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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.-
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. -
Diagnostics of osteoporosis under psoriatic arthropathy
Kholova Z.U.
Osteopenic syndrome is the pure complicated PA. The development of osteoporosis under PA associate with high activity, gravity pathologic process, intake of glucocorticosteroids. In patients of PA with complicated osteoporosis have pains evident pain syndrome in bones in comparison with patients, that haven’t osteoporosis. -
Differentiated approach to surgical treatment of groin hernias.
Pirov B.S., Nurmatova M.M.
In work analysed results of operative treatment of 283 patients during the period with 1997 on 2011 with groin hernias by which in a planned and emergency order it is made Hernia section. The patient intraoperative 1s made measurement of structures groin’s channel, is revealed degree of changes of fabrics also picks up a method of operations. Thus some kinds of groin section are modified by us. At the risk of development of complications and differentiated approach it is possible to lower percent of relapse of disease to 1,3 %.
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MODERN MEDICAL CONCEPT OF THE HEALTH CARE SYSTEM AND HEALTH PROBLEMS
ISOMIDINOV A. I.
On the first primitive communal system of the conflict physical solution to the problems is the primacy of the vegetative level, evolutionary fastened way, where prevails anarchist social laws of the company. On the second biological social level of existing conflicts indicates the lowest – “the most elementary form of political formal behavior” – the class struggle.
On the third intellectual democratic level of the struggle, as a rule, is over conscious nature, and the motive force of social development – the “struggle for existence” for himself, takes psychologically open, exalted form of the struggle for a society to the principles of cooperation with the physical and emotional forms. In such a community “competition” and conflicts are leveled and smoothed, due to natural social laws physical and emotional struggle is suppressed and sacrifice and dies or leaves in a shade. -
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 -
PERFORMANCE EVALUATION DIAGNOSTIC CENTERS AT THE PRESENT STAGE
SAFAROV Z.SH., AHMEDOV A. A., SAFAROVA T.M.
NDC MPH RT
DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
At the present stage of development the aim of the health system is the organization of qualita¬tive models of infrastructure and management schemes. In the given aspect the most urgent health problem is to build a high-quality system of medical care. The article summarizes the results of the situational analysis of medical activities and evaluation of diagnostic services at the present stage in the conditions of state financing and transition to full cost accounting in the Republic of Tajikistan. Analysis of normative-legal documents showed that of 2866 institutions of primary health care 3,8% of them are represented by the district and city health centers, 26,5% of rural health centers, 10,8% in the specialized outpatient centers, 58,9 per cent – houses of health. Analysis of the equipment of the medical equipment -
INDICATORS OF DISABILITY ON TUBERCULOSIS IN TAJIKISTAN
ZAKIROVA K.A., MAKHMOUDOV R.U., MAKHMUDOVA P.U., SULTONOVA S.K.
THE DEPARTMENT OF PHTHISIOLOGY TIPGPMP
We studied the influence of medico-social and economic factors on the incidence of tuberculosis. The main contingent of patients is unemployed young men aged 20 to 29 years, with incomplete secondary education, under-financed vital food, a living area (lower health standards), with a monthly income below the subsistence minimum of a large family living crowding, who have dependent from 6 to 10 people. By level of education 67% of respondents were with primary and secondary education, respondents with special secondary education was 22%, with higher and incomplete education – 11%. According to the social status of unemployed amounted to 53% of patients, the retirement age of 16%, working – 22%, employees – 5%, entrepreneurs – 3,7% of patients. Respondents living on income below the subsistence level, among the unemployed was 53%, working – 21%, pensioners – 16%, employees – 2,1%, entrepreneurs -
The features of a current of pregnancy, sorts, conditions of a lactation at women with an insufficient actual food
Nyrmatova Z.I., Samieva N.U., Nyrmatov A.A.
Studying of a current of pregnancy and sorts at women with an insufficient actual food has shown high relative density, late hestos, threates, anomalies of patrimonial activity, a trauma of soft patrimonial ways, an asphyxia of newborns. Lactation infringement it is diagnosed for every seventh woman in childbirth. Studying of the reasons гипогалактии has shown them: mediko- social, connected with complications of pregnancy and the sorts, caused by affective and personal infringements.
The conducted research is a substantiation for system engineering of preventive, medical and rehabilitation actions for correction of a diet of an actual food of pregnant women and women in childbirth taking into account mediko- social factors that will allow to reduce number of complications during pregnancy and sorts, frequency and weight reduction milk allocation, to improve quality of life of feeding mothers.
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The renal complication in the long-term periods in the women who have had acute renal failure after birth
Sodiqov A. M., Murodov A. M., Hamroqulov A. A., Shumilova O. V.
The data obtained indicate excessively slow recovery of lost functions, which is most intense during the first 2 – 3 years and indicate the need for prolonged recovery of renal function for more than 6-7 years, deterioration of renal function contributed to: a chronic underlying disease (chronic glomerular – pyelonephritis, anemia, and subsequent pregnancy and childbirth in the background is not completely recovered renal function). Therefore, this group of patients should be on the dispensary to the full restoration of the functional usefulness of the kidneys, at least 2-3 years, and patients with chronic renal failure observed in different stages – for life -
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,