All articles - Health Care Sciences and Services
Number of articles: 178
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Introduction: The imaging system is recognized as a key element of the overall visual image of any healthcare facility. The development of technologies and means of visualization systems in one way or another is associated with an assessment of the mismatch between the characteristics of existing signs and the desired attributes by potential visitors to health facilities. Research methods: A sociological study of 7866 Russian-speaking people with a multistage stratified territorial random sample was carried out. When developing the questions of the questionnaire, the author's patented ALIDS method was used as a methodological base. To structure the attributes (mandatory, linear, attractive, indifferent, undesirable) of the intent, the Kano method was applied to the imaging systems of medical organizations. Results: Most respondents, while in the territory and in buildings of medical institutions, turn to navigation and information elements. The identity of the structure of the responses of the respondents of different age and gender groups in relation to the presentation of information both in a structured and not in a structured form has been determined. For the population of the Russian Federation, the category of mandatory attributes of the visualization system included two indicators: "Presentation of information according to the rules and norms of the native language" and "Professional production of elements of visualization systems", while for the population of the Republic of Uzbekistan only "Professional production of elements of systems visualization ". Conclusion: Kano's method allows you to rank the attributes of visualization systems into five categories according to the level of significance and functionality for the target audience - visitors to various healthcare facilities. The data obtained can be useful when creating state imaging standards in medical institutions of the Russian Federation and the Republic of Uzbekistan. -
ORGANIZATION OF INDEPENDENT WORK OF STUDENTS AT A MEDICAL UNIVERSITY, AS A NECESSARY COMPONENT FOR FORMING COMPETENCIES IN STUDYING NORMAL PHYSIOLOGYABSTRACT: education in a higher educational institution has its own specifics. This applies to all aspects of the educational process, but this article focuses on the organization of independent work of students at the Department of Normal Human Physiology. At the same time, independent work includes classes within the department with the study of natural preparations, as well as the correct organization of preparation for classes outside the educational institution, including using modem distance learning methods.
Medicine and innovations -
MANIFESTATIONS OF BURNOUT SYNDROME IN LISTENERS OF NURSING ADVANCED TRAINING COURSES.-IDO 1 Л. IV I Over the years, the number of nurses suffering from burnout has increased, possibly negatively affecting patient care, the work environment, and staff shortages. This article is devoted to the problem of development of burnout syndrome in nursing staff. The authors analyzed the literature data on the topic chosen by the authors, studied the history of this phenomenon, risk factors, identified the causes, and studied preventive measures of mental stress in nurses to prevent clinical manifestations and development of the syndrome. The purpose of the study: to identify the main problems associated with burnout in nurses, to develop preventive measures. Research methods: logical and psychological analysis of the literature on the problem under study, sociological survey, statistical analysis, methods of psychological support. The sample consisted of online participants ofprofessional development courses, i.e. nurses (36) from various medical institutions. Results: it was found that 58.3% of nurses suffer from emotional exhaustion, which creates certain obstacles when they do their housework after work. 61.1% of respondents suffered from insomnia due to work-related problems, which in turn, caused drowsiness in nurses during the next working day, preventing them from fully and actively engaged in their activities. 66.6% of workers complained of headaches, neck and shoulder pains. Conclusion: Emotional states such as fatigue, weakness, nervousness can lead to BS and to a decrease in the professional motivation of nurses. Occupational stress factors led to the development of health problems. From the presence of such bad habits as Smoking and excessive coffee consumption, it can be concluded that nurses do not lead a healthy lifestyle and have a tendency to burnout syndrome.
Medicine and innovations -
CLINICAL AND PATHODYNAMIC PATTERNS OF THE FORMATION OF ALCOHOLIC DELIRIUM IN PATIENTS WITH SOMATIC DISEASESThe article studies the clinical and pathodynamic laws of clinical polymorphism and variants of the course of alcoholic delirium in patients with somatic diseases. Clinical psychopathological method examined 50 sick men with delirium tremens at the age of 31-60 years, in which somatic diseases were detected. As a result of the clinical and psychopathological analysis of alcohol delirium complicated by somatic diseases, three clinical options were identified: classic, mixed and severe. It should be noted that as alcohol delirium gets heavier, the clinical picture is transformed from simple to complex in the following regularity: illusions - hallucinations - confusion of varying degrees of consciousness - elements of mental automatism - movement disorders - amnesia of varying severity. The author concludes that somatic pathology, along with the main etiopathogenetic mechanism (alcohol), is involved in the clinical pathogenetic mechanisms of the formation of alcoholic delirium.
Doctor's Herald -
The aim of the study was to study the risk factors for congenital heart defects in newborns. 374 newborns with congenital heart defects were examined. When determining the significance, according to the questionnaire with a codifier of 42 features, modifying risk factors for the development of congenital heart defects were identified by socio-hygienic, medico-biological, the influence of intrauterine infections, taking medications by the mother during pregnancy, and obstetric and gynecological indicators. -
ouriiuia aiciiv iii^uivui iiidinuiv, uuriiciia, v^uvividuiii This article presents the results of the survey conducted among the first-ycar students and devoted to the analysis of their opinions about the basic principles of a healthy lifestyle. The data obtained during the survey show that most of students have a fairly clear idea of the main components of a healthy lifestyle, although they differently assess the importance of the specific principles of health preservation, giving priority to rest, physical activity and rational nutrition. At the same time, almost half of asked students maintain that for various reasons they do not follow the principles of a healthy lifestyle in their daily activities, except for personal hygiene. The results of survey should be taken into account when developing programs for the disciplines that form general cultural competences aimed at preserving health. -
EXPERIENCE OF THE NATIONAL VACCINATION PROGRAM IMPLEMENTATION AGAINST HUMAN PAPILLOMA VIRUS IN THE REPUBLIC OF UZBEKISTANIntroduction. Cervical cancer is one of the most serious threats to women's health. This is the fourth most common cancer in women around the world. According to the forecasts of international experts (taking into account population growth and an increase of life span expectancy), the increase in the incidence and prevalence of cervical cancer will have made up 40% in developing countries and in economically developed countries - 11% by 2020. In the case of non-conducting timely measures for the prevention and treatment of cervical cancer, malignant neoplasms of the cervix will affect up to 1 million women annually after 2050 in the world. Aim of the study is primary prevention of cervical cancer by introducing vaccination to 9 years old girls of the Republic of Uzbekistan. Material and methods. The Gardasil MK vaccine was imported to the Republic of Uzbekistan in 2019. From October 21 to November 30, 2019, the first dose was vaccinated to 9 years old girls in the republic; the introduction of the 2nd dose is planned in 6 months. Results and discussion. Vaccination rates significantly increased after the measures taken on November 30: in the city of Tashkent - 97%, in the Tashkent region - 90.8%, in Bukhara - 90.2%. Refusers made up 66.9% of unvaccinated girls. Temporary left who also did not receive vaccination made up 360 (4%). 1935 girls were not vaccinated by other reasons and they made up 21.4% of the total unvaccinated population. Conclusion. As a result of joint efforts by the Government of the Republic of Uzbekistan, the Ministry of Health with the support of international organizations from WHO and UNICEF, the first dose of the tetravalent HPV vaccine - Gardasil MK- was successfully administered to 9 years old girls all over the country. According to the data of Health Ministry of the Republic of Uzbekistan no adverse reactions were observed in 292,867 girls after vaccination.
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DIAGNOSTIC AND THERAPEUTIC METHODS FOR NON-HOSPITAL PNEUMONIA WITH ATYPICAL ETIOLOGY IN CHILDRENDiagnosis and treatment of atypieal community-acquired pneumonia in children is a topical issue in pediatric practice. Pneumonia today is one of the most common diseases of childhood, which occupies one of the main places of morbidity and mortality. Delayed diagnosis and inadequate therapy are among the primary causes of poor outcomes of pneumonia in children. To optimize treatment, in order to differentiate the typical or atypical etiology of community-acquired pneumonia, we performed PCR, express methods for determining the value of the level of procalcitonin and C-reactive protein in blood plasma in children. And thanks to the answers, they carried out treatment with antibacterial and antiviral drugs. We have treated 80 patients aged 2 to 7 years, who were divided into 2 groups. The patientswere hospitalized in the departments of emergency pediatrics and the department of children's intensive care of the Samarkand branch of the Republican Scientific Center for Emergency Medical Aid. the Samarkand Regional Children’s Multidisciplinary Medical Center, family polyclinics №3. 40 patients underwent complex therapy, which included an antibacterial drug, antiviral drugs in an age-specific dosage for 10 days. Clinical manifestations of group I, stopped almost 1.5 times faster than patients from group II. Complex treatment of community-acquired pneumonia with atypical etiology with an antibiotic and antiviral drug has shown that they are the most effective, preventing and reducing the severity of the disease.
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STUDYING THE CARRIAGE OF PATHOGENIC STAPHYLOCOCCUS (S. AURES) IN THE MEDICAL STAFF OF THE SURGICAL DEPARTMENTS OF HOSPITALS, OBSTERTIC HOSPITALS AND INDICATORS OF ACQUIRED ADAPTABILITY IN RELATION TO DIFFERENT ANTIMICROBIAL DRUGSA survey was carried out on staphylococcal bacteriocarrier of medical personnel. The test material was taken from the nasal cavity and pharynx. Carriage of S.aureus in the nasal cavity was revealed in 24 examined. Investigated clinical strains of S.aureus allocated in the surgical departments of hospitals and obstetric hospitals in 2016-2018. in order to study their antibiotic resistance. The sensitivity was determined by the disk diffusion method on Muller-Hinton agar. Acquisition of resistance of S.aureus to lincomycin and erythromycin was revealed.
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ENDOSCOPIC MONITORING AND ENTERAL NUTRITION IN BURNED PATIENTS WITH GASTROINTESTINAL TRACT DYSFUNCTIONSSamarkand branch of republican research centre of emergency medicine, Samarkand, Uzbekistan In carrying out this work, we based the results on the assessment of lesions of the stomach and duodenum in burned patients, according to the endoscopic research method, which allows a more accurate assessment of the state of the mucous membrane of the stomach and duodenum. We examined 87 patients who received probe nutrition, with a lesion area of 25 to 35% of the body surface. Combined therapy in seriously ill people with the inclusion of probe hypclcmcntation can reduce the severity of exhaustion, effectively correct metabolic disorders of the gastrointestinal tract, provide a sufficient amount of plastic material, thereby reducing the number of complications of burn disease and improve the results of surgical treatment.
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MODERN ASPECTS OF ELECTROENCEPHALOGRAPHIC CORRELATES OF SOME COMPLICATED FORMS OF MIGRAINEThe aim of the study was to study the electroencephalographic correlates of the brain in some complicated forms of migraine. 133 (100%) patients with migraine were under observation, 66 (49.6%) with migraine status, 67 (50.4%) with chronic migraine. A 16-channel apparatus of the company «Neurosoft» carried out EEG. Thus, neurophysiological parameters of EEG were objective indicators of complicated forms of migraine, determining the zoning of the pathological process, the presence of exacerbation and aura.
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STUDY OF CLINICAL-PSYCHOLOGICAL DEPRESSIVE DISORDERS FEATURES OF PATIENTS WITH ALCOHOLISMToday, the most important problem is the study of social and clinical and psychopathological characteristics of patients with alcoholism and depressive disorders, the psychoprophylaxis of depressive disorders in patients with alcohol dependence syndrome.
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Analysis of changes in the quality of life of patients after the moved high amputation of the lower extremity on the diabetic footThe analysis of the clinical effectiveness of various methods of high amputations of the lower extremities in diabetic foot syndrome and the study of the quality of life of patients showed that the implementation of an improved method of amputation at the level of the lower leg leads to a sharp decrease in mortality, a decrease in the number of postoperative complications. And also creates favorable conditions for prosthetics amputation stump thus contributes to improving the quality of life of patients
Journal problems of biology and medicine -
The basis for the study consisted of 217 patients with postoperative ventral hernias of comparable age who were under observation and admitted to the department of the surgical departments of the 1st and 2nd clinics of Samarkand state medical institute in the periods from 2009 to 2017. After the application of the proposed development and innovative approaches, the quality of life of patients with postoperative ventral hernias undergoing hernioplasty in the main group improved in contrast to the patients in the comparison group.
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It is known that as a result of the spread and impact of pollutants in terrestrial ecosystems, negative bioeffects arise: acute, chronic and remote. Residents of environmentally unfavorable areas exposed to a complex of harmful factors experience a change in the immune status with the development of immunodeficiency states and allergization of the body [4]. For some industrial zones, an increase in the frequency of allergic diseases has become characteristic, which is a consequence of the underestimation of environmental factors, which affects the health of the population. -
Formation and current status of agricultural items in the samarkand regionAfter gaining independence by the republic, a cardinal rethinking of the existing structure and tasks of the health care system, formed in the Soviet era, its material and technical base was on the agenda.
Journal problems of biology and medicine -
Hygienic substantiation of working conditions of workers developing vegetables under the open soil conditionsIn this article, the purpose of the study is a hygienic assessment of the working conditions of workers engaged in the cultivation of vegetables in open ground. It has been established that when growing vegetables workers can be affected by such production factors as high physical activity, dust, noise, vibration, carbon monoxide, summer insolation. relatively low temperatures in the autumn-winter period, vapors and gases of mineral fertilizers and pesticides. In this regard, sanitary inspection of the working conditions of vegetable growers should be carried out taking into account the specific features of the cultivation of vegetable crops.
Doctor's Herald -
The purpose of the study is a hygienic assessment of the influence of production factors on the health of workers in poultry farms and the development of measures to improve working conditions. It has been established that unfavorable factors of the production environment of poultry farms arc intense physical labor, ncuropsychic stress, the effect on the human body of chemicals, bacterial and dust aerosols, fungal microflora, excreta and other poultry life products. -
The article analyzes the incidence of nosocomial infections (N1) in medical institutions (MI) of the Bukhara region in 2015. Purulent septic infections (PSI) have been shown to be the most common cause of MI. MI are characterized by high contagiousness, a wide range of pathogens and a variety of ways of their transmission, the possibility of outbreaks at any time of the year, the presence of patients with an increased risk of the disease (the so-called "risk group") and the possibility of recurrence. -
Prcgravid preparation includes a set of activities aimed at preparing married couples for full conception, bearing a pregnancy and having a healthy child, as well as preserving the nation’s healthy gene pool. Pregravid preparation was recommended for women planning pregnancy with and without complaints; patients with infertility, in the presence of miscarriage in history. A set of measures aimed at preparing a woman for pregnancy, includes collecting anamnesis, clinical and laboratory examination to identify extragenital and gynecological diseases, as well as comprehensive treatment, if necessary. -
Hygienic justification of the permissible safety standards for the insecticide “zaragen” in some environmental objectsScientifically substantiated the maximum permissible concentration (MAC) of the drug Zeragen k.s. in the water of reservoirs (taking into account the organoleptic properties of water and the sanitary regime of the water of reservoirs), in atmospheric air and air of the working area. Taking into account the generally accepted approaches in hygienic practice, the maximum allowable level (MRL) of a drug in food products has been established for rationing pesticidal preparations. Based on the data on the toxicity of the drug, the maximum permissible concentration (MPC) in the atmospheric air of the working area, as well as the estimated permissible concentration (MPC) in the soil, the maximum permissible levels in food products, were developed by calculation.
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This article describes the risk factors for the development of spinal cord injuries accompanied by obstetric paralysis of various types. We examined 80 children with consequences of a combined trauma of the spinal cord and brachial plexus, which were divided into 2 groups. Results of a research have shown that in origin of the combined patrimonial damages of a spinal cord and a humeral texture the set of pathological factors matters. -
The complex model of filter for extracorporeal removal systems consists of derived cotton cellulose and polypropylene. This new model of filter has good barrier possibility (binding of the particles of the absorbent) and additional detoxicant properties. This additional characteristics of the complex model of filter (CMF) includes reduction of the level in blood plasma some of toxic substations such as bilirubin - on 22% (p<0,05); the average molecules of the plasma - on 25,4% (p<0,05); the factor of the necrosis to tumors alpha - on 18,5% (p<0,05) from basic level before filtration. There were no reliable changes of the glucose, total protein, albumin, electrolytes concentrations in plasma after filtering through CMF. Premises and basis for realization of the additional detoxification characteristic of the CMF include its biological compatibility and high soiption possibility of derived cellulose. Polypropylene can perfects the barrier properties of CMF. The combination of derived cellulose with polypropylene in complex model of filter -CMF can be offered for the further tests as filter for extracorporeal removal systems. -
Features of hormonal status and mineral exchange in juvenile rheumatoid arthritis in children with different forms of the currentThis article presents the results of a comprehensive examination of 55 patients with juvenile rheumatoid arthritis. This type of children has desynchronization in the endocrine system, which is manifested in the increase of thyroid hormones, and the severity of the disturbances depends on the form, the expressed activity and the duration of the disease. There were changes in the parameters of the structural and functional state of bone tissue in children suffering from JRA, which manifested itself in the form of osteoporosis or osteopenia of varying severity.
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Application of medical physical training for children сerebral palsy in home conditionsThe aim: to study the role of physical culture in children's cerebral palsc. Materials and methods of research. We examined 84 sick children with cerebral palsc. All the sick children were divided info two groups: basic and control. In addition to standard therapy, the children of the main group were also added therapeutic physical skills at home. Results. The children of the main group became healthier, moral values were formed, and skills of independent activity were formed. Conclusion. Therapeutic physical training at home should be an essential part of the treatment for infantile cerebral palsy.
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