Saratov JOURNAL of Medical and Scientific Research

2015, volume 11

The results of application of anterior cruciate ligament two-bundle plastics by synthetic implant in its complete tears

Year: 2015, volume 11 Issue: №4 Pages: 566-569
Heading: Traumatology and Orthopedics Article type: Original article
Authors: Shormanov A.M., Bakhteeva N.Kh., Sadykov R.Sh., Norkin A.I., Chibrikov A.G.
Organization: Saratov State Medical University
Summary:

Objective: to improve surgical results of patients with complete tears of anterior cruciate ligament by synthetic implant Don-M. Materials and Methods. 7 patients with ACL complete tear who underwent two-bundle plastics with synthetic en-doprosthetic implant Don-M were investigated. Results. The application of ACL two-bundle plastics with synthetic Don-M implant allowed reaching complete knee joint stability during the first several hours after surgery and completely restore knee joint motion range in the course of 6 months. Conclusion. The application of ACL two-bundle plastics is anatomically justified and provides knee joint stability as well as early activation and rehabilitation opportunities.

Keywords: anterior cruciate ligament, endoprosthesis, synthetic Don-M implant, tear

Ontogenesis of the alveolar walls of the tooth germ according to orthopantomography

Year: 2015, volume 11 Issue: №4 Pages: 561-565
Heading: Stomatology Article type: Original article
Authors: Okushko M.R., Suetenkov D.E., Chependyuk Т.А.
Organization: Saratov State Medical University, Pridnestrovian State University n.a. T. G. Shevchenko
Summary:

Objective: to identify changes of the configuration and size of the walls of the alveolar stages of ontogenesis. Materials and Methods. Orthopantomograms studied 196 children aged 5 to 12 years. We used visual and morphometric methods. Results. The data on the three diameters of the dental alveoli (proximal, middle and distal) has been presented, under which subsequently the main stages of age transformation have been highlighted. Conclusion. Transformation of the alveolar walls radiologically determined and its advancing character in relation to the macroprocesses in the germ tooth have made it possible to consider alveolus as one of the leading biological tools of odontogenesis.

Keywords: tooth germ, orthopantomogram, morphometry, dental alveolus

The effectiveness of electromagnetic terahertz radiation use in the treatment of patients with rapidly progressive periodontitis

Year: 2015, volume 11 Issue: №4 Pages: 556-561
Heading: Stomatology Article type: Original article
Authors: Zelenova A.V., Bulkina N.V., Olenko E.S., Tokmakova E.V.
Organization: Saratov State Medical University
Summary:

The aim: to increase the efficiency of treatment of patients with rapidly progressive periodontitis (RPP) using electromagnetic radiation at terahertz frequencies of molecular spectrum of radiation and absorption of nitric oxide 150,176-150,664 GHz. Material and methods. The study involved 50 patients with RPP, which according to the method of therapy were divided into 2 groups: group 1 included patients receiving conventional therapy, group 2 consisted of patients who, along with traditional therapy received EHF-therapy device "Orbit" YAKUL.941526.001. The control group consisted of 20 healthy subjects with intact periodontium. For the non-invasive study of tissue blood flow in the periodontal tissue Doppler ultrasound was used MiniMax-Doppler-Phono. The study of the microvasculature of periodontitis has been conducted. To determine the reactivity of microvascular periodontal tissue reflex functional tests on the indirect effect of the cold were performed. Results. Reductions achieved values of periodontal indices, especially important index PMA, a significant increase in the linear blood flow indices, decreased pulse pressure gradient and the index followed appropriate reduction to their cold test. Conclusion. The proposed complex therapy can accelerate the relief of inflammation in the periodontal tissues of the complex, to improve the elastic properties of blood vessels, reduce their tone and restore microcirculation in periodontal tissues.

Keywords: microcirculation, rapidly progressive parodontitis, terahertz therapy (THZ-therapy)

Indices of retinopathy morbidity among premature children in Saratov region institutions of obstetrics

Year: 2015, volume 11 Issue: №4 Pages: 553-555
Heading: Pediatrics Article type: Original article
Authors: Сhernenkov Yu.V., Nechaev V.N., Tereshenko V.A., Stasova Yu.V.
Organization: Saratov State Medical University
Summary:

Research objective: to study efficiency of diagnostic and preventive actions for decrease in frequency and weight of the retinopathy of the prematurely born (RPB), and also to carry out the analysis of incidence, the accompanying states and dynamic monitoring of prematurely born children with RPB. Material and methods. For 2 years it was surveyed on the retinal chamber "Ret Cam 3" — 531 patients of second stage of nursing Perinatal center of the Saratov region. Results. In 2013 from the examined 239 children, RPB is revealed at 56 (23,4%), 183 children (76,5%) had various changes of vessels of an eye bottom. In 2014 at 292 children the following ophthalmologic pathology was noted: incomplete development of vessels — at 101 (34,5%), an angiopatiya of vessels of a retina — 122 (41,8%), angiospasm — 18 (6,2%), a partial atrophy of disks of optic nerves at 3 (1,0%), an atrophy of eyeballs — 1 (0,3%), RPB is revealed at 47 (16,1 %). It is important to note that all children with the RPB malignant form had body weight at the birth less than 1000 grams and gestational age lower than 28 weeks. Conclusion. For the last year the tendency to decrease in cases of RPB including heavy forms, however spontaneous regress at initial stages of a disease was 12,4% lower, than in 2013 is noted.

Keywords: retinopathy, prematurely-born, ophthalmologic screening

Franceschetti syndrome (mandibulo-facial dysostosis) at a newborn

Year: 2015, volume 11 Issue: №4 Pages: 551-553
Heading: Pediatrics Article type: Case report
Authors: Nechaev V.N., Tereshenko V.A., Stasova Yu.V., Chernenkov Yu.V.
Organization: Saratov State Medical University
Summary:

The aim of the article is to present the clinical experience of conducting the patient with a congenital disease (mandibulo-facial dysostosis) resulting from defeat of the structures proceeding from the first branchial arch. The pathological state is inherited on autosomno-dominanttype. The disease can be observed in two or even three generations. The supervision represents a great interest from the clinical point of view as it rarely occurs in daily practice. Early diagnostics of difficult genetic syndromes and the clinical supervision described represent significant difficulties. According to the research, in similar situations statement of the syndromal diagnosis with specification of anomalies of development on the basis of the analysis of clinical data, additional methods of inspection, with the subsequent surgical correction of the broken functions has been justified.

Keywords: headache, gene mutations, Franceschetti syndrome, developmental anomaly

Headache in pediatric practice: multifactor analysis of clinical and social predictors

Year: 2015, volume 11 Issue: №4 Pages: 548-551
Heading: Pediatrics Article type: Original article
Authors: Akhmadeeva L.R., Valeeva D.S., Veytsman B.A., Akhmadeeva E.N.
Organization: Bashkir State Medical University of the Russian Health Care
Summary:

The purpose of this work is to define the clinical and social predictors of headaches in children and adolescents. Material and Methods. We performed clinical examination of children and adolescents, which included studying their symptoms, anamnesis, somatic and neurological objective signs, survey using our original questionnaire and survey in the framework of an international project to study headaches «World Children and Adolescent Headache Project». The type of headache was diagnosed using international diagnostic criteria of the International Classification of Headache Disorders, 3rd edition (beta release). As a result of our study, we obtained the data about the most significant lifestyle factors (among those studied) influencing the number of days with headache per month, calculated linear coefficients and a predicting mathematical model for children. The sensitivity of the model for the prognosis of chronic tension type headache is 63%, specificity — 81 %. Conclusion. In this paper we describe criteria for the prognosis of primary headaches in patients aged from 8 to 18 years old.

Keywords: adolescents, children, headache, predictors

Gender features of risk factors and clinical course of arterial hypertension

Year: 2015, volume 11 Issue: №4 Pages: 542-547
Heading: cardiac surgery Article type: Original article
Authors: Shkatova E.Yu., Bakshaev I.N., Korolkova G.S.
Organization: Igevsk State Medical Academy
Summary:

The aim of the article is to reveal the risk factors and features of the clinical course of hypertension in men and women. Material and Methods: A prospective study of 204 patients was carried out. The survey included a sociological survey, with the use of special socio-sanitary profiles, matters which concern lifestyle characteristics of respondents, hereditary risk factors, peculiarities of hypertension. Results: Men often have a hidden crisis-free for hypertension with a great number of complications; women have a longer duration of the disease, with a more severe clinical picture. Conclusion: The differences of social and health behavior with the existing risk factors and the clinical course of hypertension according to the gender of the patient have been revealed.

Keywords: secondary prevention, risk factors, medical activity, gender features, arterial hypertension

Investigation of statistical characteristics of interaction between the low-frequency oscillations in heart rate variability and peripheral microcirculation in healthy subjects and myocardial infarction patients

Year: 2015, volume 11 Issue: №4 Pages: 537-542
Heading: cardiac surgery Article type: Original article
Authors: Shvartz V.A., Karavaev A.S., Borovkova E.l., Mironov S.A., Ponomarenko V.I., Prokhorov M.D., Butenko A.A., Gridnev V.I., Kiselev A.R.
Organization: Saratov state university, Saratov Institute of Cardiology, Russia, Saratov Branch of Institute of Radio Engineering and Electronics n.a. V.A. Kotelnikov, Bakulev Center of Cardiovascular Surgery
Summary:

Objective. This study compares the statistical characteristics of interaction between 0.1 Hz oscillations in heart rate variability (HRV) and photoplethysmogram (PPG) in healthy subjects and myocardial infarction (Ml) patients. Material and methods. We studied 23 healthy subjects (20 men and 3 women aged 26±3 years) and 23 patients (12 men and 11 women aged 52±4 years) at about one month after Ml. The 10-minute signals of simultaneously recorded cardioin-tervalogram (CIG) and PPG were studied. We calculated the total percentage of phase synchronization between the studied 0.1 Hz oscillations and estimated the distribution functions of duration of synchronous and non-synchronous epochs, the variability of basic frequency of oscillations, and variance of phase noises in 0.1 Hz oscillations in HRV and PPG. Results. The total percentage of phase synchronization between 0.1 Hz oscillations is significantly greater in healthy subjects than in Ml patients (47±3% and 26±4%, respectively). Significant difference between these two groups in the distribution of duration of synchronous and non-synchronous epochs was not revealed. The Ml patients had greater variance between the basic frequencies of 0.1 Hz oscillations in HRV and PPG than healthy subjects. This phenomenon correlates with the increased level of phase noises in the records of Ml patients. Conclusion. The quality of synchronization between 0.1 Hz oscillations in HRV and PPG is associated with the strength of influence of external factors (noises) and variability of the basic frequency of these oscillations.

Keywords: time series, phase synchronization, low-frequency oscillations, cardiovascular system

Arrhythmia after heart transplantation: causes and treatment

Year: 2015, volume 11 Issue: №4 Pages: 534-537
Heading: cardiac surgery Article type: Review
Authors: Kotsoeva О.Т.
Organization: North-Caucasian Multidisciplinary Medical Center
Summary:

This review covers various aspects of etiology, pathogenesis and modern methods of prevention and treatment of postoperative arrhythmias after heart transplantation.

Keywords: heart transplantation, arrhythmia

Soluble forms of leukocyte differentiation antigens in chronic obstructive pulmonary disease and their relation with pulmonary ventilation disorders

Year: 2015, volume 11 Issue: №4 Pages: 530-533
Heading: Internal Diseases Article type: Original article
Authors: Makarova Е.М., Plastinina S.S., Lyubavina N.A., Varvarina G.N., Tyurikova L.V., Saltsev S.G.
Organization: N. Novgorod State Medical Academy
Summary:

Objective: to study the characteristics of soluble forms of leukocyte membrane molecules and their relationship with disease progression in chronic obstructive pulmonary disease (COPD). Materials and Methods. The study involved 50 patients with COPD. All the patients underwent physical examination, spirometry; serum concentration of antigens sCD54, sCD50, sCD38, sCD25, sCD8, sCD95, sHLA I, sHLA-DR was assessed by ELISA, and the results were compared with serum samples of 30 healthy donors. Results. The level of all soluble forms of membrane molecules of leukocytes decreased in patients with severe COPD. We have found the increased content of the differentiation molecules in patients with moderate COPD, indicating the activation of immune cells during the immune response. Conclusion. There was a correlation between the soluble forms of membrane molecules and impaired pulmonary ventilation, which confirmed the role of immune cells in the pathogenesis of COPD.

Keywords: bronchial obstruction, COPD, soluble forms of membrane molecules