shows the efficiency of complex method of treatment of mycosis stop with onychomycosis in elderly and senile ages using immunostimulant thymocine 45 patients aged 60 to 85 years. Using methods of bacteriological research, 64.4% of the patients were grown culture of Trichophyton rubrum, in 11.1% of Trichophyton mentagrophytis var.interdigitale, in 24.4% – fungi not sown. Intertriginous form of mycosis stop diagnosed in 12 patients, dishydrotic – 6, mixed – 18. Combination squamous and intertriginous forms was observed in 11 patients, squamous, dishydrotic and intertriginous – for 7. The erased form of mycosis stop was noted in 9 patients. Immediate and remote results of treatment showed a significant advantage of an integrated method of treatment with the application of immune system stimulant. By the end of 6 months of follow-up highly effective results when immunostimulating therapy were achieved in 83,3% of patients in the group of patients treated without immunomodulator, efficiency indicator accounted for 61.9%. Among patients with total-dystrophic and proximal forms of combined treatment of onychomycosis gave clinical and mycological recovery in 66.7%, without immunostimulant – only 50%. The average speed of growth of nail plates stop in complex treatment using thymocine amounted to 1.37±0.06 mm per month, which is much faster than in the treatment only systemic antimycotics. The obtained results have shown the effectiveness of immunostimulating method of treatment of athlete’s foot with onychomycosis, compared with the traditional. -
The influence special hygien on the factor on distribution tuberculosis in Tajik Republic
Kasimova S., Davlatmamadova М.
Population health depends on influence socially-hygienic and economic factors. In uncomfortable living conditions lives more than 92,0 % of patients. Of the general quantity of respondents of 87,8 % make sick of unsatisfactory vital conditions. Security a floor space below a sanitary code, (less than 9 sq.m. on one person), the monthly income below a living wage and patients basically from large families. Growth of number of the unemployed, the big density and the low monthly income contribute to higher growth and prevalence of disease of a tuberculosis.
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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. -
ON THE ROLE OF SPECIALIZED MEDICAL ASSISTANCE IN MODERN CONDITIONS IN THE REGIONAL HOSPITAL NAME A. HAGHNAZAROV THE CITY OF KULYAB
AKHMEDOV A., KABIROV A., TAVACALOVA M.
THE DEPARTMENT OF PUBLIC HEALTH, ECONOMY, MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS OF TIPGPMP
KHATLON REGIONAL HOSPITAL №2 NAME A.HAGHNAZAROV THE CITY OF KULYAB
One of the main directions of improving the quality of medical care is its specialization, which gives a broad and qualitative information on the human health and the factors that disturb it. High-quality medical assistance, as an objective process of development of a science and prac¬tice, cannot develop in isolation from the improvement of the overall health system. With the purpose of studying of quality of rendering of specialized medical aid to the analysis of 16034 static cards of the patients for the period from 2009 to 2012, During the monitoring period, of the total number of hospitalized residents of the city amounted to 32,3%, 67,7% came from rural areas. For three years in the gastroenterology Department received 1387 patients, among which the urban and rural residents amounted to 30,3% and 69,7 percent respectively. Out of the total number of hospitalized patients 99,9% of rural residents were delivered later than 24 hours of onset due to the fact that the rugged mountain terrain, climate conditions and problems of road infrastructure are the difficulty in timely delivery. In the statistical analysis revealed that women get sick more often, however, the mortality rate of men exceeds that of women is almost twice; the mortality rate among rural inhabitants exceeds the mortality rate of urban 3.5 times. Obtained in the course of the study, data demonstrate the necessity of conducting sociological survey to identify the factors affecting the availability, timeliness and quality specialized medical assistance to the population of rural areas. -
DISTRIBUTION OF DIABETES AND IMPAIRED GLUCOSE TOLERANCE IN THE POPULATION OF KHATLON AREA
KASIMOVA S.D., MATTIS B., TAGOEV T.S., ABDURAHMONOV T.A.
The study of the prevalence of ID and DGT in 2 districts of Khatlon region, the inhabitants at the age of 45 years and older revealed a high prevalence of ID (21,2%) and DGT(9,4%).The above studies substantiate the need to implement a standardized screening all over the Republic with the purpose of identifying ID in the early stages.
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