SHAMSIDINOV B.N., MUKHTAROVA P.R., OLIMOV T.K., *GULMAMADOVA G.B., TAGOIMURODOVA S.F.
DEPARTMENT OF OTORHINOLARYNGOLOGY OF TAJIK INSTITUTE OF POST-GRADUATE EDUCATION OF MEDICAL STAFF
*NATIONAL DIAGNOSTIC CENTER
Respiratory papillomatosis is a frequent pathology in childhood. According to reasearches by various authors there’s noted role of eleventh and sixth types of papilloma virus. Papillomatosis clinic which caused by sixth type seeps easier than that clinical papillomatosis which caused by eleventh type. Depending on the extent of the process out as an isolated, limited and prevalent forms. The authors noted that the majority of patients found prevalent form of the disease. Main symptoms in the time of papillomatosis are changing of the voice and respiratory disturbance. These symptoms increase with the growth of papilloma. There’s also noted the regularity that the younger the age of child at noted the regularity that the younger the age of the child at the time of papillomatosis, the heavier the disease, it often recurs, treatment served harder, respiratory disturbance increase faster. Respiratory affection appears at the beginning of the disease in the time of walking, fast running, and thereby child avoids fast movements, and it is straight indicant of operative intervention.

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.

Aim. Studying the role of lungs in the regulation of oxidative status, glucose, cholesterol and В-lipoproteids in blood at puerperas with multiple organ dysfunction.

Muminov B., Akhmedov A.

Legislative and legal framework that regulates the organization of emergency medical services in the Republic of Tajikistan does not reflect the modern features. Provide emergency medical care not determined the composition and the principles of state regulation, as well as interaction with other first responders in the new economy.
The current standard rate of 1 ambulance per 10 thousand populations does not account for the geographical feature of the topography and density of living of the population.
The current statistical reporting focused on quantitative measures and requires revision in favor of qualitative indicators of emergency medical services.

Каsimov O. I., Salimov B. M., Каsimov A. O.
From among 45 patients at the age of 60-85 (men – 36, women – 9) with onychomycosis 23 (51.1%) had distal and lateral form, 5 (11.1%) – superficial and white, 6 (13.3%) – proximal and hyponychial, 11 – total and dystrophic. All patients with onychomycosis had various forms of the athlete’s foot. The cell immunity decreased (fall of CD3 and CD8) and the humoral one increased (raise of IgM, IgG and the circulating immune complexes).

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 in the period 1990-2011, showed that mostly diagnostic equipment prevailed in medical-preventive institutions, Dushanbe and Sughd regions (25,4% and 23,8%). On the balance of research institutions, Republican specialized hospitals and centres, it amounted to 19,9%. Oth¬er administrative territories of the Republic of equipment diagnostic equipment was significantly lower. Analysis of the activity of the services on provision of diagnostic help to the population of the Republic of Tajikistan in the modern socio-economic conditions showed that the main factors in the development of diagnostic centers and efficiency of delivered medical assistance are: good governance, improving financing with the purpose of modernization, improvement of quality and successful use of personnel and technological potential.

YORAKOV F.M.
Indicates of structured-functional resistance of the enamel are diametrically opposite with im¬portance of the intensities of the caries. If beside examined persons with high structured-function¬al enamel’s resistance index of intensities of the caries has at the average formed 4,22±0,41 then beside persons with very low cariesresistance -7,82±0,64. Full recovering the area after action of acid to enamel surface occurred in relatively short periods that is indicative of high level enamel resistance.

Nuraliev. Yu. N., Ghaniev. Kh.A., Zubaydova. T.M.,.Samandarov N.Y.
Testing experiments discovered the new unknown phisiological and patogenitical uccuronce connects the breaching of metabolism process on the whole of corbohidrate exchange, prediabetes of patogenes and insulinresistion, mark the beginning metabolitical sindrom with the hard results of illness.
At the state of development the prediabet and insulinresistion the patient must not be use acid food products with cold nature and use products high level alkaline elements.
Only this method of medical prophilaction measures, as recommended and practiced famous Avicena low to stop the developing growth of diabetes and other illness.

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 first group and 55,4% of the women in the second group . In 10% of cases among patients in group I and in 38,5% among the patients of group II perimenopausal period was characterized by a worsening of arterial hypertension. In the course of the study the peculiarities of the clinical and functional flow data diseases depending on the severity of climacteric syndrome..

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 in 54% of cases localized in the right breast, in one case, occurs bilateral defeat of the mammary glands, which amounted to 0,5%. Locally common cancer was 83,3%. Metastases in supraclavicular lymph nodes on the side of formerly belonged to the M1, and since 2002 became as N3, that the demand to include them in the group of patients with locally advanced process. Patients with category N3 in this group are 4,5%. The incidence of breast cancer in the Republic of Tajikistan increases from year to year and steadily occupies the first rank place among malignant neoplasms of the female population.