To date, pathology of the cardiovascular system is the most common, tends to increase, most often leads to disability and mortality of the population at a young working age and is an important medical and social problem. The purpose of the study was to establish the features of micro organization of the mitral valve in white rat in norm and after opioid action. The study material is presented by histological samples of a mitral valve of the white rat. The study was performed on 30 adult white reproductive age rats weighing 160-220 g. The experimental animals were injected intramuscularly 1 time per day for the same period of 42 days (6 weeks) with the opioid drug analgesic “Nalbuphine”. Using histological methods, 30 mitral valves of white rat were examined. Microscopy of histological preparations of the valves of the heart was performed sequentially, assessing the morphological changes in the norm and under the action of the opioid after 6 weeks of the experiment. Emphasis was placed on the presence or absence of endothelial layer, as well as the condition of endothelial cells in normal and at the action of the damaging factor, determining the signs of their dystrophy, desquamation and proliferation. It is established that the normal mitral valve is represented by endocardial folds. The rat endocardium consists of three layers: endothelial (endothelial cells rich layer, attached to the basement membrane), subendothelial (connective tissue rich in fibroblasts) and a muscular-elastic layer (represented by smooth myocytes, plaited collagen fibers). After 6 weeks of administration of Nalbuphine, the mitral valve is in a stage of decompensation, when the outer and inner endothelial layers are destroyed, the endothelial cells are deformed, the subendothelial layer is represented by single bundles of different directions. In the musculo-elastic layer, contact between smooth myocytes and fragmented and thinned, collagen and elastic fibers is lost. This study allows us to conclude on the destructive effect of opioid agents on the valvular apparatus of the heart.
Today in modern medicine the study of human health is reoriented to the individual principle, which is based on the identification and study of constitutionally determined patterns of manifestation of certain diseases. The purpose of the study is to establish and analyze the features of the girth body sizes in men and women with generalized fatty form of seborrheic dermatitis of varying severity. The comprehensive body size of 40 men and 40 young women (25-44 years) with generalized fatty seborrheic dermatitis (mild and severe) was determined. The control group consisted of the girth sizes of practically healthy men (n=82) and women (n=154) of the same age group, which were selected from the database of the research center National Pirogov Memorial Medical University. Statistical processing of body circumference was performed in the licensed package “Statistica 6.0” using non-parametric evaluation methods. As a result of studies in patients with seborrheic dermatitis of varying severity of men, compared with practically healthy men, found only greater values of the girth of the shoulder in a relaxed state and thighs, neck (only mild), shin in the upper part and waist (in both cases only with a severe degree), as well as smaller values of the girth of the shoulder in a tense state; and in patients of varying severity of women – greater values of the girth of the shoulder in a relaxed state, thighs, lower legs, neck, waist and all girths of the chest and both thighs (only severe), as well as smaller values of the girth of the hand (only with mild). In both men and women with seborrheic dermatitis, differences in girth body sizes are more pronounced in people with severe disease. Between men or women with seborrheic dermatitis of varying severity, there are no significant or trends in differences in girth body sizes. In the analysis of the manifestations of sexual dimorphism of the circumferential body size between men and women with seborrheic dermatitis found greater values in men with mild and severe disease of the upper extremities, hands, shin, feet and neck (in most cases more pronounced in representatives with mild severity), as well as only in men with mild severity – greater values of all chest girths. For a more correct understanding of changes in girth body sizes in Ukrainian men or women with seborrheic dermatitis of varying severity, it is necessary to analyze other constitutional parameters of the body.
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