Ursula Klaar

Emakakaelavähi sõeluuringu korraldus ja tulemused Eestis

Sirje Vaask, Terje Raud, Ursula Klaar

Emakakaelavähi ja emakakaela prekantseroossete seisundite avastamiseks kasutatakse tsütoloogilist Pap-testi. Organiseeritud emakakaelavähi sõeluuring on tõenduspõhine meede, mis vähendab emakakaelavähki haigestumist ja suremust. Üleeestilist emakakaelavähi sõeluuringut alustati 2003. aastal. Aastatel 2003–2008 on emakakaelavähi sõeluuringus osalenud 48 987 naist. Vähieelne seisund avastati 5,6%-l uuritutest ning …

Inimese papilloomiviirusega nakatunud patsientide ravi ja jälgimine

Ilmi Reinmaa, Ilse Kõiv, Mart M. Kull, Ursula Klaar et autres

Inimese papilloomiviirusega nakatunud patsientide ravi ja jälgimine on keeruline ning aeganõudev. Puudub spetsiifiline ravi. Ravimeetodeid on palju, kuid nende efektiivsus on limiteeritud ja võimalikud on sagedased haiguse retsidiivid. Iga konkreetse patsiendi raviplaan on individuaalne. Eesti Arst 2002; 81 (10): 660–668

Emakakaelavähi varajase avastamise võimalused sõeluuringul. 2003. aastal alustatud sõeluuringu eelprojekt Eestis

Terje Raud, Ursula Klaar

Emakakaelavähi varajaseks avastamiseks ning ennetamiseks kasutatakse sõeluuringut. Sõeluuringu efektiivseks korraldamiseks on vaja organiseerida üleriigiline programm, mille eesmärgiks on vähieelsete seisundite diagnoosimine uuritaval sihtrühmal ja nende adekvaatne ravi. Eestis puudub organiseeritud sõel-uuringu programm ning 2003. aastal alustatud eelprojekt on esimeseks sammuks selle väljatöötamisel. …

Incidence of Cervical Intraepithelial Neoplasia in Estonia

Anneli Uusküla, Mait Raag, Arno Uppin, Terje Raud et autres

OBJECTIVE: This study aimed to assess the incidence of cervical intraepithelial neoplasia (CIN) by grade (CIN 1, CIN 2, CIN 3) and age in Estonia (a country with less developed cervical cancer screening program and high cervical cancer incidence). MATERIALS AND METHODS: …

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Prognostic Value of Serial B-Type Natriuretic Peptide Measurement in Asymptomatic Organic Mitral Regurgitation

Ursula Klaar, Harald Gabriel, Jutta K Bergler-Klein, Elisabeth Pernicka et autres

AIMS: Optimal timing of surgery is crucial in mitral regurgitation (MR) to avoid excess mortality and morbidity. The role of brain-type natriuretic peptide (BNP) in this setting remains controversial. We evaluated the value of serial BNP measurements for early prediction of deterioration …

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Benefit of atrial septal defect closure in adults: impact of age

Michael Humenberger, Raphaël Rosenhek, Harald Gabriel, Florian Rader et autres

AIMS: To evaluate the effect of age on the clinical benefit of atrial septal defect (ASD) closure in adults. METHODS AND RESULTS: Functional status, the presence of arrhythmias, right ventricular (RV) remodelling, and pulmonary artery pressure (PAP) were studied in 236 consecutive …

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Gender differences in clinical presentation and surgical outcome of aortic stenosis

Julia Mascherbauer, Raphaël Rosenhek, Elisabeth Pernicka, Ursula Klaar et autres

BACKGROUND: Little is known about the gender differences of patients undergoing aortic valve replacement (AVR) for isolated severe aortic stenosis. METHODS AND RESULTS: 408 consecutive patients (215 women and 193 men; p=0.9) were analysed. At presentation, women were older (73.7+/-9.3 years vs …

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Heterogeneity of traumatic injury of the tricuspid valve: A report of four cases

Ingrid Schuster, Senta Graf, Ursula Klaar, Rainald Seitelberger et autres

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Moderate patient-prosthesis mismatch after valve replacement for severe aortic stenosis has no impact on short-term and long-term mortality

Julia Mascherbauer, Raphaël Rosenhek, Christina Fuchs, Elisabeth Pernicka et autres

BACKGROUND: The importance of moderate patient-prosthesis mismatch (PPM) for the prognosis of patients who undergo aortic valve replacement is unclear. METHODS: The presence of PPM was assessed in 361 consecutive patients undergoing valve replacement for isolated severe aortic stenosis and related to …

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Diastolic function assessment in clinical practice: The value of 2-dimensional echocardiography

Martin Osranek, James Bernard Seward, Beatrix Buschenreithner, Jutta K Bergler-Klein et autres

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Abstract 3332: Left Atrial Size Predicts Outcome in Asymptomatic Severe Mitral Regurgitation

Raphaël Rosenhek, Florian Rader, Marcel Krejc, Daniel Kalbeck et autres

Background: Left atrial (LA) size is affected by left ventricular (LV) diastolic pressure, ventricular remodeling, atrial fibrillation and mitral regurgitation (MR) itself. LA size has been propose...

Outcome of Watchful Waiting in Asymptomatic Severe Mitral Regurgitation

Raphaël Rosenhek, Florian Rader, Ursula Klaar, Harald Gabriel et autres

BACKGROUND: The management of asymptomatic severe mitral regurgitation remains controversial. The aim of this study was to evaluate the outcome of a watchful waiting strategy in which patients are referred to surgery when symptoms occur or when asymptomatic patients develop left ventricular …

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