Tag Archives: morbidity

ANALYSIS OF MORBIDITY OF COLORECTAL CANCER IN REPUBLIC OF TAJIKISTAN

*Rasulov S.R., **Karimov A.M.

ANALYSIS OF MORBIDITY OF COLORECTAL CANCER IN REPUBLIC OF TAJIKISTAN

*Department of Oncology of the State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

**State Establishment “Republican Oncological Scientific Center” of the Ministry of Health and Social Protection of population of Republic of Tajikistan

Aim. To perform statistical analysis and identify the most characteristic features of colorectal cancer in the population of Republic of Tajikistan.

Materials and methods. Clinical data of 115 patients with colorectal cancer in the age of 18 to 92 years, who were treated in department of oncoproctourology of State Establishment “Republican Oncological Scientific Center” of Ministry of Health of Republic of Tajikistan in 2012 was studied. Tumor morphologically verified in all patients. In a planned regularity were hospitalized 89 patients, by emergency indications – 26 patients. To all performed endoscopy of the intestine, ultrasonic and review roentgenologic researches of the abdomen.

Results. Frequency of morbidity is somewhat more among males (52,2%). Peak of morbidity occurs in the age of 50-69 years (46,9%). Up to 40 years colorectal cancer diagnosed in 14,8%, over the age of 70 years – in 18,3%. In the majority of cases the tumor located in rectum (67%), then in sigmoid – 9,6%, in downstream parts of the large bowel – 6,1% and less in transverse section – 0.9%. Patients with early stages of tumor development (T1-2N0-1M0) constituted only 9,1%. In 67,3% of patients established locally advanced process, 23,6% had distant metastases. Metastases often observed in liver (42,3%) in liver and lung (23,1%), in peritoneum (19,2%) and less in skeletal bones and distant lymph nodes. Intestinal obstruction was observed in 17,4% of patients, intestinal bleeding – in 5,2%.

Conclusion. The most frequent localization of colorectal cancer is in straight line, then in sigmoid colon and in cae¬cum. Peak of morbidity occurs in the age of 50-69 years (46,9%). In the primary appeal for medical assistance 89,1% of patients had locally advanced (67,3%) or generalized (21,8%) process.

STEPS OF IMPLEMENTATION OF PALLIATIVE CARE ON THE HEALTH SYSTEM OF TAJIKISTAN

AKHMEDOV A., SAMADOVA G.A., MAKSUDOVA Z.YA., ABIDZHANOVA N.N.
DEPARTMENT OF PUBLIC HEALTH, ECONOMICS, MANAGEMENT AND MEDICAL STATISTICS OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF
DEPARTMENT OF NURSING IN FAMILY MEDICINE OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF OPEN SOCIETY INSTITUTE “ASSISTANCE FUND” IN TAJIKISTAN
Every year, the incidence of chronic diseases in Tajikistan is growing. By year 2010, the average life expectancy reached 68,3 years, although the figure is not close to pre-war level. There are appeared lonely elderly segment, who suffer under reduced quality of life, and very often death occurs as a result of disease. This picture proves the need to revise the form of medical care of these patients in the final stage of life. Many countries have proved that to meet the needs of these groups of patients, especially when they have decompensation stage and drug treatment is ineffective, palliative care is necessary not only because it is able to improve the quality of life of patient, but also because it is cost efficient. Sociological research of OSI “Assistance Fund” in Tajikistan found out that 76,4% of respondents with various chronic diseases needed palliative care but have not received it.
A group of concerned medical staff started a phase implementation of palliative care in the country’s health system. On the first stage awareness of the health authorities were increased and specialists in palliative care were trained (60 people). Further all education institutions introduced questions on palliative care in the medical educational programs. Parallel undergraduate and postgraduate teachers of nursing education completed coaching courses (185 people). Moreover there were released textbooks for students and teachers guides. In the country graduated new specialists with palliative care knowledge and skills.

THE ROLE AND PLACE IN THE STRUCTURE OF MORBIDITY OF RESPIRATORY DISEASES AND DYNAMICS OF MORBIDITY FROM CHRONIC BRONCHITIS AND ASTHMA FOR 2002 -2010 YEARS FOR EXAMPLE TURSUNZODA, FAIZABAD AND SARBAND AREAS IN TAJIKISTAN

YAKUBOV M.R., MURADOVA.M., KHAMROKULOV A.A.
THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
The article presents the analysis of population morbidity chronic bronchitis and asthma for the period from 2002 to 2010, on the examples of Tursunzade, Sarband and Faizabad districts of the Republic of Tajikistan. The results of these studies suggest that respiratory diseases occupy the first rank place of uptake of the adult population for medical help. In the dynamics of increase in incidence of respiratory diseases for 6 years has decreased by 24%. For the period from 2002 to 2010, the proportion of hospitalized children under 14 years of age increased from 26% to 67% of the total number of cases of appeals regarding the pneumonia. Despite declining in-hospital mortality of children under 14 years of age, they exceed 2 times mortality among the adult population. Levels of primary and total prevalence of chronic bronchitis in the Republic for 11 years grew 1.3 and 3 times respectively. On bronchial asthma in the country in General there is a tendency to reduce the level of primary and total morbidity, which testifies to Associa this disease, poor availability of medical care, as well as low material and social status of patients.

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

EVALUATIONS OF NURSING OF CHILDREN WITH LOW BIRTH WEIGHT

SAIDMURADOVA A.D., MAHKAMOV K.K.
DEPARTMENT OF NEONATOLOGY TIPGPMP
The evaluating of results of health surveillance and provided neonatal care bantam children, depending on body weight at birth, were divided into 5 groups. In the first group was composed of 11 children born weighing less than 1000 g, second – 62 children weighing from 1000 to 1490 gr., third – 112 children weighing from 1500 to 1999 gr., fourth – 200 newborns weighing from 2000 to 2499 gr., in the fifth group – 32 newborns weighing 2500 gr. The adequacy of resuscitation was directly dependent on birth weight. Resuscitative measures were timely and adequate most of un-derweight children studied groups. 2,1 often observed late start resuscitation in children weighing less than 1499gr. as a result of underestimating the doctor of the child and not a diagnosed chronic intrauterine hypoxia. Essential influence on a condition of a newborn provided incomplete volume resuscitation measures. 15,8% of children with very low body weight, born in severe asphyxia, were not conducted adequate ventilation of the lungs, tracheal intubation. The overwhelming majority of children of I-II groups in 91,1% of cases were examined неонатологом immediately after birth, in the III group accounted for 55,8% of at the appropriate values of 9,1% and 5,5% in the IV and V of the investigated groups. To increase the level of survival rate of underweight children must take into account many factors, ranging from the improvement of the quality of antenatal protection of the fetus to the improvement of medical, given their low readiness to extrauterine life.

COMPARATIVE CHARACTERISTICS OF MALARIA INHABITANTS OF THE BORDER AREAS OF THE KHATLON REGION OF THE REPUBLIC OF TAJIKISTAN.

AKHMEDOV A., SHARIPOV A. A., NARZULOEVA M. F., SHARIPOVA SH. T., TOLIBOV A. H.
Thus we can assume that of the anti-malaria activities only intensified in the border areas of Tajikistan with the Islamic State of Afghanistan persistent results to restrict importation of malaria mosquitoes can not give. In this connection it is necessary to undertake joint efforts for anti-malaria activities in the northern areas bordering Tajikistan the Islamic State of Afghanistan in order to create a barrier of the border zone, a depth of at least 10 – 15 km, in which mosquito measures should be implemented after termination of the rest of the country.