Vol. 2 No. 2 (2015): VESTNIK of KSMA

The reservoiring function of the lymph nodes is means that it’s together with lymph vessels accumulate lymph and distributing the liquid between blood and lymph. This process take part by presenting of the smooth elements (myocytes) in the capsule and trabecule in the nodes.
The gystotophography of myocytess is researched in different parts capsule of three groups tracheobronchial lymph nodes on 18 complex of organs in age newborn until three year. For study the structural elements of the capsule was made total preparations by method of A.V. Borisov (1973).
In result of investigation we discovered the smooth element (myocytes) in the capsule and trabecule of the nodes, the more quantity of myocytes is localizated in the hilar thickness and less in the follicular part.

The objective of this research is studying of characteristics of vegetative nervous system for revealing of adaptive possibilities of students-young men of a 1-course of the college, trained on humanitarian and technical specialities. In work test which is used for revealing of tolerance of an organism to sharp changes of position of a body has been used klinoortostats proba. For registration and the analysis of a rhythm of heart it was used каrdiointervalografiya. During the spent researches it is established, that training within a year in college is the big loading on adaptive mechanisms of students of humanitarian specialities. On - visible it is connected with specificity of educational activity of students.

The aim is to study the morphological and functional changes of the bronchial tree in COPD in high mountains. Material autopsy study were taken at autopsy lungs the health of 25 deceased patients with COPD indigenous highlands (2500-3000 m above sea level) and comparative morphological analysis examined the lungs of deceased 32 patients with COPD residents lowlands (760 m above sea level). Control for them were light 10 indigenous highlands and the lowlands of 15 residents, accidentally killed in an accident (traumatic brain injury, traumatic shock) without cardiopulmonary disease, matched by age, sex. Used histological and morphometric methods. Results: in the morphological study of the bronchial tree deceased patients with COPD indigenous highlands compared to patients who died from COPD residents lowlands revealed inflammatory changes in the wall of the cartilaginous bronchi - catarrhal, catarrhal-sclerosing and purulent catarrh, including goblet cell hyperplasia basal cell proliferation, lymphohistiocytic infiltration of the lamina propria of the mucosa, hyperplasia and hypertrophy of submucosal glands layer with the expansion of their excretory ducts. In the terminal bronchioles observed lymphohistiocytic infiltration wall hypertrophy and atrophy of the muscle membrane, wall fibrosis by increasing the number of myofibroblasts, which leads to narrowing of the lumen (obstruction) of the bronchioles.

In article the main organizational features of activities of service for reproductive health protection of teenage girls during various historical periods of formation of statehood in the Republic are analyzed (1985-2014). Shortcomings are revealed and organizational tasks for the purpose of optimization of the medico- social help in reproductive health protection of younger generation are offered.

The analysis of case records of 187 various age groups sick by measles confirmed laboratory is carried out. Clinical- epidemiological features of a clinical course are revealed. The majority of patients there were city dwellers (75,4 %), arrived in a hospital more often with not specified diagnosis “measles”. Disease proceeded more often in moderate form to the form, irrespective of age. The pneumonia, at every fifth sick of measles was the most frequent complication, lethal outcomes were not.

107 patients with botulism have inspected in the period from 2010 to 2014. The rise of the disease compared with the previous decade. A botulotoxin was revealing by the method reaction of neutralization with biotest on the mice. There was a slight predominance of botulism caused by type B and C, as compared to previous years. The leading product for the infection are canned vegetables. However, as there have been cases of infection after consumption of meat products, which had not been observed. The clinical picture of the greatest importance were neuroplegic and bulbar syndrome. The degree of expression and full of neuralgic infringement have described by heaviness of sickness. When specific therapy is accompany it should be take into account the heaviness of sickness.

During outbreak of viral hepatitis A in 2012 a high disease incidence was found at students of higher and secondary educational institutions among hospitalized patients in Bishkek.The article presents the results of comparative survey of students of different specialized educational institutions on epidemiological aspects of infection, such as personal hygiene, dietary habits, living conditions etc., that cause epidemiological outbreaks on viral hepatitis A in the country.

The analysis of working conditions of two sewing shops on manufacturing of easy clothes is carried out. Light exposure, humidity, speed of movement of air, premise temperature is investigated. It is revealed, that light exposure in 2 shop is lowered in 2 times, in comparison with norm. Decrease in humidity of premises, absence of an air conditioning has led to zero movement of air, all these factors promote working capacity decrease.

Gender differences in peculiarities of the influence of a number of social-medical factors on formation of the cohort of frequently ill young men and girls studying at the Medical University were revealed in the course of study.

The analysis of 133 medical histories of patients with rubella and measles is carried out. Clinical and epidemiological features of a current rubella are identified. Rubella not characterized by seasonality , in connection with vaccination of children, adults (87,0 %) were ill, basically men because of outbreak of rubella among militaries. Disease proceeded in moderate form, mild forms of rubella have not been hospitalised, and among the hospitalised severity of disease though under epidemiological indications they had a just cause for isolation from the organised collective (military unit) has been overestimated. Unreasonable prescription of antibiotics since the first days of hospitalization because of impossibility exclude measles

Results of the radical operations executed at 229 patients to liver alveokokkoza are yielded. All patient carried out preoperative preparation, during operation used proteinaceous preparations in a complex vitamins for protection of a liver. Complications arose at 36 (15,7%), died 2 (0,9%).

The study included the results of the first 30 coronary bypass operations in patients with coronary heart disease, produced in the Southern Regional Research Center of Cardiovascular Surgery. The ratio of men to women was 9: 1. In cardiopulmonary bypass performed 16 operations, without the use of cardiopulmonary bypass – 14. The index of myocardial revascularization was 2.6 ± 0.8. Perioperative myocardial infarction and hospital mortality were observed.

The study included 46 women with “premature” CHD, ie under the age of 65 years with acute coronary syndrome. For comparative assessment of development and course of “premature” CHD patients were divided into group II: group 1 - women with early menopause (before 45 years) - 17 people and group 2 - women with a normal time of menopause (after 45 years) - 29 people. The frequency of traditional risk factors in women with “premature” BSC is very high. Early menopause is associated with earlier onset of CHD in women.

The article presents the results of the efficiency of complex treatment of nosocomial infection at children with diagnosis of acute respiratory infection (ARI) and measles treated in infection hospital. Application amizone helped to reduce the frequency of severe symptoms of intoxication, temperature, urgent syndromes (croup), pneumonia, and shortening the duration of fever.

In this job are led a general information about the characteristics of the application of physical factors in otorhinolaryngology. They are known the efficiency of physical ways of lore sickness, the principles of choosing the methods of action, the basic tasks of physical treatments. They are asking the physical therapy treatments, utilized with the disease of lore organs, and also a brief information about the mechanism of exposure to electrotherapy, phototherapy, heat- treatment and breath therapy.

The article presents a strategy of treatment for congenital dysplasia of the hip using the developed device. The apparatus improves fixation of the lower limbs, with the femoral head correctly centered in the cavity of the acetabulum and create favorable conditions for circulation hips joints and well directed vector verticalization for hip and knee joints.

The research is made to find out the causes of the gastritis disease and the gastric ulcer. Pathogenesis and the methods of osteopathic diagnosis. 30 patients were researched aged from 18-42. Therapeutic inspection conducted with clinical assessment of symptoms, osteopathic examination, endoscopy of the esophagus, stomach, duodenum.

In this article the authors presented some results of surgical treatment of vulvar cancer (stage I-II). There were compared two methods of surgery – separated and “butterfly” incisions. Also the authors analyzed two groups of patients with vulvar cancer. There were used retrospective methods. The authors analyzed perioperative and post operative periods after vulvoectomy regarding number of removed lymph nodes, long time of surgery, infectious complications, and hospitalization time.

The article presents the clinical features of psoriasis in the Kyrgyz Republic for example, 489 patients were hospitalized in RСDV. Analysis of age characteristics of psoriasis patients showed that the disease is most often recorded in age from 21 to 50 years (65,2%). Most often, patients were hospitalized with psoriasis vulgaris (71,6%). Exudative and erythrodermic psoriasis were equally often (8,6% and 7,8%, respectively), as well as shape and the arthropathic psoriasis and a pustular psoriasis Tsumbush (5,7% and 5,5%, respectively) (P> 0,05).

The aim of our work was the comparative analysis of the efficiency and green laser in the treatment of pneumatic lithotripsy. The study is based on an analysis of the results of treatment of 155 patients with ureterolitiazis observed in the Department of Urology of the Republican Scientific Center of Urology (RNTSU) from 2008 to 2014. The use of green laser in the treatment of ureteral stones reduces trauma intervention and helps reduce the period of disability by an average of 3 days.
Modern methods of treatment of urolithiasis: transureteralendoscopic surgery and their combination provides patients deliverance from stones of any location, density, size, and eliminate the need for open surgery.

In this article we show the results of surgical treatment of thoraco - lumbar scoliosis with double plate endocorrector and endocorrector company «Ti-TaMed ( TSS )», which gives very good results and the advantage of this method is that the front is that the screws are uniaxially movable connection type head , which was made possible by a simple rotation of the rod to make simultaneous correction of scoliosis and costal hump reduction by eliminating torsion vertebrae.

The analysis of patients with pterigium various degree, and also with its relapse, directed of the various regions of Kyrgyzstan treated in National hospital of microsurgery of an eye №1 for 3 year is carried out. It is revealed больший % of patients with pterigium from Issyk-Kulsky area, at the age from 40 till 60 years, women of 57 %, basically patients with 2 degree of pterigium have arrived, patients with relapse pteridium are revealed в5 % of cases.

The purpose of the research is to study the effect of iodine-amplipulsoforesis to the level of urinary iodine excretion as an objective criterion of saturation of the body with iodine in the treatment of endemic goiter. The object of the study was 40 people 18-23 years old with endemic goiter. Research methods: definition of the percentage content of iodine in the daily servings of urine. The iodine-amplipulsoforesis increases the excretion of iodine in the urine for 3-6 months and can be used for the treatment of endemic goiter.

Changes of synthesis of three immunoglobulin classes and depression of B- lymphocytes are observed in women suffered from climacteric syndrome on the background of N.I. Persistent nature of the secondary granulopathy and depression of local immunity contribute to the development of a greater propensity of women to the realization of infectious and chronic processes moreover, to initiation of autoimmune diseases. Having a significant increase in Ig class M, while reducing the level of Ig G, is a marker of inadequate synthesis of specific antibodies to the antigen, including pathogenic antigens.

This article describes the various methods of cataract removal . In modern ophthalmology “gold standard” of treat- ment is ultrasound phacoemulsification cataract (uFEC ), the essence of which is the use of ultrasound for fragmentation and the subsequent removal of the particles of the nucleus of the lens. However, prolonged exposure of ultrasound has its negative side , leading to some complications during and postoperative period. Therefore, the use of mechanical phacofragmentation to separate the lens nucleus with uFEC reduces the exposure of ultrasound, which will reduce the negative effect of ultrasound on the structure of the eye. Combined ultrasonic phacoemulsification using new tools for mechanical phacofragmentation is current trends in modern ophthalmology.

The analyses of case histories of 52 infants with nosocomial measles hospitalized. The clinical and epidemiological peculiarities of nosocomial measles were identified at early age children.
During the epidemic of nosocomial measles at 2014-2015 years among children measles was mainly in early aged children, occuring more often in severe. All the children were not vaccinated and treated in various hospitals for acute infectious and other diseases requiring hospital treatment.

In work the comparative analysis of 243 stories of illnesses of children who were on hospitalisation in Republic clinical infection hospital with diagnoses bacterial tonsillitis and herpangina. It has been revealed that bacterial tonsillitis and herpangina can associate with various viruses and bacterial flora. Changes of lymphatic tissue in faringeal form (hypertrophy of the tonsil lymph nods (II degrees and III degree) it is authentic (Р <0,05) came to light at children sick bacterial tonsillitis is more often

Article presents the influence results of different official drugs to anesthesia flow and postoperative pain syndrome expression. On the basis of conducted investigations the optimized approach to postoperative pain syndrome in Maxillo-Facial surgery where worked out and implemented to the clinical practice. Great effectiveness of NPVP for the Maxillo-Facial area postoperative pain syndrome prophylaxis were shown. Above mentioned Postoperative pain syndrome prophylaxis approach, allowed to reach Postoperative pain syndrome and Chronic Postoperative syndromes appearance frequency decreasing. Application of worked out anesthetic methods allowed increasing of Maxillo-Facial area postoperative patients treatment effectiveness. On the basis of data obtained conclusion about that drugs as postoperative analgesics using scheme expediency were conducted.

In order to clarify orthopantomogram and dental volumetric computed tomography diagnosis of patients with canine teeth retention in the maxilla. For diagnosis and treatment retention of canine teeth conducted a comprehensive examination of 48 patients aged from 10 to 30 years on the basis of Department of pediatric dentistry, maxillofacial and plastic surgery of KRSU, dental center of KSMA named I.K Ahunbayev and MC ‘Ala-Too’. Application of dental volumetric computed tomogra- phyproved to be more effective in the diagnosis, localization and treatment planning compared to ortopantomogram.

The article reflects the mortality of working age population and the degree of validity of the diagnosis of “acute alcohol poisoning”. It was established that the main criteria for the diagnosis of “acute alcohol poisoning” were: concentration of ethanol in the blood 0m 3 ‰ to 7 ‰ and a number of morphological characters: hemorrhages in the pancreas (70.21%), the duodenal mucosa (74.46%), expansion pupils (87.23%), the overflow of the bladder (53.19%), abundant saturated corpse spots (53.19%), pulmonary edema (72.34%). Such features as the plethora of internal organs, dark liquid blood, brain edema occurred in 100%.

Тhe article presents the first clinical experience of laparoscopic Nissen fundoplication in the treatment of gastroesophageal reflux disease and hiatal hernia. Operations were performed in 5 patients aged 44 to 65 years. Gastroesophageal reflux disease was present in 2 people, hiatal hernia - at 3 disease recurrence during the observation period have been identified, which is confirmed by the results of clinical and endoscopic studies.

Results of programmed treatment of 96 patients with acute cholecystitis in elderly and senile age are presented. In order to prevent inflammatory complications and liver failure, regional lymphostimulation (70 people) and intraportal introduction of drugs (14 people) were used. Complications occurred in 3 (3,1%), died 1 (1,1 %).

In this article, the prevalence of functional outcomes after rhinoplasty retrospective analysis is presented. Retrospective part of study included patients who underwent esthetic rhinoplasty in I.M. Sechenov First Moscow State Medical University ENT clinic between 2009 and 2014 and allowed to estimate nose functions. It was founded theim pactof ther hinoplasty on which functions of the nose.The need of the special attention to save and adequate correction of the nasal valve anatomy and function during esthetic rhinoplasty is substantiated.

Given the results of 212 patients with diseases of the abdominal cavity. Systemic inflammatory response syndrome, which is characterized by increased body temperature, increased heart rate and respiration, leukocytosis. Traditional treatment received 212 patients, which included antibiotic and fluid therapy. During treatment, postoperative complications were observed in 28 (13.2%) patients. 52 patients received comprehensive treatment, which included regional lymph-stimulating therapy for the correction of systemic inflammatory response syndrome. Lymphotropic therapy in turn included: Heparin 70 U / kg, Lydasum 8-12 U, Taktivin 1 ml, 4 mg of Dexamethasone, 1 g of Cefazolin in 0.5% solution of Novocaine in an amount of 10 ml. Lymphotropic mixture was introduced into the subcutaneous tissue of the outer surface of the tibia. A course of treatment 4-5 injections. In the course of treatment to determine the number of signs of systemic inflammatory response syndrome, and thus marked the extinction of its severity. Complications occurred in one patient (2%). Established the feasibility of using lymph- stimulating therapy for the correction of systemic inflammatory response syndrome.

The article contains results of pharmacognostic studying raw materials of Populus balsamifera L., growing in the territory of the Central Kazakhstan, and its standardization. The morphologo-anatomic studying of raw materials of buds of Populus balsamifera L. was executed, the diagnostic features for this species of raw materials were determined, the techniques of the qualitative and quantitative analysis were developed, the norms on the commodity analysis of raw materials and storage conditions were regulated.

The article contains results the technology development of drug based on substance of pinostrobin oxime and its standardization. There were developed the parameters of technological process and control points of production of dense extract of buds of Populus balsamifera L. The conditions for modification of an oxime derivative based on substance of pinostrobin were selected. The standardization of substance of pinostrobin oxime was carried out and the specification quality on pinostrobin oxime was developed.