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    • IMPROVEMENT OF CLASSIFICATION OF BILIOUS PERITONITIS
      30.10.2015

      Muminov S., *Kurbonov K.M., Rasulov N.A., *Kayumov A.A.

      IMPROVEMENT OF CLASSIFICATION OF BILIOUS PERITONITIS

      Department of Surgery 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 Abuali-ibn- Sino

      Aim. Improve and introduce classification of bile peritonitis.

      Materials and methods. For a basis of this research the experience of complex diagnosis and surgical treatment of 87 patients with bilious peritonitis was put. Patients treated in the City Clinical Hospital of Emergency Medical Care Dushanbe. Also, evidence to date classification of peritonitis, and in particular, the bilious was analyzed and studied.

      Results. The dinical manifestation of bilious peritonitis largely depended from reasons of disease arising and severity of endotoxemia. Based on the study and review of available clinical data the clinical classification

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    • MINIMALLY INVASIVE SURGERY OF LIVER ECHINOCOCCOSIS
      30.10.2015

      Gulmuradov T.G, Amonov Sh.Sh, *Prudkov M.I., Sangov D.S.

      MINIMALLY INVASIVE SURGERY OF LIVER ECHINOCOCCOSIS

      Department of Cardiovascular and Plastic Surgery of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      *State Budgetary Educational Institution of Higher Professional Education Ural State Medical University, Ekaterinburg, Russia

      Aim. Improving results of surgical treatment of hepatic echinococcosis by applying minimally invasive technology.

      Materials and methods. Under the supervision during the period 2002-2013 there were 149 patients with hepatic echino-coccosis. From them 52 were examined at the Department of Surgical Diseases advanced training faculty and postgraduate training. The remaining 97 patients – in endosurgical department of the Republican Scientific Center for Cardiovascular Surgery in Dushanbe. Among them were men 63 (42,2%) and 86 women (57,8%). In 105 (70,4%) patients echinococcal

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    • SOME FEATURES OF STI/HIV DISSEMINATION IN THE MODERN SOCIAL AND ECONOMIC CONDITION
      30.10.2015

      Bobohodjaeva M.O., *Ahmedov A., *Kasymova M.K.

      SOME FEATURES OF STI/HIV DISSEMINATION IN THE MODERN SOCIAL AND ECONOMIC CONDITION

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

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

      Aim.Definition of features STI/HIV transmission in modern social and economic conditions.

      Materials and methods.Conducted a sociological survey of 400 workers, providing sexual services (SW) in Dushanbe. The survey was anonymous, voluntary on the basis of an oral informed consent. The questionnaire included questions that reflect the issues of social characteristics, sexual and reproductive behavior and health of the PC and users of their services.

      Results. On growth and

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    • POSITIVE INFLUENCE OF SORBITOL IN PATIENTS WITH CHRONIC RENAL FAILURE
      30.10.2015

      Bobieva N.H., Gadoev S.H., Subhonova Z.I., *Sunatulloev D.S.

      POSITIVE INFLUENCE OF SORBITOL IN PATIENTS WITH CHRONIC RENAL FAILURE

      Department of Internal Disease № 3 of the Tajik Medical State University named after Abuali-ibn-Sino

      *Department of Therapy of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      Aim.To estimate actions of sorbitol in combination with enterosorbents on gastrointestinal tract in the complex treatment of chronic renal failure.

      Materials and methods. The study included 40 patients with chronic renal failure. Diagnosis and assessment of severity of uremia was conducted by determination of glomerular filtration rate (the level of urea and creatinine in blood), the A / D profile and the degree of edemas.

      Results. In patients on background of reception of sorbitol 10-15 days earlier than in the control group, marked decrease in the level of nitrogenous wastes in the peripheral blood

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    • ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN
      30.10.2015

      Bahodurov J.T., Ibodov H.I., Rofiev R.R., Asadov S.K., Nurov M.S.

      ULTRASOUND SCANNINGAS AN EFFECTIVE METHOD OF DIAGNOSING OF EXUDATIVE PLEURISY IN CHILDREN

      Department of Pediatric Surgery, Anesthesiology and Reanimatology of the State Education Establishment “Institute of Postgraduate Education in Health Sphere of Republic of Tajikistan”

      Aim.Determination of the value of ultrasound scanning in the diagnosis of lung diseases such as exudative pleurisy in children.

      Materials and methods. Investigated the clinical and laboratory, radiographical, CT, MRCI and ultrasound scan data of 76 patients with a diagnosis of pleural effusion in age from 1 month to 15 years.

      Results. Based on the clinical and laboratory, radiographical, MRCI and ultrasound scan data of 76 patients in 3 diagnosed lung cancer, in 5 specific process, and in rest 68 children set pulmonary-pleural form of bacterial destructive pneumonia. At bacteriological research in 15 patients sown staphilococcus, in 6

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    • STUDY OF INJURIES STRUCTURE AND IMPROVEMENT OF PREVENTATIVE ACTIVITY OF FAMILY PHYSICIANS IN THE CITY HEALTH CENTER №1 C. DUSHANBE
      30.10.2015

      AshurovZ.Ya., Mirzoeva Z.A., Davlyatova D.D.

      STUDY OF INJURIES STRUCTURE AND IMPROVEMENT OF PREVENTATIVE ACTIVITY OF FAMILY PHYSICIANS IN THE CITY HEALTH CENTER №1 C. DUSHANBE

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

      Aim. Analyze the traumatism in the city health center №1 c. Dushanbe, evaluate its structure, suggest ways of preventing in practice of family doctor.

      Materials and methods. For the analysis of traumatism in the city health center №1 c. Dushanbe statistical data of emergency station №3 at city health center №1 c. Dushanbe of 2012 -2013 years were used.

      Results. Concerning street traumatism in 2012 1937 persons (40,4%), in 2013 – 1997 (38,4%) appealed. In 2013 decrease of cases of street traumatism on 2% is observe. Concerning home traumatism for medical care 2854 – 59,6% of patients, and in 2013 – 2495 – 47,9% (decrease 11,7%) appealed. 459 pupils

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    • ANTIDESTRUCTIVE ACTION OF GLUCOCORTICOIDS AT EARLY REUMATOID ARTHRITIS
      30.10.2015

      Ahunova N.T., Holova Z.U., *Niyazov F.I.

      ANTIDESTRUCTIVE ACTION OF GLUCOCORTICOIDS AT EARLY REUMATOID ARTHRITIS

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

      *Department of Internal Disease № 3 of the Tajik Medical State University named after Abuali-ibn-Sino

      Aim. Study of antidestructiveactionsofglucocorticosteroids on the background of the basic treatment of early rheumatoid arthritis by methotrexate.

      Materials and methods. Present results of treatment of 42 patients (all women) in the age of 32 to 58 years (mean 45 years). Duration of disease from 0,5 to 2 years with a valid RA (ARA criteria, 1987), observed during the year. Exclusion criteria were the presence of stomach ulcer or 12-duodenal ulcer. Patients with IV stage of radiographic disease. All patients were divided into two groups: 1 – 22 persons receiving methotrexate 10 mg per week and glucocorticosteroids7.5mg

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    • OPTIMIZED APPROACH TO THE TREATMENT OF LIMB FRACTURES IN PATIENTS WITH ORTHOPEDIC TRAUMA
      30.10.2015

      Ahmedov Sh.M., Sirodzhov K.H., Muradov A.M., Holov D.I., Rahimov A.T.

      OPTIMIZED APPROACH TO THE TREATMENT OF LIMB FRACTURES IN PATIENTS WITH ORTHOPEDIC TRAUMA

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

      Aim.Optimization of diagnostics and surgical treatment of fractures in patients with multiple injuries.

      Materials and methods. The work is based on analyzing results of diagnosis and treatment of 183 patients in the period 2001-2013, which were divided into 2 groups. In the main group osteosynthesis of fractures optimized with the lipid spectrum of blood plasma, in the control group treatment of fractures is traditionally held. The examination program of patients included: clinical examination, beam diagnostics, clinical laboratory tests, the study of the concentration of total lipids, catalase, atherogenic index calculation, the concentration of cholesterol,

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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.

    • Condition and methods of prevention at school and street accidents reading to disability (in Dushanbe, Tajikistan)

      Mirzoeva Z.A., Hisomova H.K., Ortikova M.M.
      The family doctor can show care, gain trust of children and their parents, attention and correctness in relation to patients. It has good knowledge and skills of questions to prevention of a school and street invalidation. The family doctor has a key to professional consultation.

    • EFFICIENCY OF SETIMED (LEVOCETIRIZINE) IN THE THERAPY OF CHRONIC IDIOPATHIC URTICARIAL

      KASYMOVO., KASYMOVA.
      The efficiency of the second generation antihistamine Setimed (Levocetirizine) established in the therapy of chronic idiopathic urticaria. Clinical recovery and substantial improvement achieved in most of the patients. More than 40% of patients had the remission period considerably extended.

    • 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.

    • COMPARATIVE ASSESSMENT OF RESULTS OF A TRADITIONAL AND LAPAROSCOPIC CHOLECYSTECTOMY

      Aim. Сomparative assessment of effectiveness of a traditional and laparoscopic cholecystectomy at a cloelithiasis.

    • EVALUATING THE EFFECTIVENESS OF MEASURES COUNTERACTION DRUG DEPENDENCE IN REPUBLIC OF TAJIKISTAN

      Aim. Evaluation of the effectiveness of existing measures designed at preventing drug use, in particular women.

    • PATHOLOGICAL CHANGES IN THE PERIMENOPAUSAL PERIOD AND THEIR INFLUENCE ON THE FORMATION OF HYPERTENSION AND CORONARY HEART DISEASE IN WOMEN

      NARZULLAEVA A.R., RAKHIMOV Z.Y., MURADOV A.M., ROFIEVA KH.SH.
      DEPARTMENT OF CARDIOLOGY WITH A COURSE OF CLINICAL PHARMACOLOGY OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN)
      The review describes the issues of influence reduce levels of sex hormones on the cardiovascular system and contribute to the development of climacteric hypertension and coronary heart disease in the perimenopausal period. Proved that the perimenopausal period is an additional risk factor for cardiovascular disease in women due to lower cardioprotective effects of estrogen. At the same time noted that the appearance of pronounced climacteric syndrome revealed deeper changes in the cardiovascular system , namely, left ventricular hypertrophy , metabolic changes , both on the carbohydrate and lipid metabolism by more malignant for hypertension and coronary artery disease.

    • RELATIONSHIP BETWEEN HYPERURICEMIA AND CARDIOVASCULAR DISEASE

      Aim. Determine the relationship between hyperuricemia with cardiovascular disease

    • 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

    • 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.

    • 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.

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