Vol 22, No 7 (2015)

During 2010-2012, there were analyzed daily data about ambulance call-outs in Novosibirsk made by 2 132 440 patients. There has been calculated frequency of call-outs concerning a hypertensive crisis, myocardial infarction, acute cerebrovascular accidents per day per 1000 inhabitants, a correlation dependence of the frequency of ambulance call-outs to patients with the listed cardiovascular diseases on the main changing meteorological factors has been determined. It has been shown that in Western Siberia (Novosibirsk) conditions, the number of ambulance call-outs to patients with hypertensive crisis and vascular catastrophes had seasonal dynamics and increased to the maximum in winter and spring. This increase in hypertension exacerbations in those seasons of the year was largely due to the sharp drop in temperature combined with differences in atmospheric pressure. The detected regularity allows to attribute these meteorological phenomena to the risk factors of arterial hypertension progression. There is stressed the need for mandatory development of modern technologies of mass prevention of arterial hypertension progression using psycho-physiological non-drug and pharmacological methods of action on the basis of long-term medical meteorological and geophysical forecasts.

TA cross-sectional anthropometric study of 660 girls aged 7 to 17 years, residents of the City of Barnaul and the Altai Krai countryside, has been conducted. There have been detected differences of the girls' physical status depending on their residence in the urban or rural areas of the Altai Krai. The differences were represented by the greater body length (166.8 ± 6.28 cm in the city and 164.8 ± 5.36 cm in the village) and leg length (88.2 ± 6.06 cm in the city and 84.1 ± 4.21 cm in the village) of the townsgirls. The girls from the city had a significantly greater body and leg length throughout the period of the study. The longer lower limbs in relation to the torso and, correspondently, the lower values of the trochanter index were a result of the increasing rate of the prepubertal growth of the girls - residents of the city. A somatotypological analysis has revealed predominance of the normosthenic somatotype among the examined girls. In the city 50% of the girls had the asthenic somatotype, 41 % - the normosthenic somatotype, 9 % - the hypersthenic somatotype. 81 % of the rural girls had the normosthenic somatotype, 8 % - the hypersthenic somatotype, 11 % - the asthenic somatotype. The representation of the persons with the andromorphic somatotype decreased with the trochanter index increase.

Age features of autonomic nervous regulation of cardiac activity in 426 healthy adolescents aged 14-17 years living in areas of different latitudes, climatic and ecological conditions of the European North - in the Subpolar (64°30' N) and Polar (67°40' N) areas have been detected. Assessment of the cardiovascular system status was carried out with the use of the heart rate variability (HRV) and blood pressure (BP) parameters. The share of persons with borderline hypertension (BP level exceeded the limit of 90 percentile) also increased with age and reached 63% by the age of 17 years. Among the adolescents living in the Polar region according to the HRV and blood pressure indices, there was registered a significant increase in the proportion of persons with a predominance of sympathetic influences on the heart activity. The greatest adrenergic effects on the cardiovascular system were found in the 15-year-old adolescents of the Polar region, they had higher indices of systolic blood pressure, the heart rate and the regulatory systems stress index, as well as lower total HRV spectrum power in comparison with the 15-year-olds adolescents living in the Subpolar region.

An ankle fracture is one of the most common human injuries. According to long-term monitoring of a number of authors, ankle fractures make up 40-50 % of all lower leg fractures. They are accompanied by damages of the joint capsule, articular cartilage, ligaments, anterior and posterior parts of the tibia, hemarthrosis. Therefore, treatment and rehabilitation require a special approach to the choice of therapy methods, control of restorative treatment quality and assessment of recovery of the locomotor function of the ankle joint. Rehabilitation of patients after ankle fractures consists of full restoration of support and movement. To implement that, there is applied physiotherapy and hydrotherapy, massage, exercise therapy, and to control restoration - a number of functional tests and auxiliary study methods. The authors have followed restoration of statics in dynamics after surgical treatment of open fractures of the ankle with the use of the computer optical topography. The method was first applied to study recovery of spinal deformity, but an indication for it can be a fracture of the lower extremity in which a load varies sharply, causing curvature of the spine and the pelvic misalignment. The method is simple, economical, has no adverse effects on patient health and the environment.

In this cross-sectional study we assessed the associations between the amplitude and the velocity of the potential and the volume of subcutaneous fat tissue in order to answer the question on whether the results of electroneuromyography should be adjusted for the volume of subcutaneous fat tissue in analytical studies. The sample consisted of 570 individuals who were covered by the seriveces of the policlinic of the International Kazakh-Turkish University, Turkestan, Kazakhstan. Peripheral neuropathy was assessed using a modified Neuropathy Disability Score (NDSm). The volume of the subcutaneous fat tissue was calculated using the formula proposed by Bonora (1995). Associations between the volume of subcutaneous fat tissue and the indices of the electroneuromyography were assessed using multivariable linear regression analyses. Amplitude and velocity of the potential were separately used as dependent variables. Crude and adjusted regression coefficients were calculated with 95 % confidence intervals (CI). Analyses were performed separately for participants with and without other symptoms of peripheral neuropathy. The prevalence of peripheral neuropathy in the sample was 11.4 (95 % CI: 9.1; 14.3) %. We observed inverse and statistically significant associations between the volume of subcutaneous fat tissue and the amplitude of the potential in n. peroneus, n. tibialis and n. suralis among the individuals with and without other signs of peripheral neuropathy. However, we did not observe independent associations between the velocity of the electric wave and the volume of subcutaneous fat tissue. The results of our study demonstrate the need in additional adjustment for the volume of subcutaneous fat tissue in studies in studies with the use of electroneuromyography for example is studies on neuropathy among patients with Type II diabetes mellitus or metabolic syndrome to control for the confounding effect of the former.