Introduction. In recent years, there has been a growing global trend in the number of people with pathogens of sexually transmitted infections. There is a worldwide lack of data on the prevalence and incidence of sexually transmitted infections in the general population, especially among the high school students. Material and Methods. We conducted a cross sectional study on attitudes and knowledge of young people about sexually transmitted infections. The survey population included young people aged 14 to 20 years attending a high school in the city of Novi Sad. The data were collected through a questionnaire. Results. The percentage of students with signs and symptoms of sexually transmitted infections was higher among the students who did not use a condom during the last sexual intercourse compared to the students who used a condom. Conclusion. Young people engaging in risky sexual behavior showed better knowledge about sexually transmitted infections in comparison to young people who did not engage in risky sexual behavior.
The aim of the research. To reveal the clinical characteristics influencing to the achievement of target BP in patients with AH, observed in the polyclinic of the working village of the Saratov region. Material and methods. The data of outpatient cards of 182 patients with essential hypertension (mean age 64.6 ± 11.3 years, 48.5%-men) were studied, they asked for medical care in the polyclinic of the working village of the Saratov region in the period from 01.07.2015 to 31.07 .2015-the first stage (n = 88) and from 01.07.2016 to 31.07.2016-the second stage (n = 94). There were included all consecutive patients, visited a district doctor, general practitioner or cardiologist during one randomly chosen reception at the first and second stages. To identify the factors associated with achieving the target blood pressure, we used discriminant analysis. Results. In the study group (n = 182), BP corresponded to the target level in 93 patients with AH (51%). Patients with targeted BP were rarely females (53.8% vs. 69.7, p = 0.028), more likely to have a history of myocardial infarction (22.6% vs. 10.1%, p = 0.024), less likely to have other forms of stable ischemic heart disease (55.9% vs. 73%, p = 0.016), received fewer antihypertensive drugs: 1.63 ± 0.12 versus 1.98 ± 0.11 (p = 0.018). The constructed discriminant model had a high predictive value (OR 5.4 (95% CI 2.7-10.7), p <0.001) and took into account two most significant factors: previous myocardial infarction in the anamnesis (OR 2.6 (95% CI) 1,1-6,6), p = 0,032) and the number of prescribed antihypertensive drugs ≥ 2 (OW 0.4 (95% CI 0.2-0.7), p = 0.003). Conclusion. In patients, underwent myocardial infarction and received less than two antihypertensive drugs, the probability of achieving the target blood pressure is 5.4 times higher than in the absence of these factors.
Introduction In patients with multivessel coronary disease, the decision on revascularization should be made through a heart team. Whether there is an optimal method and what are the predictors of mortality and repeated interventions is the subject of numerous studies. Purpose To determine what are the predictors of 10-year mortality and repeated interventions in patients with multivessel coronary disease and reduced systolic left ventricular function in which complete revascularization is done through percutaneous coronary intervention (PCI) and surgical aortocoronary bypass (CABG). Methods The survey included 178 patients who underwent elective revascularization of multivessel coronary disease in one center during 2008 through PCI or bypass, according to the heart team's decision. All subjects had a reduced left ventricular systolic function, ejection fraction less than 50%. The study excluded patients with acute coronary syndrome. The basic demographic and clinical characteristics of the subjects and risk factors were analyzed. Results Ten-year mortality was 31.4%, without a significant difference between the examined groups (in the PCI group 25 patients (30.5%) in the bypass group 30 (32.3%), p>0.05). In subjects with letal outcome during 10-year follow-up, lower hemoglobin levels in discharge, enlarged cardiac cavities, increased internal diameter of left ventricle in systole (LVIDs) and enlarged left atrium, lower systolic left ventricular function, higher EUROscore and higher NYHA class in discharge. The enlarged left ventricular diameter in systole (OR 2.28 (1.27–4.11), p=0.006) and the NYHA class (OR 2.49 (1.22–5.08), p=0.012) are independent predictors ten-year mortality. In the group of patients undergoing surgical revascularization, independent predictors of 10-year mortality are higher levels of uric acid (OR 1,006 (1,000–1,011), P=0,047) and lower serum hemoglobin at discharge (OR 0,959 (0,919–0,999), P=0.046), while in PCI group LVIDs (OR 2.89 (1.351–6.196), p=0.006). During the 10-year follow-up, repeated PCI was performed in 12 (14.5%) patients in the PCI group and in 3 (3.2%) patients in the CABG group, p=0.012. No surgical revascularization was performed during follow up. Diabetes mellitus is an independent predictor of reintervention in the PCI group (OR 4.12 (1.153–14.703), p=0.029). Conclusion Mortality predictors during ten years of follow-up in subjects following a revascularization of multivessel coronary disease, and with reduced left ventricular systolic function, are increased systolic left ventricular diameter and higher NYHA class in discharge. Reintervention is more commonly performed after PCI and the presence of diabetes mellitus is an independent predictor.
Introduction. The causes of dilated cardiomyopathy can be divided into ischemic and nonischemic. Although the importance of thyroid hormones for proper functioning of the cardiovascular system is well known, dilated cardiomyopathy is a rare presentation of hypothyroidism. Case Report. This is a case report of a 38-year-old man admitted to the Intensive Cardiac Care Unit with signs and symptoms of advanced heart failure. Dilated cardiomyopathy was established by echocardiography, while blood test showed highly elevated levels of thyroid stimulating hormone and decreased levels of free triiodothyronine and free thyroxine. The ejection fraction was significantly improved with levothyroxine replacement therapy. Conclusion. Hypothyroidism should always be considered as the cause of dilated cardiomyopathy. Thyroid hormone tests should be performed in all patients with dilated cardiomyopathy.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.