No. 2 (83) (2015) Problems of biology and medicine

Статьи

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  Perfecting the ways of removing perforationsin the bottom of maxillary sinus Carried-out examination of 36 patients with perforation of maxillary bossom,complicated by puru-lent fistula. The new complex of clinical and laboratory tests for diagnosis of endogenous intoxication was offered. In all patients observed endogenous intoxication. Results of our work evidenced that it is necessary to carry-out deep clinical and laboratory examinations for detection of endogenous intoxication and for more adequate treatment of this group of patients.

  M Mirzaev, Sh Abdullaev, A Rakhmonov, D Aripova, V Kuldasheva

  69-73

  92   21

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  Chronic ischemic diseases of the digestive in elderly IHD, arterial hypertension, cerebrovascular atherosclerosis, abdominal arteries At the time of autopsy in patients with atherosclerosis, vasculitis of the digestive tract was detected in 75.5% of cases. In 50-57% of cases, abdominal ischemia developed as a result of impaired mesenteric circulation.

  T Zhumaboev, G Khozhimatov, Sh Rashidova, A Tursunov

  202-204

  152   22

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  Optimization of the surgical treatment of varicose disease of the lower extremities Our studies show that blood reflux in patients with varicose disease of the lower extremities in the dis-tal great saphenous vein is rare, only 15-16% of cases. In this regard, total stripping of the great saphenous vein, that is, from the groin to the medial malleolus - pathogenesis is not justified. Firstly, the removal of the great saphenous vein trunk should only be within the abnormal blood reflux (85%) - from the sapheno-femoral junction to the upper third tibia. Second, the total stripping of the great saphenous vein is often ac-companied by damage to the lymphatic vessels and skin sensory nerves.

  F Sayinaev, Z Kurbaniyazov, P Yuldashev

  114-116

  146   19

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  Efficiency of ultrasonic research in exposure of reasons of menstrual disorder The study included 50 patients aged 17-40 years with menstrual irregularities, of which 15 (group 1) -hypoplasia uterus, which was detected predominantly in girls and women aged 17 - 23 years.,13 (group 2) - ovarian cyst, detected predominantly at the age of 17 - 30 years, 10 (group 3) - bending of the uterus, which is predominantly detected in women aged 18 -30 years., 8 (Group 4 ) –сhroniс metroendometritis, which are mainly detected in women aged 30 - 40 years., 4 (5th Group) - endometrial hyperplasia, which was detected predominantly at the age of 25 - 35 years. The study was conducted on the device "Aloka" 500, with Convex 3.5 MHz probe, the clinic of Samarkand state medical institute. Ultrasound examination is an effective, non-invasive diagnostic method that allows to detect and install: hypoplasia of the uterus, ovarian cysts, bending of the uterus, endometrial hyperplasia, chronic metroendometritis. And in identifying the etiology of the causes of menstrual disorders that lead to infertility, can succeed in the pathogenetic treatment of these pa-tients.

  U Rustamov, S Atayeva, U Rustamov, A Ruzieva

  110-113

  141   28

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  Choice of optimal surgical tactics in echihococcosis of the liver 269 patients have been operated on for echinococcosis. 165 patients of the main group were subdivided into three groups: in the first group of 23 patients there was performed laporoscopic echinococcectomy, in the second one of -78 patients –minilaparotomy , in the third one of 64 (38. 79%) patients - laparotomy.The methods of performed operations were the following: cystextirpation (pericystectomy) (7.88%), closed echinococcectomy (42,42%) half - closed echinococcectomy (15,15%), open echinococcectomy (13.33%) omentofilling according to Askerhanov (21.21 %). In numerous cysts in 34 patients there were used 2-3 one- moment methods during operations. The main stage of our tactics is presented by laparoscopic revision.

  M Rustamov, Z Murtazaev, M Dusiyarov

  106-109

  81   16

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  Ecg features of the cardiovascular system with duchenne myopathy On the ECG in the studied patients revealed a deep Q wave in leads II-III, aVF and V-6, as well as a high R wave in lead V-1, indicating that the myocardial injury. Various types of heart rhythm disturbances occurred in 11 (61.1%) patients. Revealed changes of the heart show the complexities of the ECG to detect early signs of defeat the system and undertake corrective therapy to improve the patient's general condition of the child

  Z Ruzieva, D Rabbimova, F Achilov, G Kudratova

  104-105

  118   25

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  Kidney cancer regions limfatugunlarini-invasive visualization methods In order to check the Samarkand Regional Cancer Center, years 2002-2007, 101 patients with kidney cancer were controlled.They were treated in a specialized urology center of Samarkand Regional Cancer Center, Cancer Research Center. Among them, men 57, women -44. Male and female ratio of 1.27: 1. The cancer of right kidney had 56 patients, the cancer of left kidney-45 patients. The average age was 44.6 ± 1.4. Parakaval lymph node authenticated MRT sensitivity 90.3%, CT at 91%, the US accounted for 57.7%. CT specificity 68.6%, CT at 78.1% and MRT at -89.2%. Aortokoval lymph node identified changes in the MRT sensitivity of 92.0%, CT - 82.3%, CT - 68.0%. Specificity of ultrasound at 67.3%, CT - 84.4% and MRT was 93.4%. Paraaortic lymph node changed MRT sensitivity of 94.1%, CT - 82.3%, CT - 75%. An indication of the specificity of MRI at 95%, CT - 80% of the US accounted for 67.6%. Taking into account the above changes in renal cancer to the regional lymph nodes of non-invasive diagnostic method is recognized as the most effective method of MRT. As the MRT is better than SE, with its high sensitivity and specificity. Ac-cording to the ultrasound assessment, the changes in the regional lymph nodes may lead to the diagnostic error.

  N Rakhimov, T Abdukarimov

  99-103

  106   17

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  Performance evaluation of complex treatment herpetic keratitis using ozonetherapy and cryopexy We examined 26 patients (26 eyes) with herpetic keratitis in age from 17 to 63 years. Men were - 15, women - 11. A study group comprised 14 patients (14 eyes) who used traditional conservative therapy with the use of ozone therapy and cryopexy, the control group consisted of 12 patients (12 eyes) who used only the traditional medical therapy. As a result of comparative clinical studies and the comprehensive application of the method of ozone therapy, cryopexy and traditional medical treatment of herpetic keratitis showed that combined application allows you to increase the effectiveness of treatment, improves clinical outcomes

  G Rasulova, D Sabirova, Sh Iskandarov, H Palvanov, S Khamrokulov, R Kosimov

  96-98

  74   23

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  Comparative evaluation of methods of bleeding prevention in the afterbirth and early postnatal periods The basis of the study consisted of 130 pregnant women with normal pregnancy and childbirth. There were 50 women childbirth traditional method (watchful waiting) - retrospective analysis of labor (control group). The main group consisted of 50 women who underwent active management of the third stage of la-bor, according to the EPС. All patients of the main group were divided into 2 groups: Group A - 25 healthy women who underwent active management of the third stage of labor, group B - healthy women, who imme-diately after the birth of the fetus was administered sublingually 400 mg of the drug misoprostol. In contrast of active tactics, waiting tactics involve independent birth of the placenta. Active tactic of third stage of la-bour compared with expectant tactics leads to reduced blood loss, but its use increases the risk of side ef-fects. Clear organization for the prevention of postpartum hemorrhage is the real basis of the reduction of maternal mortality and remote serious consequences for the mother

  V Puchenkin, B Negmadzhanov

  92-95

  82   25

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  Age differences computed tomography sizes of the lumbar spine on the median sagittal cut in healthy young men of podolia This article describes the age differences computed tomography size of the lumbar spine in the median sagittal sections in healthy young men of Podolia. It is proved that the most pronounced differences study sizes set between 20- and 18-year-old boy (lower values in 20-year-olds); between the 20- and 21-year-old boy (lower values in 20-year-olds). Smaller number of age differences performance found between 20- and 17-year-old boy (lower values in 20-year-olds), between the 19- and 21-year-old boy (lower values in 19-year-olds), between 18 and 19-year-old boy (smaller values in 20-year-olds). Between 17-year and 18-, 19-, 21-year-old boy is not found statistically significant differences or trends differences indicators.

  S Pinchuk, I Gunas, N Lisnichuk

  87-91

  94   21

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  Distribution of the main components of metabolic syndrome In given article are reflected result of epidemiological researches of basic components of a metabolic syndrome studying to prevalence among the population connected with cardiovascular diseases and polymetabolic diseases.The weight of a body, tolerance infringement are resulted in glucose and hyper-lypidhemia among various age groups and a sex of the population of a city result of prevalence of the basic c omponents of a metabolic syndrome including an arterial hypertension, superfluous

  D Ochilov, O Ruziev, G Razhabov

  83-86

  84   21

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  To the features of diagnostics and treatment of cerebellar tumours In the present research are included the data of complex investigation and treatment of 35 (21 women, 14 men) patients, the average age of the patients consisted 30 years (from 3 till 69 years). To all patients was spent complex investigation, including brain CT, MRI and contrast CT, MRI. Postoperative mortality was observed in 6 (17.1%) patients, and it is dominated after subtotal removal of the tumor (11.4%), and in pa-tients after total removal of the tumor and biopsy death was registered only on one occasion.Results of treatment of cerebellar tumors depends on application of modern surgical methods and their efficacy.

  S Norkulov, A Chodiev, A Mamadaliev, N Norkulov

  80-82

  90   19

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  Cause and cure early biliary complications after cholecystectomy In our study met all three risk factors of early biliary complications, which describe R.Martin & R.Rossi. So dangerous anatomy was observed in 46.3% of cases, dangerous pathology in 42.6% of cases and in 11.1% of cases dangerous surgery. Biliary complications early after cholecystectomy identified in 1.2% of cases. Postoperative bile leakage was observed in the 0.8 - 1.0% of cases and does not depend on the type of cholecystectomy. Jaundice syndrome were significantly more frequent after minimally invasive interven-tions.

  F Nazyrov, M Akbarov, Z Kurbaniyazov, M Nishanov, K Rakhmanov

  74-79

  169   34

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  Prevalence, structure and factors of the risk of headache in children and teenagers Here are given the results of individual examination of sick children, divided into 3 groups: 40 out-patients, 40 – stationary, 20 healthy ones with headaches. Here are carried out analysis of abnormality of high cerebral functions by means of Spilberg Khanin and Lichko`s scale, testing of the «Strategy of Koping", which shows that headaches in children are caused of heredity (migraine), and also from the curriculum stress (tension headache). Based on the results, we came into conclusion that the examination of the head-ache in infancy should be complex subject to type of headache

  M Abdusalomova, D Gafurova, I Zhuraeva, A Jurabekova

  8-13

  178   25

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  Treatment of children with paroxysmal disorders of consciousness Here are produced the results of examination of sick children, divided into two groups: 35 children EPDCC and 25 NEPDCC . The analysis of complex survey data monitoring EEG and video - EEG. In these patients to change the order of treatment, based on the specification of the diagnosis following results were obtained: at 93.75% with NEPHB and 88.96% EPHB. In these patients to change the order of treatment, after which 78.13% of the patients in group I and 15.34% of the patients in group II positive results, so that they had marked improvement of cognitive functions and normalization of EEG parameters.

  S Makhatov, U Salimova, J Dusanov, N Dusiyarov, A Jurabekova

  65-68

  173   23

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  Dyscirculator yencephalopathy: a comprehensive treatment approach The article presents the results of clinical and neurological researches of 88 patients with dyscirculator yencephalopathy with hypertension who were divided into two groups according to treatment: basic and con-trol. In the study group patients during combined use of reflexology and aromatherapy revealed a marked improvement of clinical indicators than in the control group of patients.

  Z Mavlyanova, A Velilyaeva, K Shmyrina, A Bazarova

  62-64

  164   28

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  An integrated approach to medical rehabilitation of patients with polyneuropathy The article presents the results of a comprehensive approach to medical rehabilitation of patients with polyneuropathy in age from 8 to 14 years. All the observed children were divided into two groups matched for sex and age. The first group consisted of 23 patients who along with conventional treatment were included in the scheme pharmacopuncture and acupuncture. The second group consisted of 20 patients with polyneuropathy children who received standard treatment. To evaluate the effectiveness of the therapy conducted a study of the functional state of the peripheral neuromotor apparatus by pacing electroneuromy-ography using motor, sensory stimulation and standard electrodes.

  Z Mavlyanova, Sh Niyozov, Sh Isanova

  57-61

  148   28

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  Improving treatment methods of acute otitis media Topical application of drugs on the basis of Otofa and deksometazona form an adequate concentration in the inflammation. In our study to achieve the objective, we used non-invasive method of delivering drugs in inflammatory foci in the middle ear. Using this method gave the highest effect in which the patients showed improvement of clinical symptoms, restore hearing and positive bacteriology

  G Lutfullaev, N Safarova, F Khamraev, E Zhabborov, H Nuraddinov

  54-56

  150   20

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  The use of oil of cumin in treating children with rickets In 45 children with rickets studied serum content of higher fatty acids. It was found that patients with rickets drop unsaturated and saturated fatty acids are increased. A study of higher fatty acids serum rickets in children receiving conventional treatment and the application of the cumin oil. Inclusion in the complex therapy of cumin oil improves the fatty acid composition in the majority of patients with rickets. Cumin oil leads to improved digestibility of lipids almost 2 times by regulating the activity of serum lipase, increases the activity of serum lipase and thereby improves the lipid profile.

  Sh Ibatova, D Islamova, Sh Ahmedov

  51-53

  114   28

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  Features of syndrome in splenomegaly chronic diffuse liver diseases This article contains information about the clinical manifestation of the syndrome of splenomegaly and changes ehokartiny spleen in chronic diffuse liver disease virus and alcoholic etiology. Presenting the results of studies suggest an etiological factor splenopatii

  H Zhumabaev, G Soipova, Z Nazarov

  48-50

  128   25

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  Performance evaluation of local therapy in the treatment of cervical The article is presented, evaluation result was local antimicrobic treatment in FarGALS domestic preparation in basic of express-test and cytological study in order to treat with the diagnosis of women with cervisitis. It is motivated that photological point of view was over-said choise in preparation. Overall, in ex-perimentation was detected by 60 women with the age of from 20 to 35 years old through the 5 days duration of disease during the 1,5 years period. In dependency from delivered statement, all patients were divided into 3 groups. The first group was 30 women with the diagnosis of cervisitis, in 9 of them were acute period , and 21 of them were chronic stage of disease. Complex treatment in these group was assigned by FarGALS in cervix in terms of treating in traditional forms with the treatment type of tampons 3,5ml course from 3 to 7 days. Evaluation of efficiency in antimicrob treatment was installed in base nitrite express-treatment, result of subjection to statistical analysis was used t-criterion of Styudenta and Vilkokson-Manna-Uitn, also in basic of analyzing bacterial data in cervix, cytological examination of cervical smear in Papanikalou. It was set up, after the treatment studying was showed by both groups in that age. In that case, 1gr efficient of anti-biotics by comparison of 2gr was felt in high by 45,8% and 40,7% factually. A period of time in preparations (drugs) were examined by FarGALS shortened in 3-5 days. During the treatment of women with the acute cervisitis were not become chronic stage during the examining. But women with chronic process of therapy was actually effective of situation 85%.

  G Juraeva, D Komilzhanova, M Sidikhojaeva, H Chodiev

  44-47

  119   28

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  Features of clinical course of the acute calculous cholecystitis in patients with diabetes In this article below has been investigated clinical course of acute cholecystitis in 65 patients with diabetes who were admitted to the Republic Emergency Medical Scientific Center and 1 st Tashkent City Clinical Hospital. After investigation, we have come to the following conclusions: 1. Progressive acute chol-ecystitis in patients with diabetes in case of fruitless after conservative is indication for surgery. 2. The op-eration of choice for patients who were mentioned above is laparoscopic cholecystectomy. 3. If patients con-dition improves it is preferable to delay operation for later period

  E Dadajonov, O Teshaev, Kh Kholov, A Holdors, E Jabborov, N Zhumaev

  39-43

  166   25

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  Vertical dimensions of teeth in adolescents from podolia with orthognathic bite depending on the shape of head and face type The boys and girls of Podillya with orthognatic bite established borders of the percentile magnitude of the vertical size of teeth among representatives with different shape of the head and face. The differences between the vertical dimensions of the teeth in the representatives with different shape of the head and different type of face (in boys due to the size of the teeth of the lower jaw, and the girls - due to the size of the teeth of the upper jaw), also revealed pronounced manifestations of sexual dimorphism data tooth size (large values in boys).

  A Glushak, I Gunas, N Lisnichuk, A Samoilenko

  29-38

  89   21

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  Clinical and stabilometric features of patients with ischemic stroke in the vertebrobasilar system with lesions of the brain stem in the background of “tagista” Шинкарук - Диковицкая The results of the 35 patients survey with the ischemic stroke in the vertebrobasilar system with le-sions of the brain stem in the early recovery period. Patients were held clinical-stabilometric investigations and biased on those, they were prescribed medicine “Tagista”. During the treatment on patients was observed decreasing the frequency of stabilometric deviations at the expense of dynamic components of the equilibri-um function.

  D Buriev, J Mardonov, Kh Olloberdiev, A Jurabekova

  25-28

  144   22

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  Index estimate of the intensity of caries and the level of resistance of tooth enamel to caries in somatically healthy men from different Regions of Ukraine In somatically healthy men from different regions of Ukraine is observed the 100% level of prevalence of dental caries with a total intensity of caries corresponding to the average level of CPU. Among the indica-tors of the intensity of dental caries (without separation and divided into different levels of CPU) and the re-sistance of the enamel of the teeth to caries, and their frequency distribution, the largest number of regional differences found for indicators of caries intensity and frequency distribution (attention is drawn to a larger overall CPU level in all groups, as well as the frequency of high and very high levels of CPU as a result of cone beam computed tomography, and the results of dental examination - a higher rate of low-level CPU). For indicators of the level of resistance of tooth enamel to caries significant regional differences virtually are not found.

  A Borisenko, N Lisnichuk, M Shynkaruk-Dikovitskaya

  18-24

  100   18

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