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[Effect of the season of birth on the mortality structure and life expectancy of residents of Kiev].

Longevity was significantly associated with season of birth in 101,634 individuals who died in Kiev during the period 1990-2000. Longevity values were lowest for subjects born in April-July, and highest for individuals born at the end of the year. Minimum and maximum longevity by month of birth differed by 2.6 years in men and 2.3 years in women. It is shown that the persons born in the fourth quarter, died from accidents or suicide less often, than those born in the second quarter. That can testify their better social adaptability. Age of death of the persons who have died from age-related diseases (neoplastic and circulatory) depend on a season (month) of birth to the greatest degree. The obtained results testify that the early (pre- and/or postnatal) seasonal factors influence on age-related mortality and longevity of the people.

Aged↗

Improved life expectancy after coronary artery bypass grafting in elderly.

From 1981 to 1990, 204 patients (165 male, 35 female) aged 70 years and older (mean 72.4 +/- 2.4 years [+/- SD], range, 70 to 81 years) underwent isolated coronary artery bypass surgery with an average of 3.8 +/- 1.2 grafts per patient. Seven patients (3.5%) were in NYHA functional class I, 52 (25.5%) were in class II, 1237 (62%) were in class III, and 18 patients (9%) were in class IV preoperatively. The operative mortality (30-day mortality) was 6.8% (14 patients). The NYHA class improved in these patients from a mean preoperative value of 2.8 +/- 0.65 to 1.4 +/- 0.6 postoperatively (p < 0.0001). The actuarial survival (+/- SD) of the entire group was 92 +/- 2% and 86 +/- 4% at 1 and 5 years, respectively, and of the patients surviving operation, excluding those who died in the hospital, it was 98.5 +/- 1.0% and 93 +/- 3.5% at 1 and 5 years, respectively. We concluded that coronary artery bypass grafting in elderly patients can be performed with acceptable operative mortality and good late results.

Aged↗

[Life expectancy and disability following pleural empyema].

The pleural empyema, e.g. postpneumonial or postoperative, has, in an acute state of being, to be treated before all by an aimed intensive puncture, irrigation, and drainage therapy. Removing the cause of the empyema you can expect a cure as a rule, but in certain cases an operative intervention is still necessary. The chronic empyema often needs a decortication for an operative correction. The trials of medical treatment being often conservative and the chronic intoxication most often cause a strong impairment of the general condition. A lot of other organic affections or damages reduce the chances of cure and increase lethality. The chronic empyema not available for an operative correction has, as a whole, a bad long-term prognosis with a high morbidality and lethality. The qualities of living of these patients are often reduced a lot.

Disability Evaluation↗

[Primary antibody deficiency syndrome. Improved life expectancy and immunoglobulin G substitution].

Recurrent pyogenic infections are the leading clinical symptom in patients with antibody deficiency syndromes. In accordance with the WHO-classification at least nine different diseases are differentiated. In some cases diagnosis can be made simply by determining the immunoglobulin serum levels. Some diseases, such as Ig-heavy chain gene deletions, are clearly characterized by molecular biological methods, while other terms, such as common variable immunodeficiency, cover a collection of different diseases with changes predominantly of B-cell functions. The main features of the antibody deficiency syndromes are described. In most cases adequate therapy can be achieved by IgG replacement therapy.

Humans↗

[Life expectancy after lung embolism].

The prognosis of pulmonary embolism depends chiefly on three conditions, the amount of pulmonary arterial obstruction, the cardio-pulmonary state and tolerance and haemostatic factors. Whereas a single, even massive pulmonary embolism as a rule does not lead to chronic morbidity, repeated though minor emboli may be followed by pulmonary hypertension with eventual right heart failure so that the long term prognosis rests upon the probability of further thrombotic events.

Heart Failure↗