"Garagum" žurnaly

Founder: The Cabinet of Ministers of Turkmenistan
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Articles

Influence of cytotoxic lymphocytes on the progression of pigmented papillary-nodular synovitis

There are contrary opinions about the nature of pigmented papillary-nodular synovitis (PPNS) in the scientific literature. Despite the fact that some authors express the opinion that PPNS is an inflammatory process, most authors classify this disease as a neoplasia with aggressive destructive local behavior and a high recurrence rate of 50-70% [3, 8, 10]. It remains undisputed that PPNS is accompanied by a constant uncontrolled proliferation of synovial cells; at the same time, the mechanisms that cause this proliferation, as before, are still unknown [9]. The aim of the work is to study the effect of cytotoxic lymphocytes (natural killers) on the progression of pigmented papillary-nodular synovitis.

Peculiarities of the course of chronic pyelonephritis in elderly patients

Chronic pyelonephritis in elderly patients is a nonspecific infectious and inflammatory disease of kidneys that affects renal parenchyma, mainly interstitial tissue, pelvis and calyces [2, 6, 7]. Chronic pyelonephritis in the elderly occurs in 15-25% of cases [8, 9]. The aim of the work is to study the difficulty of diagnosing and treating chronic pyelonephritis in elderly patients due to the peculiarities of its low-symptomatic and latent course.

Improvement of treatment methods of malignant neoplasms of the larynx

Malignant neoplasms of the larynx account for 1–5% of all malignant neoplasms, and 50–60% among malignant neoplasms of the head and neck [1, 7]. The peculiarity of the treatment of malignant neoplasms of the larynx (MNL) is not only in curing the patient from a malignant neoplasm, but also in restoring the respiratory, vocal and protective functions of the larynx. The aim of the work is to evaluate the results and methods of treatment of malignant neoplasms of the larynx.

Modern treatment approaches of patients with long-term non-healing burn wounds

Long-term non-healing wounds (burns, ulcers) remain one of the significant problems of modern surgery and combustiology in almost all countries of the world [5]. In practice, a chronic wound is considered to exist for more than 4 weeks without signs of active healing (the exception is extensive wound defects with signs of active repair) [6]. The aim of the work is to analyze the results obtained with the use of modern dressings in the treatment of long-term non-healing burn wounds.

Selection and use of coronary shunts in cardiovascular surgery

Coronary artery bypass grafting (CABG) is a widely recognized and highly effective treatment for coronary heart disease. The main task of surgical treatment is to create reliable, high-quality, and most importantly, durable ways to bypass the stenotic area or occlusion of the coronary artery. Therefore, the optimal choice of conduit is one of the key points of the operation, which affects the duration and quality of the patient's future life. Currently, there is experience in the use of synthetic prostheses, however, in the vast majority of cases, the patient's own vessels are used as a bypass material: the great and small saphenous veins, the radial and ulnar arteries, the internal mammary arteries, the gastroepiploic and epigastric arteries. Regarding the last two, there is not much information due to the fact that they are used infrequently, mainly due to the failure of the remaining vessels as a “forced shunt” [3].

Modern view on the mechanisms of arrhythmias

According to the World Health Organization, an arrhythmia is any heart rhythm that differs from normal sinus rhythm. Arrhythmias are associated with many pathogenetic mechanisms, including impaired automatism, excitability, contractility, refractoriness, conduction, and aberration (possibility of passing an impulse along additional pathways) of the heart [2, 4, 12].

How to Protect Yourself from ARVI

The most effective measure against seasonal acute respiratory viral infections (ARVI) is vaccination. The introduction of a vaccine into the body cannot cause a disease, but by producing protective antibodies it stimulates the immune system to fight infection. Vaccination is recommended for all groups of the population, especially the elderly, children, people suffering from chronic diseases, pregnant women and people from occupational risk groups – medical workers, teachers, students, service and transport workers.

Recom­men­da­tions for Pro­tecti­on against Colds and ARVI

In winter, the average daily temperature in most of the territory of our country dropped significantly. Damp and cold weather creates favourable conditions for the spread of acute respiratory viral infections (ARVI). The Neutral Turkmenistan Newspaper, together with specialists from the Information Centre of the Ministry of Health and the Medical Industry of Turkmenistan, prepared several tips on how to stay healthy in winter. To reduce the risk of disease, it is necessary that you and your child follow simple rules:

Tips to prevent seasonal diseases

«7/24. tm», № 04 (139), 23.01.2023 1. Exercise regularly and be physically active to enhance your immunity.

Resorts of Turkmenistan: the Healing Power of Native Nature

In the period of the Revival of the New Era of the Powerful State, our Motherland has taken a decent place among intensively developing economies and is confidently moving forward along the path of creation and progress in the year “The Era of the People with Arkadag”. The concern for people – the supreme value of the society and state remains the key priority of the state policy implemented by the esteemed President Serdar Berdimuhamedov. Large-scale work is being done in the country to strengthen the scientific and legal frameworks of health care and bring all levels of health care in line with the principles of the World Health Organisation. The Saglyk State Progamme developed under the leadership of the respected Arkadag and successfully implemented today has significantly improved material, technical and personnel resources of the healthcare system. Hundreds of modern healthcare facilities have been built in Ashgabat, the centres of velayat and etraps, settlements and villages. Great opportunities have been created in the country to provide health care to the population in accordance with international standards.

Seasonal Disease Prevention Tips

– Lead a physically active lifestyle and go in for sports. – When going outside, lubricate the mucous membranes of the nasal cavity with oxolinic ointment.

Seasonal Disease Prevention Tips

– Lead a physically active lifestyle and go in for sports. – When going outside, lubricate the mucous membranes of the nasal cavity with oxolinic ointment.

Magical Winter Has Arrived...

Snow is the brightest sign of winter; it is always longed for. There is probably something special in that moment when the first snowflakes, whirling quietly in the air, slowly fall and touch the ground. The world seems to freeze, as if everything around, trees, buildings and mountains in the distance, watched with surprise this snowy miracle. First, it fell in small grains, then covered the ground, city streets, roofs of houses, mountain peaks and hills in the vicinity of Ashgabat with fluffy white snowflakes, turning our capital into a fabulous city by morning.

Simple Defence from Seasonal Colds

With the onset of cold weather, as a rule, the frequency of colds increases. During this period, it is important to protect yourself and your family from illness. Improper nutrition, change of seasons and stress weaken the body’s immune defences. Therefore, to maintain immunity, more vegetables, fruit and greens rich in vitamins and microelements should be included in the diet.

7 reasons to give nordic walking a try

«Türkmenistan Sport», № 4 (16), 2022 This is far from being a hobby

Health Diplomacy Of Turkmenistan: For global sustainable development

Health diplomacy has become one of the foreign-policy priorities of independent neutral Turkmenistan over the past two years. Fostering a comprehensive global dialogue in the healthcare sphere to develop effective steps in achieving the goals of protecting people’s health has come to the fore on the agenda of the United Nations in connection with the pandemic and its impact on all spheres of life of societies and states of the world. The health diplomacy of Turkmenistan has identified a number of new trends in international relations and has become one of the factors in raising the positive image of our country on the international arena. UN Resident Coordinator for Turkmenistan Dmitry Shlapachenko commented on the role of Turkmen health diplomacy in international relations in an interview with a NT correspondent. On the relevance of health diplomacy

Dress according to the Weather

There is winter on the calendar. However, not everyone “has readjusted themselves” for the new season. Some of us still continue to put on light clothing, while others wear as warm clothing as possible. Both can cause a weakening of the protective functions of the body and, as a result, a seasonal cold. One of the most important hygiene rules is to always dress according to the weather. Clothing should create comfort, and it should not be, for example, the cause of overheating and, as a result, sweating, which not only causes cooling of the body, but also violates the tightness of clothing, which should protect against cold. However, too light clothes cannot protect either from the cold, or from the wind, or from precipitation.

Proper nutrition in the cold season

Winter is the most difficult period for our body. Little sunlight, low temperatures and people spend much time indoors. For our body to cope with this load, it is necessary to replenish it with all the necessary nutrients. Nutrition in the cold season should be balanced, high-calorie and rich in vitamins and useful trace elements. Seasonal vegetables and fruit play a big role in this. Those that are grown in the region of residence are more useful than exotic vegetables and fruit from distant tropical countries. Proper nutrition in winter will help improve a person’s wellbeing and reduce the risk of the exacerbation of chronic diseases. In the cold season, the immune defence of the body is important. To maintain it, it is recommended to eat foods that are a source of essential amino acids, such as lean meat, chicken, turkey, dairy products and legumes and also to include in your diet multivitamin and mineral complexes and specialised food products enriched with them, for nutrition of children as well.

The effective methods of visualization of a pathology of the posterior segment of the eye with divergent strabismus in children

Most ophthalmologists note the appearance of the first signs of divergent strabismus before the age of 6 years [8, 10]. With divergent strabismus, combined with myopic refraction, there is a gradual decrease in vision in one eye, development of amblyopia, and impaired formation of binocular vision [3, 4, 6]. The aim of the work is to study the effectiveness of optical coherence tomography of the eye in children with concomitant divergent strabismus with myopic refraction.

Strategy errors in the diagnostics of soft tissue sarcomas

Currently, according to the WHO classification, more than 50 morphological types of soft tissue sarcomas (STS) are distinguished, and the approaches of their treatment also differ [2-4]. This disease is equally common among men and women, more often at the age of 20-40 years. In 50% of patients, the disease affects limbs, in 40% – soft tissues of other parts of the body [1, 2, 6, 7]. The need for proper diagnostics and treatment of this disease, the frequency of diagnostic and therapeutic errors, indicate the importance of this problem [4-7].