Subjects of the research: 1066 patients with peritonitis.
Purpose of the research: improvement of the results of treatment of the patients with peritonitis by determination of the prognostic significance of clinical-metabolic parameters in the estimation of severity of patients condition, flow and outcome of the disease.
Methods used in the research: clinical, microbiological, biochemical methods of investigation, mathematical statistics and mathematical modeling.
Results obtained and their novelty
1. The prognostic significance of clinical-anamnestic, microbiological, laboratorial- instrumental and metabolic data has been determined on the basis of the correlational interrelation between metabolic parameters and bacterial contamination in patients with peritonitis
2. When the actions of NIDE (UIDI) RC and GI are studied in clinical conditions it is shown, that their combined application during the operation and postoperative periods considerably decreases the culture growth in peritoneal exudates and improves metabolic parameters.
3. On the basis of the method of mathematical modeling, programs arc proposed to estimate the severity of patient s condition and predictability of flow, the outcome of disease in the patients with peritonitis.
Practical significance
1. The special features of the disturbance of metabolic parameters dependent on the bacterial contamination have been established, which makes it possible to reveal the patients with high risk of development of complications.
2. It is proven that the application of the infra-R emitters in combination with the traditional treatment in patients peritonitis contributes to more favorable flow of the disease and to reduction of postoperative complications and lethality.
3. Two programs have been created with the methods of mathematical modeling which allow: 1) To estimate severity of the patients condition on the basis of clinical-anamnestic, laboratorial- instrumental, metabolic and microbiological data;
2) To predict the complications of the disease; 3) To predict the healing of the postoperative wound; 4) To identify the indications for NIDE (UIDI) applications.
Level of induction: method of application of narrow-spectrum infrared distant emitters in peritonitis is used in surgical department of the Clinical Hospital of Emergencies and Casualties, Г' Municipal Clinic Hospital and in Central Military Clinical Hospital named after P.F. Borovskiy.
Region application: Surgery.
With the development of computer technology and the deepening of teaching reform, information technology has being used in physical education teaching and training. In order to promote the reform of table tennis teaching, enrich the teaching content and improve the scientific training, this work studied the application of information technology in table tennis teaching. Based on the author's learning and teaching experience, this work first analyzed the relevant meaning of information technology, and then studied the application value of information technology in the teaching of table tennis in colleges and universities. Finally, taking virtual reality as a case study, the application of information technology in the teaching method of table tennis in colleges and universities was proposed.
We examined 43 patients with breast cancer, who, as in the previous group, underwent percutaneous transhepatic cholecystostomy, however, the bile separated through the external drainage was preliminarily purified from toxic and ballast substances using the Lignov sorbent. Subsequently, the patients took it orally.
In the first group of patients, the concentration of IL-6 in the blood serum prior to the application of percutaneous transhepatic cholecystostomy was higher than normal, averaging 152.65±16.3 pg/ml. Immediately after the application of percutaneous transhepatic cholecystostomy in bile, this indicator averaged 68.58±7.24 pg / ml. At the end of the observation, the decrease in the level of IL-6 in the blood compared to the initial one was 64.4%, and in bile-54.3 (P<0.001). In the second group of patients, after the application of percutaneous transhepatic cholecystostomy, the concentration of IL-6 in the blood serum averaged 151.52±14.2 pg / ml, and in bile - 67.43±9.14 pg/ml. The initially high concentration of IL-6 in the blood and bile after bile absorption decreased by 75.7% (36.81±4.4 pg /ml) and 73.9% (17.57±2.2 pg/ml), respectively, from the initial level. The inclusion of bile absorption in the therapeutic complex significantly changed the concentration of IL-6 in blood serum (P<0.01) and bile.
The dynamics of parameters in blood serum and bile in patients of this group indicates a significant efficiency of bile absorption. Initially high indicators of endotoxicosis, such as SMP, TNF-α, IL-6 and bilirubin, were removed from the body by bile absorption, which made it possible to remove toxic substances from the body. The study of SMPs in blood serum and bile in patients of the main group revealed a more accelerated elimination of them with bile than in the control group. An increase in the concentration of SMP in bile was accompanied by a decrease in it in the blood serum.
In this article the issue of creating software for digitization of medical services to the , population in the Republic of Karakalpakstan is considered. As such software, a mobile application for smartphones, which is now widely used by our people, is offered. The software developed by authors has a database of polyclinics located in Nukus and makes an electronic queue/appointment for the reception of the patients by the chosen doctor. The program has shown good results when tested by users.
Objects of research: 92 immature rats with term of 30-40 days. 108 patients with asiderotic an anemia: men - 13 (12%), women - 95 (88%); middle age - 39,9 years. The control group was made by 17 healthy persons.
The purpose of work: Increase of efficiency of treatment of patients asiderotic [iron-deficiency] anemia by an induction of synthesis and a metabolism a theme in a liver.
Methods of research: clinical, biochemical, morphological, tool.
The received results and their novelty: Activization of the initial stages of synthesis is established on models alimentary asiderotic [iron-deficiency] anemia in mitochondrial and microsomal-cytosol fractions of a liver a theme, on a background to inhibit its final stage. Correction of a level malonic dialdehyde and activity of enzymes superoxide dismutase (SOD) and catalase (CAT) is revealed as a result of application of a combination of preparations maltofcr and neosclcn in mitochondrial and microsomal-cytosol fractions of a liver of experimental animals. For the first time we analyse parameters of ions of tri valent, bivalent iron both dif-feritin in mitochondrial and microsomal-cytosol fractions of a liver of experimental animals. The morphological picture of a liver at alimentary iron deficiency is submitted an anemia and correction of the revealed infringements by preparations maltofcr and ncosclcn. For the first time on the big clinico-expcrimcntal material efficiency of application of a combination of preparations maltofer and neoselen is shown.
The practical importance: Application of a combination of preparations maltofer and neoselen on a clinico-experimental material restores activity of enzymes of synthesis and disintegration a theme in hepatocyte’s, improves ferroki-nctic, hematologic parameters and promotes improvement of a functional condition of a liver. The received positive results in clinical researches have found acknowledgement (confirmation) on an experimental material that allows to recommend the given circuit of treatment железодефицитной to an anemia in clinical and outpatient conditions.
Degree of introduction and economic efficiency: Results of research are introduced into practice гематологического, therapeutic branches, and as for doctors of an initial link.
Scope: hematology, therapy.
Subjects of research: polynomial, interpolation and smoothing splines, cubic basic splines, methods and resources of signal processing and prediction of anomalies used in geophysics and railway systems.
Purpose of work: development of methods, algorithms and program complex for simulation of processes of processing and restoring of signals on a basis a spline - functions.
Methods of research: the theory of the functional analysis, generalized spectral methods, theory of numbers and matrixes, theory a spline of functions and simulation, theory of parallel computing processes and numerical methods of solution of simple equations.
The results obtained and their novelty: the methods and effective algorithms of calculation of signal restitution coefficients on the basis of onedimensional and many-dimensional splines arc offered; the algorithms and program complex for simulation of processes of signal processing by methods a spline - functions with application of digital data processors of signals arc developed; the spline - method of the analysis, estimation and prediction of operation stability of rails is offered.
Practical value: the software of the signals restoring with application of digital signal processors of the set Blackfin are developed; the parallel computing structure is offered on the basis of a cubic basic spline; the program complex for simulation of processes of restoring of signals by methods a spline - functions is developed.
Degree of embed and economic cffectivity: the main theoretical and practical results of dissertation work took root in the state joint-stock railway company «Uzbekistan temir yo'llari». The summarized economic benefit makes 26 mln. sum in a year.
Field of application: the methods, algorithms and software designed in dissertation work can be used in geophysics, ecology, seismology and radiolocation for signal processing, and also for problem solving of prediction of stability of rails in railway systems.