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1.
Urologiia ; (4): 72-80, 2018 Oct.
Artigo em Russo | MEDLINE | ID: mdl-30761793

RESUMO

The study aimed to characterize patients with newly diagnosed benign prostatic hyperplasia (BPH) and identify patterns that lead to late diagnosis of the disease. STUDY DESIGN: Simple open retrospective non-comparative study. MATERIAL AND METHODS: To determine the frequency of requests for medical care for BPH, the study analyzed medical records of 3544 patients who sought outpatient urological care at the municipal polyclinic # 26 in Novosibirsk in 2013. Outpatient medical cards of 165 patients with newly diagnosed BPH were analyzed. RESULTS: Among 3544 patients seen by the urologist of the polyclinic, 960 (27.1%) had BPH. Analysis of medical records of 165 men with newly diagnosed BPH showed that the disease was associated with age. The shortest duration of the disease (0.8+/-0.5 years) was noted in patients under 50 years old, the longest (4.7+/-2.1 years) in men over 70 years old. The smallest prostate volume was 32 ml, the largest 150 ml. The mean size of the gland naturally increased with age. The mean PSA level also naturally increased with age: from 1.1+/-0.8 ng/ml in individuals up to 50 years to 3.0+/-0.7 ng/ml in patients older than 70 years. The maximum IPSS was in the 61-70 year age group (16.7+/-5.9 points); the minimum IPSS was in the age group up to 50 years (9.5+/-3.6 points). The duration of the symptoms directly correlated with the prostate volume. At the prostate volume of 60 ml and more, symptom scores showed a 1.5 fold increase. In married patients, the mean IPSS was 13.8+/-5.4, while in single men it was 16.3+/-5.5 (p=0.008). CONCLUSION: Patients with BPH account for 27.1% of all patients seeking urological care at the polyclinic. In young men, symptom severity is lower than that in senior men. However, the elderly are more concerned about their symptoms, they have worse quality of life, and they seek medical attention earlier. Married patients are more likely to see a urologist with significantly less severe symptoms than single men.


Assuntos
Hiperplasia Prostática , Idoso , Humanos , Masculino , Pessoa de Meia-Idade , Antígeno Prostático Específico , Qualidade de Vida , Estudos Retrospectivos
2.
Kardiologiia ; 57(4): 5-9, 2017 04.
Artigo em Russo | MEDLINE | ID: mdl-28762899

RESUMO

PURPOSE: to elucidate predictors of cardiorespiratory complications during the early postoperative period after coronary artery bypass grafting (CABG) in patients with ischemic heart disease (IHD). MATERIAL AND METHODS: We examined 180 patients with IHD (mean age 59.3+/-1.23years). Prior to surgery we assessed their clinical and functional status including state of respiratory function. Predictors of complications were determined by univariate logistic regression analysis. RESULT AND CONCLUSIONS: Early postoperative complications in this group of patients were atrial fibrillation, prolonged mechanical ventilation, and cognitive disorders. Main predictors of these complications were preoperative abnormalities of respiratory function (presence of chronic obstructive pulmonary disease, decreased efficiency of pulmonary ventilation), and concomitant diseases such as type 2 diabetes and multifocal atherosclerosis.


Assuntos
Ponte de Artéria Coronária , Doença da Artéria Coronariana , Complicações Pós-Operatórias , Fibrilação Atrial , Ponte de Artéria Coronária/efeitos adversos , Doença da Artéria Coronariana/complicações , Doença da Artéria Coronariana/terapia , Diabetes Mellitus Tipo 2/complicações , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Período Pós-Operatório , Valor Preditivo dos Testes , Prognóstico , Doença Pulmonar Obstrutiva Crônica/complicações , Respiração Artificial
3.
Artigo em Russo | MEDLINE | ID: mdl-25723028

RESUMO

Brain studies by magnetic resonance imaging, angiography, and spectroscopy have been performed with rat strains Wistar, GC (genetic and catatonia), and PM+ (pendulum movements). Both GC and PM+ rats show similar deviations from the ancestral Wistar population in having smaller areas of the right striatum (coronal slice). The anterior horns of lateral ventricles in GC rats are smaller than in the control strain. The maximum blood flow velocity in the common carotid arteries of PM+ rats is greater. The GC and PM+ strains differ in myo-inositol level in the hippocampus. The PM+ strain is characterized by a lower taurine level in the hippocampus, which may be one of the participants regulated the predisposition to audiogenic seizures.


Assuntos
Catatonia/patologia , Cérebro/patologia , Corpo Estriado/patologia , Epilepsia Reflexa/patologia , Hipocampo/patologia , Angiografia , Animais , Velocidade do Fluxo Sanguíneo , Artéria Carótida Primitiva/patologia , Artéria Carótida Primitiva/fisiopatologia , Catatonia/metabolismo , Catatonia/fisiopatologia , Cérebro/metabolismo , Cérebro/fisiopatologia , Corpo Estriado/metabolismo , Corpo Estriado/fisiopatologia , Epilepsia Reflexa/metabolismo , Epilepsia Reflexa/fisiopatologia , Hipocampo/metabolismo , Hipocampo/fisiopatologia , Inositol/metabolismo , Imageamento por Ressonância Magnética , Masculino , Ratos , Ratos Endogâmicos , Ratos Wistar , Taurina/metabolismo
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