Normal values of coronary arteries branching height in women

Morphometric analysis of the structures of the aortic bulb and coronary arteries is necessary for the planning of cardiac surgery and endovascular interventions. The aim of the study was to determine the height of the coronary arteries branching in healthy women of Lviv city and Lviv region and to determine the relationship between the height of the location of the orifice of the coronary artery with anthropometric indicators. Fifteen computed tomography images with contrast of female thorax without heart and ascending aortic lesions (normal) were selected for the study. The height of the upper and lower edges of the coronary arteries was measured; height of Valsalva sinuses. The comparison of the mean values was performed according to the Student’s t-test. The correlation between the observed variables (age, height, body weight, body mass index, body surface area, height of the sinuses of Valsalva) was calculated using the Pearson linear correlation method (r). According to the study, the population group consisted of persons of the second period of adulthood (46.67 %) and the elderly (53.33 %). According to the body mass index, 80 % were overweight or obese I-II degree. The mean height of the coronary artery orifice in women without structural changes of the heart and ascending aorta was: 11.19±1.96 mm for the left and 11.68±1.80 mm for the right. The height of the orifice of the right and left coronary arteries were almost the same, without statistical significance (p=0.26). Analysis of the correlation between the values of the height of the orifice of the coronary artery did not show a probable dependence on height, weight, age, body mass index and body surface area. There is a direct relationship between the parameters of the height of the lower edge of the right coronary artery and the height of the upper edge of the right coronary artery (r=+0.75, p=0.001) and between the value of the lower edge of the left coronary artery and the upper edge of the left coronary artery (r=+0.63, p=0.01). Thus, the analysis of the correlation between the values of the height of the orifice of the coronary artery in women in norm and anthropometric indicators did not show a significant relationship. There was no statistical significance between the indicators of the height of the orifice of the right and left coronary arteries in women.

Prognostic assessment of constitutional indicators influence on the indicators of personality traits of practically healthy women with different somatotypes

It is known that both genetic factors and environmental influences affect the development of the human body. This statement also applies to a person’s personality, ie the big five – the main features that make it up. The study of the relationship between physique and personality traits among a healthy population is very relevant and is a promising area for anthropology and psychology. The purpose of the work is to conduct a prognostic assessment of the influence of anthropo-somatotypological indicators on the personality indicators in practically healthy Ukrainian women without and taking into account the somatotype. Primary anthropo-somatotypological (anthropometry according to Bunak’s scheme, Heath-Carter somatotype determination, Matiegka and American Institute of Nutrition weight composition) and personality indicators (determination of leading typological characteristics of temperament according to Eysenck, psychodynamic features of personality according to Spielberger and features of accentuated personality traits according to Shmishek, components of internality according to Rotter) of practically healthy Ukrainian women of the first mature age are selected from the data bank of materials of the research center of National Pirogov Memorial Medical University, Vinnytsya. Factor analysis was performed in the license package "Statistica 6.1". The main factors that indicate the association of personality traits of practically healthy Ukrainian women of different somatotypes with some anthropo-somatotypological indicators: mesomorphs – "the size of the girth and fat size of the body" and "the size of the longitudinal size of the body"; in ectomorphs – "the size of the girth of the body" and "the size of the fat size of the body"; in endo-mesomorphs - "the magnitude of the circumferential size of the body" and "the magnitude of the width of the mandible"; in representatives of the middle intermediate somatotype – "the magnitude of the longitudinal and circumferential dimensions of the body" and "the magnitude of SFT on the posterior surface of the shoulder." In the general group of women, it is impossible to single out the second factor that has a significant load. Analysis of the obtained relationships of interdependence of personality traits, which have the greatest prognostic value in terms of formation of human personality with anthropo-somatotypological indicators showed that women of different somatotypes identified interdependencies have certain features. Thus, the application of factor analysis made it possible to determine the most significant relationships of personality indicators with the constitutional parameters of the body in practically healthy Ukrainian women of different somatotypes.

Girth body dimensions in men and women with seborrheic dermatitis of varying severity

Today in modern medicine the study of human health is reoriented to the individual principle, which is based on the identification and study of constitutionally determined patterns of manifestation of certain diseases. The purpose of the study is to establish and analyze the features of the girth body sizes in men and women with generalized fatty form of seborrheic dermatitis of varying severity. The comprehensive body size of 40 men and 40 young women (25-44 years) with generalized fatty seborrheic dermatitis (mild and severe) was determined. The control group consisted of the girth sizes of practically healthy men (n=82) and women (n=154) of the same age group, which were selected from the database of the research center National Pirogov Memorial Medical University. Statistical processing of body circumference was performed in the licensed package “Statistica 6.0” using non-parametric evaluation methods. As a result of studies in patients with seborrheic dermatitis of varying severity of men, compared with practically healthy men, found only greater values of the girth of the shoulder in a relaxed state and thighs, neck (only mild), shin in the upper part and waist (in both cases only with a severe degree), as well as smaller values of the girth of the shoulder in a tense state; and in patients of varying severity of women – greater values of the girth of the shoulder in a relaxed state, thighs, lower legs, neck, waist and all girths of the chest and both thighs (only severe), as well as smaller values of the girth of the hand (only with mild). In both men and women with seborrheic dermatitis, differences in girth body sizes are more pronounced in people with severe disease. Between men or women with seborrheic dermatitis of varying severity, there are no significant or trends in differences in girth body sizes. In the analysis of the manifestations of sexual dimorphism of the circumferential body size between men and women with seborrheic dermatitis found greater values in men with mild and severe disease of the upper extremities, hands, shin, feet and neck (in most cases more pronounced in representatives with mild severity), as well as only in men with mild severity – greater values of all chest girths. For a more correct understanding of changes in girth body sizes in Ukrainian men or women with seborrheic dermatitis of varying severity, it is necessary to analyze other constitutional parameters of the body.

Features of skinfold thickness in men with benign nevi

Nevi, although benign neoplasms of the skin, but have a certain tendency to malignancy, which is influenced by various external and internal human factors. Predicting the risk of benign nevi against this background is an important topic for experimental research. The aim of the study was to establish the features of the skinfold thickness (SFT) in men of the first adult age with benign nevi. SFT was determined according to the Bunak scheme for men (aged 22-35 years) with melanocyte benign simple nevi (n=34), melanocyte benign dysplastic nevi (n=27), melanocyte benign congenital nevi (n=14) and non-melanocyte benign (n=17). The control group – SFT of 82 practically healthy men of the same age group was selected from the data bank of the Research Center of National Pirogov Memorial Medical University, Vinnytsya. Statistical processing of the results was performed in the license package “Statistica 5.5” using non-parametric evaluation methods. It was found that in practically healthy men higher than in patients – SFT on the anterior and posterior surfaces of the shoulder and thigh (in all groups of patients); SFT on the forearm, at the lower angle of the scapula, chest and shin (only in patients with melanocyte benign dysplastic nevi). Also in healthy men are found lower than in patients – SFT on the side (in all groups of patients); SFT in the abdomen (in patients with melanocyte benign simple and non-melanocyte benign nevi). When comparing SFT between patients with benign nevi, in most cases, lower values of SFT found in patients with melanocyte benign dysplastic nevi. The obtained results indicate the initial manifestations of abdominal (android) type of fat deposition in the body in patients with benign nevi (most pronounced in patients with melanocyte benign simple nevi).

Determination of normative cephalometric parameters according to the Downs method for Ukrainian young men and young women with different face types

Orthodontics is a rapidly evolving branch of dentistry in both theoretical and practical areas. Modern instrumental research methods used in it organically coexist with the already classical ones, perfectly complementing each other. It is such a classic method that is actively used in the practice of orthodontics is cephalometric analysis, which nevertheless requires updates over time and the emergence of new scientific data. The aim of the study was to establish the limits of percentile range and features of cephalometric parameters according to the Downs method in Ukrainian young men and young women with orthognathic occlusion depending on the type of face. 49 young men and 76 young women with orthognathic occlusion underwent a cephalometric study using the Downs method in OnyxCeph³™ software, 3DPro version, Image Instruments GmbH, Germany (license № URSQ-1799). The division into facial types was performed using the Garson index. The licensed statistical package "Statistica 6.0" using non-parametric assessment methods analyzed the second (characteristics of the jaws by the method of Downs) and the third (indicators by the method of Downs that characterize the position of the teeth) groups of indicators. Studies have shown that most of the reliable or tendencies of differences in cephalometric parameters by the method of Downs in both young men and young women (more pronounced) with orthognathic occlusion, between different types of faces belong to the second group of indicators (dental characteristics of which surgical methods you can change the length, width, angles and positions of the upper and lower jaws). Manifestations of sexual dimorphism of cephalometric parameters by the method of Downs between young men and young women with appropriate facial types are insignificant and also, in almost all cases, belong to the second group of indicators. The established limits of percentile scope and features of cephalometric parameters according to the Downs method in Ukrainian young men and young women with orthognathic occlusion depending on the type of face will improve the existing methods of treatment of dental patients.

Morphological evaluation of anal canal wound healing after combined operations for combined anorectal pathology

The urgency of the problem of postoperative wound healing after combined operations for combined pathology of the anal canal and rectum is quite high and contributes to the introduction into the practice of coloproctologists of new modern surgical technologies for the treatment of this pathology. The aim of the study was to conduct a comparative morphological assessment of postoperative wound healing in patients with combined pathology of the anal canal and rectum after combined operations using modern high-frequency electrosurgical and radiosurgical technologies. The results of surgical treatment of 689 patients with combined pathology of the anal canal and rectum using high-frequency electrosurgery and radiowave surgery with morphological assessment of wound healing on 3, 5, 7, 14, 21 days of the postoperative period, which were divided into 4 study groups. Using of “Surgitron” and “KLS Martin” devices for the treatment of patients with combined pathology of the anal canal and rectum was accompanied by the formation of the thinnest layers of coagulation necrosis in tissues with a depth of 0.189±0.085 mm and 0.194±0.090 mm respectively and as result patients of the first and fourth study groups had the shortest duration of inpatient treatment, which was 3-5 days and the average time of wound healing, which was 14-15 days. Patients in these study groups had the lowest inflammatory neutrophil reaction in postoperative wounds on day 3, which rapidly disappeared by day 5, on days 7-14 they had active reparative processes with the appearance of fibroblasts and connective tissue fibers, and on 21 day squamous epithelial cells, which indicated the processes of active epithelialization of wounds. The effect on the tissues of the devices “EFA” and “ERBE ICC 200” was deeper than in the above groups, forming a layer of coagulation tissue necrosis with a depth of 0.208±0.097 mm and 0.302±0.107 mm respectively, which was accompanied by patients of the third and second study groups with longer terms of inpatient treatment, which amounted to 5-7 days and increase the duration of wound healing, which amounted to 16-19 days. Patients in the 2nd and 3rd study groups showed a more pronounced inflammatory neutrophilic reaction in postoperative wounds on the 3rd day, which did not disappear until the 5th day and in half of the cases the presence of a significant number of segmental neutrophils and bacterial accumulations persisted. On days 7-14 they had weak reparative processes with the appearance of single fibroblasts and a small number of connective tissue fibers and on the 21st day single squamous epithelial cells, which indicated slow processes of wound epithelization. Using of radio-wave surgery and high-frequency electrosurgery devices promotes active epithelialization of tissues preventing scar strictures of the anal canal and improves the rehabilitation of patients in the postoperative period.

Fractal analysis as a method of morphometric study of linear anatomical objects: modified Caliper method

The purpose of the study was to develop an original modification of the Caliper method of image fractal analysis to determine the fractal dimension of linear anatomical objects. To develop the method, the linear contour of the outer surface of the cerebral cortex was chosen as the object of study. Magnetic resonance brain images in coronal projection were used. The original modification of the Caliper method includes image analysis using Adobe Photoshop CS5 software or its analogues. The linear contour of the studied object is selected, followed by stepwise smoothing of the contour with different smoothing radius. At the 1st stage of fractal analysis smoothing is not applied, at the 2nd stage the smoothing radius is 2 pixels, the 3rd – 4 pixels, the 4th – 8 pixels, the 5th – 16 pixels. At each stage, the contour length in pixels is measured (P). The size of the fractal measurement unit (G) at the 1st stage of fractal analysis is 1 pixel, the 2nd stage – 2 pixels, the 3rd stage – 4 pixels, the 4th stage – 8 pixels, the 5th stage – 16 pixels. The contour smoothing radius, the size of the fractal measurement units and the number of stages of fractal analysis can be changed depending on the characteristics of the studied structure, size, scale and image resolution. Based on the values of the perimeter and the size of the fractal measurement units, the number of fractal measurement units covering the studied object (N) is calculated: N=P/G. The fractal dimension value is calculated based on the N and G values. The modification of the Caliper method described in this paper is automatized and does not require much time required for manual calculation. In addition, compared to the classic Caliper method, this modification is more accurate because the measurement is performed automatically. The main limitation of the developed modification is the ability to determine the fractal dimension of only closed contours of studied structures or closed linear structures, because this method involves determining the length of the closed perimeter of the selected image area. The modified Caliper method of image fractal analysis described in this paper can be used in morphology and other fields of medicine for fractal analysis of linear objects: external and internal linear contours of different anatomical structures (cerebellum, cerebral hemispheres) and pathological foci (tumors, foci of necrosis, fibrosis, etc.).

Influence of quercetin on morphological changes in rats testes after 180 days during central deprivation of luteinizing hormone

A relevant and popular area of research is the protective effect of the bioflavonoid quercetin, which makes it possible to use it to correct testicular dysfunction of various origins. The aim of the study was to determine the effect of quercetin on the microscopic organization of rat testicles, nitric oxide production and the intensity of oxidative stress in rat testicles on the 180th day of the experiment, during experimental central deprivation of luteinizing hormone synthesis caused by triptorelin solution. The experiment was performed on 20 adult male white rats. Rats were divided into 2 groups of 10 animals in each group: control group (I), group with central deprivation of LH synthesis + quercetin (II). Animals from the group with central deprivation of LH synthesis were injected subcutaneously with triptorelin acetate at a dose of 0.3 mg of active substance per kg and quercetin 100 mg per kg of body weight 3 times a week, while the control group was injected with saline. Ultrathin sections made by ultramicrotome were contrasted with 1 % aqueous uranyl acetate and lead citrate according to the Reynolds method and examined by electron microscopy. According to standard methods, the material was poured into paraffin blocks, from which sections with a thickness of 4 μm were made and stained with hematoxylin and eosin. Histological specimens were examined using a Вiorex 3 light microscope with a digital microfilter with software adapted for these studies. All biochemical studies were performed in 10 % of testicular tissue homogenate using a Ulab 101 spectrophotometer. Statistical processing of the study results was performed using Microsoft Office Excel software and Real Statistics 2019 extension. The nonparametric Mann-Whitney test was used to determine the statistical significance of differences between groups. Our study of the interstitial space in the testes of white rats showed the heterogeneity of populations of endocrinocytes and macrophages and the variability of structural and functional parameters. In the tissues of the testes in conditions of prolonged central deprivation of testosterone synthesis develops oxidative stress, which on the 180th day of the experiment leads to the development of edema of the interstitial space, followed by tissue fibrosis. Changes in the polarization of macrophages in our opinion may cause oxidative stress in the testes, as evidenced by increased iNOS activity and decreased arginase activity, but use of quercetin protects rat testicular tissue from oxidative damage caused by triptorelin by increasing direct antioxidant system and effects on the lipoxygenase pathway of arachidonic acid metabolism.

Total, longitudinal and transverse body sizes in men with psoriasis of different somatotypes

Using a constitutional approach to predict the onset of a disease can be key not only to solving the problem of late-stage lifestyle modification therapy but also to understanding the deep, seemingly incomprehensible links between organs and body structure. The aim of the study was to establish and analyze the differences in total, longitudinal and transverse body sizes between healthy and/or psoriatic men of different somatotypes depending on the severity of the disease. Anthropo-somatotypological examination was performed on Ukrainian men (aged 22 to 35 years) with psoriasis (n=100, including 32 with mild and 68 with severe). A clinical assessment of the severity and area of psoriatic lesions was performed using the PASI index. Anthropometric data of 82 practically healthy men of the same age group was taken from the data bank of the research center of National Pirogov Memorial Medical University, Vinnytsya. Statistical processing of the obtained results was performed in the license package “Statistica 5.5” using non-parametric evaluation methods. In patients with mild and severe psoriasis, men of mesomorphic and endo-mesomorphic somatotypes in comparison with healthy men of the corresponding somatotypes, higher values of almost all total (in the endo-mesomorphs with severe disease), transverse (except for shoulder width) and lateral body size (except endo-mesomorphs with severe disease) was found. In patients with psoriasis, men of endo-mesomorphic somatotype with a mild course of the disease found greater than in patients with a similar course men of mesomorphic somatotype, body weight, length and surface area, height of acromial and finger anthropometric points, and transverse middle thoracic diameters and anteroposterior middle thoracic diameter; and in patients with psoriasis men of endo-mesomorphic somatotype with a severe course of the disease – only greater values than in patients with a similar course of the disease men of mesomorphic somatotype, interspinous distance. When comparing the total, longitudinal and transverse dimensions of the body between men with psoriasis of the corresponding somatotypes, in representatives of the mesomorphic somatotype with a mild course of the disease found greater than with severe course, body length values and lower – posterior middle thoracic diameter. The revealed differences in total, longitudinal and transverse body sizes between healthy and/or patients with mild or severe psoriasis Ukrainian men of mesomorphic and endo-mesomorphic somatotypes provide an opportunity to increase the effectiveness of the use of body structure and size to identify risk groups psoriasis.

Morphological changes in the white rats’ thyroid gland 14 days after simulated thermal trauma of the skin on the background of the administration of 0.9 % NaCl solution

According to the World Health Organization (WHO), there are about 11 million burns in the world each year, of which 180,000 are fatal. One of the systemic consequences of burn injuries is the so-called burn-associated hypermetabolism, the clinical picture of which includes immunological dysfunction, loss of bone mineral density, endocrine disorders, including thyroid dysfunction. The aim of the study was to establish histological and ultrastructural changes of the thyroid gland of experimental animals 14 days after the simulated thermal trauma of the skin on the background of using first 7 days 0.9 % NaCl solution. At the optical and ultrastructural levels of the study 14 days after thermal skin burn on the background of 0.9 % NaCl solution in the thyroid gland of experimental animals found: follicles – mostly large, overstretched (epithelium flat, with desquamation); cytoplasm of thyrocytes is poor in organelles, part of mitochondria with damaged cristae and enlightened matrix, available electron-dense lysosomes, apical surface smoothed; there is swelling of the capsule and trabeculae, leukocyte infiltration; components of the arterial and venous bed are dilated, there is a deformation of the lumen of blood vessels; hemocapillaries are dilated with numerous erythrocytes and perivascular edema. The detected changes cause a violation of the secretory cycle of thyrocytes, transendothelial metabolism and lead to an imbalance in the production and excretion of thyroid hormones.