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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.-
STUDY OF THE IMPLEMENTATION OF NATIONAL STANDARDS FOR ANTENATAL CARE FOR PREGNANT WOMEN
SAMADOVA G.A., MULLOEV A.M., DODOBAEVA B.S.
THE DEPARTMENT OF NURSE WORK IN FAMILY MEDICINE TIPGPMP
DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
Over the past two years the birth rate in the Republic of Tajikistan ranged 29,3-by 28,7 per 1,000 popu¬lation. Along with high fertility, maternal mortality was 45,0 is 37,0 per 100,000 liveborns, the main reasons for which 25% of the cases considered bleeding, 15% and 12% – gynecological infections and eclampsia. The picture presented defined the purpose of the present research is to study the indicators of National standards of antenatal care for pregnant women with an analysis of the correlation between them. Under the supervision were 72 pregnant women aged from 17 to 40 years of age, living in one of the areas with a population of 1722 person. Analysis of work of specialists in antenatal care among women up to 12 weeks of pregnancy showed that only 47,2% of the total number of timely addressed to specialists and were taken to the dispensary registration. In the later stages of pregnancy 52,8% of women with repeated pregnancies are under dispensary observation. The majority of women in a timely manner became the dispensary reg¬istration pregnancy, were the original inhabitants of the area under study. The reason of late treatment of women with a long pregnancy, with a view to their taking on dispensary account that is linked with the arrival of hard-to-reach areas of the Republic. The obtained results allow to predict the state of pregnancy and timely to organize a correction of care for prevention of possible antenatal complications. -
THE DEPENDENCE OF THE INDICES OF CENTRAL HEMODYNAMICS AND SYNDROME OF ENDOGENOUS INTOXICATION FROM ABDOMINAL PRESSURE IN TERMINAL STAGE OF PERITONITIS
MURADOV A.M., AKILOV KH.D., SHUMILINA O.V., KAKHAROV M.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY OF TIPGPMP
THE DEPARTMENT OF ANESTHESIOLOGY AND REANIMATOLOGY TIPGPMP
THE DEPARTMENT OF SURGERY WITH COURSE OF TOPOGRAPHIC ANATOMY KHD TIPGPMP
Increasingly important for evaluation of the patient, forecasting the severity of the disease and treatment outcomes acquires indicator of intra-abdominal pressure, which affects all organs and body systems, including the cardiovascular system, manifested by inhibition of the indices of Central hemodynamics. The article presents the results of monitoring of the parameters of Central hemodynamics 24 patients in the terminal stage of peritonitis in the preoperative period and at different times after the surgery. In parallel was monometry intra-abdominal pressure. Clinical observations have shown that an increase intraperitoneal pressure to levels I and II degrees has an identical effect on the indices of Central hemodynamics. Among the surveyed, there is reduction of the pay and minute performance of the heart due to the decreasing venous return to the heart. Toxemia accompanied by a decline in heart emission and support perfusion of tissues was provided by a moderate ascending indicators poststrain result of voltage humoral factors. The obtained results showed that patients in the terminal stage of peritonitis observed gypokinetical type of circulation, which is characterized by pronounced hypovolemia and reduced poststrain. Against the background of peripheral vascular insufficiency noted the inconsistency of the Central mechanisms of hemodynamics, due to the depression of the myocardium contractile function. Indicator intraperitoneal pressure is a prognostic criterion of the severity of the syndrome of endogenous intoxication and can be applied at the preoperative stage of examination and treatment of patients in the terminal stage of peritonitis. -
SOME SOCIO-HYGIENIC ASPECTS OF PRETERM BIRTH AND LOW BIRTH WEIGHT BABIES
SAIDMURADOVA R.H., MACHKAMOV K.K., KUTUSHEVA O. F., OCHILDIEVA N.SH.
The first time for carried out a comprehensive study of the health of infants born with low birth weight from birth and throughout the first year of their life. The main factors contributing to the birth of these children. The estimation of adaptation feeding neuropsychological development and nursing. Reflects the structure of morbidity and mortality of infants born with low birth weight. -
VALUE DOPPLEROGRAPHIC CHANGES OF PROSTATE IN SELECTION HEMOSTASIS IN ADENOMECTOMY
Aim. Improve the results of open adenomectomy of prostate through the development and introduction of a new approach to hemostasis in intraoperative bleeding.
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The medical of terminology’s tajik language in modern conditions
Fathulloev T. F., Usupov A. N., Shekhov A.M.
This article indicates that one of necessary conditions for use of medical terminology is the brevity and the pithiness which in many medical institutions isn’t observed. Besides in documentation analysis medical establishments the logic and unscientific content of many expressions and the offer, the wrong transfer and inexact terminology in the medical dictionary, and such mistakes in word-formation by means of suffixes is revealed.
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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%). -
THE ORGANIZATION AND ACTIVITY OF DIAGNOSTIC SERVICE OF THE VARIOUS COUNTRIES (THE LITERATURE REVIEW)
SAFAROVZ.SH.,AHMEDOVA.A., MAHKAMOVK.K.
Thus, the literature review has shown that diagnostics as scientific discipline, devel-oped in indissoluble communication with other scientific disciplines. The key moment of its development was the wide experience of great scientific Gippokrata, Galena, Avitsenny, and also the organization of school of medicine in the countries of the East, Asia, Europe. Formation of the diagnostic centers, as in Europe, America, and in the countries of the former USSR became an important stage of development of diagnostic service. Activity of the kliniko-diagnostic centers shows their conclusive advantage and rather considerable role in public health services system. Thus efficiency of activity providing at the expense of introduction of the expensive equipment, modern methods of research and presence of highly-skilled personnel. -
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 NATURE OF THE PAIN SYNDROME IN PATIENTS WITH ADVANCED STAGES OF MALIGNANT NEOPLASMS MAXILLOFACIAL AND EFFICIENCY TRADITIONAL PAIN THERAPY
GAFAROV H.O., SHAKIROV M.N., MIRZOEV M.SH.
THE DEPARTMENT OF MAXILLOFACIAL SURGERY WITH CHILDREN STOMATOLOGY OF TIPGPMP
Questionnaire of 108 patients with advanced stages of malignant tumors of maxillo-facial region studied the nature of the chronic pain syndrome and assessing the effectiveness of traditional pain therapy. The 58,3% of the observed diagnosed with advanced stage cancer of mucous membranes of the oral cavity, 23.1% of installed cancer of mucous membrane of the maxillary sinus, a 3.7% identified advanced stage of osteosarcoma jaws. The 3rd and the 4th stage of malignant process revealed respectively of 17.6% and 82.5% of the observed. Among patients with the character of the pain syndrome and effectiveness of the analgetic therapy were studied by the method of questioning on the specially prepared questionnaire. Study of the dynamics of pain syndrome showed that the pain intensified after their first appearance during the first 3 months of 20,3% of patients during 3-6 months – 37,0%in 6-12 months in 25,9%, later than 1 year – 16,6% of patients. Analysis of the nature of pain showed that 37.9% of persons they are «Ripper» character, 27.7% of «capturing», 23.1% of the «hot», 6,5% – «breaking», 4.6% – «whining». It is established that the pain syndrome in this category of patients is often neuropathic development mechanism, which explains the lack of effectiveness of pain therapy using drugs. The findings suggest the need for further improvement of the well-known methods and search for new, more effective methods of reduction of chronic pain syndrome in this category of patients. -
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.