[Otic-submaxillary fistula in a 1.5-year-old child].
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Biomedical subjects
Publications and source records attributed to E A Tsvetkov.
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The ENT clinic of St-Petersburg Pediatric Medical Academy for 15 years admitted 126 children with respiratory papillomatosis 10 months to 15 years of age. 111 of them had laryngeal papillomatosis. The scheme of combined treatment was adjusted to interferon status of the patients. Replacement therapy with recombinant interferon--viferon--was applied in low production of alpha/beta-interferon but high serum interferon. In low serum interferon and intact interferon reserves the treatment was combined: interferon inductor--cycloferon plus viferon. In all the children the above treatment was given following surgical (microendoscopic) removal of laryngeal papillomas. The clinical course of laryngeal papillomatosis ran in accordance with changes of interferon status in the majority of cases.
The differential actions of 5-hydroxytryptamine (5-HT) (100 microM) were investigated on isolated motoneurons, interneurons, and primary sensory neurons from the lamprey spinal cord using patch-clamp techniques. Application of 5-HT did not evoke membrane currents in any of the spinal neurons tested (n = 62). However, in most motoneurons and interneurons (15 of 18), 5-HT produced a small depolarization (2-6 mV), which was not accompanied by a change in input resistance. In the remaining motoneurons and interneurons (3 of 18), 5-HT induced a large depolarization (up to 10-20 mV) and a decrease in input resistance of 20-60%. In most sensory neurons (dorsal sensory cells, DSCs), 5-HT evoked a short-lasting, low-amplitude depolarization, followed by a long-lasting hyperpolarization of 2-7 mV. The DSCs showed no significant change in input resistance to 5-HT application (n = 8). Spike afterpolarization were also differentially modulated by 5-HT. In motoneurons and interneurons, 5-HT decreased the amplitude of the afterhyperpolarization following the action potential while increasing the amplitude of the after depolarization. In the DSCs, no significant effect of 5-HT on spike afterpolarization was observed. 5-HT differentially modulated the current induced by application of N-methyl-D-aspartate (NMDA). In motoneurons and interneurons, 5-HT enhanced NMDA-evoked current, while in DSCs, 5-HT decreased this current. These results demonstrate that 5-HT differentially modulates the activity of functionally different groups of spinal neurons. In motoneurons and interneurons, 5-HT enhances excitation by inducing depolarization and decreasing the afterhyperpolatization, while NMDA currents are enhanced. These effects facilitate the appearance of rhythmic discharges in these cells in the presence of NMDA. In primary dorsal sensory cells, 5-HT enhances inhibition by hyperpolarizing the cells and depressing NMDA currents. These differential effects are presumably mediated by different types of 5-HT receptors on these classes of spinal neurons.
The 5-HT was shown to depolarize branch cells (supposedly motoneurones and interneurones) by 2-6 mV, inducing, however, no MP oscillations. In case the MP oscillations were present (induced by the NMDA, for instance), the 5-HT altered their parameters: increased the amplitude of all types of oscillations, frequency of irregular oscillations, and duration of the depolarising plateau with the AP discharges. This modulation of the induced oscillations may enhance activity of neuronal locomotor network and thus reinforce muscle contractions and increase the intensity of the animal's movements. Possible mechanisms of the receptor modulation, of the AP enhancement, and of the changes in locomotor rhythm parameters, are discussed.
Seven cases of congenital laryngeal cysts in newborns are analysed. The condition is proposed to be treated using an original endoscopic microsurgical technique designed by professor E.A. Tsvetkov. It enables early treatment with mobile laryngoscope.
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The article presents the authors' experiences with reconstructive-plastic operations of the esophagus in children. The esophagoplasty was performed in 60 patients with congenital and acquired diseases. Among the congenital diseases are esophageal atresia, short esophagus and Barrett's esophagus, the acquired diseases include postburn scarry injuries. The optimum method of creation of the artificial esophagus are described. Of great significance are thought to be angiosurgical and microsurgical methods of cutting out the intestinal transplants. Cases of free autotransplantation of the intestinal segments for the substitution of the injured esophagus are described. Positive results were obtained in most cases.
Histochemical method of cytochrome oxidase demonstration was used to study its distribution in frontal sections of tectum of the midbrain in cat in normal conditions and after unilateral enucleation. Basic layers of this formation were demonstrated in normal conditions similar to those revealed using classical histological methods. After unilateral enucleation rostral, middle and caudal parts of superior colliculus were stained differently. Contra- and ipsilateral surface layers in rostral and caudal parts were stained also with different intensity. Alteration of lightly and intensely stained patches appeared in middle part. Peculiarities of staining in cytochemical cytochrome oxidase demonstration in superior colliculus of tectum of the midbrain in enucleated animals are likely to reflect peculiarities of this structure afferentially by retinotectal, geniculotectal and geniculocortical fibres.
Endolaryngeal microsurgery was used for early diagnosis of laryngeal cancer and raising the efficacy of radiation therapy. Of 141 laryngeal cancer patients early stages were revealed in 115 (81.56%). Total and subtotal biopsy made it possible to reduce tumor volume and to create conditions for more effective radiation therapy. A primary curative effect was obtained in 88.17% of the patients. Endolaryngeal resection of stenosing tumors of III-IV stages was conductive to combined and palliative radiation therapy without performing tracheostomy.
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Patch-clamp studies were performed on the isolated dorsal sensory cells of the spinal cords of three species of lamprey, Ichthyomyzon unicuspis, Petromyzon marinus, and Lampetra fluviatilis, to measure changes in the amplitudes of calcium current induced by GABA and its specific antagonists and agonists. The experiments showed that GABA (4 mM) reduced the peak amplitude of the calcium current by 28.5 +/- 4.9%, with subsequent recovery to 96.2 +/- 9.2% of control (n = 45). The GABAB agonist baclofen had similar effects. The GABAA agonists glycine and taurine had no effect on the Ca2+ current. The inhibitory effect of GABA was blocked by 2-hydroxysaclofen (a GABAB antagonist), but persisted in the presence of bicuculline (a GABAA antagonist). These results are evidence that the membranes of dorsal sensory cells contain GABAB receptors, which significantly increases our understanding of the mechanisms of presynaptic inhibition in the spinal cords of the cyclostomata.
Dorsal sensory cells isolated from the spinal cord of the lamprey species Ichthyomyzon unicuspis and Lampetra fluviatilis were used for whole-cell patch-clamp studies of the effects of baclofen on calcium channel currents, evoked in conditions in which Na+, K+ currents were blocked, by depolarizing membranes from constant holding potentials of -100 or -80 mV to +30 mV. Ba ions were used as carriers of currents through calcium channels. These studies demonstrated that baclofen (0.5 mM) decreased the peak amplitude of the Ba2+ current by an average of 22.5 +/- 4.2% (n = 12) in dorsal sensory cells of the lamprey Ichthyomyzon unicuspis and by 28.4 +/- 3.3% in the dorsal sensory cells of Lampetra fluviatilis (n = 25). The conductivity of dorsal sensory cell membranes in the presence of baclofen (and GABA) did not change. The blocking action of baclofen persisted in the presence of bicuculline (100 microM) and was lifted by addition of delta-aminovaleric acid and 2-hydroxysaclofen to the perfusing solution. These results are interpreted as evidence for the presence of GABAB receptors in dorsal sensory cell membranes. The data were compared with published results, and the question of the functional significance of GABAB receptors in the dorsal sensory cells (primary afferent cells) of cyclostomata is discussed.
The experiments reported here showed that application of serotonin (5-hydroxytryptamine, 5-HT) (100 microM) did not induce any significant current through the membranes of any of the spinal neurons studied (n = 62). At the same time, the membranes of most motoneurons and interneurons (15 of 18) underwent slight depolarization (2-6 mV) in the presence of 5-HT, which was not accompanied by any change in the input resistance of the cells. Depolarization to 10-20 mV occurred in some cells (3 of 18) of these functional groups, this being accompanied by 20-60% decreases in input resistance. The same concentration of 5-HT induced transient low-amplitude depolarization of most sensory spinal neurons (dorsal sensory cells), this changing smoothly to long-term hyperpolarization by 2-7 mV. The input resistance of the cell membranes in these cases showed no significant change (n = 8). Data were obtained which provided a better understanding of the mechanism by which 5-HT modulates the activity of spinal neurons. Thus, 5-HT facilitates chemoreceptive currents induced by application of NMDA to motoneurons and interneurons, while the NMDA responses of dorsal sensory cells were decreased by 5-HT. 5-HT affected the post-spike afterresponses of neurons. 5-HT significantly decreased the amplitude of afterhyperpolarization arising at the end of the descending phase of action potentials in motoneurons and interneurons and increased the amplitude of afterdepolarization in these types of cells. In sensory spinal neurons, 5-HT had no great effect on post-spike afterresponses. The results obtained here support the suggestion that 5-HT significantly modulates the activity of spinal neurons of different functional types. 5-HT facilitates excitation induced by subthreshold depolarization in motoneurons and some interneurons, facilitating the generation of rhythmic discharges by decreasing afterhyperpolarization. In sensory cells, 5-HT enhances inhibition due to hyperpolarization, suppressing NMDA currents. The differences in the effects of 5-HT on functionally diverse neurons are presumed to be associated with the combination of different types of 5-HT receptors on the membranes of these types of spinal neurons.
Studies were performed on spinal neurons from lampreys isolated by an enzymatic/mechanical method using pronase. The effects of 100 microM serotonin (5-HT) on membrane potential oscillations induced by a variety of excitatory amino acids were studied. 5-HT was found to depolarize branched cells (presumptive motoneurons and interneurons) by 2-6 mV without inducing membrane potential oscillations. However, when oscillations were already present because of an excitatory amino acid, 5-HT changed the parameters of these oscillations, increasing the amplitudes of all types of oscillations, increasing the frequency of irregular oscillations, and increasing the duration of the depolarization plateaus accompanied by action potentials. Serotonin modulation of the effects of excitatory amino acids and the electrical activity of cells in the neural locomotor network facilitates motor activity and leads to increases in the contraction of truncal muscles and more intense movements by the animal. The possible mechanisms of receptor coactivation are discussed, along with increases in action potential frequency and changes in the parameters of the locomotor rhythm.
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