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A.P.Myagkov, SA.Myagkov, A.S.Sementsov, S.Y.Nakonechnyi, G.F.Pisarenko, N.D.Eremeeva State Institution "Zaporozhye Medical Academy of Postgraduate Education Ministry of Health of Ukraine " VARIANTS OF THE BONE MARROW CONVERSION IN LUMBAR SPINE RESULTS OF MAGNETIC RESONANCE IMAGINGS Magnetic resonance imaging usually describes two types of bone marrow active, functioning cellular bone marrow and inactive fatty bone marrow. Certain researches on the high-field magnetic resonance imaging, dedicated to the bone 154 ISSNͲߠίȠ.2013.80..1..1 marrow conversion patterns in the axial skeleton, show several variants of such changes including changes in the spine column.

Study objective to determine and classify the features of bone marrow conversion in the lumbar spine by means of low-filed magnetic resonance imaging.

We analyzed magnetic resonance images of the lumbar spine from 60 patients aged 21 to 70 years old with the absence of any known conversion of the bone marrow.

As the result of the spine studies we have found four main patterns of the fat bone marrow distribution.

Additionally, we have divided another variant vascular, that is represented by the basivertebral vein, which is bulb shaped expanding in the center of the vertebral body. Along this vein the linear thin (2-3 mm) areas of fatty bone marrow are located.

In several cases (10, 16,6%) we encountered the combination of several variants like II and III or II and IV.

The researched information fits with the study results of bone marrow conversion in the spine column gained on the high-field tomographs. Thus it will be practically useful for studying the MRI of normal and converted bone marrow.

Key words: magnetic resonance imaging, fatty bone marrow, cellular bone marrow.

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S.A. Mjagkov, A.P.Mjagkov, A.S.Sementsov, S.Y.Nakonechnyj, G.F.Pisarenko, N.D. Eremeeva State Institution "Zaporozhye Medical Academy of Postgraduate Education Ministry of Health of Ukraine " BEAM CURRENT METHODS OF DIAGNOSIS SYSTEM OF OSTEOPOROSIS 164 ISSNͲߠίȠ.2013.80..1..1 This review summarizes the diagnostic capabilities of modern methods of radiation diagnosis systemic osteoporosis. It is concluded that the choice of the study and evaluation must be based on knowledge of bone structure, its physiology characteristics pathogenesis of osteoporosis. Currently the best method indirectly evaluates bone mass is dual-energy x-ray absorptiometry, measuring bone mineral density.

Thus, the choice of research and evaluation of the results should be based on knowledge of the structure of the bone, its physiology, the characteristics of a specific embodiment of the pathogenesis of OA and features of the methods and techniques.

In clinical settings directly measure bone mass and bone strength is not yet possible.

Therefore, the diagnosis of OP used indicators that assess them indirectly. Currently the best method indirectly evaluates bone mass is dual-energy x-ray absorptiometry, measuring bone mineral density.

Keywords: magnetic resonance imaging, computed tomography, ultrasound, systemic osteoporosis.

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L.S. Ovcharenko, O.V. Kryazhev, N.V. Zhikhareva, O.O. Stepanenko State Institution "Zaporozhye Medical Academy of Postgraduate Education Ministry of Health of Ukraine " BIOCHEMICAL FEATURES OF CALCIUM-PHOSPHORUS METABOLISM IN YOUNG CHILDREN WITH FOOD ALLERGY MANIFESTATIONS Young children with food allergies, who have dairy elimination diet without milk, require further close monitoring of bone tissue.

The aim: improving the diagnosis of disorders of calcium-phosphorus metabolism in children with manifestations of food allergy and the improvement of methods for correction of nutritive disorders.

ISSNͲߠίȠ.2013.80..1..1 Materials and methods. For trial were formed 3 groups: I group - children with manifestations of asthma and disorders of calcium-phosphorus metabolism (n = 56), II group - children with manifestations of asthma without disturbances of calcium phosphorus metabolism (n = 94), III group - the control group (healthy children) (n = 30).

Results. In children of group 1 has a serum decreased of total calcium concentration of 15.7% (P 0.05), inorganic phosphorus - by 17.8% (P 0.05), osteocalcin 4,4 fold, increase of alkaline phosphatase activity by 89.8% (P 0.05).

Based on the mathematical and system analysis the most informative markers of bone formation disorders were identified - reducing the concentration of total calcium (more than 2.1 mmol / l), inorganic phosphorus (over 1.3 mmol / l), increasing concentrations of osteocalcin (50 ng / ml), PTH (more than 75 pg / ml) and alkaline phosphatase activity (more than 380 U / l).

Conclusions. Children with food allergies have impaired calcium-phosphorus metabolism, which is a negative factor for the physiological formation of bone tissue.

Keywords: children, food allergy, calcium, phosphorus, osteogenesis.

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1. Association of adenoid hyperplasia and bacterial biofilm formation in children with adenoiditis in Taiwan / C.D. Lin, M.H. Tsai, C.W. Lin [et al.] // Eur.

Arch. Otorhinolaryngol. 2012. Vol. 269 (2). P. 503-511.

174 ISSNͲߠίȠ.2013.80..1..1 2. Biofilm formation by Haemophilus influenzae isolated from adeno-tonsil tissue samples, and its role in recurrent adenotonsillitis / J. Galli, L. Cal, F. Ardito [et al.] // Acta Otorhinolaryngol. Ital. 2007. Vol. 27 (3). P. 134-138.

3. Clinical Indicators Compendium. 2000. Vol. 19. Alexandria, VA: June.

2000 American Academy of Otolaryngology Head and Neck Surgery.

4. Diagnostic accuracy of nasopharyngeal swabs in detecting biofilm producing bacteria in chronic adenoiditis: a preliminary study / Torretta S., Drago L., Marchisio P. [et al.] // Otolaryngol. Head Neck Surg. 2011. Vol. 144 (5). P.

784-788.

5. Incidence of revision adenoidectomy in children / Grindle C.R., Murray R.C., Chennupati S.K. [et al.] // Laryngoscope. 2011. Vol. 121 (10). Vol. 2128 2130.

6. Increased risk of otitis media with effusion in allergic children presenting with adenoiditis / Marseglia G.L., Pagella F., Caimmi D. [et al.] // Otolaryngol. Head Neck Surg. 2008. Vol. 138 (5). P. 572-575.

7. Lie D. Nasal saline irrigation may relieve chronic sinonasal / D. Lie // Arch. Otolaryngol. Head Neck Surg. 2007. Vol. 133. .1115-1120.

8. Pintucci J.P. Biofilms and infections of the upper respiratory tract / J.P.

Pintucci, S. Corno, M. Garotta // Eur. Rev. Med. Pharmacol. Sci. 2010. Vol. (8). P. 683-690.

9. Role of biofilms in chronic inflammatory diseases of the upper airways / Cal L., Passli G.C., Galli J. [et al.] // Adv. Otorhinolaryngol. 2011. Vol. 72. P. 93-96.

10. Spatial organisation of microbiota in quiescent adenoiditis and tonsillitis / A. Swidsinski, O. Gktas, C. Bessler [et al.] // J. Clin. Pathol. 2007. Vol. 60 (3). P. 253-260.

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L.S. Ovcharenko, V.Yu. Tkachenko, T.G. Andrienko State Institution "Zaporozhye Medical Academy of Postgraduate Education Ministry of Health of Ukraine " ADENOIDITIS THERAPY IN CHILDREN WITH RECURRENT RHINOSINUSITIS Development of measures to cleanse the nose and throat of pathogens can reduce of the tonsils inflammation and reduce the number of proliferative signals to the lymphoid tissue, resulting in a reduction of its size and limitation of chronic foci of infection.


Objective: to optimize treatment and prevention programs adenoiditis in children suffering from recurrent forms of infectious rhinosinusitis.

Materials and methods. We observed two groups of patients aged 2 to 7 years to 30 children in each: 1) children with recurrent rhinosinusitis, adenoiditis and receiving therapy with nasal irrigations of 3% sodium chloride, and 2) children with recurrent rhinosinusitis and adenoiditis not treated with nasal irrigation.

Results. Use of 3% NaCl resulted in a decrease in the nasal mucosa of dystrophic modified nasal epithelial cells, neutrophils and lymphocytes, bacterial flora, fungi mycelium and spores, colonies of Streptococcus pneumoniae, Streptococcus pyogenes, Streptococcus agalactiae, Streptococcus mitis, Staphylococcus epidermidis. Using a 3% NaCl resulted in an increase in secretory sIgA in nasal mucus.

Conclusions. The use of nasal 3% NaCl irrigations is an effective and safe method of treatment and prevention adenoiditis in children with recurrent rhinosinusitis.

Keywords: children, sinusitis, adenoiditis, nasal irrigation.

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R.M.Portus, L.R.Portus "Zaporozhye Medical Academy of Postgraduate Education of Health of Ukraine", 10th Zaporizhia City Hospital CHRONOLOGY OF STUDY ANATOMY OF CARDIOVASCULAR SYSTEM RIGHTS Scientific and practical interest in the anatomy of the cardiovascular system has existed since ancient times. Knowledge of the cardiovascular system is constantly replenished and systematized according to the interests of development and practical medicine. Deepening knowledge of the anatomy of the cardiovascular system of the person allowed to continuously improve the diagnosis and treatment of cardiovascular diseases.

The aim is to systematize the chronology studies anatomy of the cardiovascular system of man.

Historical analysis of the chronology of the study of anatomy cardiovascular system, we showed that the first knowledge of the structure of the cardiovascular system reaches dostorychnyh times (XI - VI centuries BC. E.). Nayilshyy development study ana-Mii cardiovascular reached in the twentieth century. This 182 ISSNͲߠίȠ.2013.80..1..1 enabled us to continually improve diagnosis and treatment of cardiovascular diseases.

Persons-cially great development has received cardio-vascular surgery treatment of defects of develop-ment heart and vessels, congenital and acquired vices hearts, surgical treatment coronary heart disease and transplanting heart.

Keywords: anatomy, the cardiovascular system, the history of medicine timeline.

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