


Vol 53, No 4 (2019)
- Year: 2019
- Articles: 16
- URL: https://journal-vniispk.ru/0006-3398/issue/view/14674
Theory and Design
A Device for the Rehabilitation Therapy of Patients with Motor Pathology Using Mechanotherapy, Transcutaneous Electrical Stimulation of the Spinal Cord, and Biological Feedback
Abstract
A device − Biokin − for the rehabilitation of patients with neurological motor impairments was developed, with the capacity to provide mechanotherapy in combination with transcutaneous electrical stimulation of the spinal cord and biological feedback. The Biokin device includes a mechanical unit for moving the patient’s lower limbs, a Biostim-5 five-channel stimulator for transcutaneous spinal electrical stimulation, a biological feedback unit, and a control and switching unit; the system is controlled by computer. The device can be used in therapeutic, therapeutic-prophylactic, and scientific research facilities or at home.



Article
Modeling of Artificial Purification Processes in a Biotechnical System for Automated Peritoneal Dialysis with Regeneration
Abstract
The processes of mass transfer between the intra- and extracorporeal circuits of a biotechnical system for low- flux intracorporeal detoxification of the body based on permanent extracorporeal regeneration of the peritoneal dialysis fluid were analyzed. A mathematical description of these processes was suggested.



Production of Xenogenic Bone Powder for Implants Using Supercritical Fluid Extraction
Abstract
A technology for production of an osteoplastic material (xenogenic bone powder) for implants was developed and brought into use. Implants made of this material can be used in dentistry, periodentistry, maxillofacial surgery, and other branches of medicine. A distinctive feature of the suggested technology is that it uses supercritical fluid extraction for deep defatting and purification of the material. The obtained material was tested for cytotoxicity using and in vitro model. The level of the material's cytotoxicity was reliably shown to be sufficiently low to make it applicable for medical implantation purposes.



A Study of the Biocompatibility of Carbon Nanotube-Based Nanocomposite Structures Implanted into Muscle Tissue
Abstract
A protein dispersion of carbon nanotubes and the nanocomposite structures obtained by laser irradiation of this dispersion were shown to be biocompatible and long-lived. The dispersion and the nanocomposite structures were implanted in laboratory birds, and the histologic pattern at the site of implantation was studied. It was shown that in 35 days after implantation a connective tissue capsule was formed, and tissue strands grew into the liquid and solid implanted materials. In 90 days after implantation, continuation of this process led to bioresorption of the materials, mainly as a solid structure. A normal local inflammatory response was observed. It manifested itself as an accumulation of white blood cells, mainly of the lymphoid series, and in the formation of muscle fibers at the implantation site. Gradual resorption of the nanomaterials was observed against the background of a chronic inflammation, in the absence of changes in the health status of the laboratory birds.



Regeneration of Articular Cartilage in Experimental Osteoarthrosis after Injection of a Complex Polyacrylamide-Hyaluronic Gel
Abstract
The regenerative capacity of articular cartilage was assessed after injection of Matricin polyacrylamide-hyaluronic gel into the knee joints of nine rabbits with a model of osteoarthrosis. Matricin decreased dystrophic and destructive changes in articular cartilage previously induced by exposure to papain solution and produced a significant increase in the regenerative capacity of the damaged hyaline cartilage.



A Method for Electrocardiographic Investigations in Experiments Creating Artificial Ischemia in Experimental Animals
Abstract
This report presents approaches to the development of methods for experiments creating artificial ischemia in experimental animals and specific methods for detecting, recording and storing electrocardiosignals (ECS) obtained by ultra-high-resolution electrocardiography (UHR ECG). Examples of ECG data recorded in experiments using experimental rats are also presented.



Automated Analysis of the Pigment Network in Dermatoscopic Images of Melanocytic Skin Tumors
Abstract
A method for recognition of the pigment network lines in dermatoscopic images of skin tumors is presented. The method provides calculation of characteristics of the pigment network lines and imaging of the obtained results. Experimental assessment of the effectiveness of the proposed method showed it to be promising for use in melanoma recognition systems.



An Interferometric Device for Detecting Subgingival Caries
Abstract
We report here studies confirming confirming the potential and relevance of the use of an interferometric device with a temporal coherence-limited radiation source for measurements in therapeutic dentistry. In vivo experimental studies of early subgingival caries in the maxillary and mandibular arches in the left- and right-sided canines were carried out. The distribution of the coefficient of reflection R over the depth of the gingiva with and without early caries was investigated. Experimental results were obtained on the detection of caries in the initial stages with an error of 2.1 μm. A scheme for the interferometric device is presented and the technical characteristics are given: measurement error, 2.1 μm; range of measurement of analysis depth, 0-4 mm; measurement frequency, 46 Hz; mean distance from the microlens to the object, 120 mm.



X-Ray Sensitometric Characteristics of Systems for General Radiography with Automatic Film Processing Using Various Chemicals
Abstract
The ISO method was used to study the X-ray sensitometric characteristics of blue and green screen/film systems for general radiography, including blue-sensitive and orthochromatic films most widely used in Russia. Speed, average gradient, and minimum and maximum density values were compared for films automatically processed using chemicals from three manufacturers.



Simple Equipment for Effective Utilization of a Proton Accelerator for Medical Purposes
Abstract
We propose the use of a proton beam from any type of accelerator and a complex system for transporting the beam into three procedure rooms not containing gantries with the aim of decreasing the cost and dimensions of large-scale radiotherapy centers and improving their quality. Each procedure room has facilities to select the direction of irradiation over a quite wide range, with active distribution of the dose into the target volume and use of a mobile tomograph at the site of irradiation.



Techniques for the Morphological Analysis of the Pulse Wave
Abstract
A new technique for contour analysis of the pulse wave signal is proposed. It is based on spectral analysis of a sequence of replicated pulse waveforms. Comparative analysis of the sensitivity and specificity of the proposed indices was carried out in a sample of 45 volunteers of different ages and states of arterial health. It was found that the proposed spectral index has higher sensitivity (89%) and specificity (86%) compared to the time-domain indices.



Assessment of the Effects of Deformation of the Fibrous Ring of the Aortic Valve on the Hydrodynamic Characteristics of Transcatheter Prostheses In Vitro
Abstract
Questions of the occurrence of transprosthesis regurgitation after transcathether prosthetization of the aortic valve are discussed. We present results from hydrodynamic tests of prototype transcatheter aortic valve prostheses with different methods of attachment of the valve leaflets in conditions of deformation of the fibrous ring. Prototype prostheses with attachment of the leaflets of the valve apparatus above the seating zone of the frame of the prosthesis demonstrated optimal hydrodynamic characteristics.



A Two-Channel Optical Circuit for the Delivery of Incoherent Radiation into the Illumination Channel of a Medical Endoscope
Abstract
An optical circuit for delivering lamp radiation to the light guide of the illumination channel of a medical endoscope was developed. The proposed optical circuit splits the lamp light flux into two parts using systems consisting of a spherical mirror and a lens located opposite each other symmetrically with respect to the lamp. Next, the light fluxes are introduced through focusing cones into intermediate light guides and merged. The resulting light flux is then introduced into the light guide of the illumination channel of a medical endoscope. According to the estimates, the proposed optical system provides delivery of ~25% of xenon-lamp radiation into the light guide of the endoscope’s illumination channel.



Analysis of Hemodynamic Parameters under Conditions of Active Kinesiotherapy Using a Robotic System
Abstract
The article considers changes in the basic hemodynamic parameters in patients undergoing active kinesiotherapy using the ExoLiteMS robotic rehabilitation system. Standard clinical methods of functional evaluation were used to assess the changes in the hemodynamics in patients at rest and under physical load.



Microwave Radiometry of the Pelvic Organs
Abstract
The problems of designing a microwave radiometer for thermal monitoring of pelvic organs were considered. Based on mathematical modeling, a waveguide antenna for intracavitary diagnostics was developed. The antenna was tested in various phantoms and biological tissues. The obtained results can be used in various fields of medicine and robotics.



Means of Increasing the Efficacy of Transcutaneous Electroneurostimulation of the Neuromuscular Apparatus
Abstract
We report here an analysis of programmable device solutions for the design of signal formers for transcutaneous electrical stimulation to generate signals of optimum shape, approaching the shape of action potentials in the node of Ranvier, and means of increasing the efficacy of their actions by biosynchronization with the patient’s cardiac rhythm.


