The article describes modern methods of diagnosis and treatment of acute cholecystitis and its complications in cholelithiasis. In the literature, data on the problem of treating choledocholithiasis are contradictory. The question of evaluating the effectiveness of various treatment technologies remains open and requires further in-depth study. The introduction of new methods and technologies in the treatment of patients with choledocholithiasis not only did not bring clarity to the solution of issues related to the tactics of treating such patients, but, on the contrary, increased the contradictions.
The article covers the concept, essence and principles of interpretation of normative legal acts. There is a scientific discussion on the views of a number of scientists. During the discussion, issues related to the correct understanding and interpretation of the content of legal norms, their application to social relations were considered. Methods of interpretation of normative legal acts are explained. At the same time, special attention was paid to the subjects, types of interpretation of legal norms, the factors leading to the ambiguity of some norms in the normative legal acts, gaps in the law were studied in depth, and developed proposals for their effective elimination. In addition, a comparative analysis of national and foreign experience in the interpretation of normative legal documents was carried out, showing the peculiarities of different legal families. At the end of the article, the author puts forward appropriate proposals for amendments and additions to the interpretation of normative legal acts of the Republic of Uzbekistan, aimed at improving the existing legislation.
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.
Postoperative adhesion formation is the most common complication in general surgical practice with a frequency of more than 90% after abdominal surgery and up to 70% after thoracic surgery (Aysan E. et al. 2020, Banka R. et al. 2018). The frequency of relaparotomy and retorakotomy, according to various literature data, is estimated at 63% -97% (Bhatnagar R. et al. 2016, De Wilde RL et al. 2016). Repeated surgical procedures are more time-consuming and technically difficult, which, in turn, creates a potential risk of damage to vital structures. The paper analyzes the results of experimental and morphological studies, substantiates the effectiveness of the prevention of adhesion formation by using a domestic anti-adhesion agent in the form of a powder from cellulose derivatives. The biological safety of the new anti-adhesive coating has been determined under experimental conditions. 32 white outbred rats were used as experimental animals.
The article deals with one of the rare surgical diseases – gallstone intestinal obstruction. In the etiology play a "large" gallstones and internal biliary-enteric fistulas. The clinic and diagnosis of this pathology may not differ from other types of intestinal obstruction, but the treatment tactics of biliary ileus has several features and requires special surgical tactics.
Maqolada tinglash qobiliyatlari bilan zamonaviy o'qitish haqida so'z boradi. Bundan tashqari, quyida tillarni tinglash ko'nikmalarini yaxshilashning oson yo'li berilgan
Среди методов инструментальной диагностики болезней дыхательных путей в педиатрии бронхоскопические исследования занимают одно из ведущих мест. Возможно, это объясняется развитием эндоскопической аппаратуры, малой инвазивностью и высокой информативностью. Актуальной проблемой в анестезиологическом пособии при ФБС у детей является вентиляционная поддержка и обеспечение адекватного газового обмена. Обеспечение проходимости дыхательных путей и проведение адекватной ИВЛ может осуществляться путем интубации трахеи или установки ларингеальной маски (LM), которая имеет определенные преимущества перед интубационной трубкой в виде меньшей травматичности, осложнений и выраженности гемодинамических изменений во время установки
The article presents the results of the study, including both the epidemiological aspects of the disease and the factor analysis of the main causes of unsatisfactory treatment results, according to the largest institution specialized in COVID-19 – the Republican Specialized Multidisciplinary Infectious Diseases Hospital (Zangiata No. 1) – from the opening of the medical center on July 09, 2020 to December 31, 2020.
The monography presents data on the level of stress hormones in dynamics before, during the main surgical intervention and on the 3rd day after it, depending on the selected surgical access according to the developed program for choosing surgical tactics for the treatment of patients with acute destructive cholecystitis, taking into account individual characteristics of the body. There are also data on the use of an improved surgical instrument - a «Wound Expander» for safe cholecystectomy from a minilaparotomy access, which allows to level the risk of intraoperative bleeding and iatrogenic damage to the biliary tract and an optimized specific scale for assessing the quality of life of patients who have undergone cholecystectomy, taking into account the verification of factors affecting the course of the postoperative period and the likelihood of postcholecystectomy syndrome.
The monography is intended for surgeons, anesthesiologists, resuscitators, as well as doctors of all specialties and students of medical institutes.
The monograph presents data on the level of stress hormones in dynamics before, during the main surgical intervention and on the 3rd day after it, depending on the selected operative access according to the developed program for choosing surgical tactics for the treatment of patients with acute destructive cholecystitis, taking into account the individual characteristics of the body. There are also data on the use of an improved surgical instrument - a "Wound Expander" for safe cholecystectomy from a minilaparotomy access, which allows to level the risk of intraoperative bleeding and iatrogenic damage to the biliary tract and an optimized specific scale for assessing the quality of life of patients who have undergone cholecystectomy, taking into account the verification of factors affecting the course of the postoperative period and the likelihood of postcholecystectomy syndrome. The monograph is intended for surgeons, anesthesiologists, resuscitators, as well as doctors of all specialties and students of medical institutes.
Юридик фанлар тизимида конституциявий ҳуқуқ ўзига хос ўрин тутади. Конституциявий ҳуқуқ миллий ҳуқуқ тизимида ҳуқуқнинг етакчи тармоғидир, негаки энг олий юридик кучга эга бўлган Конституция унинг асосий манбаи бўлиб хизмат қилади.
The article analyzes issues related to constitutional and legal guarantees of the activities of public associations. The legal status of public associations, their role in society and the state are studied. The goals, tasks and forms of public associations are reviewed.
The article analyzes the scientific and
theoretical issues of identifying and eliminating gaps in acts of legislation. The methods and range of subjects to identify gaps in the legislation and the directions of their activities are reviewed. The conclusions on methodological problems of identifying gaps in the legislation are suggested..