Exploring medical students' perceptions of family medicine in Kyrgyzstan: a mixed method study.

Background: Despite knowing that health systems with strong primary care improve overall health outcomes within a population, many countries are facing a global trend of declining interest and shortage of family doctors. This is the case of the Kyrgyz Republic, in which rural areas are struggling to attract and retain family medicine (FM) doctors. This study aims to explore how Kyrgyz medical students perceive FM and the factors that influence their specialty choice.

[Postoperative complications in intestinal gunshot wounds and methods of their treatment].

Summarizes the experience of treating 168 patients with gunshot wounds intestine, including 126--thick, 42--a thin, 54--both divisions intestines. Implementation of radical reconstructive and rehabilitation interventions in the conditions of peritonitis has adverse outcome. Feasibility of establishing a friendly operations with breeding stoma.

[Sipping as a mode of correction of protein-calorie deficiency in intensive care unit patients].

The paper presents the results of postoperative studies in 82 patients with major soft tissue phlegmons of the extremities and torso. The basic aspect of the studies concerned the correction of protein-calorie deficiency on the basis of additional nutrition through sipping of hypercaloric formula "Nutridrink" and the standard enteral formula "Nutrisone dry powder", which were given to in 29 and 20 patients, respectively, on postoperative day 1 for 3 weeks. A control group comprised 33 patients who received only diet 1.

[Assessment of the parameters of protein-energy deficiency in surgical patients with extensive purulent soft tissue wounds].

The paper considers criteria for evaluating postoperative protein-energy deficiency (PED) in surgical patients with extensive purulent soft tissue wounds (PSTW) of the extremities and torso. The authors have evaluated the clinical significance of somatometric indices (height (cm), weight (kg), arm circumference (cm), skinfold thickness above the triangularis, body mass index) and biochemical markers of PED (total protein (g/l), albumin (g/l), transferrin (g/l), absolute lymphocyte count (ALC). At the early stages of the disease (3-5 days after injury or infection), plasma transferrin concentrations and ALC significantly reduced, which is characteristic of moderate and severe PED.

Oxidative modification of plasma proteins during hypothermia and after dalargin administration.

Short-term and prolonged (3 h) moderate (30 degrees C) hypothermia intensified oxidative modification of plasma proteins, while deep hypothermia (20 degrees C) decreased the intensity of this process to a control level. Preliminary intraperitoneal injection of dalargin had practically no effect on oxidative modification of plasma proteins during moderate hypothermia.