The aim of the research work is to improve the results of surgical treatment of chronic anterior-medial dislocations of the radial head in children based on the improvement of the method of surgical treatment.
The object of the study was 83 patients with chronic antero-medial dislocations of the head of the radius, treated in the department of the consequences of childhood injuries of the Samarkand branch of the RSSPMC of Traumatology and Orthopedics for the period 2017-2020. The scientific novelty of the research work is the following: it is proved by histological examination that, in case of injuries from up to 1 month ago, the anterior wall of the joint capsule is thin and elastic, which is easily stretched, and from 3 months ago, it thickens, scars and forms fibrous tissue; the possibility of using a fibrous-modified joint capsule for annular ligament plasty in the surgical treatment of chronic antero-medial dislocations of the radial head from 3 months ago was proved; the tactics of surgical treatment of chronic antero-medial dislocations of the head of the radius depending on the deformity of the bones of the forearm were determined; a direct relationship between the results of surgical treatment of chronic antero-medial dislocations of the head of the radius, depending on the duration of the injury, has been proven.
The introduction of research results. Based on the obtained scientific results on the optimization of surgical treatment of chronic antero-medial dislocations of the radial head in children:
based on the results of the development of a method for annular ligament plasty, a patent for an invention was obtained from the Intellectual Property Agency of the Russian Federation “A method for the surgical treatment of chronic anterior medial dislocation of the radial head in children by capsuloplasty according” (patent № 2749870 dated 06/17/2021). The results obtained made it possible to improve the results of surgical treatment, to reduce the period of penetration in the hospital and after the surgical rehabilitation period; based on the results of scientific research on the surgical treatment of chronic anterior medial dislocations of the radial head, the guidelines “Surgical treatment of chronic dislocations of the radial head in children” were approved (Conclusion of the Ministry of Health of the Republic of Uzbekistan 8 n-z / 81 dated February 21, 2022). The results obtained have improved the quality of early diagnosis and treatment of patients with chronic anterior medial dislocations of the radial head in children; based on the results of scientific research on the surgical treatment of chronic antero-medial dislocations of the head of the radius, the methodological recommendations “Conclusion of the Ministry of Health of the Republic of Uzbekistan 8 n-z / 289 of August 31, 2021” were approved. The results obtained have improved the quality of early diagnosis and treatment of patients with chronic anterior medial dislocations of the radial head in children;
Scientific results have been introduced into the practice of healthcare (Conclusion of the Ministry of Health 08-32955 of October 24, 2022), in particular, the Samarkand branch of the Republican Specialized Scientific and Practical Medical Center for Traumatology and Orthopedics, the Bukhara branch of the Republican Scientific Center for Emergency Medical Care, and the Samarkand Regional Children's Multidisciplinary Medical Center. The proposed method for the treatment of chronic anterior-medial dislocations of the radial head in children allowed to reduce the frequency of relapses, increase excellent and good results from 75.6% to 92.9%.
The structure and scope of the dissertation. The dissertation consists of an introduction, 5 chapters, conclusion, conclusions, practical recommendations, a list of references and applications. The volume of the dissertation is 109 pages.
This article presents proposals and recommendations for the development of family business in the country, its role in the economy and sustainable economic development in poverty reduction.
This article analyzes the importance of tourism in economic development, the work being done in our country to develop the tourism industry is analyzed. Based on the comparative analysis of developed foreign countries, proposals for the development of tourism in our country are presented
The full satisfaction of the needs of the population in quality and affordable food products is directly related to the development of the agricultural sector, which in turn requires the introduction of modern and innovative methods in the industry. The purpose of the study is to analyze the state of innovative development of the Tashkent region of the Republic of Uzbekistan and to identify factors for the implementation of innovative activities in agriculture.
This article substantiates the need to grow licorice in the Republic of Karakalpakstan, describes the ongoing work on the cultivation and production of licorice, to increase the export potential of the region, provides a strategy for the development of this sector, and offers proposals for the creation of horizontal and vertical cooperation and clusters in order to develop the industry of licorice production.
Бугун дунё мамлакатлари каби республикамизда ҳам тадбиркорлик соҳасини ривожлантириш, жумладан, транспорт хизмати кўрсатиш соҳасида тадбиркорлик фаолиятини ташкил этиш ва уни ривожлантириш муҳим вазифалардан бирига айланди. Мустақиллик йилларида иқтисодиётнинг барча тармоқларида бўлгани каби транспорт хизматлари кўрсатиш соҳасида ҳам кенг қамровли туб ислоҳотлар амалга оширилди. Бугун шиддат билан ўзгараётган дунёда транспорт хизматлари кўрсатишнинг баҳоси ортиб бораётган, табиат инжиқликлари, дунёдаги сиёсий вазиятлар натижасида айрим мамлакатларнинг транспортлогистика хизмат кўрсатиш даражасига катта зарар етаётган, яқин йиллар ичида нефть ва нефть маҳсулотлари, газ ва газ маҳсулотлари баҳоси 4-5 баробарга ошиши башорат қилинаётган бир қатор номутаносибликлар юзага келаётган бир шароитда Президентимиз Шавкат Мирзиёев томонидан республикамизда йўл-транспорт инфратузилмаларини тубдан ислоҳ қилиш, уларни жаҳон стандартлари даражасига чиқариш провард натижада мамлакатимизнинг ташқи савдо товар айланмасини ривожлантиришга ижобий таъсир ўтказади
Topicality and demand of the subject of dissertation. Development of science and intensification of all branches of national economy and also introduction of new technogenic processes of production have resulted in antropogenic influence of industrial activity of man on the environment and ecological equilibrium According to the data of regional evaluation of stable toxical compounds in the countries of the European Counsel the highest concentrations of Pb, Cd and Hg in the environment have been noted in the Ukraine (Pb-31,02; Cd-54, Hg-36 ton/year).Release of heavy metals to the environment for Russia equaled Pb-50%; Cd-66%; Hg-37% and in some others countries: Pb-10%,Cd-21%,Hg-58%,.Short analysis of the situation interms of these tree toxical metals has shown the level of antropogenic throwings of heavy toxical metals(HTM).The biggest part of HTM finding with throwings released to the atmosphere thrown out on soil and in waters of the country being the-surce the release and then they accumulate in neighbouring countries .
At presente time in the Republic of Uzbekistan the level of manufacture is rapidly growing and this results in the increase of the concervation of HTM compared with global scale of some natural processes. The most dangerous for the health of population are the non-essencial elements (Hg, Cd, Pb, As) . For this reason the monitoring of pollutions of objects of environment especialy HTM has acquired special importance and actuality. Qualitative and quantitative determination of ions of HTM has acquired important and necessary demands and has pulled out before analysts and ecologists the task of elaboration of express sensitive and selective methods of determination of microquantities of these elements which are dangerous toxicants, cancerogens and mutagens.
In this regard in the process protection of objects of the environment it is important and necessary to determinetion precise concentrations of HTM by different physical, chemical and physico-chemicals methods. For the practical realization of this problem at chemical analysis it is necessary to improve perfection existing methods analysis and elaborationof new modern methods ecotoxicants monitoring (espessially HTM). In the aspect of realization of theoretical prerequisites and practical confirmation of analytical determination of ecotoxicants concentrations it is necessary to elaborate some new hybrid methods with immobilization of different complexe-forming reagents on polymeric bearers and matrixes differing by high meteological and operation parameters.
Existing actual problems can be solved by introducing to the analytical practices of the methods of HTM determination of some new selective and specific organic reagents.The most perspective way of their solution is the purposeful synthesis and immobilization of new organic reagents with some definite analytical characteristics with following forecast of their properties with the aim of the optimal solving of the given tasks.
Elaboration of methods and approaches of prognosis as method of further development of sorbtion-spectroscopical method of analysis is an actual problem .In this range of theoretical and applied analytical chemistry there are considerable achivments bonding with investigations of home and forcing investigators ,but row of questions of problematical character has demanded of deep investigation and knowledges of new approaches and methods of their decision.
It is known that theory of action of OR is characterized as “system of ideas” allow ing to construct of some analytical system to find optimal by nature reagent and medium in which analytical reaction will carried out .In decision of some taskes of development of theory of OR action the fallowing stages neussarg to take into acconnl:”esplantion of observe processes and phenoments:prediction and direction works by synthesis of reagents with given properties .’’Thus the elaborated methodology and predication of properties of immobilized analytical reagents can be consider as definite seintific contribution in development of theory of action of IMOR for their using in analytical chemistry and ecology.
Purpose of research is elaboration of express, high-sensitive sorbtion-spectroscopical methods and test-systems of HTM determination with using of IMOR. Elaboration on the base of these methods some general approach to prognosis of properties and construction of specifical analytical grouos in organic reagents immobilized on different types of bearers synthesis of new organic reagents with given up properties on the base of our theretical prognosisesand introduction of them in practice of analysis of different analytical and ecological laboratories.
To achieve this goal the following tasks of research is solved: -optimization of immobilization conditions of organic reagents with preservation of their analytical properties; determination of mechanism of coloured reactious of complex-formation of immobilized organic reagents with ions of HTM;
-determination of connection between structure of OR and their analytical characteristics; prognosis of some perspective ways of their modification and directed synthesis of new specifical reagents on the base of nitronaphtols;
-analytical groups (EAG): (6-methyl-pyridil-2-azo-aminophenol; l-(5-methyl -2-pyridilfzo )-5-diethglaminophenol ;l-(4-antipyridilazo) -2-napthol sulphoacid; 1-(2-pyridilazo)-2-oxynaphtalin-6-sulphoacid sodlium; 3-hydroxy-4-nitrozo-2-naphtoic acid;2-hydroxiy -3-nitrozo naphtaldehyde and others);
-determination of influence of different factors and parameters on value of the analytical signal ;wing of elaborated methods in analysis of different by nature model binary ,triple and more complex mixtabiological objects industrial materials
-comparison of obtained results with results obtained by existing methods of determination of the investisated metals in solution.
Scientific novelty of disscrtational research consists in the following:
-Immobilization of different by nature reagents for prognosis and prediction of optimal construction of some OR based on quantum-chemical value of changing of analytical characteristics in dependence on structure of the functional and analytical-active groups has been theoretically based and practically has been realized;
-Chemico-analytical properties of OR immobilized on bearers on the base of polyacrylonitrile (PAN) and polypropylene (PP) for apriory prediction of structure of different OR and elaboration on their base an optical chemical sensors on the base PAN and PP-matrixes having some necessary analytical parameters;
Conclusion
1. Litrature date about using fiber sorbents and ion-exchanging on their base for determination of HTM cations at analysis objects of environment have been summarized. Advantages of using of fiber sorbents in comparison with their using as granule and powder have been shown. Necessarily of search of new immobilized reagents for determination metals in different objects was ground.
2. New scientific trend in analytical chemistry based on the sorbtion-spectroscopical determination of HTM in different objects of enviroment with using immobilized on fiber material organical reagents of different nature with aim of improvment of metrological parameters, exploitational and analytical parameters was developed.
3. Pysico-chemical and analytical properties of immobilized reagents on the base of reagents Arsenaza and threephenylmethan row and also synthesized on the department of organical chemistry NUUz sorbited on the fiber “Nitron” were systematically investigated. Optimal conditions of immobilization of new reagents on some polymeric bearers with preservation of theirspecifical analytical properties were determined.
4. 1R- spectroskopical investigation of immobilized reagents of fiber sorbents and their complexes with cations of HTM was carriedout. It was proved that in complex-formation of HTM ions with immobilized reagents the same functional analytical groups participated as in case of native solutions.
5. Results of investigations of interaction of reagents group Arsenazo and theephenylmethanic raw and also reagents synthesized on the derailment of inorganical and analytical chemistry of chemical faculty ofNUUz immobilized on marix on the base of PAN and PP-fibers with ions of HTM have shown that their immobilization was carried out owing to ionic changing and also formation of strong intermolecular hydrogenous bonds with bearers.
6. Using of calculating quant- chemical methods such as EMN, MNDO, RMZ and AM-1 has allowed in apriori to predict the structures of different rengents having some necessary analytical parameters (sensibility, contrastion of reactions and conditions of their carring out).
7. On the base on comparison optimal conditions of immobilization, sorbtion, degree of extraction of metals ions, coefficients of distribution, sorbtion capasity of fiber sorbents, data about sensibility of the analytical action occording to ions Cd, Hg, Cu and Fe in presence of accompanying elements, possibilities of quantitative desorption by small volumes of mineral acids and accessibility of initialcompounds it is shown an perspective of practical using of synthesized reagents and fiber sorbents. Immobilized reagents quantitativly have extracted ions of metals during 20-30 min at temperature 20-25°C in pH diapazone 3-7 (R=90-99%).
8. Coplex of methods of solidphase - spectroshopical and visually-testing determination of HTM in natural objects and samples of sewage and also new effective method of sorbtion - spectroskopical determination of Co,Cu, Cu, Ni, Fe and Hg in drinking and natural waters with using of immobilized organical reagent has been elaborated . This sorbtion - spectroskopical method has allowed to determine abovementioned metals in drinking and natural waters on the level n x 10-6 - n x 10'3 % and also to decrease the limitof their determination . Rightness of elaborated methods was proved by method “introduced - determined” at analysis of some real abjects and also by comparison with data obtained by atom -absorbtion method.
9. Elaborated methods were aprobated at analysis of real objects and were introduced in practics of laboratories by investigation of surface waters NYSMY; SES (sanepidemic station) of Tashkent region and Bekabad; department of radiopreparates of INP (Institute of nucleur physies) and others. Some obtained experimental data have been introduced in educational process at reading of lectures , carring out seminars and labaratory works with bachelors and masters by courses : “Analysis of environment objects”; “Optical methods of analysis “ ; “Physical methods of analysis “ ; “ Metrology statistics and computer in analytical chemistry” on the departments ofNUUz ; SamSU; Term.SV Tash.Pharm.1.
Мамлакатимизда олиб борилаётган ислоҳотлар ҳозирда иқтисодий барқарорликни, иқтисодиётнинг юқори ўсиш суръатларини таъминлаб, халқимизнинг ижтимоий-иқтисодий шароитларини тубдан яхшилашда асосий замин бўлмоқда.Айни вақтда тараққиёт йўлимизнинг таҳлили бугунги кунда жаҳон бозорида конъюнктура кескин ўзгариб, рақобат тобора кучайиб бораётганини албатта ҳисобга олишни, шу асосда давлатимизни янада барқарор ва жадал суръатлар билан ривожлантириш учун янгича ёндашув ва тамойиллар билан ишлашни тақозо этмоқда[1].