Annotation. The aim of the study is to find the possibility of predicting abnormal uterine bleeding depending on the constitutional features of the body structure at the outpatient level. 288 young girls were examined. The main group included 58 girls with abnormal uterine bleeding, the comparison group included 230 practically healthy girls of the same age. The constitutional affiliation of the girls was established according to the constitutional typology of W. Sheldon, considered the most reasonable and statistically confirmed. General clinical, anthropometric, somatotypological and statistical research methods were used. We considered only those parameters that can be measured by any general practitioner, namely: body mass index, and body surface area, chest circumference, interspinous, intercristal, intertrochanteric distances, the external conjugate. Analysis of the data obtained was carried out using the program “STATISTICA 5.5” using non-parametric methods for evaluating the results. It is established that the occurrence of abnormal uterine bleeding in girls adolescence in the vast majority of cases is related to their constitutional peculiarities of the body structure and most often this nosology occurs in girls of ectomorphic somatotype (46.60 %), and least often in girls of ecto-mesomorphic somatotype (22.40 %).
Annotation. The harmony of body proportions is one of the criteria for evaluating the development and state of health. The constitutional features of the physique become apparent from the early stages of child development: it has become especially evident in puberty life. The tendency to a particular body type is determined by heredity of the child, but seen and fixed it under the influence of environmental factors. As they grow older, the body's constitutional characteristics are fixed and occur in a relatively stable variations of the normative development of the body, called body types. To some extent, the type of Constitution of the child can be determined in 7-8 years and quite accurately – from 11-12 years old. It was found that the study of anthropo-somatic-typological indicators allows to refine diagnostic criteria in the study of menstrual function, which allows more precisely to approach the issue of early detection of risk groups and thus facilitate the prediction of diseases of the internal genital organs. The aim of the study was to predict the development of abnormal uterine bleeding in girls of puberty age of different somatotypes by studying the laws of anthropo-somatotropic parameters of the body. We used anthropometric, somatotyping and statistical methods of research. Surveyed 288 girls of youthful age. The first group consists of 58 girls from AMK, control group of 230 healthy girls of the same age. Nits on the base of National Pirogov Memorial Medical University, Vinnytsya, we carried out a complete clinical and instrumental examination. Morphotype girls was determined by the method of clinical anthropometry for Sheldon. Obtained data were analyzed using the program “STATISTICA 5.5” (owned by CNIT National Pirogov Memorial Medical University, Vinnytsya, license №AXXR910A374605FA) using nonparametric methods of estimation of the obtained results. We have studied the peculiarities of anthropo-somatotropic parameters in adolescents with abnormal uterine bleeding to predict this nosology and preservation of reproductive health of women in the future. It was found that ectomorphic somatotype is present in 46.60% of girls with AMC, mesomorphic – in 31%, ectomosomorphic – in 22.40%, and endomorphic – in 0.0% (p<0.01).
Purpose:to evaluate the diagnostic significance of magnetic resonance imaging in the differential diagnosis of ischemic heart damage and non-coronary myocardial diseases.Materials and methods:a retrospective analysis of medical documentation of 60 patients of cardiac departments of the Rostov Regional Clinical Hospital was conducted. Held a comparative analysis of the informativeness of the application of instrumental researchmethods (ECG, echocardiography, coronary angiography with leftventriculography and magnetic resonance imaging of the heart) among the patients with myocardial damage of different origins.Results:in patients with IHD, postinfarction cardiosclerosis, in most cases, the results of instrumental studies were diagnosed as having a diagnostic relationship. Conducted MRI of the heart was of decisive importance in the evaluation of the state of the myocardium after systemic thrombolysis or questionable ECG and EchoCG data and was also significant in the differential diagnosis of acute coronary syndrome and focal myocarditis. The results of MRI played an important role in determining the etiology of myocardial hypertrophy, in particular hypertrophic cardiomyopathy, and also helped in the case of differential diagnosis in the syndrome of cardiomegaly.Сonclusions:shown a high diagnostic value of magnetic resonance imaging with the use of contrast agents in the differential diagnosis of ischemic and noncoronary myocardial diseases.
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