Наукові праці. Кафедра клінічної анатомії та оперативної хірургії

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    Human body weight. anthropometric estimate at the stages of postnatal ont genesis: fatty component
    (2016-05) Shklyar, Anton; Barchan, Ganna; Khomchenko, M.; Pchelnikova, O.; Omarova, O.
    On the basis of direct anthropometry identified patterns forming of fatty components of body weight on postnatal stages of ontogenesis, which show different frequency disharmony of body weight due to fat component, especially in terms of comparative ontogenesis of sex groups. When a result, the development of anthropometric data collected and the direction of the classical methodology of anthropometry, in particular innovation based techniques, provided the definition ontohentic-disharmonious figure at the expense of fatty component by body weight. Estimation of ontogenetic disharmony of fat component of body weight related to anatomy, topographic anatomy and other clinical disciplines and can be used to stocktaking for the peculiarities figure when evaluating a component part of its mass.
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    Human body weight. Anthropometric estimate at the stages of postnatal ontogenesis: osseous component
    (Баку, 2016-05) Shklyar, Anton; Barchan, Ganna; Khomchenko, M.; Pchelnikova, O.; Omarova, O.
    On he basis of the direct anthropometry the regularities of body weigh osseous component formation were detected at the stages of postnatal ontogenesis, which became apparent by different frequency of disharmony of body weigh osseous component due to osseous component, first and foremost, among individuals of female sex. Judging by the example and the results of generic implementation of accumulated anthropometric data, the development of traditional methodology of anthropometry, and the substantiated innovative methodology, in particular, it is possible to ensure determination of ontogenetically disharmonic body build due to body weigh osseous component , taking into account the ontogenetic features. Estimation of ontogenetic disharmony of body weigh osseous component is related to anatomy, topographic anatomy, multiple clinical disciplines and may be used while considering the ontogenetic features of the body build in estimation of component analysis of its weight. The findings explain the age-sex differences in the frequency of dysfunctions formation, prenosological and nosologically explained pathological state as manifestations of general process of growth and development in postnatal ontogenesis.
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    Estimation methods and rate of ontogenetically disharmonic bone component of human body mass in various age and gender groups
    (2015) Shklar, Anton; Cherkashina, Lidiya
    On the basis of direct anthropometry the regularities of formation of human body mass bone component at the stages of postnatal ontogenesis, which become apparent by different rate of body mass disharmony due to bone component. The development of traditional methodology of anthropometry, valid advanced methodology, in particular, provides with estimation of ontogenetically disharmonic body build due to body mass bone, taking into account the ontogenetic and gender peculiarities. The findings can explain the age and gender differences as for the rate of initiation of functional disorders, prenosological, as well as nosologically defined pathological conditions as manifestations of general process of growth and development in postnatal ontogenesis.
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    Estimation methods and rate of ontogenetically disharmonic fat component of human body mass in various age and gender groups
    (2015) Shklyar, Anton; Sazonova, Olga; Barchan, Ganna; Cherkashina, Lidiya; Babiy, Lesya
    The research has been carried out within the comprehensive program of obtaining, accumulation and analysis of results using the common conventional and novel techniques. Material of research was the results of direct anthropometry of about 1300 people divided on the basis of the ontogenetic period. Anthropometric research is executed proceeding from V. V. Bunak's chart and meant definition of the general (growth, weight, body surface area), the partial sizes of a human body (longitudinal, volumetric, cross, sagittal) and a skin fat fold thickness. The saved-up results made the reference database which results of development became a basis of the statistical analysis which fragment is given in this article, as well as number of the advanced development. In anthropometry, using the caliper on the back of the shoulder (d1, mm.) measurements were performed at lowered hand in the upper third of the arm triceps, close to its inner edge (the result is recorded on the vertical axis), under shoulder-blade (d2, mm., measurements are performed under the lower angle of the scapula, in an oblique direction: from top to bottom, inside out ) and the side (d3, mm. fold, that measured above the iliac crest (the result is recorded on the vertical axis), on the front surface of the shoulder (d4, mm. it measured in the upper third of the inner surface of the upper arm biceps , in vertical direction). Mean thickness of fatty folds index was calculated using the formula: F1=1,14-0,06xlog2(d1+d2+d3+d4), and general thickness: F2=d1+d2+d3 and determine the absolute amount of fat component (M^) with formula M,A=100x(G5/F.-G,). Further, the evaluation performed by BMFC endomorphic index (MFB ), which is defined by the formula M)KT=G2+G3xF2-G4xF22+G5xF23, considering age and sexual coefficients (G0-G5) and variability (SD) of an endomorphic indicator (MFB±SDFB) and absolute amount of fatty tissue (MFA±SDFA). Results and their discussion. Using the accumulated database, programmed in Excel for each of the patients, the basis of the data of direct anthropometry calculated: index of absolute fat mass (MFA) and endomorphic index (MFB), which allowed determining ontogenetic harmonious relation of fat mass components body, defined relative and absolute frequencies of this phenomenon. Analysis of these data revealed that the frequency of ontogenetic disharmony of fat component of body mass analyzed by ontogenetic periods ranged from 11,0±1,6 % to 30,0±3,0 %, averaging over all persons at 15,4±1,0 %. Among males the lowest frequency of disharmony body weight on his fat component found in the second period of childhood - is 8,4±1,8%, and the highest - 33,3±4,4 % in the first period of adulthood. Among females the highest frequency disharmony of body weight on his fat component found in the first period of adult age - 26,7±4,1 %, whereas in previous ontogenetic periods , this figure has been relatively stable and not significantly different, depending on age. Based on the data, elaborated analytical and numerical models (polynomials) frequency of ontogenetic disharmony of body weight due to fat component, which allows the application to objectify identified patterns and, if necessary, calculate the frequency of ontogenetic are caused chopped disharmony of body weight in fat component by gender (means of traveling power-substitution instead of X - the number you ontogenetic period). Conclusions. On the basis of direct anthropometry the regularities of formation of human body fat at the stages of postnatal ontogenesis have been revealed, which become apparent by different rate of body mass disharmony due to its fat component, especially in comparative aspect of gender groups' ontogenesis. The findings of generalized development of aggregated anthropometric data define the areas of development of traditional methodology of anthropometry, valid advanced methodology, in particular; provides with estimation of ontogenetically disharmonic body build due to body mass fat component. The assessment of ontogenetic disharmony of body mass fat component is assigned to anatomy, topographic anatomy, and other clinical disciplines and can be applied to consideration of peculiarities of body build while assessing the body composition. The findings can explain the age differences as for the rate of initiation of functional disorders, prenosological, as well as nosologically defined pathological conditions as manifestation of general process of growth and development in postnatal ontogenesis.
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    Disharmony of human body composition in gender groups of late childhood period.
    (2015) Шкляр, Антон Сергійович; Shklyar, A.; Sazonova, O.; Bilous, T.
    The research was aimed at comparative study of indices of human body build and composition in the ontogenetic period of late childhood. Materials and Methods. The research has been carried out according to the comprehensive program of obtaining, accumulation and analysis of the results, using the common conventional and novel approaches. Findings of the direct anthropometry, data of dynamometry and ultrasound bone densitometry of representative number of individuals, stratified according to characteristic of the ontogenetic period, age and gender served as the study material. Gender differences related to the rate of ontogenetically disharmonic BMMC are not found, though the rate of male individuals was somewhat higher the relevant index among female individuals 14,6±2,3% and 9,2±2,3%, respectively; ð>0,05). The rate of ontogenetically disharmonic BMFC in gender groups varied within 8,4±1,8% to 14,4±2,7%, constituting on the average of 11,0±1,6% of all examined people, indicating about reliably higher rate of disharmony by this body mass component among girls (ð<0,05). The concept of ontogenetic transitivity of osteopenic impairments in the process of growth and development in childhood assumed the physiological nature of reduction of bone mass in girls with its minimum at 11 years old, and, simultaneously, reduction of the rate of disharmonic variants of body mass by its bone component. Analysis of the factors of spatial-trabecular organization in girls, according to densitometry, showed that the BT density and bone mass is determined primarily by the membranous component of the bone, and the accumulation of bone mass in girls is a derivative of the process of accumulation of minerals mainly in membrane area of tubular bones. At the same time, reduction of the somatometric gradient of density at the age of 11 indicates in favor of relative reduction of mineralization of proper bone tissue. The rate of ontogenetically disharmonic BMBC is reliably (ð<0,001) higher among male individuals. In the late childhood period the rate of ontogenetically disharmonic BMBC in female individuals accounted for 8,0±2,1%, whereas it was reliably and significantly higher (2 times) among male (17,3±2,5%). Conclusions. On the basis of direct anthropometry the regularities of formation of body mass composition in the period of late childhood have been established, which become apparent by different rate of disharmonic types, especially in comparative aspect of gender groups’ ontogenesis. The findings of generalized development of aggregated anthropometric data define the areas of development of traditional methodology of anthropometry, valid advanced techniques, in particular; provides with estimation of ontogenetically disharmonic body build due to body mass components with specification of its bone component. The assessment of ontogenetic disharmony of body mass bone, muscle and fat components, related to some morphofunctional indices has revealed correlation relationships. The findings can explain the age differences related to the rate of initiation of functional disorders, prenosological, as well as nosologically defined pathological conditions as manifestation of general process of growth and development in postnatal ontogenesis, defining the research guidelines in the field of clinical and human topographic anatomy.
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    Comparative anthropometric analysis of body dimensions in girls with autonomic dysfunction
    (2014) Sazonova, Olga; Сазонова, Ольга Николаевна; Сазонова, Ольга Миколаївна; Shklyar, Anton; Шкляр, Антон Сергеевич; Шкляр, Антон Сергійович