[QUANTITATIVE INDEXES OF SLOW PERIODICAL VOLUME FLUCTUATIONS INSIDE CRANIA-SPINAL SPACES].

Process of circulatory-metabolic support of brain functioning is based on integration of cerebrovascular and CSF-circulatory systems as well scull mechanics, as united structural-functional system is accompanied by periodic volume--pressure fluctuations inside crania-spinal space. The frequency of them is widely variable (0.03-0.25 Hz), as well as its amplitude (0.3-1.2 of pulse wave value) and they exist in the most of its regions. Results of noninvasive studies of volunteers of groups (18-20 and 40-55 years old), that these fluctuations, reflect the functioning of the mechanism, responsible for brain circulatory metabolic supply, and the evaluation of these quantitative indices by means of spectral analysis with quantization 128 kHz could provide valuable information concerning functional integration of systems, responsible for circulatory-metabolic brain support.

[Interhemisphere asymmetry of the CSF dynamics and biomechanical properties of the skull].

This investigation shows that both intracranial liquor circulation and skull biomechanical properties evaluated by its pliability (compliance) to intracranial pressure are characterised by marked interhemisphere asymmetry. The interhemisphere differences of cerebrospinal fluid mobility were evaluated by means of asymmetry coefficient (right/left ratio of liquor mobility) which was found to be 1.25-1.45 in healthy middle-age persons. For the skull pliability (compliance) the coefficient of hemispheric asymmetry was 0.75-0.95. These two hemisphere asymmetry coefficients are characterized by reciprocal relationships. These coefficients demonstrated no dominancy related to right/left hemisphere as well as no correlation with neurophysiological parameter. Functional tests (apnoea, hyperventilation, Stookey test) gave rise to significant changes of these coefficient values. At ageing, the magnitudes of these coefficients decreased. The spectral analysis of pulse waves of dopplerogram and rheoencephalogram reveals hemisphere asymmetry, too. It should be suggested that the interhemisphere asymmetry of the CSF dynamics and skull biomechanical properties is a special mechanism which contributes in the process of circulatory-metabolic support of brain activity.

Slow-wave oscillations in the craniosacral space: a hemoliquorodynamic concept of origination.

The mechanism of formation of rhythmic, slow-wave oscillations in the craniospinal cavity were studied. Synchronous bioimpedance traces were made of the head and lumbosacral part of the spine in five healthy young subjects at rest and during voluntary breath-holding; these reflect changes in the ratios of blood and CSF volumes in these parts of the craniospinal space. Computer amplitude-frequency and spectral analysis of the data (Macintosh G-4, Chart-5.2) demonstrated slow (6-12 cycles/min) and rapid (pulsatile) oscillations in different directions in the cranial and lumbosacral areas. These data suggested a hemoliquorodynamic hypothesis for the craniosacral rhythm. The pulsatile and slow-wave oscillations of cerebrovascular tone and intracranial pressure evidently initiate to-and-fro displacements of the CSF in the caudal direction. The associated tonic contractions of the musculature of the lumbar part of the spine and the mobility of the sacrum are detected manually as the craniosacral rhythm.

[Biomechanical properties of the human cranium: aging aspects].

Biomechanical properties of the human skull affect its dynamic tensility (pliability, compliance) by changes of intracranial volume and pressure (deltaV/deltaP). The goal of this study is to substantiate a possibility of noninvasive and dynamic evaluation of cranial compliance. The transcranial dopplerogram of middle cerebral artery and hemispheric bioimpedance were synchronously recorded, which represent information about pulsative changes of intracranial pressure and volume, respectively. The parameters were recorded at rest and during adequate hemo- and liquorodynamic tests in different age groups--20-30, 40-50, and 70-85 years. As compared with the young group, a decrease of the cranial compliance in the intermediate age group was revealed due to an observed increase if rigidity of skull bones and ligaments, which indicates a decrease of stability of the intracranial circulatory system. However, in the group of 70-85 years the compliance rose again due to an enlargement of intracranial liquor spaces and facilitation of liquor circulation inside the intracranial cavity; this can be suggested to be a compensatory mechanism for supporting the adequate brain circulatory-metabolic state.

[Slow-wave fluctuations in craniosacral space: hemo-liquorodynamic conception of origin].

In the paper, the mechanism of forming of rhythmic slow-wave fluctuations in craniospinal cavity was investigated. In five young healthy persons, at rest and under voluntary respiration arrest test, the bioimpedansograms of head and lumbosacral part of vertebral column were synchronously registered as these recordings reflect the changes of relationships between blood/CSF volumes in cranial and lumbosacral regions, respectively. The recordings were subjected to frequency and spectral computer analysis (PC Macintosh G-4, Chart 5.2. software). The rapid (pulsatile) as well as slow and counter-directed waves (frequency 6-10 cycles/min) of these processes were revealed in cranial and lumbosacral regions. The data obtained suggest the CSF dynamic concept of origin of the craniosacral rhythm. The pulse and slow-frequency oscillations of the cerebral vessels tone initiate corresponding intracranial pressure waves, and the latter are the motivating forces for to-and-fro CSF shifts in caudal direction. This mechanism is accompanied by tonic contractions of lumbar muscles and sacrum movements, and it is manually perceptible as a craniosacral rhythm.

[Age-related characteristics of relationships between brain blood flow, liquor dynamics and biomechanical properties of human cranium].

The peculiarities of relationships between changes of cerebral blood flow, intracranial liquor dynamics and skull biomechanics in humans were studied in an age aspect. For this aim, a non-invasive method was proposed based on concomitant registration of rheoencephalogram and transcranial dopplerogram and evaluation of relationships between intracranial volume and pulse pressure changes (P-V index). The data obtained were analyzed by pattern-phase computer processing and compared with the blood flow parameters. The investigation was carried out on healthy volunteers of 18-25, 40-50 and 65-75 years of age. It was shown that circulatory-metabolic supplying of human brain was supported by such factors as volume brain blood flow, intracranial liquor dynamics in cooperation with skull biomechanics. The cerebral blood flow decrease at aging could be compensated by increase of the reserve-compensatory abilities of the system of cranial-spinal liquor dynamics.

[Dysbiotic changes of colonic microflora in patients with Crohn's disease]. / Dysbiotychni zminy mikroflory tovstoï kyshky u patsiientiv z khvoroboiu Krona.

In patients with Crohn's disease the dysbiotic changes in colonic lumen was revealed, what was testified by reducing the quantity of saprophytic and increasing the quantity of the conditionally-pathogenic microorganisms. The application of "Salofalk" preparation do not influence the colonic microflora composition.

[The role of the CSF dynamic component in forming the periodic fluctuations in the electric impedance of the head]. / O roli likvorodinamicheskogo komponenta v formirovanii periodicheskikh fluktuatsii élektroimpedansa golovy.

In patients with partial craniospinal blocks, the impedance responses to certain functional tests were by 20-30% less obvious. Osteopathic procedures normalised the impedance fluctuations. The data obtained suggest that the CSF dynamics plays an important role in genesis and changes of the head impedance.

[Characteristics of a strain of C. albicans resistant to polyene antibiotics]. / Kharakteristika shtamma C. albicans, ustoichivogo k polienovym antibiotikam.

It was found that a resistant strain R2 of C. albicans obtained as a result of passages on media containing increasing concentrations of amphotericin B differed from the initial strain by its lower pathogenicity. Treatment of the infection caused by the resistant strain on modeling of candidiasis in mice was not successful. The decrease in the average life span of the mice infected with the resistant strain R2 and treated with amphotericin B was lower than that in the control animals and such indices of the disease as the levels of the kidney dissemination and the cell vegetation even increased under the effect of amphotericin B. The results of the study suggest that the resistant strain R2 of C. albicans depend on amphotericin B in the host. The data obtained emphasize the necessity of determinining the antibiotic sensitivity of C. albicans strains isolated from patients.