Comparison of quality of life in patients with primary postoperative and autoimmune hypothyreosis

Background. Achieving a high level of quality of life is one of the priorities in the treatment of chronic diseases. Focusing on the quality of life, it is possible to optimally adjust the treatment plan for patients, influencing the link that suffers most in this pathology. Hypothyroidism is mainly formed as a result of surgery on the thyroid gland, or autoimmune thyroiditis, and at the same time is one of the most common endocrine diseases, is of great social importance due to the potentially adverse effect on most organs and systems, resulting in a decrease in quality of life.The aim. To analyze the impact of primary hypothyroidism (postoperative hypothyroidism and autoimmune thyroiditis) on the quality of life of patients.Materials and methods. During the study, a clinical, laboratory and psychological study of 78 women with uncompensated primary hypothyroidism was carried out: 40 women aged 32–76 years with postoperative hypothyroidism (main group) and 38 women aged 36–60 years with autoimmune thyroiditis (comparison group). The quality of life was judged by the indicators of the MOS SF-36 questionnaire.Conclusion. In the examined patients with primary hypothyroidism, an association between an increase in TSH levels and a decrease in all indicators of the quality of life was revealed. First, indicators of physical functioning, general health, role and emotional functioning worsened. The dependence of indicators on the MOS SF-36 scales with the age of patients, the duration of hypothyroidism, and the level of TSH was revealed. The quality of life in patients with postoperative hypothyroidism was significantly reduced compared to patients who had hypothyroidism due to autoimmune thyroiditis

Analysis of the demand for video lectures in the discipline “Polyclinic Therapy”

Purpose — to analyze the annual dynamics of students’ views of video lectures on the discipline “Polyclinic Therapy”.Цель — проанализировать годовую динамику просмотров студентами видеолекций по дисциплине «Поликлиническая терапия»

Assessment of the reasons for vaccination in persons with different series of new coronavirus infection in Yekaterinburg and Sverdlovsk region

The aim of the study - to conduct a comparative analysis of the reasons for vaccination among people who had a new coronavirus infection (NCVI) and did not have a history of COVID-19 in Yekaterinburg and the Sverdlovsk regionЦель исследования - провести сравнительный анализ причин вакцинации среди лиц, перенесших новую коронавирусную инфекцию (НКВИ) и не имевших COVID-19 в анамнезе в г. Екатеринбурге и Свердловской област

Associations between the presence of chronic diseases and the severity of NKVI

The aim of the study - to analyze the dependence of the severity of NCVI on the number and nature of concomitant pathologyЦель исследования - провести анализ зависимости тяжести НКВИ от количества и характера сопутствующей патологи

Information sources in the educational activities of students of a medical university

The article presents the results of a study devoted to the study of information sources that students use during the period of distance learning due to the covid-19 pandemic. During the study, it was shown that 5th year students are aware of the existence of most authoritative sources of information, however, their application in the educational process is limited. It was also shown that 56% of students participate in additional educational activities 1-2 times a year or less, which requires the development of corrective measuresВ статье приведены результаты исследования, посвященного изучению информационных источников, к которым прибегают студенты в период дистанционного обучения, обусловленного пандемией «ковид-19». В ходе исследования было показано, что студенты 5 курса осведомлены о существовании большинства авторитетных источников информации, однако применение их в учебном процессе ограничено. Также было показано, что 56% студентов участвуют в дополнительных образовательных мероприятиях 1-2 раза в год и реже, что требует разработки корректирующих мероприятий

The diagnostic value of low-dose chest computed tomography for calcium score determining compared with the standard method and the results of computed tomography and selective coronary angiography

Aim. Coronary artery calcification is a characteristic of coronary atherosclerosis, which is often detected by chest computed tomography (CT). The aim of this study is to assess the efficiency of low-dose chest CT in calcium score (CS) determining and to compare it with conventional method and results of CT and selective coronary angiography.Material and methods. A total of 251 patients underwent a low-dose chest CT and a CS determining. Coincidence between the two methods was evaluated by the absolute CS values and by stratification of patients into five risk categories (“zero” CS values were excluded from the analysis). Eighty patients underwent CT or selective coronary angiography and the results were divided into two groups according to the degree of coronary stenosis — ˂50% and ≥50%. The CS values determined by chest CT are compared with the results of coronary angiography. Results. In 79 patients (31%), the CS was 0 and they were excluded from further analysis. The absolute CS values comparability between the two scanning methods in other 172 patients was very high (r=0,978, p<0,05). The coincidence in stratification of patients by risk groups was also high (contingency coefficient k=0,846). The CS specificity compared with coronary angiography was 97,5%, but with a low sensitivity of 43,6%, if the CS value is set to 400, above which coronary stenosis will considered significant. In comparing CS values with results of CT, the relationship of high CS values with coronary stenosis, were statistically proved: in 17 patients from 18 with CS >400 significant coronary stenosis was detected, in comparison with 22 patients from 52 patients with a CS more than 400 (p<0,05). Conclusion. The research showed that low-dose chest CT can be used to determine CS. Studied values correlate with the results of coronary angiography