[Measuring methods of volumetric changes of soft tissues at dental implants site and tooth recessions site]. / Metody issledovaniya ob"emnykh izmenenii myagkikh tkanei v oblasti dental'nykh implantatov i retsessii zubov.

The article is a review of literature on various methods for measuring gingival thickness at implant site and tooth recession. The purpose of the study was to analyze existing methods for assessing volumetric changes in soft tissues based on literature data and give recommendations on the choice of methods. The authors analyzed available methods and identified limitations and recommendations for the use of different methods. The literature review is also helpful to identify promising methods for assessing changes in soft tissue volume, which may help authors of future studies with method selection.

[To the 100th anniversary of the Crimean Republican Bureau of Forensic Medical Examination]. / K 100-letnemu yubileyu Krymskogo respublikanskogo byuro sudebno-meditsinskoi ekspertizy.

The article briefly presents the history of the formation of the forensic medicine service in Crimea. Information on the main legislative acts that determined the activities of forensic experts and the service in general at different historical stages is provided. The data on the heads of the service and well-known experts - forensic doctors, organizers of forensic medical examination in Crimea are presented. In parallel, the history of the organization and development of the Department of Forensic Medicine is described, the role of its employees in organizing the work of the Crimean Bureau of Forensic Medical Expertise is presented. In this article, in addition to the available sources of literature and bibliography of legislative acts, materials from the archive of the Department of Forensic Medicine of Medical Academy named after S.I. Georgievsky of Vernadsky Crimean Federal University are used.

Monitoring of biochemical parameters of the oral fluid in patients with recancerous of the oral mucosa.

Orthopedic treatment is of particular difficulty in the complex therapy and rehabilitation of patients with precancerous diseases of the oral mucosa. In this regard, in patients with chronic inflammatory and destructive lesions of the oral mucosa, it is necessary to control changes in the oral cavity, taking into account clinical and laboratory data. Oral fluid is most often used as a diagnostic material in dental research, the composition and properties of which reflect functional changes in the body. However, the studies that substantiate rational orthopedic treatment in such patients are extremely insufficient: there are no data on the effect of orthopedic structures on the primary metabolism in the oral cavity in patients with precancerous diseases. In this regard, the purpose of this work was to study the biochemical parameters of the oral fluid in patients using orthopedic structures to identify the prognostic factors of precancerous conditions. In the oral fluid, the levels of total protein, total cholesterol, triglycerides, and lactate were determined. Free radical oxidation was assessed by the intensity of induced biochemiluminescence and by the levels of lipid peroxidation products. In the oral fluid of patients with mucosal precancer compared with patients in the control group, a significantly higher intensity of free radical oxidation was revealed with a corresponding decrease in antioxidant activity. The level of the end products of lipid peroxidation - Schiff's bases - was statistically significantly increased. Among the metabolites of the oral fluid, there was a decrease in protein levels and an increase in cholesterol and lactate levels. At the same time, a positive correlation was established between the indicators of free radical oxidation and lactate, free radical oxidation and cholesterol, but negative with the levels of protein and triglycerides. Regarding the antioxidant system, there was a negative correlation between the tg (-2α) value and the lactate level and positive with the triglyceride level, as well as a positive correlation between the Z parameter and the total protein level. The obtained changes in the biochemical parameters of the oral fluid can be used to confirm the diagnosis of precancer of the oral mucosa in patients with orthopedic structures.

[Contribution of Thomas Willis (1621-1675) to neuroanatomy and clinical neurology (on the 400th anniversary of his birth)]. / Vklad Tomasa Uillisa (1621­1675) v neiroanatomiyu i klinicheskuyu nevrologiyu (k 400-letiyu so dnya rozhdeniya).

The article is devoted to the 400th anniversary of the birth of the famous English physician and anatomist Thomas Willis (Willisius), who made an invaluable contribution to the development of neurological science and practice. The authors briefly describe the stages of his life path and characterize his contribution to neuroanatomy and clinical medicine, in particular neurology.

Structural anomalies in brain networks induce dynamical pacemaker effects.

Dynamical effects on healthy brains and brains affected by tumor are investigated via numerical simulations. The brains are modeled as multilayer networks consisting of neuronal oscillators whose connectivities are extracted from Magnetic Resonance Imaging (MRI) data. The numerical results demonstrate that the healthy brain presents chimera-like states where regions with high white matter concentrations in the direction connecting the two hemispheres act as the coherent domain, while the rest of the brain presents incoherent oscillations. To the contrary, in brains with destructed structures, traveling waves are produced initiated at the region where the tumor is located. These areas act as the pacemaker of the waves sweeping across the brain. The numerical simulations are performed using two neuronal models: (a) the FitzHugh-Nagumo model and (b) the leaky integrate-and-fire model. Both models give consistent results regarding the chimera-like oscillations in healthy brains and the pacemaker effect in the tumorous brains. These results are considered a starting point for further investigation in the detection of tumors with small sizes before becoming discernible on MRI recordings as well as in tumor development and evolution.

Control of inter-layer synchronization by multiplexing noise.

We study the synchronization of spatio-temporal patterns in a two-layer network of coupled chaotic maps, where each layer is represented by a nonlocally coupled ring. In particular, we focus on noisy inter-layer communication that we call multiplexing noise. We show that noisy modulation of inter-layer coupling strength has a significant impact on the dynamics of the network and specifically on the degree of synchronization of spatio-temporal patterns of interacting layers initially (in the absence of interaction) exhibiting chimera states. Our goal is to develop control strategies based on multiplexing noise for both identical and non-identical layers. We find that for the appropriate choice of intensity and frequency characteristics of parametric noise, complete or partial synchronization of the layers can be observed. Interestingly, for achieving inter-layer synchronization through multiplexing noise, it is crucial to have colored noise with intermediate spectral width. In the limit of white noise, the synchronization is destroyed. These results are the first step toward understanding the role of noisy inter-layer communication for the dynamics of multilayer networks.

Effects of Dynamic and Static Loads on the Concentration of Sodium and Potassium in Murine Skeletal Muscles.

The effects of dynamic and static load on the intracellular concentrations of sodium [Formula: see text] and potassium (K+i) in m. soleus and m. biceps, respectively, were studied in mice. Both dynamic (swimming for 60 min) and static (hanging on the grid for 40 min) load led to a 2-fold increase in [Formula: see text] level, a decrease in K+i concentration by 25-35%, and 3-4-fold increase in the [Formula: see text] ratio. These effects of dynamic and static loads on the studied parameters remained unchanged in mice subjected to regular physical exercise (swimming or hanging on the grid for 1 h a day over 4 weeks). Our results suggest that dissipation of sodium and potassium transmembrane gradients during physical exercise can be considered as a factor of regulation of functional activity of skeletal muscles, which includes changes in transcription and translation of myokines observed previously.

Post-exercise Endothelium-Dependent Vasodilation Is Dependent on Training Status.

The effect of training status on post-exercise flow-mediated dilation (FMD) is not well characterized. We tested the hypothesis that the more trained the subjects, the lower the reduction in FMD after an acute bout of aerobic exercise. Forty-seven men (mean ± SD, age: 20.1 ± 1.2 years, body mass: 75.5 ± 5.1 kg, height 178.1 ± 5.4 cm) were divided into five groups with different training characteristics (sedentary, two different groups of active subjects, two different groups of well-trained subjects - runners and weightlifters). Brachial artery FMD (blood pressure cuff placed around the arm distal to the probe with the proximal border adjacent to the medial epicondyle; 5 min at a pressure of 220 mmHg) was assessed before and during 3 min immediately after a bout of cycling exercise at a relative intensity of 170 bpm [(physical work capacity (PWC170)]. At baseline, a progressive increase in FMD was observed in the participants with the higher training status, if the training remained moderate. Indeed, FMD was reduced in runners and weightlifters compared to those who were moderately trained. After PWC170, FMD did not significantly change in sedentary and highly trained runners, significantly increased in the two groups of active subjects but significantly decreased in highly trained weightlifters. These results showed that endothelium-dependent vasodilation evaluated using brachial FMD is maintained or improved following acute aerobic exercise in moderately trained participants, but not in well-trained participants, especially if they are engaged in resistance training.

Solitary states and solitary state chimera in neural networks.

We investigate solitary states and solitary state chimeras in a ring of nonlocally coupled systems represented by FitzHugh-Nagumo neurons in the oscillatory regime. We perform a systematic study of solitary states in this network. In particular, we explore the phase space structure, calculate basins of attraction, analyze the region of existence of solitary states in the system's parameter space, and investigate how the number of solitary nodes in the network depends on the coupling parameters. We report for the first time the occurrence of solitary state chimera in networks of coupled time-continuous neural systems. Our results disclose distinctive features characteristic of solitary states in the FitzHugh-Nagumo model, such as the flat mean phase velocity profile. On the other hand, we show that the mechanism of solitary states' formation in the FitzHugh-Nagumo model similar to chaotic maps and the Kuramoto model with inertia is related to the appearance of bistability in the system for certain values of coupling parameters. This indicates a general, probably a universal desynchronization scenario via solitary states in networks of very different nature.

Complex partial synchronization patterns in networks of delay-coupled neurons.

We study the spatio-temporal dynamics of a multiplex network of delay-coupled FitzHugh-Nagumo oscillators with non-local and fractal connectivities. Apart from chimera states, a new regime of coexistence of slow and fast oscillations is found. An analytical explanation for the emergence of such coexisting partial synchronization patterns is given. Furthermore, we propose a control scheme for the number of fast and slow neurons in each layer. This article is part of the theme issue 'Nonlinear dynamics of delay systems'.

Forced synchronization of a multilayer heterogeneous network of chaotic maps in the chimera state mode.

We study numerically forced synchronization of a heterogeneous multilayer network in the regime of a complex spatiotemporal pattern. Retranslating the master chimera structure in a driving layer along subsequent layers is considered, and the peculiarities of forced synchronization are studied depending on the nature and degree of heterogeneity of the network, as well as on the degree of asymmetry of the inter-layer coupling. We also analyze the possibility of synchronizing all the network layers with a given accuracy when the coupling parameters are varied.

Temporal intermittency and the lifetime of chimera states in ensembles of nonlocally coupled chaotic oscillators.

We describe numerical results for the dynamics of networks of nonlocally coupled chaotic maps. Switchings in time between amplitude and phase chimera states have been first established and studied. It has been shown that in autonomous ensembles, a nonstationary regime of switchings has a finite lifetime and represents a transient process towards a stationary regime of phase chimera. The lifetime of the nonstationary switching regime can be increased to infinity by applying short-term noise perturbations.

Level of Interleukins IL-6 and IL-15 in Blood Plasma of Mice after Forced Swimming Test.

We measured the concentrations of IL-6 and IL-15 in blood plasma of mice at different terms after forced swimming, taking into account exercise intensity and preliminary training. It was shown that training was an important factor affecting blood plasma level of IL both at rest and after single forced swimming: in trained animals, the concentration of both myokines increased immediately after swimming, while in untrained animals, this increase was observed only after 5 h. Changes in cytokine production against the background of training can be associated with various factors, including neuroendocrine mechanisms, stress, modification of intracellular signaling, as well as reorganization of transcriptional mechanisms in muscle fibers. The most important factor is shift in the ratio of monovalent cations (sodium and potassium) in the cytoplasm.

[Ocular hypotensive effect of systemic beta-blockers in patients with primary glaucoma and arterial hypertension]. / Oftal'mogipotenzivnyĭ éffekt sistemnogo primeneniia beta-blokatorov pri pervichnoĭ glaukome i arterial'noĭ gipertenzii.

AIM: to evaluate the ocular hypotensive efficacy of systemic beta-blockers in primary glaucoma patients suffering from arterial hypertension (AH). MATERIAL AND METHODS: The study included 29 patients with POAG (58 eyes) aged from 47 to 83 years. Patients with stage I-III POAG received instillations of prostaglandin analogs and carbonic anhydrase inhibitors. All POAG patients also suffered from arterial hypertension and were prescribed selective beta-blockers (metoprolol, bisoprolol, or nebivalol) as monotherapy or as part of combination therapy (if the target arterial pressure had not been achieved under the initial treatment). After the start of oral beta-blockers therapy, the patients were re-examined at 2 and 4 weeks, 3 months, 6 months, and 1 year. RESULTS: A clinically significant reduction of IOP in the most seriously affected eye - by 3.3 mmHg (p<0.05), or 14% - occurred four weeks after the start of selective beta-blockers. Over three months of combination therapy, IOP in the 'worst' eye decreased by 4.4 mmHg (18.5%). At 1 year, IOP in the 'worst' eye was 6.2 mmHg (26%) lower than at baseline (p<0.05). CONCLUSION: Aged and senile patients with primary glaucoma usually suffer from polypathy (on average, they have 6.3±0.6 concurrent somatic diseases). To reduce the risk of polypharmacy and the frequency of side effects in the treatment of POAG and AH patients, it is advised that the treatment includes oral selective beta-blockers able to provide target levels of arterial pressure and IOP. In this study, oral beta-blockers in POAG and AH patients enabled IOP reduction as great as 18.5%-26% of baseline values over a 1-year follow-up period.

Experiencia Programa de Intercambio Residentes Neuropediatría Chile-Hospital de Niños de Boston / Interchange Program Experience Pediatric Neurology Residents of Chile-Boston Children's Hospital

Cada dos años, residentes de Neuropediatría de distintos centros en Chile visitan el Boston Children's Hospital a fin de dar vida a un intercambio académico bilateral, que se constituye como una valiosa instancia de aprendizaje bilateral. Pensamos que es importante relatar nuestra experiencia y al mismo tiempo hacer algunas reflexiones sobre esta instancia formativa.

Every two year, residents of pediatric neurology from different Chilean Universities visit the Boston Children's Hospital for a bilateral academic exchange, that constitutes a valuable learning instance. We think that it is important to relate our experience and share our thoughts about this interchange.

[Secretory Function of Skeletal Muscles: Producing Mechanisms and Myokines Physiological Effects].

Skeletal muscle cells secrete a variety of hormones and cytokines, which are referred to as myokines. Different modes of exercise are the main factor of myokines producing. The myokines expression level is increased in an exponential fashon proportional to the length of exercise and the amount of muscle mass engaged in the exercise. These myokines are described to communicate with cells in an autocrine/ paracrine manner. Thus it ensures the maintenance of homeostasis and adaptarion to physical stress. This myokines role is provided by a vriety of effects. It is assumed that exercise increases myokines transcription via signaling systems that are activated in response to a decrease in the partial pressure of oxygen, increasing the concentration of [Ca²âº] i and AMP. Significant prospects have the myokines investigation of the role in the different disorders correction. So now accumulated enough data for myokines consideration as a single functional system, which plays an important role in the adaptation mechanisms to the habitual exrcise.

Ketamine-Midazolam Anesthesia Induces Total Inhibition of Cortical Activity in the Brain of Newborn Rats.

The effects of general anesthetics ketamine and midazolam, the drugs that cause neuroapoptosis at the early stages of CNS development, on electrical activity of the somatosensory cortex in newborn rats were studied using extracellular recording of local field potentials and action potentials of cortical neurons. Combined administration of ketamine (40 mg/kg) and midazolam (9 mg/kg) induced surgical coma and almost completely suppressed early oscillatory patterns and neuronal firing. These effects persisted over 3 h after injection of the anesthetics. We concluded that general anesthesia induced by combined administration of ketamine and midazolam profoundly suppressed cortical activity in newborn rats, which can trigger neuroapoptosis in the developing brain.

[The structure of childhood diseases in the patients presenting with hospital-acquired ENT pathology estimated based on the results of monitoring children's hospitals in Moscow]. / Struktura zabolevaemosti deteĭ s gospital'noĭ patologieĭ LOR-organov po rezul'tatam monitoringa detskikh statsionarov Moskvy.

The objective of the present work was to study the structure of childhood diseases in the patients presenting with hospital-acquired ENT pathology based at the results of analysis of the annual reports presented by the heads of departments of otorhinolaryngology of Moscow children's hospitals for the period from 2011 till 2013. It was shown that pharyngeal pathologies predominate among the children amounting to 43.9% of the total ENT morbidity. These conditions are followed by nose and paranasal sinus pathologies (29.2%), ear diseases (22.5%), laryngeal, bronchial and tracheal pathologies (4.4%). The analysis of the internal structure of different classes of diseases was made separately for the ear, throat, and nose (ICD-10). The results of the study give evidence of the tendency toward the higher incidence of selected forms of acute inflammatory diseases and chronic ENT pathologies in the childhood.

[Hemophagocytic syndrome in a patient with adult-onset Still's disease: diagnostic problems].

Hemophagocytic syndrome (HPS) is a rare life-threatening condition caused by massive cytokine release from activated macrophages and lymphocytes. The paper depicts the development of HPS in different infections, malignancies, and autoimmune diseases. It describes a clinical case of hemophagocytic syndrome in a 63-year-old female patient with adult-onset Still's disease and high fever accompanied by neutrophil leukocytosis and a drastic left leukocyte count shift, high procalcitonin levels, hepatosplenomegaly, edematous syndrome, and progressive multiple organ dysfunction with the development of disseminated intravascular coagulation and adult respiratory distress syndrome. The diagnosis of HPS was established according to the diagnostic criteria and verified by autopsy: phagocytes in liver and lung tissues.

[Impact of industrial pollution on emission of carbon dioxide by soils in the Kola Subarctic Region].

Soil emission of carbon dioxide, the key component of carbon cycle and the characteristic of soil biological activity, has been studied in background and polluted ecosystems in the Kola subarctic, the large industrial region of Russia. Long-term air pollution by emissions of "Pechenganikel" smelter, the largest source of sulphur dioxide and heavy metals in Northern Europe, has caused the technogenic digression of forest ecosystems. As a result of the digression, the tree layer was destructed, the number of plant species was diminished, the activity of soil biota was weakened, the soils were polluted and exhausted, biogeochemical cycles of elements were disturbed and productivity of ecosystems shrunk. Field investigations revealed the decrease of the in.situ soil respiration in average from 190-230 mg C-CO2/m2 x per h in background pine forests to 130-160, 100, and 20 mg C-CO2/m2.per h at the stages of pine defoliation, sparse pine forest and technogenic barrens of the technogenic succession, respectively. The soil respira- tion in birch forests was more intense than in pine forests and tended to decrease from about 290 mg C-CO2/m2 x per h in background forests to 210-220 and 170-190 mg C-CO2/m2 x per h in defoliating forests and technogenic sparse forests, respectively. Due to high spatial variability of soil respiration in both pine and birch forests significant differences from the background level were found only in technogenic sparse forests and barrens. Soil respiration represents total production of carbon dioxide by plant roots and soil microorganisms. The decrease in share of root respiration in the total soil respiration with the rise of pollution from 38-57% in background forests up to zero in technogenic barrens has been revealed for the first time for this region. This indicates that plants seem to be more sensitive to pollution as compared to relatively resistant microorganisms. Soil respiration and the contribution of roots to the total respiration positively correlated with distance from the smelter and the content of carbon and nitrogen and negatively correlated with the content of available nickel and copper in the soils. Remediation of technogenic barrens promoted intensification of soil biological activity. At the same time, the willow planting along with grass seeding into the new constructed fertile soil layer was much more effective for activation of soil respiration and the contribution of roots to the total respiration than the planting into the limed and fertilized polluted soils (chemo-phytostabilization).