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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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    • TRIOIN’S EFFECT ON CARDIOVASCULAR SYSTEM (EXPERIMENTAL WORK)
      06.05.2015

      BAKHROMI M.T.
      THE DEPARTMENT OF CARDIOLOGY WITH THE COURSE OF CLINICAL PHARMACOLOGY TIPGPMP
      The article presents results of studies on the action of a solution trionini on the cardiovas¬cular system. Work is based on the experiment on animals: 20 white rats weighing 200-220 g, cats weight from 3 to 4 kg under uretan anesthesia. Impact trionini on blood pressure were also studied in healthy intact rabbits and rabbits with experimental caused by atherosclerosis. There were 86 series of experiments conducted more than 150 biochemical, 25 haematological analy-ses, prepared 40 drugs from the internal organs of the experimental and control series animals. Heart rate became less 20-22%, the amplitude of the pulse wave increased respiratory activity remained unchanged. There has been little increase of pulse wave and slowing the pace of car¬diac function at 8-10%. In rabbits with atherosclerosis latent phase actions trionini reached 26 seconds, in healthy animals, it was 3-5 sec., that can

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    • DYNAMICS IMMUNOLOGICAL INDICES IN PATIENTS OF CHRONIC GENERALIZED PERIODONTITIS DURING THERAPY WITH MELLINOL
      06.05.2015

      AKHROROVA Z.K., KOMILOV F.M., NOSIROV A.F., FAYZOV K.S.
      THE DEPARTMENT OF ORTHOPEDIC STOMATOLOGY TIPGPMP
      With the purpose of correction of immunological changes in dental patients has been studied the influence of the drug mellinol in the treatment of generalized periodontitis in 32 patients with chronic viral hepatitis b and C. The results obtained show that in the group of patients with chronic viral hepatitis b and C using the drug significantly increased rates of T-lymphocyte subpopula¬tions of T-helpers, a marked increase the number of B-lymphocytes and natural killer cells, and increased the number of cells expressing a chain of the IL-2 receptor and receptor to transferrin that shows a marked improvement periodontal status among the surveyed population. Initially reduced rates of T-lymphocytes and T-helpers, expression markers of activation, as a manifestation of immune dysfunction in patients with chronic viral hepatitis b and C, during the therapy with mellinol significantly

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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.

    • 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.

    • Influence of metabolic activity of a brain on a current of the sharp period at patients with concomitant a craniocereberal trauma

      Sirodzhov K.H., Muradov A.M., Ashurov B.O., Ahmedov S.M.,Tabarov A.
      Studying some aspects of metabolic activity of a brain in the sharp period concomitant a craniocereberal trauma, by research jugular venous blood at 38 patients, degree dependence of infringements of indicators of systems of a hemostasis and electrolits an exchange from weight of damage and weight craniocereberal trauma is revealed.

    • PERFORMANCE EVALUATION DIAGNOSTIC CENTERS AT THE PRESENT STAGE

      SAFAROV Z.SH., AHMEDOV A. A., SAFAROVA T.M.
      NDC MPH RT
      DEPARTMENT OF PUBLIC HEALTH, ECONOMY AND MANAGEMENT BY PUBLIC HEALTH WITH COURSE OF THE MEDICAL STATISTICS TIPGPMP
      At the present stage of development the aim of the health system is the organization of qualita¬tive models of infrastructure and management schemes. In the given aspect the most urgent health problem is to build a high-quality system of medical care. The article summarizes the results of the situational analysis of medical activities and evaluation of diagnostic services at the present stage in the conditions of state financing and transition to full cost accounting in the Republic of Tajikistan. Analysis of normative-legal documents showed that of 2866 institutions of primary health care 3,8% of them are represented by the district and city health centers, 26,5% of rural health centers, 10,8% in the specialized outpatient centers, 58,9 per cent – houses of health. Analysis of the equipment of the medical equipment

    • Results of x-ray estimations of the endoparodontal conditions of supporting teeth under metallceramic design

      Generalized results of x-ray estimations of the condition of endoparodontal status supporting teeth in system of metalceramic designs in the article. Estimated quality of the filling root channel in the supporting teeth, residing under unremoved metalceramic design. It is noted that absence of the full-fledged access to root channel does not allow to conduct qualitative processing and guaranteed obturation of root channel, particularly in events their complex construction that is indicative of low level endodontic treatments when preparing teeth to prosthesis.

    • QUALITY OF LIFE AS STANDART OF JUDGEMENT TO EFFICIENCY TO TREATMENT PATIENTS WITH FLEGMONAS OF MAXILLO-FACE AREA

      GAFAROV KH.O.
      Assessment quality of life (QL) 12 sick patients faster-necrotic flagmen’s jaw-face area in early postoperative period. Installed, that the QL depends on age, flap, wide-spread inflammatory process, degree of poisoning, presence of the accompanying diseases, as well as method of the conducted treatment. Revealed that on 30-e day after operation general factor quality of life (GFQL) patients, which were conducted specific antibacterial and immunomodular therapies(the main group) has formed 95 balls(increasing on 53 balls), but at patients which got traditional therapy(the checking group) 81 balls (increasing on 30 ballets).

    • The prevalence of coronary heart disease and modifiable factors among residents of Vanj region of Tajikistan

      Nozirov J. Kh., Akhmedov A. A., Rahimov Z. Y.
      Detected peculiarities in prevalence IHD Risk Factors in Vanj region population are the key for the development of IHD primary prevention fitting program with allowance for sex and concrete age range.

    • REGIONAL FACTORS OF DISTRIBUTION OF INFECTIONS, SEXUALLY TRANSMITTED

      Aim. To study data on the regional factors promoting increase in prevalence of urogenital chlamidiosis.

    • The trends reproducing of the population of the Repablic Tadzhikistan in new economic condition

      Akhmedov A.A., Bobokhojaeva M.O., Nazirova M.A., Kasimova M.K., Khusainova A.A.
      On material State statistical Agency at Government RT,the annual report data Centre of Reproductiv health (Natinal, re- gional,Dushanbe citi.),Republican Centre of the medical statistics and information MZ RT for last 20 years, The General census of the Repablic Tadzhikistan 2000 and sociological questioning 2000 persons by questionnaire method of the population of the row city and region of the republic to student trends reproducing the population,are determined modern factors,influencing upon birth rate fnd track record of the change to birth rate in condition of the transition to market economies.

      The Changes to speaker of the factors reproducing the population of Tadzhikistan at transformatiionfl period conditionally possibl to value as transition from mfinli traditinfl to modern to type reproduction.

    • Modern view to the podagric nephropathy

      Shukurova S.M., Jonazarova D.Kh., Akhunova N.T.
      The below typed article includes the newest data information review, gathered from the worldwide resources regarding to the podagric nephropathy. The etiology and pathogenesis of the disease are widely opened as well as the modern view of the international researches to the problems of treatment. The article composes different opinions and provides brainstorming ideas.

    • EVENT OF COMPLICATED HYPOTHIREOS

      ASTANOVA M.K., NUMANOVA M.A.
      In article considered the event of hypothireos average gravity, complicated with hepatomegaly, chronic cholecistopancreatit, pericarditis. Varied manifestations of the syndrome of hypothireos quite often serves central to wrong diagnosis, somet

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