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    • THE IMPACT OF INDIRECT ELECTROCHEMICAL OXIDATION THE TOXICITY OF BLOOD IN PATIENTS IN THE TERMINAL PHASE OF PERITONITIS, DUE TO PANCREONECROSIS
      06.05.2015

      DOSTIEVA Z.A., SHUMILINA O.V., MURADOV A.M., HAMROKULOV A.A.
      THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
      In 15 patients with pancreonecrosis complicated by the terminal phase of peritonitis, we estimated the effect of indirect electrochemical blood oxidation on the state of the detoxification function of the lungs by intravenous 0,06% solution of sodium hypochlorite. To study the detoxification function of the lungs compared the blood of the right ventricle of the heart and arterial blood from radiotherapy or femoral artery, taken simultaneously. Study was carried out after 1 and 4-6 h after infusions of the mentioned solution. If, prior to the infusion of sodium hypochlorite concentration of urea and creatinine in the blood drains were reliably higher than in streams to the light respectively by 20,9% and 12,9%, for 1 hour, these figures are reduced to the respective indicators of 18,2% and 7,6%, and after 6 hours of light to see themselves their detoxifying that

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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.

    • Operation of emergency medical services and evaluation of its effectiveness in diverse countries around the world

      Muminov B.G., Akhmedov A.A.
      Choosing a model service organization depend on many factors. In the developed countries to the fore the economic aspects. In this connection, he prefers low-cost paramedical teams. In Russia and CIS countries in the Republic of Tajikistan to doctors there is no single approach. It would be expedient to adopt organizational commitment in the choice of the ratio of different teams (specialized, linear, BIT, paramedical and paramedical teams), in favor of teams BIT, paramedical and paramedical teams.

    • 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

    • 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.

    • The skrining of crawfish of neck’s womb by means of vaginal svad of pap in the practice of doctor’s family

      Mirzoeva Z. A., Khajaeva D. S., Abdulhaeva Sh.R., Kabirov K. M.

      Dab screening according to Papanikolau should cover age from 30 to 60 years with a condition of passing of screening each 5 years. The obtained data and experience of carrying out screening show that quality of dabs and correctness of the cytologic diagnosis have bigger value for decrease in a disease by a cancer of a neck of a uterus, than increase in frequency of screening or the screening beginning at earlier age. The majority of cases of a weak displaziya (CIN 1) without treatment is exposed to return development while cases of a heavy displaziya (CIN III) without treatment tend to development of an invasive cancer. The most “vulnerable” site is the zone of transition multilayered flat an epiteliya in cylindrical epiteliya. This research traced the women (424) who have addressed to family doctors to whom dab on flora was taken. The big percent of incidence was observed by inflammatory diseases among women at the age

    • Detection of flat in the practice of family doctors

      Mirzoyeva Z. A., Zaripova I.I., Davlyatova D.D.
      Plantogrammy method is simple, affordable, cheap technique. Every family physician should possess this practical skill to detect and prevent the development of flatfoot and its complications, while referred to a specialist and give correct advice.

    • Used folic acid inpregnant women for profiluctic opinc bifide in pructice family doctors

      Mirzoeva Z.A., Okilova M.N., Pulatova S.S.

      The author showed that, in line with current literature, pregnant women should not be advised to keep a diet. All women with a desire to become pregnant should be advised to use folic acid. Women who previously gave birth to a child with a neural tube defect should be offered consultation before pregnancy and should be advised to use 4 mg of folic acid per day.

    • The treatment of pacient with a stroke

      Sharifova B.A., Abdurakhmanova R.F., Khadibaeva G.R., Izzatov K.N.
      During the research the effect of the following medicine with the group of patients with the first time stroke was observed. The medications are: Anitigipertetion – Group of Sartan and Dizagrigation – The combination of Asperin with Dipiridamol. The result of the research has shown, that the medications possess neuro – protective effects and can be used for the prophylactics of the second time stroke.

    • Efficacy of fluсopt to treat otomycosis in children

      Azizov K. N., Bustonov M. O., Abdukhalilov Z. A., Azimova S. Ch.
      In article are results of clinical study of efficacy of flucopt used to treat otomycosis in children. according to the results of the study flucopt has effectively surpressed the mycotic in-fection and ameliorated symptoms of the disease, thus promoting earlier recovery.

    • THE HEMODYNAMIC CONDITION OF THE SYSTEMIC CIRCULATION IN PATIENTS WITH BILIARY TRACT DISORDERS

      KOSIMOVZ .K., KHOMIDOVJ.B., MAHMUDOVS.A., NAIMOVA.H., MAHMADIEROVS.I.
      112 patients with biliary tract disorders have studied hemodynamic circulation. The changes of hemodynamic severity of which was dependent on the severity of choledocholithiasis, cholehemia and toxemia

    • TREATMENT OF THE SYNDROME OF ENTERAL INSUFFICIENCY IN CHILDREN WITH PERITONITIS

      ABDUFATAEV T.A., AZIZOVB.DJ.,ROFIEV R.R., CANGOV S.S., TOIROV D.M.
      Thus, against the background of complex intensive therapy was developed the tactics of surgical intervention, early functional rehabilitation of reduced mortality in 2.9 times (from 5.3 % to 2.4 %) and postoperative complications in 2 times (from 14.8 % to 7.8 %).

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