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Herald of the medical and social institute of Tajikistan

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No 3 (2022)
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5-9 10
Abstract

Relevance. The presented article was prepared in order to determine the status of social medicine in the state and educational system of the Republic of Tajikistan, since this issue is one of the topical issues of medical sciences and sociology of an independent country.

The result of the study and its discussion. The scientific results of the study are related to clarifying the essence of social medicine in the health care and education system. The author’s ideas were used in the process of teaching social and medical subjects.

Material and research methods. The study used legal sources, scientific literature and Internet materials, as well as general scientific methods as normative-value, historical comparative.

Conclusion. As a result of the analysis of scientific and public materials, it was determined that social medicine in the Republic of Tajikistan is in the process of formation and development. Here the Government of the Republic of Tajikistan is trying to make the country’s social system even more alive, to provide social medicine, and to create the necessary foundations for protecting people’s health.

9-18 11
Abstract

Purpose of the study. Diagnosis of the degree of pyloroduodenostenosis (PDS) and the role of helicobacteriosis in its development, development of preoperative preparation and surgical tactics.

Material and research methods. This work is based on the results of examination and surgical treatment of 48 patients with duodenal ulcer (duodenal ulcer) complicated by PDS. Prior to admission to the clinic, all patients received multiple conservative antiulcer treatment. Stenosis of the proximal third of the duodenal bulb was diagnosed in 8 (16.7%) patients, the middle third in 17 (35.4%) and postbulbar stenosis in 23 (47.9%). Indications for surgery were determined depending on the clinical course of the disease, the stage of stenosis, the degree of motor evacuation function disorders (MEF) of the stomach and duodenum, as well as the characteristics of gastric secretion, the degree of endogenous intoxication (EI). For the diagnosis of H. pylori infection, a rapid urease

test, morphological and bacteriological research methods were used.

Results of the study and their discussion. In 89.1% of patients, pyloroduodenal stenosis was accompanied by an active ulcerative process upon admission. Most often, duodenal ulcers were combined with gastroesophageal and duodenogastric reflux. Fundic and 91.3% erosive antral gastritis were observed in 36.9% of patients. Ulcers leading to PDS in children were localized in the pyloric 8 (16.7%), bulbar 18 (39.1%) and postbulbar 22 (45.8%) parts of the duodenum.

Depending on the nature of the response to the administration of cerucal, three types of changes in intragastric pressure were identified.

In all children with PDS, the level of basal secretion of hydrochloric acid was higher than normal. The average level of increase in the concentration of hydrochloric acid and basal secretion averaged 72.3±6.9 meq/l, with the volume of gastric juice 123±8.5 ml/hour, and the basal production of free hydrochloric acid was 10.7±1.2 meq/g

Preoperative preparation was carried out as follows: anti-helicobacter therapy.

In the immediate postoperative period, complications were observed in 5 (10.8%) children in the form of duodenal stump failure 1, gastrostasis 2 and pancreatitis 2. In the long term, positive results were obtained in 94.5% of children and in 2 (5, 5%) of children experienced unsatisfactory results.

Thus, differentiated preoperative preparation and a rational choice of surgical interventions depending on the severity of PDS, dysfunction of the stomach and duodenum, and the degree of contamination of H. pylori made it possible to obtain good results in the near and long term after surgery.

Conclusion. Every year, peptic ulcer of the stomach and duodenum is getting younger. Significant progress has been made in the treatment of duodenal ulcer (DU). The number of surgical interventions in children for complications of duodenal ulcer is growing, from 5 to 25%.

The most common complication is pyloroduodenal stenosis, which is 65.4%.

19-35 7
Abstract

Purpose of the study. Experiment to show and prove that the combined effect of pulsed electric current from the apparatus ELAV 8 and the biologically active agent “Pelamin” has a more prolonged effect on the expansion of the vascular bed.

Material and research methods. Experiments were carried out on rabbits of the same weight and one litter. The ears of rabbits were used as the object of study, because they are quite thin and covered with a small amount of wool, and the vessels of the ear are clearly visualized. In the work, for the first time, the influence of pulsed electric currents from the ELAV-8 apparatus and the biologically active substance “Pelamin” on the microcirculation in the rabbit’s ear was studied.

Results of the study and their discussion. As a result of the experiments, we found that pulsed currents from the ELAV-8 device with a frequency of 50 and 100 Hz have a vasodilator effect on the microvasculature of the rabbit ear vessels. When exposed to a current with a frequency of 100 Hz, the effect of vasodilatation was 5% higher than at a frequency of 50 Hz. The biologically active agent “Pelamine”, applied to the paravertebral region of the rabbit by means of pulsed currents from the ELAV-8 apparatus, causes a vasodilatory effect and the formation of additional collaterals in the rabbit’s ear. When exposed to a current with a frequency of 100 Hz, the effect of vasodilatation was 6% higher than at a frequency of 50 Hz. The effect of vasodilation when exposed to pulsed currents from the ELAV-8 apparatus reaches its maximum at the 5th-10th minute. The introduction of the biologically active agent “Pelamin” with the help of currents from the ELAV-8 apparatus has a more prolonged effect on the expansion of the vascular bed. Changes are sequential, and reach their maximum effect at the 15th minute. The results of the study can be used in experimental physiology, biology, veterinary medicine, medicine to improve or restore microcirculation in various parts of the body.

Conclusion. The impact of pulsed electric current from the ELAV-8 device has a vasodilator effect on the vessels of the rabbit’s ear (exposure to pulsed electric current with a frequency of 50 Hz increases the lumen of the vessels by 10%, and by a current with a frequency of 100 Hz by 16%). The maximum increase in the diameter of the vessels is achieved at the 5th and 10th minutes, then the lumen of the vascular bed decreases again.

It has been proven that the combined effect of pulsed electric current from the ELAV-8 apparatus and the biologically active agent Pelamin has a prolonged effect on the expansion of the vascular bed.

35-43 11
Abstract

The purpose of the study. Justification of measures to protect public health by optimizing the safe use of water by the population of Tajikistan.

Research material and methods. Surface and underground water reservoirs, sanitary hygiene examinations, laboratory research results. Analysis of information interpretations, statistical reports, references of the Ministry of Health and Social Protection of the population of the Republic of Tajikistan and reports of international and public organizations.

Materials and methods of research. In the republic, the situation of providing the population with water, as well as with water through water lines and sewage, especially in rural areas, is at an extremely low level. Even in the city of Dushanbe, with moderate water use (250 l per day), more than 100,000 people live in houses without sewage and garbage pits, which are the source of acute intestinal infections.

Results and their review: Consolidation and assessment of water supply made it possible to determine that there is a high level of possible risk of disease epidemic in valleys and cotton-growing regions, where more than 70% of the population of the republic lives in these regions. The high level of indicators, with which the high level of the possible risk of an epidemic is assessed, corresponds to the number of accidents and irregular days of water supply to the population.

Conclusion. Poor quality drinking water can cause poliomyelitis, typhus, diarrhea and cholera. In the whole world, 30% of diseases are related to dirty water. About five million people die worldwide every year due to poor water quality.

43-48 45
Abstract

Aim. The subject of consideration is the analysis of the study of medical services and social protection of people in modern society.

Materials and methods. In the course of the research, references, regulatory and legal documents, as well as the Message of the Founder of Peace and National Unity the Leader of the Nation, the President of the Republic of Tajikistan, Honorable Emomali Rahmon, to the Supreme Assembly of the Republic of Tajikistan in 2021 were used, and the current and past conditions in the field of medical services and social protection of the population were compared. decision has been made.

The results of research and their discussion. As a result of the research, it became clear that budget investments in the field of medical services and social protection are increasing.

The government of the republic pays special attention to institutions in the field of health and social protection of the population and gradually increases the funding of the sector from the state budget. It is worth mentioning that in 2021, 2.3 bln. Somoni is expected to increase by 27.6 percent or 509 million compared to 2020, there is a lot of money.

Only in 2021, 130.7 dollars worth of pharmaceuticals and medical goods were imported into the country, which is 59.7 million dollars more than last year. the dollar is high. In 2021, a total of 2,950 pharmaceutical establishments and pharmacies operated in the republic, which is 400 more than in 2020.

Conclusion. The performance of duties by the employees of the field was reflected in the light of the instructions of the Head of the State, and the measures taken for a healthy life in medical institutions were discussed.

As it became known to us, the level of medical services and social protection is increasing in the Republic of Tajikistan. One of the facts confirming the above is that in 2021, 130.7 dollars worth of pharmaceuticals and medical goods were imported into the country, which is 59.7 million dollars more than last year, the dollar is high.

48-57 12
Abstract

Purpose of the research. To identify the effectiveness of the using of ICT in English classes and their impact on increasing the cognitive activity of students.

Material and methods of research. In this research were used materials such as multimedia textbook by Bukharkin, learning foreign languages with the using of computer: in questions and answers Karamysheva T.V., Computer training Protasenya E.P., Shtemenko Yu.S., and materials about the useing of computer programs in English classes by Sidorenko A.F. and also used electronic textbooks and manuals demonstrated using a computer and a multimedia projector, electronic encyclopedias and reference books, simulators and testing programs, educational resources of the Internet in English classes.

Research results and discussion. The use of information technology made it possible to implement the plan, to make classes modern. The use of computer technology in the learning process influenced the growth of the student’s professional competence, which contributed to a significant improvement in the quality of education, which led to the solution of the main task of educational policy, to provide positive motivation for learning, conduct classes at a high aesthetic and emotional level (music, animation), ensure a high degree of differentiation of training (almost individualization), increase the volume of work performed in classes by 1.5 2 times, improve knowledge control, rationally organize the educational process, increase the effectiveness of the lesson , to form the skills of a truly research activity, to provide access to various reference systems, electronic libraries, and other information resources.

Conclusion. New information technologies attract students and are one of their main interests. Therefore, the use of information technology in the educational process contributes to the formation of positive motivation. The advantage of using a computer is that it allows you to improve the professional level of teachers. New information technologies introduced in education contribute to its rise to a qualitatively new level. The presentation helps to illustrate any presentation. Presentation is a new didactic tool for organizing the educational process.

57-64 8
Abstract

Purpose of the study. Analysis of the situation of education in institutions of higher professional education.

Materials and research methods. The issue of improving the quality of education throughout the world remains one of the main issues in institutional aspects and social and political issues. Therefore, using the methods and methods of improving the quality of education in the institutions of higher professional education of the republic, the need to study various surveys to determine these indicators has been conducted.

Research results and their review. Considering the quality of education as meeting the requirements of certain standards of education, through its implementation, necessary documents for the field of education should be developed and implemented. In order to manage the quality of education, it is necessary to implement mandatory standardization procedures: licensing, attestation and accreditation of educational institutions, evaluation results of the quality of education test, internal control of educational institutions with a certain system.

Studies of the existing domestic and international experience in the development of higher professional education have proven that the increasing responsibility for improving the quality of education is the main task of higher education institutions, and its development is entrusted to the educational institution itself, and often only non-systemic reforms, individual and innovative reforms disorganized has a negative effect on the efficiency of the higher education system, and on this basis, the education system cannot develop with a certain system.

Conclusion. The quality of education plays a key role in the development of not only the field of education, but also all areas of society. Therefore, it is necessary to raise the quality of education in higher education institutions of the country for all spheres of public life, to ensure a decent and high-quality life, to develop the state, to gain one’s position in the society, and in general, to develop the comprehensiveness of one’s personality and the thinking of the people of the society.

64-71 20
Abstract

The purpose of the study. The purpose of the research in this article is to explain the generality and importance of the remaining and transitive verbs of the Tajik and English languages.

Importance of the theme. The role of comparison in the acquisition of knowledge is extremely important, and the more complex the object, the greater the role of comparison as a research method. In this sense, linguistics is one of the most complex and controversial branches of linguistics in all the languages of the world, which is extremely difficult to master without comparison. Therefore, the comparative study of verbs in the Tajik and English languages is considered to be the most appropriate means of understanding this issue.

The results of the study and their review. language occupies a special position among other social phenomena and is included in the group of the most complex and mysterious social phenomena. Perhaps it is for this reason that the comparative method of learning languages, as one of the main methods of scientific analysis, was formed during the formation of linguistics, and now it has become a great scientific success. Indeed, the method of comparative analysis of languages makes it possible to determine not only the most prominent features of languages, but also the features that are sometimes overlooked. This is of particular importance both for learning foreign languages and for learning mother tongues, and the addition of a course of comparative and comparative grammars of different languages to the cycle of linguistics was welcomed by the teachers of the philological faculties of our higher schools.

Conclusion. A comparison between the transitive and the transitive verbs in English and Tajik shows that the transitive verbs in the Tajik language are formed with different auxiliary verbs, and the transitive verbs are directly related to the filler. In English, passive verbs do not take filler, and transitive verbs use direct filler.

This is one of the grammatical branches of verbs, the knowledge of which will help in translating texts and books, as well as newspapers and magazines to every person who is engaged in translation from English to Tajik or vice versa.

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ISSN 3007-3715 (Print)