3 research outputs found
Age characteristic of morphometric parameters of an orbit in adults
Background. The knowledge of a morphometric characteristics of an orbit are important in planning of surgical interventions after craniofacial injuries and a number of ophthalmologic and oncological diseases. Objective. To determine the standard morphometric parameters of an orbit in humans of different age groups. Methods. Research was performed in Donetsk diagnostic center with the use of computer tomography-scans. 96 people aged from 21 to 74 years took part in the research with their consent; 32 people – the first period of mature age (men – 22-35 years, women – 21-35 years); 32 people – the second period of mature age (men – 36-60 years, women – 36-55 years); 32 people –aged group (men – 61-74 years, women – 56-74 years) – without pathologies of a craniofacial zone. Orbit length, its depth, angle between medial and lateral walls, width and height of an orbital entrance, inclination angle were measured. Results. Significant asymmetry in values of the length of the lower orbital wall in the first period of mature age was revealed. It affects the value of this parameter as a morphometric standard during surgical intervention, and justifies the measurement at least in two planes: frontal and axial. Conclusion. It was established that there are no reliable differences between morphometric parameters of an orbit in persons of various age groups, except the depth of an orbit and length of its lower wall in the second period of the mature age.
Citation:
Dubyna SO, Yabluchansky MI. [Age characteristic of morphometric parameters of an orbit in adults]. Morphologia. 2015;9(1):29-33. Ukrainian
Gender-Related Differences in Presentation, Treatment, and Outcome of Patients With Atrial Fibrillation in Europe. A Report From the Euro Heart Survey on Atrial Fibrillation
Objectives: This study sought to investigate gender-related differences in patients with atrial fibrillation (AF) in Europe. Background: Gender-related differences may play a significant role in AF. Methods: We analyzed the data of 5,333 patients (42% female) enrolled in the Euro Heart Survey on Atrial Fibrillation. Results: Compared with men, the women were older, had a lower quality of life (QoL), had more comorbidities, more often had heart failure (HF) with preserved left ventricular systolic function (18% vs. 7%, p < 0.001), and less often had HF with systolic dysfunction (17% vs. 26%, p < 0.001). Among patients with typical AF symptoms (56% of women, 49% of men), there was no gender-related difference in the choice of rate or rhythm control. Among patients with atypical or no symptoms (44% of women, 51% of men), women less frequently underwent rhythm control (39% vs. 51%, p < 0.001) than did men. Women underwent less electrical cardioversion (22% vs. 28%, p < 0.001). Prescription of oral anticoagulants was identical (65%) in both genders. One-year outcome was similar except that women had a higher chance for stroke (odds ratio 1.83 in multivariable regression analysis, p = 0.019). Conclusions: Women with AF had more comorbidities, more HF with preserved systolic function, and a lower QoL than men. In the large group with atypical or no symptoms, women were treated appropriately more conservatively with less rhythm control than men. Women had a higher chance for stroke. Long-term QoL changes and other morbidities and mortality were similar. © 2007 American College of Cardiology Foundation
Antithrombotic treatment in real-life atrial fibrillation patients: a report from the Euro Heart Survey on Atrial Fibrillation
Aims To describe guideline adherence and application of different stroke risk strati. cation schemes regarding antithrombotic therapy in real-life atrial. brillation (AF) patients and to assess which factors influence antithrombotic management decisions.Methods and results The Euro Heart Survey enrolled 5333 AF patients in 35 countries, in 2003 and 2004. Prescription of antithrombotic drugs, especially oral anticoagulation (OAC), was hardly tailored to the patient's stroke risk pro. le as indicated by the joint guidelines of the American College of Cardiology, American Heart Association, and the European Society of Cardiology, ACCP guidelines, or CHADS(2) and Framingham risk scores. In multivariable analysis, only a limited number of the well-known stroke risk factors triggered OAC prescription. In contrast, less relevant factors, of which clinical type of AF and availability of an OAC monitoring outpatient clinic were the most marked, played a significant role in OAC prescription. Electrical cardioversions and catheter ablations clearly triggered OAC prescription, whereas pharmacological cardioversions even in the presence of stroke risk factors did not.Conclusion Antithrombotic therapy in AF is hardly tailored to the patient's stroke risk pro. le. Factors other than well-known stroke risk factors were significantly involved in antithrombotic management decisions. To facilitate this tailored treatment, guideline writers and physician educators should focus on providing one uniform and easy to use stroke risk strati. cation scheme