To obtain an adequate qualitative assessment of the activities of the medical staff of the rural area, a survey of doctors and paramedical staff was conducted, data on the age structure, length of service in general and in the specialty, issues of assessing the performance of medical staff and quality control were analyzed. We used sociological research methods - a survey of paramedical personnel was conducted on the basis of the central district hospital of the district. The data of a survey of 60 female paramedical workers were analyzed. The practical significance of the study is to obtain and process data on the performance of the nursing staff of the central district hospital in order to develop recommendations aimed at eliminating a number of factors that negatively affect health and quality of work, which can serve as an obstacle to professional activity

To date, the influence of the balance of the content of essential MEs on the ability of children to adapt to the physiological course of this period and the implementation of pathological syndromes has not been sufficiently studied. The purpose of the study is to study the relationship between the deficiency of certain microelements and the risk of violations during the period of early neonatal adaptation in newborns with perinatal posthypoxic encephalopathy. Material and methods of research: To solve the set tasks, 131 "mother-child" pairs in the neonatal period were under our dynamic supervision. To determine the content of microelements in blood serum, we used a photometric-colorimetric method, using kits from the Italian company "Sentinal Diagnastics" and control materials from the company "Randox Laboratorics LTD". In the examined women, depending on the gestational age and parity of pregnancy, the serum concentration of Zn, Fe, Cu and Mg was determined in the III trimester. In children, the dynamics of serum levels of Zn, Fe, Cu and Mg was studied in the early neonatal period: at birth (1st study), day 3 of life (2nd study) and on days 5-7 of life (3rd study). ). Conclusions: The greatest risk of severe complications of neonatal adaptation in the form of AEDs was found in premature infants with low levels of Zn and Mg. Prognostic clinical and laboratory criteria for disorders of ME homeostasis in newborns are: prematurity, the content of erythrocytes and hemoglobin in the blood on the 1st day of life, Apgar score in the first minute, low birth weight, levels of Zn, Fe, Cu and Mg in the blood of mothers , chronic diseases of the gastroduodenal system, the presence of microelementoses in the blood serum of a pregnant woman.

The features of regression of congenital hydronephrosis were studied depending on its stage and follow-up period in the long-term period after corrective plastic surgery in the area of ??the ureteropelvic segment in 81 children, aged from 1 to 14 years, with stages I, II and III of congenital hydronephrosis with one ( 53) and on both sides (28), without postoperative complications. In patients with stage I congenital hydronephrosis 3-6 months after surgery, there was a rapid regression of congenital hydronephrosis. The renal cortical index has completely returned to normal, while in patients with stage II congenital hydronephrosis, the tendency to regression slows down sharply. A decrease in the renal-cortical index to normal values ??was observed only after 1-2 years. In stage III congenital hydronephrosis, the renal-cortical index in the long-term period decreases by no more than 40%, and after 3 years by 50% compared with the preoperative period. In no case in stage III congenital hydronephrosis did we notice a reduction in the size of the pelvicalyceal system to a level corresponding to a healthy organ, regardless of the timing of the operation. Comparative studies of congenital hydronephrosis before and in the long-term period after surgery showed that the degree and intensity of the reduction in the size of the pelvicalyceal system was the higher, the smaller its initial dimensions were. The data obtained indicate the need for early diagnosis of congenital hydronephrosis and the implementation of surgical corrections in the early stages of the disease.

The data of numerous studies on the identification of IDA among the population of Uzbekistan allow us to conclude that this region belongs to a high-risk group. These data require urgent measures to prevent IDA among the population, especially children. The aim of the study was to study the pathogenesis of clinical and laboratory features of iron deficiency in girls aged 12-14 years, permanently residing in the Ferghana Valley of the Republic of Uzbekistan. Object and methods of the study: adolescent girls aged 12-14 years (n=177) of the Uzbek population, respectively, with LAD (45), mild IDA (56) and moderate (25), and the control group (51). For the study, whole blood and serum of adolescent girls with IDA were used. General clinical, instrumental, biochemical and statistical methods for processing the obtained results were used. The data obtained indicate that a decrease in the level of hemoglobin and serum iron in the blood cannot be an objective sign of iron deficiency, their significance increases only with an increase in blood transferrin. Conclusions: a conclusion is made about the priority of iron deficiency in adolescent girls, they have a steady decrease in the number of erythrocytes starting from the LDH stage, where two factors are significant - a decrease in the proliferative activity of nuclear elements, or a shortening of the lifespan of erythrocytes. The decrease in the hemotocrit index (GI) depends both on the overall decrease in the number of erythrocytes per unit volume of blood, and on the increase in the volume of extracellular fluid and plasma.

The problem of internal picture of disease (I?D) in children with acute leukemia (AL) has not only medical, but also psychological aspects. The psychological study of the personality characteristics of a sick child is one of the ways to reveal the I?D. The purpose of this research work: to study and analyze the clinical and psychological characteristics of I?D and personality in patients with acute leukemia in children of the Uzbek population to optimize psychotherapy, psychocorrection and the processes of their medical and social rehabilitation. Material and Methods: 41 children aged from 7 to 15 years with acute leukemia were examined. The examination program included: experimental, medical and psychological examination of the emotional personal sphere. Results: in patients with ?L children of the Uzbek population, the level of personality neuroticism is increased. A complex and dynamic structure of the internal picture of the disease is formed. As a rule, it negatively affects the behavior and mental state of children, interferes with the treatment process and even more maladjusts patients. Such stable personal characteristics as emotional-volitional instability, passivity, self-doubt, lack of sociability, dependence on others, reduced opportunities for social adaptation skills have been identified. Conclusions: The identified personality characteristics significantly reduce the resistance to frustration in a sick child and determine his behavior at the stages of the treatment process. The used psychodiagnostic methods of examination make it possible to determine the psychological characteristics of a sick child, which makes it possible to carry out differentiated psychotherapeutic and psychocorrective work with patients with ?P and are of great importance for optimizing the process of their medical and social rehabilitation.