Venography in the evaluation of the results of surgical treatment of varicocele in children]

The paper is concerned with analysis of the results of intraoperative phlebotesticulography, performed in 50 patients with varicocele of degree I-II during Ivanissevich's operation. The effect of surgical intervention was shown to depend upon the quality of ligation of the testicular vein, some parts of which are anastomosed between themselves. The localization of this anastomosis is revealed by means of intraoperative phlebotesticulography, which permits increasing the results of surgical treatment and predicting a course of a postoperative period.     

Sex-related dimorphism of the morphofunctional characteristics of the epiphysis in newborn children subjected to hypoxic impairment and asphyxia

In 72 newborn children (37 boys and 35 girls) who suffered from prenatal hypoxia and were born in an asphyxic state, we measured the level of melatonin in the umbilicial blood and observed clinical manifestations of the adaptation/stress syndrome. These data were compared with the results of morphological examination of the epiphyses from 27 stillborns (15 boys and 12 girls) who perished because of heavy prenatal hypoxia. The level of melatonin in the blood of ill newborn girls was much higher than that in boys, and both these indices were about two times higher than those in respective groups of healthy newborn children. At the same time, the pathomorphological examination showed that active epiphyseal cell units in the male fetuses were much more numerous. The results show that the epiphysis plays a significant role in determination of the sex-related dimorphism of the adaptation/stress syndrome in newborn children suffering from hypoxia- and asphyxia-evoked heavy CNS damage. The reasons and consequences of more intensive morphofunctional loading of the epiphyseal system in the male fetuses are discussed.     

Proteinases of small intestine enterocytes of swine. Purification and properties of aspartyl proteinase similar to cathepsin D

A new aspartic proteinase was isolated from porcine intestine mucosa by affinity chromatography on pepstatin-Sepharose 4B and gel filtration on Sephadex G-100. The enzyme was purified 1600-fold and appeared homogeneous upon polyacrylamide gel electrophoresis. The proteinase has a Mr 60 000 +/- 4000 Da. During sodium dodecyl sulfate polyacrylamide gel electrophoresis the enzyme produced a single protein band (Mr 30 000 +/- 3000 Da). Isoelectric focusing revealed that the enzyme has several multiple forms (pI 6.9, 7.5, 8,0). The enzyme is a glycoprotein containing 5.9% of carbohydrates; the mannose to galactose ratio is 1:3. The amino acid composition of the enzyme was studied. The proteinase splits an oxidized insulin B-chain and synthetic substrates. The pH optimum is 3.2. The enzyme is immunologically identical to porcine spleen cathepsin D.