A trial of using augmentin (amoxicillin/clavulanate) in surgical practice]

The experience with the use of augmentin (amoxycillin/clavulane) in abdominal surgery for prophylaxis of postoperative purulent complications was analyzed. The drug was used in 44 patients after relatively pure operations, 37 of them having various risk factors. In 2 patients (4.5 per cent) of that group postoperative pyoinflammatory complications were recorded. For comparison the results of the prophylactic use of cefoperazone, cefamandole or ceftazidime in the group of 78 patients after relatively pure operations on the abdominal cavity organs were analyzed. Postoperative complications in the latter group amounted to 7.4 per cent (4 patients). The results of the treatment of patients in two groups after contaminated operations were also compared. The patients of one group (41 patients) were treated prophylactically with augmentin in a dose of 1200 mg intraoperatively followed by the drug use in a dose of 600 mg thrice daily for 1 to 2 days after the operation. Postoperative pyoinflammatory complications were recorded in 4 patients of that group (9.7 per cent). 78 patients of the other group were treated prophylactically with ceftazidime or cefoperazone in a dose of 2 g and metronidazole intraoperatively or cefoperazone in a dose of 2 g twice daily and metronidazole in a dose of 500 mg twice daily for 1 to 2 days after the operation. Postoperative infectious complications were recorded in 8 patients of that group (10 per cent). In the group of patients with acute cholecystitis treated with ciprofloxacin in a dose of 400 mg in combination, with metronidazole before the operation and for 1 to 2 days after the operation postoperative complications were recorded in 4 patients (17 per cent).     

Disorders in the development of the crystalline lens in chick embryos following exposure to insulin]

Inection of insulin into the chicken egg-white in dosage of 4 i. u. during the 1st - 14th days of incubation results in degenerative changes in the lens. Injection of insulin during the 1st day of incubation (before the beginning of eye differentiation) fails to prevent development of the eye vesicle and determination of the lens. The morphogenesis of the lens goes normally up to the 10-13th days of incubation. From this moment abrupt degenerative alterations make their appearance as well as destruction of the lens fibres. When the lens is affected by insulin the destruction is observed on the following day. The mechanism of insulin effects upon the lens seems to be as follows: Exogeneous insulin remains in the embryo tissues for along time. When the tissues are preparing to accept endogeneous insulin and become susceptible to it (the 10th-11th days of incubation) exogeneous insulin begins its pathological influence on the lens fibres. After the 13th-14th days of incubation endogeneous insulin comes into the blood. Against the background of exogeneous insulin it results in excessive increase of concentration of insulin in the embryo tissues and great degenerative changes in the lens.     

Features of the structure of the mesenteric and tracheobronchial lymph nodes in rat offspring after exposure to tetracycline

Ante- and postnatal development of anatomical structures and cells of lymphatic nodes has been studied in rat offspring subjected to tetracycline effect during placentation and organogenesis (the 8th-14th days) and during fetogenesis (the 15th-20th days). Tetracycline injection during the 8th-14th days of embryogenesis results in certain disturbances of the nodular structure formations, inhibition of lympho- and plasmo-cytopoesis against the background of a sharp increase in number of basophilic granulocytes and tissue basophils. The antibiotic effect on the 15th-20th days of embryogenesis does not disturb the lymph node formation, but produces an increasing number of lymphocytes, plasmocytes, macrophages, eosinophilic granulocytes and tissue basophils in them.     

The clinical and economic efficacies of short courses of azithromycin in acute sinusitis]

A randomized study of a 3-day course of azithromycin therapy (500 mg once daily) vs. a 10-day course of co-amoxiclav therapy (625 mg thrice daily) in patients with acute sinusitis was performed with an account of the GCP criteria. One hundred patients in 2 groups each of 50 persons were enrolled. The estimates of the patient body temperature, headache, pain on palpation in the area of the accessory nasal sinuses, nasal cavity stuffing, nasal discharge nature and the nose mucous membrane appearance were recorded prior to the treatment, in 72 hours and on the 10th-12th and 26th-30th days of the treatment. The microbiological analysis of the punctate from the accessory nasal sinuses was undertaken before the antibiotic therapy and 72 hours after its start. The economic analysis included the cost of the antibiotic therapy course, hospitalization term, medical manipulations and laboratory tests as well as the cost/efficacy index. The frequency of the relapses within 6 months after the cure was estimated in the two groups compared. In 72 hours and on the 10th-12th days after the treatment start the efficacy of azithromycin was significantly higher than that of co-amoxiclav. The cure was stated in 41 (82 per cent) and 26 (52 per cent) patients on the 10th-12th days, in 6 (12 per cent) and 21 (42 per cent) patients the improvement was stated and the fail was stated in 3 (6 per cent) and 2 (4 per cent) patients respectively. The efficacy of the drugs on the 26th-30th days after the treatment start did not differ. The isolates of Staphylococcus aureus and Streptococcus pyogenes were the main pathogens. The bacteriologic eradication was recorded in 29 (90.6 per cent) patients treated with azithromycin and only in 18 (69.2 per cent) patients treated with co-amoxiclav. Adverse reactions and relapses of the disease within 6 months after the cure were more frequent in the patients treated with co-amoxiclav. The cost of the azithromycin therapy was significantly lower. It was shown that the shortened course of the azithromycin therapy provided earlier cure of the patients with acute sinusitis, better tolerance of the drug, less frequent adverse reactions, lower cost as compared to the use of co-amoxiclav and no relapses.     

Action of the phenothiazine derivative methophenazine on prenatal development in rats.

Single doses of 100-400 mg/kg or multiple doses of 10 or 50 mg/kg of the phenothiazine derivative methophenzaine were given per osto Wistar rats at various times on the 7th-14th days fo gestation and the fetuses examined near term. Results indicated that methophenazine was mainly embryolethal when administered on the 8th-11th days, and was teratogenic at later times, producing types of malformations that depended on the day of treatment, the most susceptible period being the 13th and 14th days of gestation. Teratogenicity occurred only when the dosages were highly toxic to the pregnant rats. Ribovlavin given ip on the 14th day significantly reduced the embryolethal but not the teratogenic action of methophenazine.     

Time of origin of cells in the histiogenesis of the spinal cord]

In order to establish the moment of appearance of neuroblasts and ectoglia of the spinal cord the autoradiographic study with the use of H3-thymidine and C14-thmidine injected to pregnant mice with the intervals between injections 121/2 or 24 hours was undertaken. It was establised that spinal neurons were removed from the nervous tube beginning from the 10th up to 13th days of embroyogenesis. The motoneurons of the anterior horn were the first to appear (10th-12th days), the neurons of the intermideate zone were the next to appear (11th - 12th days) and the last were the neurons of posterior horn (13th day). Beginning from the 13th day of embryogenesis there appeared the ectoglia which migrated following meurblasts two days later. The saturation of the grey matter with glial cells and the saturation of the white matter with Schwann cells was brought about by means of additional multiplication at the site of the glioblasts removed from the nervous tube. The main function of the matrix layer neuroepithelium of the nervous tube as a provider of cells to the spinal cord terminated on the 15th day of embryogenesis.     

Change in the composition of phospholipids and antioxidative activity of lipids of mouse organs after administration of adriamycin

The phospholipid composition and the antioxidative activity (AOA) of lipids from liver, heart and brain of F1(CBA X C57Bl) mice change significantly after intraperitoneal injection of adriamycin (7 mg/kg). All tissues studied are characterized by a drastic fall in the phosphatidylethanolamine (PEA) content and the AOA of lipids with a minimum on the 2nd-4th days and a subsequent return to normal values on the 10th-14th days. These results are consistent with the hypothesis on the intensification of adriamycin-induced lipid peroxidation and the predominant expenditure of readily oxidized phospholipids, including PEA.     

The effect of the treatment of skin wounds in rats with hydrolytic enzymes on the synthetic activity of the epidermocytes]

Epidermis cells synthetic activity was studied by a luminescent microscopy method. Different conditions of skin wound healing in intrascapular region were investigated on 84 rats-males. Daily effect of 0.2% trypsin or 0.1% ronidase solution on the healing surface for 20 min has been shown to increase basal layer cells synthetic activity of forming epidermis in comparison with control. However, maximum raise of epidermis cells functional activity after ronidase influence was observed already on the 4th day, while after trypsin action--only on the 7th. Epithelial cells synthetic activity decreases several days before total skin defect epithelialization. In all experiments their activity stabilizes not less than one month after the operation. We have come to a conclusion that the mechanism of healing acceleration due to proteolytic enzymes depends on basal layer cells synthetic activity of forming epithelium.     

术前血浆D二聚体水平对全膝关节置换术后下肢深静脉血栓形成的预测

目的:探讨术前三天血浆D-二聚体水平是否与人工全膝关节置换术(TKA)术后病人下肢深静脉血栓(DVT)的发生相关。方法:89名拟行TKA的病人在术前三天时行血浆D二聚体检测。在术后并未接受预防性抗凝措施。在术后6-10天左右予以双下肢血管彩超,如果在术后更早期出现临床症状,则立即予以双下肢血管彩超检查。结果:89名行TKA手术病人均在术前行血浆D二聚体检测。术后在46名(52%)的病人的血管彩超中发现DVT。以500ng/ml为临界值,D二聚体对DVT发生预测的敏感性,特异性,阳性和阴性值分别为59%,47%,56%,和51%。结论:此研究结果表明术前血浆D二聚体无法对TKA术后DVT进行预测。     

The main trends in the palaeodemography of the 7th-18th century population of Latvia

The study represents palaeodemographic research of osteological material of 3304 individuals from the funds of the Anthropological Laboratory of the Institute of History of the University of Latvia in Riga, dating from the 7th to the 18th century AD. Compensated life expectancy at birth is varying between 20.3 and 22.2 years during the research period. Crude mortality has changed between 49.3 and 45% per hundred. In the early period (7th-13th century) there is a significant male prevalence (2.2-1.4); female life expectancy at the age of 20 is on average 6.6 years less than for males. This difference decreases to 5.4 years in the 13th-18th century. According to historical demography, female life span exceeded male only in the 2nd half of 19th century. The palaeodemographic data indicate that in the 7th-18th century, women in Latvia gave birth to a mean of 4-5 children (the figure includes childless women), of whom half, at most 2-2.5, reached reproductive age, on account of high child mortality. The net reproductive rate R0 (the number of descendants per individual of the parents' generation) varies between 1 and 1.25 in the study period. Concerning the completely excavated cemeteries of Lejasbiteni (7th-10h century) and Daudziesi (16th-17th century), it was possible to calculate the size and structure of the populations that had used these cemeteries. They were similar, having 45.3-49.9% of children up to an age of 14 and 24-28% individuals over the age of 30. According to historical demography, radical improvement of the demographic situation in Latvia began in the second half of the 19th century, when the process of demographic transition in Latvia started.     

花生种子的发育与贮藏蛋白质的合成和积累

花生果针入土后16天(16 DAP),种子干重和鲜重开始迅速增加。整个发育阶段可分为5个时期:组织分化期(0～20 DAP)、成熟前期(21～28 DAP)、成熟中期(29～40DAP)、成熟中后期(41～62 DAP)和成熟后期(63～88DAP)。种子发芽率在成熟前期和中期迅速提高并到达最大值,而苗成活率在成熟中后期达到最大值,苗鲜重则以88 DAP种子的为最大。种子发育过程中,贮藏蛋白质的合成与积累模式与种子干重变化相似。SDS-PAGE分析表明,种子发育初期(16 DAP)子叶中已积累花生球蛋白和伴花生球蛋白I。双向凝胶电泳显示花生球蛋白各个亚基在20DAP时均已存在,伴花生球蛋白I的主要亚基在整个发育过程中其等电点有所变化,含量也逐渐增加。其他蛋白质在种子发芽力形成阶段(20～40 DAP)的变化较为显著。     

柿树新害虫──柿树真绵蚧的研究

柿树真绵蚧Eupulrinariacitricola（Kuwana）的报道在国内尚属首次。近年来该虫在河北省部分柿产区日趋严重,成为柿树的一种重要害虫。该虫在当地1年发生1次。以2龄若虫在当年生枝条上越冬,第二年3月上旬越冬虫体复苏,4月20～25日成虫交配,5月20～25日雌成虫产卵,6月10～20日若虫孵化后,固定在叶片上越夏,9月下旬越夏若虫蜕皮进入2龄,并转移到当年生枝条上越冬。农药防治结果表明：久效磷、氧乐果等有机内吸剂的防治效果很好,防治的最佳时间是6月中旬。该虫在当地的主要天敌有红点瓢虫ChilocoruskuwanaeSilvestri、黑缘红瓢虫C.rubidusHope和一种寄生蜂。     

Change in the content of ATP and 2,3-diphosphoglycerate in the erythrocytes of rats adapted to hypoxia]

It was shown that on the 30th-60th days of training rats to hypoxia under conditions of pressure chamber there was an increase in ATP and 2,3-diphosphoglycerate content in erythrocytes. By changing the affinity of hemoglobin to oxygen the mentioned shifts could play an important role in the improvement of oxygen supply to the tissues.     

Ultrastructural characteristics of the cerebellar cortex in the postnatal development of animals with protein-calorie malnutrition and in subsequent rehabilitation

An electron microscopical investigation of the cerebellar cortex has been carried out in mice, kept during the 10th-40th days of their life at a diet with protein insufficiency and a subsequent food rehabilitation and food rehabilitation with carnitine addition to the diet on the 41st-70th days of their life. A sharp protein limitation in the diet results in the most essential changes in the neuropil, while the ultrastructure of the piriform neurons changes slightly. Amount of the synaptic vesicles in small axonal terminals decreases and their localization in the area of the synaptic contacts changes. Simultaneously, degeneratively changed axonal terminals often occur, they demonstrate a rather electron opaque axoplasma. The food rehabilitation mainly normalizes the ultrastructure of the cerebellar cortex elements, however, in the neuropil altered axonal terminals with a high electron opaque axoplasma occur. After the food rehabilitation with carnitine addition to the diet, the cerebellar cortex ultrastructure not only normalizes, but even demonstrates certain signs of hypertrophy.     

State of Dogiel type II neurons in the wall of the cat small intestine following a single exposure to gravitational stress]

Under study was the nervous apparatus of the small intestine in 22 cats subjected to a single gravitation stress by rotation in a centrifuge of 1,5 m radius. The stress was equal to 10 units, duration from 2,5 to 3,5 min., and was of head-pelvis direction. The material was treated after Nissl and Gomori in Chilingarian's modification. Within 1-3 days after exposure to gravitation stresses in the Auerbach plexus there appeared changes in the shape of the body of the type II Dogiel cells, such as pericellular oedema, vacuoles in the cytoplasm, chromatolysis and varicous thickenings of nerve fibres. Terminal structures of the dendrites of the type II Dogiel cells are thickened. The changes are most pronounced within the 4th-7th days after exposure to gravitation and are observed as late as the 14th day, being sharply diminished by the 30th day.     

Urine dopamine in starving obese subjects

In seven obese female subjects undergoing a period of therapeutic starvation, the excretion of sodium, potassium and dopamine and plasma levels of renin and aldosterone were measured. Sodium excretion increased during starvation and was maximal on the 2nd day. The urinary excretion of dopamine was significantly higher on day 4 and it remained elevated till the end of the study. Plasma renin activity and plasma aldosterone levels were also higher on the 4th-6th days of starvation. These findings suggest that dopamine may not play a significant role in the natriuresis of starvation.     

Changes in the lymph nodes of vaccinated rats after prenatal exposure to an antibiotic

Changes of anatomical structures and dynamics of cell composition have been studied in lymph nodes of one-month-old rats, vaccinated with typhoid vaccine and sexta-anatoxin, and of rats vaccinated in a similar way, but their mothers have been given tetracycline at early and late periods of pregnancy. After vaccination in 1, 3 and 7 days lymphocytic, blastic, macrophagal, plasmocytic; mast cells, neutrophilic and eosinophilic reactions have been observed in lymph nodes. In the offspring of the rats, that have been given tetracycline during preimplantation and implantation periods (the 1st-7th days of pregnancy) contents of small, middle lymphocytes, plasmocytes, macrophages, mast cells do not change. Neutrophilic and eosinophilic reactions are revealed only in medullary cords, that demonstrates certain inhibition of the immunological function. In the rats, whose mothers have been given tetracycline during embryogenesis (on the 15th-20th days of pregnancy) vaccination results in a considerable increase of the reactive state of the lymph nodes.     

A new family of heparin binding growth/differentiation factors: differential expression of the midkine (MK) and HB-GAM genes during mouse development.

MK (midkine) and HB-GAM (heparin-binding growth-associated molecule) constitute a new family of heparin-binding growth differentiation factors. The modes of expression of MK and HB-GAM during mouse development were quantitatively examined by mRNA hybridization. The following three distinct patterns of expression were observed in the brain/head region. On the 11th-13th days of gestation, MK was intensely, but HB-GAM relatively weakly expressed; on the 15th-19th days, both MK and HB-GAM expression became weaker; and in the neonatal period, HB-GAM was intensely expressed and MK expression increased slightly. The level of HB-GAM expression was lower than that of MK in the whole embryo on the 11th to 13th days of gestation. HB-GAM mRNA was detected in the kidney of newborn and young mice, where MK was more highly expressed. The identity of the weakly expressed MK and HB-GAM signals was confirmed by means of the polymerase chain reaction in the neonatal brain (MK), the head of 13-day embryos (HB-GAM), and the kidney of 7-day-old mice (HB-GAM). In conclusion, MK and HB-GAM are frequently co-expressed in the same cells and anatomic regions of the fetus or new born mouse, while their modes of expression differ.     

Allocation of proteolytic activity in the seedling of Cynara cardunculus L. in the initial growth stages

Cynara cardunculus L. seeds were germinated in vitro under environmentally controlled conditions. Seeds showed a 60% germination rate, and three growth stages were established based on the seedling mean relative growth rate (RGR). Root, stem and cotyledons were compared in these stages with respect to the emergence of total proteases and cardosin activity and its allocation in the seedling. In growth stage I (1st-5th post-germinative days), seedlings grew very slowly. Total proteases and cardosins were already active at the onset of seedlings in the stem. Total soluble protein remained constant in cardoon seedlings during stage I, and the content of all free amino acids (aa) but proline (Pro) was equally allocated on the 1st post-germinative day. In growth stage II (5th-10th post-germinative days), seedlings grew intensively and exhibited fully developed cotyledons. A pronounced increase in the content of all free aa up to the middle of growth stage II in both stems and roots was observed. In addition, the allocation of the total proteolytic activity and cardosins followed a gradient from the root to the seedling shoot. However, the whole seedling soluble protein remained constant up to the 7th day in and tended to peak on the 10th post-germinative day, being allocated mainly to the seedling stem. In growth stage III (10th-15th post-germinative days), cardoon seedlings exhibited the lowest mean RGR and the highest R/S growth ratio. An intensive degradation of total soluble protein present in the whole seedling except for cotyledons (ca. 5-fold) was observed. Nevertheless, in growth stage III, both the gradients exhibited by total proteases and cardosins activities between the root and the seedling shoot were enhanced, as were contents of all aa except Pro, exhibiting the highest levels in cotyledons on the 15th post-germinative day.     

Behavioral analysis of consequences of chronic blockade of NMDA-type glutamate receptors in the early postnatal period in rats

In view of the hypothesis that glutamatergic dysfunction of brain can underlie the negative symptoms of schizophrenia (including cognitive deficit), the aim of this study was to develop a model of cognitive impairment in Wistar male rats after administration of a noncompetitive NMDA-receptor antagonist in early postnatal period. Rat pups were daily subcutaneously injected with 0.05 mg/kg MK-801 on postnatal days 7-49. On the 27th and 28th days 24 h after the last previous injection, the MK-801-treated rats demonstrated lower spontaneous locomotor and exploratory activity in comparison with saline control, however, they retained the reaction of hyperlocomotion which developed immediately after the MK-801 administration. In these rats, the anxiety level in the elevated plus-maze (on the 40th postnatal day) was found to be decreased, and the spatial learning in food rewarded task was negatively affected (on the 50th-54th days). It is suggested that impairment of the input of sensory information and its correct assessment by the animals can be associated with the early neonatal blockade of NMDA glutamate receptors.