Lifestyle and Quality of Life of Women with Diagnosed Hypothyroidism in the Context of Metabolic Disorders

The lifestyle causes of metabolic disorders in patients with hypothyroidism should be investigated. We aimed to assess the lifestyle and quality of life of women diagnosed with hypothyroidism and search for the presence of differences between the lifestyle and quality of life of women with and without diagnosed lipid metabolism disorders. This study included 311 women. To assess the differences between the groups with and without metabolic disorders, a non-parametric Mann-Whitney U test was performed. Of the products that were potentially beneficial for health, statistically significant differences in the average frequency of consumption were observed for legume seeds (p = 0.014), and of the products potentially unbeneficial for health, the frequencies of consumption of fried dishes (p = 0.016) and fast-food products (p = 0.001) were significant. Only 11.9% rated their free-time physical activity as high. The quality of life was significantly different between the groups. The lifestyle was moderately appropriate. Compared with women with lipid metabolism disorders, women without them exhibited a higher frequency of correct dietary behaviors regarding the consumption of products with a potentially beneficial effect and sleeping duration. Women without lipid metabolism disorders had a better quality of life. Women with hypothyroidism should be educated about the beneficial aspects of the regular consumption of vegetables, fruits, legumes, and fish and sleeping for the optimal amount of time.

Evaluation of the nutritional status of patients with liver cirrhosis

BACKGROUND

Progressive malnutrition coexists with liver diseases, particularly in patients with cirrhosis. Early diagnosis of malnutrition in patients with advanced stages of chronic liver disease and the implementation of appropriate nutritional treatment for malnourished patients should be an integral part of the therapeutic process.

AIM

To evaluate the nutritional status of patients with various severities of advanced liver fibrosis, using various nutritional status parameters.

METHODS

This study involved 118 patients with liver cirrhosis who were classified into three groups according to their Child-Pugh score. The nutritional status of the patients in each group was assessed using different methods. The average values obtained from the measurements were calculated for each research group. The influence of disease stage on the examined parameters of nutritional status was determined using one-way analysis of variance. To investigate the relationship between the parameters determining nutritional status and the stage of disease advancement, a correlation analysis was performed.

RESULTS

The Child-Pugh A group had the highest mean body weight (76.42 kg), highest mean body mass index (BMI) (26.72 kg/m²), and largest mean arm circumference (27.64 cm). In the Child-Pugh B group, the mean scores of all examined variables were lower than those of the Child-Pugh A group, whereas the mean body weight and BMI of the Child-Pugh C group were higher than those of the Child-Pugh B group. There was a very strong correlation between the Child-Pugh classification and subjective global assessment score; a very strong correlation between the Child-Pugh classification and arm circumference; a strong correlation between the Child-Pugh classification and body weight, albumin concentration, fat-free mass index, muscle mass index, phase angle, and BMI; and an average correlation between Child-Pugh classification and fat mass index. Notably, these indicators deteriorated with disease progression.

CONCLUSION

Advanced liver fibrosis leads to the deterioration of many nutritional status parameters. The extent of malnutrition increases with the progression of liver fibrosis. The Child-Pugh score reflects the nutritional status.

[Comparison of ultrasonographic results of the breast with progesterone levels in women with fibrocystic mastopathy]

Measuring the level of progesterone in 80 women who according to the ultrasound images had fibrocystic mastopathy. I've concluded by comparing the ultrasound images with the measurement of hormones that there was conformity of 75%.

[Effect of CO2 insufflation into the peritoneal cavity on selected indices of respiratory system function during laparoscopic cholecystectomy]

An attempt was undertaken at evaluation of the influence of CO2 insufflation in patients subjected to laparoscopic cholecystectomy on pulmonary dynamic compliance, pulmonary resistance, pressures in the airways, CO2 pressure in expired air, and arterialized blood gas analysis. The studies were carried out in a group of 33 patients, including 26 women and 7 men, evaluated according to ASA scale as I/II degrees. The means of the values obtained before CO2 insufflation into the peritoneal cavity were compared with the means from the period of pneumoperitoneum maintenance. Statistically significant decrease of pulmonary compliance, increase of the mean pressure in the airways and increase of CO2 pressure both in expired air and arterialized blood were demonstrated. Pulmonary resistance and oxygen pressure in blood remained without statistically significant changes. The attention was paid to the rationale of including capnometry to the standard monitoring equipment during laparoscopic operations.

[Comparison of mammography and sonography in diagnosis of breast cysts]

Mammography and sonography were done in 479 women. In mammography cysts were suspected in 10 cases, in 20 cases solid lumps and in 49 cases no changes were detected. In sonography in 7 cases cysts were found in 23 solid lumps, in 49 no changes were detected. It was proved that sonography is much more accurate in detecting cysts than mammography.