Herald of Almaty State Institute of Advanced Medical Education

6-10

Authors: Temirbayev M.A.

This publication is devoted to the 80 anniversary since the birth of the prominent Kazakh scientist, MD, Professor Aldashev A.A. AldashevAhmet A. was born on September 4, 1937 in the village of Small of Enbekshilderydistrict of the Kokshetau (nowadays Akmola) region doctor of medical sciences (1973), professor (1978), the honored worker of science of Kazakhstan (1988), the winner of the State award PK (2001), the academic of Academy of preventive medicine (1996). Since 1967, I worked at research institute of regional pathology (Almaty) as the head of department, the deputy director; in 1973-1975, I combined duties of the chief physician of republican clinical hospital. Since 1975 - the deputy director of the Kazakhstan branch of Institute of food of the USSR Academy of Medical Sciences and the head of the laboratory of vitaminology. In 1980-1982 the director of this institution. From 1982 to 2001 the director of the Almaty state institute of improvement of doctors. The main scientific research of Ahmet A. is devoted to problems of preventive medicine, influence of an extreme environment (highlands, the desert, etc.) on a human body and adaptations to them. Author of six popular scientific books. It is awarded with the awards "Parasat", "Badge of Honour".

17-20

Authors: Umeshov A.U., Zhumadildayev R.S., Bismanova A.Zh.

In this article considered some materials of own observation on rehabilitations sick people in to investigational groups (main and control). 30 children entered the main group, which at sharp period of burned traumas and at postoperative's period for the reason of immobilization and prezentive maintenances of retraction transplants was used device for fixation the finger. About 30 children were used traditional method to immobilizations as cyst- gupsum (longet).We noted one fact of the significant reduction changes. The current method as children's burned traumas of treatment wet -air environment is merited recognition as the most prospective method which flows not only without complications, also considerably decrease the development of flexion contracture and formation of children's cosmetic defects. That was determined by pacients catamnesis with burn-cyst in 2 years after treatment.

25-30

Authors: Baymuratova M.A., Tyesova-Berdalina R.A.

Level of prevalence of intestinal candidiasis among patients with clinically established diagnosis sharp intestinal infections for optimization of allocation of mushrooms of the sort Candida.spp is studied. The analysis of incidence of sharp intestinal infections in RK revealed positive dynamics - decrease by 1,6 times during 2010-2014. Results on Almaty region where in 2013 intestinal infections made 53,3%, 2014-42,3% of cases that exceeded more than twice republican indicators were of the greatest interest. Incidence of the intestinal infections caused by Cryptococcus mushrooms of the sort Candida.spp. as an ethiopatogen in structure of sharp intestinal infection, for the studied period, varied from 2,64-3,36% that is rather guarding indicator. The analysis of the received results of a research of patients with sharp intestinal infections of an unspecified etiology for 2014 showed that the most vulnerable group on occurrence frequency as an etiopatogen the Cryptococcus of mushrooms of the sort Candida spp. turned out, persons aged from 25 up to 29 years (24 %) and also age groups from the 20-24th (15,1 %) and 30-34lt (15,1 %). Complex epidemiological assessment allowed to reveal number the Candida of intestinal infections that made 32,02 % (237) which were followed by atypical clinic in 21,5% cases. Clinic-epidemiological interpretation of sharp intestinal infection showed that opportunistic microorganisms in etiological structure made 48 %, among the diarrheas registered with functional and intestinal infection of not specified etiology, the ethioimplication the Cryptococcus of mushrooms of the sort Candida.spp was found, in 32 % of cases, from which 82 % Albicans caused by S. Thus, by results of our researches need of inclusion in an algorithm of diagnostics of sharp intestinal infection and normative legal acts of RK search the Cryptococcusof mushrooms of the sort Candida spp is established, in the studied samples of patients, as obligatory component when determining the activator which is clinically installed sharp intestinal infection.

37-41

Authors: Mambetov J.S., Makhmudov A.M.

Main objective of the real research was assessment of efficiency of the medicines Levokarnitin and Osteo-Vit in a metaphylactic of anurolithic disease in combination with osteoporosis. Patients with display of os¬teoporosis and osteopenia, the bones of a forearm and a calcaneal bone diagnosed based onX-ray absorp¬tiometry entered selection. Clinical study was conducted in 128 patients with urolithiasis with different localiza¬tion and different amount of concrements (from single-sided and bilateral to multiple, including coral). In 60 patients with urolithiasis, concurrent osteoporosis and osteopenia took place, depending on which, taking into account the introduction of the developed alternative conservative treatment method, two comparative clinical groups were identified. In the present publication proves that in the treatment of urolithiasis in combination with osteoporosis and osteopenia, complex conservative treatment is needed, including drugs that improve uro- and hemodynamics in the affected kidney, normalize urinary pH, have reparative activity against bone tissue and contribute to suppression of bone destruction processes Osteoclasts. These are the medicines Levocarnitin and Osteo-Vitcontaining in its composition, vitamins of groups D and B.

48-53

Authors: Taymanova R.S., Aringazina A.M., Medeubekov U.Sh., Abzaliyev K.B.

Level of satisfaction with medical care becomes an important structural component of complex assessment of activity of health care in recent years. 457 questionnaires of patients of cardiac offices and office of intervention cardiology from 2014 for 2016 were analyzed. More than 50% (n=256) of respondents were residents. Bulk (71,1 %, n=325) respondents people of working-age (18-60 years). The satisfaction of respondents with quality, the rendered services in a hospital remains high more than 95 % (n=445), however in dynamics decrease is noted: in 2014 treatment satisfaction of 100% (n=121) of patients, in 2015 97,2% (n=141), in 2016 95,8% (n=183) of respondents. In an incomplete measure 4 respondents (2,8%) and in 2016 8 respondents (4,2%) are satisfied with quality of services in 2015. The answer "No" was not noted by any patient. Quality of medical care estimated on 5 points 88,4% (n=107), 89,6% (n=130) and 86,7% (n=169) of respondents in 2014, 2015 and 2016 respectively. On 4 points estimated 11,6% (n=14) in 2014, 10,4% (n=15) in 2015, 13,3% (n=22) in 2016. Estimates lower than 4 points were not observed.

60-66

Authors: Aldasheva M.A.

The problem of complicated caries treatment for primary and permanent immature teeth among the children and teenagers in Republic of Kazakhstan is under consideration in the article. The author presents the summary of the modern vital and nonvital methods of pulp therapy. The treatment procedures for pulpitis and periodontitis with use of safe and effective methods and means are described. For the purpose of improvement the treatment efficiency and quality the author recommends to optimize the existing in Republic diagnostics and treatment clinical guidelines for pulp diseases in pedodontics practice.

76-81

Authors: Baymuratova M.A., Tyesova-Berdalina R.A., Adurbekova Zh.B.

The social and hygienic importance of traumatism is defined by extensive damage, which is caused to health of the person and his family and also production and society in general. The traumatism is one of the main reasons for disabilities in all branches of production. Therefore, decrease in its level has a direct bearing on reduction of labor losses [1-4]. In the address of the CEO of World Health Organization (10/22/2006) it was emphasized that accidents in the industry, the traumatism which is their result gives daily dangers having more widespread character, manifestations of individual or collective violence to 3,5 million deaths annually. Medical expenses and loss of efficiency are estimated at 500 billion US dollars a year [5]. By estimates of the International Labour Organization (ILO), annually from the accidents and diseases connected with work 2,34 million people perish. The vast majority of them - about 2,02 million - dies of various occupational diseases. From 6300, daily taking place fatal cases connected with work 5500 come because of occupational diseases [6].