Wiener klinische Wochenschrift
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Wien. Klin. Wochenschr. · Jan 2004
Clinical and epidemiological features of Lyme borreliosis in Bulgaria.
Data on disease expression and epidemiological characteristics of Lyme borreliosis in south-eastern Europe are scarce. ⋯ The results of the study show that the epidemiology and clinical manifestations of Lyme borreliosis in Bulgaria are similar to those in the majority European countries but possess some distinguishing characteristics.
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Wien. Klin. Wochenschr. · Jan 2004
Bone metabolism during interferon-alpha treatment of essential thrombocythemia.
In-vitro studies have demonstrated that interferon (IFN) has an inhibitory effect on bone formation. Changes in bone metabolism were investigated in 19 patients treated for essential thrombocythemia with IFN-alpha. ⋯ No uniform trend or pattern was observed in the measured biochemical parameters except for ICTP, which decreased after treatment. Correlations indicated modulation of bone metabolism, i.e. remodeling with suppression of resorption, as a consequence of therapy with IFN-alpha.
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Patients who are suspected of having acute appendicitis usually undergo surgery in order to avoid life-threatening complications such as perforation and peritonitis. However, acute appendicitis is difficult to distinguish from other sources of right-sided abdominal pain. The clinical picture is almost indistinguishable from appendiceal diverticulitis, which is a rare entity and remains a difficult diagnostic problem. ⋯ Every surgeon should be aware of the possibility of diverticulitis of the appendix in the operating room, even if this does not change the operative management. As diverticula of the cecum can be found as solitary lesions, as multiple lesions confined to the right colon, or as part of a generalized disease of the entire colon, postoperative barium enema examination may be useful.
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Wien. Klin. Wochenschr. · Jan 2004
Comparative StudyA review of civilian gunshot wounds to the head in northeast Slovenia: 1992 to 2002.
Surgical management of gunshot wounds to the head has remained a controversial issue. There are considerable regional differences in the causes of civilian gunshot wounds (GSW) to the head and various devices are used in different countries. The aim of our study was to review the demographic factors, treatment and outcome of patients with GSW to the head over the past 10 years at Maribor Teaching Hospital. ⋯ The results of our study support previous ones stating that patients with GSW to the head can benefit from aggressive treatment and still make satisfactory recoveries. Clearly, there are ethical dilemmas involved in withholding operative treatment from any individual. Guidelines dictating when to surgically intervene must be made.
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Wien. Klin. Wochenschr. · Jan 2004
Comparative StudyIncidence and outcome of rupture of the Achilles tendon.
We determined the incidence of complete rupture of the Achilles tendon in the Maribor region (273,609 inhabitants) between 1991 and 1996. During this period, 116 ruptures were treated at Maribor Teaching Hospital. The average incidence was 7 ruptures per 100,000 inhabitants, with a peak incidence of almost 9 per 100,000. ⋯ The mean AOFAS score was 96 points. The patients were subjectively very satisfied with their treatment in 88% of cases. Good functional results with a return to the usual pre-injury activities were achieved in 96% of patients.