Медицина стала одной из первых отраслей, которая решила использовать потенциал 3D-принтеров в практических целях. Двигаясь от простого к сложному, ведущие медики подбирали способы внедрения аддитивной печати во врачебное дело. В наше время трехмерная печать используется практически во всех отраслях медицины: стоматологии, протезировании, хирургии и микрохирургии глаза, гинекологии и многих других.
Среди всех опухолевых заболеваний у детей нефробластома занимает 4 место, уступая только гемобластозам, новообразованиям ЦНС и саркомам мягких тканей. Частота её составляет от 0,4 до 1 на 100 000 детей. Чаще всего ОВ встречается у детей в возрасте 2-5 лет, редко у новорожденных и еще реже у детей старше 8 лет, как казуистика - у взрослых. Обычно ОВ возникает спорадически, а в 2% случаев она имеет семейный характер. В 10% случаев она развивается у детей с пороками развития (чаще мочеполовой системы) или генетическими синдромами. Частота заболевания среди девочек и мальчиков одинакова. В 6-10% случаев встречается билатеральное поражение почек, преимущественно у детей до 2 лет. В 2% случаев опухоль поражает подковообразную почку. Описаны случаи внеорганного расположения опухоли. Важное значение для этой патологии имеет не просто правильная, но и ранняя диагностика заболевания. Необходимо не только оценивать общее состояние больного, уточнять локализацию опухоли и степень ее распространения, с обязательным морфологическим подтверждением диагноза, но и использовать как можно больше инструментальных методов диагностики. При этом необходимо соблюдение принципа ургентности.
В литературе недостаточно освещены морфологические изменения внутренних органов, а именно структуры эндокринных желез на фоне заболеваний щитовидной железы.
This article presents solutions for effective use of digital economy and artificial intelligence opportunities in Uzbekistan. In the article, the «Digital Uzbekistan - 2030» strategy has been developed in Uzbekistan in order to ensure the rapid digital development of the social sector and the public administration system, including the further improvement of the mechanisms for the provision of electronic public services, introduction of electronic services and other software products, development of digital economy, automation of management, production and logistics processes in enterprises, development of digital education are described in detail. The main trends in the development of the Artificial Intelligence market at the moment are also discussed.
Вентрал чурра касаллигига чалинган 197 беморни жарроҳлик даволаш натижалари таҳлил қилинди, шундан 104 (52,8%) беморга бир вақтнинг ўзида қорин бўшлиғи аъзоларининг ва қорин олд деворининг жарроҳлик патологиясини коррекциялаш бўйича симултан операциялар ўтказилди. Беморларнинг 20,1% га операциянинг симултан босқичи алоҳида минилапаротомик йўл билан амалга оширилди. Шундан таранглашган аллопластика усуллари 48,2% га, таранглашмаган - 51,8% га ва беморларнинг 26,4% да дерматолипидектомия қилинган. Вентрал чурра касаллиги билан оғриган беморларда қорин девори ва қорин бўшлиғи аъзоларига симултан операцияларни ўтказишда стресс гормонларининг даражасини ўрганиш шуни кўрсатдики, жарроҳлик агрессия даражасига ва операция давомийлигига қорин олд деворининг пластикасининг "таранглашган" усули кўпроқ таъсир кўрсатди. Қорин бўшлиғи аъзоларининг патологиясини коррексиялаш бўйича операция етапи стресс гормонлари даражасига сезиларли таъсир кўрсатмади.
Since the Erasmus+ international credit mobility (ICM) program is, in most cases, popular enough among bachelor’s and master’s students, this paper mainly focuses on the exchange of doctoral students and Erasmus+ ICM contribution to the students’ research careers.
There arc results were analyzed: students' perception and digestibility of educational materials on emergency pediatrics using simulation equipment. Simulation training is a relatively new and very rapidly developing area of medical education. This teaching method is especially important for mastering the skills of emergency and emergency care for children. High demands on the quality of training of doctors, limited opportunities to work out new practical skills on patients (especially children), increased attention to the safety of medical care for patients and medical personnel, and adherence to ethical standards led to a new paradigm of medical education - the use of simulation methods of training.
The article discusses reforms in the field of mediation and
circumstances that prevent effective use of mediation in dispute resolution. The experience of foreign countries on expanding the use of mediation is analyzed. Proposals aimed at increasing the role of mediation in dispute resolution are provided.
Thermal injury is a serious medical, social and economic problem. The development of the heavy and chemical industries, as well as the widespread use of electricity in everyday life and industry, will contribute to a significant increase in burn injuries. Purpose. In case of burn injuries, the burn consists in the study of disorders in the hemostasis system in the shock phase. The object of the study was patients admitted to the department of combustiology of the Samarkand branch of the Republican Scientific Center for Emergency Medical Aid in the period from 2017 to 2020. In the phase of burn shock with deep burns from 10 to 35% of the body surface 95 (out of 112 main groups). The age of the patients ranged from 18 to 75 years, the average age was 54.3 ± 0.7. There were 142 (65.43%) men and 75 (34.56%) women. There was a poorly developed increase in the coagulation system (tolerance to heparin 253.4 ± 21.3 seconds, thrombotest - 4.06 ± 0.2 degrees), PTI decreased to 87.6 ± 3.1% (R <0.05). there was a constant decrease in fibrinolytic activity. However, a sharp decrease in fibrinolytic activity was observed, amounting to 6.58 ± 0.69% (P <0.05). Conclusions. When all patients are hospitalized, comprehensive anti-shock measures should be taken to improve the water-salt balance, acid-base balance and disruption of homeostasis.
An automated monitoring system has been developed for the AFM “Protection” of the development and spread of pests of forestry crops. The system is designed in the form of a local computer network, operates on-line and has the following additional features: automatic integration of daily data required for services of regional departments and the Forestry Agency of the republic. Based on these data, weekly, monthly maps and summary tables will be compiled.
SUMMARY
In the main directions of sustainable development of forestry in the Republic of Uzbekistan at the present stage for the period up to 2030, it is envisaged to further increase the productivity of forests on the basis of technical re-equipment, the introduction of advanced techniques to increase the efficiency of forestry production, improve the protection of forests from fires and protect them from pests and diseases. According to the forestry agency of the Republic of Uzbekistan, the area of forest plantations is 3.2 million hectares. This is about 7% of the total area of the republic. Of these, 821.0 thousand hectares are forest plantations. This means that only 2% of the area is covered by forests.
When planning the necessary forest protection measures, it is required to identify complexes of the most important, most dangerous pest species and predict further changes in the number of pest populations. Therefore, when organizing a monitoring system, it is necessary to obtain reliable information about the level of the number of pests and the degree of their threat to crops and plantations. First, when organizing a systematic system of forestry monitoring, the territory should be zoned based on economic and ecological criteria. Secondly, due to the fact that the emergence of foci of mass reproduction of pests is usually confined to regions where critical weather situations are observed, then when designing forestry monitoring such areas should be given priority attention. Thirdly, it is necessary to strongly recommend the organization of stationary objects in all farms, which will annually assess the level of abundance, the qualitative state of the populations of the main species and the state of the growing stand.
In case of significant damage to forest stands, a detailed survey with an assessment of the dynamics of tree mortality, determination of the qualitative and quantitative characteristics of the dominant pest species and the development of a strategy for forest protection measures should be carried out by specialists-entomologists.
In this study, in order to assess the prognostic efficiency of integral scales in assessing the severity of critical conditions in children, 143 children aged 12 to 18 years old were selected who were admitted to the TashPTI clinic through the emergency medical service of the city of Tashkent. Sick children arc divided into two groups. The first group included 63 deceased patients, and the second group included 80 surviving patients. When assessing the state and timing of fire outbreaks in children with critical conditions between mortality and the total number of points of assessment on the MODS scale, only three systems determined the presence of an exact correlation. It was determined that the use of the MODS assessment method for only three systems in the early stages of intensive care is important in determining the effectiveness of therapy.
The paper analyzes the features of transport injury in children, depending on the mechanism of injury. Children who were injured inside a car in an accident: "child passengers" and "children behind the wheel", were characterized by a relatively high frequency of injuries to the head, nasal bones and lower extremities. Also in this group of patients, damage to the bone, nervous and cardiovascular systems is noted, and in terms of quantity, damage to one or two systems is usually observed.
According to the structure of the severity of injuries, the first or second degree of severity usually prevails. In children who were injured outside the passenger compartment: "children pedestrians" hit by a car, the injury was characterized by a low incidence of head trauma and a high incidence of damage to the nasal bones and lower extremities. It should also be noted in these cases, mainly damage to the bone, respiratory and cardiovascular systems is observed, and in terms of quantity, damage to two or three systems is usually observed. According to the structure of the severity of injuries, the second and third degrees of severity usually prevail.
This research shows the results of a study of 30 newborns with severe respiratory failure in conditions of intensive therapy. They evaluated the effectiveness of high-frequency oscillatory ventilation of the lungs compared with children on traditional methods of mechanical ventilation of the lungs. Hemodynamics was assessed according to EchoCG, measuring blood pressure, heart rate. The dynamics of oxygen saturation, laboratory exams and clinical examination were carried out.
It was found that in all newborns with HFOV, they improved the oxygen saturation and earlier weaning from MV.
The article is devoted to the architecture of the Mullah Kyrgyz madrasah, located in the city of Namangan. The external decoration of the madrasah, made in the Kufic style, is also analyzed.
The analysis of treatment results of 93 patients with biliary disease that occurred in 1.6% of patients after cholecystectomy in early postoperative period was carried out. Using of mini-invasive endoscopic transduodenal interventions, diapetic (ultrasound-controlled puncture) methods and laparoscopy, as well as active conservative therapy in the main study group allowed avoiding laparotomy in 92.4% of patients with biliary disease of I and II degree. In patients with biliary disease of III degree due to damage of the main bile ducts the best results were obtained by applying high GEA according to RU using a precision technique. The developed treatment and diagnostic tactics allowed to improve significantly the results of treatment in patients with early biliary complications after cholecystectomy.
The question of modern possibilities of complex diagnostics of thyroid nodules is considered. Despite the large number of studies conducted, it is not always possible to correctly establish an accurate morphological diagnosis of thyroid nodules, which indicates the need to improve existing and search for new, more informative diagnostic methods. In this regard, reports on the use of measurements of tissue pressure in the thyroid gland for the differential diagnosis of various pathologies of this organ are very promising.
Based on the analysis of the case histories of 327 patients with liver echinococcosis (LE), surgical treatment tactics were developed taking into account optimal access depending on the location of the cyst; indications for biliary tract decompression, including using endoscopic techniques, were determined.