[The anatomical features of the middle ear exerting the influence on the formation of exudative otitis media in the breast-fed infants of different gestational age]. / Anatomicheskie osobennosti srednego ukha, vliiaiushchie na formirovanie ékssudativnogo srednego otita u grudnykh detei razlichnogo gestatsionnogo vozrasta.

The objective of the present study was to elucidate the anatomical features of the structure of the middle ear and eustachian tube in the breast-fed infants of different gestational age that may be responsible for the formation of exudates (fluids). We have examined 150 temporal bones obtained from the children's cadavers that were allocated to three groups as follows: 50 temporal bones obtained at weeks 26-30 weeks of gestation (group 1), 44 bones 31-36 weeks of gestation (group 2), and 37-40 weeks of gestation (full-term babies, group 3),The analysis of the data obtained on an individual bases revealed either increase or decreases in the selected characteristics of the eustachian tube in comparison with the respective average values as well as the well apparent predominance of a single change or a combination of alteration of several parameters in one case in 26-30 weeks and 31-36 weeks groups. No significant changes were found in group 1. It is concluded that the presence of a single change or a combination of two or three abnormal changes in the parameters of the bone structures of the eustachian tube can affect the development of the secretory process in the middle ear especially in the children born after 36 weeks of pregnancy.

Study of microcirculation of the ocular ciliary body in experimental kidney disease.

We studied disorders in ciliary body microcirculation in experimental chronic glomerulonephritis with tubulointerstitial nephritis and evaluated the hemodynamic effects of low-frequency pulsed electromagnetic field in this pathology. Laser Doppler flowmetry demonstrated vasospasm with reduced nutrient blood fl ow in the ciliary body of animals with experimental chronic glomerulonephritis with tubulointerstitial nephritis. The exposure to low-frequency pulsed electromagnetic field using developed technology will lead to significant reduction of the vascular tone and improve arterial blood supply to the microcirculatory bed.

Changes in the retina in induced hypoestrogenia (according to optical coherent tomography data).

Ultrastructural changes in the retina under conditions of experimental hypoestrogenia were studied. Hypoestrogenic status was induced in female rabbits by extirpation of both uterine horns with appendages. Clinical status of the eyes was evaluated after 9 months by ophthalmoscopy and optical coherent tomography. Changes in the retinal layers under conditions of experimental estrogenia were detected: thickened retinal pigmented epithelium layer, a lesser layer of nerve fibrils, and thinning of the choriocapillary layer. A relationship between thinning of the choroid and thickening of the pigmented epithelium of the retina was detected.

[Clinical and anatomical features of the middle ear in the premature infants at different gestational time].

The objective of the present study was to analyse anatomical features of the middle ear in the premature infants of different gestational age. Materials from 100 still-born and live-born babies (200 temporal bones) were available for the investigation. The study has revealed a number of distinctive clinical and morphological peculiarities in the structure of tympanic membranes in both the prematurely born infants depending on the gestational age and in the full-term babies. The fluid from the tympanic cavity was found to contain human beta-chorionic gonadotropin.

Biochemical indicators of atherogenic and protective activity of xydiphone in experimental animals.

Atherosclerotic plaque formation and vascular calcinosis were modeled in a subchronic experiment. Reduced HDL and elevated LDL concentrations, increased atherogenic index and albumin toxicity index, and high blood levels of triglycerides and uric acid were early markers of pathology. Xydiphone in combination with vitamin D effectively reduced these changes and the degree of vascular calcinosis.

Histo- and cytoarchitectonics of the hippocampus in young rats injected with propofol and mexidol.

Light microscopic examination of the hippocampus was carried out in young rats (intact and injected with propofol and mexidol according to different protocols). Propofol had a negative effect on hippocampal neurons causing an almost 2-fold increase in the count of modified cells in comparison with the normal level. Mexidol effectively corrected these shifts.

[Specific ototoxic effects of monomycin in immature animals].

Dynamics of the hearing function was evaluated using immature animals based on the SSCP data. Morphological characteristics of the cochlear auditory ganglion were studied after administration of therapeutic doses of the ototoxic antibiotic monomycin. Untreated animals served as controls. The results of morphofunctional investigations were evaluated in comparison with the similar data obtained in adult cats after injection of the same doses of monomycin.

Parameters of cell energy metabolism during stress in laboratory animals and energotropic effect of alpha1-adrenoblocker doxazosin.

Cytochemical activity of succinate dehydrogenase and lactate dehydrogenase in blood lymphocytes, activity of hydroperoxides, MDA, and blood plasma antioxidants were studied in experimental animals during immobilization stress after preliminary injection of doxazosin. Preliminary adrenergic receptor blockade prevented changes in cell metabolism characteristic of immobilization stress. The role of adrenergic regulation in the realization of energotropic effects during immobilization stress was examined.

Cytological analysis of choledochal mucosa in acute cholangitis in patients with mechanical jaundice.

Changes in bile ducts in cholestasis are characterized by activation of proliferation and hypertrophy of cholangiocytes and degenerative and necrobiotic changes in ductal epithelium. Long-term cholestasis led to massive necrosis of cholangiocytes. Inflammatory changes in the choledochal mucosa were most pronounced in patients with choledocholithiasis.

[An experimental study of the patterns in the development of an inflammatory process in the mandibular bone tissue caused by exposure to anaerobic microflora]. / Eksperimental'noe issledovanie zakonomernostei razvitiia vospalitel'nogo protsessa v kostnoi tkani nizhnei cheliusti, obuslovlennogo vozdeistviem anaérobnoi mikroflory.

Inflammatory process in mandibular bone was induced in 39 outbred rats by a pure culture of Bacteroides fragilis and by an associative culture of B. fragilis and Staphylococcus aureus. Anaerobic microflora notably aggravated the course of inflammation. In contrast to inflammation in other parts of the skeleton, inflammation of the jaws involves a high risk of infection of the oral cavity by pathogenic microflora. A variety of microorganisms is isolated from the focus: from gram-positive staphylococci to gram-negative enterobacteria, which fact should be borne in mind when planning antibiotic therapy. Combined use of antibiotics active towards the entire spectrum of agents detected in this study is the most effective.

[Endoscopic ureterolithotripsy with the holmium laser]. / Endosckopicheskaia ureterolitotripsiia gol'mievym lazerom.

One of the clinical and experimental investigations performed in the urological clinic of the Moscow Medical University and Research Institute of Urology aimed at elucidation of Ho-YAG-laser potential in endoscopic lithotripsy (EL). Russian Ho-YAG laser surgical units CTH-10 and LLT-3 with wave length 2.09 mu were employed. The studies showed that the developed laser units satisfied relevant medical and technical requirements. Low depth of laser impulse penetration (0.4 mm) obtained at EL warrants safety of the adjacent tissues which is essential in crushing fixed ureteroliths in the presence of severe inflammation in the ureteral wall. The conclusion is made that Ho-YAG laser EL is an effective treatment of ureteroliths. Further tests for EL efficacy in affections of the upper urinary tracts are advocated to define a proper place of EL in endoscopic urology.

[Experimental validation of the use of betamecil in ophthalmology]. / Eksperiemntal'noe obosnovanie primeneniia betametsila v oftal'mologii.

Wound-healing activity of 2% betamicil ointment in comparison with the traditional stimulants of corneal repair regeneration (methyluracyl and solcoseril) was studied in experiments. The rate of epithelialization of a standard trephination wound in rabbit cornea (28 animals), mitotic activity of the anterior corneal epithelium, and strength of the regenerated tissue were assessed after use of different stimulants and in control. A maximal positive effect of local betamicil (2% ointment) was observed: the wounds epithelialized 57% sooner than in control, but there was no reliable difference from solcoseril; the regenerate of linear corneal wound was 1.5 times stronger. Use of this ointment in ophthalmology is validated.

[Causes of insufficient effectiveness of collagen plasty (an experimental study)]. / O prichinakh nedostatochnoi éffektivnosti kollagenoplastiki (éksperimental'noe issledovanie).

Morphological and biomechanical features of the sclera after collagen plasty were studied in 90 eyes of 45 chinchilla rabbits. A reduction of the viscous elastic properties of the sclera 1 month after surgery was revealed, not described previously. The data on the changed mechanical characteristics of the sclera following collagen plasty are confirmed by the results of optic and electron microscopy; these data permit us to propose that the sclera in the immediate postoperative period (less than 1 month after the operation) represents a somewhat chaotic structure at the stage of active restructuring. Rational postoperative management of patients after collagen plasty is recommended.

[Morphofunctional characteristics of the cat spiral ganglion in neurosensory hypoacusis]. / Morfofunktsional'naia kharakteristika spiral'nogo gangliia koshek v usloviiakh neirosensornoi tugoukhosti.

Morphofunctional disorders in spiral ganglion in animals of different groups of age with neurosensory hardness of hearing due to ototoxic antibiotics have been shown. Antibiotic intoxication in kittens in early postnatal period arouses essential deviation from normal process of development of neurocytes in spiral ganglion. In the first rate low level of their metabolic activity must be shown. Delay of differentiation of neurocytes makes essential influence on the development of spiral ganglion as the unit of transmission of audio-information. The main feature of morphofunctional disorders in neurocytes of ganglion of grown-up animals is inhibition of protein synthesis mechanism activity.

[Effects of cochlear implant on the morphofunctional state of spiral ganglion neurocytes]. / Vliianie kokhlearnoi implantatsii na morfofunktsional'noe sostoianie neirotsitov spiral'nogo gangliia.

This paper discusses the effects of cochlear implantation on spiral ganglion neurocytes. It presents morphometric data and hearing measurements obtained from the treated animals. Cochlear implantation led to the death of some neurons and compensatory rearrangement of others. The number of the survivors was greater than that of degenerative cells. The functional variations were consistent with changes in the quality of spiral ganglion neurons and amplitude of the SSP EP peak at different postoperative intervals.