Health care of Tajikistan最新文献

Echocardiographic picture of left atrial appendage thrombi in patients with atrial fibrillation 心房颤动患者左心房阑尾血栓的超声心动图图像

Health care of Tajikistan Pub Date : 2024-02-26 DOI: 10.52888/0514-2515-2023-359-4-103-108

S. M. Shukurova, Kh. F. Rakhmatulloev, O. H. Odinaev

{"title":"Echocardiographic picture of left atrial appendage thrombi in patients with atrial fibrillation","authors":"S. M. Shukurova, Kh. F. Rakhmatulloev, O. H. Odinaev","doi":"10.52888/0514-2515-2023-359-4-103-108","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-103-108","url":null,"abstract":"Aim. To present the echocardiographic picture of the presence of thrombi in the left atrial appendage in patients with atrial fibrillation in the outpatient stage.Material and research methods. The study involved 56 patients with permanent atrial fibrillation, observed in outpatient conditions at the National Medical Center of the Republic of Tajikistan “Shifobakhsh” between 2019 and 2022. All patients underwent transesophageal echocardiography using standard methodology.Research results. According to the results of transesophageal echocardiography, all patients (n=56) were divided into two groups: Group I - 42 (75%) with no thrombosis in the left atrial appendage; Group II - 14 (25%) with the presence of a thrombosis. Patients with thrombosis of the left atrial appendage had a high degree of thromboembolic, hemorrhagic risk, left atrial enlargement and a low level of peak blood flow velocity. At the same time, the phenomenon of spontaneous echo contrast in patients with thrombosis was on average 22% higher compared to the subgroup without thrombosis.Conclusions. Our data showed that during transesophageal echocardiography in patients with atrial fibrillation, peak blood flow velocity and spontaneous echo contrast can be taken as predictors of thrombosis of the left atrial appendage.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"221 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140428199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A contemporary view on the significance of the thickness of the retinal nerve fiber layer in the diagnosis of primary open-angle glaucoma 关于视网膜神经纤维层厚度在诊断原发性开角型青光眼中的重要性的现代观点

Health care of Tajikistan Pub Date : 2024-02-26 DOI: 10.52888/0514-2515-2023-359-4-125-133

M. B. Karimov, Sh. Q. Makhmadzoda, P. M. Ostanaeva

引用次数: 0

Effectiveness of antianemic therapy for patients with severe iron deficiency anemia 严重缺铁性贫血患者抗贫血治疗的效果

Health care of Tajikistan Pub Date : 2024-02-26 DOI: 10.52888/0514-2515-2023-359-4-109-116

I. K. Emomzoda, Sh. F. Odinaev, M. E. Rajabzoda, R. A. Tursunov

引用次数: 0

Some issues of classification and etiopathogenesis of chronic colonic stasis 慢性结肠淤积症的分类和发病机制的一些问题

Health care of Tajikistan Pub Date : 2024-02-26 DOI: 10.52888/0514-2515-2023-359-4-117-125

M. K. Gulov, Z. M. Nurzoda, K. R. Ruziboyzoda, S. Alizade, B. I. Safarov

引用次数: 0

Clinical and morphological of diagnostics and surgical tactics in the treatment of patients with secondary nephrolithiasis by renal parenchymal dysplasia on the background of renal failure caused in children 治疗儿童肾功能衰竭背景下肾实质发育不良引起的继发性肾炎患者的临床和形态诊断及手术策略

Health care of Tajikistan Pub Date : 2024-02-25 DOI: 10.52888/0514-2515-2023-359-4-88-95

F. K. Safedov, A. A. Azizov, Sh. A. Badalov, F. M. Gulomov, I. K. Atoev

{"title":"Clinical and morphological of diagnostics and surgical tactics in the treatment of patients with secondary nephrolithiasis by renal parenchymal dysplasia on the background of renal failure caused in children","authors":"F. K. Safedov, A. A. Azizov, Sh. A. Badalov, F. M. Gulomov, I. K. Atoev","doi":"10.52888/0514-2515-2023-359-4-88-95","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-88-95","url":null,"abstract":"The purpose of the study. Improving the results of diagnosis and surgical treatment of patients with secondary nephrolithiasis by renal parenchymal dysplasia on the background of renal failure caused in children.Material and research methods. Clinic of Pediatric Surgery, Avicenna TSMU Abualiibn Sino analyzed 34 patients with renal failure of calculous etiology. In all cases, the biopsy was taken from the cortex – medulla of the kidney during nephrotomy, and during pyelotomy from the site of the nephrostomy tube. Studies of biopsy materials were carried out in laboratorits at the departments of histology, anatomy and oncology.Research results. We analyzed the results of a morphological study of 34 patients with CKD of calculous etiology. Chronic calculous pyelonephritis was detected in 32 (94,1%) patients, in whom the diagnoses coincided with the clinical and morphological ones. Of these, dysplasia of the renal parenchyma was detected in 8 patients. In 2 patients, histological examination did not reveal structural changes, possibly a biopsy was taken from healthy areas of the kidney tissue, although clinically and laboratory 100% calculous pyelonephritis occurred.Conclusion. Thus, in case of obstructive-calculous pyelonephritis, against the background of dysplasia of the kidney parenchyma, early clinical and morphological diagnostics, radical decompressive and sanitation surgery with reliable external urine wood is restored, the process of further wrinkling of the kidney is suspended.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"49 151","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140432549","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Characterisation of the human resources of the dental services in Dushanbe 杜尚别牙科服务人力资源的特点

Health care of Tajikistan Pub Date : 2024-02-25 DOI: 10.52888/0514-2515-2023-359-4-81-88

B. A. Salimov

{"title":"Characterisation of the human resources of the dental services in Dushanbe","authors":"B. A. Salimov","doi":"10.52888/0514-2515-2023-359-4-81-88","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-81-88","url":null,"abstract":"Aim. To assess the human resources capacity of the dental service in Dushanbe, regardless of the form of ownership of the dental institution.Material and methods. An analysis was made of the data of the official statistical reporting “Report on medical personnel” form 17, approved by order No.054 of the Agency for Statistics under the President of the Republic of Tajikistan dated October 11, 2013. The analysis covered data from the period 2017 to 2021, focusing on state medical organizations providing dental care to children. Statistical data, the determination of extensive and intensive indicators, the significance of their differences using the t-criterion of reliability (differences were considered significant at t>3), and analysis of dynamic series were used.Results and Discussion. Of the total number of dentists in Dushanbe, about 70% are dental therapists. Among all dentists, every fifth dentist is a pediatric dentist, which is twice as many as the national average. The number of orthodontist dentists does not differ significantly from the data for the republic. Dentists and surgeons work 1.5 times more in Dushanbe compared to the national data.Conclusions. The indicator of the number of dentists of all qualifications in Dushanbe is several times higher than the national average. Over the past five years, there has been a tendency to reduce the number of pediatric dentists. The number of doctors with the highest qualification category decreased by 13%, the indicator is identical to the national data.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"27 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140431966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Circulating endothelial cells – as an indicator of endothelial dysfunction in patients with miocardial infarction 循环内皮细胞--作为心肌梗死患者内皮功能障碍的指标

Health care of Tajikistan Pub Date : 2024-02-25 DOI: 10.52888/0514-2515-2023-359-4-95-103

M. S. Tabarov, F. A. Shukurov, Z. M. Toshtemirova, M. K. Khojaeva

{"title":"Circulating endothelial cells – as an indicator of endothelial dysfunction in patients with miocardial infarction","authors":"M. S. Tabarov, F. A. Shukurov, Z. M. Toshtemirova, M. K. Khojaeva","doi":"10.52888/0514-2515-2023-359-4-95-103","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-95-103","url":null,"abstract":"Aim. To assess the state of the vascular endothelium in patients with myocardial infarction in terms of desquamated endotheliocytes before and after treatment.Material and methods. The results of morphological study of 30 patients with coronary heart disease: post infarction cardio sclerosis and 20 healthy volunteers are presented for comparison with the mean age of 65,1±3,6 and 62,7±3,7 years, respectively. In order to determine the number of DECs, we used the morphological method proposed by N.N. Petrishcheva et al. (2001), before and after impatient treatment.Results. Statistically significant DEC parameters were obtained in patients with myocardial infarction. The highest rates of DEC were found in 10% of patients (19±0,1×104 cells/l). Most patients (53.33%) had a moderate level of endotheliocytemia (11,2±0,7×104 cells/l). The control group, taken for comparison, had the upper limits of the physiological norm (3,9±0,9×104 cells/l). This shows a significant role of endothelial dysfunction in the pathogenesis of myocardial infarction. A group of patients who had up to 10 years of a heart attack history revealed a direct correlation with the level of DEC.Conclusion. The number of DECs was significantly increased in patients with myocardial infarction compared with the control group before treatment. Against the background of complex therapy, the level of endotheliocytemia is significantly reduced, but does not reach physiological parameters.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140432699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Emergency neurosurgical care for patients with acute cerebral circulation disorders 为急性脑循环障碍患者提供紧急神经外科护理

Health care of Tajikistan Pub Date : 2024-02-24 DOI: 10.52888/0514-2515-2023-359-4-77-81

N. O. Rakhimov, H. J. Rakhmonov, J. R. Sanginov, M. V. Davlatov, S. S. Bakhodurov

{"title":"Emergency neurosurgical care for patients with acute cerebral circulation disorders","authors":"N. O. Rakhimov, H. J. Rakhmonov, J. R. Sanginov, M. V. Davlatov, S. S. Bakhodurov","doi":"10.52888/0514-2515-2023-359-4-77-81","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-77-81","url":null,"abstract":"Aim. To improve the results of neurosurgical treatment of patients with acute cerebrovascular disorders.Material and Methods. An analysis of the results of neurosurgical treatment of 48 patients admitted to the Department of Neurosurgery of the State Institution National Medical Center - “Shifobakhsh” was carried out. The age of patients ranged from 30 to 75 years. In each case, patients underwent clinical and laboratory studies, including using CT and MRI, as well as using three-dimensional (3D) and four-dimensional (4D) reconstruction methods of cerebral vessels.Result and Discussion. The most common cause leading to the formation of intracranial hematomas was hypertension, found in 32 (66.6%) patients, while other causes were identified in 12 (25%) patients (including angiopathy, cerebral vascular pathologies, amyloidosis, and the use of certain medications, among others). All patients underwent neurosurgical operations. The highest frequency of recurrences (4.1%) was observed after surgical interventions performed within the first 24 hours following the hemorrhagic event.Conclusion. With early detection of intracranial hematomas and with the optimal choice of method for their treatment, good functional results are observed with a low incidence of deaths.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contemporary perspective on the problem of risk factors for complicated nephrolithiasis in children 儿童复杂性肾炎风险因素问题的当代视角

Health care of Tajikistan Pub Date : 2024-02-24 DOI: 10.52888/0514-2515-2023-359-4-5-9

A. A. Azizov, F. K. Safedov, Sh. A. Badalov, D. R. Magzumov, B. A. Azizov

{"title":"Contemporary perspective on the problem of risk factors for complicated nephrolithiasis in children","authors":"A. A. Azizov, F. K. Safedov, Sh. A. Badalov, D. R. Magzumov, B. A. Azizov","doi":"10.52888/0514-2515-2023-359-4-5-9","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-5-9","url":null,"abstract":"Aim. To improve the effectiveness of prevention and metaphylaxis in complicated nephrolithiasis among children.Material and methods. Based on many years of experience in a pediatric urology department of a children’s surgery clinic, we have accumulated significant data on risk factors and their importance in practical work. Using data from 152 patients, we have developed a clinical classification and a list of risk factors.Results of the stady. The study identified various risk factors such as: age of children; variants of nephrolithiasis (unilateral, bilateral, solitary, multiple, staghorn, obstructive); stages of CP, CG, CKD, pyonephrosis and paranephritis; stages, volume and methods of surgery; dysmetabolic nephropathy and dysplasia of the renal parenchyma. By studying and analyzing risk factors in 152 patients with complicated nephrolithiasis, covering etiopathogenesis, volume of surgery, errors during surgery and factors of recurrent stone formation, we developed a clinical classification of risk factors, which was introduced into the scientific and practical activities of doctors.Conclusion. Summarizing the importance of risk factors for complicated nephrolithiasis, it is necessary to consider a combination of etiopathogenetic, clinical-laboratory, reconstructive-restorative, rehabilitative, and prognostic risk factors, to improve the quality of life for children with nephrolithiasis.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"26 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140434676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the effectiveness of comprehensive treatment of combined pulpalperiodontal lesions in patients with concomitant somatic pathology 对伴有躯体病变的牙髓牙周病综合治疗效果的评估

Health care of Tajikistan Pub Date : 2024-02-24 DOI: 10.52888/0514-2515-2023-359-4-30-38

F. Z. Imomova, S. M. Karimov, G. Ashurov

{"title":"Evaluation of the effectiveness of comprehensive treatment of combined pulpalperiodontal lesions in patients with concomitant somatic pathology","authors":"F. Z. Imomova, S. M. Karimov, G. Ashurov","doi":"10.52888/0514-2515-2023-359-4-30-38","DOIUrl":"https://doi.org/10.52888/0514-2515-2023-359-4-30-38","url":null,"abstract":"Aim: The study aimed to improve the treatment outcomes of combined pulpal-periodontal lesions in patients with various multisystem disorders.Material and Methods: The study included 150 patients with associated lesions of the intracanal-periradicular complex and various multisystem disorders. The age of the patients ranged from 20 to over 50 years. The patients were grouped based on the method used for endo-periapical therapeutic and preventive intervention. The first (main) group of somatic patients (n=50) received Hyaludent №4 and a calcium hydroxide preparation for prolonged endo-periapical effect over a month, coupled with macrophage reprogramming procedures using autoplasm.Results and Discussion: In the somatic patients of the main group, by the end of the year from the start of the endoperiapical treatment and after 24 months, the visual-instrumental examination indicator of the intracanal and periradicular status was zero. In the first control group of patients, the total indicator of the visual-instrumental examination of the endo-periapical state after the first month was 17.1% less than that of the second group, and after 6 months, it was 10.2% less. In the second control group of patients, the minimum value of the visual-instrumental examination of the intracanal-periradicular status was noted one year from the beginning of the pulpal-periodontal treatment.Conclusion: The maximum effectiveness of endo-periapical treatment was achieved in the main group of patients with intrasystem pathology, where the efficacy of endo-periapical treatment was nearly 90.0%.","PeriodicalId":345517,"journal":{"name":"Health care of Tajikistan","volume":"12 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140435025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0