The good husband

The good husband

stands vertically in the

kitchen, flat on his back

He washes the dishes

even when he is tired

The good husband

is my sweet father

He sweeps the floor

He listens to me

He is the only one who does

He babysits his granddaughter

He sits in the hot garden

next to his gambling son

who smokes a joint

and drinks whiskey alone

in the study. My father,

he doesn’t know what to do

about his depression,

about his cancer,

about his wife who doesn’t

love him, and he wishes to

marry another, he wishes

to change his religion

He eats my food, my rice,

my fish and cold potatoes

and says it tastes good

Dad’s lips are pink, he sips water

He is a good man, a beautiful tree

I rest under the pale shade of that tree

I am one of his branches

He is a wounded man, his mood is a particle,

a vein, some fruit

He has been a good husband

We are Kafka, dad and me

We are gazelle, light-footed

dad and me, it has always been dad and me

I don’t dedicate poems anymore to people

I’m through with love

He says that I’m a good woman

I’ll find someone one day

I tell him he doesn’t have to say that

I open the curtains

The sun falls into my lap

My mother locks me

back in the attic

They put my father

in the sitting room

He writes on paper in pencil

saying he has found a cure

for all social ills

Saying he has found a cure

for bladder cancer

Saying he has found a cure

for me too

They let me out

when I’m good

Only when I’m good

No more fruit on the trees

A man steps out of his shower

and a bomb falls out of the sky

On the other side of the world

a woman walks into IKEA

as a bomb falls out of the sky

There is nothing left for us to do

but to get out of this hell hole

There is nothing left for us to do

but to get out of this place

There is nothing left for us to do

but to go to paradise 

and live there

There are no settlers in paradise

There is, in other words, 

no settler occupation in paradise

When we die, we must go to paradise

Does this make sense to you?

This bomb

This invasion

This war

This genocide

This total annihilation

It is not making sense to me 

But I forgive

If I don’t, I’ll go insane

Little Flower

The sun fades away 

into a key in the palm of my hand

A significant other 

disappeared into the snow,

into the field

You were the white-hot sand

that I walked upon,

that shouted beneath my feet

Bombs fell into the mountains

Into the all-girls school

Into the hospital

There is rubble that is a day old

There is rubble that is ancient

Ancient and wise

There is no longer 

any fruit on these trees

The ancient and wise 

fruit are long gone

The Woman

Woman is the most beautiful ray of sunshine

at the mercy of billions of rainbows

she is also the rainbow-in-the-earth

with a fine determination not to remain silent.

Quatrain by Billy BiN (born Billy Nzalampangi Ngituka)

Country: DRC (Congo Kinshasa)

****

Illiberty

At a time when wars are tearing each other apart

and great dangers lie ahead

our planet, with all those who torment it.

millions or even billions of people in humanity

are indeed without freedom, no freedom at all.

on the razor’s edge of “illiberty”.

Six of Billy BiN (born Billy Nzalampangi Ngituka)

Tadjiboyeva Marxaboxon Sherzodbek qizi

Chronic Heart Failure: Development Mechanisms, Clinical Signs, and Treatment Approaches

Author: Tadjiboyeva Marxaboxon Sherzodbek qizi
Kokand University Andijan Branch
Faculty of Medicine, 2nd-year student, specialty in Therapeutic Work, Group 24-10
marxaboxonegamberdiyeva@gmail.com
95 837 08 78

Abstract

Chronic heart failure is a severe clinical condition characterized by the inability of the heart to pump blood adequately to meet the body’s needs. This disease is one of the most common among cardiovascular system pathologies and is considered one of the main causes of death and disability. The article highlights the development mechanisms of chronic heart failure, its main etiological factors, clinical signs, as well as modern diagnostic and treatment approaches. Structural and functional changes in the heart muscle, activation of neurohumoral systems, and the long-term negative effects of compensatory mechanisms are analyzed.

Also, the importance of drug therapy, lifestyle changes, and preventive measures in treating the disease is demonstrated. The article serves to strengthen the theoretical and practical knowledge of students studying in the field of medicine.

Keywords: chronic heart failure, myocardium, blood circulation, neurohumoral regulation, clinical signs, diagnosis, treatment, prevention.

Introduction

Today, cardiovascular diseases are among the most common and deadly pathologies worldwide. Among them, chronic heart failure is of particular importance due to its prevalence and severe course. Chronic heart failure is characterized by insufficient supply of oxygen and nutrients to the tissues and organs of the body as a result of reduced cardiac pumping function. This disease is often associated with arterial hypertension.

Today, it develops against the background of cardiovascular diseases, ischemic heart disease, myocardial infarction, heart valve defects, and cardiomyopathies. Initially, the body tries to compensate for disturbances in heart activity through compensatory mechanisms. However, when these mechanisms persist for a long time, pathological changes occur in the heart muscle, and the disease progresses to a chronic stage.

Chronic heart failure disrupts not only heart function but also the functional state of the entire body. Patients develop symptoms such as shortness of breath, rapid fatigue, swelling, and limitation of physical activity. These conditions significantly reduce the quality of life of patients and require constant medical supervision. In modern medicine, early detection of chronic heart failure, in-depth study of its development mechanisms, and the application of effective treatment approaches are of great importance. Therefore, studying this disease is important in the field of treatment work. For this reason, studying this disease is considered relevant for students training in the field of treatment.

Main part

Structural and functional changes in the heart muscle play an important role in the development of chronic heart failure. As a result of a decrease in cardiac contractility, cardiac output decreases, and blood circulation in the tissues is not adequately maintained. Consequently, a state of hypoxia occurs in the body. The activation of neurohumoral systems is of significant importance in the pathogenesis of the disease.

The sympathetic nervous system and the renin–angiotensin–aldosterone system become activated, leading to an increase in heart rate and vascular tone. Although initially these processes have a compensatory role, if they persist for a long time, they cause excessive burden on the heart and damage to the myocardium. Clinical signs of chronic heart failure manifest depending on the stage of the disease. In the early stages, patients experience rapid fatigue and shortness of breath during physical exertion. As the disease progresses, shortness of breath occurs even at rest, along with swelling in the legs and accelerated heartbeat. In severe cases, congestion in internal organs, liver enlargement, and general weakness occur.

Diagnosis relies heavily on clinical examination, laboratory tests, and instrumental investigations. Electrocardiography, heart ultrasound, and radiological methods allow evaluation of heart function. Additionally, blood tests reveal changes in the body. Treatment approaches are comprehensive and include drug therapy, lifestyle changes, and preventive measures. Diuretics help reduce swelling, while angiotensin-converting enzyme inhibitors and beta-blockers help stabilize heart function. Proper nutrition, limiting salt intake, and monitoring physical activity are important components of treatment.

Conclusion.

Chronic heart failure is considered one of the most severe and complex pathologies among cardiovascular diseases. The disease develops with impaired pumping function of the heart, negatively affecting all organs of the body. Initial compensatory mechanisms over time lead to further damage to the heart muscle. Early detection of the disease and the use of modern treatment approaches allow for improving patients’ quality of life and preventing complications. Alongside drug therapy, adhering to a healthy lifestyle and implementing preventive measures is of great importance. In conclusion, thorough study of chronic heart failure and application of comprehensive treatment measures remain an important task in medical practice. This knowledge serves to enhance the professional qualifications of future doctors.

List of Literature

1. Karimov I.A. Cardiovascular Diseases. – Tashkent: Fan, 2019. – pp. 110–128.

2. Qodirov M.S. Chronic Heart Failure. – Tashkent: O‘qituvchi, 2020. – pp. 75–92.

3. Rasulov A.A. Propedeutics of Internal Diseases. – Tashkent: Akademnashr, 2018. – pp. 140–158.

4. Ahmedova D.R. Pathophysiology of Heart Failure. – Tashkent: Fan va Texnologiya, 2017. – pp. 60–78.

5. Tursunov J.B. Fundamentals of Cardiology. – Tashkent: Universitet, 2021. – pp. 95–112.

6. Usmonova L.M. Clinical Cardiology. – Tashkent: Yangi Asr Avlodi, 2022. – pp. 130–147.

Born on October 9, 2006 in Asaka district, Andijan region. M. Tadjiboyeva stands out from her peers due to her academic excellence. Currently, she is a university bachelor’s student.

Depression – A Disease of Modern Society. Stress and its Effects on the Body. The Problem of Psychological Strain Among Students. Social Media and Mental Health

Bukhara State Medical Institute

Faculty of General Medicine, Group 229

Student: Rakhmonova Gulzoda Sodiq qizi

Email: gulzodaraxmonova430@gmail.com

Abstract:

This article provides information about depression, stress, psychological exhaustion among students, the impact of social media, and psychosomatics. Today, many people live under constant psychological pressure. In particular, feelings of depression and mental strain have increased among young people. The article explains the causes of these problems and ways to prevent them. The effects of stress on the human body are described in simple terms. In addition, the relationship between mental state and the body is explained.

Keywords:

Depression, stress, psychological exhaustion, student, social media, nervous system, health, psychosomatics.

Introduction:

Modern life is very fast-paced. People work a lot, study a lot, and are constantly in a hurry. As a result, psychological fatigue and stress have become more common. Some individuals constantly feel sad, depressed, or exhausted. This condition is not just ordinary sadness; in some cases, it may be a medical disorder.

Students also experience significant stress due to academic responsibilities, examinations, and concerns about their future. Moreover, social media has a strong influence on mental well-being. In recent years, depression and stress have become among the most widespread problems worldwide. Psychological strain is especially increasing among students.

Social media has become an inseparable part of our lives. Although it can be useful, it may also have negative effects on human health when used excessively.

Main Part:

Depression – A Disease of Modern Society

Depression is a long-lasting state of low mood. A person constantly feels sad and loses interest in daily activities. They may feel worthless or hopeless. Interest in work, studies, or favorite hobbies decreases. Sleep patterns are disturbed, and appetite may either decrease or increase.

Depression is not just ordinary sadness. If this condition persists for a long time, it is important to seek professional help.

Stress and Its Effects on the Body

Stress is the body’s response to difficult or challenging situations. For example, feeling nervous before an exam is a form of stress. Short-term stress is not harmful and can even improve performance.

However, chronic stress is dangerous. It may cause a rapid heartbeat, headaches, and increased blood pressure. If stress continues for a long time, it can lead to stomach problems and other physical illnesses.

It is important to emphasize that psychological strain is common among students. They study extensively and prepare for exams continuously. Examinations, academic pressure, and parental expectations create additional stress. Lack of sleep and insufficient rest worsen mental exhaustion.

As a result, concentration decreases, irritability increases, and mood becomes unstable.

Social Media and Mental Health

Social media platforms are useful, but excessive use can be harmful. People often compare their lives with others online. This may create the impression that “everyone is happy except me.”

Such thoughts reduce self-confidence and may lead to feelings of depression. Therefore, it is important to use social media in moderation.

What Is Psychosomatics?

Some illnesses are related to a person’s psychological state. For example, when someone feels anxious, their physical condition may worsen. When a person is afraid, their heart rate increases.

This shows that mental health is closely connected to physical health.  Therefore, Prevention and Recommendations:

-Maintain a proper sleep schedule and adequate rest

-Engage in regular physical exercise

-Use social media in moderation

-Communicate openly with family and friends

-Seek medical or psychological help when necessary.

References:

1-General Psychology Textbook

2-World Health Organization – Depression and other mental health materials

3-Hans Selye – Stress theory and its effects on the body

4-Manual on the Fundamentals of Psychosomatics

a farrago of autobiography

in every convoluted line

          *

there never was a Balzac configuration,

I made that up

          *

all the untended graves

I once told her

didn’t matter

          *

marked for demolition

the site of my permanent records

          *

he said the salt in the street

burns his dog’s paws

          *

morning of my expulsion,

arms around the trunk of the sycamore tree

in the school parking lot

          *

crushing crabapples underfoot

I’m six and a half,

going on seven

          *

the boy who couldn’t read

never got to clap erasers

with the blue-eyed girl

          *

the wet muzzles

of the watermelon thieves

          *

the plunging sabbath

of a frozen

waterfall

          *

it would’ve been enough for me

to be Issa’s

sure-footed horse

          *

hard egg yolk on a bent spoon,

Guernica somewhere else

          *

forsythia in bloom

my defenses are down

          *

I was a blind spot

in her rearview mirror

          *

secretly wanting to join

the caterpillar procession

          *

keeping my mouth shut in a room alone

with my war-ruined cousin

          *

what are you going to do

when they find out

you can’t read

          *

sliced peaches

and the lateral lines

of the blue-tipped shark

          *

I didn’t tell the politely smiling

conductor on the Amtrak to Pittsburgh,

he resembled an Ukiyo-e print

Patrick Sweeney is a short form poet and a devotee of the public library.

To Know We are Alive

Close your eyes,

Value your smile,

Make stretch and shine bright,

Push forward towards the light.

Make others smile,

Don’t just do it for a while,

Take care of your time,

Make time for the great Divine.

Plant trees,

Sow your seeds,

Chase your dreams,

Finding every little gleam.

Feed the hungry,

Stand up for the weak,

Don’t do it for glory,

Even when it feels black and bleak.

Give voice to those who can’t speak,

Give more than you take,

Don’t go after the fake,

And don’t prey on the weak.

Feel others pain,

Don’t just be after your gain,

Be the hands to the armless,

The sight to the ones in darkness.

Feel morning rays on your skin,

Evening shadows hovering on the horizon,

You depart with nothing, not even a pin,

Everything is just vanity.

A RIGHTEOUS DAUGHTER’S PRAYER

A thousand thanks to God, my endless prayer

For giving me a mother kind and rare

My crown in Heaven, Eden’s brightest part

My loveliest moments live within your heart, Mom

My faith, my pride, my honor standing tall

My greatest , mountain – you above them all 

When I take flight, you are my wings to soar

My finest song, my strength forevermore, Dad

Eshmatova Charos is one of the most inquisitive students, deeply studying linguistic theory, and a holder of international certificates. She was born on August 18, 2007 in Uzbekistan. She is studying at Denau Institute of Entrepreneurship and Pedagogy Fields of activity: in depth of study the Uzbek language, gaining detailed knowledge of Turkish languages, and Early Achievements and Educational Path. She has obtained a national certificate in Uzbek language and literature (B level) and holds several international certificates. She graduated from secondary school with excellent grades and achieved notable positions in several academic subject Olympics.