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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, профессор Мухаббатзода Дж.К.-
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. -
INTENSITY OF HALITOSIS CONDITION OF ORAL CAVITY IN PATIENTS WITH PERIODONTAL INFLAMMATORY DISEASES
ASHUROV G.G., DZHUMABOEV D.B.
Got results on study halitosis condition of oral cavitybeside 78 patients are indicative of intercoupling the unsatisfactory hygienic condition and increased concentrations flying chamois join in exhaled air. Amongst examined persons is determined even growing difference with increase level flying chamois of the join in exhaled air from 154.31% in 1 group before 283.76% in 4 groups that speaks the under investigation factors of close-fitting intercoupling. -
About the prediabetogenic effect of lemon juice Citrus limon (L)
Nuraliev. Yu. N., Ghaniev. Kh.A., Zubaydova. T.M.,.Samandarov N.Y.
Testing experiments discovered the new unknown phisiological and patogenitical uccuronce connects the breaching of metabolism process on the whole of corbohidrate exchange, prediabetes of patogenes and insulinresistion, mark the beginning metabolitical sindrom with the hard results of illness.
At the state of development the prediabet and insulinresistion the patient must not be use acid food products with cold nature and use products high level alkaline elements.
Only this method of medical prophilaction measures, as recommended and practiced famous Avicena low to stop the developing growth of diabetes and other illness. -
THE HEALTH CARE OF NEWBORNS (NATIONAL PROTOCOL)
MAKHKAMOV K.K., SAIDMURADOVA R.KH., BUZRUKOVA N.D
DEPARTMENT OF NEONATOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
This paper presents the national protocol for the care of healthy newborns, which is approved by Ministry of Health and social protection of the population of the Republic of Tajikistan 07.06.2011 (№318), including 5 protocols of maintaining newborns (care of the healthy newborn, reanimation of newborns, sepsis of newborns, pneumonia of newborns, a haemolytic illness of newborns). The approved standard was the first step on standardization and optimization of the neonatologic help, and respectively, decrease in incidence, mortality and an invalidization of newborns. Мaterial is based on the available evidence regarding the practice of medicine and nursing care of newborns in many countries, including your own experience, and consistent with the recommendations of WHO -
Structural studying of pathology ENT bodies at children for the five years’ period
Shamsidinov B.N., Mahmudnazarov M.I., Gijasov H.A., Kosimov A.A., Shajdoev S.S.
In given article authors make the analysis of structure hospital ENT pathologies at children according to case records for the five years’ period on an example children’s ENT branches of the National medical centre of Republic Tajikistan. The increase in number of planned hospitalisation over the last 5 years is noted. It is established that in structure нозологических forms of diseases ENT of bodies of children’s age a leading place occupy a pathology of the top respiratory ways. The tendency to increase in number of patients with the complicated forms of a chronic purulent average otitis, and also papilomatos throats is revealed. Conclusions are drawn on organisation perfection оториноларингологической the help to children by carrying out of regular preventive actions on places and timely treatment of sharp pathologies ENT of bodies at children.
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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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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. -
ESOPHAGEAL CANCER MORBIDITY IN REPUBLIC OF TAJIKISTAN
Aim. Performed statistical analysis of the incidence of esophageal cancer in Republic of Tajikistan at 2007-2012.
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Reproductive health of the women rendering commercial sexual services
M.O. Bobokhojaeva
The condition of reproductive health of the women rendering commercial sexual services in a city of Dushanbe is studied. Clinical inspection there have passed 300 working women of sex. The low index of somatic health is revealed, among РС diseases urine ways (34,6 %), disease intestinal path (13 3 %), disease of bodies of breath (6, 7 %) are most extended an anaemia (46,7 %), endocrine infringements (58, 2 %). In structure of a gynecologic pathologyinflammatorydiseasesofbodiesofasmall basin (ВЗОТ) – 94, 3 %, infringements menstrual a cycle – 27, 2 %, barreness – 13, 3 %, precancer diseases of a neck of a uterus – 5, 8 % are most extended. Among them address contraception, widespread the abortion practice is not spent, all it brings the contribution to a condition of reproductive and sexual health, vulnerability to , sexually transmitted infections and puts forward on the first place a problem of improvement of access of highly vulnerablegroup-workingwomenofsextoservices in the field of reproductive and sexual health.
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ANALYSIS OF THE ONE-YEAR MORBIDITY OF BREAST CANCER IN THE REPUBLIC OF TAJIKISTAN
RASULOV S.R.
КАФЕДРА ОНКОЛОГИИ ТИППМК
The work presents the results of scientific and statistical analysis of materials of primary breast cancer patients registered at the polyclinic of the Republican oncological scientific center of the Republic of Tajikistan in 2012. Analysis of data of out-patient cards of 215 patients ages 25 to 97 years, with the presence of a tumor in the breast. Study of age-related data breast cancer patients showed that up to 24 years of age are not encountered a single case of the disease. In the 25-29 age noted only 3,3% of women with this pathology. The peak incidence of pathology occurs at the age 45-49 years, accounting for 16,7% of the total number of women. Analysis of statistical material has shown that starting from the age of 60, breast cancer risk is gradually fading. Of the total number of patients for 64,7% of the нозологией were residents of rural areas, 35,3% is urban. On топическому location of the cancer in 54% of cases localized in the right breast, in one case, occurs bilateral defeat of the mammary glands, which amounted to 0,5%. Locally common cancer was 83,3%. Metastases in supraclavicular lymph nodes on the side of formerly belonged to the M1, and since 2002 became as N3, that the demand to include them in the group of patients with locally advanced process. Patients with category N3 in this group are 4,5%. The incidence of breast cancer in the Republic of Tajikistan increases from year to year and steadily occupies the first rank place among malignant neoplasms of the female population.