Skvortsov A. Р.
Doctor of Medical Sciences
Chief Researcher
State Autonomous Healthcare Institution “Republican Clinical
Hospital of the Ministry of Health of the Republic of Tatarstan”

Khabibyanov R.Ya.
Doctor of Medical Sciences
Chief Researcher
State Autonomous Healthcare Institution “Republican Clinical
Hospital of the Ministry of Health of the Republic of Tatarstan”

Maleev M.V.
Candidate of Physical and Mathematical Sciences
Leading Researcher
State Autonomous Institution of Health “Republican Clinical
Hospital of the Ministry of Health of the Republic of Tatarstan”

Abstract
The results of treatment of pediatric patients with deformities of the bones forming the knee joint were analyzed. At the same time, it was found that in patients with frontal deformities over 30 degrees, as well as in patients with shortened limb segments over 10–15%, multiplanar deformities of the knee joint area are observed, one of which is a pronounced violation of the biomechanical axis of the limb. When analyzing the long-term results of treatment of patients with angular deformities of the bones that form the knee joint according to the traditional Ilizarov method, it was revealed that the restoration of the biomechanical axis of the limb does not occur when the deformity is eliminated due to the formation of a wedge-shaped distraction regenerate. The axle breaking is even getting worse. A feature of the traditional layout of the Ilizarov apparatus, when used in these cases, is the inability to restore the biomechanical axis of the limb. This is the reason for the overload of one of the femoral condyles and the development of early gonarthrosis and the patient’s disability. As for the occurrence of deformity recurrence in the postoperative period, it should be noted that one of them is the non-elimination of one of the multiplanar deformity components, in particular, the lack of correction of the biomechanical axis of the limb. Taking into account the causes of the above complications, we have developed additional units for the Ilizarov apparatus, which allow correct restoration of the limb axis at any stage of the formation of the distraction regenerate. We have proposed an algorithm for eliminating the deformity, taking into account the restoration of the limb axis, which makes it possible to achieve better long-term results in the treatment of this group of patients and prevent the development of early gonarthrosis.

Keywords: multiplanar deformity, pin-and-pin apparatus for external fixation, biomechanical limb axis, correction.

Sattarov T.
– PhD, Associate Professor of the Department of Psychiatry, Narcology, pediatric Psychiatry, Medical Psychology and Psychotherapy. Tashkent Pediatric Medical Institute, Republic of Uzbekistan, Tashkent

Abstract
Objective Purpose: to study the features of depressive symptoms in adolescents to optimize therapeutic and preventive measures. Material and methods: 111 adolescents aged 15 to 17 years, with the presence of depressive symptoms, were examined in the departments of the Clinical Hospital of the city of Tashkent. The Zung scale was used to determine the severity of depression and the Lichko questionnaire to establish character accentuation. Results: an analysis of the features of depressive symptoms in adolescents established the presence of a predominance of behavioral disorders in the clinical picture of the disease with a tendency to use psychoactive substances, disorders of intra-family relationships, and dysphoric reactions. Conclusion: Thus, the study of the features of depressive symptoms in adolescents found that dysphoric depression with significant behavioral disorders in persons with epileptoid character accentuation and anxiety depression in persons with psychasthenic character traits are most often formed during puberty. The results obtained will make it possible to identify important personal targets of psychotherapeutic work with patients prone to the development of depressive symptoms.

Keywords: adolescents; personal characteristics; emotional disorders; depression.

 Jalilova G.
Department of Pediatrik Dentistry Assistant

Aliyev M.
Doctor of Philosophy in Medicine
Department of Terapeutik Dentistry Assistant

Ashrafov D.
Department of Orthopedic Dentistry Assistant
Azerbaijan Medical University
Baku, Azerbaijan

Abstract

Chronic recurrent aphthous stomatitis is a multifactorial disease that is associated with diseases of the digestive tract, endocrine, autoimmune, allergic and neurological disorders.

Keywords: Aphthous stomatitis, relapses, Setton’s aphtha.