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.
Subjects of research: choose the activity of OJSC “Uzbekistan pochtasi” and its branches.
Purpose of work: the development scientifically-practical offers on increasing of efficiency of the services of the postal branch in condition of the modernizations of the national economy.
Methods of research: economic-statistical, ekonomico-mathematical and system, statistical grouping and the comparative analysis, is abstract-logic thinking.
The results obtained and their novelty: for the first time in republic carried out the complex analysis of factors increase of efficiency of services of a postal service, and showed priority directions increase of efficiency of post services; it is developed a technique, which by a basis to an estimation and increase of efficiency of post services; proceeding from recommended to a technique to an estimation of efficiency of services of a postal service it is developed systems of indicators of efficiency of post services and on the basis of them it is carried out the analysis; scientifically kinds of efficiency of services of a postal service are grouped; the Analysis increase of efficiency of services in Uzbekistan is carried out on a basis - the analysis of marketing and innovative activity, introduction of new services on a basis attraction is information communication technologies, and also degree of qualifications of shots; It is carried out the analysis of a diversification of post services and perfection of management of branch, and also formation of the competitive environment and it is made practical recommendations about their modernisation and development;
Practical value: the basic results and conclusions serve scientific increase degree to efficiency of services in OJSC “Uzbekistan pochtasi” and its branches. Also, separate scientific ideas and recommendations are applied in teaching special disciplines “Teor-itecal bases to post service”, “the Business economics (Postal service)”, “the organizations and planning of the enterprises of a postal service”, "economy of communication and informatization” in Tashkent university of information technology.
Degree of embed and economic effectivity: the basic results, conclusions and offers are introduced activity of OJSC “Uzbekistan pochtasi” and the Centre researches and marketing studies. Besides, separate the result of researches are accepted to introduction in educational process of the Tashkent university of an information technology.
Field of application: results of research will be applied in process rendering the postal services, and also in educational process higher educational institutions.
Remedial teaching in EFL classrooms involves providing additional support and guidance to students who are struggling with their English language skills. Different approaches can be used to address the individual needs of these students, including differentiated instruction, small group instruction, peer tutoring, scaffolded instruction, multisensory instruction, use of technology, and individualized learning plans. These approaches promote personalized instruction, targeted feedback, and a supportive learning environment, ultimately helping struggling students improve their English language proficiency.
Хронические заболевания гастродуоденальной зоны являются одной из часто встречаемой патологией детского возраста, включающие в себя как воспалительные заболевания, так и язвенные поражения желудка и двенадцатиперстной кишки. При этом, хроническая гастродуоденальная патология (ХГДП) состоит из множества разнообразных заболеваний, которые имеют многофакторное происхождение, включая генетическую предрасположенность, связь с нарушением регуляции иммунного ответа, микробным дисбиозом и триггерами окружающей среды. Учитывая высокую встречаемость данной патологии среди детей и подростков, данная проблема остаётся актуальной в современной педиатрии.
In Japanese society, 家-iе –“house” is a very important and comprehensive concept. A house is a complete system made up of the homeowner and the family. 家-iе –the word “house” is considered to have different meanings, such as place of residence, family, family group, belonging to a tribe, inheritor, social status. In this study, terms such as 主人(syujin)–husband, 家内(kanai)-wife, 奥さん(okusan)-your wife, 嫁(yome)-bride are related to家-iе –“house”. Comparative studies of kinship terms have been studied by many researchers. In addition, anthropological, dialectical, historical, typological, applied and focus studies have recently been observed. European and American scholars (Embree, Norbeck, Cornell, Beardley, Befu, Fisher) after that Japanese scholars (Suzuki, Fuji, Komori) have researched in-depth scientific works on the pecularity of Japanese kinship references. In the article analyzes the researches about kinship terms related to家-iе –“house” have been observed. Thera are four main scientific points of view about the use of kinship references: 1)the social position taken as a criterion of the house is taken as status names(positional terminology, social status); 2)kinship terminology 3)modified teknonymy; 4) oikonimi ー oykonim iе –“house”. Which viewpoint is more effective? It is one of the controversial topic in the japanese kinship references. The meanings of kinship terms have not been widely analyzed in nowadays’ researches. It has been found that specific concepts in personality thought have not sufficiently been studied in the application of kinship terms.
As a result of numerous clinical and experimental studies, a relationship has been established between changes in the oral cavity and pathology of internal organs. In modem dentistry, interest in research on concomitant pathologies is explained by the accumulation of new arguments, the emergence of new information in the system of the whole organism [3,5]. This analysis focuses on the prevalence of hepatitis infection and its various oral manifestations,consequences and clinical course. In this regard, the monitoring of outpatient records of patients with concomitant pathology, such as hepatitis А, В, C with inflammatory processes of the oral cavity and maxillofacial area after tooth extraction for emergency indications in the clinic of surgical dentistry of the clinic of the Tashkent State Dental Institute over the past 5 years was carried out.
The aim of the research work is determination of the prospects for the use of a domestic agent for the prevention of adhesion formation in thoraco-abdominal surgery on the basis of experimental and morphological studies.
Research objectives were white outbred rats in the amount of 62 individuals, in two experimental studies on the abdominal and pleural cavities, in each series of experiments the studies were carried out in 2 comparative groups, control and main. Experiments on the formation of adhesions in the abdominal and pleural cavities were carried out on the basis of the Republican Specialized Scientific and Practical Medical Center of Surgery named after acad. V.Vakhidov in the Department of Experimental Surgery for the period from 2019 to 2020.
The scientific novelty of the research consists of the followings: it is proved according to the data of experimental research that when modeling the adhesion process in the abdominal cavity, the local application of an anti-adhesion coating made of cellulose derivatives reduces the processes of adhesiogenesis and the development of changes in architectonics, bends and narrowings of the intestinal lumen; it was found in an experimental study that when modeling the adhesion process in the chest cavity, the local use of an anti-adhesion implant provides a significant decrease in the risk of adhesiogenesis in the form of the formation of coarse adhesions or planar adhesions; it was determined that when blood serum was applied over a powder implant, the quality of adhesion and the uniformity of its distribution on the surface of the experimental defect of the peritoneum or lung did not change, but, in contrast to activation by blood (to ensure a hemostatic effect), it was not accompanied by the development of cellular inflammation due to the resorption of thrombotic masses; it was found that the formation of a gel film over the area of damage to the peritoneum in the absence of cellular elements of blood makes it possible to achieve biodegradation of the coating without a pronounced cellular-inflammatory reaction, providing cicatricial replacement of defects with a significant reduction in the risk of developing a massive adhesive process; the morphostructural features of the formation of the adhesive process when using an anti-adhesive coating, characterized by regression in the dynamics of the number of connective tissue cells of the inflammatory infiltrate with scarring of the defect zone without the development of adhesive conglomerates with the surrounding tissues, have been determined.
Introduction of the research results. According to the results of a scientific study on a comparative analysis of the use of a domestic agent for the prevention of adhesion formation in thoraco-abdominal surgery: methodological recommendations were developed: "New technologies for the prevention of adhesions in thoraco-abdominal surgery" (certificate of the Ministry of Health No. 08-09/10055 of August 12, 2021). The proposed recommendations for performing surgical interventions on the organs of the abdominal and thoracic cavities will allow for sparing local hemostasis, as well as prevent the formation of a coarse adhesive process in the abdominal cavity.
The obtained scientific results on a comparative analysis of the use of the domestic remedy for the prevention of adhesion formation in thoraco-abdominal surgery have been introduced into the practical activities of health care, including in the Republican Specialized Scientific and Practical Medical Center for Surgery named after V.I. Academician V. Vakhidov, surgical departments of the clinics of the Andijan and Samarkand State Medical Institutes (certificate of the Ministry of Health No. 08-09/10055 of August 12, 2021). Based on the proposed results of experimental studies, it was shown that the use of an anti-adhesive coating made of cellulose derivatives made it possible to reduce the risk of adhesion formation from 60% to 20%, bowel deformation without manifestations of obstruction from 33.3% to 13.3% and the possibility of acute adhesive intestinal obstruction from 6.7% to 0%.
Structure and scope of the dissertation. The dissertation consists of an introduction, four chapters, conclusions, practical recommendations and a list of cited literature. The volume of work is 113 pages.
The course of project drawing, at Tashkent Architectural and Construction Institute is aimed at the formation of the graphic culture of students, as well as the creative potential of the individual. A lot of effective work in this area, especially in the teaching design drawing is achieved through the use of modern graphic software. Among graphic programs, in particular in the field of architecture, ArchiCAD is the best in the opinion of professionals. This program illustrates most effectively students, three-dimensional drawings for understanding architectural projects. This is necessary for students to fully understand the specifics of their profession.
Blockchain technology is “cross-cutting”, that is, one that can be applied in many areas of the economy, management, including state, municipal and social spheres. The relevance of the analysis of the experience of implementing the blockchain technology is determined by the provisions and the need to form the basis for the prospective assessment of the consequences of the implementation of this technology, both nationally and internationally. In this article, we study the international experience of applying this technology in the supply chain of logistics processes and give the necessary recommenda tions.
A conditioned reflex (temporal connection) is an individual reaction acquired during life through learning (as opposed to an unconditioned (innate) reflex). It is produced under certain conditions: the coincidence in time of the unconditioned stimulus and the neutral stimulus (a classic example: the presentation of food with the simultaneous ignition of a light bulb), as a result of which a reaction (for example, salivation) appears after a while to the presentation of only a neutral stimulus.
ХХI аср ахборот технологияларининг жадал ривожланиши билан ажралиб туради. Ахборот технологияларининг такомиллаштирилиши ҳаётнинг барча жабҳаларида ўзгаришларга олиб келади. Ўзбекистон Республикаси божхона тизимида ахборот технологиялари қўлланилиши истиқболлари хусусида иқтисодий таҳлил ўтказиш, башорат қилиш, алоқанинг ривожланишини лойиҳалаштириш, илмий-тадқиқот ва тажриба-конструкторлик ишлари режаларини асослаб бериш, янги техникаларни тайёрлаш ва жорий қилиш, ишлаб чиқаришни ривожлантириш ва такомиллаштириш бўйича чоратадбирларни амалга ошириш ва ҳоказоларда самарадорликни аниқлаш, тармоқ ва унинг таркибидаги кичик тармоқларни ривожлантиришнинг тезлашган суръатларини асослаб бериш, ривожланишнинг энг самарали йўналишларини танлаб олиш, ишлаб чиқариш структураси ва бошқарув тизимини такомиллаштиришнинг асоси бўлиб хизмат қилиши, тармоқда самарадорликнинг ўсиши ва умуман ишлаб чиқаришнинг ўсишини рағбатлантириши лозим