1 Кафедра терапии, Международная высшая школа медицины, бишкек, Кыргызская Республика 2 Кафедра фтизиопульмонологии, Кыргызский государственный медицинский институт переподготовки и повышения квалификации, бишкек, Кыргызская Республика 3 национальный центр фтизиатрии, бишкек, Кыргызская Республика Цель: изучить влияние стигмы и дискриминации, связанных с туберкулёзом, в Кыргызской Республике. Материал и методы: был проведён анализ 135 анкет больных с вновь выявленным туберкулёзом органов дыхания, находившихся на поддерживающей фазе противотуберкулёзного лечения с 2012 по 2015 годы. Среди респондентов мужчин было 81, женщин -54. Результаты: средний возраст пациентов составил 36,9±3,7 лет. Было установлено, что только 12,6±2,9% респондентов отметили, что не испытывали никаких опасений, страха, тревоги, в связи с тем, что им был поставлен диагноз туберкулёз: данный показатель выявлен у 14,8±3,9% мужчин и у 9,3±3,9% женщин. Наиболее чаще среди всех выявленных опасений отмечен «страх заразить семью туберкулёзом», это имело место у 71,1% пациентов. Каждый четвёртый респондент ответил, что скрывал своё заболевание от друзей, коллег, соседей. Почти столько же пациентов указали, что были изолированы от других членов семьи -23,5±4,7% мужчин и 18,5±5,3% женщин. Небольшая часть респондентов испытала осуждение со стороны членов семьи и соседей, это наблюдалось у 4,9±2,4% мужчин и 3,7±2,6% женщин. Женщины чаще мужчин отказывались общаться с членами семьи по причине болезни. Заключение: в настоящее время в Кыргызской Республике имеет место высокий уровень стигмы, связанной с туберкулёзом. Одной из причин данного явления является низкая санитарная грамотность населения. С целью уменьшения влияния стигмы, связанной с туберкулёзом, повышения выявляемости новых случаев туберкулёза, сокращения сроков постановки диагноза, необходимо поднять уровень знаний о туберкулёзе среди населения, повысить значимость поддержки семьи в борьбе с этим заболеванием. Ключевые слова: туберкулёз, стигма, дискриминация, гендерное неравенство, лекарственно-устойчивый туберкулёз.Для цитирования: Ким ТМ, Чубаков ТЧ, Токтогонова АА, Душимбекова КА. Стигма и дискриминация, связанные с туберкулёзом. Вестник Авиценны. 2019;21(1):90-4. Available from: http://dx. Objective:To study the impact of stigma and discrimination associated with tuberculosis in the Kyrgyz Republic. Methods: The analysis of 135 questionnaires from patients with newly diagnosed tuberculosis respiratory organs being under the supporting phase of anti-tuberculosis treatment from 2012 to 2015. Among the respondents, there were 81 men, 54 women. Results: The average age of the patients was 36.9±3.7 years. It was found that only 12.6±2.9% of respondents noted that they did not experience any fear, anxiety due to the fact that they were diagnosed tuberculosis: this indicator was detected in 14.8±3.9% men and 9.3±3.9% of women. "The fear of infecting the family with tuberculosis", is the most common among all identified fears, this was the case in 71.1% of patients. Each fourth respondent answere...

This article describes Emergency Medical Care (EMC) system covering non-communicable, infectious diseases, obstetrics and trauma. Community-based emergency care, as prehospital, refers to emergency care provided outside the hospital. Emergency medicine (EM) potentially plays a critical role in improving the outcomes of acute conditions in healthcare settings. Team of developers including international experts from Kyrgyz State Medical Institite of post graduate Training (KSMIPGT) has developed and drawn up programs for doctors, hospital-level nurses that meet the needs of practical healthcare. Keywords: emergency medical aid, medical care, International Federation of emergency medicine,

Background. Chest CT is widely regarded as a dependable imaging technique for detecting pneumonia in COVID-19 patients, but there is growing interest in microwave radiometry (MWR) of the lungs as a possible substitute for diagnosing lung involvement. Aim. The aim of the study is to examine the utility of the MWR approach as a screening tool for diagnosing pneumonia with complications in patients with COVID-19. Methods. Our study involved two groups of participants. The control group consisted of 50 individuals (24 male and 26 female) between the ages of 20 to 70 years who underwent clinical evaluations and had no known medical conditions. The main group included 142 participants (67 men and 75 women) between the ages of 20 to 87 years who were diagnosed with COVID-19 complicated by pneumonia and were admitted to the emergency department between June 2020 to June 2021. Skin and lung temperatures were measured at 14 points, including 2 additional reference points, using a previously established method. Lung temperature data were obtained with the MWR2020 (RTM-01-RES) (MMWR LTD, Edinburgh, UK), a CE Class I device. All participants underwent clinical evaluations, laboratory tests, chest CT scans, MWR of the lungs, and reverse transcriptase polymerase chain reaction (RT-PCR) testing for SARS-CoV-2. Results. The MWR exhibits a high predictive capacity as demonstrated by its sensitivity of 98.6% and specificity of 84.0%. Conclusions. MWR of the lungs can be a valuable substitute for chest CT in diagnosing pneumonia in patients with COVID-19, especially in situations where chest CT is unavailable or impractical.

Background. Chest CT is widely regarded as a dependable imaging technique for detecting pneumonia in COVID-19 patients, but there is growing interest in microwave radiometry (MWR) of the lungs as a possible substitute for diagnosing lung involvement. Aim. The aim of this study is to examine the utility of the MWR approach as a screening tool for diagnosing pneumonia with complications in patients with COVID-19. Methods. Our study involved two groups of participants. The control group consisted of 50 individuals (24 male and 26 female) between the ages of 20 and 70 years who underwent clinical evaluations and had no known medical conditions. The main group included 142 participants (67 men and 75 women) between the ages of 20 and 87 years who were diagnosed with COVID-19 complicated by pneumonia and were admitted to the emergency department between June 2020 to June 2021. Skin and lung temperatures were measured at 14 points, including 2 additional reference points, using a previously established method. Lung temperature data were obtained with the MWR2020 (MMWR LTD, Edinburgh, UK). All participants underwent clinical evaluations, laboratory tests, chest CT scans, MWR of the lungs, and reverse transcriptase polymerase chain reaction (RT-PCR) testing for SARS-CoV-2. Results. The MWR exhibits a high predictive capacity as demonstrated by its sensitivity of 97.6% and specificity of 92.7%. Conclusions. MWR of the lungs can be a valuable substitute for chest CT in diagnosing pneumonia in patients with COVID-19, especially in situations where chest CT is unavailable or impractical.

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