Recent studies demonstrated that current European Respiratory Society/American Thoracic Society spirometric reference equations, used in general population, may not be applicable in population of elite athletes. Althought it is well known that physical activity may affect lung volumes, the effect of sporting activity on pulmonary function testing indices was never examined. The aim of this study was to examine the differences in functional respiratory parameters in various types of sports by measuring lung volumes and to extend the existing factors as well as sport disciplines which affect respiratory function the most. A total of 1639 elite male athletes, aged 18-35 years were divided in 4 groups according to the predominant characteristics of training: skill, power, mixed and endurance athletes. They performed basic anthropometric measurements and spirometry. Groups were compared, and Pearson’s simple correlation was performed to test the relation between anthropometric and spirometric characteristics of athletes. All anthropometric characteristics significantly differed among groups and correlate with respiratory parameters. The highest correlation was found for body height and weight. Sports participation is associated with respiratory adaptation, and the extent of adaptation depends on type of activity. Endurance sports athletes have higher lung volumes in comparison with skill, mixed and power group of sport.
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Thyroid cancer is the most common endocrine carcinoma, as it accounts for almost 90% of all endocrine malignancies. The incidence of thyroid carcinoma is about 1-3 cases in every 100,000 populations. During the last 30 years, the rate of thyroid cancer incidence has increased worldwide. The aim of this work was to determine the frequency of thyroid carcinoma in multinodular goiter in patients undergoing thyroidectomy to make a strategy to perform total thyroidectomy (TT) as a rule of treatment. This retrospective study included the medical charts and surgical data of a total of 50 patients who underwent surgery for goiter at General Surgery Department, Aswan University Hospital between 2015 and 2018. The present study showed that the frequency of papillary carcinoma was 6% of all thyroid diseases (from 50 patients), 60% of incidental thyroid carcinoma as the frequency was high in the 4th decade of life. The present study showed that the frequency of follicular carcinoma was 2% of all thyroid diseases (one case), 20% of ITC. Patient was in the 4th decade. The present study showed that the frequency of undifferentiated thyroid cancer was 2% of all thyroid diseases. It could be concluded that, according to the finding of this study, total thyroidectomy is the preferred method in benign thyroid disease for which surgery is indicated. The advantages of TT include reduction of recurrence rate, achieves a permanent cure of thyroid disorders. |
Hemorrhoids are common human afflictions known since the dawn of history. More than half of patients with hemorrhoids are complicated by acute thrombosis of hemorrhoids. It is unknown whether surgery is the gold standard for therapy of thrombosed. In article were described the results of surgical treatment 99 patients with acute hemorrhoidal thrombosis. All patients underwent hemorrhoidectomy during some days after hospitalization. Complications were observed at 28 patients (28,3%), from which in early postoperative period were 25, late complications were at 3 patients. The frequency of early and late postoperative complications is similar to those after elective hemorrhoidectomy.
The aim of this study was to evaluate the frequency of urinary tract infections (UTI) in boys with hypospadias pre- peri- and post-operatively in order to determine whether antibiotic prophylaxis for UTI is warranted when they undergo a reconstructive surgery for hypospadias. Included in the study group were 174boys undergoing reconstructions for hypospadias. The control group comprised 204 boys operated on for an inguinal hernia. The main outcome measure was the documented finding of a urinary tract infection verified by a positive bacteria culture. The results revealed a significant difference in the findings of a positive urinary culture between the boys undergoing hypospadias surgery, 7.5%, and those operated on for an inguinal hernia, 1.5%, (p=0.0044). The difference between the groups was not significant in the preand peri-operative periods. A higher incidence of infections was noted in boys who had other congenital malformations in addition to hypospadias (P=0.02). Thus, the boys with hypospadias are more likely to incur a urinary tract infection. Since the results did not show a higher incidence of symptomatic urinary tract infections shortly after the surgery, it may not be advantageous to administer prophylactic antibiotics to decrease the number of urinary tract infections. However, comparison of subgroups consisting of the hypospadias without and with prophylactic antibiotics remains to be conducted.
This review is a comprehensive summary of different variants of anti-Helicobacter pylori therapy from past strategies to the current state of the art. Nowadays we see a progressive decreasing of eradication rate in many countries in case of use standard triple therapy. It can be associated with high clarithromycin resistance of Helicobacter pylori. Gradual increase in number of the used antibiotics, the increase in duration of treatment, use of new antibacterial compounds and schemes of treatment do not lead to a long-term positive effect on eradication rate and on preservation of risk of development of side reactions. It is necessary to pay active attention to new approaches to treatment and alternative options of therapy of an Helicobacter pylori infection. One of the most perspective methods of improving the efficacy of eradication can be the usage of probiotics, especially in addition to standard therapy. Probiotics have some mechanisms to influence on Helicobacter pylori: lactic acid production, synthesis of bacteriocins and antimicrobial metabolites, concurrence for adhesion sites, the reparation of the barrier function of the stomach mucosa, a decrease of inflammation and increase of immunity of infected humans. Bismuth subcitrate is very effective in eradication, cytoprotection, and atrophic changes regression and can be recommended for eradication schemes as classic quadrotherapy also as a 4th additional component in classic triple therapy.