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    • THE COMPARATIVE EVALUATION OF SURGICAL TREATMENT OF CLUBFOOT PARALYTIC
      06.05.2015

      TOLIBOV SH.M., MIRZOEVA S.M., SIRODJOV K.KH., ESHONOV I.B.
      Analyzing the results of surgical treatment of paralytic deformities of the feet, 53 children who were in the children’s orthopedic Department of the National medical center of the Republic of Tajikistan, correlation treatment outcome on the quality of the diagnosis at an early age, the complexity of the orthopedic prevention, quality of preoperative preparation and adequately selected tactics of surgical intervention and compliance with orthopedic re¬gime in the postoperative period.

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    • OPTIMIZATION OF THE PREVENTION OF COMPLICATIONS AND TREATMENT OF DAMAGE TO THE SKELETON AT THE POLYTRAUMA
      06.05.2015

      SIRODJOVK.KH., AKHMEDOVSH.M., RAXIMOV A.T., TOLIBOVSH.M., ESHONOV I.B.
      Through the use of optimized complex diagnostics of acute period polytrauma, by deter-mining the fat globulemia on roots in 43 patients, and treatment of purposeful application of the solution rheomacrodex with combination with curantylum, glucose-novocaine mixture intravenously along with specific therapy globulemia, managed to reduce the number of complications in comparison with indexes in the control group.

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    • THE INTERACTION OF THE MYOCARDIUM IN PATIENTS WITH CORONARY HEART DISEASE AGAINST THE BACK¬GROUND OF DILATATION OF BOTH VENTRICLES
      06.05.2015

      SAMADOV SH.KH., KOKSHENEVA I. V., BUZIASHVILI Y.I., ELTANAZAROV M.D.
      The results obtained demonstrate the close interconnection of the two ventricles, which increases with the progression of their dilatation. The main mechanism of implementation of the interventricularinteractions is the limitation of the pericardium. Pericardium by creating a rigid limited amount for the four chambers of the heart and increases the influence of diastolic volume of one chamber to another, calling it the configuration changes and influencing the characteristics of its content. Another possible mechanism of implementation of the diastolic interventricularinteraction – deformation of the ventricles, which takes place in the ratio of forces in the ventricular septum (transseptalpressure gradient) and the severity of structural changes of the ventricles.

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    • THE CLINICAL ASSESSMENT OF THE APPLICATION OF PERCUTANEOUS NEPHROSTOMY IN PATIENTS WITH VIOLATION OF THE URODYNAMICS UPPER URINARY TRACT
      06.05.2015

      SAIDULLAEV L., NOSIROV D.B.
      In the work we have studied the results of percutaneous nephrostomy in 35 patients with violation of the urodynamics upper urinary tract different etiology. Getting the results suggest that percutaneous drainage of the upper urinary tract is малотравматичным, economical and brief intervention, which is very important in relation to almost incurable patients

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    • THE SYNDROME OF ENDOGENOUS INTOXICATION IN PATIENTS WITH CANCER OF THE MAMMARY GLAND
      06.05.2015

      RASULOV S.R., MURODOV А.М., KHAMIDOV А.К., ASHUROVA M.J.
      In the structure of the morbidity and mortality of the female population of cancer of the mammary gland takes the first place. The severity of manifestations of GIS in patients with cancer of the mammary gland caused by the passage of the disease (depending on the stage of the disease) and the applied method of special treatment: surgery, chemotherapy, radiation therapy. Study of biochemical markers of endogenous intoxication in patients with cancer of the mammary gland showed a decrease in total protein, albumin fraction and test the Paramecium, a slight increase in globulin, which testifies to the existence of the phenomena of intoxication depend on the stage of the prevalence of tumor process. In patients with cancer of the mammary gland, compared with healthy, have lower indicators of the quality of life, especially for the account of such scales as physical functioning and men-tal and emotional state.

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    • CONTRACEPTIVE BEHAVIOR OF WOMEN OF REPRODUCTIVE AGE SUGHD REGION IN MODERN CONDITIONS
      06.05.2015

      NAZIROVA M.A.
      We analyzed the statistical materials of the Republican Center of medical statistics and in¬formation of the Ministry of Health of the Republic of Tajikistan, the data of annual reports of the Khujand regional and district Centers of Reproductive health, as well as the data of annual reports of obstetrical establishments of the Sughd region in 1995-2011. Found a low level of contraceptive use among women of childbearing age Sughd region. The Revealed existence of significant differences both across regions, and on the socio -demographic population groups in regard to the prevalence of contraception in General and the structure of the used funds.

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    • DISSEMINATION OF SOME FACTORS OF RISK OF CARDIOVASCULAR DISEASES AMONG THE POPULATION OF THE ISTARAVSHAN CITY
      06.05.2015

      Mirzoeva Z.A., Nazirova N.K., Khodjaeva D.S

      It is very important to identify among the population of arterial hypertension and associate with it the risk factors of cardiovascular disease, the combination of which leads to potential negative trade-offs and greatly increases the total (global) the risk of cardiovascular complications, such as heart attack, stroke, heart failure. All of these trends is important to understand for further construction of effective programs for prevention of major non-communicable diseases, first of all, such as artery hypertension and coronary artery disease.

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    • THE MORPHOLOGY OF MICROVASCULARCHANNEL A LARGE GLAND DOG IN NORM AND IN CASE OF PERITONITIS IN THE CONDITIONS OF THE PLATEAU
      06.05.2015

      MIRZOEV KH.M., ZOKIROV R.KH., PULADOV A.KH., KARIMOV S.S.
      Study of the regularities of the structure of the structural organization of microvascular channel a large gland dog in norm and in case of peritonitis in the conditions of the plateau, showed that the presence of high-grade microvascularnetwork in a large gland, ensures a high level of metabolism and is evidence of the involvement of his in the processes of filtra¬tion, resorption of serous fluid abdominal cavity and protective functions. Morphological, hemodynamic and morphometric changes microvascular channel omentum and their in¬crease in peritonitis due to the toxicity of the blood of experimental animals, because the later stages of peritonitis in the blood circulate products of destruction of bacteria-endotoxins and biologically active the substance of the damaged tissue.

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    • IMPORTANCE OF DRAINAGE FOR PURULENT SPACES IN THE COMPLEX TREATMENT OF PATIENTS WITH PUTREFACTIVE-NECROTIC PHLEGMON OF THE MAXILLOFACIAL REGION
      06.05.2015

      MIRZOEV M.SH.,SHAKIROV M.N., GAFAROV KH.O.
      The article presents the results of treatment of 24 patients with putrid green-necrotic abscess the bottom of the cavity of mouth. Analysis of the carried out research showed that the expansion unit from alloys nickelide-titanium have obvious advantages to the traditional types of drainage, namely: improvement of visual access to the wound and their widespread separation, which leads to the improvement of aeration, which have a great importance in the conditions of mixed and anaerobic microflora.
      All of the above mentioned activities with the use of expansion of devices allowed speeding up the time of cleansing and healing of wounds on average by 3-5 days and proceeding to more early medical and social rehabilitation.

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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.

    • 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 %).

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

      * 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

    • THE ROLE OF FAMILY DOCTORS IN PLANNING FAMILY

      MIRZOEVA Z.A., HISOMOVA H.K., ORTIKOVA M.M.
      In the result of increasing level coverage of contraceptive methods decreasing the rate of birth, prevention of pregnancy, decreasing of abortion and chronic urogenital disease, decreasing of maternal mortality.

    • EFFECTIVENESS OF BAKTOVEGA THE TREATMENTOF ACUTE AND CHRONIC RHINOSINUSITIS

      Aim. Increase the effectiveness of treatment of patients with inflammatory diseases of the paranasal sinuses by applying regional (endonasal) antibiotic therapy.

    • THE CLINICAL ASSESSMENT OF THE APPLICATION OF PERCUTANEOUS NEPHROSTOMY IN PATIENTS WITH VIOLATION OF THE URODYNAMICS UPPER URINARY TRACT

      SAIDULLAEV L., NOSIROV D.B.
      In the work we have studied the results of percutaneous nephrostomy in 35 patients with violation of the urodynamics upper urinary tract different etiology. Getting the results suggest that percutaneous drainage of the upper urinary tract is малотравматичным, economical and brief intervention, which is very important in relation to almost incurable patients

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

    • Important introduction of curse palliative care into education curriculum for nurses.

      Samadova G.A., Azizov Z.A., Abidjanova N., Sharipova Sh.T.

      Analyst work’s program of Republic Medical Kolledj show that important part of the palliative care have on the different study years. Prepared the module of the palliative care and put it on the end years of the study increase knowledge of the students, who can support population of the palliative care in the future.

    • 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.

    • CRYOSURGERY TUMORS OF ORAL CAVITY IN CHILDREN BY LOW AUTONOMOUS POROUS-PERMEABLE APPLICATORS OF NI-TI

      MIRZOEV M.SH.
      The efficiency results of cryosurgical treatments tumorsoral cavities by low autonomous porous-permeable applicators from nicelide titanium in 16 children at age from 1 before 14 years. Special efficiency of the method arerevealled beside sick with wide-spread and persistently not amenable treatment by forms of the tumors, such as papillomatosand fibromatosoral cavities. Installed painless, unblood, simplicity, accessibility and economy, as well as absence negative consequence offered method.

    • The renal complications in the women who have had acute renal failure, as soon as possible after birth

      Sodiqov A. M., Murodov A. M., Hamroqulov A. A., Shumilova O. V.

      Thus, in the near term, despite the fact that the recovery phase lasts more than a year, from 70 patients with CGF of all three groups is almost back to normal has not recovered any one patient: 34 patients (48.6%) recovered to 60 KGF – 50 ml / min, which corresponded to a stage of chronic renal failure, in 22 (31.4%) EC 45 – 25 ml / min., corresponding to stage 2 CHRF, 12 (17.1%) KGF 20 – 10 ml / min – 3 stage renal failure in 2 (2.9%) KGF less than 10 ml/min – end-stage renal failure. Therefore, in the near term, these patients require careful observation and treatment for the full rehabilitation and prevention of chronic renal failure.

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