Saratov JOURNAL of Medical and Scientific Research

Penza State University

Anatomical variability of greater palatine canal and greater palatine foramen in men of the first period of adulthood

Year: 2020, volume 16 Issue: №4 Pages: 974-978
Heading: Human anatomy Article type: Original article
Authors: Kalmin O.V., Efremova A.V., Zyulkina L.A.
Organization: Penza State University
Summary:

The purpose of research is to reveal the anatomical variability of the shape and size of the greater palatine canal and the greater palatine foramen in men of the first period of adulthood. Material and Methods. The object of the study included 129 men of the first period of adulthood (from 20 to 35 years). The number of the greater palatine foramen, their shape, antero-posterior and medio-distal diameters, the length of the greater palatine canal, its shape, its medio-distal and antero-posterior diameters in the upper, middle and lower thirds of the canal were determined on cone-ray computed tomograms. Results. In men of the first period of adulthood, the medio-distal diameter of the greater palatine foramen on the right averaged 3.67±0.79 mm; on the left, 3.64±0.80 mm; the antero-posterior diameter of the greater palatine foramen on the right averaged 5.79 ±0.86 mm; on the left, 5.73±0.84 mm. 10 forms of the greater palatine foramen were identified: oval, elongated in the antero-posterior direction, helical, crescent-shaped, triangular, teardrop-shaped, round, bean-shaped, diamond-shaped, semicircular and ovoid. The length of the greater palatine canal on the right is 33.59±2.87 mm, on the left — 32.94±2.92 mm. 6 forms of the greater palatine canal were identified: wave-shaped, funnel-shaped with a bend in the lower third, hourglass shape, zigzag, crescent, straight shape. Conclusion. The greater palatine canal and the greater palatal foramen have a pronounced variability in size, shape and topography in men of the first period of adulthood. However, no significant bilateral differences in the medio-distal and anteropos-terior diameters of the greater palatine foramen and the length of the greater palatine canal were found.

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Urolithiasis: modern concepts of etiology of disease (review)

Summary:

Urolithiasis is a polyetiological disease that occupies an important place in the practice of urologist. In the treatment of urolithiasis, the main approach is a search for the cause of disease and competent correction of existing disorders. It is especially important to know the etiology and risk factors of urolithiasis, which is the subject of this literature review. In this article, we look at inhibitors of stone formation, genetic aspects of the disease, risk factors in detail (bariatric surgery, inflammatory bowel disease, colonization of the intestine by Oxalobacter formigenes, renal SLC26A6 expression), relationship between urolithiasis and vitamin D. To review the literature, a search was performed in electronic databases, such as eLIBRARY, Embase, MEDLINE, Scopus, Web of Science, from January 1, 2000 to April 1, 2020, which considered the etiology and risk factors of urolithiasis. For the search, we used keywords and their combinations: "urolithiasis", "risk factors", "etiology". A total of 49 literature sources were analyzed.

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Dimensional characteristics of periodontal fissure in adults with increased tooth abrasion according to dental computed tomography

Year: 2020, volume 16 Issue: №1 Pages: 108-114
Heading: Human anatomy Article type: Original article
Authors: Kalmin O.V., Koretskaya Е.А., Zyulkina L.A.
Organization: Penza State University
Summary:

Aim is to analyze the dimensional characteristics of the width of the periodontal fissure in the teeth of the upper and lower jaws with increased tooth abrasion in adults. Material and Methods. 204 people of both sexes aged 22 to 60 years were served as the object of the study. Using cone beam computed tomography, the width of the periodontal fissure was studied at the level of transition of the upper third to the middle third of the root, at the level of transition of the middle third of the root to the lower third, and at the level of the apex of the tooth root. In the upper molars, the measurements were performed at the palatine root, in the molars of the lower jaw — at the distal root. Results. The dimensional characteristics of the width of the periodontal fissure on both jaws statistically significantly increase from the first period of adulthood to the second in persons of both sexes: in men at the level of the upper third of the root by 12.5-96.3%, the middle third —11.8-78.6%, tops of the tooth root —22.2-106.7; in women —by 2.4-65.8, 3.0-22.0and 19.1-93.6%, respectively. Conclusion. The results of the study indicate that the width of the periodontal fissure is not the same in different parts of the root, varies depending on the functional load and does not depend on the group affiliation of the tooth. The width of the periodontal fissure at the level of transition of the upper third of the root to the middle third, the middle third of the root to the lower third and in the region of the apex of the root in the teeth on the lower and upper jaw, statistically significantly increases from the first period of adulthood to the second in both men and women.

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Prospects for the use of terahertz therapy in dental implantation in conditions of chronic tobacco intoxication (an experimental study)

Year: 2020, volume 16 Issue: №1 Pages: 39-44
Heading: Stomatology Article type: Original article
Authors: Bulkina N.V., Makarova N.I., Ivanov P.V., Nikishin D.V.
Organization: Penza State University, Saratov State Medical University, «Aptos»
Summary:

Objective: to determine the features of peri-implant tissues healing in conditions of tobacco intoxication and the possibility of their correction by using electromagnetic terahertz radiation at the frequency (EMR THF) of 129.0 GHz. Material and Methods. 36 rabbits were divided into control group and three experimental ones. In the experimental groups, tobacco intoxication was simulated for 6 weeks, then implantation was performed and tobacco intoxication was maintained until the end of the experiment. In the 1st experimental group, physiotherapy was not performed; in the 2nd and 3rd groups, various schemes of THF therapy were used. The results were evaluated using histological methods. Results. In the control group, the most active regeneration processes were noted. Among the experimental groups, the best indicators were achieved in the groups where THF radiation was used. The thickness of the connective tissue layer after 1 month was significantly lower in the 2nd and 3rd groups, amounting to 48.0±3.9 and 42.7±3.4 urn, respectively, than in the 1st group: 76.4±3.5 urn (p<0.05), this dynamics continued after 3 months. Osteogenesis in the 2nd and 3rd groups took place with less cartilage formation than in the 1st group (p<0.05). Conclusion. Analysis of histomorphom-etry data shows the effectiveness of THF therapy for the correction of the regeneration process violations after dental implantation in conditions of tobacco intoxication.

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Clinical characteristics of patients with psoriasis according to their somatotype

Year: 2019, volume 15 Issue: №4 Pages: 848-851
Heading: Dermatovenerology Article type: Original article
Authors: Neklyudova V.S., Sherstennikova А.К., Kashutin S.L., Kalmin O.V.
Organization: Penza State University, Northern State Medical University
Summary:

The purpose of the study is to analyze the prevalence and severity of psoriasis according to the patient's somatotype. Material and Methods. The study involved 82 patients (39 women and 43 men) aged 20 to 60 years, suffering from vulgar and exudative psoriasis. The study of the structure of somatotypes of patients with psoriasis was carried out by measuring height-weight ratios, bone diameters and girth sizes, as well as skin-fat folds in accordance with the technique proposed by B. Heath and L. Carter. Individuals belonging to endomorphs, mesomorphs and ectomorphs were distinguished. The prevalence and severity of psoriasis was assessed by the PASI index. Results. The clinical characteristics of patients with psoriasis depending on their somatotype are described. Endomorphic somatotype was observed in 22, mesomorphic — in 37 and ectomorphic — in 23 patients. Conclusion. The results of the study showed that more severe psoriasis, estimated by the PASI index, and exacerbations of dermatosis 2 or more times a year are more common at endomorphs.

Keywords: somatotype, psoriasis
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Topography features of the incisive canal in early adults

Year: 2019, volume 15 Issue: №3 Pages: 690-696
Heading: Human anatomy Article type: Original article
Authors: Kalmin O.V., llyunina 0.0., Zyulkina L.A.
Organization: Penza State University
Summary:

Aim is to study topography of incisive canal depending on sex, parameters of craniofacial complex and dentition. Material and Methods. 174 adult persons of both sexes aged 21-35 years (first adult persons) (80 men and 94 women) were objects of the research. Garson facial index, upper face index and average modulus of maxilla were determined. Number of Stensen foramen and foramen incisivum, their sizes and shape; distances between foramen incisivum and inferior palatal and inferior labial point of maxillary alveolar process; length, shape, type and angle of inclination of incisive canal; bone density around incisive canal were determined on CBCT. Results. Size of nasal and incisivum foramen, length of incisive canal is significantly higher in men, and distances between foramen incisivum and inferior palatal and inferior labial points of alveolar process is significantly higher in women. Dimensions of heart-shaped foramen incisivum prevailed over sizes of droplet-shaped and oval foramen incisivum, and oval-shaped sizes were the smallest. Length of hourglass-shaped incisive canal was 3.4% higher than length of funnel-shaped canal, and 5.6% more than cylindrical shaped ones; length of spindle-shaped incisive canal was 12.7% higher than length of cylindrical canal. Conclusion. Incisive canal has individual variability of sizes, shape and topography depending on its shape and type, gender, cephalotype and average modulus of maxilla were determined.

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Morphological changes of tissues in the zone of implantation of combined hernia prosthesis in the post-operative period

Year: 2017, volume 13 Issue: №3 Pages: 458-461
Heading: Macro- and Micromorphology Article type: Original article
Authors: Kalmin O.V., Nikolsky V.I., Fedorova M.G., Feoktistov Ya.E.
Organization: Penza State University
Summary:

The purpose of this experimental study is to study the patterns of morphological response of the abdominal wall tissues to the implantation of a combined (xenopericardial plate and polyester mesh) hernia prosthesis. Material and Methods. The experiment was carried out on fifteen rabbits of the breed Chinchilla weighing up to 3.5kg. The combined prosthesis was implanted intra — abdominally. The animals were withdrawn from the experiment after 2 weeks, 1 month and 2 months. After the beginning of the study morphological and morphometric assessment of the tissue state in the implantation zone of the prosthesis was carried out. Results. The combined hernia prosthesis when implanted into the anterial abdominal wall causes a rather pronounced inflammatory reaction, progressing within a month after the operation. By the second month of the experiment, signs of inflammation decrease. In this case, active growth of the young connective tissue in the implant from the side of the polyester mesh occurs. Xenopericardial plate, facing the abdominal cavity with a smooth side does not cause the formation of connective tissue, which protects the abdominal cavity from the occurrence of adhesions in the postoperative period. Conclusion. The use of combined hernia prosthesis for implantation into the abdominal wall allows avoiding a number of complications which often occur when using prostheses of other types.

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Clinical manifestations and forensic medical evaluation of hemothorax

Year: 2017, volume 13 Issue: №2 Pages: 221-224
Heading: Forensic medicine Article type: Original article
Authors: Kupryushin A.S., Efimov А.А., Loginov S.N., Vishnyakova Zh.S., Latynova I.V., Semina M.N., Godukhina E.M.
Organization: Penza State University, Saratov State Medical University
Summary:

Objtctive: to determine the degree of validity of the allocation of traumatic hemothorax as a medical criterion of a qualifying trait in respect of serious harm to health, which is life-threatening. Material and Methods. A retrospective analysis of 130 case histories of the patients of the Department of Thoracic Surgery was carried out at Penza Clinical Hospital n.a. N.N. Burdenko. The sex, age, severity of the patient's condition, the volume of blood in the pleural cavity, complications of hemothorax (GT), the time between trauma and seeking medical help, and other injuries were analyzed. Results. It was found out that among patients with HT men were 4,2 times more than women. HT developed after traumatic exposure to the thorax in patients of both gender groups. Conclusion. The severity of the condition of patients with HT is determined by the volume of blood in the pleural cavity, complications, the presence of concomitant damages, the number of days between receiving an injury and contacting a medical organization. In the formulation of p. 6.1.10 Order No. 194n of the Ministry of Health and Social Development of April 24, 2008, "On the Approval of Medical Criteria for Determining the Severity of Harm to Human Health" we should add the phrase: "...or a severe or medium hemothorax that causes a life threatening condition..." aiming at an objective forensic evaluation of traumatic h e moth о rax.

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Characteristics of cases with poor outcomes of rendering medical care to children in six regions of the Russian Federation

Year: 2017, volume 13 Issue: №1 Pages: 010-013
Heading: Forensic medicine Article type: Original article
Authors: Erofeev S.V., Kupryushin A.S., Efimov А.А., vishnyakova Zh.S., Semina M.N.
Organization: Bureau of Forensic Medical Examination of the Ivanovo Region, Ivanovo State Medical Academy, Penza State University, Saratov State Medical University
Summary:

Objective: to determine the characteristics of the outcome of the improper care for children, established during the commission of forensic examinations. Material and Methods. The material of this study was commission a forensic medical examination of the archives department of complex expertise of the Bureaus of Forensic Medicine of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia, conducted from 1996 to 2006. The method of this study was a statistical database processing using Excel software application package. Results. The article presents the results of the analysis of 279 forensic medical examinations conducted by committees in the Bureaus of Forensic Medical Examination of Moscow; the Moscow, Penza, Samara and Ulyanovsk regions, and the Republic of Mordovia from 1996 to 2006. The examinations were conducted in connection with poor outcomes of rendering medical care to children. Conclusion. The number of conducted examinations correlates with the population of the region. The parents of the children affected by poor treatment mostly demand the medical staff to be prosecuted and more often make legal claims to the quality of emergency medical care; dissatisfaction with the quality of medical care is more often expressed by the parents of children under 3 years old. Legal claims are more often made against obstetricians-gynecologists, pediatricians, surgeons, infectious disease specialists and anesthesiologists-resuscitators. If the conclusion of the forensic medical examination committee on the nature of the pathological process coincides with the final clinical diagnosis, the provided medical care often turns out to be adequate; in cases of inadequate medical care the risks of moderate and grievous bodily harm as well as the patient's death are high.

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Modern issue on the role of microorganisms in the induction and the development of atherosclerosis

Year: 2016, volume 12 Issue: №2 Pages: 113-117
Heading: Macro- and Micromorphology Article type: Review
Authors: Kupryushin AS, Chudaeva DG, Fedorova MG, Latynova IV, Vishnyakova ZhS, Kuprushyna NV, Efimov AA.
Organization: Penza State University
Summary:

More than 70 literature sources are presented and analyzed in the work. Data sources are devoted to the connection between infection and development of atherosclerotic changes. It has been found out that the infection and the presence of pathogenic microorganisms influence the progression of atherosclerosis.

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