The Lower Urinary Tract Dysfunction as a Challenge in Renal Transplantation

Abstract:
After the implementation of complex urological reconstructive procedures, kidney transplantation in patients with no functioning urinary bladder has become possible. However, patients with anatomical and/or functional dysfunction of the lower urinary tract (LUT) are a challenge for the renal transplant surgeons. In patients with LUT, the native bladder may be suitable for transplantation, otherwise intestinal reconstruction or diversion may be required. Read full text »

Fetal Skull Defects – the Best Method of Delivery

Abstract:
Neural tube defects (NTDs) are birth defects of the central nervous system that originate during embryonic development when the neural tube fails to close completely. They are the second most frequent category of congenital anomalies, after congenital heart disease. They happen in the first month of pregnancy, often before a woman even knows that she is pregnant. Recent developments in medicine have improved prenatal diagnosis, so that NTDs are diagnosed earlier and the diagnosis is more certain. Read full text »

Preoperative Immunonutrition in Gastrointestinal Cancer Patients

Abstract:
Surgical procedures due to gastrointestinal tumors are associated with increased risk of postoperative complications and mortality. This is a result of malnutrition and impairment of the immune system. Using nutritional treatment containing immunomodulatory components before surgery may improve the nutritional status of patients and also the immune system by stimulating the host`s immune response, improving the nitrogen balance and controlling the inflammatory response. The nutrients with immunomodulatory effect include: arginine, glutamine, -3 fatty acids, and nucleotides. Read full text »

Myasthenia Gravis – Case Report and Brief Review of the Literature

Abstract:
Myasthenia gravis is a rare autoimmune neuromuscular junction disease. It is characterized by fluctuating skeletal muscle weakness, which worse during repetitive activities and improve with rest. There is a bimodal distribution to the age of onset with an early peak in the second and third decades of life in women and a late peak in the sixth to eighth decades in men. This paper described a case of a 57-year-old male patient, who was admitted to the Department of Neurology due to left eyelid drooping, left ear hearing loss, lower left mouth corner, speech and swallowing disorders, dizziness and memory impairment. Read full text »

Improvement the Pro-health Functionality of Lentil Sprouts by Feeding of the Phenylpropanoids Pathway

Abstract:
Incorrect diet is one of the most important factor contributes to the synthesis of free radicals that are involved in most of pathological disorders and diseases. There are much evidence that the regular intake of legumes, phenolics-rich vegetables, reduces the risk of diet-related diseases such as obesity, diabetes, cardiovascular disease, hypertension and cancers. Germination has a positive effect on the profile of antioxidant compounds; however, their content is usually lower compared to the dormant seeds. Read full text »

Renal Colic in Pregnant Women. Review

Abstract:
Renal colic is the most common cause of non-obstetric abdominal pain in pregnant woman and may be an indication for hospitalization. Nephrolithiasis occurs in 1 to 244-2000 pregnant women. Pregnancy is a condition when both physiological and mechanical changes increase the risk of kidney stones. Renal colic in pregnant women is associated with significant potential risk to the mother and the fetus. Read full text »

Necrotizing Enterocolitis in Latvia Between 2012 – 2016

Abstract:
Necrotizing enterocolitis (NEC) is the most common gastrointestinal surgical emergency in the neonatal period, with prematurity as the single most important risk factor. The overall reported incidence is 0.1% of all live births, and 3-12% of very low-birth-weight infants (<1500g). NEC typically occurs in the first few days of life with the initiation of enteral feedings. Treatment consists of orogastric tube decompression, broad-spectrum antibiotics and in advanced cases – surgical management. A retrospective study was made including medical history data from all NEC patients in Neonatal Intensive Care Unit in Riga, from year 2012 to 2016. Read full text »

Syphilis in Pregnancy – Case Reports, Review of the Latest Guidelines and Preventive Strategies

Abstract:
Syphilis is a sexually transmitted disease caused by the spirochete Treponema pallidum. It is of special concern during pregnancy because can lead to adverse pregnancy outcomes and congenital syphilis. We present two cases of such complication during pregnancy. The first patient was a 26-year-old female G2P2, positive for CMV IgM, HCV, rubella and VDRL, who reported to the hospital at 30 weeks of gestation with lower abdominal pain. PPROM was diagnosed and cesarean section had to be performed due to non-reassuring CTG tracings and breech presentation of the fetus. Alive son was born (1600 g /46 cm, 4-6-7 points Apgar score) with respiratory failure, ascites and anorectal obstruction. Read full text »

Ear, Nose And Throat Manifestations In Patients With Rheumatic Diseases

Abstract:
Different ear, nose and throat (ENT) symptoms may appear in cases of several rheumatic diseases (RD). The aim of our study was to find the most common ENT manifestations in patients with RD; to find RD which began with ENT symptoms; to reveal possible associations between age, gender, ENT symptoms and complications among patients with RD. A retrospective study was conducted by analyzing records of patients who were hospitalized in Rheumatology and Otolaryngology departments of Pauls Stradinš Clinical University Hospital. The data obtained were statistically processed using IBM SPSS Statistics 22.0 software. Read full text »

What Do Polish Mothers Know About Breastfeeding?

Abstract:
Breastfeeding up to the sixth month of a child’s life is a “gold standard” recommended by the World Health Organisation. According to the Polish Central Statistical Office, in 2014 more than 90% of women breastfed during the first days after delivery, but only 46% continued it beyond the sixth week postpartum. The aim of the study was to assess the knowledge of Polish women about breastfeeding. A prospective cross-sectional study was performed among Polish women who were breastfeeding at the time. The self-composed questionnaire consisting of 23 questions regarding demographic characteristics and knowledge about lactation was distributed via Internet in 2017. Read full text »