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    • REIEW OF BISOPROLOL EFFICIENCY IN CARDIOVASCULAR DISEASES THERAPY
      30.10.2015

      Narzullaeva A.R., Shohzodaeva Z.O., Sharipova F.

      REIEW OF BISOPROLOL EFFICIENCY IN CARDIOVASCULAR DISEASES THERAPY

      Department of Cardiology with the course of clinical pharmacology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      Considering the pathophysiological and etiopathogenetic preconditions purpose of beta-blockers in cardiovascular diseases, as well as their ability to improve health and life prognosis of patients with very high cardiovascular risk, the review covered issues of bisoprolol application in the treatment of cardiovascular diseases. After analyzing of its clinical pharmacology have been provided evidence from randomized controlled studies that show its high efficiency and safety in the pharmacotherapy of diseases such as hypertension, coronary heart disease, chronic heart failure. Bisoprolol has a strong cardioprotective effect. Different by minimal side effects, metabolic neutrality,

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    • CLASSICAL ANTHROPOLOGY (EXPERIENCE OF CONSTRUCTION OF SYSTEM THEORY)
      30.10.2015

      Muzaffari M., Zokirov R., Safarov N.

      CLASSICAL ANTHROPOLOGY (EXPERIENCE OF CONSTRUCTION OF SYSTEM THEORY)

      Course of Philosophy of Medicine and Medical Anthropology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      Aim.Analysis and definition of “anthropology” as the source and the base term with categorical status for building system theory of classical anthropology.

      Results. In the comparative analysis and the definition of semantic and shades of meaning other synonymous concepts were identified and established the classical meaning of the term “anthropology”. In the course of the study anthropology estimated as total integrative and interdisciplinary science about human. Different directions of anthropology, in essence, do not study the nature of the person but the results of his activities. Thus different directions of anthropology, cultural type, “social” and the like, are not anthropological sciences.

      Conclusion.

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    • SPECIFIC FEATURES OF COURSE OF DRUG ALLERGY
      30.10.2015

      Akbarova M.M., Juraev M.N., Karimova N.I.

      SPECIFIC FEATURES OF COURSE OF DRUG ALLERGY

      Department of Allergy and Immunology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      Over last three years in the City Allergological Center 5 cases of Lyell-Langs syndrome were observed. This emergence is associated with the use of drugs. Uniqueness of this incident is the combination of heavy drug allergy with insect allergy and diabetes mellitus. Monitoring of condition of the patient by place of residence was held.

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    • MODERN ASPECTS OF ANTIPHOSPHOLIPID SYNDROME. INFLUENCE OF EXOGENOUS RISK FACTORS OF THROMBOSIS IN THE ANTIPHOSPHOLIPID SYNDROME.
      30.10.2015

      Holova Z.U., Ahunova N.T., Sharipov H.S.

      MODERN ASPECTS OF ANTIPHOSPHOLIPID SYNDROME. INFLUENCE OF EXOGENOUS RISK FACTORS OF THROMBOSIS IN THE ANTIPHOSPHOLIPID SYNDROME.

      Department of Therapy of the State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

      Aim.Studying of the relationship between thrombosis, their recurrence and exogenous risk factors in APS.

      Materials and methods. The study included 80 patients (63 women and 17 men). They were divided into 3 groups: 1-22 patients with systemic lupus erythematosus (SLE), 2-30 patients with SLE and APS, 3-28 patients with primary APS. All patients were interviewed by a specially designed map Fiscal registrar (FR). Also assessed the impact on development of thrombosis treatment with corticosteroids and cyclophosphan.

      Results. As the prevalence of exogenous risk factors (abuse of fat and fried food, coffee, alcohol) group of patients were not significantly different. The

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    • ADVANTAGE OF ROD OSTEOSYNTHESIS IN PATIENTS WITH COMPLEX OPEN FRACTURES OF FEMORAL BONE
      30.10.2015

      Sirodzhov K.H., Isupov Sh.A., Holov D.I., Boymurodov A.N.

      ADVANTAGE OF ROD OSTEOSYNTHESIS IN PATIENTS WITH COMPLEX OPEN FRACTURES OF FEMORAL BONE

      Department of Traumatology and Orthopedics of the State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

      Aim.Optimization of surgical treatment of open fractures of the femur with concomitant injury.

      Materials and methods. The results of diagnosis and treatment of 87 patients with combined open fractures of the femur were analyzed. Patients were divided into2 groups: the main group resorted to early stable fixation of long bone fractures external fixation device (EFD) on the first day. In the control group osteosynthesis produced in delayed and planned manner.

      Research methods: radiography, computed tomography, ultrasound examination of organs, clinical and laboratory research. To determine the severity of injuries and status of patients, the degree of shock, blood loss

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    • MEDICAL-SANITARY SERVICE OF TAJIK RAILWAY: ACTUAL AND UNSOLVED PROBLEMS
      30.10.2015

      Rustamov S.G.

      MEDICAL-SANITARY SERVICE OF TAJIK RAILWAY: ACTUAL AND UNSOLVED PROBLEMS

      Department of Public Health, Economics and Management with a course of medical health statistics of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      Road Hospital of medical-sanitary service SUE “Tajik Railway”, Dushanbe

      Aim. Determination of actual and unsolved problems in the activity of medical-sanitary service of Tajik Railway (TRW)

      Materials and methods.Analyzed the materials of archive department of the State Unitary Enterprise “RohiOhaniTojikiston” and statistical office of his medical-sanitary service.

      Results. In 2014, to the road hospital polyclinic on station Dushanbe-1 addressed 57 226 people. Pre-trip check¬ups of TRW locomotive crews performed by 7 feldsher stations with total number of inspections more than 2500 per year. The highest level of morbidity with temporary disability per 100 employees among

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    • DIAGNOSIS AND CORRECTION OF FUNCTIONAL DISORDERS OF LIVER AND LUNG IN PATIENTS WITH SUBDIAPHRAGMATIC LIVER ECHINOCOCCOSIS
      30.10.2015

      Rafikov S.R., *Mahmadov F.I., *Kurbonov K.M., *Rahimov A.R.

      DIAGNOSIS AND CORRECTION OF FUNCTIONAL DISORDERS OF LIVER AND LUNG IN PATIENTS WITH SUBDIAPHRAGMATIC LIVER ECHINOCOCCOSIS

      Department of Surgical Diseases of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      *Department of Surgical Diseases №1 of the Tajik Medical State University named after Abua- li-ibn-Sino

      Aim.Improvement of results of treatment of subdiaphragmaticechinococcosis of liver and its complications.

      Materials and methods. The present research is based on the analysis and treatment of 76 patients with hepatic echinococcosis of subdiaphragmatic location. The vast majority were persons older than 40 years. There were 33 males (43,4%) and 43 women (56,6%). Complicated forms of echinococcosis was observed in 63,1% (n=48) patients (abscess-27, a breakthrough in the bile way – 21).

      Results.Echinococcosis of the liver accompanied by significant

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    • EFFECTIV TREATMENT OF URINARY TRACT INFECTIONS IN PRIMARY CARE IN THE PRACTICE OF FAMILY PHYSICIAN
      30.10.2015

      Nazirova N.K., Mirzoeva Z.A., Vositzoda Z.F.

      EFFECTIV TREATMENT OF URINARY TRACT INFECTIONS IN PRIMARY CARE IN THE PRACTICE OF FAMILY PHYSICIAN

      Department of Family Medicine of the State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

      Aim. Evaluate the effectiveness of schemes treatment of urinary tract infections UTI based on the principles of evidence-based medicine.

      Materials and methods. We observed 28 patients with UTI, with average age 23,3±2,4 years. Children and adolescents comprised 42,9% (12 people), adults – 57,1% (16 people), among them women – 60,7%, men – 39,3%. Methods applied: clinical and statistical.

      Results. Among those who were diagnosed UTI first established in 11 people (39,3%): acute cystitis observed among 63,6% (7 people), acute pyelonephritis – 36,4% (4 people). Patients with recurrent episodes of UTI comprised 60,7% (17 people): 58,8% (10 people) with cystitis, 41,2% (7 people) with pyelonephritis.

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    • PHYSICAL DEVELOPMENT AND GYNECOLOGICAL STATUS AMONG GIRLS AND WOMEN WITH HELMINTH INFECTIONS WHILE IODINE DEFICIENCY DISEASES
      30.10.2015

      Muhamadieva S.M., Sabirovа G.A., Pulatova A.P.

      PHYSICAL DEVELOPMENT AND GYNECOLOGICAL STATUS AMONG GIRLS AND WOMEN WITH HELMINTH INFECTIONS WHILE IODINE DEFICIENCY DISEASES

      Department of Obstetrics and Gynecology of the State Educational Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      State Establishment “Scientific-Research Institute of Obstetrics, Gynecology and Perinatology”

      Aim. To study the physical development and frequency of helminth infections among girls of pubertal age with iodine deficiency diseases.

      Materials and methods. The complex observation of 160 girls in the age of 10-16 who turned to the children’s gynecology department and to consultation and diagnostics polyclinic of Scientific and Research Institute of Obstetrics, Gynecology and Perinatology was conducted: anthropometrical indicators, index of body mass (Brey), for evaluation of mammary glands development the Tanner’s formula was used. All of the girls

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    • FEATURES OF PSYCHOSOMATIC MANIFESTATIONS AT ACUTE MYELOBLASTIC LEUKEMIA
      30.10.2015

      Mustafokulova N.I., Ganieva M.P., Ahunova N.T., Boronov J.B.

      FEATURES OF PSYCHOSOMATIC MANIFESTATIONS AT ACUTE MYELOBLASTIC LEUKEMIA

      Department of Internal Diseases №3 of Tajik State Medical University named after Abuali-ibn-Sino Department of Therapy with a Course of Gerontology of State Educational Establishment «Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan»

      Aim. Rate features of psychosomatic manifestations and quality of life of patients at acute myeloblastic leukemia.

      Materials and methods. The study protocol includes prospective and perspective (from 2009 to 2014 years) observation of 140 patients with acute and chronic myeloblastic leukemia. The average age is 35,9±0,7 years. Male – 62 (45,9%), wom¬en – 78 (54,1%). Of which 70 patients amounted to 1 group with acute myeloleukemia, 2 group – 70 patients with chronic myeloleukemia. Both groups the determination of the level of psycho-emotional sphere with the help of ospital Anxiety

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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.

    • THE CARRIAGE TACTIC OF DENTAL IMPLANTATION, FOR SICK’S WHO PRONOUNCED ATROPHIC CHOPS

      JONIBEKOVA R. N.
      Technology happens to In article and tactics of the undertaking dental to implantations with expressed atrophy of the jaws. It Is Offered at deficit of the bone structures augmentation and installation dental implant conducts with using small granulated biocompatible nickel titanium in combinations with platelet concentrate ( the factor of the growing).

    • CRITERIONS OF CHOICE OF LAPAROSCOPIC CHOLECYSTECTOMY IN PERSONS OF OLDER AGE GROUPS

      Aim. Determine criterions of choose of anesthetic maintenance and laparoscopic cholecystectomy in older age groups.

    • PREVALENCE AND RISK FACTORS OF TINEA PEDIS WITH ONYCHOMYCOSIS IN THE CITIZENS OF DUSHANBE

      Aim. To study the prevalence and risk factors of tinea pedis with onychomycosis in Dushanbe according to data from
      the Dushanbe Centre for skin diseases and STIs.

    • 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.

    • DETECTION OFFLATIN THE PRACTICE OFFAMILY DOCTORS

      MIRZOYEVAZ. A.,ZARIPOVAI.I., DAVLYATOVAD.D.
      Plantogrammymethodis simple,affordable,cheap technique.Everyfamily physicianshould possessthispractical skillto detectandprevent the development of flatfootand its complications,whilereferred to a specialistand givecorrect advice.

    • 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 differentiated approach it is possible to lower risk of development of complications and percent of relapse of disease to 1,3 %.

    • The possibilities of using different versions of enteral feeding of the preterm infants

      Khojibekova N.A., Saidmuradova R. Kh., Buzrukova N. J.
      The work is based on summing the first experience of enteral feeding of 29 preterm infants with very low and extremely low birth weight in ICU of maternity hospital No. 3, Dushanbe and the ways of transitional period of limited feeding duration reduce of the preterm infants are identified.

    • INFLUENCE OF ORGAN DYSFUNCTIONS ON THE OUTCOME OF THE SHARP PERIOD AT PATIENTS WITH THE POLYTRAUMA

      Aim. Diagnostics results and treatment improvement of polytrauma acuity by assessment of cerebrum metabolic dys¬function in patients with cranium-brain-concomitant trauma.

    • Endodontic aspects of the treatment of endoparodontal syndrome(review of the literature)

      Turaev N.G., Ismoilov A.A., Ashurov G.G.

      In presented work organized analytical estimation nearest and remote results of endodontic’s treatments of the teeth. Stated material are indicative of that that improvement modern and development new endodontic methods of the treatment teeth will allow to conduct the well-timed diagnostics an endoparodontal syndrome and select the efficient methods its early preventive maintenance.

    • THE QUALITY OF TREATMENT OF ARTERIAL HYPERTENSION PATIENTS IN FAMILY MEDICINE BEFORE AND AFTER THE INTRODUCTION OF A CLINICAL PRACTICE GUIDELINE

      MIRZOEVAZ.A., RAKHIMOVZ.J., NAZIROVAN.K.
      Use indicator checking of quality for estimation of efficiency of the treatment patient with arterial hypertension has allowed to compare the existing practical person of the treatment these patient household physician in medical-preventive institutions of Dushanbe, Istaravshan and Konibodom.

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