This article discusses the application of measures for the payback period for the implementation of energy-saving measures. These solutions reduce energy consumption. Activities are divided into groups, which are formed depending on the payback period, an assessment of the effectiveness of their use is considered. It has been shown that the simplest measures shorten the payback period and have less impact on reducing energy consumption. The results of evaluation and comparison of the efficiency of investments in the implementation of energy saving projects are analyzed.
Одним из эффективных направлений совершенствования высшего образования является использование в учебном процессе системы дистанционного обучения. При этом учебный процесс осуществляется с помощью информационных технологий, а студенты и преподаватели имеют пространственную, временную удаленность друг от дрхта. Дистанционное обучение предоставляет человеку равные возможности и условия в процессе обучения, формирования его как личности, не связывает какими-либо ограничениями, как например, возраст обучающегося, м ; -риальное положение, необходимость посещать занятия, сдавать все работы, зачеты, экзамены в определенный срок и др. Студент при этом занимается столько, сколько ему лично необходимо для усвоения материала, получения и закрепления необходимых знаний. Благодаря своей доступности, гибкости, возможности самостоятельно планировать время и темпы усвоения материала дистанционное обучение может быть использовано и для изучения отдельных курсов образовательной программы. Дистанционное обучение позволит решить проблему индивидуализации высшего образования и поштучной подготовки специалистов для конкретной квалифицированной работы, что повысит качество их подготовки и более полно удовлетворит потребности первичного звена здравоохранения.
Существующая методология компаративного анализа принципов не учитывает диалектические связи и закономерности их экспликации в конкретной национальной модели уголовного судопроизводства, что с правотворческой стороны приводит к эклектике и априорной рецепции институтов зарубежного права, исключающих социокультурные аспекты продуцента и реципиента.
Одной из этиологических причин возникновения заболеваний сердца является токсический фактор. Пестициды повышают урожайность, увеличивают срок хранения и улучшают внешний вид фруктов, овощей и зерна
In the databases of evidence-based medicine, studies that study the effectiveness of taking vitamin-mineral complexes indicate a high risk of age-related macular degeneration (AMD) as a prevention (primary prevention). The purpose of the study was to evaluate the effectiveness of the use of lutein-zeaxanthin vitamin-mineral complex containing preparations in individuals with a high risk of AMD for the prevention of the disease. The material of the study was 98 individuals (196 eyes) from the 1st (main) group with the highest risk of developing AMD, who agreed to participate in the prevention of AMD and 90 individuals (180 eyes) from the 2nd (control) group, for various reasons refused to take the drug, but agreed to participate in condition monitoring. The follow-up period was 3 years. The results of the observation showed that in persons of the 1st group, there was a stability in the indices of visual acuity and field of vision, ophthalmoscopic and tomographic picture of the macular zone during the entire period of observation. Whereas in persons of the 2nd group by the 3rd year of observation, visual acuity worsened by 2.5 times, the total boundaries of the peripheral visual field narrowed by 47.10, relative and absolute scotomas appeared (p<0.05). The appearance of drusen was observed and in 8 eyes (4.44%) a diagnosis of age-related macular degeneration of the retina, early stage, was made. Conclusions. The proposed scheme of drug prevention of persons with the highest risk of developing AMD (Group 1) showed a significantly positive effect on the functional state of the retina, leads to a stable preservation of visual functions during 3 years of observation and prevents the occurrence of AMD in 100% of individuals.
The aim of the study is to development of an algorithm for managing pregnancy and childbirth by studying the functional state of the mother-placenta-fetus system in pregnant women who have undergone COVID-19 in different trimesters of pregnancy.
The object of the study was 105 pregnant women who, were treated at the Samarkand Regional Perinatal Center and a specialized maternity center for pregnant women with COVID-19
Тhe scientific novelty of the research consists of the followings: for the first time in pregnant women infected with COVID-19, a relationship was established between the course of pregnancy, childbirth, the postpartum period and the development of complications depending on the trimester and severity of the disease; a direct correlation has been established between the state of the vessels of the mother-placenta-fetus system (resistance and pulsation indices, Endothelin-1 indicators), disorders in the hemostasis system (D-dimer, platelet aggregation) and the clinical course of the disease in pregnant women who underwent COVID-19; it has been established for the first time that the developed scale for assessing risk factors for non-developing pregnancy in women infected with COVID-19 (age, BMI, obstetric history, gestation period, hemostasis system status, endothelial function and severity of the disease) can serve as a prognostic marker of the degree of risk of pregnancy complications; it was proved for the first time that the choice of effective therapy for restoring hemodynamics in the mother-placenta-fetus system, in women who underwent COVID-19 at different stages of pregnancy, leads to a decrease in the number of thrombophilic complications.
Implementation of the research results. The results of the scientific research were introduced into the practical activities of the Samarkand Regional Perinatal Center by Order No. 128/1 of 01.09.2022 and the Samarkand City Maternity Complex No. 1 by order No. 58/1 of 03.10.2022. In pregnant women who underwent COVID-19 at different periods of pregnancy, changes in the mother-placenta-fetus system were determined using simple and effective research methods, such as ultrasound and Dopplerography, and this saved 53,000 soums; obstetricians and gynecologists, as well as neonatologists and therapists, are needed to diagnose signs of complications in the echocartin, that is, it has been proven that there is no need for other highly qualified specialists for this, due to the lack of need to train new personnel, state budget funds have been saved. With early detection of disorders in the hemostasis system in pregnant women with COVID-19: the period of stay of patients in the hospital was reduced from 10.5 days to 7.5 days and the number of hospital bed days was reduced; due to the reduction of the period of stay in the hospital for several days, the number of necessary drugs was reduced (on average, drugs are used for 1 day in the amount of 130,000 soums). Examination of pregnant women infected with viral diseases using simple and effective research methods such as ultrasound and Dopplerography served to save 85,000 soums: in the early stages up to 16 (10-11 weeks. - fetometry), 19-21, 32-34, 38-40 weeks of pregnancy; due to the absence of the need to use other research methods, it was possible to reduce costs by 23.5%; early detection of changes in the hemostasis system and endothelial dysfunction using fast, budgetary and effective research methods, contributed to the prevention of possible pregnancy complications, as well as the absence of the need to use long-term and expensive research methods, and this saved 106 000 soums: the coagulogram was checked in 105 (100%) patients, time was saved and efficiency was increased; endothelin-1 was also determined in 105 (100%) patients, efficiency was increased by 78.6%.
Improving the functionality of blood circulation in the uteroplacental and fetal-placental systems, a comprehensive analysis of possible complications during pregnancy and childbirth in women who have had viral infections, improving diagnostic, preventive and prognostic measures for managing pregnancy and childbirth contributed to the birth of live, full-term and healthy newborns in women who experienced COVID-19 during pregnancy, as well as a decrease in maternal mortality and perinatal mortality, 43% of women underwent rehabilitation in the postpartum period, 23.8% of women who underwent severe COVID-19 improved their quality of life.
To introduce scientific novelty on the topic “The impact of COVID-19 on the state of hemodynamics in the mother-placenta-fetus system in pregnant women”, a letter was sent to the Ministry of Health from Samarkand State Medical University on November 9, 2022 under No. 4295 (Conclusion of the Ministry of Health No. 8 n-z / 679 of December 15, 2022).
The structure and volume of the dissertation. The content of the dissertation consists of an introduction, five chapters, conclusion, list of used references. The volume of the dissertation consists of 113 pages.
Согласно определению М.М. Соловьева (1979), одонтогенный гнойный остеомиелит — это инфекционно-воспалительный процесс с признаки воспалительной реакции со стороны костных структур и прилежащих мягких тканей без выраженной деструкции кости. Как показали наши наблюдения, у детей гнойный одонтогенный остеомиелит поражает нижнюю челюсть довольно часто. Степень распространенности гнойного инфекционно-воспалительного процесса челюсти может быть различной от I А , III Б степени.(М.Азимов и соавторы 2019г) Данные о распределении больных гнойным одонтогенным остеомиелитом в зависимости от фазы заболевания, возраста и распространенности процесса представлены в таблице В эту таблицу включены больные, у которых зона первичного инфекционно-воспалительного процесса ограничена пределами пародонта зуба, явившегося входным воротами для инфекции, т.е. больные гнойным периоститом, находившиеся на стационарном лечении в клинике детской стоматологии. Необходимость их рассмотрения вместе с остеомиелитом диктуется тем, что инфекционно-воспалительный процесс надкостницы у детей может за короткий срок распространиться на костные структуры челюсти, вызывая развитие остеомиелита.
Improving the investment environment, the criterion of accounting, transparency, trust inherent in corporate governance in the practice of the global coal industry, is essential in ensuring financial stability and stable economic growth. In the management of coal industry enterprises, the level of information publicity is considered as the main properties of the principles of international corporate governance. According to the Organization for Economic Cooperation and Development, the term for communicating information to shareholders of the member states of the organization is 15-21 days, in 5% of the member states, that is, in Japan, South Korea, New Zealand and Iceland - less than 15 days, in Canada, Italy , USA, Hungary, Holland and the Czech Republic - 30 days, in the People's Republic of China and the Hong Kong Autonomous Region, shareholders are informed within 20 days. In the corporate management of the global coal industry, a number of scientific studies are being carried out to improve the informatization system, in particular, a study on the basis of international standards of a system for obtaining the necessary information, obtaining financial statements of joint-stock companies at a convenient time for investors (future shareholders), as well as scientific research to study a comprehensive shareholder intervention in public administration. The introduction of a few experiments into world practice and the development of scientific foundations for improving the information system in the corporate management of the coal industry is considered one of the topical issues of modern times
Purpose of the study. Evaluation of the effectiveness of early diagnosis and intensive care of surgical sepsis that developed against the background of bacterial destruction of the lungs in children based on a comprehensive analysis of clinical, laboratory, bacteriological criteria and the pSOFA scale. Materials and methods. The study period is 2019. - March 2021 The object of the study (n=24) were children with surgical pathology (bacterial destruction of the lungs). Results. The effectiveness of complex intensive therapy for surgical sepsis was noted in 91.6% of cases. In 2 cases, young children died as a result of delayed diagnosis and admission with BDL, pulmonary-pleural-mediastinal form, due to the development of refractory septic shock.
In this article the findings of complex neuroprotective treatment of glaucomatous optic neuropathy (GON) in terms of prognostic criteria of the development of atrophic process in the optic nerve are given. Comparative analysis are carried out among patients who agreed to obtain given treatment and who preferred to reject from it. 54 (84 eyes) patients with GON aged 40 to 76 years old from them 31 (57,4%) were female, 23 (42,6%) – male with determined diagnosis glaucoma II and III stage and compensated intraocular pressure (21,3±3,2) were included in the group of examination. Duration of the examination made up 6 months. Effective criteria were reliable improvements of the vi-sual functions and positive structural dynamic according to tomographic findings, where thickness of thickness of the nerve fiber layer, ecscavatcia/disc ratio, and area of the neuroretinal rim.