Ўзбекистон республикаси президентининг “Чорвачиликни янада ривожлантириш ва чорва озуқа базасини мустаҳкамлаш чора-тадбирлари тўғрисида” қарори [1] чорвачилик тармоқларини янада ривожлантириш, чорвачилик хўжаликларини молиявий қўллаб- қувватлаш, чорва озуқа базасини янада кўпайтириш, шунингдек, аҳолининг йирик чорвачилик хўжаликлари ва чорвачилик маҳсулотларини қайта ишловчилар билан ҳамкорликдаги фаолияти асосида ўз хонадонларида чорва молларини боқишини ташкил этиш ва чорва озуқа базасига бўлган талабини қондириш мақсадида хозирги кунда амалга ошириши лозим бўлган долзарб масалаларга хос бўлиб, унда гидропоника усулида озуқа маҳсулотлари тайёрлашга алоҳида эътибор берилган.
To date, an effective system for countering religious extremism has been created in Uzbekistan. As a result, in recent years, the number of cases of citizens falling under the influence of religious extremist movements has also significantly decreased. However, at the same time, such problems remain as the widespread use of information technology and the Internet by employees, the procedure for conducting procedural actions in cyberspace, the presence of gaps in the regulatory legal documents regulating the sphere, create difficulties in investigating this type of crime.
Основными потребителями медицинских услуг в развивающихся странах являются дети, а структура их болезни отражается на применяемых лекарственных средствах. В свою очередь, при самолечении, широкораспространенной практике в мире, возможно чрезмерное применение медикаментов, вызванное всеохватывающей рекламной кампанией, без имеющихся на то показаний и врачебных назначений.
Многообразие лекарственных препаратов на сегодняшнем фармацевтическом рынке требует от врача высокого профессионального статуса и обра-зования, позволяющего гарантировать соблюдение интересов больного при проведении фармакотерапии. Известно, что объём медицинской информации удваивается каждые 5 лет. Для свободной ориентации в новостях клинической медицины, современному врачу, по мнению западных коллег, необходимо ежедневно прочитывать 19 статей.
Тенденцией нынешнего времени является создание и внедрение в клиническую практику большого количества инновационных лекарственных средств, что наряду с нерациональным их применением, а также наличием на фармацевтическом рынке некачественной и фальсифицированной продукции привело к значительному росту осложнений лекарственной терапии.
Особого внимания заслуживает то обстоятельство, что педиатрическая популяция является одной из наиболее «уязвимых» групп пациентов, поскольку для большинства препаратов не разработаны специальные лекарственные формы, в детском возрасте широко распространена практика назначения лекарств off-label (без этикетки), у них затруднена диагностика неблагоприятных реакций на лекарства.
The preventive wound infection remains by an actual problem of modern surgery, that is connected to high frequency afteroperation wound of complications, which reaches up to 48.7 % in emergency surgery. Per the last years the increasing application find electrolysis of water solutions sodium hypochlorite, which are successfully used of purulent surgery, for want of treatment peritonitis, cavities formations of a liver and other. However, this antiseptics about today was not applied in prophylaxys wound infection. The author for the first time uses electrolysis of water solutions sodium hypochlorite in preventive wound infection and offers a method afteroperation of processing of hands of the surgeon in a regime 0.4%-5 minutes, methods intraoperation the express train - processing of surgical gloves in regimes 0.4%-3 minutes and 0.6%-2 minutes, methods intraoperation the express train - processing of surgical tools in regimes 0.3 % during 7 minutes, 0.4 % during 5 minutes, 0.6 % during 3 minutes and processing in a regime 0.05 % during 45 minutes. For estimation of clinical efficiency of the developed complex intraoperation of preventive wound infection the author develops clinical mark scales on distribution of operations to groups of risk of development wound infection, mark scale of estimation of a condition postoperation wound and scale of estimation of outcomes of healing of wounds. The clinical material includes an inspection and treatment 643 patients. From them control group included 453 patients and in the basis group included 190 patients. The developed complex intraoperetation of preventive wound infection has shown high efficiency. Use of the developed complex of preventive wound infection has allowed to reduce frequency wound of complications from 15.3 % up to 8.9%.
Функция щитовидной железы матери играет огромную роль в становлении здоровья плода и новорожденного. Узбекистан относится к йод дефицитному региону, при этом частота эндемического зоба среди детей достигает 73%, среди взрослых - до 60,3%.
The aim of the research work is to improve the results of treatment of patients with combined injuries of the pelvis and femur, by developing tactical and technical aspects based on the severity of the injury and the severity of the condition.
The object of the study was 130 patients with injuries of the pelvic and hip bones with concomitant trauma, treated at the Republican Scientific Center for Emergency Medical Aid and its Samarkand branch for the period 2016-2021 years.
The scientific novelty of the research work is the following: the structure and frequency of combined injuries of the pelvis and femur in the general structure of injuries, in the structure of injuries to the pelvis and femur separately were evaluated. the risk factors for the development of unsatisfactory results of treatment of concomitant injuries of the pelvis and hip, based on traditional clinical and diagnostic standards, have been determined; a direct relationship has been proven in the dynamics of the condition of the victims and the prognosis, taking into account the type and nature of segmental injuries; the device for external fixation for stable functional minimally invasive osteosynthesis has been improved and the possibility of expanding the indications for surgical treatment for combined injuries of the pelvis and hip in the early period of traumatic disease has been proved; the technical advantages of a complete set of an improved rod device for external fixation have been proved, the pelvic and femoral versions of which make it possible to use them for effective stabilization of the pelvis and hip separately during anti-shock measures, and for the final reposition of bone fragments; the direct dependence of treatment results on the proposed tactics of providing trauma care at an early hospital stage, depending on the type, nature, severity of pelvic and hip injuries, and the severity of the condition has been proved.
The introduction of research results. Based on the results of scientific research to improve the surgical aspects of providing assistance to victims with concomitant injuries of the pelvis and femur: based on the results of the development of a device for the treatment of fractures, a patent for an invention was obtained from the Intellectual Property Agency of the Russian Federation "Apparatus for the treatment of combined fractures of the pelvic and hip bones" (patent No. 2749897 dated 06/18/2020). The results obtained made it possible to improve the tactics of surgical treatment of patients, to shorten the period of hospitalization and the period of postoperative rehabilitation, to ensure the possibility of patients with minimal economic costs; on the basis of the results of scientific research on the diagnosis and treatment of concomitant injuries of the pelvic and femur bones, methodological recommendations were approved "Method for the treatment of victims with concomitant injuries of the pelvis and hip, depending on the severity" (Conclusion of the Ministry of Health of the Republic of Uzbekistan No. 8 n-z / 288 dated August 31, 2021 of the year). The results obtained made it possible to improve the quality of wound diagnosis and rehabilitation of patients with injuries of the pelvic and hip bones in concomitant injury; approved methodological recommendations "Tactics of rendering assistance to victims with combined injuries of the pelvis and hip, taking into account the severity of the condition" (Conclusion of the Ministry of Health of the Republic of Uzbekistan No. 8 n-z / 288 of August 31, 2020). The results obtained made it possible to improve the tactical and technical aspects in the treatment of injuries to the pelvic and hip bones, based on the severity of the injury and the severity of the patient's condition.
Scientific results have been introduced into the practical activities of healthcare, in particular, the Samarkand branch of the Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, the Jizzakh Branch of the Republican Scientific Center for Emergency Medical Aid, the Samarkand branch of the Republican Scientific Center for Emergency Medical Aid (certificate of the Ministry of Health No. 08-09 / 18979 dated December 02, 2021). The proposed tactics for the treatment of combined injuries of the pelvis and femur made it possible to reduce the incidence of postoperative complications of excellent and good long-term functional results from 66.1% to 92.6%.
The structure and scope of the dissertation. The dissertation consists of an introduction, five chapters, conclusions, practical recommendations, a list of referencesand applications. The volume of the text material of the work is 111 pages.
In this article, the history of mutual diplomatic relations between the Republics of Uzbekistan and Turkey, which are equal members of the Organization of Turkic States, cooperation agreements and information on their activities first in the Cooperation Council of Turkic-speaking States and then within the framework of the Organization of Turkic States, as well as opinions on mutual agreements on the development of the region are presented. As the main goal, an attempt was made to cover the new integration processes between the Turkic countries. The results of social, economic, cultural, scientific and political cooperation are described in the development of mutual cooperation relations.
Ҳар қандай миллатнинг маънавияти, маданиятини шакллантириш ва юксалтиришда, ҳеч шубҳасиз, маҳалланинг ўрни ва таъсири беқиёсдир.