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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.-
ADVANTAGE OF THE ROD OSTEOSYNTHESIS AT PATIENTS WITH THE COMBINED AND MULTIPLE FRACTURES OF THE MUSCULOSKELETAL DEVICE
Aim. Surgical results improvement of musculo-skeletal system fractures in polytrauma acuity.
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Evaluation of the nutritsialy and complex corrective therapy awaiting pregnant women and mothers
Pulotova A. P., Rustamova M. S., Jalova O. D.
In this article effectiveness of using drugs, nutritional and complex treatment of the iron defesition anemia was evaluated. It was establissed, that the complex treatment was more effectiveness.
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The organization and activity of diagnostic service of the various countries (the literature review)
Thus, the literature review has shown that diagnostics as scientific discipline, developed 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.
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Some aspects of the normative – legal base of ambulance service in the Republic of Tajikistan
Muminov B., Akhmedov A.
Legislative and legal framework that regulates the organization of emergency medical services in the Republic of Tajikistan does not reflect the modern features. Provide emergency medical care not determined the composition and the principles of state regulation, as well as interaction with other first responders in the new economy.
The current standard rate of 1 ambulance per 10 thousand populations does not account for the geographical feature of the topography and density of living of the population.
The current statistical reporting focused on quantitative measures and requires revision in favor of qualitative indicators of emergency medical services. -
The renal complications in the women who have had acute renal failure, as soon as possible after birth
Sodiqov A. M., Murodov A. M., Hamroqulov A. A., Shumilova O. V.
Thus, in the near term, despite the fact that the recovery phase lasts more than a year, from 70 patients with CGF of all three groups is almost back to normal has not recovered any one patient: 34 patients (48.6%) recovered to 60 KGF – 50 ml / min, which corresponded to a stage of chronic renal failure, in 22 (31.4%) EC 45 – 25 ml / min., corresponding to stage 2 CHRF, 12 (17.1%) KGF 20 – 10 ml / min – 3 stage renal failure in 2 (2.9%) KGF less than 10 ml / min – end-stage renal failure. Therefore, in the near term, these patients require careful observation and treatment for the full rehabilitation and prevention of chronic renal failure. -
INFLUENCE OF VAGINAL CANDIDIASIS IN PREGNANCY
NURMATOVA Z.I., NURMATOV. A. A., IBRAGIMOVAN.I.
Thus, genital candidiasis taped nearly every fourth pregnant, and half of these infections are asymptomatic. Candidiasis is a token of trouble in the body, and specific treatment of anti-fungal drugs he requires a full survey and address the root causes of immunodeficiency. Among the causative agents of genital candidiasis is dominated by c. Albicans, which show the greatest sensitivity to nistatino. In a large percentage of cases of candidiasis is combined with a bacterial infection, so when treating candidiasis in pregnancy it is advisable to use a combination of drugs that include Nystatin. Considering that pregnancy is a major predispos¬ing factor for the development of kandidoznogo vulvowaginita, a special problem is the treatment for this condition. The main requirement in this case is the safety of the treatment. According to various authors, when pregnancy has not been established. -
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 -
CLINICAL FEATURES OF CHILDREN’S LARYNGEAL PAPILLOMATOSIS
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, -
COMPARATIVE EVALUATION OF EFFICIENCY APPLICATION OF MODERN METHODS OF DIAGNOSTICS TOXIC BLOOD COMPONENTS DURING ENDOTOXEMIA
TUYCHIBOEVA M.N., MURADOV A.M. SHUKUROV T., SHUMILINA O.V.
COURSE “LABORATORY WORK” TIPGPMP
One of the most urgent problems in the structure of modern somatic pathology remains endo¬toxicosis, which is a basic component of the formation of the severity of the General condition. The article presents the results of analysis of toxic blood components 206 patients endotoxemia developed in the result of acute renal failure, peritonitis and septicemia in comparison with the figures of 20 healthy donors. Material for the study served as the blood of patients aged from 17 to 62 years, of which men made up 59,3% of women – 40,3%. The study used biochemical, gel-chromatography and infrared spectroscopic methods of diagnostics indicators token to reflect the level of intoxication. Found that the toxicity index in patients endotoxemia increases by more than 700%, compared with the control. On the basis of carried out research we can conclude that the patients endotoxemia occur intensification of -
OPTIMISATION OF COMPLEX TREATMENT OF DAMAGES OF A SKELETON AT PATIENTS WITH A POLYTRAUMA
SIRODZHOV K.KH., RAHIMOV A.T.
THE DEPARTMENT OF TRAUMATOLOGY AND ORTHOPEDICS TIPGPMP
The unsatisfactory results of complex treatment of skeletal injuries and injury outcomes in patients polytrauma testify to the social and economic importance. The paper analyzes the results of studying the peculiarities of the structure of multiple and associated injuries skeleton, ways to optimize the treatment of fractures on the basis of orthopedic «Damage control» of 30 trauma patients. In the structure of combined trauma of the skeleton in the 81,7% of cases, there were fractures of long bones, 36,3% – fractures of other departments, 21,3% – pelvic bones, in 5,3% of cases – fracture of the spine. Fractures of the long bones in 78,4% of cases were of indoor and 21,6% of cases – the open character. Methods of early reposition fractures in the study group used in 30,4% of the observations, delayed – 15,7%, and later – in 9,5% of cases. In the control group received digital values amounted to, respectively,