Arthritis follows an acute urogenital or intestinal: Reiters disease

Arthritis following dyzentery or urethritis was mentioned before our era and later by many others. In 1818 Benjamin Brodie described 5 patients with typical 'Reiters disease': urethritis, conjunctivitis, arthritis. Many diagnostic criteria for Reiters disease / reactive arthritis have been proposed for practical purpose the most acceeptable is the folowing one: posturethritic or postenterocolitic arthritis is Reiters disease / reactive arthritis. The findings of Chlamydiy from the synovia or in the synovial fluid of itients with RD suggest that arthritis may be of infective but not of reactive origin

Poor life habits: Risk factors for formation osteoporosis

The use of bone density measurements is of central importance for diagnosis, prognosis end the assessment of treatment of patients with osteoorosis. Risk factors are variables which significantly change expected absolute risk, that is, the probability of variable disease in a certain population. Aging and smoking are the most common listed risk factors for the development of osteoporosis. The aim of our work was to confirm the most common risk factors for osteoporosis. In our research work has processed a total of 88 smokers were divided into groups according to the number of cigarettes smoked and the length of smokers. Results showed that risk factors: poor life habits (smoking and use of coffee), are significantly represented on patients with osteoporosis. In order to timely implement treatment, we concluded based on the results, that there is a need actively look for presence of risk factors responsible for osteoporosis in our patients

Predictors of improved quality of life six months after coronary artery bypass surgery

Predictors of improved quality of life after coronary artery bypass surgery (CABG) are still incompletely known. To determine the predictors of improving the quality of life six months after coronary artery bypass surgery. We studied 208 consecutive patients, who underwent elective CABG. The Nottingham Health Profile Questionnaire part 1 was used as the model for quality of life determination. Questionnaire contains 38 subjective statements divided into six sections: physical mobility, social isolation, emotional reaction, energy, pain and sleep. We distributed the questionnaire to all patients before CABG and six months after CABG. The mean age of patients was 58,8 ± 8,2 years, 82% were males. The comparison between mean preoperative and postoperative scores showed that improvement was found in 53.7% of patients, worsening in 12.5%, quality of life before and after the intervention was normal in 26.7%, and no changes in quality of life was at 7.08%. Independent predictors of patients improvement by CABG were as follows: absence of previous myocardial infarction in the physical mobility section (p=0.03; OR=0.59; CI 0.40-0.92), higher CCS angina class in the physical mobility (p=0.006; OR=2.34; CI 1.46-3.32), energy (p=0.02; OR=1.70; CI 1.29-2.64) and pain sections (p<0.001; OR=4,64; CI 2.27-7.31), mail gender in the pain section (p=0.03; OR=0.45; CI 0.26-0.62) and younger age in the pain section (p=0.01; OR=0.69; CI 0.41-0.85). The predictive factors for quality of life improvement six months after CABG are higher CCS angina class, absence of previous myocardial infarction, mail gender and younger age