Vol. 1 No. 1 (2012): VESTNIK of KSMA

АКАДЕМИК САНЖАРБЕК БАКИРОВИЧ ДАНИЯРОВ: ПЕДАГОГ, УЧЁНЫЙ, ОРГАНИЗАТОР

ИСПОЛЬЗОВАНИЕ И БЕЗОПАСНОСТЬ ЛЕКАРСТВЕННЫХ СРЕДСТВ: ПРОБЛЕМЫ И ПЕРСПЕКТИВЫ В КЫРГЫЗСТАНЕ

генетические механизмы развития высотной легочной артериальной гипертензии

The manuscript presents data on publication activity o f scientists from Kyrgyzstan, including medicine, extracted from the SciVerse Scopus (http: www.scopus.com ) as the biggest in the world search and citation database fo r years 1995-2011 Publication activity o f selected academic and research medical institutions from Kyrgyzstan is described, including Kyr­gyz State Medical Academy after J.K.Akhunbaev. These findings are compared to leading countries 'and institutions ’ratings. We also discuss proposals and recommendations to increase publications flow as well as citations o f Kyrgyzstan scientists in the field of medicine.

The o f research is to study the differential analysis of the reproductions problems (menarche, fertility), the characteristic o f clinical course gestation and labor, the hemodynamic features of adaptation and hemostasis m women living in high mountains regions o f the world: middle Tien — Shan (Karakol, Naryn, Min-Kush, 1800 — 2300 т. I. und. s.) and high altitudes the regions o f Pamir - Alay (Sary-Tash, Daurat- Korgon, M urgab— 3000-4500 m) and Himalaya (Nepal, c. Bhaktapur, 1402 — 2791 m. 1. un. s) and Arabian peninsula (Yemen, duan Al-Govera, 2200-2800 m 1. und. s).

The aim of the study - to evaluate the efficacy of training of prim ary health care doctors on PAL strategy WHO. There were found increasing the knowledge level from 71% to 87% (n=679), increment was 16%.

ОСНОВЫ ДОКАЗАТЕЛЬНОЙ МЕДИЦИНЫ: ОПЫТ ПРЕПОДАВАНИЯ В КЫРГЫЗСТАНЕ

This works presents the data o f statistical and quality analysis of the implements results of«Effective Perinatal Care» in MPC indicates the problems and ways of releasing maternity morbidity and mortality.

This article considers the method оf dental extraction preserving the volume of hone tissue of alveolar process аnd one moment implantation.

The problem o f bone tissue atrophy after dental extraction is one of the important questions in modern stomatology, as considerable atrophy jaw bone tissue makes impossible to carry out intraosteal implantation. The use of stomatological sponge «Stimul Oss» welled bv nitrogen acid silver stimulated the regeneration of jaw bone tissue and can be used during denial implantation stage.

Statistical data from 2005 - 2010 years is provided in the article in the period o f carrying out of reform in public health, republic-wide data and Chiu oblast case study Problems o f organization structure and cadre structure o f dental health service of region population are revealed. Ways of further optimization of management of dental service activity on oblast level are offered in the article.

Features of the vegetative status and psychophysiological indicators of the students living in conditions low - and aver­ age ahtludeare considered, authentic distinctions on parameters cardyointervalography are revealed, forces of nervous system, to attention indicators, also are shined sexual features of compared groups.

The recommendations for surgical treatment of the gallbladder polyps are presented: polyps with the size more than 1 cm, polyps on the wide base, combination o f polyps with cholelithiasis. 82 patients were operated I here were no complications after the operation.

The purpose o f this study was to determine and compare QOL in diabetes mellilus of older people in the towns of KR. 212 older people with diabetes mellilus from 6 towns of KR completed the SF36v2tm Health Survey questionnaire in Kyrgyz and Russian. 51 individuals without morbidity comprised the control group. In the result o f the research the SF-36v2tm Health Survey score was significantly impaired in older people with DM2 in all towns of KR in comparing with control group.

41 history cases analyses of children have been conducted who were ill by infectious mononucleosis.

In this article presents clinical and epidemiological characteristics of measles at children less than 1 year which de­lined by different lab methods: IFA and PCR.

The aim of this study was to assess QOL in patients with DM2 with nephropathy and chronic kidney failure, which underwent treatment in dialysis block of the Department of Nephrology of the National Hospital 24 patients completed a SF-36v2tm questionnaire and were characterized in terms of diabetic complications. Matched groups of non-diabetic patients (n=51) and diabetic patients without complications (30) served as controls. Self-rated physical health was significantly worse (p<
0.01) in diabetic dialysis patients compared with non-diabetic patients, diabetic patients with normal kidney function and the control group. Reduced QOL related with physical and psychological components of QOL.

В статье представлены результаты анализа заболеваемости кишечными микст инвазиями населения Бишкек. Инвазированностъ отмечается не только в отдаленных районах, но и в самом городе Бишкек. Если микст инвазии раньше выявлялись в новостройках, на окраинах столицы, где коммунальные благоустройства оставляют желать лучшего, то в последнее время есть данные о распространении кишечных микст инвазий в центральных районах столицы.

The new type o f surgical intervention in the lens nucleus fakotnsection» at tunnel cataract surgery using small selfsealing incisions is analyzed, with traditional breeding nucleus lens of the "sandwich ” maneuver. Operative intervention in the 2 groups is compared. It was revealed that the new method of surgical postoperative complications is less than what is reflected on the functional outcome of lower postoperative astigmatism and improving visual acuity.

Prolonged forced alcoholization causes an increase in blood alcohol concentration, disturbance of contractility, excitability and conduction, dystrophic and atrophic changes in heart muscle. Mildronate reduced the level of alcohol, had a positive impact on the ECG without affecting ihe morphological structure of the heart.

To increase the population knowledge about glaucoma author suggest using of new sources of information. Having results of these investigation we examed 146 individuals and among them revealed 63 cases of glaucoma.

The aim o f the trial is estimation o f awareness o ffam ily medicine practitioners on diagnostics and treatment of tobacco dependence and some articles o f the Laws regulated consumption o f tobacco products. M aterial and methods: the design is cross-sectional study (195 respondents). Results and conclusions: Family medicine physicians demonstrated low awareness on the laws regulated tobacco products consumption and treatment of tobacco dependence which indicate to necessity of active, measures oriented to traning of medical doctors and creation of correct professional attitude to smokers.

Analysis o f the treatment of 70 patients with incarcerated inguinal hernias was presented. There were 66 men and 4 women. The date of strangulation of a hernia was from 3 hours till 3 days Bossini method was used more often (51,5%'). Eight patients had postoperative complications (11,4%), one patient died (1,4%).

Ozonized solutions with ozone concentration equal 8-10 mkg. ml and infrared irradiation were used in wound complications prophylaxis in 62 patients with destructive cholecystitis. During the operation wound surface and abdominal cavity were treated with ozonized solution, and then the infrared irradiation im s used. The infrared irradiation o f the postoperatim wound we began in one day. The quantity of it's use was 4-5 for a course. Complications (infiltrated wounds and wound
suppuration) were in 2 patients (3,2%)'

Three methods were used fo r disinfection ofechinococc elements: hypertonic salt solution (30%)). thermal method and ozonized solutions with ozone concentration 8-10 mkg/ml with post treatment with betadin. The complications in the first group were in 1H.()%, of the patients, and recidivation was in 4.3%,; in the second group they were in 14.0% and 4.9%, accordingly. In the third group the complications were m 4.0%, of the patients, and there were no recidivations.

The critical analysis of the literary facts of world demonstrative base, on conducting childbirth’ s ladies of pregnant women with premature detachment of placenta complicated by coagulologic haemorrhage is represented in the given message. Hysterectomy can be done if there is a precarious situation during the operation. The objective of the present work is substantiation of possibility of performing an operation avoiding hysterectomy.

The incidence of type 2 diabetes is rapidly increasing. Diabetic vascular complications accordingly increase as well. The development of complications is due not only to phenotypic but to genotypic factors as well. It is important to promptly identify genotypic changes and their relationship with adjustable risk factors for type 2 diabetes complications such as diubelic nephropathy.

к.м.н., заслуженный врач Кыргызской Республики, директор Ассоциации групп семейных вра­ чей и семейных медсестер республики (АГСВ и СМ КР), член Общественного Наблюдательно­го Совета М3 КР, с отличием закончила лечебный факультет КГМИ в 1971 году. После обучения в клинической ординатуре и аспирантуре в НИ А Л АМН СССР в Москве работала ассистентом кафедры внутренних болезней факультета усовершенствования врачей КГМИ более 16 лет. С 1992 г. работала главным терапевтом Департамента здравоохранения г. Бишкек. Член рабочей группы по подготовке Национальных программ реформирования системы здравоохранения «Манас»- раздел госпитальная помощь 1995 год, «Манас таалими»- раздел «Инвестирование в человеческие ресурсы здравоохранения» 2005 год. Работала консультантом проекта «Ноу-Хау» по рационализации больниц, ДФИДа по человеческим ресурсам системы здравоохранения, ШКК- по рационализации системы здравоохранения Нарынской области. С 2005 года является исполнительным директором АГСВ и СМ КР, тесно сотрудничает с проектом «Качественное здравоохранение» USAID

The authors have treated 53 patients with brain abscesses, 6 (11,3%) of those with cerebellar abscesses. Clinical The authors have treated 53 patients with brain abscesses, 6 (11,3%) of those with cerebellar abscesses. Clinical features o f brain abscesses u '« unclear and typical symptoms were absent in most cases. As a dominating symptom was headache,other symptoms o f intracranial hypertension manifested with nausea (4 cases), vomiting (~ cases), bradicardy (9 cases). Changes
on optic fundus were absent in 5 patients, coordination disorders were investigated in 14 cases, scanding speech - m 2 cases. Horizontal rotating nistagmus has had brain stem origin, in 15 patients was directed to the focus, in 3 cases - bilateral. All series underwent surgical excision and abscess evacuation combining with medication therapy.

The goals of acoustic neuroma surgery are now preservation of facial nerve function and, when feasible, hearing preservation. The purpose of this study lmv to present the results of acoustic neuroma surgery using the most modern techniques and equipment, using standardized grading systems. All patients underwent acoustic neuroma surgery and had preoperative audiograms and MR1 with contrast. In addition, all patients had preoperaiive and postoperative facial function graded by the House tirackmann scale and intraoperative facia nerve monitoring. Hearing presentation was attempted in patients with tumours of any size.

Psychophysiological indicators of the young men living in conditions low - and average altitude are considered, au­thentic distinctions on force of nervous system, attention indicators, level of extraversion and ncumtism are revealed

This article presents results of clinical study and spectral analysis of dental means «Maraslavine» with tooth paste «Аntoxide» used for treatment of periodontal disease.

These researches present the investigation the structure of the disease the pregnant women duration in 28-36 weeks with threatened preterm of deliveiy in the department of pathology pregnancy of the PMC during from June up to December 2011 year.

Aim of the reseach work - show on a clinical case the possibility of diagnostic the «X» - syndrome.

In ihis article presents an analysis of the literature on the study of drug resistance of M. tuberculosis and their pro­portion in the etiology of tuberculosis. At present tuberculosis often caused by multiclrug-resistant (MDR) or extensively drug-resistant (Xl)R) strains of Mycobacterium tuberculosis.

This research project is intended to explore the some important mailers of ISM students, which art related to their study, health, adaptation and behavioral changes during their study period in ISM. One of them is a process of the social adaptation of students to the conditions of the study and the stay at the ISM, which effect finally on their health and the quality of their education.

On the wedding among of guests was registered food poisoning. We find that the main spring of this disease was salad "Birds n est”, RR — 4,39 (95 % Cl 1, 71-10,88, P 0.001). The medium incubation period contains 36,5 hours. Its shows difficult intokcication, high fever, syndrome of dyspepsia and diarrea, stomachache. Laboratory research tested, that etiologic factors of this disease was Staphylococcus aureus.

Проведен анализ результатов симультанных вмешательств, выполненных 7 -м больным, по поводу онкологических заболеваний органов мочеполовой системы, и других конкурирующих хирургических патологий.