Vol. 2 No. 2(1) (2015): VESTNIK of KSMA

From the perspective of modern nephrology considered guidelines for management of patients with glomerulonephritis.

The article presents the results of an anonymous survey of 93 respondents who applied to the AIDS Center of Almaty. Questioning revealed that the troops can be seen as typical of «epidemiological cohort» of society at this stage. The main determinant of this group as a possible reservoir of STI / HIV is risky sexual behavior, underestimating the dangers and lack of awareness of STI / HIV.

During the epidemic of measles in 2014 – 2015 years teenagers and adultswere anymore ill. An analysis of 112 adult patients with measles confirmed by laboratory test (ELISA).is conducted in this article.The clinical and epidemiological features of the course of measles in adults identifiedin the period of the epidemic rise.There were hemorrhagic and dyspeptic syndromes in a clinic. It was important in epidemiology that migrating population has no vaccination.

This article presents an analysis of dental laboratories of orthodontic service in the conditions of medical institutions of different forms of ownership. The objects of investigations were the dental laboratories, have in their composition of dental technicians-orthodontists. Also presents data about the level of material-technical equipment, sanitary-hygienic characteristics of dental laboratories. On the base of obtained study results assessed the level of professional quality of personal in the specialty «orthodontic».

Syndrome of dyspepsia is common among the population: about 30-40% of people in Western Europe and in some Asian countries are 61%, mainly in young and middle age, and 4-5% of all visits to general practitioners. When not possible to determine the cause, the term “unexplored dyspepsia” (Rome criteria III, 2006). The role of H. pylori infection in the origin of dyspepsia disputable. Objective: to study infection with Hp«unexplored dyspepsia» among the students of KGMA. All surveyed lived-in a student dormitory, with the samelifestyle and nutrition. For the diagnosis of Hp infection used Helix breathing test, which relates to non-invasive methods (Maastricht IV, 2012), sensitivity - 95%, specificity 96%.Examined105 students KGMA of 2-3-4 courses: young people age ranged from 18 to 27 years, the average age was 22, 1± 0, 2 years.Respondents had not sought medical care for dyspepsia. First in Kyrgyzstan we are apply the method of Неlic of test as a method of diagnostics of Hр.
At the « unexplored dyspepsia « students KGMA revealed a high Hp infection (68.5 %).

The aim of this study is to identify factors influencing the adaptation to the educational process of the first, second and fifth year university students of the Kyrgyz State Medical Academy. 108 students took part in the research. The study identified five groups of factors complicating their adaptation to the institute of higher education. It is shown that the process of adaptation for most of the students of KSMA is rather difficult and long-lasting as it doesn’t come to an end by the end of the second year of education. The study revealed that the main reasons complicating the adaptation process of the first and second year students are the irrational use of time, social and psychological problems and a demanding academic curriculum. Every third student has a high level of situational and personal difficulty; some were diagnosed with depression.

This article is devoted on the report of a professional orientation on the Russian language classes. Medical terms are the basis of the material. Medical terms were reviewed to solve the problem and the work with these terms has been shown.

The present study focuses on the implementation in practice of the method of problem-based learning on the subject «Oncology». Using an innovative method for practical training has improved both survival knowledge and interest of students in the learning process and their active role in the learning process. Students noted that the use of this method of training contributes to the realization of their knowledge and skills acquired in the classroom, in practice; students better idea of how to draw on the skills acquired and the resulting educational information.

As a result of questioning residents of the regions of the Kyrgyz Republic noted a large number (452 – 36,4% of all respondents) of people with hidden or undiagnosed diseases of the salivary glands. It was noted that a correlation of diseases of the salivary glands with their existing comorbidities respondents.
Dryness of the mouth, recurring at 63,4% of the respondents, 13% of which have frequent and even daily dryness, says developing degenerative processes in the salivary glands.
A high percentage (30,8%), the incidence of lymph node indicates a decline of compensatory processes by the immune system. The nature of power and the amount of fluids you drink, as well as comorbidities play an important role in the etiopathogenesis of inflammatory diseases of the salivary glands.

The article discusses the experience of the Institute of Family Medicine of the National Medical Academy of Postgraduate Education named P. L. Shupyk and modern approaches to the optimization of post-graduate training of general practitioners-family physicians to ensure the accessibility and quality of outpatient palliative care population, which is important in terms health care reform in Ukraine. Multidisciplinary trainings of general practitioners-family physicians on palliative care require attracting various teachers, including non-medical specialists into a process of continuous postgraduate education. It has proven its efficiency at the practice of the Department of Hospice and Palliative Medicine.

In the course of the conducted research it was stated that middle school education and parents do not assure full and true information about HIV, STDs and TB for pupils. Adolescents have demonstrated a low level of knowledge in questions of socially considerable diseases, which leads to reduction of tolerance towards people living with HIV and TB patients. Destructive behavior increase and decrease of motivation to study healthy lifestyle were registered.

The analysis of the consumption of insulin preparations in the pharmaceutical market of Ukraine according to the 2008 - 2012 year using ATC / DDD methodology in terms DDDS/1000 inhabitants /day. Defined low level of consumption compared with European countries and its decline as compared with the 2008 According to the structural analysis shown insufficient use of modern high-performance insulin preparations ultra-short and long-acting. Security insulin diabetics type 1, without regard to their consumption of patients with diabetes type 2, in 2012 amounted to 289,68 days of treatment per year per patient and evidence of lack of consumption of morbidity.

The article presents the results of a study of the morphology and morphometry of lymphangion sintra- and ekstraorgans vessels and leftlymphatic collector of the heartin adolescence and adulthood. Lymphangions morphometry of lymphatic vessels third order exceeds similar parameters of the vessels of the second order. In lymphangions first order myocytes are not detected. Length and volume increases from lymphangions intra- to ekstraorgan vessel. Number of myocytes prevails in muscle cuff ekstraorgan lymphatic vessel mature age groups.

To learn the structural condition, which is supplied the transport of the lymph is actual for morden lymphology. Make out the structure of the lymph vessels as a structurо-functional unit “lymphangion” is allowed to disclose the main factor of the lymph drain in the body – contract activity of the lymph vessels.The space relation of the myocytes in the wall of efferent lymph vessels tracheobroncial lymph nodes is researched on 18 complex of organs in age newborn and children until three year. The quantity of myocytes is calculated in three parts of lymphangion, the orientation of myocytes and the thickness of vessels is determined.Revealing, that myocytes in the wall of the lymph vessels is localized more obliquotransverse, less obliquolongitudinal and just a few longitudinal and transverse, that conform to statistics of other authors.

Kidney plays a key role in the adaptation of the body to dehydration and in the maintenance of homeostasis.
The results of the experiments showed that secretory activity mioepitelioid cells reduced by blocking the process of allocating secretory granules. The sharp decline in renin secretion was accompanied by a change in the tone of the glomerular arterioles, the expansion of blood capillaries and blood filling of the vascular glomerulus.
Comparing the experimental data from unadapted and adapted animals, we can conclude that on the background of pre-adaptation effect of extreme factors - dehydration is not so drastic changes like a maladjusted.

This paper presents results of research 267 cases of missed abortion. Set a period when the most frequently does not develop pregnancy. Reasons and risk factors are revealed.

The results of evaluation of gynecologic pathology features of 378 women in elderly postmenopausal period are presented. Most often they suffer from genital prolapse of various kinds and degrees, senile vaginitis of genital organs. They are characterized by a combination of gynecological pathology with 3 – 6 extragenital diseases with prevalence in the structure of cardiovascular disease, chronic diseases of the gastrointestinal tract and metabolic changes.

Given the results of the researches of quality of life in 159 women which are operated due to prolapsed genitalium, 61 patients had genital prolapsed with stress incontinence, in combination with uterine myoma in 36 and a group of patients 62 women, to whom was performed plastic of the vagina by using polypropylene mesh with titanium coating. In assessing the quality of life 6 scales of questionnaire are used: pain syndrome, physical activity, mental health disorders, social, role and sexual functioning. Examinations were done before the operation, 6-12 months and more than a year after the operation. Found that, in women with prolapsed genitalium there are significant violations of the quality of life. Operative treatment leads to gradual improvement of the quality of life, but the most marked improvement noted at the plastic using polypropylene mesh with titanium coating.

The results of obstetric and perinatal outcomes in cephalopelvic dystocia in 140 women which admitted for delivery in the municipal perinatal center. The main indication for operative delivery was fetal distress due to late diagnosis of the cephalopelvic dystocia. The risk of developing hyperbilirubinemia of fetus increase above 1,6 times on the traditional cesarean section than for cesarean section with an innovative approach. Diagnosis of degree the asphyxia in terms of the functional state of erythrocytes can properly carry out the diagnosis and treatment of hypoxia choose tactics newborn in first moments of the life and significantly reduce perinatal loss.

This paper presents a literature review on the early postoperative mortality in patients with combined coronary and valvular heart disease. Hospital mortality in combined coronary artery bypass grafting and valvular prosthesis reaches 24%. The most common cause of death – acute heart failure. Risk factors for hospital mortality were low cardiac output and long duration of cardiopulmonary bypass.

To identify the most common causes of atrial fibrillation (AF), to develop methods of successful prevention of the disease. Survey included patients with AF, who are hospitalized in the clinical departments of The National Centre of Cardiology and Therapy named by M. Mirrakhimov. The survey includes a detailed collection of complaints, anamnesis, and clinical examination with measurement of blood pressure, anthropometric indicators, a complex of laboratory and instrumental methods of investigation. Detect the functional classes of chronic heart fairway passed by NYHA classification. Survey included 25 patients (9 men, 16 women) with AF. In the group surveyed, only 36% patients determined by a normal body weight, other 32% had overweight and 32% - varying degrees of obesity. In assessing the etiology AF revealed that only 3 patients (12%) had primary AF, while the remaining 22 (88%) - compared to other diseases. Among them, the most frequently encountered coronary heart disease (52%), hypertension (44%), 2 type of diabetes mellitus (20%).
The survey revealed that in 64% cases patients had overweight and obesity. Also found an association between the development of AF and the presence of CHD patients, GB, diabetes type II, in connection with which it is advisable to carry out the primary prevention of the cardiovascular diseases.

The effect of physiotherapy procedures set in the early recovery period after laparotomic operations, the quality of life of patients. Shown that the developed rehabilitation complex leads to improved physical, emotional and mental com-ponents of quality of life.

To assess the relationship between the decrease in systolic function of the left ventricle (LV) and glomerular filtration rate, depending on the presence or absence of chronic obstructive pulmonary disease (COPD) which were examined in 60 patients with chronic heart failure (CHF) and found that patients with CHF and COPD the size of LV were significantly higher than in patients with CHF without COPD, which was accompanied by decrease in LV myocardial contractility and impaired glomerural filtration rate.

It is an article about the epidemiology of multidrug-resistant TB (MDR-TB) in the world, Kyrgyzstan. Increased use of new diagnostics such as Xpert MTB / RIF is ensuring that significantly more TB , which detects Mycobacterium tuberculosis, as well as mutations, indicating rifampicin resistance during few hours and correctly diagnosed in early terms.

Presented during the postoperative period in two groups of patients: the first group included patients living in Bishkek (52 pers.) And the second group consisted operated (64 people); living at high altitudes (Naryn region). In evaluating the results of clinical parameters used (to temperature normalization, disappearance of pain, complication rates, timing of hospital treatment), ultrasound examination of the abdomen and ehomorfometriya wounds. Analysis of the results of the study showed that the incidence of complications in patients living in Bishkek was 3.8%, while those living in high altitudes of 7.8%, these differences were significant (P <0.05). Monitor the performance ehomorfometrii at different times after the operation revealed that the area of infiltration in patients with high mountains on day 3 was significantly higher than in those Bishkek (respectively 3,8 ± 0,07 and 3,1 ± 0,05 cm) 5 day significantly decreases rapidly zone infiltration in patients living in Bishkek.

Today laryngeal papilomatosis remains one of the unsolved problems of modern medicine. Although the disease has been known since ancient times, there is still no clear algorithm of treatment of such patients. There are numerous ways described in literature to treat more than 50, but there is no radial. This article presents the first results of a study conducted on the basis of the ENT departments of two hospitals, First MGMU named after IM Sechenov and Moscow Regional Research Institute named afterM.F.Vladimirskogo.

This article the authors provides about clinical, diagnostic and treatment acute and chronical sphenoid sinus inflammation, considering the clinical anatomy of the sphenoid sinus and its relationship with the anatomical structures. The methods of conservative and surgical treatment.

Surveyed 160 people aged 55-74 years; quality was assessed previously made dentures in elderly and senile age. Research of existing dental prostheses in patients of elderly and senile age showed a high percentage of inappropriate clinical requirements.

This article it is resulted scientificall research work of clinical and radiological data. Using of gold nanoparticles after the operation a cystectomy is a clinical and radiological picture . Over was brought by comparison application of nanoparticles of gold was studiet indexes of were the best ascompared to the control grjup of patients.

The article reflects the frequency and structure of mortality from violent causes the archives of the city of Osh for the 1987-1988 years. It was established that the cause of violent death victims in 1987 was in the amount of 111, in 1988 -131 cases. External factors acting on the body are: mechanical trauma, mechanical asphyxia, poisoning, acts of extreme temperatures and electrical accident. Of all violent deaths (111 cases), mechanical trauma was 59 cases, mechanical asphyxia - 30, poisoning 10, action extreme temperatures -5 and -7 electrical accident cases. By sex archival data is distributed: 83 men (74.7%), women’s -28 (25.2%).

This article reflects the dynamic changes hormone levels and morphological and functional changes in traumatic brain injury different diagnosis, which is expressed in change of cortisol, testosterone and total T4 levels depending on the time of death. Found death 22-36 hours after hormone content substantially reduced compared to their content in rapid death following trauma, which indicates exhaustion pituitary hormonal activity. Morphological changes in the pattern of glandular tissue in this period of injury or undergoes total focal discompleksatsii, which also shows a significant depletion of pituitary function.

18 animals were conduct an experimental and laboratory research to defect toxicity 0, 02% dekasan on the liver tissue. There are results of 134 operated patients with hydated disease of liver. For disinfection of fruit-bearing elements of echinococcus used dekasan 0,02%. In order to prevent recurrence of the disease 22 patients were given dekasan 0,02% into their the fibrous capsule and perycapsular liver tissue, which were complicated forms and high risk of recurrence of hepatic echinococcus. The accumulated data is the result of examination of patients with hepatic echinococcus operated in surgical wards of city clinical hospital №1 from 2011 to 2014 years.

For more than 90 000 patients (876 - 100 000) are hospitalized because of injury in Kyrgyz Republic annually, among them children are under the age of 14 - more than 10000, in the structure of child morbidity class “injury and poisoning” ranked ninth (3.5%), which amounted to 1,060.2 cases per 100,000 child population. Analysis of child injury in the republic for the period of 2009-2013 showed that the situation of child injury in 5 years is practically at the same level, but the number of accidents involving children has increased dramatically from 663 to 949 victims. Injuries in road accidents - is the main cause of death among 15-19 year olds and the second leading cause of death among children aged 5 to 14 years. This study presents the results of analysis of the situation of child injury in the Kyrgyz Republic for the period 2009 – 2013 years. A review of existing policies and regulations was conducted and made recommendations to improve the situation of child injuries in the country.

This paper presents the results of hemorrhoids ligation with lifting controlled with Doppler in 155 patients with stage II- IV chronic hemorrhoids. In 45 (29%) patients underwent Simultaneous correction of concomitant anal pathology. Postoperative complications occurred in 12 (7.7%) patients.

Degenerative-dystrophic diseases of the knee joint are accompanied by infraction and defect of the articular cartilage, which leads to loss of their elasticity and violation of ongruency, and as a result leads to disability of the patient. The arthroplasty is chosen as a treatment in these difficult cases. This article focuses on the experience of usage of arthroplasty in various diseases of the knee joint. Patients were divided according to nosology and gender. Implants
used in Bishkek Research Center of Traumatology and Orthopedics (BRCT&O)were produced in the United States and in various European countries. Also the paper presents a new method Flexion and extension contracture of the knee joint without intervention on the soft tissues. The results of the study of immediate and long-term results of the knee arthroplasty are considered to be positive and shows the effectiveness of this method of treatment.

The article presents the results of the drug, «dekasan» 0.02%, has bactericidal, anti-inflammatory action to prevent postoperative complications in destructive forms of appendicitis and cholecystitis. At the time of surgery after removal of the primary lesion (appendicular appendix, gall bladder), abdomen watered 0.02% solution of «dekasan» with an exposure of 5 minutes, and then dried cavity and the wound sutured to mikroirrigatora. This technique was used in 25 patients with destructive appendicitis. And 25 cholecystitis. The postoperative course was favorable. Postoperative complications (infiltration) occurred in the 1st patient (4%). When using «dekasan» to prevent complications noted and decreasing time-patient treatment. After appendectomies 4,3 ± -0,3 and after cholecystectomy 5,7 ± 0,3 bed days.

The state of the liver hemodynamics after abdominization of the parasitic cysts of 56 patients is given. It was found that there is a minimal liver hemodynamics abnorrnality in abdominization comparing with the capitonnag and invagination.

Are discussed in the first results of the implementation of the program Fast track surgery(FTS) in the treatment of 50 patients with chollithiasis.FTS program includes: preoperative, intraoperative and postoperative periods. Using the program helps to reduce the time of rehabilitation and improves the quality of life of patients and also reduces the time spent in hospital and material costs for treatment.

The results of examination of patients with IIIrd degree postgastrectomy enteral insufficiency with complicated ulcer of stomach and duodenum are represented in this work. Parietal digestion of stomach and jejunum, balloongraphy, x-ray, ultrasonography and biochemical analysis of blood with application of modified enteral tube feeding have been investigated.

There was made a statistical study of negotiability of the Kyrgyz Republic to the Bishkek Research Center of Traumatology and Orthopedics over the past five years (2009-2013 years) and there was an increase for 15,1%. The number of operations increased from 1450 to 1926. The increase amounted to 32,8%.

A retrospective analysis of treatment produced pus-inflammatory wounds of patients treated at the bone-purulent department of BRSCTO for the year 2012.

The pharmacotherapy’s estimate of patients with the duodenal ulcer, who underwent the treatment in gastroenterological department of one of Kharkov’s hospitals, has been carried out by means of the auxiliary pharmacoeconomic methods: ABC-,VEN- and frequency analysis. Thorough review of medical records, selected for the study, allowed to ascertain that the primary majority of prescribed medicinal preparations (85,71 %) are presented in the State formulary of Ukraine. These preparations were found to represent the greater part of medical prescriptions – 94,39 %. The main portion of financial means (83,99 %) in a given department has been spent out to cover expenses related to pharmacotherapy of patients suffering from the duodenal ulcer. In the whole, pharmacotherapy aproarch discussed is considered to be relatively rational both from clinical and economic points of view, but it needs a further correction in accordance with the State formulary of Ukraine.