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    • THE ROLE AND PLACE IN THE STRUCTURE OF MORBIDITY OF RESPIRATORY DISEASES AND DYNAMICS OF MORBIDITY FROM CHRONIC BRONCHITIS AND ASTHMA FOR 2002 -2010 YEARS FOR EXAMPLE TURSUNZODA, FAIZABAD AND SARBAND AREAS IN TAJIKISTAN
      06.05.2015

      YAKUBOV M.R., MURADOVA.M., KHAMROKULOV A.A.
      THE DEPARTMENT OF EFFERENT MEDICINE AND INTENSIVE THERAPY TIPGPMP
      The article presents the analysis of population morbidity chronic bronchitis and asthma for the period from 2002 to 2010, on the examples of Tursunzade, Sarband and Faizabad districts of the Republic of Tajikistan. The results of these studies suggest that respiratory diseases occupy the first rank place of uptake of the adult population for medical help. In the dynamics of increase in incidence of respiratory diseases for 6 years has decreased by 24%. For the period from 2002 to 2010, the proportion of hospitalized children under 14 years of age increased from 26% to 67% of the total number of cases of appeals regarding the pneumonia. Despite declining in-hospital mortality of children under 14 years of age, they exceed 2 times mortality among the adult population. Levels of primary and total prevalence of chronic bronchitis in the Republic for 11 years grew 1.3 and 3 times respectively.

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    • SOME FACTORS AFFECTING IN THE MALYARIOLOGY SITUATION IN PREDELIMNATION PERIOD IN THE REPUBLIC OF TAJIKISTAN
      06.05.2015

      SHARIPOV A.A., NARZULOEVA M.F.
      THE DEPARTMENT OF INFECTIOUS DISEASES, EPIDEMIOLOGY, HYGIENE AND ENVIRONMENTAL PROTECTION TIPGPMP
      antimalarial drugs. Since the beginning of the 90s in the Republic of Tajikistan epidemiological malaria situation started to deteriorate due to the mass migration of refugees on the territory of Afghan¬istan and their subsequent return to their former place of residence, the sharp weakening of the work of the General and special services, and the conductors real absence of measures to fight against carriers of infection due to economic instability in the Republic of Tajikistan. The article was to study the epidemio¬logical features of the spread of malaria in the Republic of Tajikistan and the factors affecting the malarial situation in preelimination period. The situational analysis is based on data archival materials, annual reports district, regional and Republican centers for combating tropical diseases. Analysis of the archival documents showed that

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    • OPTIMISATION OF COMPLEX TREATMENT OF DAMAGES OF A SKELETON AT PATIENTS WITH A POLYTRAUMA
      06.05.2015

      SIRODZHOV K.KH., RAHIMOV A.T.
      THE DEPARTMENT OF TRAUMATOLOGY AND ORTHOPEDICS TIPGPMP
      The unsatisfactory results of complex treatment of skeletal injuries and injury outcomes in patients polytrauma testify to the social and economic importance. The paper analyzes the results of studying the peculiarities of the structure of multiple and associated injuries skeleton, ways to optimize the treatment of fractures on the basis of orthopedic «Damage control» of 30 trauma patients. In the structure of combined trauma of the skeleton in the 81,7% of cases, there were fractures of long bones, 36,3% – fractures of other departments, 21,3% – pelvic bones, in 5,3% of cases – fracture of the spine. Fractures of the long bones in 78,4% of cases were of indoor and 21,6% of cases – the open character. Methods of early reposition fractures in the study group used in 30,4% of the observations, delayed – 15,7%, and later – in 9,5% of cases. In the control group received digital values amounted to, respectively,

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    • EVALUATIONS OF NURSING OF CHILDREN WITH LOW BIRTH WEIGHT
      06.05.2015

      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

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    • FORENSIC MEDICAL EXAMINATION OF THE DAMAGE, INFLICTED BY SLASHING WEAPON – TESHA
      06.05.2015

      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

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    • МИЛДРОНАТ® В КОМПЛЕКСНОЙ ТЕРАПИИ ИШЕМИЧЕСКОЙ БОЛЕЗНИ СЕРДЦА В УСЛОВИЯХ ВЫСОТНОЙ ГИПОКСИИ
      06.05.2015

      * RAKHIMOV Z.YA., **KUDRATBEKOVA., * NARZULLAYEVA A.R.
      **CARDIOLOGISTS ASSOCIATION OF THE REPUBLIC OF TAJIKISTAN
      *DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
      The article is devoted to the study of the use of Meldrony in 30 patients with chronic coronary heart disease, stable angina of II-III class combined with arterial hypertension of II degree with high and very high risk of cardiovascular complications in conditions, Midlands Gorno-Badakhshan Autonomous region of Tajikistan. Among the examined patients on the background of the drug Meldrony in a daily dose of 1000 mg, showed a significant improvement cardiohaemodynamic indicators. Simultaneously, a decrease of the average frequency of angina attacks a day with 2,77±0,26 to 1,52±0,17. Also noted a decrease of the daily quantity of consumed nitroglycerin from 2,4 to±0,23 to 1,4±0,16 and significant increase of tolerance to physical activity detected test 6-minute walk from 388±33 m up to 512±39 m

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    • ANALYSIS OF THE ONE-YEAR MORBIDITY OF BREAST CANCER IN THE REPUBLIC OF TAJIKISTAN
      06.05.2015

      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

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    • CLINICO-FUNCTIONAL FEATURES OF ARTERIAL HYPERTENSION AND ISCHEMIC HEART DISEASE IN THE PERIMENOPAUSAL PERIOD
      06.05.2015

      NARZULLAEVA A.R., NARZULLAEVA Z.R., KARIMOVA L.M.
      DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
      The article presents the results of a study of clinical and functional features of arterial hyperten¬sion and ischemic heart disease in 95 of women ages 37 to 55 years in the perimenopausal period. Depending on the degree of disorder of menstrual function surveyed women were divided into 2 groups. Group I includes 30 women perimenopausal period, also women, whose registered irregular menstrual cycles over the past 3-11 months. The second group included 65 women in the postmenopausal period. For the majority of the surveyed women typically early development perimenopausal changes. In 20% of patients recorded premature menopause, 30,8% of women early. Among persons with postmenopausal 53,8% of women aged 35-45. Correlation of time of appearance of complaints on the blood pressure rises with the beginning of the menstrual cycle disorders noted 73,3% of women in the

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    • ASSESSMENT OF MEDICAL SERVICES DURING CONTRACEPTIVE AID
      06.05.2015

      MUKHAMADIEVA S.M.
      DEPARTMENT OF OBSTETRICS AND GYNECOLOGY TIPGPMP
      Many of the problems associated with a reduction in reproductive losses have not been ful¬filled. In the given aspect determining role belongs to the provision of contraceptive security. To understand the knowledge, attitudes and practices of women of reproductive age who use family planning services, those who are these services are provided, and also to determine the quality of contraceptive assistance to the population of medical institutions, conducted socio-logical research on the quality use of contraceptives by women of reproductive age. A specially designed questionnaire survey was conducted among 200 specialists of medical institutions for a professional assessment of knowledge, attitude and practice professionals providing contra¬ceptive services in the Republic. There was set low level of awareness of modern methods of contraception, the confidentiality of provision of contraceptive services and principles

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    • INDICATORS OF DISABILITY ON TUBERCULOSIS IN TAJIKISTAN
      06.05.2015

      ZAKIROVA K.A., MAKHMOUDOV R.U., MAKHMUDOVA P.U., SULTONOVA S.K.
      THE DEPARTMENT OF PHTHISIOLOGY TIPGPMP
      We studied the influence of medico-social and economic factors on the incidence of tuberculosis. The main contingent of patients is unemployed young men aged 20 to 29 years, with incomplete secondary education, under-financed vital food, a living area (lower health standards), with a monthly income below the subsistence minimum of a large family living crowding, who have dependent from 6 to 10 people. By level of education 67% of respondents were with primary and secondary education, respondents with special secondary education was 22%, with higher and incomplete education – 11%. According to the social status of unemployed amounted to 53% of patients, the retirement age of 16%, working – 22%, employees – 5%, entrepreneurs – 3,7% of patients. Respondents living on income below the subsistence level, among the unemployed was 53%, working – 21%, pensioners – 16%, employees – 2,1%, entrepreneurs

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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.

    • ABOUT SOME INDICATORS OF DISPENSARY WORK OF THE CITY HEALTH CENTER №1

      Aim. To examine prophylactic medical examination of patients as some chronic diseases, consisting under “D” observa¬tion in the Gty Health Сenter №1.

    • METHODS OF PREVENTION OF TACTICAL AND THERAPEUTIC ERRORS IN THE TREATMENT OF EPILEPSY

      KHADIBAEVA G.R., IZZATOV KH.N., SHARIFOVA B.A.
      DEPARTMENT OF NEUROLOGY AND MEDICAL GENETICS OF STATE EDUCATIONAL ESTABLISHMENT «INSTITUTE OF POSTGRADUATE EDUCATION IN HEALTH SPHERE OF REPUBLIC OF TAJIKISTAN»
      The publication highlights modern conception about etiology and pathogenesis, clinical manifestation and treatment of different types of epilepsy. Tour has been undertaken to understand different types of convulsion and non-convul¬sion paroxysm, as well as modern antiepileptic treatment. In addition the analysis of medical records undertaken by neurologists and psychiatrists allowed to objectives a great deal tactical and therapeutically doctor’s mistakes.
      It was determined that doctors not always clearly differentiate type of paroxysm. The medicine prescribed by spe¬cialists not relevant to the given type of convulsion. The treatment starts with multi-therapy, which not recommended in modern literature sources. In treatment scheme along with anti-convulsive drugs indicated medicines

    • INFLUENCE OF GENDER RELATIONS ON REPRODUCTIVE BEHAVIOR AND REPRODUCTIVE HEALTH

      Aim. Rate of gender relations and their impact on reproductive behavior and health in the modern world.

    • Results atraumatic restavration therapy of teeth partial demineralization in connection of enamel resistance

      Yorakov F.M., Ashurov G.G.

      Evaluated results of atraumatic restavration therapy beside 78 children at age 9-12 years with sign of partial demineralization of the enamel. It is revealled that used glassionomer cements after smallinvasive preventive filling remained safe through 24 month on 100% surfaces teeth beside persons with high structured-functional resistnce of enamel, on 95,3% surfaces teeth – beside persons with moderate cariesresistance, on 85,8 and 66,7% surfaces teeth – accordingly beside persons with lowered and very low structured-functional resistance of the enamel teeth.

    • 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

    • ROLE OSTEOSYNTHESIS ILIZAROV AND COMBINED WITH MULTIPLE INJURIES OF THE LOWER LIMB

      Aim. To optimize the method of transosseous osteosynthesis in patients with fractures of the long bones in combined and multiple injuries of the lower extremities .

    • The allergy and immunological reactivity in highland places the patients who have eczema

      Khaydaralieva Sh., Kasymov O.

      Quantivalent crossed sensitization in the majority of 31 examined highland eczema patients (men – 17, women – 14) at the age of 18-55 was revealed in the order of decrease to domestic, alimentary, epidermal, drug and pollen allergens. Immunological disorders were characterized by diminution of CD3-lymphocytes, increase of IgE by 1.9, IgG by 1.3 and of circulating immune complexes by 1.4, as well as by lessening of white cell’s phagocytic activity and of the phagocytic number. Immunological disturbances depend on the duration and severity of the disease.

    • INFLUENCE OF MELDONY ON CARDIOTOXITY OF DOXORUBICINE IN PATIENTS WITH ACUTE LEUKEMIAS

      RASULOV U.R., SHARIFOV M.M., SHAMSOV A.T., KHASANOV D.M., RAKHIMOV B.R., SUN’ATULLOEV D.S.
      THE DEPARTMENT OF THE INTERNAL DISEASES №3 TSMU BY NAME ABUALI IBN SINA THE DEPARTMENT OF THERAPY WITH COURSE OF THE ENDOCRINOLOGY TIPGPMP
      Acute leukemia, as a rare disease, is only 3% of human malignancies. The aim of treatment of acute leukemia is eradication of leukemic clone restore normal blood, achieveming long-term disease free survival of patients. This is achieved through the use of myelotoxical anticancer drugs that cause deep aplasia haemopoesis. In the present
      paper summarises the results of the antitumor antibiotic antratcycline stimulants doxorubicin, with a joint appointment cardioprotector meldony. Under the supervision were 147 patients with acute leukemia. Among the observed patients 85 people received chemotherapy initially, 62 people – previously been subjected to chemotherapy effects. For the induction of remission patients of the 1st group was appointed polychemotherapy

    • Pregnancy planning in women with the syndrome of pregnancy loss and cytomegalovirus infection

      Rustamova M.S., Radjabova S.A.

      The obtained results of negative cytomegalovirus infection influence on the course of gestation process and the principles of safe motherhood point to carrying of pregnancy planning in women with the syndrome of pregnancy loss. Complex of measures carried out during the predgravidous period was effective in restoring reproductive function in women with pregnancy loss syndrome in cytomegalovirus infection. Prevention and remission of cytomegalovirus infection process, contribute to a favorable outcome of pregnancy, for the majority (71,9%) of women, decrease reproductive fetus loss (3 times) and perinatal mortality (7,4 times) .

    • Ekological unusual use herbae Origanum qualitative detoxikacion and regined means

      Zubaydova T.M., Nuraliev Yu. N., Ghaniev Kh.A.
      The herbae Origanum as classical underefined means with the theory of Avicena increase the function of all excreate systems (bowels, kidneys, respiratory, disease, clemni and sebctons qlands).
      Refiring watery medium of organism (biood composition, limps, urine and the watery bilious) tissue consider the tactical hersion-tajik medicine.
      The preparion used with those purpose ibn Cino called retiring means, whose low to assist dusting wish toksical thing from organism, between sebseous and clammy glands, conaider wide apply Origanum as detoxical resources.

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