Saratov JOURNAL of Medical and Scientific Research

The Almazov National Medical Research Centre, Head of Second Cerebral and Spinal Cord Tumors Department, Doctor of Medical Sciences

Somatic sex determination of an adult by bone remains (review)


The article presents a comprehensive osteoscopic approach based on the visual identification of high- quality semi-diagnostic signs on the bones. The differences in the bones of the skeleton in this approach are determined by the greater development of the muscles in men as compared with women, as well as the performance of a fertility function by the woman. On the pelvic bones, differences are functional in nature: the structure of the male pelvis is determined only by supporting and motor functions, and the structure of the female pelvis must also ensure the function of delivery. An osteometric approach is described to determine the somatic sex from the pelvic bones of a person, the basis of which is the use of the instrumental method of determining the properties of objects, fixed in numerical values. It has been shown that almost all bones of the skeleton have the signs of sexual dimorphism, however, they are most clearly expressed in the bones of the pelvis and skull. Determining the gender of bone remains requires a complete examination of the bones presented. It depends on the number of objects, their state, the completeness of the methods used, as well as on the preparation of the expert. A careful analysis of the greatest number of signs revealed on the bones will allow us to arrive at the most reliable result, which is important when establishing the identity of an unidentified corpse.

2019_03_683-690.pdf752.21 KB

ROHHAD syndrome

Year: 2019, volume 15 Issue: №3 Pages: 601-606
Heading: Pediatrics Article type: Review
Authors: Pushko L.V., Gutyrchik Т.А., Ovsyannikov D.Yu., Petrova N.A., Teterkina А.О., Gutyrchik N.A., Menshikov D.D.
Organization: Morozov Children's City Clinical Hospital, Peoples' Friendship University of Russia, The Almazov National Medical Research Centre, Head of Second Cerebral and Spinal Cord Tumors Department, Doctor of Medical Sciences

The literature review is devoted to a rare variant of hypoventilation, sleep-dependent, in children — central hypoventilation with a late onset and hypothalamic dysfunction, ROHHAD syndrome (Rapid-onset Obesity, Hypothalamic dysregulation, Hypoventilation, Autonomic Dysregulation). Diagnosis and management of patients with this syndrome requires a multidisciplinary approach of a team of specialists. On the basis of modern data, the issues of clinical and laboratory-instrumental diagnosis of the disease, possible etiological factors, diagnostic criteria and frequency of symptoms, approaches to therapy and prognosis are presented.

Keywords: ROHHAD syndrome
2019_03_601-606.pdf317.78 KB

The study of surgical activity dynamics at patients with hypertensive intracerebral haematoma using simulation analysis in the Chuvash Republic


Objective: improving the efciency of treatment for patients with hypertensive intracranial hematomas by means of planning optimization, epidemiological evidences simulation analysis and dynamics of surgical treatment indices. Material and Methods. 225 patient charts with hypertensive intracerebral hematomas have been analyzed. All patients were examined and treated in Cheboksary Republican Clinical Hospital January 2008 to December 2017 Results. The retrospective analysis revealed decrease in the number of surgeries for hypertensive intracerebral hematomas from 35 to 19 From 2011 to 2017 mortality in the group of patients with 30 to 60 ml hematomas decreased as well. Surgeries in the group of patients aged 50–70 who had strokes most frequently in 2010–2017 got fewer. Conclusion. Introduction of decision-making system at diagnosis stage enables applying diferentiated approach for choosing surgical treatment approach.

2019_02_308-312.pdf746.73 KB

The tactics of surgical treatment in metastatic lesions of upper cervical spine.

Year: 2018, volume 14 Issue: №3 Pages: 498-501
Heading: Traumatology and Orthopedics Article type: Case report
Authors: Bazhanov S.P., Gulyaev D.A., Ulyanov V.Yu., Ostrovskiy V.V., Tolkachev V.S.
Organization: The Almazov National Medical Research Centre, Head of Second Cerebral and Spinal Cord Tumors Department, Doctor of Medical Sciences

We demonstrated a successful case of surgical treatment of the patient with metastatic lesion of upper cervical spine with respect to multidisciplinary approach. We performed simultaneous two-stage surgical intervention, the first stage being occipitospondylodesis by multi-segment construction; and second —tumor resection from expanded combined access. It has been stated that the proposed surgical tactics allows performing curative resection in one surgical session without neurological deficit buildup in the postoperative period.

2018_3-1_498-501_1.pdf1.09 MB