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.-
THE CLINICAL ASSESSMENT OF THE APPLICATION OF PERCUTANEOUS NEPHROSTOMY IN PATIENTS WITH VIOLATION OF THE URODYNAMICS UPPER URINARY TRACT
SAIDULLAEV L., NOSIROV D.B.
In the work we have studied the results of percutaneous nephrostomy in 35 patients with violation of the urodynamics upper urinary tract different etiology. Getting the results suggest that percutaneous drainage of the upper urinary tract is малотравматичным, economical and brief intervention, which is very important in relation to almost incurable patients -
THE SPREAD OF DENTAL CARIES AMONG CASES SUFFERING FROM CHRONIC VIRAL HEPATITIS
AHROROVAZ.K., KHOLOVAS.M., KOMILOVF.M., RAHMONOVAN. O.
According to the results of examination of cases suffering from chronic viral hepatitis, the spread of dental caries among them averaged between 84,6-97,6% and the index of KPU had made to 10, 18%. -
THE OPTMIZADHICEBNOGO PROCTSS IN THE MEDICAL SCHOOLS OF A SO
ISOMIDINOV A.I., ISOMODINOV A.A.
Thus account of the horizontal and vertical forms of training, their integration and realization of other new educational games, interconnected to various disciplines, in all (theoretical and practical) faculties is capable to raise an educational, scientific and profes¬sional level of the future doctor. Such approach helps the student will learn skill to put be-fore itself the purpose to analyze and to give synthesis to the received knowledge to find ways of the decision of the put task, will join and to look at a subject from others scientific integrative points of view. -
Modern possibilities of diagnostics and surgical treatment of the acute cholecystitis at sick of the virus hepatitis “B” and “C”
Tagoybekov Z.S., Akhmedov S.M., Safarov B.D., Rasulov N.A.
It has been analyzed the results of complex diagnostic and surgical methods treatment of patients with acute calculus cholecystitis accompanied by virus hepatitis «В» and «С».
In depend from types of destructive acute cholecystitis and its complications there have been used a different type of chole- and hemostatic methods after cholecystectomy such as pnevmothermocoagulation and «Tachokomb» platelets. -
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 HEALTH CARE OF NEWBORNS (NATIONAL PROTOCOL)
MAKHKAMOV K.K., SAIDMURADOVA R.KH., BUZRUKOVA N.D
DEPARTMENT OF NEONATOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
This paper presents the national protocol for the care of healthy newborns, which is approved by Ministry of Health and social protection of the population of the Republic of Tajikistan 07.06.2011 (№318), including 5 protocols of maintaining newborns (care of the healthy newborn, reanimation of newborns, sepsis of newborns, pneumonia of newborns, a haemolytic illness of newborns). The approved standard was the first step on standardization and optimization of the neonatologic help, and respectively, decrease in incidence, mortality and an invalidization of newborns. Мaterial is based on the available evidence regarding the practice of medicine and nursing care of newborns in many countries, including your own experience, and consistent with the recommendations of WHO -
PARAMETERS OF LIFE QUALITY IN THE TREATMENT EFFICIENCY ESTIMATION OF PATIENTS WITH FRACTURE OF MANDIBLE
GAFAROV KH.O., SHAKIROV M.N., MIRZOEV M.SH., NABIEV M.M.
Presented results of study and benchmark analysis of parameters life quality (QL) 63 pa¬tients with double-fracture of the mandible in speaker. Realistically installed positive directivity of parameters QL patients, which make «surgical osteosyntheses», in contrast with imposition or¬thopedic design. -
THE QUALITY OF TREATMENT OF ARTERIAL HYPERTENSION PATIENTS IN FAMILY MEDICINE BEFORE AND AFTER THE INTRODUCTION OF A CLINICAL PRACTICE GUIDELINE
MIRZOEVAZ.A., RAKHIMOVZ.J., NAZIROVAN.K.
Use indicator checking of quality for estimation of efficiency of the treatment patient with arterial hypertension has allowed to compare the existing practical person of the treatment these patient household physician in medical-preventive institutions of Dushanbe, Istaravshan and Konibodom. -
ASSESSMENT OF MEDICAL SERVICES DURING CONTRACEPTIVE AID
MUKHAMADIEVA S.M.
DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TIPGPMP
Many of the problems associated with a reduction in reproductive losses have not been ful¬filled. In the given aspect determining role belongs to the provision of contraceptive security. To understand the knowledge, attitudes and practices of women of reproductive age who use family planning services, those who are these services are provided, and also to determine the quality of contraceptive assistance to the population of medical institutions, conducted socio-logical research on the quality use of contraceptives by women of reproductive age. A specially designed questionnaire survey was conducted among 200 specialists of medical institutions for a professional assessment of knowledge, attitude and practice professionals providing contra¬ceptive services in the Republic. There was set low level of awareness of modern methods of contraception, the confidentiality of provision of contraceptive services and principles of coun-seling, post-Natal and postabortal contraception and voluntary surgical sterilization, methods of emergency contraception, indications and rules of their use, on the principles of counseling condom use. Specialists have an insufficient level of knowledge on the indication, duration of use and unwanted effects with the use of oral contraceptives and Depo-Provera. -
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