[Modern Approach and Successful Experience of Conservative Treatment of Infantile Hemangiomas with Non-Selective Beta-Blocker Propranolol].

The article deals with the actual problem of modern treatment of infant hemangiomas. The accumulated 10-year experience of using propranolol in 512 patients has shown its effectiveness and safety. The team of authors developed a protocol for managing patients with infantile hemangiomas of various localization at all stages of treatment. Special attention was paid to the cardiological aspect of patient monitoring using modern methods of instrumental diagnostics. Due to the clear application of the created protocol with the use of ultrasound control, in most cases, it was possible to achieve complete cure of this pathology, minimize incidence of undesirable effects and avoid the formation of relapses (rebound effect). The effectiveness of the developed algorithm of diagnosis and treatment is confirmed by both clinical results and the results of instrumental examinations.

[The influence of the bupivacaine epidural anesthesia on the rabbit myometrium contractile activity and the functional state of the fetuses in induced labor].

BACKGROUND: The influence of bupivacaine (0.5% - 1 ml) epidural anesthesia (EA) on 15 pregnant rabbit females induced in labor by oxytocin on the 30th day of pregnancy in chronic experiment was conducted. MATERIALS AND METHODS: 26 pregnant rabbit females took part in the investigation. 11 females were included in the control group and 15--to the main group. Both groups retrospectively were divided in two on the fact of the delivery during the experiment. For each 5-minute interval the contractile activity of the myometrium (number of uterine contractions, duration and amplitude of the one uterine contraction), functional state of fetuses and female (ECG) were evaluated. Registration of the parameters was carried out simultaneously with the help of electrodes which were administrated in the myometrium, to the fetuses and females on the 28th day of pregnancy. RESULTS: It was shown that EA influence on the myometrium contractile activity and functional state of fetuses and female depends on the female delivery readiness. CONCLUSION: In the case of the optimal one short-term increase of the contractile activity (on the 15th minute after EA) with no significant fetal heart rate changes were observed. In the case of its absence no significant influence was revealed. Moderate female tachycardia in both groups under EA was registered more pronounced in delivery one group.

[Comparative rate of regional metastasis of high differentiated carcinoma of the thyroid gland].

The rate of metastasis of high differentiated carcinoma of the thyroid glands to the neck lymph nodes was studied in people of Kemerovo Region. The metastatic lesions of pretracheal lymph nodes (VI group) were detected in 49.5% patients with papillary carcinoma and 21.0% of patients with follicular cancer. Metastases in jungular lymph nodes were revealed in 37.3% patients with papillary carcinoma. It was noted that an extension of metastatic lesions of regional lymph nodes was observed in the case of primary tumour foci spread beyond borders of the capsula glandularis in patients with papillary carcinoma. There wasn't such a relation in a case of follicular cancer. Metastases in regional lymph nodes were detected more often (67.6%) in the case of papillary carcinoma in uncontaminated zone of the thyroid gland compared with other thyroid pathology (31.7%).

[The influence of the bupivacaine regional anesthesia on the contractile activity of the uterus and the functional state of the fetus].

The study in chronic experiment on 26 pregnant rabbit females induced in labor by oxytocin on the 30th day ofpregnancy was conducted. The effects of bupivacaine (0,5% - I ml) epidural anesthesia (EA) on the contractile activity of the uterus, the functional state of the females and their fetuses were studied. On the 28th day of pregnancy under thiopental anesthesia electrodes were administered: to thefetus - ECG, in the female myometrium for recording electrical activity. In order to check the uterus mechanical activity the original sensor was used filled by graphite, which was placed around one horn of the uterus. The contractile activity of the myometrium was evaluatedfor each 5-minute interval by the number ofuterine contractions, duration and amplitude of one uterine contraction. The functional state offemale fetuses and rabbit female were evaluated by the frequency change of the heart rate. In 12 females occured to delivery. Registration of uterine contractions, heart rate of the female and fetuses were carried out simultaneously and continuously throughout the whole experiment. It was shown that under standard conditions EA didn't induce changes in uterine activity parameters of the female located in its natural position, and didn't affect on the fetal heart rate (3-factor analysis of variance - ANOVA). 10minutes after EA, the momentary acceleration of female heart rate (9%) was recorded in relation to the reference level, which may be associated with transient hypotension. Thus, in conditions of our experience the bupivacaine (0,5% - 1,0 ml) EA in induced labor of female rabbit has no significant effect on the uterus contractile activity and the functional state of the fetus. Short-term adaptive tachycardia is registered in females.

[Cell-to-cell interactions in microgravity: experiments in vitro].

The review summarizes the results of studying the space and simulated microgravity effects on cell-to-cell interactions in three models: 1) interaction of a human lymphocytes culture with a subinoculated suspension culture of tumor myeloblasts K-562; 2) formation of embryoid bodies and differentiation of mice embryonic stem cells (ESCs); 3) gene differentiation and expression in multipotent mesenchymal cells (MCSs) obtained from the human marrow. It was shown that microgravity modifies the cell-to-cell interactions without cell contact inhibition; however, micro-g causes reversible changes in expression of genes responsible for regulation of the cytoskeleton, focal adhesion proteins, and some cytokines. Prolonged exposure of progenitor cells in simulated microgravity inhibits the differentiation processes of and reprofiles significantly expression of the genes that control various cell activities, including cell-to-cell interactions.

[Structural and functional features of the rats' prefrontal cortex following 14-day suspension].

Effects of 14-d suspension on the processes of rats' nervous cells conjugation in the brain cognitive cortex were studied. Signs of cognitive functions degradation and decrease of the number of conjugated nervous cells were found in the experimental group after suspension. This evidence are qualified as a negative effect of suspension on memory and physiological regeneration of neurons.

Cryoglobulin composition in patients with myocardial infarction.

The formation of an ischemic focus in the myocardium is paralleled by autoimmune processes involving immunoglobulins with abnormal thermal solubility, cryoglobulins. Serum levels of cryoglobulins and their complexes were measured in 25 patients with Q-forming myocardial infarction on days 1, 2, 3, 7, and 14 of the disease. Cryoprotein levels were measured by spectrophotometry, concentrations of IgM, IgA, IgG, and fibronectin by ELISA. Cryocomplexes in patients with myocardial infarction consist of polyclonal immunoglobulins of the main classes IgG and IgM, less often IgA, while cryoglobulinemia in this patient population is referred to type III according to the commonly used classification by Brouet. Fibronectin was detected in the cryocomplexes throughout the entire period of observation, its dynamics being opposite to that of the cryocomplexes level.

Relationship between apoptosis and expression of heat shock proteins in peripheral blood lymphocytes of patients with myocardial infarction.

We studied activity and dynamics of apoptosis of peripheral blood lymphocytes in patients with myocardial infarction and analyzed the relationship of these processes with expression of heat shock proteins with a molecular weight of 70 kDa playing an essential role in preventing cell death. Thus, we first demonstrated activation of apoptosis in peripheral blood cells of patients with myocardial infarction compared to the control (healthy individuals) and revealed the expected negative correlation between the expression of heat shock proteins with a molecular weight of 70 kDa by lymphocytes and intensity of their death. The observed dynamics of mononuclear cell apoptosis in the peripheral blood of patients with myocardial infarction can reflect activity of programmed cardiomyocyte death in the focus of ischemic injury.

[Clinostatting effects on neuronal differentiation of embryonic stem cells from mice strain R1].

The model of embryonic stem cells from R1 mice at the stage of embryoid bodies was used to study effects of slow clinostatting on neuronal differentiation with the help of two markers--beta-III tubulin (early differentiation) and MAP2 (late differentiation). As compared with the control, the number of beta-III tubulin-positive neurons was found increased and of MAP2-positive neurons--decreased. As regards MAP2- positive neurons, it is concluded that the gravity factors have a specific effect on EB. The beta-III tubulin staining makes possible determination of the total number of neuronal cells at different stages of development. The observed increase in the number of beta-III tubulin-positive neurons may evidence a nonspecific mechanic effect of clinostatting at the EB stage. It was shown that EB cells are particularly sensitive to clinostatting.

[Cryoglobulins in patients with ischemic stroke].

The composition of circulating immune complexes with cryo-properties (cryo-IC) were determined in 70 patients on days 1, 2, 3, 7, 14 and 21 after ischemic carotid stroke. The quantitative and qualitative assessments of cryo-IC content were conducted on a spectrophotometer and on a vertical electrophoresis, respectively. Concentrations of immunoglobulins (Ig) M, A and C, fibronectin, percentage of IgM with rheumatoid factor activity, IgG isotypes (IgG1, IgG2, IgG3, IgG4) were measured with ELISA. The control group included 15 healthy age- and sex-matched people. Compared to the controls, the cryo-IC content was higher in 100% of patients studied, it was higher in atherothrombotic variant than in cardioembolic one. The cryo-IC level was directly correlated with the clinical state severity (p < 0.01). IgG, IgM and fibronectin were observed in 100%, IgA--in 11% and IgM with rheumatoid factor activity--in 6% of patients. The percentage of IgG1 and IgG2 was not less than 90% of the total amount, with the IgG1 percentage about 50%. Cryo-IC changing in the time in dependence on ischemic variant were formed on different stages of development of acute brain ischemia. Dependence of concentrations of fibronectin and IgG, IgA, IgM on the time of observation was similar for both variants of ischemic stroke, but with a time axis shift, running faster and with a smaller range of changes of parameters studied in cardioembolic than in atherothrombotic stroke.

[Genosystematics and new insight on phylogeny and taxonomy of liverworts].

The paper covers a current state of molecular studies of liverworts including new data from authors. The traditional conceptions of liverwort phylogeny and systematics were changed greatly in a result of recent molecular researches. The phylogenetic inferences from studies of different DNA loci and species sampling are mainly congruent. The phylogeny and systematics of one of the largest and taxonomically difficult suborder Jungermaniineae was discussed based on analyses of internal transcribed spacer ITS1-2 of nuclear rDNA and chloroplast trnL-F of large species number.

[Influence of clinorotation on embryoid bodies morphology].

The compensative effects of gravitation at the first stages of embryonic development stages have been investigated using slow clinorotation of embryoid bodies from mouse R1 stem cell lines. Semithin sections (1-2 microm) analysis and electron microscopy study of embryonic bodies cells allowed to reveal morphological features of cells at different maturation stages. Significant decrease in the number of embryonic stem cells undergoing apoptosis as well as noticeable reduction of "lacunas" relative areas were found in clinorotated embryonic bodies compared to control. We propose that large cyst absence may be caused by initial differentiation and morphogenesis stages delay associated with autophagy processes in embryonic bodies.

[On mechanisms of triggering of primary excitation rhythms in vertebrates (phylo- and ontogenic aspects)].

There has been performed the comparative-ontogenetic analysis of literature and our own data obtained at study of regularities of formation of spontaneous stereotypic motor acts at the initial stages of the human fetuses and at early stages of phylogenesis of vertebrates (fisches, amphibians, reptiles) as well as at using natural biological models, such as anencephaly of human fetus, the human artificially produced therapeutic electroconvulsive fit, and winter hibernation in mammals. This analysis has allowed showing that the prenervous and non-nervous motorics and cardiac rhythm revealed in the series of vertebrates including human fetus represent a universal phenomenon that is due to the role of prenervous transmitters as local hormones participating in triggering and regulation of this motoric - the primary rhythms of excitation in vertebrate phylo- and ontogenesis.

[Dynamics of blood fibronectin and its correlation with the phenomenon of cryoglobulinemia in patients with ischemic stroke].

Seventy patients with carotid ischemic stroke (38 with atherothrombotic and 32 with cardioembolic variants) were examined. The dynamics of fibronectin level and its correlation with blood cryoglobulins concentrations were evaluated in the 1st, 2nd, 3rd, 7th, 14th and 21st days after disease onset. The quantitative assessment of cryoglobulins content was carried out using spectrophotometric method; fibronectin concentration was measured by ELISA. In patients with atherothrombotic variant of stroke, the level of fibronectin in the blood serum and in the cryocomplex was higher compared to patients with cardioembolic variant in the 1st day (p < 0.001) and during all the period of the study (p < 0.05). The concentration of cryocomplexes in the blood serum of patients with ischemic stroke was in reverse correlation with percentage of fibronectin in their content and with the pathogenetic variant of ischemia (r = -0.94; p < 0.05 and r = -0.87; p < 0.05 or atherothrombotic and cardioembolic variants, respectively).

The role of cell fusion in physiological and reparative regeneration of the cerebral cortex.

The prefrontal (cognitive) cerebral cortex of rats was studied by morphological and physiological methods 56 days after stroke induced by photothrombosis. The cognitive capacity impaired after the intervention was completely restored by this time. The count of fused cells (dikaryons) increased significantly in experimental and sham-operated (control) animals in comparison with the early period (7 days) after surgery. Normalization of the dikaryon and mononuclear cell structure was observed after 56 days. Presumably, cell fusion promotes their morphological restoration and regeneration of the lost functional capacity. Fusion is regarded as a manifestation of physiological and reparative regeneration of the cortex.

[Detection of coronavirus in experimental pneumocystic pneumonia].

Transmission electron microscopy (of ultrathin sections) was used to examine the biomass of lung tissue in the immunodeficiency minipigs experimentally infected with Pneumocystis carinii. The material was found to contain pneumocysts, bacteria, and coronaviruses. There was a clear coronavirus-pneumocyst structural relationship. The findings suggest the combined effect of microorganisms of different systematic groups on the development of a pathological process in the experimental infection etiologically determined by Pneumocystis carinii.

Heterokaryon formation as a method for neuron regeneration in postischemic injury to cerebral cortex in rats.

Rat prefrontal cortex was examined by light and electron microscopy after stroke induced by photothrombosis. An appreciable number of binuclear neurons with morphologically similar and different nuclei was detected in the perifocal zone and adjacent intact tissue. The satellite oligodendrocyte nucleus was frequently the second nucleus in binuclear neuron. Control specimens also had binuclear neurons, but their number was much lower. It is hypothesized that neuron fusion normally and after injury is a manifestation of physiological and reparative regeneration of these cells.

[Possible causes of temperature-dependent disorders of regional circulation in cryoglobulinemia].

We studied effects of changed blood theology in cryoglobulinemia on temperature-dependent disorders of peripheral circulation. The rheological status was assessed by aggregation characteristics of blood at temperature 37 degrees C and 4 degrees C at nephelometry of reverse light diffusion. Blood cryoglobulins concentration was determined spectrophotometrically. Turbidimetry estimated the size of cryocomplexes at different temperatures and energetic characteristics of their formation. It was found that blood of healthy donors in cooling does not change its rheological properties significantly. Blood of patients with cryoglobulinemia cooled to 4 degrees accelerated formation of linear erythrocyte aggregates and increased their strength. The results agreed with estimated values of molecular connection energy in cryocomplexes. The greatest difference between the patients' and donors' blood was in strength of the largest aggregates. Sharp strengthening of both large and small aggregates in blood cooling makes vascular red cell desaggregation impossible. This may entail microcirculatory arrest.

[Phylogeny of the genus Lophozia (Dumort.) Dumort. s. str. inferred from nuclear and chloroplast sequences ITS1-2 and TRNL-F].

Maximum parsimony and maximum likelihood phylogenetic trees were constructed for 21 taxa of Lophozia s. str. and the related genera, Schistochilopsis (5 species), Protolophozia elongate, and Obtusifolium obtusum based on pooled nuclear ITS 1-2 and chloroplast trnL-F DNA sequences. The trees were characterized by similar topology. It was demonstrated that the genus Lophozia s. str. was monophyletic, excluding L. sudetica, which deserved isolation into a distinct cryptic genus. The species distribution among the clades disagreed with the sections distinguished based on anatomical and morphological data. The relationships within the genus Schistochilopsis were consistent with the sectioning of the genus, based on morphological characters. Analysis of molecular data provided more precise definition of the systematic position of a number of taxa. Small genetic divergence of geographically distant forms was demonstrated.

Contractile activity of rabbit uterus at the end of pregnancy and a method for its registration.

We developed a method for synchronous registration of electrical activity of the myometrium in pregnant rabbit females and electrocardiograms of the female and fetus on a paper tape and on PC in the online mode using an original pickup for registration of intrauterine pressure in awaken animals in a natural (sitting) posture. The method causes no pregnancy complications and is adequate for evaluation of uterine contractility, female and fetal status in different variants of the experiment.