[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 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.

[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.

[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.

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.

Fluorescent microscopic study of epithalon binding in maternal and fetal rabbit tissues in health and under conditions of placental insufficiency.

Epithalon (regulatory tetrapeptide) labeled with dansil (fluorescent stain) easily penetrates into all tissues and organs of pregnant rabbit females and through the placenta into fetal organs. Incorporation of labeled epithalon in placental tissues is more often observed in fetuses developing under conditions of placental insufficiency than in normal fetuses.

[Adaptive thermoregulatory reactions of the rabbit fetus at the end of the intrauterine development]. / K mekhanizmu adaptivnykh termoreguliatornykh reaktsii plodov krolika v kontse vnutriutrobnogo razvitiia.

The data of permanent simultaneous registration of electrocardiogram, rectal & brown adipose tissue temperatures of the rabbit foetus have been obtained in chronic experiments. The haemodynamic shift in intensity of maternal-placental and foeto-placental blood flow (by female trental injection) led to a decrease in the foetus rectal temperature (0.33 +/- 0.09 degree C in intact foetus and 0.58 +/- 0.27 degree C in retarded foetus, p < 0.05). Both foetuses reacted by rectal temperature decrease (0.65 +/- 0.28 & 0.68 +/- 0.31 degree C, respectively) during immobilisation (by foetus arduan injection). Thus in both series of experimental cooling of foetus, brown fat activation was similar in intact foetus (approximately 53%), but did not change in growth retardation foetus--as a result of its tissue functional immaturity, probably.

Functional and biochemical criteria for investigation of brain development disorders.

Functional state and creatine kinase (CK) activity in the amniotic fluid and blood of anencephalic fetuses was studied in the second trimester of pregnancy with the following pathomorphological investigation of the state of their CNS to reveal possible markers of development disorders. The extent of neurological disorders in newborn infants was retrospectively compared with data from functional studies of components of a biophysical profile (motor-cardiac reflex, heart rhythm oscillations, respiratory movements) and with CK activity in the amniotic fluid and blood of fetuses with hemolytic disease and fetuses of diabetic mothers and normal mothers in the third trimester of pregnancy. The results revealed informative indices of fetal CNS developmental disorders in the prenatal period that are of importance for predicting a prognosis of the extent of neurological disorders in newborn infants. These results will allow the establishment of criteria for evaluation of fetuses to reveal possible disorders in the formation of the CNS.