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PubMedDate not supplied

[Main causes of death of patients with diabetes mellitus].

Among the causes of death in the patients with diabetes mellitus in Ukraine there prevailed cardiovascular disease (73.1 +/- 0.19%); malignant neoplasms ranked second (12.1 +/- 1.2%); tuberculosis constituted 1.6 +/- 1.2%, and all the rest of the diseases - 13.1 +/- +/- 1.2%, including coma - 0.5%. The frequency of death, particularly from cardiovascular diseases, is influenced by the patients' age, the severity and the duration of metabolic disturbances. The methods of treatment, particularly the saccharolytic sulphanilamide preparations, produce no effect on the death incidence.

Aged↗
PubMed1999

Bloody pericardial effusion in patients with cardiac tamponade: is the cause cancerous, tuberculous, or iatrogenic in the 1990s?

STUDY OBJECTIVES: The decrease in incidence of tuberculosis, along with the increase in invasive cardiovascular procedures, may have changed the frequency of causes of bloody pericardial effusion associated with cardiac tamponade, although this is not yet recognized by medical textbooks. We analyzed the causes of bloody pericardial effusion in the clinical setting of cardiac tamponade in the 1990s; patients' survival; the effect of laboratory results on discharge diagnosis; and how often bloody pericardial effusion is a presenting manifestation of a new malignancy or tuberculosis. DESIGN: Retrospective, observational, single-center study. SETTING: A community hospital. PATIENTS: The charts of all patients who underwent pericardiocentesis for cardiac tamponade and had bloody pericardial effusion were retrospectively reviewed. RESULTS: Of 150 patients who had pericardiocentesis for relieving cardiac tamponade, 96 patients (64%) had a bloody pericardial effusion. The most common cause of bloody pericardial effusion was iatrogenic disease (31%), namely, secondary to invasive cardiac procedures. The other common causes were malignancy (26%), complications of atherosclerotic heart disease (11%), and idiopathic disease (10%). Tuberculosis was detected as a cause of bloody pericardial effusion in one patient and presumed to be the cause in another patient. Bloody pericardial effusion was found to be a presenting manifestation of a newly diagnosed malignancy in two patients. The patients in the idiopathic and iatrogenic groups were all alive and had no recurrence of pericardial effusion at 24 +/- 27 and 33 +/- 21 months after hospital discharge, respectively, whereas 80% of patients with malignancy-related bloody effusions died within 8 +/- 6 months. CONCLUSIONS: In a patient population that is reasonably representative of that in most community hospitals in the United States, the most common cause of bloody pericardial effusion in patients with signs or symptoms of cardiac tamponade is now iatrogenic disease. Of the noniatrogenic causes, malignancy, complications of acute myocardial infarction, and idiopathic disease predominated. Hemorrhagic tuberculous pericardial effusions are uncommon and may likely reflect a low incidence of cardiac tuberculosis in community hospitals in the United States.

Adult↗
PubMedDate not supplied

White paper on the health status of Asian Americans and Pacific Islanders and recommendations for research.

A literature review of various reports sponsored by federal governmental agencies and proceedings of conferences of Asian Americans' and Pacific Islanders' health organizations provides data of health disparities among and between these diverse ethnic groups. Specifically, demographic and socio-economic data, as well as health care issues, are reported. Asian Americans and Pacific Islanders exceed other groups in health disparities in the area of tuberculosis and hepatitis B, whereas cancer and cardiovascular diseases are leading causes of death within the Asian American and Pacific Islander populations. Recommendations for areas of research are provided.

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