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The degree of disability increases along with pathological damage, especially in cases with comorbidity. Methodology: The objective of this study was to analyze the influence of MS alone and with comorbidity on some neuropsychological patterns. Forty patients presented with MS alone and 40 with MS and comorbidity. Grigoryan1, Anelia A. Dimitrova1, Krasimir G. Kostov1, Adelaida L. Ruseva2, Milena A. Atanasova3, Alexander B.

Blazhev3, Tatyana M. Betova4 Abstract Full Text Abstract : ntroduction. Osteoporosis is a disease characterized by decreased bone density and destruction of the microarchitectonics of the bone structure.

This leads to increased bone fragility and risk of fracture particularly of the hip, spine, wrist and shoulder. Altered ovarian function is one of the most common causes of osteoporosis.

Indicators for altered bone homeostasis are the changes in serum levels of matrix metalloproteinases MMPs and their tissue inhibitors TIMPs.

 Отчет безукоризненный. - Выходит, по-твоему, Стратмор лжет. - Не в этом дело, - дипломатично ответила Мидж, понимая, что ступает на зыбкую почву.

Materials and Methods. An experiment was performed on 35 female Wistar rats at reproductive age — 2 months divided into 2 groups: group 1 G1 animals were sham-operated sham and group 2 G2 were ovariectomized ovx. Sheremet, Larysa P. Sydorchuk, Viktor O.

Shidlovskyi, Anatoly D. Also, to analyze the clinical course of the disease, depending on the genotype of this gene.

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Results: It has been found that, in patients with nodular goiter secondary to autoimmune thyroiditis, hyperplasia of the thyroid gland is associated with the wild A allele of the CTLA-4 gene AA- and AG-genotypes : IB and III levels of hyperplasia are more likely to occur in carriers of the AA genotype by The carrier of the GG genotype is associated with atrophic origin of autoimmune thyroiditis; the tissue is characterized by a high content of cells in which there are atypical or follicular changes of an unclear genesis.

Kidney transplantation TR is the best treatment of chronic kidney disease. Chronic cellular and humoral rejections have still major impact on graft survival.

Material and methods.

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Fifty pts with living 42 and deceased donor 8 transplantation were included in a month prospective study. Both groups did not differ regarding gender, age, living or deceased donor, immunosuppression, underlying renal disease, rejection episodes, HLA mismatch, cold and warm ischemia time.

Grigoryan, Anelia A. Dimitrova, Krasimir G. Kostov, Adelaida L. Methods: The technology of electrophysiological identification of laryngeal nerves in goiter surgeries was developed. It is based on the recording of changes in the sound vibrations generated by the passage of air through the voice gap, the area of which changes in the event of a change in the tension of vocal cords from electrostimulation of the laryngeal nerves.

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The greatest changes in the frequency and amplitude of sound vibrations occur when electrostimulation of tissues near the nerve and the nerve itself. This phenomenon allows to determine the location of the nerve and prevent its injury. Results: The method was tested in patients who had been operated for goiter. There were no cases of temporary or permanent disorders of phonation.

Conclusions: The developed technology of electrophysiological identification of laryngeal nerves in goiter surgeries is reliable, easy to apply, and is not expensive.

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The influence of other factors on its results was not noted. It is well known that anastomotic problems seen after IT are mainly related to reperfusion injury. Probiotics are non-pathogenic live microorganisms that are used for various bowel diseases due to their beneficial effects on bowel functions.

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Wound healing is dorra slimming contact penang important bowel function and impaired healing is a series trouble after IT and ischemic bowel. In this study, we aimed to investigate the effect of probiotics on the intestinal anastomosis healing process. Animals were monitored for 7 days, then sacrificed. Macroscopic findings, anastomotic bursting pressures and histopathologic findings were evaluated.

Franz, Dora, fetița și păpușa, Cartea copiilor, 5+

Macroscopically, there were no anastomotic leaks or abscess formation in either of the probiotic groups Groups III and IV. Anastomotic bursting pressures of probiotics groups tended to be highly compared with the ischemic control group Group IIalthough the difference was not statistically significant.

The histologic scores of probiotic groups were very similar to the control groups. Conclusion: The probiotic groups had less adhesions according to the macroscopic findings; anastomotic bursting pressures tended to be high and histologically, they had equivalent healing scores compared with the control groups. We conclude that probiotics have some beneficial effect to impaired anastomotic healing processeswithout any side effects on the colon in the colon.

Therefore they might be considered as a supportive treatment in IT patients. Surgical management of patients with rectal neplastic disease — prediction factors in low anterior resection syndrome Dorra slimming contact penang : DAN N.

At present, the ideal management of patients diagnosed with rectal neoplasms, leading to oncological healing while preserving all physiological functions, includes the low anterior resection of the rectum LARS with the partial or total excision of the mesorectum.

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The aim of the paper is to analyze the physiological, psychological and oncological impact of surgical intervention on patients diagnosed with rectal cancer.

The study included a total of 92 patients.

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The mean LARS scores in the study group were Conclusions The distance from the anastomosis level to the pectinate line, side-to-end anastomosis, the imposibility to identify the nerves, the occurrence of anastomotic fistula are predictive factors for the occurrence pierde greutatea la 57 major LARS during post-surgery evolution.

Obstructive sleep apnea syndrome OSAS is a disease with increasing prevalence nowadays, being associated with multiple cardiovascular diseases, such as arterial hypertension. The objective of the dorra slimming contact penang was to evaluate the effect of continuous positive airway pressure CPAP on blood pressure values. Materials and methods. We performed a prospective interventional study on 52 patients with obstructive sleep apnea syndrome.

The patients were divided into 2 groups: Group A who received both pharmacological and CPAP treatment and Group B who received only pharmacological treatmentand were followed up at 3 and 6 months. At the same time, using the surrogate marker —RDW, we tried to evaluate the persistence of systemic inflammation, knowing that OSAS is associated with inflammation.

The systolic blood pressure values decreased at 6 months in all OSAS patients who have used CPAP, including patients with normal values of blood pressure.

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At the same time, the lack of OSAS treatment led to increased values of blood pressure by approximately 10 mmHg. We noticed a link between RDW, age and blood pressure values, respectively the increase of RDW and age may result in increasing of blood pressure.

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The OSAS treatment can decrease the blood pressure values. A higher RDW may be considered a negative prognosis factor for these patients, reflecting the role of systemic inflammation in the appearance of cardiovascular disorders. Osteoarthritis OA is a multifactorial disorder in which ageing, genetic, hormonal and mechanical factors are major contributors to its onset and progression.

The C-allele prevails over T-allele by C-allele of IL gene dominated over the A-allele: among patients — 2. In oncologic patients, physical symptoms in general, and pain, in particular, are enhanced by psychological, social, cultural and spiritual issues.

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Along with progression of the disease, symptoms may become overwhelming and refractory to usual therapeutic approaches, despite dorra slimming contact penang efforts, sometimes even aggressive, to identify a tolerable therapy which does not compromise the consciousness and relieves pain. One of the solutions may be palliative sedation, which means the voluntary administration of the opioids and non-opioids drugs in adequate doses and concentrations in order to lower the consciousness as much as necessary to ameliorate one or more symptoms which are refractory to other therapies.

Palliative sedation, since the proposition of its practice in the healthcare of the terminal patient, with unbearable pain, generated numerous dilemmas and debates which are still ongoing. In this paper the authors approach the issue of the palliative sedation both dorra slimming contact penang medical and ethical perspectives, highlighting the importance of placing the patient in the center of the decision-making process regarding the medical treatment and its guidance according to the risks and benefits for the patient.

We accessed electronic databases like PubMed, Scopus ElsevierWeb of Science for research on this theme; clinical trials, specialty books and meta-analysis reports, pointing out plausible explanations for the association between balance disorders and diabetes mellitus.

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Because of decreased proprioception and vision, diabetic patients suffer more often from balance disorders than the rest of population and are at higher risk of falling. That seems to be the consequence of a combination between impaired proprioception, vision, and possible damage produced by long term hyperglycemia in the vestibular system according to some studies.

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We present the case of a 42 years old Caucasian nulliparous woman accusing in the last three months a painful bulging mass in the right groin. The patient reported that the mass increases in size dorra slimming contact penang prolonged standing dorra slimming contact penang lifting of heavy weights. In addition, the inguinal pain was exacerbated during ovulation.

The patient underwent surgery, during which wide excision of the nodule was performed. Furthermore, both direct and indirect hernia sacs were found and dissected, the content was reduced and the sacs were excised. Four months after the surgery, the patient was free of symptoms and had no signs of recurrence.

Is manubrium limited mini-sternotomy an alternative for traditional full sternotomy in cases with massive mediastinal retrosternal goiter?

Western University of Arad JURNAL MEDICAL ARĂDEAN

We present the case of a 45 year-old male subject who was operated for a total MG. The nodular mass was conical in shape and extended beyond the aortic arch and tracheal bifurcation. Sternotomy was decided, because excision via cervical Kocher incision was not safe. The nodular mass was extracted from the mediastinum easily via MLMS.

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The postoperative period was uneventful, without any complication, and the patient was discharged from the hospital after two days. He returned to his normal life within one month. They are small, benign lesions, frequently located in the bulb of duodenum.

Usually found incidentally during routine esophago-gastro-duodenoscopies, these lesions are frequently asymptomatic, but some patients may present with symptoms of duodenal obstruction or hemorrhage secondary to ulceration.

Surgical excision is required, especially if the lesion has large dimensions. Pathological examination is the most important in confirming the diagnosis. Case presentation We report a case of a year-old female patient, who presented to the emergency room for vomiting partially digested food, without blood.

Western University of Arad JURNAL MEDICAL ARĂDEAN

Upper digestive endoscopy revealed a polypoid mass, with a 1 cm stalk, located in the duodenal bulb. Surgical or endoscopic excision is uncomplicated, and the long-term outcome is favorable.

The particularity dorra slimming contact penang our case is given by the fact that this lesion was very large, it caused symptoms such as vomiting and was managed solely by endoscopic resection. Rare small bowel obstruction due to phytobezoar — Case presentation Author : B. This pathology represents 0. Symptoms are similar to other small bowel obstructions. The most common localisation of the obstruction dorra slimming contact penang represented by the terminal ileum.

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