Medicina
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To assess the prevalence of the metabolic syndrome among middle-aged Kaunas population. ⋯ The prevalence of the metabolic syndrome among middle-aged Kaunas residents was 22%. Metabolic syndrome and central obesity correlated with elevated concentration of high-sensitivity C-reactive protein. Moderately (1-3 mg/L) and severely (>3 mg/L) elevated high-sensitivity C-reactive protein levels increase the chance of metabolic syndrome by 4.15 and 7.39 times, respectively (p=0,000). An innovative approach towards cardiovascular risk assessment integrating traditional cardiovascular risk factors, metabolic syndrome and high-sensitivity C-reactive protein values could improve the risk stratification in asymptomatic middle-aged population.
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Comparative Study
[The economic estimates of well-timed diagnostics and early treatment of type 2 diabetes mellitus].
Type 2 diabetes mellitus is a severe, high-priced, and to date not curable, however, controllable disease. When diabetes mellitus is not treated or is poorly controlled, complications of small and large blood vessels arise, and the mortality increases. The costs of treatment of diabetes-related complications are very high. Estimates performed in other countries show that expenses on treatment of diabetes-related complications are considerably higher than the expenses paid for diabetes control itself. Type 2 diabetes mellitus is often diagnosed too late, when complications requiring expensive treatment are already present. ⋯ Diagnosis of type 2 diabetes mellitus in time provides a possibility to reduce expenses of diabetes treatment and care and to prolong a patient's life.
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[Association of metabolic syndrome with ischemic heart disease among middle-aged Kaunas population].
The aim of the present study was to estimate an association of metabolic syndrome with ischemic heart disease (IHD) in middle-aged Kaunas population. ⋯ In the study population cohort prevalence of metabolic syndrome was 19.4% for men and 26.3% for women, prevalence of IHD--14.3% and 19.4%, respectively. Prevalence of metabolic syndrome and IHD among men and women increased with age. Comparing prevalence of metabolic syndrome among persons with IHD and without IHD, in the groups of men and women aged 35-44 years metabolic syndrome was not associated with IHD; in the group of men with IHD aged 45-64 years rate of metabolic syndrome was 1.8 times higher than among persons without IHD (odds ratio: 2.25 (95% CI 1.24-4.06)); in the group of women with IHD aged 45-64 years the rate of metabolic syndrome was marginally higher (1.3 times) than among women without IHD (odds ratio: 1.55 (95% CI 0.99-2.43)). The highest rate of metabolic syndrome was determined for men diagnosed with angina pectoris (odds ratio: 3.39 (95% CI 1.36-8.41)). In conclusion, study data showed that metabolic syndrome was associated with IHD in men aged 45-64 years.
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Comparative Study
[Prevalence of cataract in 35-64 years old Kaunas city population].
The aim of the study was to determine the prevalence of lens opacity among 35-64 years old Kaunas population as well as to evaluate the stage and type of age-related cataract and its distribution in the groups of age and gender. ⋯ The lens opacities were found in 17.8% of males and 18.6% of females among investigated 35-64 years old population of Kaunas city. In the groups of both genders domination of nuclear cataract and the 1st stage of all forms of cataract was observed. The incidence of cataract increases significantly with age.
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The aim of the study was to evaluate the impact of different treatment methods on survival of patients treated for advanced pancreatic cancer at Kaunas University of Medicine Hospital from 1987 to 2003. ⋯ Patients diagnosed with advanced pancreatic cancer in addition to surgical treatment should be treated by chemotherapy, concomitant chemoradiotherapy or radiotherapy.