Koritarova V.
Phd
Doctor in Department of Anesthesiology and Intensive Care at University Hospital specialized in Obstetrics and Gynecology, ,, Maichin dom’’ Sofia, Bulgaria

Abstract
Recent COVID-19 pandemic has led to worldwide increase in cases of Acute Respiratory Distress Syndrome. Pregnancy is associated with physiological respiratory, cardiovascular and immunological changes, which could lead to development of severe viral pulmonary complications. That cause higher rate of maternal and fetal morbidity and mortality.
Application of non –invasive ventilation strategies for treatment of mild to moderate cases of hypoxic Acute Respiratory Distress Syndrome in pregnant women may improve their condition and decrease cases of endotracheal intubation and invasive mechanical ventilation. More investigations for the most successful method of non-invasive mechanical ventilation in pregnant women are necessary.

Keywords: COVID-19, ARDS, CPAP, BIPAP, HFNC

Makhmudov I.
Aliyeva U.
Mustafaeva S.
Huseynova A.
Valiyeva K.
Department of Children’s Diseases of Azerbaijan medical university

Abstract
Actuality. Acute infectious diseases of the upper respiratory tract (URI) accompanied by cough occupy an important place among children’s respiratory pathologies. Thus, the incidence of acute respiratory infections (ARIs) among children is 4-5 times higher than that of adults and accounts for more than 90% of all infectious and parasitic diseases. In this regard, the highest indicators are recorded before school, especially in the first 3 years. Acute bronchitis (AB), which is caused by infectious damage to the lower respiratory tract, is considered one of the most common diseases in children. The incidence of KB in the pediatric population is 75-250 per 1000 children. Acute obstructive bronchitis (COB) means an inflammatory disease of the bronchial tree with symptoms of obstruction, in other words, symptoms of bronchial permeability disturbance. The course of COPD in children is accompanied by weak productive cough, increased vocal whistling, tachypnea and distant dry rales. Presented in this article, in addition to interpreting the modern ideas about the etiopathogenesis, classification and clinical-diagnostic features of acute bronchitis in children, as well as the results of our research in the direction of studying the therapeutic effectiveness of JOSET as a combined broncholytic drug used in the treatment of acute obstructive bronchitis. described.

 Keywords: Children, acute respiratory tract infections, acute bronchitis, acute obstructive bronchitis, mucoactive preparations, combined broncholytics, treatment.

Izbassarova A.
Candidate of Medical Sciences, Associate Professor of the Department of Physical Medicine and Rehabilitation, Sports Medicine Non-Profit Joint Stock Company Sanzhar Kazakh National Medical University Jafarovich Asfendiyarov (Almaty, Kazakhstan)
Andassova Zh.
Associate Professor, Candidate of Pedagogical Sciences, Head of the Department of Physical Medicine and Rehabilitation, Sports Medicine Non-Profit Joint Stock Company Kazakh National Medical University named after Sanzhar Jafarovich Asfendiyarov (Almaty, Kazakhstan)
Nurlybaeva G.
Candidate of Medical Sciences, Department of Physical Medicine and Rehabilitation, Sports Medicine Non-Profit Joint Stock Company Kazakh National Medical University named after Sanzhar Jafarovich Asfendiyarov (Almaty, Kazakhstan)
Ibraeva O.
Master of Medicine, Department of Physical Medicine and Rehabilitation, Sports Medicine Non-Profit Joint Stock Company Kazakh National Medical University named after Sanzhar Jafarovich Asfendiyarov (Almaty, Kazakhstan)
Beisenbaeva G.
1st year master’s student in the EP “Public Health” of the Higher School of Public Health, head of the neurological department of the “Central City Clinical Hospital” of the Public Health Department of the city of Almaty (Almaty, Kazakhstan)
Ainabek B.
doctor of the neurological department of the “Central City Clinical Hospital” of the Public Health Department of the city of Almaty (Almaty, Kazakhstan)
Ismailov A.
head of the department of the stroke center of the State Public Enterprise at the Central City Clinical Hospital of Almaty (Almaty, Kazakhstan)
Izbassarova A.
resident doctor, 1st year of study “Adult, pediatric neurology” Astana Medical University (AMU) (Astana, Kazakhstan)

Abstract
We studied and analyzed data on the prevalence of ischemic stroke in Almaty (stroke center of the clinic) from January 2022 to January 2023. During this period, 423 patients with a clinical diagnosis of “Acute cerebrovascular accident” applied to the stroke center, of which 126 patients were diagnosed with cerebral infarction. We selected 78 cases where ischemic stroke developed. The Rankin, Ashworth, Rivermead scale involves the use of data obtained as a result of examining the neurological status of a patient with a stroke using the NIHSS scale. Early recovery of movement disorders depends on the correct and consistent initiation of such measures as positional treatment, passive and active therapeutic exercises, and verticalization. Rehabilitation specialists , relatives and friends can help restore impaired functions after an ischemic stroke and adapt to social activity.

Keywords: ischemic stroke, rehabilitation measures, early stage of rehabilitation, disability, rating scales.