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    • CLINICAL FEATURES OF CHILDREN’S LARYNGEAL PAPILLOMATOSIS
      06.05.2015

      SHAMSIDINOV B.N., MUKHTAROVA P.R., OLIMOV T.K., *GULMAMADOVA G.B., TAGOIMURODOVA S.F.
      DEPARTMENT OF OTORHINOLARYNGOLOGY OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF
      *NATIONAL DIAGNOSTIC CENTER
      Respiratory papillomatosis is a frequent pathology in childhood. According to reasearches by various authors there’s noted role of eleventh and sixth types of papilloma virus. Papillomatosis clinic which caused by sixth type seeps easier than that clinical papillomatosis which caused by eleventh type. Depending on the extent of the process out as an isolated, limited and prevalent forms. The authors noted that the majority of patients found prevalent form of the disease. Main symptoms in the time of papillomatosis are changing of the voice and respiratory disturbance. These symptoms increase with the growth of papilloma. There’s also noted the regularity that the younger the age of child at noted the regularity that the younger the age of the child at the time of papillomatosis, the heavier the disease, it often recurs, treatment served harder, respiratory disturbance increase faster. Respiratory affection appears at the beginning of the disease in the time of walking, fast running, and thereby child avoids fast movements, and it is straight indicant of operative intervention.

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    • INFLUENCE SEX STEROID HORMONES ON THE CARDIOVASCULAR SYSTEM OF WOMEN
      06.05.2015

      Narzullaeva A.R., Rakhimov Z.Y., Muradov A.M., Rofieva H.Sh.
      Department of Cardiology with the course of clinical pharmacology of Tajik Institute of Post-Graduate Education of Medical Staff

      The review describes the questions of influence of sex hormones on the cardiovascular system. Data provided nu­merous studies show a veracious cardioprotective effect of female sex hormones, which manifests itself in pronounced vasodilatory, anti-atherogenic, and antiagregatine anticoagulant action aimed at preventing the pathological changes in the cardiovascular system.

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    • QUANTITATIVE AND ENZYMOCHEMICAL ESTIMATION OF THE CREVICULAR LIQUID
      06.05.2015

      MUKHAMEDOV SH.SH., ASHUROV G.G., KARIMOV S.M.
      THERAPEUTICALLY DENTISTRY DEPARTMENT OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STATE INTERNATIONAL ASSOCIATION STOMATOLOGISTS OF THE REPUBLIC OF TAJIKISTAN
      Crevicular liquid, representing itself transudation fluid part of blood, contains the squirrel, presented albumin and globulin. There are uniform elements of blood, epitheliocity, microorganisms, ferments, products of tissues disintegration in the crevicular liquid. Under inflammatory disease of parodont process of transudation of mentioned liquid replaced to exudation. Enzymochemical aspect of crevicular liquid under prosthesis with using of metalceramic designs present actual. In presented article determined dynamic of matrix metalloproteinase which are significant for prosthetic’s gingivitis and capable to serve the marker of the condition of the fabric gums beside orthopedic patients. Organized analysis has revealed the type of matrix metalloproteinase, which is found in tissue of gums and in crevicular liquids in equivalent correlation, correlation with gravity of the parodontal diseases. Results of the analytical review allows to note that track record of matrix metalloproteinase in ambience of tooth-gum’s groove of the supporting teeth of metallceramic designs can be considered as diagnostic and prognostic factor, allowing define the necessary of volume medical and preventive action at observation patients with prosthetic’s gingivitis.

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    • STEPS OF IMPLEMENTATION OF PALLIATIVE CARE ON THE HEALTH SYSTEM OF TAJIKISTAN
      06.05.2015

      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.

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