scholarly journals Dilated Cardiomyopathy in Children and Adolescents in the South Region of Kyrgyzstan

2021 ◽  
Vol 7 (11) ◽  
pp. 189-194
Keyword(s):  
Dilated Cardiomyopathy ◽  
Inpatient Treatment ◽  
Age Groups ◽  
Clinical Hospital ◽  
Progressive Heart Failure ◽  
Adaptive Mechanisms ◽  
Statistical Studies ◽  
Unclear Etiology ◽  
Severe Degree ◽  
Inflammatory Changes

Research relevance: in recent decades, there has been a significant increase in interest in cardiomyopathies, mainly of the heart muscle, often characterized by an unclear etiology, chronic progressive course and, ultimately, cardiomegaly, progressive heart failure, arrhythmic, thromboembolic syndromes, often ending in sudden cardiac death. Materials and research methods: presentation of results after statistical studies on the clinic, diagnostics of a violation of the conducting system by cardiomyopathy in children aged 1 to 16 years, who underwent inpatient treatment in the cardioreumatology department of the Osh medical children’s clinical hospital from 2016 to 2020, according to clinical material on 67 children with dilated cardiomyopathy. Research objectives: analysis of data on 67 children from 0 to 16 years old who received inpatient treatment for heart disease at the Osh interregional children's clinical hospital from 2016 to 2020. Research results: analysis of the EchoCG data of the study showed that the nature of changes in intracardiac hemodynamics depends on the age of the child: the most pronounced shifts in EchoCG indicators, as a rule, are inherent in young children with inflammatory changes in the myocardium and dilated cardiomyopathy, less pronounced for children of other age groups. Conclusions: indicators reflect severe degree of heart damage in children of this age and indicate, most likely, a weak level of heart compensatory-adaptive mechanisms.

scholarly journals Clinical and Etiological Profile of Patients with Atrial Fibrillation (AF): Analysis and implications

2017 ◽  
Vol 4 (1) ◽  
pp. 5-12
Author(s):  
Ram Narayan Mandal ◽  
Ajay Kumar Mishra ◽  
Elena Leonidovna Mandal
Keyword(s):  
Atrial Fibrillation ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
Dilated Cardiomyopathy ◽  
Rheumatic Heart Disease ◽  
Ischemic Heart ◽  
Systemic Hypertension ◽  
Clinical Hospital ◽  
Medical College ◽  
Rheumatic Heart

Background and Objectives: Atrial fibrillation (AF) is a frequently encountered cardiac arrhythmia which may be either symptomatic or asymptomatic. So, this study was conducted to know clinical presentation and to find out possible clinical and etiological profile of patients with AF.Material and Methods: This cross sectional study was conducted at Osh Regional Integrated Clinical Hospital, Osh Territorial City Clinical Hospital, The Kyrgyz Republic in collaboration with Janaki Medical College Teaching Hospital, Janakpurdham, Nepal. Sixty consecutive patients with AF were taken. Presenting complaints, past history, personal history was recorded. A thorough clinical examination was done, electrocardiogram, chest X-Ray posterio-anterior view, echocardiogram, thyroid function test and relevant test were done and analyzed.Results: Forty percent of the patients complained palpitation. Systemic thrombo-embolism was found in 15% of the patients. Other presenting complaints were cough, chest pain, shortness of breath, dizziness, swelling of the legs, tremors. Eighteen percent of patients presented with features of congestive cardiac failure and 30% of the patients gave history of rheumatic heart disease, 16.6% and 11.6% hypertension and ischemic heart disease respectively. Etiology-wise, rheumatic heart disease was the most common (46.6%) followed by hypertension (21.6%), ischemic heart disease (11.6%), dilated cardiomyopathy (6.6%), hyperthyroidism (5%), pneumonia (5%).Conclusion: Rheumatic heart disease, especially mitral stenosis is the most common cause of AF in this study. Systemic hypertension was next common etiology of AF, followed by ischaemic heart disease, dilated cardiomyopathy, thyroid disease. Heart failure, Systemic thromboembolism, decreased exercise tolerance are a major determinants for development of significant morbidity and mortality.Janaki Medical College Journal of Medical Sciences (2016) Vol. 4 (1): 5-12

scholarly journals Starvation in childhood and obesity in senior age

2017 ◽  
Vol 8 (6) ◽  
pp. 56-61
Author(s):  
Lidya P. Khoroshinina ◽  
Alexander V. Shabrov ◽  
Leonid G. Buynov
Keyword(s):  
Comparison Group ◽  
Age Groups ◽  
Older Age ◽  
Obesity Prevalence ◽  
Obese People ◽  
The World ◽  
Comparison Groups ◽  
Subcutaneous Layer ◽  
The Common ◽  
Severe Degree

The problem of children's starvation remains relevant and actual at the present time, as in the 21st century experts from the leading countries of the world coordinate their efforts to create programs aimed at eliminating extreme poverty and hunger of. At the same time, the analysis of obesity prevalence typical for the population of some countries of the world, indicates an increase in the number of obese people in both economically developed and developing countries. In this article we are talking about the common severe degree of abdominal obesity in people of older age groups, survivors in childhood, long periods of fasting. Studied 594 history and Protocol of autopsy of people in older age groups, born from 1927 to 1941 and the dead on the hospital for war veterans in St. Petersburg from 1989 to 2000. The whole array of documents was structured by sex, age, the fact of living in the blockaded Leningrad. Severe degree of obesity was considered to be exceeded more than 7 cm of thickness of deep abdominal subcutaneous layer of adipose tissue. It is well established that former young residents of the besieged Leningrad, regardless of gender, age, die sooner than men and women in the comparison groups; men who survived long periods of starvation in children, were dying earlier than men in the comparison group and earlier than women of the main group; women who have experienced a long period of starvation before the age of 11 years, often dying because of cardiovascular diseases than women in the corresponding subgroup comparisons; the emergence of pronounced obesity in older age-governmental groups from the former young residents of the blockaded Leningrad, determined by elk not only the fact of prolonged fasting, but child sex and age, which accounted for starvation.

scholarly journals Stage-dependent benefits and risks of pimobendan in mice with genetic dilated cardiomyopathy and progressive heart failure

2015 ◽  
Vol 172 (9) ◽  
pp. 2369-2382 ◽  
Author(s):  
Miki Nonaka ◽  
Sachio Morimoto ◽  
Takashi Murayama ◽  
Nagomi Kurebayashi ◽  
Lei Li ◽  
...  
Keyword(s):  
Heart Failure ◽  
Dilated Cardiomyopathy ◽  
Progressive Heart Failure

scholarly journals Pathological Conditions Associated with the Male Reproductive Tract of the Sahel Bucks

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Yusuf Abba ◽  
Suleiman Simon ◽  
Halima Idris Gambo ◽  
Ikechukwu Onyebuchi Igbokwe ◽  
Yusuf Iliyasu
Keyword(s):  
Reproductive System ◽  
Reproductive Tract ◽  
Age Groups ◽  
Male Reproductive Tract ◽  
System A ◽  
Pathological Conditions ◽  
Total Incidence ◽  
Sahel Goat ◽  
Inflammatory Changes ◽  
Unilateral Cryptorchidism

The study of pathological conditions of the male reproductive system is paramount to understanding reproductive inefficiency in the Sahel goat. In this study, 1048 Sahel bucks presented for slaughter at the Maiduguri metropolitan abattoir were evaluated for the presence of various pathological abnormalities of the reproductive system. A total incidence of 15.08% was recorded for various pathological conditions, with testicular, penile, and scrotal conditions having incidences of 7.82%, 4.80 and 2.50%, respectively. Bilateral testicular hypoplasia and atrophy and unilateral cryptorchidism accounted for incidences of 4.10%, 2.38%, and 1.24%, respectively, while paraphimosis and scrotal laceration had incidences of 1.72% and 1.05%, respectively. Age specific incidence of pathological conditions were not significant(P>0.05)between bucks aged <1–1.5 and 2–2.5 years. However, bucks aged 3–3.5 year a had lower(P<0.05)incidence of pathological conditions than other age groups. Histopathological evidence of inflammation, degeneration, and atrophy was observed in the testes, while inflammatory changes were observed in the prepuce.

Predicting death from progressive heart failure secondary to ischemic or idiopathic dilated cardiomyopathy

1993 ◽  
Vol 72 (1) ◽  
pp. 62-65 ◽  
Author(s):  
Leslie A. Saxon ◽  
William G. Stevenson ◽  
Holly R. Middlekauff ◽  
Gregg Fonarow ◽  
Mary Woo ◽  
...  
Keyword(s):  
Heart Failure ◽  
Dilated Cardiomyopathy ◽  
Idiopathic Dilated Cardiomyopathy ◽  
Progressive Heart Failure

Prevalence and Cluster Typology of Maladaptive Behaviours in a Geographically Defined Population of Adults with Learning Disabilities

1996 ◽  
Vol 169 (2) ◽  
pp. 219-227 ◽  
Author(s):  
Susan Smith ◽  
David Branford ◽  
Richard A. Collacott ◽  
Sally-Ann Cooper ◽  
Catherine McGrother
Keyword(s):  
Learning Disabilities ◽  
Age Groups ◽  
Face Validity ◽  
Behavioural Characteristics ◽  
High Prevalence ◽  
Adults With Learning Disabilities ◽  
Autistic Symptoms ◽  
Severe Degree ◽  
Property Destruction ◽  
Maladaptive Behaviours

BackgroundMaladaptive behaviours are frequently present in individuals with learning disabilities; however, their prevalence varies between studies and the aetiology, classification and most appropriate management of such behaviours remain unclear. The aims of the study were twofold: firstly to determine the prevalence of maladaptive behaviours, and secondly to develop a classification typology.MethodA population of 2202 adults with learning disabilities was surveyed to determine the prevalence of maladaptive behaviours. These were subjected on the basis of 13 behavioural characteristics to cluster analysis. The clusters were further examined in respect of secondary variables.ResultsOver 60% of individuals demonstrated the presence of at least one maladaptive behaviour and in 40% this problem was of either severe degree or frequent occurrence. Men were more likely to demonstrate physical aggression, property destruction, tantrums and verbal abuse than women. Although some severe maladaptive behaviours diminished with age, many persisted through all age groups. Six behavioural clusters were devised which demonstrated face validity and which differed in respect of demographic and developmental variables, and the prevalence of maladaptive habits and autistic symptoms.ConclusionsThese findings demonstrate a high prevalence of maladaptive behaviours and ‘objectionable habits’ among people with learning disabilities. A classification of behavioural symptoms may be possible on the basis of symptom clusters.

scholarly journals The role of age on speech development in subjects with cochlear implants

2021 ◽  
Vol 13 (2) ◽  
pp. 1-8
Author(s):  
Vesna Lazarovska ◽  
Mira Jovanovska
Keyword(s):  
Cochlear Implant ◽  
Hearing Aids ◽  
Cochlear Implantation ◽  
Social Life ◽  
Age Groups ◽  
Speech Development ◽  
Active Involvement ◽  
The Us ◽  
One Year ◽  
Severe Degree

The cochlear implant has been approved as a method of treating bilateral deep deafness since the 1980s, and since then candidate selection methods have changed several times. Initially, the candidates were only adult patients, and in 1990 the cochlear implant was approved for the first time in children under 2 years of age by the US Food and Drug Administration. In 2000, the same US Administration reduced the limit to one year. The aim of this study was to determine the effect of age at cochlear implantation on speech recognition abilities. Concerning the age groups in which the subjects were assigned to, the best results on the tests were achieved by the group who underwent cochlear implantation at the youngest age. In conclusion, the benefit from cochlear implant in subjects with pre-lingual hearing impairment of the most severe degree has to be stressed and it is much bigger in comparison to individual amplifying hearing aids. If cochlear implant is placed at the youngest age, the results might lead to even 100% of active involvement in the social life of individuals with this kind of impairment.

scholarly journals Multi-center nationwide study on pediatric psychiatric inpatients 2000–2018: length of stay, recurrent hospitalization, functioning level, suicidality, violence and diagnostic profiles

2021 ◽  
Author(s):  
Kim Kronström ◽  
Elina Tiiri ◽  
Miika Vuori ◽  
Heikki Ellilä ◽  
Anne Kaljonen ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Inpatient Treatment ◽  
Age Groups ◽  
Global Assessment Scale ◽  
Short Term Treatment ◽  
Continuous Increase ◽  
Nationwide Study ◽  
General Functioning ◽  
Functioning Level ◽  
Recurrent Hospitalization

AbstractInpatient treatment is an important part of child and adolescent psychiatric (CAP) care. This nationwide study explores the changes in length of stay, recurrent hospitalization, functioning level, suicidality, violence and diagnoses of CAP inpatients in Finland in 2000, 2011 and 2018. We obtained comprehensive questionnaire data on each study year from 93 to 95% of all CAP wards in Finland. We split the 1276 inpatients into two age groups in each study year: under 13 and 13–18. The median length of stay in inpatient treatment decreased from 82.0 days in 2000 to 20.5 days in 2018 (p < 0.001) and recurrent hospitalization increased from 38 to 46%. General functioning, which was evaluated by the Children’s Global Assessment Scale, deteriorated by an average of six points between 2000 and 2018. Violent threats decreased from 21.5 to 16.6% and violent acts decreased from 26.9 to 20.3%. Suicidal threats decreased from 42.6 to 23.3% in those aged under 13 and remained stable among those aged 13–18. In the 13–18 group, there was an increase in the diagnoses of ADHD, from 5.0 to 16.9% and depression, from 25.1 to 41.7%. However, psychosis decreased from 23.2 to 12.6% in the older age group. In the whole cohort, anxiety disorders increased from 7.6 to 15.6%. The overall picture does not show that CAP inpatients have become more disturbed. While the general functioning of CAP inpatients deteriorated somewhat over the 2000–2018 study period, symptoms of suicidality and violence remained stable or decreased. There was also a continuous increase in short-term treatment.

USE OF EFFERENT THERAPY METHODS IN THE TREATMENT OF DESTRUCTIVE PANCREATITIS

Vestnik ◽  
2021 ◽  
pp. 206-209
Author(s):  
А.Т. Джумабеков ◽  
А.Ж. Артыкбаев ◽  
Р.Е. Каштаев ◽  
С.С. Калиева ◽  
С.Ж. Жанбырбаев ◽  
...  
Keyword(s):  
Septic Shock ◽  
Inpatient Treatment ◽  
Central City ◽  
Intensive Therapy ◽  
Clinical Manifestations ◽  
Respiratory Disorders ◽  
Clinical Hospital ◽  
Severe Intoxication ◽  
Sepsis And Septic Shock

Своевременное включение методов эфферентной терапии (гемодиафильтрация, плазмаферез) в комплексную интенсивную терапию сепсиса и септического шока у больных с острым деструктивным панкреатитом, находящихся на стационарном лечении в ЦГКБ г. Алматы, позволило быстро стабилизировать гемодинамику, респираторные нарушения и отказаться от применения адреномиметиков, а также значительно уменьшить клинические проявления тяжелой интоксикации, гипоксии и эндотоксикоза. Timely inclusion of efferent therapy methods (hemodiafiltration, plasmapheresis) in the complex intensive therapy of sepsis and septic shock in patients with acute destructive pancreatitis who are inpatient treatment at the Central city clinical hospital in Almaty, made it possible to quickly stabilize hemodynamics, respiratory disorders and abandon the use of adrenomimetics, as well as significantly reduce the clinical manifestations of severe intoxication, hypoxia and endotoxicosis.

Cleft Lip and Palate Care in the United Kingdom—The Clinical Standards Advisory Group (CSAG) Study. Part 3: Speech Outcomes

2001 ◽  
Vol 38 (1) ◽  
pp. 30-37 ◽  
Author(s):  
Debbie Sell ◽  
Pamela Grunwell ◽  
Sue Mildinhall ◽  
Terrie Murphy ◽  
Tremaine A. O. Cornish ◽  
...  
Keyword(s):  
United Kingdom ◽  
Cleft Lip ◽  
Speech Therapy ◽  
Cleft Lip And Palate ◽  
Age Groups ◽  
Advisory Group ◽  
Cross Sectional ◽  
The United Kingdom ◽  
Severe Degree ◽  
Therapy Intervention

Objective To summarize speech outcomes in children born with unilateral cleft lip and palate (UCLP) throughout the United Kingdom. Design Prospective descriptive study on a cross-sectional sample of children. Patients/Participants Data were collected for 238 5-year-olds (born between April 1, 1989, and March 31, 1991) and 218 12-year-olds (born between April 1, 1982, and March 31, 1984) with complete UCLP. Main Outcomes Ratings of intelligibility, nasality, “speech cleft type characteristics” and speech therapy intervention. Conclusions Nineteen percent of 5-year-olds and 4% of 12-year-olds were judged to be impossible to understand or just intelligible to strangers. Thirty-four percent of 5-year-olds and 17% of 12-year-olds had at least one serious error of consonant production. Eighteen percent of 5-year-olds and 12-year-olds had consistent hypernasality of mild, moderate, or severe degree. Approximately two-thirds of both age groups had undergone speech therapy.

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