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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.-
OPTIMIZATION OF COMBINED TREATMENT OF FRACTURES OF THE LONG BONES IN PATIENTS WITH SIGNS OF FATTY HIPERGLOBULEMIYA
SIRODZHOV K.H., KARIMOV K.K., MIROV N. SH. AHMEDOV SH.M.
This paper analyses the results of treatment of 78 patients admitted to hospital with different mechanisms of injury, which was provided emergency and scheduled inpatient care. Together with a complex of modern medical -diagnostic measures authors studied a prognostic significance of diagnostics fat globulemiya. Express method according to Kornilov, which contributed to the early diagnosis of the syndrome of fat embolism and improve the results of surgical treatment of patients with injuries of the musculoskeletal system. -
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 -
FORENSIC MEDICAL EXAMINATION OF THE DAMAGE, INFLICTED BY SLASHING WEAPON – TESHA
RAKHMONOV T.R., RAKHIMOV A.ZH., TARAKUL A.
THE COURSE OF FORENSIC MEDICAL EXAMINATION TIPGPMP
The article contains results of injuries on four corpses of people at the age of 22 to 70 age, caused to the national instruments of labor produced artisanal – tesha. The attack does concave and direct blades. Just suffered 12 strokes, 8 of them on the head, 2 in the facial area, 2 in the back surface of the right hand. Concave blade coated with a 7 hits, direct – 5. After hitting measured the thickness of the soft tissue of the head and bones of the skull on average, the Department of wounds and/or a cut in the cases of penetration of the blade into the cranial cavity. Damage studied macro- and stereomicroscopically, photographed and put on the outline scheme. It is established that in the area of damage to the thickness of the skin ranged from 0,1 to 0,3cm, soft tissues of 0,1-0,2 cm bones of cranial fornix – 0,3-0,7 see the Wounds from direct blade when strictly per¬pendicular to the direction of impact to surface-to-injure area usually had the appearance of an irregular oval. When an inward-curving blade form of RAS was arched, which is the distinctive feature of the wounds inflicted by axes. In 8 cases the length of the wound to the head match the width of the blade, and obviously depends on the fact that if the mass of tesha from 620 to 710 g blade width her a little. The length of the wound does not exceed the width of the blade. It is revealed that the damage by tesha, have their own characteristics, allowing to distinguish them from injuries inflicted by other cutting tools, you can also determine the strength and direction of the shot, also the interrelationships between the victim and the attacker in the moment of injury. -
Preventive maintenance and therapy of shortage of iron in an organism at pregnancy
Nurmatova Z.I., Nurmatov A.A., N.I. Ibragimov
Thus, the preparation of folic acid (folacini) can be recommended for wide application in practical public health services in female consultations, maternity hospitals for treatment of anemia’s at pregnant women and women in childbirth in the postnatal period, especially at transferred blood in тhe use and early postnatal the periods or at a Cesarean section. The given preparation is safe; simple in also does not demand additional service (the pregnant woman can easy accept itself).
It is not necessary to stop treatment by preparations of iron after normalization of level of hemoglobin and the maintenance earitrocitis in an organism. Normalization of level of hemoglobin in an organism does not mean restoration of stocks of iron in it. For this purpose experts the CART recommend after 2-3 the monthly treatments and liquidation hematology a picture of an anemia not to stop therapy carrying out, and only to reduce twice a dose of a preparation which was used for treatment against an anemia anemias. Such course of treatment proceeds within 3 months. Even having restored completely iron stocks in an organism expediently during half a year to accept small doses of ferriferous preparations.
Development of an anemia during pregnancy negatively influences a current development process and is the serious factor of braking after a birth adaptations.
Timely and adequate treatment, preventive application shortage of iron in an organism
Preparations from early terms hestacy – pledge of safe end of pregnancy both for mother, and for the newborn. -
DAMAGE TO FACE WHEN WORKING WITH MOVING MACHINERY
SHOKIROV M.N.
For the first time studied traumatic injuries of the maxillo-facial region received when working with moving mechanisms. Were observed in 12 of the victims. Peculiarities of clinical picture, and treatment. Recomendations are given on safety at work with moving mechanisms, as the basis of the causes of damage. -
THE RESULTS OF THE EVALUATION CHARACTEROLOGICAL STATUS OF ORTHOPEDIC PATIENTS WITH OCCLUSIVE DEFECTS OF DENTAL ROWS
KHOLIYAROV X.M., KARIMOV S.M., ASHUROV G.G.
On the basis of clinical observation revealed the main types of characterologicalreactions among orthopedic patients, determine the appropriate date type of relationship to an or¬thopedic condition of the oral cavity: manic-depressive state with a melancholy type of rela¬tionship to the orthopedic defects of the oral cavity, obsessive-phobic, hypochondriacal, neurasthenic, dysphoric, euphoric, anosognosia, apathetic, sensitive, egocentricand paranoidattitude. -
RESULTS OF TREATMENT OF PATIENTS ON THE BASIS OF ORTHOPEDIC DAMAGE CONTROL
Aim. Improvement of results of diagnostics and treatment of the sharp period of a polytrauma by an estimation of
metabolic activity of lungs and application orthopedic damage control at patients with the combined a trauma. -
The influence special hygien on the factor on distribution tuberculosis in Tajik Republic
Kasimova S., Davlatmamadova М.
Population health depends on influence socially-hygienic and economic factors. In uncomfortable living conditions lives more than 92,0 % of patients. Of the general quantity of respondents of 87,8 % make sick of unsatisfactory vital conditions. Security a floor space below a sanitary code, (less than 9 sq.m. on one person), the monthly income below a living wage and patients basically from large families. Growth of number of the unemployed, the big density and the low monthly income contribute to higher growth and prevalence of disease of a tuberculosis.
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Intrarenal hemodynamics at the typhoid fever, complicated by acute renal failure
Sangov M. S., Muradov A. M., Rahmonov E. R.
Results of research of patients are given in work by a typhoid, complicated sharp nephritic insufficiency at which indicators in nephritic haemo dynamics were studied. By researches at different levels of nephritic haemo dynamics it is proved that it directly depends on system or central haemo dynamics, decrease in indicators of UO, UI, SI and in-crease in OPSS, and also pulmonary pressure that leads to authentic decrease in a blood-groove in a nephritic artery which depends on weight of OPN, degree of a gipovolemiya and endogenny intoxication at a typhoid. -
THE INTERACTION OF THE MYOCARDIUM IN PATIENTS WITH CORONARY HEART DISEASE AGAINST THE BACK¬GROUND OF DILATATION OF BOTH VENTRICLES
SAMADOV SH.KH., KOKSHENEVA I. V., BUZIASHVILI Y.I., ELTANAZAROV M.D.
The results obtained demonstrate the close interconnection of the two ventricles, which increases with the progression of their dilatation. The main mechanism of implementation of the interventricularinteractions is the limitation of the pericardium. Pericardium by creating a rigid limited amount for the four chambers of the heart and increases the influence of diastolic volume of one chamber to another, calling it the configuration changes and influencing the characteristics of its content. Another possible mechanism of implementation of the diastolic interventricularinteraction – deformation of the ventricles, which takes place in the ratio of forces in the ventricular septum (transseptalpressure gradient) and the severity of structural changes of the ventricles.