The article is devoted to the study of the semantic analysis of the circumstances of the way of action, types of circumstances of the way of action, which determine the quality of the action, the degree of manifestation of the action or feature, indicating the state of the action, as well as the quality of the action and the way of performing the action. According to the semantic features of the circumstances of the course of action, it is worth noting that it is always an adverb in a sentence. For example, the circumstances of time, place, degree, or mode of action. In the Pashto language, a circumstance is divided according to semantics into the following ways of expression: circumstances that determine the quality of an action, the degree of manifestation of an action or a sign, circumstances that indicate the state of the action, circumstances of an action that indicate the quality of the performance of an action, as well as circumstances of an action that indicate a way to perform an action.
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.
Кейинги йилларда мамлакатимизда халқаро стандартлар талабларига мос келадиган олий таълим тизимини яратиш бўйича кенг кўламли ишлар амалга оширилмоқда. Ҳудудларда янги олий таълим муассасаларининг ташкил этилиши, янгидан бунёд этилаётган замонавий ўқув бинолари ёшларимизга берилаётган юксак эьтиборлардан бири сифатида кўрсатишимиз мумкин. Ўқув хоналари янги замонавий конструкцияларга мувофиқ қайтадан таьмирланиб, ўқув жиҳозлари, ўқув лабораториялари, замонавий АКТ билан таъминланмоқда.
The quality of anesthesia maintenance, as well as awakening and recovery in the postoperative period, directly affect the quality of medical services, the comfort and satisfaction of patients in pediatric practice and their parents. Most often in modern anesthesiology, inhalation anesthetics are used due to the convenience of their use, regardless of age in children, including laparoscopic surgical interventions.
Establishment of the optimal norms of mineral fertilizers against the background of the application of organic fertilizers (manure) for the wheat variety Polovchanka in the conditions of old irrigation of light gray soils and the rationale for their positive effect on growth, development, crop, damage. The main research area is to solve the influence of the quality of the regime on the technological indicators that show the quality of the Polovchanka grain, a variety of winter wheat in light-gray soil conditions in the Kashkadarya region.
At the present stage of development of medicine, the most informative and accessible way to assess the health status of children is preventive medical examinations, which result in a comprehensive assessment of health status, based on certain criteria, followed by division of the surveyed population into health groups. The use of this technique is expediently indisputable, since it is unified, informative, the information obtained with its help can be used both at the individual and at the group and population levels
An additional criterion can be an indicator of the quality of life, by which is meant the subjective assessment by a person of his physical, psychological and social well-being.