Vol. 4 No. 4(1) (2013): VESTNIK of KSMA

Resume: Chronic Noncommunicable Diseases (NCDs) are the leading cause o f morbidity and mortality worldwide, includingKyrgyzstan. As data showed, the management of Chronic NCDs is one of the largest challenges that health systems throughoutthe world currently face and that each system needs to find a locally adapted solution. In this publication the previous studies in Kyrgyzstan focusing on diabetes using a Rapid Assessment tool are presented. The received results highlighted that there are several elements that are necessary for the proper management of NCDs. Some of these elements are clear weaknesses o f the health care provided to patients with NCDs in Kyrgyzstan, namely “Patient education and empowerment” and “Adherence”.
The conclusion was made, that with the growing burden of Chronic Conditions, medical education in Kyrgyzstan is in need of optimization. The variety o f aspects in health training in Kyrgyzstan can be improved. These range from clinical skills to softer skills and even Public Health training. Changes in training will impact how the health system is organised.

Resume. In given article scientist’s opinions about pathogenic use o f physical factors in prevention o f diseases treatment and rehabilitation are discussing. The evidence-based norms of physiotherapy, following from general rules o f evidence —based medicine are present.

Resume: The investigation tasks were to observe congenital malformation prevalence in the regions o f Ukraine, to indicate their risk factors and to estimate the efficacy o f their primary and secondary prophylaxis.
According to the Ministry of Healthcare data the frequency of congenital malformations was estimated among born alive, stillborne and genetically caused abortions during 2002-2011. Case-control study was performed.
Congenital malformations prevalence among born alive, still-borne and genetically caused abortions was (26,83±0,08) %o during 2002-2011, it was fluctuated in different regions. Congenital malformations priority risk factors were underlined; they were mother’s chronicle infectious and non-infectious diseases (including endocrine diseases), smoking, professional hazards and age.
The efficacy of congenital malformations primary and secondary prophylaxis was shown.

Resume: 66 history cases analyses o f children have been conducted who were ill by chickenpox.

According the results o f periodical medical observation of golden-mine employers the analysis of health condition of these employers was present. The ratio of professional and occupational diseases was present in given article. The group o f clinical supervision was selected. The necessity of working out the system of preventive and rehabilitative measures for employers o f harmful plants was discussed. Key w ords: periodical medical examination, occupational disease, work-related disease.

Resume: There are 4 clinical cases of secondary operations patients with alveococcosus. Patients were early appreciaqted as uafT-curate before.

Resume: The algorithm of diagnostics and tactics of surgical treatment in acute damage of lateral ligaments of knee joints of 50 patients was presented. Patients were treated in Joints Pathology Department and Department of Traumatology 1,2,3,4 of Bishkek National Institute ofTraumatology and Orthopedics in the period from 2011 till 2012 years. Age range was varied from 17 to 52 years.

Abstract: 105 patients with liver echinococcosis (70 females and 35 males) were observed. The age range of these patients was between 16 to 72 years, by ultrasound dopplerography.

Resume. For thyroid hypofunction studying and coronary angiography results in patients with coronary heart disease we conducted a retrospective study. We analyzed patients histories. In all patients thyroid stimulating hormone examination and coronary angiography was provided. We defined a correlation between the worse results o f coronary angiography and low function of thyroid gland. Hence, these is an opportunity o f participation of hypothyroidism in atherogenesis development.

Resume: .Results o f diagnostics with the use of CT-scan and MRI in 63 patients with pituitary adenoma were presented. We detected the high efficacy o f brain CT-scan and MRI use in this category of patients. 52 patients were operated surgically.
Methods and results of surgical treatment were discussed in given paper.

Resume: Biophysical , topographical, clinical and physiological peculiarities of mechanism o f bleeding ruptures formation in Mallory-Weiss syndrome are discussing in given paper. The consistent pattern between spatial topography o f abdominal part of esophagus and stomach; sectoral thickness o f covers o f esophagocardial part of digestive tract and ruptures of esophagial-stomach transition is detected in patients o f different age and gender.

In randomize parallel controllable clinical trial the experimental substantiation of application o f multicomponent ointment Levomekol for intraoperative preventive maintenance of adhesive process o f abdomen cavity is given. For experimental research we use the 60 rats o f “Vistar” line. In control groups we used a mixture o f Zhenchevsky and physiological solution NaCl. High efficiency o f ointment of Levomekol in intraoperative preventive maintenance of adhesive process o f abdomen of cavity is proved.

Resume: 84 patients were examined and treated at stomatological clinic of Kaz A.M.U named after S.D Asfendiakov. The purpose of this study was the assessment of life quality o f patients with the defect of middle zone o f the face before rendering orthopedic stomatological aid. The patients were divided into 3 clinical groups depending on the character of the defect of maxillo-facial region. The study used functional tests and cards o f disturbances, determined the rate o f functional, anatomical disturbances and showed that life quality was considerably impaired. Deformation of facial skeleton, disfiguration of face and disturbances o f vitally important functions negatively influences on human psychic state and leads to social desadaptation. Cards of examination and functional tests may be used for the assessment of life quality of patients with maxillo-facial defect before and after orthopedic treatment.

Summary:The results of surgical treatment of chronic osteomyelitis in 106 patients with diabetes mellitus were analyzed. A complex method of therapy o f chronic osteomyelitis in patients with diabetes melittusproved to be more effective in comparison with the traditional one, in 2,5 times the relapses and average treatment terms.

The paper shows that in patients with toxocariasis during the detailed clinical manifestations of an imbalance is detected with proinflammatory cytokines (TNF-a and IL-6) and anti-inflammatory (IL-4) functions, which can contribute to the immunoinflammatory reactions and cause severe disease.

The choice criterions of the plasty methods in 82 patients with big and and gigantic postoperative ventral hernias are presented. External respiration indexes, hernias sonography data and abdominal wall anthropometry have been these criterions. Key words; ventral hernias, choice method, plasty, surgical treatment, complications.

Etiology of acute pneumonia was investigated young children. The results of bacteriological examination of sputum and examination of intrauterine infection with the help in o f immunological and enzyme blood test o f sick children were reflected as well.

Some epidemiological aspects o f tick-born encephalitis (TBE) in Kyrgyz Republic are discussed in given paper. Morbidity of tick-born encephalitis is remaining stable in the condition o f presence o f the natural foci of the infection. The annual dynamics is characterized by spring-summer seasonality.
The clinical manifestation o f the disease in modern time is characterizing by worsening o f condition o f patients because of nervous forms prevalence. The active people who are able to work are in risk group. To prevent clinical cases and new cases of TBE, education of population is necessary.

The study of peculiarities o f diagnostics and treatment o f patients with canines and incisors retention o f maxilla, done. The sample size was 24 patient o f 14-24 years old. Also, 45 X-rays of patients were analyzed. This patients were admitted with complains o f not eruption of constant teeth of maxilla. The X-ray permits to detect only mesiodistal slope o f canine. The periapical sighting shots permit to receive the most important information about impacted teeth. The Clarks method permits the most precisely to detect the canine location. Hence, the orthodontist, who is sending the patient to dentist surgeon, can demonstrate the location for surgical denudation o f impacted canine from the side, where it presents.
The prognosis of orthodontic treatment o f impacted teeth with expressed periodontal fissure is good. In the complex treatment the most difficulty is the fixation o f ligature on impacted teeth. The usage o f metallic cap with hooks or loop, which is fixed on the root o f impacted tooth, gives the best results.

The aim of our research was to study the prevalence of main risk factors o f non-infectious diseases among medical students in Kyrgyzstan.The participants of the study were 643 students of 1-6 courses of Kyrgyz State Medical Academy, including 234 boys and 409 girls, their middle age was 20,1 ± 2,2 years. Students had to fill out special «health improvement card» to evaluate life style/behavioral risk factors. Biological risk factors were examined by measuring blood pressure, body mass index, glucose and cholesterol. Among the students relatively high frequency o f various risk factors o f non-infectious diseases, including high cholesterol (11.8%) and sugar (3.2%) o f blood, smoking (10%), overweight (7.4%), physical inactivity ( 6.4%), increased systolic (4.2%) and diastolic (2.8%) blood pressure were identified. The high frequency o f risk factors o f non-infectious diseases requires to improve the teaching o f medical students issues the prophylactic method o f prevention of non-infectious diseases and improving their competence in the area o f formation healthy life styles.

The questions o f minimization o f periodontal tissues traumatology are discussed in patients with subgingival location of metallic ceramic crown.

There are surveyed the causes, which have led to the injures o f the ceramic facings, and procedures of restoration them by means o f adhesive technology.

We are analysed the results of the treatment of patient with fractures and femoral nech fractures. Thes patients recerved protheeis of artificial joint in the period with 2011 on 2012 gg. on the base of Bishkek Scientifical - Research Centre ot Traumatologies and Orthopedic in Departments o f Joint Pathology. The whole for above specified period chaing hip joint was executed 25 patients age from 61 before 83 years. We are used artificial joint of companies: “ NARANG “. We got remote results from 6 month till 4 years in 23 patients, who were measurement as good, of thes 2 - as satisfactory. 

Authors investigated 102 patients in age from 16 to 65 years with complicated thoracolumbar spine injuries. Optimal surgical treatment method for complicated spine injuries using close vertebrae reclination with a dynamic control was elaborated. Basing on the received results the differential diagnostic signs and efficacy o f surgical methods have been determined.

There is presented o f study state o f the immune system in early age children with IDA living in cotton planted regions of South Kyrgyzstan. It found out that under the influence o f anthropogenic factor (pesticide, chemicals) on the human body it can lead to the humoral immunity changes.

his article describes the patomorphological changes and the results o f treatment o f inguinal dermatophytosis.

Neurogenic bladder is dominated (60%) among functional disorder of urinary tract. Main symptoms o f neurogenic bladder are frequent urination (55,3%) and night urinary incontinence (43%). Majority acute and chronic inflammatory diseases of kidneys are appeared against the background of neurogenic hyperactive urinary bladder in children 3-7 years old (p< 0,05).

in this article reports about the pharmacological efficacy ofVitaprost for patients who often treat chronic prostatitis. In order to confirm the positive therapeutic effects in patients have been held as the standard diagnostic procedures, and transrectal ultrasound of the prostate with doppler before treatment and after the treatment.

The analysis o f 5826 medical cards o f patients on the basis of Scientific research institute of heart surgery and transplantation o f organs is carried out. For the first time in the Kyrgyzstan the analysis o f CHD and structural distribution on regions on negotiability, degrees of pulmonary hypertension at patients from CHD and an assessment of remodeling of heart before and after surgical correction.

It was established that most frequently used schemes of antibacterials in postpartal endometritis are inadequate to clinical protocol recommendations on the treatment of postpartal endometritis approved by Ministry of Health of Kyrgyz Republic. The use of cefasoline in patients with postpartal endometritis after operative labor is also irrational because this drug was used for surgical prophylaxis.

The paper presents the results of treatment of 195 patients with myo-my uterus. The dependence of the duration of the operation of myomectomy, blood volume, frequency of relapses on the number and location o f fibroids removed. Among patients who have lost a pregnancy, were twice as likely (8 of 16) than takeaways (24 o f 94) met women who. surgery was performed with the opening of the uterus (50% and 25.5%, respectively).

The paper presents the results o f a study o f flow - Postma nopauzalnogo period in patients with uterine leiomyomas (LM ). Spotted this dependence that patients whose postmenopausal uterine regression did not occur, later had an average age of menopause. Patients without recourse LM postmenopausal significantly more likely to suffer from gynecological diseases such as endometriosis (25.0 %) and endometrial hyperplasia (half of patients).

In the system o f quality assessment o f learning o f the information block by students it is necessaiy to measure the level of knowledge. The purpose of the study was to analyze the level of knowledge of the 2nd year students o f KSMA on specific fundamental subjects. 289 students of the 2nd year o f the medical faculty completed questionnaires. Questionnaire included questions on subjects o f normal anatomy and normal physiology, rights o f students to resit an examination, and the ability of communication with patients. Results o f survey revealed that only 11% o f the 2011-2012 school year students were able to communicate with patients, 18.3% of students o f the 2010-2011 school year still do not know the number of anatomical heart cavities, 15% o f students were not informed about the upcoming exams for the second course, up to 77% were not informed about the form of exams, 94.6% of the students were not aware about a limit to reset an examination. Thus, the analysis of the initial level of knowledge of 2nd year students showed lack of knowledge of students on normal anatomy and physiology, communication with patients, some o f the students are not well informed about the upcoming school subjects. Revealed results clearly reflected in the learning process and the quality o f clinical disciplines in subsequent courses.