Vol. 3 No. 7 (2021)

Purpose of the study: assessment of the study cardiovascular status in patients with postcovid syndrome and to determine their relationship with the functional status of patients.

Material and research methods. There were 281 patients under observation, with the presence of clinical manifestations of postcovid syndrome. The comparison group (CG) consisted of 20 patients who had undergone COVID-19 and whose disease ended in full recovery. All patients underwent electrocardiographic (ECG) and echocardiographic (EchoCG) studies. The assessment of the functional status of patients after suffering COVID-19 was carried out using the PCFS method - Post-COVID-19 Functional Status (https://osf.io/qgpdv/).

Research results. The study revealed signs of cardiovascular pathology according to ECG and EchoCG data in 255 (90.75%) patients with postcovid syndrome. According to the ECG results, cardiac arrhythmias were recorded significantly more often in patients in the main group than in the comparison group (p <0.001). The results of the echocardiography of the study showed that in the patients of the main group, compared with the comparison group, there was a significant increase in the size of the LV and RV of the heart (p <0.05), a decrease in LVEF (p <0.01) and a higher value of the mean pressure in the PA (p <0.05). Patients with a higher PCFS score are characterized by large sizes of both ventricles (p <0.05 for LV and p <0.01 for RV) and low LV ejection fraction (p <0.001).

Conclusion. The present study showed that 255 (90.75%) patients who underwent COVID-19 in the early rehabilitation period have signs of cardiovascular pathology according to ECG and EchoCG data. Patients with a higher PCFS score (significant restriction of daily activity due to symptoms associated with the previous infection and the need for assistance in self-care) had more enlarged sizes of both ventricles and a lower LVEF.

Analysis of the assortment of sedatives registered in the Republic of Uzbekistan showed that sedatives are represented on the pharmaceutical market of the country by such dosage forms as drops, solutions, tinctures, syrups, medicinal herbal raw materials, capsules and tablets. Considering that sedatives registered in the form of a substance, with the exception of the dry extract of Leoglycyrfl produced by “Uzkimyofarm”, there are practically no names of S.K. Islambekov in the Joint Stock Company. In this regard, we consider it expedient to create a new sedative medicinal product of herbal origin in the form of a substance and obtain dosage forms based on it.

Medical rehabilitation of patients with defects, deformities of the jaws is an urgent problem in reconstructive maxillofacial surgery. Such defects cause significant dysfunctions of the organs of the maxillofacial region, disfigurement of the soft tissues of the lower face zone. A complex problem of maxillofacial surgery is the development of methods for surgical restoration of the integrity of organs and their function. Currently, various surgical methods and materials are used to restore the defect in the jaw bone tissue [12].

In this review, the authors performed an overview of the literature on early diagnosis, treatment and methods for predicting the outcomes of the disease. According to regional endocrinological dispensaries, for 2020 registered SD for RUZ 277 926., Of these, type 1 type 18178, SD 2 type 259,748 patients. At the same time, the number of patients with DR was 2020 g of 83,632 persons, of which 73690 persons with di type 2. The real number of patients exceeds a registered 10 times, over the past 18 years, the number of patients with a rope in Uzbekistan increased by 2.4 times (according to the Ministry of Health of RUZ).

The prevalence of others among patients of the CD is 10-90%, according to some specialists, up to 97-98.5%. For example, the frequency of development dr in India is lower than among Europeans and Americans, and among the black population more frequent than among the white. According to the WHO research group, it was revealed that the highest frequency of DR was detected in Oklahoma (76.4%), Zagreb (73.1%) and Hong Kong (58.1%). The lowest frequency was observed in Tokyo (29.7%). The prevalence of DR in patients in China amounted to 47.4%, and the frequency of DR in Poland was 31.4%.

The article is devoted to a review of the topical problem of our time “Microbiocenosis of open cavities of the body and its role in the occurrence of many diseases of the human body ”. It has now been proven that the normal microflora of the human body plays a huge role in the normal course of life processes. The slightest violation of the composition of microorganisms leads to various irreversible defects in the normal course of human life, which are associated with the functions of the microbiocenosis and which no medicine can replace. The concept of microbiocenosis appeared in the 70s of the last century, although the first stone in this direction was put by Louis Pasteur, who proved the role of a microorganism in the process of fermentation and digestion. Many scientists contributed to the leap forward development of this science, which was forced due to errors in the use of antibiotics and chemotherapeutic drugs. Yes, indeed, the path of development of the science of biocenoses is closely related to the misuse of drugs, which often leads to dysbiosis. In addition, environmental pollution due to the uncontrollable development of urbanization plays a huge role in the development of dysbiotic processes.Therefore, with the aim of acquainting readers with the concept of biocenoses, certain pathways of pathogenetic links in the development of various diseases in violation of the composition of the normal microflora of the human body, we set ourselves the task of conducting a partial review of the achievement of the science of biocenoses of open cavities of the body.

Purpose of the study. Estimate the functional status of patients using the PCFS (Post-COVID-19 Functional Status) scale.

Material and research methods. There were 281 patients under observation, with the presence of clinical manifestations of post covid-19 syndrome. As a control group (CG), 20 patients who had undergone COVID-19 and whose disease ended in full recovery were examined. The assessment of the functional status of patients after suffering COVID-19 was carried out using the PCFS method - Post-COVID-19 Functional Status (https://osf.io/qgpdv/).

Research results. In the main group of patients, the average score of the questionnaire was 13.34 ± 0.83 points. Patients who have identified a violation of their functional status at 1 point were 13 patients (4.63%), at 2 points - 90 people (32.03%), at 3 points - 117 people (41.64%), at 4 points - 61 people. (21.71%). In the control group, the patients assessed violations of their functional status at 0 points. The number of patients with extremely severe, severe and moderately severe COVID-19 was significantly higher in the main group than in the control group (30.61% versus 20%, 35.94% versus 30%, 33.45 versus 30%, respectively) In the main group of patients, the average number of background diseases was significantly higher than in the control group (p <0.05).

Conclusion. Patients with post covid syndrome have a higher score on the functional status scale (PCFS). Among the patients who scored 3 and 4 points on the PCFS test (significant limitation of daily activity due to symptoms associated with the previous infection and the need for help in self-care), there were more patients with a severe course of COVID-19 and background cardiovascular pathology and obesity.

This article presents a clinical case of the treatment of a mandibular radicular cyst from 3.6 teeth by creating a decompression "window", which allows the cyst volume to be reduced up to complete restoration of the bone structure as well as ensuring the integrity of the surrounding anatomical structures. The subsequent filling of the cavity with newly formed bone is due to secondary osteogenesis. This operation can be performed on an outpatient basis in a dental surgery room under local anesthesia

This article provides arguments about the need for scientific research aimed at maintaining the stability of biological properties during long-term storage, production, reference, epizootic strains of microorganisms through the development and optimization of lyophilization parameters.