Medicina
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Comparative Study
Psychometric properties of the World Health Organization Quality of Life 100 questionnaire in the middle-aged Lithuanian population of Kaunas city.
This study aimed to identify psychometric properties of the World Health Organization Quality of Life 100 questionnaire. ⋯ In the Lithuanian population, the World Health Organization Quality of Life 100 questionnaire was found to be a suitable instrument for evaluating quality of life.
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The aim of this review is to summarize the current knowledge on Hashimoto's thyroiditis and its pathogenesis and to introduce the readers to the basic concept of autoimmune thyroid disease. Hashimoto's thyroiditis and Graves' disease are different expressions of a basically similar autoimmune process, and the clinical appearance reflects the spectrum of the immune response in a particular patient. During this response, cytotoxic autoantibodies, stimulatory autoantibodies, blocking autoantibodies, or cell-mediated autoimmunity may be observed. ⋯ The significance of genetic component and nongenetic risk factors (pregnancy, drugs, age, sex, infection, and irradiation) in the development of Hashimoto's thyroiditis is also reviewed. Epidemiologic studies have demonstrated that the genetic component is important in the pathogenesis of Hashimoto's thyroiditis, although the pattern of inheritance is non-Mendelian and is likely to be influenced by subtle variations in the functions of multiple genes. Nongenetic risk factors (environmental factors) are also etiologically important, because the concordance rate in monozygotic twins is below 1.
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Comparative Study
[Survival rate of patients with ascending aorta aneurysm and aortic valve regurgitation in the late postoperative period].
The aim of the study was to evaluate the long-term survival in patients undergoing surgical treatment for chronic aortic aneurysms with aortic regurgitation. ⋯ The analysis of patients' long-term survival demonstrated the efficacy of surgical treatment of such a complex pathology as chronic aneurysm of the ascending aorta with aortic valve regurgitation. The survival rate in the late postoperative period was higher in NYHA class III patients. The main causes of death were chronic heart failure and infective prosthetic endocarditis.
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The objective of this study was to evaluate the short-term results of surgical treatment in patients with acute aortic dissection. ⋯ The main risk factor for acute aortic dissection is the diameter of the aorta exceeding 4 cm (diagnosed in 73.7% of cases). The main postoperative complications are bleeding (42.1%), injuries of central nervous system (23.7%), and cardiogenic shock (18.4%).
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Comparative Study
[The types of deliberate self-harm and its prevalence among Lithuanian teenagers].
The aim of this study is to identify how widely deliberate self-harm is spread and the types of deliberate self-harm among 15-17-year-old teenagers in Lithuania. ⋯ In Lithuania, adolescent self-harm is relatively frequent: 7.3% of 15-17-year-old Lithuanian adolescents deliberately self-harmed during their life. The most frequent way to self-harm is to overdose. This study confirms the need for preventive activities and necessity of further studies in this field.