The aim of the study is to improve the results of diagnosis and surgical treatment of victims with closed abdominal injury by developing a new approach to ultrasound assessment of the amount of hemoperitoneum, expanding and specifying indications for laparoscopy, taking into account the volume of free fluid in the abdominal cavity.
The object of the study were 160 patients with closed abdominal injury with stable hemodynamics, was hospitalized in the surgical Department of the Republican specialized scientific and practical center for emergency medicine of the Samarkand branch (clinical departments of surgical diseases № 2 and surgery postgraduate faculty of Samarkand state Medical Institute) for the period from 2010 to 2019.
The scientific novelty of the study is as follows: a fundamentally new approach to ultrasound evaluation of discrete volumes of free fluid in the abdominal cavity is proposed, based on taking into account the thickness of the fluid layer and its prevalence in the abdominal cavity zones; The expediency of using the ultrasound indicator "free fluid in the abdominal cavity < or >500 ml" in choosing the tactics of surgical treatment of patients with closed abdominal injury is substantiated; an algorithm for choosing surgical tactics for the treatment of patients with closed abdominal trauma was developed based on an ultrasound assessment of the volume of free fluid in the abdominal cavity.
Implementation of research results. Based on the results of a scientific study to improve the diagnosis and surgical treatment of patients with closed abdominal trauma:methodological recommendations "The choice of tactics for surgical treatment of closed abdominal trauma based on ultrasound assessment of the nature and severity of the injury" have been developed (certificate of the Ministry of Health No. 8n-z/1282 dated November 15, 2022). The proposed recommendations made it possible to increase the effectiveness of the diagnosis of intra-abdominal injuries in patients with abdominal trauma;
The results of scientific research on improving the diagnosis and surgical treatment of patients with closed abdominal injury have been introduced into medical practice, including the clinical practice of the Republican Scientific Center for Emergency Medical Care and its Samarkand, Surkhandarya and Navoi branches (conclusion of the Ministry of Health No. 8 n-z/699 dated December 21, 2022). The introduction of the obtained results into clinical practice allowed to improve the quality of high-tech surgical care provided to patients with isolated and combined abdominal injuries, to reduce the frequency of postoperative complications from 11.9 to 3.1% (p=0.144).
The structure and volume of the dissertation. The dissertation consists of an introduction, 4 chapters, conclusions and a list of cited literature. The volume of the text material is 107 pages.
Object of research: formation process of elements of graphic literacy at children of the senior and preparatory groups of children's preschool institutions.
The purpose of work: to develop pedagogical system to the doctrine of elements of graphic literacy of senior and preparatory groups pupils.
Methods of research: the theoretical analysis, individual, group oral and written conversations, questioning, experiment, innovative and interactive methods, the mathematic -statistical analysis.
Novelty of research: the problem formation of elements of graphic literacy at children of the senior preschool age is first developed in a scientific way by proceeding and opening features of Uzbekistan. The theoretical and practical basis, pedagogical system and system of problems tasks included into it is developed; scientifically proved technique of elements formation of graphic literacy at children of the senior preschool age is developed.
Network of introduction and economic efficiency: the point of research and pedagogical system developed on ins basis, methodical recommendations and workbooks’ will help teachers and chiefs of graphic activity courses in formation of graphic literacy elements at children.
The practical importance: an essence research and on the basis of it’s the developed pedagogical system, methodical recommendations and the grant will help teachers and heads of a circle on graphic activity in formation at children of elements of graphic activity. Ideas stated in disscrtational work is possible to use in teaching lessons of graphic activity in pedagogical High schools and colleges. Proceeding from conclusions the developed methodical recommendations will help to organize and increase the efficiency of lessons of graphic activity.
Scope: conclusions and the basic ideas of the dissertation can be used at faculties of preschool education of High schools, professional colleges whey teaching «Pedagogics of preschool age", at the organization of lessons heat arc included into the in that arc included into the group of graphic activity in children's preschool institutions.
This article describes the characteristics of written translation, reveals the need for training in written translation, and identifies the difficulties of written translation. The formation of written translation skills is described step by step. A brief summary of methods and some techniques for developing written translation skills is given.
The article is dedicated to some contemporary methods of studying political situations and processes such as content analysis, event research, cognitive mapping. Considering these methods, the author demonstrates strong and weak aspects of using them in scientific practice.
This scientific article is devoted to the formation of medical law as an integrated industry in the legal system. The subject and methods of legal regulation of medical law are defined. Revealed the presence of general principles that are inherent in medical law. The content, availability of the system and the structure of medical law are described, containing legal sub-sectors, institutions and norms, methods and other criteria inherent in medical law. Objective aspects that testify to the complex nature of medical law are studied, analyzed and argued.
Objects of researches were the professional sportsmen who are training in the sportcomplexes of Tashkent, experimental animals. A subject of researches: optimisation of a nutrition of professional sportsmen and protection of their health at the strengthened physical, mental and thermal influence.
The work purpose: development of scientific bases of a balanced diet of professional sportsmen in the conditions of the republic Uzbekistan.
Research methods: hygienic, medical and biologic, biochemical, chemical, statistical methods of researches and questioning are used.
The received results and their novelty: are defined requirements for the basic food substances and energy of professional sportsmen RUz depending on professional skill, puberty groups, kinds of sports, climatic conditions and national features of a food defined which have not been defined earlier. Factors of physical activity (FFA) for separate kinds of activity of sportsmen are established. Power expenses of sportsmen by sports kinds, features and professional skill on the basis of daily average timing are revealed. Features of a condition of an actual food and a drinking mode of members Olympic and the national teams of Uzbekistan connected with national habits in a food and a hot climate are studied. Are revealed additional necessity to the basic food of ways of correction micronutrient structure of food in the conditions of high physical and mental loading. Have been developed toxicological passports of BAS for sportsmen. Has been estimated efficiency of actions for rationalisation of a food of professional sportsmen.
Practical value of the work. National daily average norms of a food for professional sportsmen by all kinds of sports with the account of puberty features and level of professional skill confirmed MH RUz (SanPi Ni are developed and confirmed: № 0126-01; № 0140-03; № 0139-03).
Degree of introduction and their economic value: results of researches are introduced in GDSES MH RUz, in Committee on physical training and sports RUz and are used at catering services by national teams on wrestling kurash, to free-style wrestling, boxing, weightlifting, swimming, other kinds sports, and also in sports colleges of the republic.
Sphere of usage: nutrition hygiene, physical culture and sports.