The paper identifies the clinical, functional and radiological features of COPD in diabetes mellitus, the possibility of predicting its development. The examined patients were divided into 3 groups: patients with COPD in combination with diabetes mellitus, patients with COPD and patients with diabetes mellitus. In the structure of COPD, the pulmonary component and systemic manifestations arc distinguished, which can aggravate the disease. The manifestations of diabetes mellitus are based on micro- and macroangiopathies that affect pulmonary microcirculation. When managing patients with COPD in combination with diabetes mellitus, attention was drawn to more pronounced clinical manifestations of respiratory failure (shortness of breath, participation in breathing of auxiliary muscles, hypoxemia), especially in stage III COPD, compared to patients with COPD. To diagnose microvascular lesions in patients with COPD and diabetes mellitus, to predict the course of nonspecific lung diseases, based on the specific results of the study, multispiral computed tomography was performed. In patients with COPD, the assessment of the degree of impaired ventilation in the lungs should be carried out under CT conditions performed in the inspiratory and expiratory phases. Diagnostically significant for COPD during computed tomography is a symptom of expiratory "air trap", in combination with expansion and deformation of bronchi of various sizes, up to broncho- and bronchioectasis. When MSCT in patients with COPD and diabetes mellitus, pathognomic changes characterizing microangiopathy and fibrotic changes. The clear-cut shape of microvessels is a specific X-ray morphological sign in patients with COPD in combination with diabetes mellitus.
The purpose of the study is to study the correlation rate of the quality of life, electroneuromyography, doppler and neuro markers BNDF in the blood in patients with a type 2 of type with diabetic foot syndrome.
Methods: The following 2 groups of patients were formed: 1 gr. - SDS patients, neuropathic form -37 patients, 2 gr. - SDS patients, neuroichmic form -35 patients, 3 gr. - Control group, these are 20 healthy persons of the appropriate age and gender.
Results: In all groups of patients, the quality of life is significantly different in the FSHC questionnaire compared with the control group (p <0.05). In patients with a neuroecemic form of diabetic foot syndrome, a significant decrease was found (p <0.05). All indicators of doppler song vessels of legs compared with patients with neuropathic shape.
Revealed significant correlations of FSHK and laboratory and instrumental indicators. A correlation connection with the duration of the disease, the duration of the disease, the levels of glycemia of an empty stomach, the level of the glycated haemoglobin, BNDF in the blood, the speed of blood flow in the femoral artery, in the lower leg, is discovered.
The definition of neuromuscular transmission showed that the patients of the 1st and 2nd groups have a weak reduction in muscle contraction involuntarily. This confirmed the impairment of neuromuscular transmission in both groups.
Conclusions: 1) A questionnaire to determine the quality indicators - FSHK is the most sensitive and informative to determine the quality of life in patients with type 2 diabetes mellitus with neuropathic and neuroecemic forms
2) FSHP questionnaire can be used for dynamic assessment of type 2 diabetes patients with neuropathic and neuroecemic forms in outpatient clinical practice.
3) Revealed significant correlations of FSHK and laboratory and instrumental indicators. A correlation connection with the duration of the disease, the duration of the disease, the levels of glycemia on an empty stomach, the level of the glycated haemoglobin, BNDF in the blood, the speed of blood flow in the femoral artery, in the shin, M-answer when stimulating a tibial nerve.
The article examines the relationship between diabetes mellitus and dental health. The lack of knowledge of dentists and dental patients about diabetes is shown. The role of the dentist in the early diagnosis of diabetes mellitus and the features of the treatment of dental diseases in patients with diabetes are discussed.
Diabetes mellitus (DM) and complications associated with diabetes are one of the leading causes of death worldwide. The International Diabetes Federation (IDF) has estimated that 592 million people will suffer from diabetes by 2035. Therefore, it is vital to find a new biomolecule that can further help in the treatment of diabetes. For several decades, a persistent interest in the biological properties of melatonin (MT) has been maintained in biological science and medicine. In recent years, a lot of information has appeared about its participation in maintaining energy homeostasis and the genesis of diabetes mellitus. The purpose of this review is to study the pathogenetic mechanism of melatonin in diabetes mellitus
The peculiarities of the attitude of the individual to the disease and treatment in diabetes mellitus are analyzed in the article. The research is conducted in the frames of a biopsychosocial approach towards health and disease (G.Engel), V.N.Myasischev’s theory of attitudes. The tutorial “Attitude type towards disease” (L.Vasserman) was used as a research method.
At all stages of the development of medical science, there was a violation of the therapeutic order. As early as the Hippocratic era, the problem of loyalty and the patient's lying about taking the drug was an urgent issue. Despite the changes in medical practice and in-depth reforms, the problem of adherence to doctor's recommendations remains relevant even in the current period, over the past decade this direction has become the subject of independent scientific research not only in medical practice but also in clinical psychology.
The phenomenon of treatment adherence is considered in the science of psychology from the side of various approaches, theories, structures, and factors. Hence, there are loyalty models of biomedical, behavioral, communicative, cognitive, and self-management (e.g., L. Myers, K. Evidence, 1998; M.X. Karamyan, 2010).
I.E. Leppic gives a broad definition of compliance- basically: it represents the type of patient Hulk, the degree of complability, and the pursuit of purpose. In his views, the scientist includes the patient's taking the medicine on the Hulk, regular visits to the hospital, and proper adherence to the doctor's instructions. The absence of complacency can be explained in a narrow framework as follows: the patient takes the drug in the wrong dose (in very small quantities or overstates), how many times does not follow the procedure of administration and duration, or takes another drug that the doctor does not recommend at all. In particular, the issues of adherence to treatment in diabetes have not been studied by scientists from Uzbekistan. However, B.X. Shagazatova (2004) on the issue of improving the basics of medical social care and treatment-prevention measures, D.I. Ilkhamova (2003) – characteristics of the sex of the age of an individual in cardiovascular diseases, M.X. Karamyan-conducted research on the nature of the value relationship of the attitude to health.
An analysis of the work devoted to the attitude to treatment and commitment to therapy shows that, in general, the question of its basis in diabetes mellitus, in the second – of the connection between the commitment to treatment and the motivational – values of the individual is little studied. In other words, despite our understanding of the importance of psychological factors in the constructive formation of the attitude to treatment, research on the dependence of loyalty on individual-motivational characteristics was found in patients with Type 1 and Type 2 sugar diabetes.
The study aimed to assess the functional state of the kidneys and to study the relationship of I/D polymorphism of the ACE gene with the stage of chronic kidney disease in children and adolescents of the Uzbek population with type 1 diabetes according to the new recommendations of K/DOQI (2012). We examined 120 children and adolescents with type 1 diabetes. Clinical, biochemical and genetic studies have been carried out. The study revealed that children with diabetes in the stage of compensation (НbА1с ≤7.5%) have CKD stages II (28.6%) and III (4.8%). The use of the new classification K/DOQI (2012) reveals a decrease in kidney function at earlier stages, in 61.9% of children and adolescents with type 1 diabetes, even at the NAU stage, a GFR of 80.6 ± 7.5 ml/min/1.73m2, which corresponds to stage II of CKD and 16.7% have a GFR of 45.1 ± 9.5 ml/min/1.73m2, which corresponds to stage III of CKD. Also, 28.6% of children and adolescents at the MAU stage have CKD II, 75.0% of CKD stage III, respectively. ACE I/D polymorphism is a molecular genetic marker of susceptibility to the development of CKD type 1 diabetes in children and adolescents.
Aim of the study: To study the effect of prescribing inhibitors of sodium glucose cotransporter type 2 (iSGLT-2) and inhibitors of dipeptidyl peptidase-4 (iDDP-4) on the parameters of carbohydrate metabolism in patients with type 2 diabetes.
Materials and methods: A prospective study included 80 patients with type 2 diabetes. The average age was 52.7 ± 3.78 years; diabetes experience - 8 years; BMI-30 ± 0.17; Hb1C-9.2 ± 0.4%; fasting glycemia –10.2 mmol/; eGFR-78 ml/min; TG-2.7 ± 0.44; total cholesterol-3.4 ± 0.72; MAU 32 ± 0.125. The patients were divided into 2 groups: group 1 - 30 patients with DN with impaired renal function and 30 patients with diabetic nephropathy without renal dysfunction in the presence of metformin + iSGLT- 2; 2 group of 30 patients with impaired renal function and 30 patients with diabetic nephropathy without impaired renal function on the background of metformin + iDPP-4.
Results: The study of the effect of the inclusion of drugs iSGLT-2 (group 1) and iDPP-4 (group 2) showed a positive dynamics of carbohydrate metabolism indicators in patients with type 2 diabetes. So if the initial indicators in the groups were comparable in terms of glycemic control indicators, then by the 3rd month of treatment there was a significant decrease in HbA1c in the 1st group of patients in relation to the 2nd group. The result of the correction performed within 3 months was the achievement of the state of compensation in the 1st group in 36.7%, and in the 2nd group in 28.3%, 48.3% of the patients of the 1st group were brought into the state of sub compensation and 31.7 % of patients of the 2nd group.
Conclusion: On the combination of metformin and INGLT-2, a larger number of patients managed to achieve the set goals of therapy with a lower risk of overt hypoglycemia, then this combination should be considered not only more effective.
Topicality and demand of the subject of dissertation. Various techniques of hybridization arc used in crop breeding, including cotton to produce a wide variability in agronomical valuable traits and develop new forms.
Regardless of its implementation hybridization process leads heredity decoding which allow the new plastic genotypes formation with an ability to change and adapt to the new conditions. Hybridization and selection arc considered as a main synthetic method of new varieties development and a success in this largely depends on the choice of crosses method and genotypes of initial forms. Therefore, there is given a special attention for studying the genetic basis and improving of hybridization methods. However, based on the most widely used of hybridization methods arc not always possible to develop varieties having high parameters of composite agronomical traits. Many developed varieties as a result of breeding methods arc genetically become homogeneous, which leads to a reduction of genetic variation and increasing of risk of cpiphytoty outbreaks and decreasing of total productivity (Boroycvich, 1981). Therefore, it is necessary to increase the genetic variability of crops’ agronomic traits by involving of original forms, as well as wild relatives of crops with genetic resistance to various stress factors, diseases and pests.
In increase cotton production through the creation of early maturing, high-yielding having good fiber yield and quality, resistant to various diseases, pests and stress factors, as well as with low level or toxic gossypol in cotton seeds still remain as critical problem in cotton production.
To overcome these problems there need to improving of genetic basis for assessment of existing donors and through the use of various hybridization methods to create new enriched genotypes, promoting positive recombination of polygene in hybrid’ organism for use in applied cotton breeding. Based on the above stated, the study of the genetic aspects of various methods of remote composite intraspecific and interspecific hybridization, based on the comparative evaluation of the effectiveness in order to isolate valuable recombinants and transgressive forms having new genetic variability of traits arc important both scientific and practical point of view.
The dissertation meets the objectives as set out in the Lows of Uzbekistan «On Seed Production» of December by 21, 2007 and «On Breeding achievements» by August 21, 2002 directed to developing and introduction of high-yielding cotton varieties, with a good yield and fiber quality, tolerance to various factors, as well as improving seed production.
Purpose of researches is comparative study of effectiveness of the various methods of intraspecific composite, convergent and inter-specific (3 to 5 species) hybridization revealing the nature of inheritance, form shaping and transgressive variation of traits, total and (+)-gossypol in creation of genetically enriched breeding material and for using in the applied cotton breeding.
Scientific novelty of the dissertation research is follows:
in the system of topcrosscs there used genetic evaluation for combining ability of main agronomic traits cotton varieties with different origins for further using in intraspecific composite and convergent hybridizations;
there established principally dominant inheritance and overdominance type of inheritance (with deviation toward the initial forms with the high agronomic traits) in F| at composite intra-and interspecific hybridization which genetically distinct accessions from the local and foreign selection and wide transgressive variability in F2-F3, facilitating to efficient selection of valuable recombinants;
first identified the inheritance nature and variability of total and (+)-gossypol in the cotton hybrids’ generative parts, developed by involving of American accessions with high (+)- gossypol and local varieties, as well as their correlation with some agronomical valuable traits;
first there held comparative study of economic traits at the different forms of amphidiploid G.thurheri x G.raimondii K-58 (hirsutum type) and K-59 (type harhadense) for free reproduction and after crossing the cultural forms of G.hirsutum L. species, it was established a wide range of variation of agronomic traits at mutant form of K-59 and composite hybrids, derived from it’s participation as compared to K-58 amphidiploid and it’s composite hybrids. It was found out those two types (type G.hirsutum K-58 and type G.harhadense K-59) of amphidiploid G.thurheri x G.raimondii at the free reproduction exhibits similarities with the both cultural tctraploid species; G.hirsutum L. and G.harhadense L., respectively. When they crossed with the cultivated G.hirsutum L. species these amphidiploid forms also behave as natural tctraploids;
it is revealed that, at the composite hybrids produced with the participation of the both forms of amphidiploid (K-58 and K-59) G.thurheri Tod. x G.raimondii Ulhr., as a result of transgressive variation, there is a disturbance of negative correlations between such traits as yield and fiber length, fineness and boll numbers conducive to positive recombinants emergence and increase donor opportunities of amphidiploids;
by comparative study of different methods of remote intra-and interspecific hybridization revealed the genetic nature of inheritance nature and variation degree of the main agronomic traits in composite hybrids, as well as their effectiveness in allocating recombinants having a new genetic variability of traits;
it is revealed that the possibility of breaking some negatively correlated traits by different methods of composite intra-and interspecific hybridization and selection of recombinants combining early maturity and high productivity, high fiber output with its quality and 1000 seed weight, etc.;
it is confirmed that the effectiveness of used methods such as a composite intraspecific and interspecific crosses, to increase positive transgressive variation and segregation genetically enriched recombinants having new combination of high levels of positive parameters of agronomic traits that were recommended and used to develop valuable initial material and new cotton varieties;
the obtained theoretical data on inheritance nature, hcritability and agronomic traits morphogenesis, levels of total and (+)-gossypol and their correlation with other agronomical valuable traits at developed hybrids could be successfully used in the field of fundamental research, and created unique hybrids, forms, progenies, lines and varieties could be used in applied cotton breeding.
Conclusion
1. There obtained and identified on comparative study base of intraspecific composed and converged hybrids with participation of six registered medium staple cotton cultivars in topcross system and high effects of GCA on the following traits:
«50%-cmcrgcncy-50 % flowering» Yulduz (-0.71); Tashkent-6 (-0.39) and in S-9070 (-0.38); “50% cmcrgcncy-50% maturing” S-9070 (-1.43), and in
Tashkent- 6 (-0.91); one boll weight S-6532 (+ 0.11); 1000 seeds weight S-9070 (+0.51); on productivity Tashkent-6 (+5,28), S-4911 (+4,04) and S-9070 (+2 24); fiber output S-6532 (+1,29); fiber length S-4911 (+0,70) and S-6532 (+0,48); fiber strength S-6532 (+1,57) and S-4911 (+0,91); micronairc S-6532 (+0,24) and Ak-Darya-6 (+0.24). These donors of high valuable traits were used by us for improving of the recurrent varieties by composite and convcrcgcnt hybridization. It was found that involvement of the varieties with a high GCA in convergent hybridization allows improving of the recurrent varieties and developing of a new initial material for cotton breeding:
inheritance nature and variability degree of agronomic traits at intraspecific composite and convergent cotton hybrids revealed the relative efficiency of the studied hybridization techniques during elaboration of new initial material with enriched genotypes of agronomic traits, and recommended to use in geneticselection process;
convergent hybrids F i dominated by early maturity, in terms of productivity and fiber output occurcd overall effect of overdominance, and F2-F3 appeared as positive transgressive forms;
significant effect of the genotype of the parental forms involved in hybridization on the inheritance nature of fiber quality (length, micronairc, strength) had convergent hybrids Fj, as well as their level of recombination in F2-F3 indicating the need for breeding of recombinants on these traits in early generations, taking into account genotype of initial forms;
the inheritance of the wilt tolcrancccs bccamcs not only depending on the pathogen load in soil fungus infections, but also depends on the used hybridization methods. Thus, most high resistance, i.c. negative superdominance on wilt tolerance observed in convergent hybrids F, and F2;
the direction and strength of correlation between the studied traits in intraspecific composite and convergent hybrids varied in depending on crosses type and from genotype of recurrent varieties. At present ease, the greatest number of recombinants with positive combination of high indicator traits which determining fiber quality, as well as its output, length, observed with with composite, particularly with convergent hybridization.
2. For the first time, on the basis of studies on determination the percentage of (+)- gossypol in seeds of genetically different cultivars of Uzbek cotton selection and analysis of variability, inheritance degree of total and (+)-gossypol in the environmentally and genetically remote hybrids and their correlations with economically valuable traits was proved:
the cultivars S-6524, S-6530 and S-6532 which were elaborated involving subspccic of G.ssp.punctatum had the highest level of (+)- gossypol and the «Turon» cultivar which was developed by composite hybridization has a low indicator of the current trait and relatively high level of total gossypol in seeds;
It was determined intermediate inheritance level of (+)- gossypol in the petals and seeds in F| hybrids and wide positive and negative transgressive variability in Ғ2-Ғ3. It was proved that the efficiency of plant selection with high (+)- gossypol in seeds since F2, that confirmed with segregation of constant progenies and lines on trait basis in F4 hybrids;
as a result of research the cross-correlation total and ( +)- gossypol and some agranomically valuable traits was found that between the ( +)- gossypol in the petals and seed exists a weak correlation. The data on correlations of studied traits showed an independent genetic control of (+)-gossypol in the generative organs and independent inheritance of them at cco- geographically and genetically remote hybridization.
3. For the first time, based on comparative study of agronomic traits of amphidiploid G.thurheri Tod. x G.raimondii Ulbr. two forms (hirsitum type -K-58 and harhadense type -K-59) and hybrids derived from G.hirsutum L. varieties revealed:
both studied forms of hirsutum type and harhadense type of amphidiploid G.thurheri Tod. x G.raimondii Ulbr., being functional diploids provided wide combinative variability in the progeny from the free reproduction and crossing with the cultivars of tetrapioid G.hirsutum L., and showed their similarity to G.hirsutum L. and G.harhadense L. tctraploid species, respectively;
as a result of the research a group of unique composite hybrids (F\G.thurherii Tod. x G.raimondii Ulbr.) x G.hirsutum L. confirmed unlimited transgressive variation as the basis of a new form revealing, new gene pool developing for use in applied cotton breeding. Herewith, at bud mutant K-59 observed emergence of phenotypes with higher variability for most agronomic traits compared to K-58;
it was found out that in composite hybrids which obtained by crossing of studied forms of G. thurberi Tod. x G. raimondii Ulbr. amphidiploids (2n=52) and with G.hirsutum L. cultivars were observed relatively rapid improvement on productivity and its components in comparison with freely propagated amphidiploids offspring. Herewith, composite hybrids involving K-58 on boll number in all generations was slower comparied to hybrids derived from K-59;
composite hybrids F, obtained involving two cultivars of cultivated forms on fiber output and length were observed deviation toward the parent with the best expression of the trait. It was revealed that the fiber output and length of the studied composite hybrids susceptible to less variability compared in terms productivity and its components. Relatively high variation was manifested on fiber output in F2, and on fiber length in F2-F3. In freely multiplying offspring of K-59 and its hybrids with varieties in F3 was observed the derivations of more long staple plants compared with hybrids, developed involving K- 58;
free propagating amphidiploids’ offsprings and composite hybrids selected by using of cultural forms showed the least wilt susceptibility compared with the control. Wilt resistance of barbadense type K-59 progenies from the free breeding was higher as compared than offspring of K-58, and higher in composite hybrids F2-F4, obtained involving K-59.
4. Under the general principle of correlation relationships among the studied hybrids were found that composite hybrids F2 amphidiploids’ G.thurberi Tod x G.raimondii Ulbr., both types (K-58 and K-59) with a G.hirsutum L. type Acala sj-5 cultivar showed mainly low positive and negative correlation coefficient values, which in most eases were none significant. In hybrid combination of K-58 x Andijan-60 fiber output and length correlated positively;
5. Based on comparative study of inheritance and variation of agronomic traits in developed 4 genomic [(G.thurberi Tod. X G.raimondii Ulbr.) X G.arhoreum L.] x G.hirsutum L., 5 - genome [(F|K-28 x S-6524 ) x G.harhadense L. hybrids and their backcross hybrids were proved:
the possibility of broad transgress variation and creation genetically enriched recombinants on unique traits;
efficiency of backcrosscs among the composite interspecific earlier generation hybrids for rapid improvement and stabilization of eultuvated forms of cotton;
wide transgress variability presence in 4 and 5 species composite hybrids and their backcross hybrids on productivity and its components starting with F|. In particular, it was confirmed the effectiveness of five species hybridization to increase the boll numbers per plant, boll weight and weight of 1000 seeds at 4 and 5 species and backcrosscs hybridization.
by obtaining recombinants having fiber output 43,1-45,0%, fiber length - 40 mm and above, micronairc of fiber 3.9-4.5 and wilt tolerance it was confirmed the effectiveness of introgressive and transgressive breeding at composite 4-5 species hybridization and their backcross hybrids.
6. As a result of studies of correlations in composite 4-5 species and backcrosscs hybridization of F2 hybrids it was revealed the effectiveness of used methods in interruption of such negatively correlated traits as «fiber output» and «fiber length» from medium positive (r=+0,39) up to high positive (r=+0,62), «fiber length» and «micronairc» -medium positive (r=+0,55), as well as «fiber length» and «fiber strength» -medium positive (r =+0,56 and r=+0.50).
7. Based on intraspecific composite and convergent, eco-geographically and genetically remote and 3-4-5 species and backcrosscs hybridizations were developed the following new breeding progenies, lines and varieties of upland cotton:
by composite and convergent hybridization way-L-7966, L-214/05; CC-896/05; CC-896/28; CC-991/05; CC-991/09; KC-1/05; КС-1/08; КС-1/18; KC-1/35; KC-1/51; KC-1/77, S-231-233/07, L-234-235/07, L-236-237/07, L-242-243/07, L-244-245/07, L-482-483/07, L-484-485/07, L-666-667/07, L-397-398/07, L-802-803/07, L-814-815/07, L-230/05;
cco- geographically and genetically distant hybridization - cultivar S-7300, S-7301, the progenies S-5344, S-5361. HPG-1;
composite 3 - specific hybridization -cultivar «Sulton», «Jarkurgan», S-7276, S-7277, as well as a number of lines;
8. Using the remote intra-and interspecific hybridization it was elaborated unique introgression hybrids, genetically enriched cotton recombinants, progenies, lines, and varieties «Sulton», «Jarkurgan», S-7276, S-7277, S-7300, S-7301 having positive combination of high agronomic traits. Cultivar «Sulton» was included in the State register from 2011 and for the period from 2008 up to 2014 it was sown on the area of over than 275,5 thousand hectares.
9. The following rcccomcndations were given for practize and future studies:
use of method convergent hybridization, allowing improving of agronomic valuable traits of recurrent parent and registered medium staple cotton cultivars and receiving a positive transgressive variability;
as an initial source in convergent crosses use cotton varieties with high General combination ability (GCA) on the following: on early maturity- Tashkent-6 and S-9070; boll weight - S-6532; weight of 1000 seeds S- 9070; on productivity -Tashkent-6, S-4911 and S-9070; fiber output -S-6532; fiber length - S-4911 and S-6532; fiber strength - S-6532 and S-4911; and for micronairc - S-6532 and Ak-Darya-6.
for use as an initial source in cotton genetics and breeding research such new cotton selection progenies as well as the lines: KS-1/05; K.S-1/08; K.S-1/18; KS-1/35; KS-1/51; and KS-1/77, L-7966, L-214/05, S-214/05, SS-896/05; SS-896/28; SS-991/05 and SS-991/09 with early maturity, productivity, wilt tolerance, fiber output and quality.
to use in cotton genetics and breeding researches both USA accessions BC3S,-47-8-l-17, BC3S|-l-3-6-15 with 95% of (+)-gossypol level in seeds and lines HPG-1 and others with 90% of (+)-gossypol level, as donors on this trait. Since 2012, developed and studied in the competitive variety testing of Institute the following lines: L-404-05 and L-6970 with high (+)- gossypol level were recommended for testing on ground control of the State Inspection Commission for Agriculture crops variety testing.
widespread use of various forms of synthetic tetrapioids G.thurheri Tod. x G.raimondii Ulbr., 4-5 species composite hybrids [(G. thurheri Tod. x G. raimondii Ulbr.) x G.arhoreum L.] x G.hirsutum L. and [(F t K- 28 x C-6524 ) x G.harhadense L., as well as their backcrosscs for achievement the broad transgress variation, elaboration genetically enriched recombinants on economically valuable traits and their use in practical cotton breeding;
to extend the areas in of early maturing commercialised cotton cultivar «Sulton» and perspective one «Jarkurgan» as well broad testing of such as new varieties S-7277, S-7300 and S-7301 in the republic.
This article provides summary recommendations of some manuscripts related to Covid-19 and diabetes mellitus comorbidity. Manuscripts related to this topic were searched in PubMed. The article describes the mechanisms how COVID-19 may enhance complications in individuals with diabetes mellitus and providing special considerations on anti-diabetes drugs commonly used in patients with type 2 diabetes in view of COVID-19 developed by group of researches. These recommendations can be useful for those physicians who are involved in case management of Covid-19 and diabetes mellitus.
The visual organ injuries in diabetes mellltus are an urgent problem-of ophthalmology to investigate. However, in our»Republic the studies of this kind are infriquent and do not use epidemiologic approach. Six hundred patients with diabetes mellltus of types I and II were examined, they being the residents of Tashkent and our examination revealed the visual organ changes. The eye fundus was injured in 83.68% of patients with dieletes. type I and in 84.53% of those with type II, the extent of the eye fundus injury being greater in IDDM (Insulin Dependent Diabetes Mellltus) than in IIDM ( Insulin Independent Diabetes Mellltus). The clinical analysis showed that the frequency of the lens clouding in patients with diabetes mellltus increased with the .age of the patients, duration of the disease and its severity. Me had developed the classification of the injuries of the eve fundus in patients with diatetes mellltus which-allows to choose the proper tactics of treatment and succession of specialists and measures at various stages of the treatment course. The integral assessment of the risk factors of diabetic retinopathy revealed that the risk factors in IDDM and IIDM are similar,but their influence on development of the disease is different. To improve prophylaxis of the retina injuries in patients with dia-betes mellltus-, we selected the following risk groups: "favourable prognosis", "attention", and " unfavourable prognosis". We also developed the criteria of time and frequency of examination of patients in these groups. The analysts of dynamics of morbidity rate for diabetes melli- tus by 2005 showed the further increase of this rate - in 1.4 times. Blindness in patients with I DOU is 5.65% and in those with IIDM - 11.11%. On the basis of the material described above, the neccessery conditions for organising the ophthalmo-diabetic service were formulated.
The aim of the study. To study the clinical characteristic and quality of life of the patients with type 2 diabetes mellitus.
Material and methods. We examined and examined a total of 80 patients with diabetic nephropathy on program hemodialysis for the period from January 1, 2018, to January 1, 2020.
Results. In this article, the authors analyze 80 cases of diabetic nephropathy that were on programmed hemodialysis. Of these, 32 women, 48 men. The results also confirm the literature that patients with type 2 diabetes mellitus have a low quality of life indicators before hemodialysis.
Conclusions. A questionnaire to determine the quality indicators - WHOQOL-BREF, MMSE, Hamilton depression scale are the most sensitive and informative to determine the quality of life in patients with chronic kidney disease.
One of the frequent complications of diabetes mellitus (DM) is the lesion of human blood vessels, leading to the development of diabetic foot. Literature and daily practical observation show an increase of the rate of diabetic foot (30-70%), which raises the actuality of the problem of diabetic foot treatment. This article contains data concerning the results of surgical treatment of 151 patients with diabetes mellitus complicated by diabetic foot and purulent-necrotic soft tissue inflammation. Our work presents the basic principles of treatment of purulent-necrotic complications of diabetes mellitus. The effectiveness of local application of Acerbin solution and two-stage surgical tactics in the complex surgical treatment of purulent-necrotic complications of diabetes mellitus has been proved.