[Retrospective analysis of short-term and mid-term results of percutaneous endovascular repair in patients with abdominal aortic aneurysm]. / Retrospektívna analýza krátkodobých a strednodobých výsledkov perkutánnej endovaskulárnej liecby pacientov s aneuryzmou abdominálnej aorty.

INTRODUCTION: Endovascular abdominal aortic aneurysm repair (EVAR) is a modern and, compared to conventional open surgery, less invasive therapeutic strategy with short-term lower morbidity and mortality. The aim of our retrospective analysis was the assessment of safety, technical success, short-term and mid-term results of elective patients scheduled for total percutaneous EVAR implantation (PEVAR). MATERIAL AND METHODS: One hundred and sixteen consecutive patients (M:F 104:12, age 71±9 years, maximum AAA diameter 60±14mm) underwent elective PEVAR between January 2009 and August 2012. All the patients were treated under local anaesthesia by total percutaneous approach via femoral access. The immediate technical success of stentgraft implantation as well as the presence of 30-day and 1-year complications and the need of reintervention rate were assessed. RESULTS: In 115/116 patients (99.1%),immediate technical success of the procedure was recorded, with no need of conversion to open surgery; in 1 patient (0.9%) the performance technically failed due to unfavourable arterial anatomy. The mortality in 30-day follow-up was 2.6% (3 patients), during 1-year follow-up it amounted to 8.6% (10 patients), without causal relationship with stentgraft implantation. Overall event-free survival was 85% (98/116) without serious complications (mortality, MI, stroke, reintervention, severe ischemic complication) in the one-year follow-up period. CONCLUSION: Endovascular AAA repair is a safe and feasible method with low mortality and acceptable complication rate in patients scheduled for EVAR implantation. Percutaneous approach allows for the extension of indications also for the highest-risk group of polymorbid patients. Technical feasibility and adequate periprocedural management are essential for further reduction in adverse events after PEVAR.

[Thymectomy at the 2nd Surgical Clinic of the Comenius University Medical School Hospital]. / Tymektómia na II. chirurgickej klinike LF UKo a dnes.

Based on comparison of two groups of thymectomies (46 in 1955-1975 and 158 in 1990-1998) the authors found a marked improvement of the results of thymectomy. During the former period thymectomies had a severe postoperative course with a high lethality and low percentage of remissions. Due to the introduction of immunosuppressive treatment the lethality of thymectomies declined to almost zero and clinical and pharmacological remission resp. was recorded in 70% patients.

[Local complications worsening the results of surgical treatment of colorectal carcinoma in older patients]. / Lokálne komplikácie zhorsujúce výsledky chirurgickej liecby kolorektálneho karcinómu pacientov v pokrocilom veku.

The authors compare the results of surgical treatment for colorectal carcinoma in 150 patients aged over 69 years, seen over the years 1979-1988, who had developed local complications requiring urgent surgery. Of gerontologic patients with colorectal carcinoma these represented 24.6%. The cause of the complications was late diagnosis mostly due to the patient's neglect who failed to appreciate an even evident symptomatology. These serious complications of colorectal carcinoma did not present an inoperable condition and in 34% the tumor could be radically removed. The advanced age of the patients along with the necessity of urgent surgery are the major risk factors responsible for the high mortality rate compared to patients who underwent elective surgery.

[Significance of the "life satisfaction" concept for gerontology]. / Zur Bedeutung des Konstruktes "Lebenszufriedenheit" für die Gerontologie.

Issuing from perceptions of the occupational psychology and -sociology about the ambiguity of the category "satisfaction" the author derives the demand for more subtle recording of "satisfactions". The ideological background of growth in importance of the category of "satisfaction" in the bourgeois social gerontology research is referred to the same way as the statement that "satisfaction" no is an absolute (primary) goal of gerontological efforts.

[The social function of the hospital]. / Zur sozialen Funktion des Krankenhauses.

Issuing from the statements to the change of the social institution hospital in the course of history the experiment is undertaken to outline the social function of the hospital on the conditions of the developed socialist society.

[Employment and aging--a contribution from the viewpoint of social gerontology]. / Arbeitstätigkeit und Altern--ein Beitrag aus der Sicht der Sozialen Gerontologie.

Issuing from shift work specific respectively occupation specific characteristics of mortality and morbidity the author refer to a possible context between lifetime occupational activity and special forms of aging. It is out the examination of the postulated context within the bounds of gerontological study of Halberstadt.

[Determination of biologic aging within the scope of the Halberstadt Gerontologic Study. 4. Some theoretical and methodologic considerations on the future development of assessment tests]. / Zur Bestimmung des biologischen Alters im Rahmen der Halberstädter gerontologischen Studie. 4. Mitteilung: Einige theoretische und methodische Uberlegungen zur künftigen Gestaltung der Messbatterie.

With regard to the test-set developed by RIES and co-workers for the purpose of determination of the biological age the authors again refer to the necessity of a corresponding catalogue of methods with a view to the measurement of work capacity and of health condition at the age. Theoretic problems concerning the examination of functional parameters are discussed. Proposals to a theory-related continued development of work capacity and of health condition are presented, especially to master common problems of daily life at the age.

[Determination of biologic aging within the scope of the Halberstadt gerontologic study. 1. Preliminary remarks, on Partial Index I (prevailing physical area]. / Zur Bestimmung des biologischen Alters im Rahmen der Halberstädter gerontologischen Studie. 1. Mitteilung: Vorbemerkungen, zum Teilindex I (prävalierend physischer Bereich).

Within the bounds of the Halberstadt study it is undertaken, to register the health condition and the work capacity of elderly people. To this purpose the Leipzig test set for the determination of biological age examination and its applicability is discussed. The experience shows, that this test set with the discussed task specific modifications can be applied. Character and extent of the necessary modifications, which result for the partial index I (prevalent physical range) are presented in this first information.

[Determination of biologic aging within the scope of the Halberstadt gerontologic study. 3. Partial Index III (prevailing social area)]. / Zur Bestimmung des biologischen Alters im Rahmen der Halberstädter gerontologischen Studie. 3. Mitteilung: Teilindex III (prävalierend sozialer Bereich).

In the third information on the application of the Leipzig test set for the determination of biological age within the bounds of the Halberstadt study the partial index III (prevalent social range) is submitted to critical consideration. The Leningrad Assessment Scale is compared with the Halberstadt questionnaire programme.