This article considers the problem of directing students to self-motivation and self-activation in the process of medical education. The paper presents the features associated with the development of motivation and activity among medical students. Methods and technologies are described that help students develop their self-motivation and self activation, as well as improve the level of learning. The article presents the results of a study that showed that the use of active teaching methods, including role-playing games, case studies, simulations and webinars, contributes to the development of motivation and activity among medical students. The work can be useful for teachers of medical universities, as well as for students who want to develop their self-motivation and self-activation in the learning process.
This scientific article is devoted to the formation of medical law as an integrated industry in the legal system. The subject and methods of legal regulation of medical law are defined. Revealed the presence of general principles that are inherent in medical law. The content, availability of the system and the structure of medical law are described, containing legal sub-sectors, institutions and norms, methods and other criteria inherent in medical law. Objective aspects that testify to the complex nature of medical law are studied, analyzed and argued.
The aim of the study is to improving the quality of treatment of ventral hernias in patients with morbid obesity by improving the tactical and technical aspects and optimizing the choice of hernioplasty method.
The object of the study were 121 patients with ventral hernias and morbid obesity who were hospitalized in the surgical department of the 1st clinic of the Samarkand State Medical University in the period from 2012 to 2021.
The scientific novelty of the study is as follows: a method was developed for preoperative preparation of patients with ventral hernia and morbid obesity using a modified pneumatic belt-bandage to adapt the cardiovascular and respiratory systems to intra-abdominal hypertension after hernioplasty; improved technical aspects of the reconstruction of the anterior abdominal wall in patients with morbid obesity; the surgical instrument "retractor" has been improved for technical optimization of the stage of suturing the anterior abdominal wall for fixing the prosthesis in patients with concomitant obesity and abdominal ptosis; clarified clinical and instrumental criteria for the specific unification of the scale for assessing the quality of life of patients after hernioplasty and abdominoplasty for ventral hernias and morbid obesity with differentiation of the value of physical, mental and social daily activity. The practical results of the study are as follows: According to the results of a scientific study to improve the diagnosis and surgical treatment of patients with ventral hernias and morbid obesity: improved "retractor". The use of the proposed tool made it possible to level the technical difficulties in fixing the prosthesis against the background of severe overweight with a reduction in the operation time; developed guidelines "Technical aspects of hernioplasty for ventral hernias in patients with morbid obesity" (certificate of the Ministry of Health 8n-r / 905 dated October 12, 2021), "Criteria for the choice of surgical treatment of patients with ventral hernias and obesity" (certificate of the Ministry of Health 8n-r /906 dated October 12, 2021). The proposed recommendations made it possible to optimize the choice of tactics for surgical treatment of patients with ventral hernias and morbid obesity; the obtained scientific results on improving the quality of diagnosis and surgical treatment of patients with ventral hernias and morbid obesity have been introduced into the practice of health care, in particular, in the departments of surgery of the 1st clinic of the Samarkand State Medical Institute, the Jizzakh Regional Multidisciplinary Medical Center and the Sh. Rashidov District Medical Association of the Jizzakh region (certificate of the Ministry of Health 8n-z / 368 dated October 22, 2021). The implementation of research results by improving the tactical and technical aspects of the surgical treatment of patients with ventral hernias and morbid obesity made it possible to reduce the overall incidence of postoperative complications from 14.8% to 8.9%, including wound complications from 11.1% to 4.5% and extra-abdominal from 7.4% to 4.5%, as well as significantly reduce the duration of surgical treatment and rehabilitation periods after various types of hernioplasty and abdominoplasty. The structure and scope of the dissertation. The dissertation consists of an introduction, five chapters, a conclusion, conclusions, practical recommendations and a list of cited literature. The volume of the text material is 107 pages.
The study of a foreign language in the magistracy of a medical college has its own specifics. The author believes that studies based on pedagogical technology will improve the knowledge of masters in all types of speech activity.
Активно развивающийся рынок медицинского оборудования, представленный в основном ассортиментной продукцией иностранного производства, испытывает потребность в рассмотрении особенностей предоставления логистических услуг при активном использовании лечебно-профилактическими учреждениями приобретенного медицинского оборудования. Особенно остро данный вопрос стоит в сегменте высокотехнологичного медицинского оборудования.
In the introductory part of the article the author
characterizes essence and a role of medical insurance. In the basic part of the article questions of the contract of medical insurance are considered.In the conclusion the author comes to opinion, that specificity of medical insurance demands more detailed approach to the specified question and a concrete definition of separate positions of the civil legislation.
Injuries to the upper urinary tract occur in 63–84% of shoulder injuries. In terms of the incidence of rotator cuff injuries, it ranks third (16%) after diseases of the spine (23%) and knee joint (19%). In the Samarkand Branch of the Republican Specialized Scientific and Practical Medical Center of Traumatology and Orthopedics, 66 patients (41 men, 25 women) were operated openly (from 2014 to 2020) with a diagnosis of chronic damage to the tendons of the rotator cuff of the shoulder, combined contracture of the shoulder joint. The average age of the patients was 58 years. In 16 patients (24.2%), the causes of damage to the rotator cuff were injuries of various mechanisms, and in 50 patients (75.8%). Excellent results were obtained in 38 patients (57.5%). A good result was obtained in 25 patients (37.8%). An unsatisfactory result was obtained in 3 patients (4.7%)
In experimental toxic hepatitis caused by the hepatotropic poison carbon tetrachloride, a decrease in bile synthesis, bile-releasing function of the liver was revealed. There was a decrease in the composition of bilirubin, cholesterol and bile acids in the bile. In the treatment of experimental hepatitis with cobalt and silibor fiat, cholestasis decreased, the chemical composition of bile improved, as the content of bilirubin, cholesterol and total bile acids increased.