Metabolic syndrome and its distinct components were very prevalent in Russian bank office workers. AO was most prevalent component for females with metabolic syndrome, whereas HTN was most prevalent for males. Coexistence of HTN and AO was the most frequent coupling of metabolic syndrome components. Unhealthy lifestyle characterized the selected group and was associated with metabolic syndrome, especially low physical activity.
To analyze anatomical and anthropometric parameters of vertebrae measured by a navigation system in children with thoracic idiopathic scoliosis. Material and Methods. A total of 20 patients aged 14-18 years with Grade 3 and 4 (according to V.D. Chaklin classification) rightsided thoracic idiopathic scoliosis were examined. Anatomical and anthropometric features of the thoracic and lumbar vertebrae were assessed using CT data in the navigation system. The total Cobb angle of scoliotic curve, rotation of apical and periapical vertebrae, external transverse and longitudinal diameters of the roots of vertebral arches at the T 2-L 5 levels, and the coefficients of asymmetry of vertebral bone structures were determined. Results. The angle of scoliosis deformity ranged from 33.7° to 107.9° (mean: 61.4°), the angle of rotation of the apical vertebra-from 9.3° to 40.2° (mean: 21.09°). Positive correlation between the magnitude of scoliotic arch deformity and asymmetry coefficients of longitudinal diameter of the arch roots of the apical vertebrae was found. A pronounced asymmetry of right and left transverse diameters of arch roots of the T 3-T 4 vertebrae, despite the absence of structural compensatory counter curve and torsional changes in these vertebrae. Conclusion. There are certain regularities and correlations between the type of idiopathic scoliosis and the absolute and relative values of vertebral parameters not only at the top of the curve, but also throughout the whole curvature arch.
Background. Percutaneous coronary intervention (PCI) in patients with ischemic heart disease (IHD) is followed often by myocardial injury. Up to now there is no mutual agreement to the infl uence of the perioperative myocardial injury on the long-term prognosis of the IHD patients.Objective. The aim of study was to assess the risk factors for the development of cardiac events in the long-term period in patients with stable coronary artery disease with myocardial damage after PCI.Materials and methods. The study included 113 patients with stable coronary artery disease who underwent planned PCI. Serum troponin levels were determined before and 24 hours after the intervention. Re-examination of patients was carried out after 12–18 months (average 15 months).Results. The post PCI Tn I level over a reference one was registered in 25 patients (22,2 %). During the follow-up period the cardiovascular events took place in 25,6 % patients: acute myocardial infarction (MI) in 3 (2,6 %), angina occurred in 23 %. One-way ANOVA revealed a signifi cant value for cardiac risk events of the patient age, number of stenosed arteries, summary degree of stenosis, and their complicity, number of implanted stents. The fi rst three of them were included in the fi nal combination of the stepwise discriminant analysis. The general linear model of the latter detected additionally statistical signifi cance of the variables “MI in the past” (before PCI) and “number of postdilatations“.Conclusion. In patients with stable ischemic heart disease, included in the study, the determining risk factors for the development of cardiac events were the prevalence and nature of the obstructive lesion of the coronary bed, age, previous myocardial infarction, and especially the performance of PCI. Myocardial damage was not identifi ed as a risk factor for recurrent angina or myocardial infarction.
Purpose— to study alterations in the bony structures in cases of congenital deformity of the thoracic spine combined with malsegmentation of lateral surfaces of vertebrae due to pathological processes during growth period of childern and to find correlation with above alterations.Material and Methods. The study included 30 patients with congenital deformity of thoracic spine combined with malsegmentation of lateral surfaces of vertebrae. age of patients ranged from 3 to 10 years (mean of 7 years). gender distribution — 19 female and 11 male patients. all patients underwent imaging examination including spine roentgenography in two standard views in prone position as well as computer tomography.Results. Magnitude of deformity scoliotic curve was 67° (45–88°) and of pathological thoracic lordosis — 23° (18–27°). Mean number of block vertebral motion segments included into the main deformity curve was 6 (3–8). Mean distance between the outline of lateral vertebral surface and lateral outline of projection of curve root of apical vertebra on convex side of deformity (aB) was 6 mm (4–10 mm). correlation analysis demonstrated that aB distance mostly depended on the number of vertebral motion segments included into the block along non-segmental area: pearson coefficient 0.67. Based on cT scans the authors observed no rotation component of bodies’ deformity along the non-segmental area.Conclusion. Children with congenital thoracic spine deformity along with malsegmentation of lateral surfaces of vertebrae feature pathological lordosis in affected zone. alterations in the bony structures result from asymmetric growth of one half of the vertebral body at the level of non-segmentation. asymmetry severity has a strong correlation dependency from the number of vertebral bodies included in the block along the non-segmental area.
Objective. Lenke III type spinal curvature occurs in 11% of all types of deformities in idiopathic scoliosis. Knowledge of the features of the structure of the bone structures throughout the main curve of the deformity allows you to properly plan the installation of transpedicular supporting elements during the operation and carry out a specific sequence of correcting manipulations in order to achieve the optimal result.Purpose. To study the anatomical and anthropometric features of the bone structures of the vertebrae in children with idiopathic scoliosis, type lenke III, using a navigation device.Materials and Methods. The study included 23 patients with S-type idiopathic scoliosis type III according to the classification of L. Lеnke aged 14 to 18 years, of which 22 are female patients and 1 male. All children carried out spinal X-rays in standard projections (direct and lateral), multislice computed tomography, according to msct in the navigation unit measured anatomical and anthropometric indicators, certain parameters and coefficients were calculated mathematically.Results. The following patterns were determined: pronounced asymmetry of both the width and height of the bases of the arches of the vertebrae along the concave and convex sides of the deformity in the thoracic spine and moderately pronounced structural changes in the bone structures in the lumbar spine. Strong direct correlations between the asymmetry coefficient of the base areas of the arcs and the asymmetry coefficients of the width and height of the base of the arcs, as well as a direct correlation between the values of the rotational value of the apical vertebra and the asymmetry coefficient of the base areas of the arcs in the thoracic region were revealed. In the lumbar spine, only a directly proportional relationship was found between the asymmetry coefficient of the areas of the bases of the arches of the vertebrae and the coefficient of asymmetry of the heights of the bases of the arcs of the vertebrae.Conclusion. Ап analysis of the anatomical and anthropometric parameters of the bony structures of the vertebrae in children with idiopathic scoliosis of the lenke III type has made it possible to identify certain features, to establish patterns and correlations that characterize this variant of deformity.
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