European Journal of Medicine. Series B

134-140

Authors: Tatiana Bilous, Vladymyr Bilous

Purpose: to study features of monitoring in the dynamics of the basic treatment of eosinophilic phenotype of asthma in school-age children. Materials and methods. Surveyed 88 school-age children with bronchial asthma. The first group included 45 patients who met eosinophilic phenotype (EFBA) and group II formed the 43 patients with evidence of neutrophilic phenotype (NFBA). Results and discussion. It should be noted that if the early inflammatory therapy destination exchange only 10.5% of the patients disease was defined as EFBA controlled and the finishing treatment increased the proportion of cases of controlled to 25.6% (Pφ>0,05) and in the second clinical group – at 22.3% of 50.0% patients, Pφ<0,05. Also marked anti-inflammatory effect in both groups in exhaled breath condensate and increase in the lability of the bronchi occurred in 39.1% of children with EFBA, and 60.0% of the representatives of the comparison group. Conclusions. Thus, in patients with signs of eosinophilic phenotype compared with children with neutrophilic airway inflammation markers hyperresponsiveness and inflammation of the bronchi more expressive as the lability of the respiratory tract. Under the influence of the basic anti-inflammatory treatment in patients with eosinophilic asthma phenotype is a reduction of inflammation of the bronchi, but not lability and hyperresponsiveness.

148-154

Authors: Nataliia Zaitseva

Integral indicator of bone quality is microhardness, which depends both on the condition of the inorganic component and the quality of the extracellular organic matrix. There are a lot of researches indicated microhardness changes around the metal implants, but it is not clear how it change distant from injured place. The aim of our research was to determine the microhardness of the femoral bone at different terms after the implantation of metal alloys with different composition. 65 rabbits were random in 5 groups – intact, control (bone defect) and 3 experimental. We used TiVT6 alloy with high elasticity module and β- (Ti-Zr) alloy with low Young module for the experimental groups. All alloys were implanted in distal epiphysis of femur. Bone microhardness was detected in periimplanted zone as well as in middle of diaphysis and proximal epiphysis. Injury of bone leads to a decrease in the hardness in the zone of the defec as well as in distal zones, followed by recovery up to 6 month. Use the classic high-modulus alloy TiVT6 leads to a significant decrease in the microhardness of all sections of bone in the early and late postoperative period. Implantation of low modulus alloy β (Ti-Zr) leads to a reduction of hardness just after 1 and 3 months after the injury, and the use of hydroxyapatite coating significantly reduces the loss of bone quality at all times after implantation.