Morphological changes in the wall of the large intestine were studied after its manual suturing by a double-row interrupted suture with modern suture threads. Light and scanning electron microscopy showed "fuse properties" and "sawing effect" of polyfilament twisted threads (e.g. vicryl). Monofilament threads were free from these drawbacks and therefore were preferable. Metal elastic threads on the basis of titanium-nickelide alloys caused no inflammatory changes in tissues.
A study of the influence of chronic alcohol intoxication, constant illumination and their combined effects on the morphofunctional state of the rat liver and the circadian rhythms (CR) of the studied parameters of the organism was carried out. It was found that both alcohol and constant illumination caused significant changes in the structure of the liver, as well as in the circadian rhythmicity of micromorphometric parameters of hepatocytes, ALT, and total and direct bilirubin rhythms; however, the combined effects of ethanol and constant illumination had the most significant effect on the studied parameters of the organism. These two factors caused disturbances in the circadian rhythms of the micromorphometric parameters of hepatocytes, disruption of the circadian rhythms of total protein, albumin, AST, ALT, and direct and total bilirubin, as well as disturbances in the expression and rhythmicity of the studied clock genes against a background of the development of an inflammatory process in the liver.
Aim. To reveal the patho- and morphogenesis of microvascular injury, cardiac and vascular changes in individuals with alcohol use disorder (AUD) and the role of cardiovascular pathology in the thanatogenesis of patients with chronic alcohol intoxication.Material and methods. The study was carried out using the data of 1118 autopsies of patients with AUD. We used histological, immunohistochemical, electron microscopic and biochemical methods, as well as morphometrics with statistical processing of the results.Results. Most patients with binge drinking developed alcoholic cardiomyopathy, cardiac hypertrophy, myocardial fatty degeneration, microvascular arteriolosclerosis and hyalinosis, diffuse focal sclerosis, as well as mitochondrial swelling and fragmentation of cristae in cardiomyocytes (CMC). The proportion of damaged CMC was 30,9±0,6%. Sclerosis affected 20,1±0,9% of the stroma. If alcohol was abandoned or consumed within the basal metabolic rate, these changes were reversible. With alcoholism, alcoholic cardiomyopathy, arteriosclerosis and arteriolosclerosis progressed. Compared with the binge drinking, the proportion of damaged CMC (44,8±1,1%) and the cardiosclerosis area (28,1±0,5%) significantly increased. Mallory bodies with autoantigen properties were detected. Morphological changes became irreversible.Conclusion. The data obtained identified the need for AUD isolation as an independent nosological entity with stage-by-stage pathogenesis. In the stage of binge drinking, the compensatory and adaptive capabilities of the body are preserved. With appropriate treatment, this stage of AUD is treatable. In the stage of alcoholism, changes in organs and tissues are irreversible, and it is more advisable for addiction medicine physicians to deal with palliative treatment of such patients.
The effect of chronic alcohol intoxication on the daily rhythm of micromorphometric parameters characterizing the morphological and functional state of the liver is studied on 80 male Wistar rats of 6 months age, divided into 2 equal groups. The first group served as control; rats of the second group (experiment) were kept under similar conditions but got as a drink a 15% ethanol solution ad libitum instead of water. After three weeks of the experiment, animals were euthanized consistently at four-time points during the day. The pathomorphological study of the liver was carried out, the daily dynamics of the nucleus and cell (by area and nuclear-cytoplasmic ratio (NCR)), ploidy of mononuclear hepatocytes, and the proportion of binuclear hepatocytes were measured. The reliability of circadian rhythm (CR) was determined by cosinor analysis. The study indicates complex changes in the organization of rhythmostasis in the experiment. The chrono-destructive effect of experimental alcohol intoxication on the CR of the cell and NCR, as well as the chronomodulating effect to the CR of the nucleus are established. The effect of ethanol on the CR of ploidy and the number of binuclear hepatocytes, as well as on the nature of their variation at the studied time points is established. An increase in the ploidy of hepatocytes and an in the number of binuclear cells is revealed, which indicates the beginning of the deployment of adaptive-compensatory reactions in the organ.
The aim of the research was to study the effect of chronic alcohol intoxication and constant il-lumination on the circadian rhythms (CR) of some parameters of the cardiovascular system in rats separately, as well as to study the rhythms of these parameters under the combined action of chronic alcohol intoxication (CAI) and constant illumination. It was found that chronic alcohol intoxication CAI at a fixed light regime causes a decrease in heart rate, an increase in SBP and PP; no changes were noted at CAI under constant lighting. At the same time, constant illumina-tion without ethanol exposure results in a decrease in heart rate and an increase in PP. At the same time, CAI with a fixed light regime leads to the destruction of CR of all parameters, except for MBP; at constant illumination with CAI no circadian rhythms of HR, DBP, PP and MBP are detected. Constant illumination leads to the destruction of the CR of PP. Among the remaining CRs, the heart rate rhythm, which is extant in the second group, persists practically unchanged, but the characteristics of all other CRs change significantly in comparison with control.
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